Lect 08 Serology

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    Specific immune factors

    Cellular

    humoral

    AG( antigene)--AB(antibody) complex

    Serology

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    SPECIFIC IMMUNE RESPONSEability to detect foreign substances

    specificity different response to different antigensmemory permits a rapid and specific secondary response

    IMMUNOCOMPETENT CELLSAntigen-presenting cells(APC): mononuclear macrophages,

    dendritic cells, B lymphocytesAntigen-recognizing cells: T helpers (CD3,CD4)

    Effector cells: B lymphocytes, plasma cells and memorycells (CD19, CD20, CD21)antibody productionCTL cytotoxic T lymphocytes (CD3,CD8), NK natural killer

    cells (CD16),cytotoxicity

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    ANTIGENS

    Anti against // genos genus

    organic substances of a colloid structure, which upon injection intothe body are capable to cause the production of antibodies and to react

    specifically with them

    substances of any nature, that are recognized by cells of macroorganismimmune system as genetically foreign and bring about immune response

    AG MAJOR PROPERTIESImmunogenicity ability to cause an immune response

    (to cause the production of AB)Antigenicityability to interact with AB

    Specificityinteraction only with homologousAB

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    complete AG

    immunogen incomplete (partial)AGhapten

    Substances most high-molecular(proteins, P, PS, NP, LP,

    LPS, GP)low-molecular

    Antigenicity + +Specificity + +Immunogenicity + (+ if coupled to a

    carrier)

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    antigenic determinant(epitope) certain chemical group in AGmolecule that determines reaction specificity and binds to

    antigen binding site of AB monovalentAG (haptens),bivalent(contain 2 epitopes),

    polyvalent(multivalent) AG

    adjuvant chemicals that enhance the immunogenicity ofantigens and also stimulate phagocytosis, thus increasing the

    immune response(aluminum compounds -(Al(OH)3), oil emulsion, Freund adjuvant mineral oil + killed Mycobacteriumtuberculosiscells)

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    According the particular structure of bacterial cellthat AG are associated with:

    H-AGflagellar, heat-labile, remain immunogenic after treatmentwith phenolO-AGsomatic(associated with LPSof cell wall), heat-stableK-AGcapsule(surface layer PS or protein)Vi-AG also capsuleAG, found in some enteropathogenic(high-virulent) bacteria

    every microorganism contains many different AGs, that reflects

    by it antigenic formula (e. g. Salmonella typhi- group D 9, 12, Vi.E. coli- O153:H1:K7 etc.)

    AGs of MICROORGANISM

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    Definitions of antigenes

    protectiveAG high-antigenic and low-toxic, cause theproduction of blocking AB

    cross-reacting AGare common for human andmicroorganism (phenomenon of microbial mimicry)

    isoantigenes substances which have antigenic

    properties and are contained in some individuals of agiven species (blood groups serum antibodies)autoantigenes substances capable of immunizing the

    body from which they are obtained (eye lens,spermatozoids, emulsions of kidney, liver, lungs and

    other)

    According to the specificity AG could be:

    Group-specificAG AG common for different microbial species

    Species-specificAG

    AG associated with particular speciesType-specificAG (serotype, serovar) found in different variantsof one species

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    ANTIBODIES

    are globular glycoproteins (-globulin fraction in serum proteinsof blood, tissue fluids and some secretions

    are made in response to specific antigen (foreign macromolecule)by B cells (plasmatic cells)

    are capable of specific binding to appropriate antigen (AG)could be produced to every antigen

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    The five classes of antibodies

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    PROPERTY IgG IgA IgM IgD IgE

    Number of monomers 1 1, 2 5 1 1

    Number of AG-binding sites 2 2, 4 10 2 2

    Percentage of total immunoglobulin 80 9-10 5-10 0-1 0.005

    Complement fixation (Class. orAltern.) + C,A A + C - -

    Crosses the placenta + - - - -

    Fixes to basophils and mast cells - - - - +

    Binds to macrophages and neutrophils + - - -

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    Types of AB reactivity:Toxin neutralizationantitoxinsPrecipitation of soluble AGprecipitinsAgglutination of corpuscular AGagglutininsEnhancement of phagocytic activityof leukocytesopsoninsComplement bindingcomplement-bindingAB

    completeAB

    form visual reactions, have 2 and more active(AG-binding) centersincomplete (blocked) AB have only 1 active center, other isblocked; require Kumbs method for their detection

    monoclonal AB each specific AB is synthesized by particular

    cell line, that could be developed trough hybridoma culturetechnique (lymphocytes are fused with myeloma cells);generally after immunizationin Ig pool are polyclonalAB

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    T- independet T-dependentIs realised by B- cells which are

    constantly carrying surface

    receptors Ig M Ig D that

    recognize epitopes of bacteria.

    After binding with correspondent

    AG

    (Signal with IL-7 and tyrosine-

    kynase) the polyclonal activation

    is started and plasmatic cells

    begins to produce Ig with low

    affinity - Ig M Ig D.

