The Immune System
Topics 6.3 and 11.1
Immunity
 • Immunity
    – The ability of the body to fight infection and/or foreign
      invaders by producing antibodies or killing infected cells.
 • Immune System
    – The system in the body responsible for maintaining
      homeostasis by recognizing harmful from non-harmful
      organisms and produces an appropriate response.

 • Highly specific recognition of foreign antigens
 • Mechanisms for elimination of microbes bearing such
   antigens
 • A vast universe of distinct antigenic specifies
 • Immunologic memory
 • Tolerance of self-antigens
Key attributes of immune system

  • 4 attributes that characterize the
    immune system as a whole
    – specificity
       • antigen-antibody specificity
    – diversity
       • react to millions of antigens
    – memory
       • rapid 2° response
    – ability to distinguish self vs. non-self
       • maturation & training process to reduce auto-
         immune disease
Foreign Invaders
 • Called Pathogens
   – Viruses, bacteria or
     other living thing that
     causes
     disease/immune
     response.


 • Antigens
   – Toxins that pathogens
     produce that cause
     harm to an organism.
Avenues of attack

• Points of entry
  – digestive system
  – respiratory system
  – urogenital tract
  – break in skin
• Routes of attack
  – circulatory system
  – lymph system
Parts of the Immune System



  1.   Blood - White Blood Cells in particular.
  2.   Lymph nodes
  3.   Thymus Gland – Produces T Lymphocytes
  4.   Bone Marrow – Produces B Lymphocytes
Production & transport of leukocytes
Lymph system     Traps foreign invaders




                            lymph vessels
                            (intertwined amongst blood vessels)




               lymph node
Lines of Defense
How does the body fight infection/foreign invaders?



   First Line of Defense – The Skin
      •   Provides Physical and Chemical barriers
          •   Physical – hard to penetrate, made of indigestible keratin
          •   Chemical – tears, sweat
1st line: Chemical barriers on epithelium

Skin & mucous membrane secretions
   – Sweat -pH 3-5
   – Tears- washing action, lysozyme
   – Mucus- traps microbes
   – Saliva- anti-bacterial = “lick your wounds”
   – Stomach acid- pH 2
   – Anti-microbial proteins
       • lysozyme enzyme
          – digests bacterial cell walls
2nd Line – Nonspecific Immune Response

 These are defenses the body uses no matter what the invader
 may be. These defenses include:
  – Phagocytosis – done by Macrophages
  – Natural Cell Killers
  – Inflammation - caused by release of Histamine from
    leukocytes
  – Fever – caused by histamines. The fever (high temp) kills
    invaders by denaturing their proteins.
2nd line:   Internal, broad range patrol
 • Innate, general defense                   leukocytes
    – rapid response
 • Patrolling cells & proteins
    – attack invaders that penetrate
      body’s outer
      barriers
       • leukocytes
            – phagocytic white blood cells
       • complement system
            – anti-microbial proteins
       • inflammatory response
Leukocytes: Phagocytic white blood cells (WBCs)


   • Attracted by chemical
     signals released by damaged cells
      – enter infected tissue, engulf & ingest microbes
         • lysosomes
   • Neutrophils
      – most abundant WBC (~70%)
      – ~ 3 day lifespan
   • Macrophages
      – “big eater”, long-lived
   • Natural Killer Cells
      – destroy virus-infected cells
        & cancer cells
Phagocytes




macrophage   yeast
Destroying cells gone bad!


    • Natural Killer Cells perforate cells
       – release perforin protein
       – insert into membrane of target cell
       – forms pore allowing fluid to
         flow into cell        natural killer cell         vesicle

       – cell ruptures (lysis)
          • apoptosis               perforin
                                                          cell
                                                          membrane


                         perforin                         cell
                                                          membrane
                         punctures
                         cell membrane   virus-infected cell
Anti-microbial proteins


    • Complement system
      – ~20 proteins circulating in blood plasma
      – attack bacterial & fungal cells
         • form a membrane attack complex
         • perforate target cell
                                                       extracellular fluid
         • apoptosis

         complement proteins
           form cellular lesion


               plasma membrane of
                   invading microbe      complement proteins
                                      bacterial cell
Inflammatory response 1


   • Damage to tissue triggers local
     non-specific inflammatory
     response
      – release histamines & prostaglandins
      – capillaries dilate,
        more permeable (leaky)
         • increase blood supply
         • delivers WBC, RBC, platelets, clotting
           factors
         • fight pathogens
         • clot formation
         • accounts for swelling, redness & heat
           of inflammation & infection
Fever


