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Introduction Imune System

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conditions.

Historically, the first clear example of this


manipulation, and one that remains among the most
dramatic ever recorded, was Edward Jenner's successful
vaccination against smallpox. Jenner, an English physician, noticed that milkmaids who had recovered from
cowpox never contracted the more serious smallpox. On
the basis of this observation, he injected the material
from a cowpox pustule into the arm of an 8-year-old boy.
When this boy was later intentionally inoculated
with smallpox, the disease did not develop. Jenner's
landmark treatise on vaccination (Latin vaccinus, of or
from cows) was published in 1798. It led to the widespread acceptance of this method for inducing immunity to
infectious diseases, and vaccination remains the
most effective method for preventing infections (Table
1-1). An eloquent testament to the importance of
immunology was the announcement by the World
Health Organization in 1980 that smallpox was the first
disease that had been eradicated worldwide by a
program of vaccination.
Since the 1960s, there has been a remarkable transformation in our understanding of the immune system
and its functions. Advances in cell culture techniques
(including monoclonal antibody production), immunochemistry, recombinant DNA methodology, x-ray
crystallography, and creation of genetically altered animals
(especially transgenic and knockout mice) have changed
immunology from a largely descriptive science into one
in which diverse immune phenomena can be explained
in structural and biochemical terms. In this chapter, we
outline the general features of immune responses and
introduce the concepts that form the cornerstones
of modern immunology and that recur throughout
this book.
INNATE AND ADAPTIVE IMMUNITY
Defense against microbes is mediated by the early reactions of innate immunity and the later responses of
adaptive immunity (Fig. 1-1 and Table 1-2). Innate
immunity (also called natural or native immunity) provides the early line of defense against microbes. It consists of
cellular and biochemical defense mechanisms
that are in place even before infection and are poised to
respond rapidly to infections. These mechanisms react
only to microbes (and to the products of injured cells),
and they respond in essentially the same way to repeated
infections. The principal components of innate immunity are (1) physical and chemical barriers, such as
epithelia and antimicrobial substances produced at
epithelial surfaces; (2) phagocytic cells (neutrophils,
macro phages) and natural killer (NK) cells; (3) blood
proteins, including members ofthe complement system
and other mediators of inflammation; and (4) proteins
called cytokines that regulate and coordinate many of
the activities of the cells of innate immunity. The mechanisms of innate immunity are specific for structures
that are common to groups of related microbes and
may not distinguish fine differences between foreign
substances.
In contrast to innate immunity, there are other
immune responses that are stimulated by exposure to
infectious agents and increase in magnitude and defensive capabilities with each successive exposure to a particular
microbe. Because this form of immunity develops
as a response to infection and adapts to the infection, it
is called adaptive immunity. The defining characteristics of adaptive immunity are exquisite specificity fo

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