IMMUNOLOGY

Immunology is the study of our protection from foreign macromolecules or invading organisms and our responses to them. These invaders include viruses, bacteria, protozoa or even larger parasites. In addition, we develop immune responses against our own proteins (and other molecules) in autoimmunity and against our own aberrant cells in tumor immunity.

Our first line of defense against foreign organisms are barrier tissues such as the skin that stop the entry of organism into our bodies. If, however, these barrier layers are penetrated, the body contains cells that respond rapidly to the presence of the invader. These cells include macrophages and neutrophils that engulf foreign organisms and kill them without the need for antibodies. Immediate challenge also comes from soluble molecules that deprive the invading organism of essential nutrients (such as iron) and from certain molecules that are found on the surfaces of epithelia, in secretions (such as tears and saliva) and in the blood stream. This form of immunity is the innate or non-specific immune system that is continually ready to respond to invasion.

A second line of defense is the specific or adaptive immune system which may take days to respond to a primary invasion (that is infection by an organism that has not hitherto been seen). In the specific immune system, we see the production of antibodies (soluble proteins that bind to foreign antigens) and cell-mediated responses in which specific cells recognize foreign pathogens and destroy them. In the case of viruses or tumors, this response is also vital to the recognition and destruction of virally-infected or tumorigenic cells. The response to a second round of infection is often more rapid than to the primary infection because of the activation of memory B and T cells. We shall see how cells of the immune system interact with one another by a variety of signal molecules so that a coordinated response may be mounted. These signals may be proteins such as lymphokines which are produced by cells of the lymphoid system, cytokines and chemokines that are produced by other cells in an immune response, and which stimulate cells of the immune system.