   • When a local response is not enough
        – systemic response to infection
        – activated macrophages release interleukin-1 (IL-1)
           • triggers hypothalamus in brain to readjust body thermostat to raise
             body temperature
        – higher temperature helps defense
           • inhibits bacterial growth
           • stimulates phagocytosis
           • speeds up repair of tissues
           • causes liver & spleen to store
             iron, reducing blood iron levels
               – bacteria need large amounts
                 of iron to grow
The Inflammatory Response
•   1- Tissue injury; release of chemical signals~
           • histamine (basophils/mast cells): causes Step 2...
         • prostaglandins: increases blood flow & vessel permeability
•   2/3- Dilation and increased permeability of capillary~
           • chemokines: secreted by blood vessel endothelial cells
    mediates                      phagocytotic migration of WBCs
•   4- Phagocytosis of pathogens~
           • fever & pyrogens: leukocyte-released molecules increase body
    temperature
3rd line: Acquired (active) Immunity
 • Specific defense
   – lymphocytes
     • B lymphocytes (B cells)
     • T lymphocytes (T cells)
   – antibodies
     • immunoglobulins
 • Responds to…
   – antigens
     • specific pathogens
     • specific toxins
     • abnormal body cells
       (cancer)
3rd Line – Specific Immune Response

   This is a specific response to a specific
   pathogen/antigen.

 The response involves the creation of Antibodies.
Antibodies

      • Y-shaped protein
        molecule.
      • Made up of variable and
        constant regions.
      • Made up of Heavy and
        Light chains.
      • Produced by B-
        Lymphocytes
      • Function: Recognize
        antigens, bind to and
        deactivate them.
         – Note: Variable region
           recognizes the anitgens.
Antigens- recognition of invaders
  • Antigens
     – proteins that serve as cellular name tags
          • foreign antigens cause response from WBCs
            – viruses, bacteria, protozoa, parasitic worms, fungi, toxins
            – non-pathogens: pollen & transplanted tissue
  • B cells & T cells respond to different antigens
     – B cells recognize intact antigens
          • pathogens in blood & lymph
     – T cells recognize antigen fragments
          • pathogens which have already infected cells




 “self”                                   “foreign”
How an antibody operates/works?


 Deactivation of a bacterium by an antibody.
How are cells tagged with antigens?
• Major histocompatibility (MHC) proteins
  – antigen glycoproteins
  – MHC I – on all nucleated cells
  – MHC II – on macrophages, B-Ly, activated T-Ly
• MHC proteins constantly carry bits of cellular
  material from the cytosol to the cell surface
  – “snapshot” of what is going on inside cell
  – give the surface of cells a unique label or “fingerprint”


                         T cell


             MHC proteins
   displaying self-antigens
The Pathway of Specific Immune Response


               Step 1
               Pathogens eaten by Macrophage



                                       Step 2
                                       Displays portion of Pathogen
                                       on surface




                                                 Step 3

Pathogens



                Helper-T cell recognizes
                Pathogen
Activates Cytotoxic                       Activates B- Cell

T- Cell




                                       Memory B-Cell
                       Memory T-Cell

                                             Antibodies
Kills Infected Cells
Cellular Immunity vs. Antibody Immunity

    Cellular Immunity              Antibody or Humoral Immunity

  • Carried out by T-Cells         • Carried out by B-cells
  • Infected cells are killed by   • Antibodies are produced
    Cytotoxic T –Cells.              and dumped into blood
                                     stream.
                                   • Antibodies bind to
                                     antigens and deactivate
                                     them.
Immune Response Explained



  1.    Antigen infects cells.
  2.    Macrophage ingests antigen and displays portion on its surface.
  3.    Helper T- Cell recognizes antigen on the surface of the
        macrophage and becomes active.
  4.    Active Helper T-Cell activates Cytotoxic T-Cells and B-Cells.
  5.    Cytotoxic T-Cells divide into Active Cytotoxic T-cells and Memory
        T – Cells.
  6.    Active Cytotoxic T-Cells kill infected cells.
  7.    At the same time, B-Cells divide into Plasma Cells and Memory
        B- Cells.
  8.    Plasma cells produce antibodies that deactivate pathogen.
  9.    Memory T and Memory B cells remain in the body to speed up the
        response if the same antigen reappears.
  10.   Supressor T-Cells stop the immune response when all antigens
        have been destroyed.
Immune Response Summary
                                                                  Displays copy of antigen
                                                                  on surface of cell
                                             Antigen


