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Immune Response

The body also has specific defenses, by which it defends itself against specific pathogens. Body defenders constantly circulate in the bloodstream and tissue fluid, tracking down harmful microorganisms and diseases cells. When they locate their prey, they trigger a precisely targeted attack. These defenders are white blood cells called lymphocytes. The two main types of lymphocytes are B cells and T cells. These are complex white blood cells that stop the progression of diseases and infections.

Every body cell has molecules on its surface that identify it is as “self” – that is, as a part of the body. Foreign substances have surface molecules that tag them as “nonself”. If a surface molecule contacted by a lymphocyte is a “self” marker, nothing happens, and the lymphocyte moves on. If the molecule is a “nonself” marker, however, the body produces an attack on the foreign substance called an immune response. Any molecule that triggers an immune response is an antigen.

When a B cell identifies a “nonself” marker, it carries the pattern for that antigen to a lymph node. The B cell may then become a plasma cell. Plasma cells manufacture proteins that exactly fit the “nonself” surface marker of the antigen. These proteins are antibodies. Each antibody fits – or combats – just one specific antigen. This type of antibody, called a circulating antibody, moves through the body fluids, seeking out the appropriate antigen. When the antigen is located, the antibody hooks on and signals phagocytes to surround and destroy the antigen.

T cells do not produce circulating antibodies. They carry cellular antibodies on their surface. The cellular antibodies latch into an antigen and direct the action of phagocytes. T cells can recognize body cells that have been invaded by cancer and certain viruses. The cancerous cells register as “not quit self,” thus allowing T cells to launch a defense.

Immunity

The body generally requires several days to form antibodies after the first attack by an antigen. Reaction to the first invasion is called the primary immune response. Future responses to the same antigen are rapid because of memory cells. Memory cells are B cells that carry, or “remember”, the antigen pattern.

They produce antibodies immediately if the antigen attacks again. Antibodies produced during such a secondary immune response are stronger and last longer than the original anti­bodies. Memory cells live for years. New memory cells are produced during each response. As a result, the response is faster and stronger each time. This process of warding off dis­ease through antibodies is immunity. Immunity prevents a per­son from getting certain diseases, such as measles or chicken-pox, repeatedly.

Problems with the Immune System

Not all "nonself' markers are harmful. Sometimes the body cannot distinguish between harmful and harmless "nonself markers. For example, it may fail to recognize certain pollens as harmless. Reactions called allergies then occur. Although most allergic reactions are not medically serious, some can be life-threatening. One example is the violent immune response some people have to bee venom.

The body occasionally fails to recognize some body cells as "self and attacks them as antigens. Such misdirected attacks occur in autoimmune diseases. Rheumatoid arthritis is an auto­immune disease affecting joint tissue.

The body may also lose its ability to attack invading micro­organisms and diseased cells. This condition is called immune deficiency. In its most severe form, immune deficiency is al­most always fatal. Its victims suffer from repeated infections and illnesses. Occasionally the deficiency is genetic and is pres­ent at birth. More often it develops later in life. AIDS (acquired immune deficiency syndrome) is an example of the latter. AIDS is caused by the human immunodeficiency virus (HIV). The virus kills T lymphocytes, destroying the body's immune system. Rejection of transplanted organs and tissues is also caused by the body's immune system. Transplanted organs are recog­nized only as "nonself." Previously, drugs were used to sup­press a patient's entire defense system to prevent rejection. The patient then became vulnerable to all diseases. Cyclosporine, a recently developed drug, suppresses transplant rejection but does not disrupt other immune functions.

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