What is Immunity?
Immunity = Ability of the body to resist infections, toxins, and foreign substances by producing protective responses.
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2. Types of Immunity
A. Innate (Natural/Non-specific) Immunity
Present since birth, first line of defense.
Characteristics
Non-specific
Immediate action
No memory
Components
1. Physical barriers – skin, mucosa
2. Chemical barriers – pH, lysozyme, complement
3. Cellular components
Neutrophils
Macrophages
NK cells
Dendritic cells
4. Soluble mediators
Cytokines (IL-1, TNF-α)
Interferons
Complement system
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B. Adaptive (Acquired/Specific) Immunity
Develops after exposure to antigen. Highly specific.
Characteristics
Antigen-specific
Slower onset
Long-lasting memory
Involves lymphocytes
Types
1. Humoral Immunity
Mediated by B-cells
Produces antibodies (IgG, IgM, IgA, IgE, IgD)
Best against extracellular bacteria and toxins
2. Cell-Mediated Immunity
Mediated by T-cells
CD4+ T-cells → Helper
CD8+ T-cells → Cytotoxic
Best against viruses, fungi, intracellular bacteria
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3. Types of Acquired Immunity
A. Active Immunity
You produce your own antibodies.
Natural Active:
Infection (e.g., chickenpox)
Artificial Active:
Vaccination
Features:
✔ Long-lasting
✔ Memory present
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B. Passive Immunity
Ready-made antibodies are given.
Natural Passive:
Maternal IgG (placenta)
IgA (breast milk)
Artificial Passive:
Antiserum
Immunoglobulin injections (e.g., Rabies Ig)
Features:
✘ Short-lasting
✘ No memory
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4. Primary vs Secondary Immune Response
Primary Response
First exposure
Slow (7–10 days)
IgM predominates
Secondary Response
Re-exposure
Fast (2–3 days)
IgG predominates
Strong, long-lasting due to memory cells
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5. Lymphoid Organs
Primary Lymphoid Organs
Bone marrow
Thymus
Secondary Lymphoid Organs
Lymph nodes
Spleen
MALT (tonsils, Peyer’s patches)
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6. Complement System – Basics
Part of innate immunity
Activated by Classical, Alternative & Lectin pathways
Leads to:
Opsonization
Chemotaxis
Cell lysis
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7. Cytokines – Important Ones
IL-1 → Fever
IL-2 → T-cell growth
IL-4 → IgE class switching
IFN-γ → Activates macrophages
TNF-α → Inflammation
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8. Hypersensitivity (Gell & Coombs Classification)
1. Type I (IgE mediated) – Anaphylaxis, allergy
2. Type II (IgG/IgM cytotoxic) – Hemolytic anemia
3. Type III (Immune complex) – SLE
4. Type IV (T-cell mediated) – TB test, contact dermatitis