                                         Macrophage


                                        Helper T - Cell                Antibody Immunity
  Cellular Immunity

           Active Cytotoxic T-Cell                                     Active B - Cell


Kills Infected Cells        Memory T- Cell             Plasma Cell                  Memory B-Cell


                                                          Antibodies


                                                  Deactivates Antigens
Primary .vs. Secondary Immune Response



  • Primary Immune Response
     – This is a response to an invader the 1st time the
       invader infects the body.
        • No measurable immune response for first few days.
        • Next 10 – 15 days antibody production grows steadily


  • Secondary Immune Response
     – A more rapid response to an invader the 2nd time it
       invades the body.
        • Antibody production increases dramatically and in a much
          shorter time period..
Primary .vs. Secondary Immune Response
Induction of Immune Responses
• Primary immune response: lymphocyte proliferation and
  differentiation the 1st time the body is exposed to an antigen
• Plasma cells: antibody-producing effector B-cells
• Secondary immune response: immune response if the individual
  is exposed to the same antigen at some later time~ Immunological
  memory
Passive vs. Active Immunity
  1.    Active Immunity
       This is immunity where the body is “actively” producing antibodies
            to fight infection.
       Ex: You have a throat infection and you are actively creating
            antibodies to fight it.


           Vaccination:            An injection of a weakened strain of an
           infectious microbe (pathogen) that causes the body to
           undergo active immunity (produce antibodies).
  1.    Passive Immunity
        This is immunity where antibodies are given to a
        person from the blood of another person or animal.
        This immunity only lasts for a short period of time.
          ex: Breastfeeding mothers pass antibodies to their
        children through the milk.
Autoimmune Disease

 • Autoimmune diseases are diseases where the immune
   system begins to attack itself.
    – Ex:
       • Rheumatoid Arthritis – crippling disease of the
         joints.
       • Lupus – disease of blood and organs.
       • Multiple Sclerosis – disease of nervous system

 • Cause(s):       unknown
 • Cures/Treatments: No known cures.
Allergies
 Allergy
    - An exaggerated response by the immune system to an allergen.

   Allergen: a normally harmless substance that causes an allergic
   reaction.
   ex: dust, pollen, mould, food, insect stings

 Types of Allergic reactions
 There are two types of allergic reactions.
   a. Immediate – occurs within seconds and normally lasts for about
   30 mins.
   b. Delayed – takes longer to react and can last for a much longer
   time.
What happens during an allergic reaction?
  •   During an allergic reaction antibodies cause histamines to be
      released from certain cells.

  Histamines cause:
       a. Swelling of tissues
       b. Release of fluids (runny noses and eyes)
       c. muscle spasms (some cases)

  Anaphylaxis or anaphylactic shock:
      This is the sudden and severe allergic reaction to a substance that
      can cause death.

  Treatments for Allergies
  1. Avoidance of material – especially food.
  2. Epinephrine – “epi – pen”
  3. Antihistamines -- benadryl
Abnormal immune function
 •   Allergies (anaphylactic shock): hypersensitive responses to environmental
     antigens (allergens); causes dilation and blood vessel permeability
     (antihistamines); epinephrine
 •   Autoimmune disease: multiple sclerosis, lupus, rheumatoid arthritis,
     insulin-dependent diabetes mellitus
 •   Immunodeficiency disease: SCIDS (bubble-boy); A.I.D.S.
HIV & AIDS
  • Human Immunodeficiency Virus
    – virus infects helper T cells
    – helper T cells don’t activate rest of immune
      system: T cells & B cells
       • also destroy T cells
  • Acquired ImmunoDeficiency Syndrome
    – infections by opportunistic
      diseases
    – death usually from other
      infections
       • pneumonia, cancer
HIV

 • HIV is a virus that specifically attacks the
   lymphocytes.
 • This means the number of lymphocytes
   decreases.
 • Less antibodies are made.
 • Predict the consequences…
HIV Progression
Transmission of HIV

 • Infected blood – blood transfusions,
   sharing needles,
 • Infected semen and vaginal mucus –
   unprotected sex
 • Infected mother’s milk – low risk
 • Infected saliva – almost zero risk
AIDS

• Caused by the HIV virus that selectively
  infects the immune system leaving the
  body open to infection by removing the
  specific immunity.
Social implications of AIDS

 • Cases of AIDS are not evenly distributed in the
   world, for example there are severe problems in
   Africa (some populations with 30% of their
   people are infected).
 • What cultural and economic reasons are there
   for differences in the prevalence of AIDS?
 • Is there a moral obligation of those with the
   technology and the wealth to help others lacking
   these things in the fight against AIDS?