    Is realised by B- cells only if they

    have the assistance of antigen

    presenting cells and Th.

    high affinity -Ig A, Ig G, Ig E

    Antibody response on microbial antigenes may be:

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    COOPERATIVE INTERACTION OF IMMUNOCOMPETENT CELLSMain features:Cell interaction only when they are genetically identical (MHC II class)Double recognition presented AG is recognized by immunocompetent cell

    only in complex with I class (target cells) or II class (APCs) MHC

    IMMUNE RESPONSEPhagocytosis of foreign AG( cell, particle) by macrophage Processing and presentation of this AG in association with II class MHC +secretion of IL-1 by APCs Recognition of presented AG by Th (CD3-CD4) complex + activation of Th byIL-1 secretion of humoral factors, including IL-2, IL-4, IL-5, -interferonRecognition of AG by B lymphocytes their activation, including synthesisof receptor for humoral factorsActivation of B cells by humoral factors and their differentiation into AB-producing cells (plasmatic cell)

    Production of antibodyBinding of AB to AG and elimination of such immune complexes fromorganism by specific or non-specific mechanisms (phagocytosis, lysis bycomplement, destroying of foreign cells by CTL, NK and K cells etc.)

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    DYNAMIC of AB PRODUCTION

    depends from:

    power of AG affection (AG dose),

    frequency of exposure to AG,

    general health of the host organism,particularly its immune system

    dynamics differ in primary (I) andsecondary (II) response at all stages:

    I II

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    I II

    1. Latent (lag) stage 35 days 12 days

    2. Logariphmic 715 days differs, but generally has rapid rise in ABtiters, high AB titers, long stationary

    period and slow decrease

    3. Stationary 1530 days

    4. Decrease 16 months

    Ig isotype IgM, than later

    IgGOnly IgG

    secondary response goes due topreexistence of memory cells

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    CHARACTERISTICS of SEROLOGICAL REACTION

    specificity reaction of antigen with homologous antibodysensitivity minimum quantity of AG or AB detected byparticular serological reaction

    STAGES of SEROLOGICAL REACTIONSpecific interaction of AG with ABNon-specific formation of visible result (usually in the presenceof electrolyte), depends from the characteristics of AG and couldbe developed in different forms (agglutinates, precipitates etc.)

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    COMPONENTS of SEROLOGICAL REACTIONS

    AG in form of corpuscular diagnosticums (suspension of live orfixated bacteria, biochemicals adsorbed on different particles

    etc.) or solutions (extractions, isolated chemical fractions frombacteria, viruses, toxins etc.)

    AB in form of immune serum (obtained by immunization ofexperimental animals) or AB-diagnosticums (AB adsorbed on

    different particles)

    ElectrolyteAdditional developing system (hemolytic system, complement,

    markers etc.) if necessary

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    SEROLOGICAL REACTIONSIMMUNE SERUM must have following determined characteristics:Serum titer(AB level) maximum serum dilution that gives positive

    reactionSerum specificity reaction only with homologous bacterial cultures;

    could be restricted to a genus specificity, species, variant etc.

    DIAGNOSTIC IMMUNE SERA:

    agglutinating sera(identification of bacterial genus, species, serovar),precipitating sera(AG detection in examines sample),hemolytic sera(are used in additional developing system, e. g. in RCB),

    antitoxic sera(are used for toxin neutralization)

    TYPES of IMMUNE SERUM

    polyvalent(non-adsorbed) low specific; high AB titers; contain AB tomicrobes, that have common group, genus, family AG, i. e. can elicit

    group cross-reactionsmono-receptor(adsorbed) high specific; low AB titers (1:40, 1:300);are generally used for agglutination on slide,for determination of serovar

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    AGGLUTINATION REACTIONS

    are used both for identification and examination of infectious agent(e. g.agglutination on slide, Gruber method etc.) and detection of specific ABin

    patients serum (Vidal method for typhoid, Right, Heddlson method forbrucellosis etc.)

    are based on the formation of AG-AB aggregates or latticeat optimal

    concentrations of both componentsdirectand indirect(AG or AB are adsorbed on the cell or particle surface)hemagglutination AG are located on the surface of red blood cells, andthe addition of AB leads to their clumping (e.g. is basis for blood typing

    etc.)DIAGNOSTIC TITER maximum immune serum dilution that elicit positive

    resultto get reliable diagnose pair seraare taken (to follow the dynamic of AB

    titers rise)

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    KASTELLANI METHOD of IMMUNE SERUM ADSORBTION

    relative groups of microorganism are used to bind and

    exclude group-specific and species-specific AB out ofpolyvalent serum to get finally mono-receptor immuneserum (only type-specific AB left examination ofbacterial antigenic structure)

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    PRECIPITATION REACTIONS

    are generally used for detection and examination of AG using diagnosticserum

    are also based on lattice formation and strongly require optimal AG and

    AB proportions (zone of equivalence) and have very high sensitivity;are performed in solutions (ring-test) or in gels (Ouchterlony method,

    Manchini, immunoelectrophoresis etc.)

    NEUTRALIZATION REACTIONS

    are based on the ability of antitoxic serum to bind and inactivate toxinsare used for detection of toxin production by microbial cells and detection ofpresence of antitoxin AB in patients blood (diagnostic of infectious disease)

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    REACTION of COMPLEMENT BINDINGis based on the ability of AB to bind complement thus excluding it out of

    solution

    LYSIS REACTIONS

    are based on the ability of opsonins to activate complement system

    REACTIONS using LABELED AB (ELISA, RIA, RIF etc.)

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