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We’re moving into something known as adaptive immunity. Sounds fancy, this is a specific response to an antigen. An antigen is something the body recognizes as non-self, and in this case, it is something that would be a part of the pathogen. This adaptive response is going to be the third line of defense as the first and second line of defense may have not been enough to control the pathogen. We’re going to focus on the basics of two adaptive responses: cell-mediated and humoral. Cell-mediated involves the cytotoxic T cell. The cytotoxic T cell is a white blood cell that has the ability to destroy cells that have been infected by the pathogen. It does this by releasing signals that causes the infected cell to do apoptosis, which is a type of self destruct. It can do this releasing a protein called perforin which actually causes holes in the cell membrane. This causes water and ions to flow into it and destroys the cell. When cells that have been infected by a pathogen are destroyed, this can also destroy the pathogen or it can mean the pathogen at least can no longer replicate inside that infected cell. The thing is, for this response to work, you have to stimulate a cytotoxic T cell. Stimulating a cytotoxic T cell could mean an infected cell presents an antigen from the pathogen that has infected it. The infected cell presents the antigen on its own cell membrane. Kind of like a little flag saying, hey, I’ve been infected and here you go, this is what it is.

This activates cytotoxic T cells to bind and release signals that causes the infected cell to perform apoptosis. But there’s another way to stimulate cytotoxic-T cells too. Remember how macrophages may have been consuming the pathogen? When they do, they process the pathogen, and the antigens from the pathogen are transferred to the macrophages surface. A white blood cell called the T-helper cell can bind. The macrophage will release chemical signals, which then causes the T-helper cell to release chemical signals which then can stimulate cytotoxic T cells. Cytotoxic T cells will be in search of infected cells so they can stop the pathogen, and they will also continue to amplify the immune response. That’s the cell-mediated response, simplified. But remember how we mentioned those Helper T cells? They’re big helpers as they help not only in the cell-mediated response, but they also help in the humoral response. So what happens in the humoral response? In one scenario, a macrophage has consumed a pathogen and once again, has an antigen from the pathogen on its cell membrane surface. Then, it binds a Helper T Cell. That Helper T Cell could also stimulate a white blood cell known as a B cell. B cells are white blood cells that have the ability to make something called antibodies. Before I define antibody, can we just take a moment and recognize there are three words that sound very similar and can involve the immune system? Antigen which is something that the immune system recognizes as foreign to the body. We’ve been mentioning that one a lot. Antibiotics are substances that can specifically destroy bacteria; But antibodies are something totally different. Antibodies are proteins, and they tend to be in a Y shape. Antibodies have an antigen binding area where they bind a specific antigen. They will be found in blood but many antibodies can also be found in mucus, saliva, breast milk, and more.

There are different classes of antibodies. For example, IgE can protect against parasitic worms. And it’s responsible for a lot of allergic reactions. Antibodies are generally very specific so there must be an antibody that is able to bind to an antigen. When antibodies bind an antigen, they can deactivate the pathogen by affecting the ability of the pathogen to move, reproduce, or cause harm. The binding can also be like signs telling macrophages, Here it is. Come eat it!
So activating B cells causes these antibodies to be produced, and this is part of the humoral response. While B cells can be activated by a T helper cell, they can also be activated by free antigens themselves that they may come in contact with. Now, we do want to mention that both in the humoral and cell-mediated response, there are memory cells. There are Memory B cells and Memory T cells. These cells keep a memory of the antigen that they were exposed to.

Memory B cells can activate Plasma B cells which will make antibodies. Memory T cells can activate cytotoxic T cells which will go after infected cells. The ability to keep a memory is very important, and this is also where vaccines come in. Vaccines can introduce either an inactivated or very weakened pathogen. This means the body does not get the disease itself, but it will launch an immune response. By launching an immune response, there will ultimately be memory immune cells that will be involved in launching an efficient attack if that pathogen is ever encountered in the future. Overall, this immune system that we have, it’s pretty incredible. We must protect the immune system at all costs.

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