Immune system 6-3 and 11-1

  • 1.
  • 2.
    Immunity • Immunity – The ability of the body to fight infection and/or foreign invaders by producing antibodies or killing infected cells. • Immune System – The system in the body responsible for maintaining homeostasis by recognizing harmful from non-harmful organisms and produces an appropriate response. • Highly specific recognition of foreign antigens • Mechanisms for elimination of microbes bearing such antigens • A vast universe of distinct antigenic specifies • Immunologic memory • Tolerance of self-antigens
  • 3.
    Key attributes ofimmune system • 4 attributes that characterize the immune system as a whole – specificity • antigen-antibody specificity – diversity • react to millions of antigens – memory • rapid 2° response – ability to distinguish self vs. non-self • maturation & training process to reduce auto- immune disease
  • 4.
    Foreign Invaders •Called Pathogens – Viruses, bacteria or other living thing that causes disease/immune response. • Antigens – Toxins that pathogens produce that cause harm to an organism.
  • 5.
    Avenues of attack •Points of entry – digestive system – respiratory system – urogenital tract – break in skin • Routes of attack – circulatory system – lymph system
  • 6.
    Parts of theImmune System 1. Blood - White Blood Cells in particular. 2. Lymph nodes 3. Thymus Gland – Produces T Lymphocytes 4. Bone Marrow – Produces B Lymphocytes
  • 7.
    Production & transportof leukocytes Lymph system Traps foreign invaders lymph vessels (intertwined amongst blood vessels) lymph node
  • 8.
  • 9.
    How does thebody fight infection/foreign invaders? First Line of Defense – The Skin • Provides Physical and Chemical barriers • Physical – hard to penetrate, made of indigestible keratin • Chemical – tears, sweat
  • 10.
    1st line: Chemicalbarriers on epithelium Skin & mucous membrane secretions – Sweat -pH 3-5 – Tears- washing action, lysozyme – Mucus- traps microbes – Saliva- anti-bacterial = “lick your wounds” – Stomach acid- pH 2 – Anti-microbial proteins • lysozyme enzyme – digests bacterial cell walls
  • 11.
    2nd Line –Nonspecific Immune Response These are defenses the body uses no matter what the invader may be. These defenses include: – Phagocytosis – done by Macrophages – Natural Cell Killers – Inflammation - caused by release of Histamine from leukocytes – Fever – caused by histamines. The fever (high temp) kills invaders by denaturing their proteins.
  • 12.
    2nd line: Internal, broad range patrol • Innate, general defense leukocytes – rapid response • Patrolling cells & proteins – attack invaders that penetrate body’s outer barriers • leukocytes – phagocytic white blood cells • complement system – anti-microbial proteins • inflammatory response
  • 13.
    Leukocytes: Phagocytic whiteblood cells (WBCs) • Attracted by chemical signals released by damaged cells – enter infected tissue, engulf & ingest microbes • lysosomes • Neutrophils – most abundant WBC (~70%) – ~ 3 day lifespan • Macrophages – “big eater”, long-lived • Natural Killer Cells – destroy virus-infected cells & cancer cells
  • 14.
  • 15.
    Destroying cells gonebad! • Natural Killer Cells perforate cells – release perforin protein – insert into membrane of target cell – forms pore allowing fluid to flow into cell natural killer cell vesicle – cell ruptures (lysis) • apoptosis perforin cell membrane perforin cell membrane punctures cell membrane virus-infected cell
  • 16.
    Anti-microbial proteins • Complement system – ~20 proteins circulating in blood plasma – attack bacterial & fungal cells • form a membrane attack complex • perforate target cell extracellular fluid • apoptosis complement proteins form cellular lesion plasma membrane of invading microbe complement proteins bacterial cell
  • 18.
    Inflammatory response 1 • Damage to tissue triggers local non-specific inflammatory response – release histamines & prostaglandins – capillaries dilate, more permeable (leaky) • increase blood supply • delivers WBC, RBC, platelets, clotting factors • fight pathogens • clot formation • accounts for swelling, redness & heat of inflammation & infection
  • 19.
    Fever • When a local response is not enough – systemic response to infection – activated macrophages release interleukin-1 (IL-1) • triggers hypothalamus in brain to readjust body thermostat to raise body temperature – higher temperature helps defense • inhibits bacterial growth • stimulates phagocytosis • speeds up repair of tissues • causes liver & spleen to store iron, reducing blood iron levels – bacteria need large amounts of iron to grow
