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humoral immunity IV

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Neutralization of bacteria and bacterial toxins

"Antibody dependant cellular cytotoxicity" or "ADCC" is the classic method for the immune system to destroy invading bacterial pathogens and anything else it believes is alien and dangerous. Antibodies produced against an antigen will bind to their target. Ultimately enough antibodies will bind to virtually coat the bacteria and this coating is incredibly stimulating to immune system cells if the dominant antibody is IgG. The bacterial target for destruction is said to be "opsonized". Opsonizing a target with IgG is a red flag for cells with cytotoxic destructive ability. Some T cytotoxic cells and Natural Killer cells have cell surface receptors for the Fc portion of an antibody. If several Fc receptors bind to antibodies coating a bacteria cell surface this cross linking activates the cell to carry out cytotoxic destruction as we described before. Antibody coating is also a flag to phagocytes which also have Fc receptors on their surface. If the opsonized target is small enough a phagocyte will bind to the antibody coating and engulf the entire particle to break it down. There are other methods of Tc cell and phagocytic recognition of antigens that don't require antibody opsonization (described later).

Some bacteria are motile, they have propellers to move them around and spread their infection. The protein propellers look like corkscrews which are attached within the bacterium to an organic motor. Some bacteria have several propellers to more them around. Antibodies can prevent the movement of these types of bacteria and so slow down the spread of infection by cross linking the propellers and preventing them from rotating. The equivalent of a boat getting a fishing net wound around its propeller.

Antibodies may also bind together several bacteria into an immune complex. Linking the bacteria together also limits their ability to move and function properly. The large size of the immune complex also makes it easier for phagocytic cells to latch onto it and engulf the bacteria.

Bacterial toxins are waste products produced in bacterial respiration. Different bacteria produce different waste products. Some may be harmless to us but others are highly toxic chemicals. These molecules can be neutralized by a coating of antibody. The antibody coat physically stops a toxic molecule from coming into contact with cells of the body. The coating also promotes uptake by phagocytes and break down of the dangerous molecules.


Neutralization of viruses

Viruses are unable to replicate without the use of host cells. Viruses must invade a cell and hijack its machinery to produce copies of the virus which are then released from the cell to infect other cells. Any virus infected cell will express viral proteins on its cell surface.

So there are two points at which antibody can work to neutralize a virus. They can coat a virus while it is free floating and looking for a cell to invade or they can coat a virus infected cell by binding to viral markers on the cell surface. Coating a cell will flag it for cytotoxic destruction. Coating a virus particle will both flag it for phagocytosis and it will stop the virus from binding and then invading a cell.


Passive protection of embryos / newborns

Clearly during embryonic development of a baby there is a window of opportunity for pathogens to invade without much resistance from an underdeveloped immune system. While the embryo's immune functions are developing it is the job of the mother's immune system to protect the embryo. Physically of course the embryo is protected by the mothers tissues but internally it must rely on passive transfer of antibodies from the mother into its own blood stream.

Only IgG type antibodies are able to cross the placenta into the embryo and this begins from around 2.5 months after fertilization. The delay is in part the time it takes for the egg to bury in the womb wall and for the placenta to develop. The embryo's ability to produce antibody is very poor. IgM starts to be produced from around 4.5 months but remains well below half the production rate an adult has. Production of other antibody types does not begin until after birth.

Maternal IgG concentration in the embryo's blood stream rises at a rapid rate until birth. At birth, with the loss of the placental connection, the IgG concentration of the newborn tails off over the next nine months or so. Almost immediately from birth IgA and IgG type antibodies begin to be produced but it takes time for their concentrations to reach adult levels. Even when a child is one year old IgG is only 60% of an adult's concentration, IgM 75% and IgA 20%. This leaves the child relatively more exposed to pathogens and more susceptible to infection. To help reduce risk IgG antibodies can be supplied to the child by breast feeding. Maternal milk contains IgG antibody and the baby can absorb this through the gut.


B cell activation through IgD and / or IgM receptors

IgD and IgM is spread out over the entire surface of each and every B cell. It is possible for B cells to have the other antibody types, IgG, IgA and IgE, expressed on their cell surface but this is a rare occurrence and only happens on B cells in certain specific areas of the body. For example B cells in the walls of the intestines express IgA on their surface.

The Fc portion of each antibody is rooted in the cell membrane leaving the branches of the "Y" shape exposed. This positioning allows the antibody binding sites to be unobstructed by other cell surface receptors neighboring the antibody.

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