  • 20.
    The Inflammatory Response • 1- Tissue injury; release of chemical signals~ • histamine (basophils/mast cells): causes Step 2... • prostaglandins: increases blood flow & vessel permeability • 2/3- Dilation and increased permeability of capillary~ • chemokines: secreted by blood vessel endothelial cells mediates phagocytotic migration of WBCs • 4- Phagocytosis of pathogens~ • fever & pyrogens: leukocyte-released molecules increase body temperature
  • 21.
    3rd line: Acquired(active) Immunity • Specific defense – lymphocytes • B lymphocytes (B cells) • T lymphocytes (T cells) – antibodies • immunoglobulins • Responds to… – antigens • specific pathogens • specific toxins • abnormal body cells (cancer)
  • 22.
    3rd Line –Specific Immune Response This is a specific response to a specific pathogen/antigen. The response involves the creation of Antibodies.
  • 23.
    Antibodies • Y-shaped protein molecule. • Made up of variable and constant regions. • Made up of Heavy and Light chains. • Produced by B- Lymphocytes • Function: Recognize antigens, bind to and deactivate them. – Note: Variable region recognizes the anitgens.
  • 24.
    Antigens- recognition ofinvaders • Antigens – proteins that serve as cellular name tags • foreign antigens cause response from WBCs – viruses, bacteria, protozoa, parasitic worms, fungi, toxins – non-pathogens: pollen & transplanted tissue • B cells & T cells respond to different antigens – B cells recognize intact antigens • pathogens in blood & lymph – T cells recognize antigen fragments • pathogens which have already infected cells “self” “foreign”
  • 25.
    How an antibodyoperates/works? Deactivation of a bacterium by an antibody.
  • 26.
    How are cellstagged with antigens? • Major histocompatibility (MHC) proteins – antigen glycoproteins – MHC I – on all nucleated cells – MHC II – on macrophages, B-Ly, activated T-Ly • MHC proteins constantly carry bits of cellular material from the cytosol to the cell surface – “snapshot” of what is going on inside cell – give the surface of cells a unique label or “fingerprint” T cell MHC proteins displaying self-antigens
  • 27.
    The Pathway ofSpecific Immune Response Step 1 Pathogens eaten by Macrophage Step 2 Displays portion of Pathogen on surface Step 3 Pathogens Helper-T cell recognizes Pathogen
  • 28.
    Activates Cytotoxic Activates B- Cell T- Cell Memory B-Cell Memory T-Cell Antibodies Kills Infected Cells
  • 29.
    Cellular Immunity vs.Antibody Immunity Cellular Immunity Antibody or Humoral Immunity • Carried out by T-Cells • Carried out by B-cells • Infected cells are killed by • Antibodies are produced Cytotoxic T –Cells. and dumped into blood stream. • Antibodies bind to antigens and deactivate them.
  • 30.
    Immune Response Explained 1. Antigen infects cells. 2. Macrophage ingests antigen and displays portion on its surface. 3. Helper T- Cell recognizes antigen on the surface of the macrophage and becomes active. 4. Active Helper T-Cell activates Cytotoxic T-Cells and B-Cells. 5. Cytotoxic T-Cells divide into Active Cytotoxic T-cells and Memory T – Cells. 6. Active Cytotoxic T-Cells kill infected cells. 7. At the same time, B-Cells divide into Plasma Cells and Memory B- Cells. 8. Plasma cells produce antibodies that deactivate pathogen. 9. Memory T and Memory B cells remain in the body to speed up the response if the same antigen reappears. 10. Supressor T-Cells stop the immune response when all antigens have been destroyed.
  • 31.
    Immune Response Summary Displays copy of antigen on surface of cell Antigen Macrophage Helper T - Cell Antibody Immunity Cellular Immunity Active Cytotoxic T-Cell Active B - Cell Kills Infected Cells Memory T- Cell Plasma Cell Memory B-Cell Antibodies Deactivates Antigens
  • 32.
    Primary .vs. SecondaryImmune Response • Primary Immune Response – This is a response to an invader the 1st time the invader infects the body. • No measurable immune response for first few days. • Next 10 – 15 days antibody production grows steadily • Secondary Immune Response – A more rapid response to an invader the 2nd time it invades the body. • Antibody production increases dramatically and in a much shorter time period..
  • 33.
    Primary .vs. SecondaryImmune Response
  • 34.
    Induction of ImmuneResponses • Primary immune response: lymphocyte proliferation and differentiation the 1st time the body is exposed to an antigen • Plasma cells: antibody-producing effector B-cells • Secondary immune response: immune response if the individual is exposed to the same antigen at some later time~ Immunological memory
  • 35.
    Passive vs. ActiveImmunity 1. Active Immunity This is immunity where the body is “actively” producing antibodies to fight infection. Ex: You have a throat infection and you are actively creating antibodies to fight it. Vaccination: An injection of a weakened strain of an infectious microbe (pathogen) that causes the body to undergo active immunity (produce antibodies). 1. Passive Immunity This is immunity where antibodies are given to a person from the blood of another person or animal. This immunity only lasts for a short period of time. ex: Breastfeeding mothers pass antibodies to their children through the milk.
  • 36.
    Autoimmune Disease •Autoimmune diseases are diseases where the immune system begins to attack itself. – Ex: • Rheumatoid Arthritis – crippling disease of the joints. • Lupus – disease of blood and organs. • Multiple Sclerosis – disease of nervous system • Cause(s): unknown • Cures/Treatments: No known cures.
  • 37.
    Allergies Allergy - An exaggerated response by the immune system to an allergen. Allergen: a normally harmless substance that causes an allergic reaction. ex: dust, pollen, mould, food, insect stings Types of Allergic reactions There are two types of allergic reactions. a. Immediate – occurs within seconds and normally lasts for about 30 mins. b. Delayed – takes longer to react and can last for a much longer time.
  • 38.
    What happens duringan allergic reaction? • During an allergic reaction antibodies cause histamines to be released from certain cells. Histamines cause: a. Swelling of tissues b. Release of fluids (runny noses and eyes) c. muscle spasms (some cases) Anaphylaxis or anaphylactic shock: This is the sudden and severe allergic reaction to a substance that can cause death. Treatments for Allergies 1. Avoidance of material – especially food. 2. Epinephrine – “epi – pen” 3. Antihistamines -- benadryl
  • 39.
    Abnormal immune function • Allergies (anaphylactic shock): hypersensitive responses to environmental antigens (allergens); causes dilation and blood vessel permeability (antihistamines); epinephrine • Autoimmune disease: multiple sclerosis, lupus, rheumatoid arthritis, insulin-dependent diabetes mellitus • Immunodeficiency disease: SCIDS (bubble-boy); A.I.D.S.
  • 40.
    HIV & AIDS • Human Immunodeficiency Virus – virus infects helper T cells – helper T cells don’t activate rest of immune system: T cells & B cells • also destroy T cells • Acquired ImmunoDeficiency Syndrome – infections by opportunistic diseases – death usually from other infections • pneumonia, cancer
  • 41.
    HIV • HIVis a virus that specifically attacks the lymphocytes. • This means the number of lymphocytes decreases. • Less antibodies are made. • Predict the consequences…
  • 42.
  • 43.
    Transmission of HIV • Infected blood – blood transfusions, sharing needles, • Infected semen and vaginal mucus – unprotected sex • Infected mother’s milk – low risk • Infected saliva – almost zero risk
  • 44.
    AIDS • Caused bythe HIV virus that selectively infects the immune system leaving the body open to infection by removing the specific immunity.
  • 45.
    Social implications ofAIDS • Cases of AIDS are not evenly distributed in the world, for example there are severe problems in Africa (some populations with 30% of their people are infected). • What cultural and economic reasons are there for differences in the prevalence of AIDS? • Is there a moral obligation of those with the technology and the wealth to help others lacking these things in the fight against AIDS?

Editor's Notes

  • #20 Certain bacterial infections can induce an overwhelming systemic inflammatory response leading to a condition known as septic shock . Characterized by high fever and low blood pressure, septic shock is the most common cause of death in U.S. critical care units. Clearly, while local inflammation is an essential step toward healing, widespread inflammation can be devastating.
  • #27 Major Histocompatability Complex (MHC): body cell surface antigens coded by a family of genes Class I MHC molecules: found on all nucleated cells Class II MHC molecules: found on macrophages, B cells, and activated T cells
  • #42 ----- Meeting Notes (11/25/12 20:21) -----
  • #45 AIDS: Acquired Immuno deficiency syndrome . Acquired relates the infectious nature of AIDS through the transmission of the HIV virus. Immuno deficient relates to the way diseases cannot be resisted. Syndrome relates to the variation in the way the disease manifest itself. People who develop AIDS can be a affected by quite different set of diseases.