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Chapter 22  The Lymphatic System and Immunity   839

Table 22–1   Classes of Antibodies

                                                                                                                              Secretory
                                                                                                                              piece

IgG is the largest and most      IgE attaches as an        IgD is an individual       IgM is the first class of antibody  IgA is found primarily in
diverse class of antibodies.     individual molecule to    molecule on the surfaces   secreted after an antigen is        glandular secretions such
They account for 80 percent of   the exposed surfaces      of B cells, where it can   encountered. IgM concentration      as mucus, tears, saliva, and
all antibodies. IgG antibodies   of basophils and mast     bind antigens in the       declines as IgG production          semen. These antibodies attack
are responsible for resistance   cells. When a suitable    extracellular fluid. This  accelerates. Although plasma        pathogens before they gain
against many viruses, bacteria,  antigen is bound by       binding can play a role    cells secrete individual IgM        access to internal tissues. IgA
and bacterial toxins. These      IgE molecules, the        in the sensitization of    molecules, IgM circulates as        antibodies circulate in blood as
antibodies can cross the         cell is stimulated to     the B cell involved.       a five-antibody starburst. The      individual molecules or in pairs.
placenta, and maternal IgG       release histamine and                                anti-A and anti-B antibodies        Epithelial cells absorb them
provides passive immunity to     other chemicals that                                 responsible for the agglutination   from the blood and attach a
the fetus during embryological   accelerate inflammation                              of incompatible blood types are     secretory piece, which confers
development. However, the        in the immediate area.                               IgM antibodies. IgM antibodies      solubility, before secreting
anti-Rh antibodies produced      IgE is also important in                             may also attack bacteria that are   the IgA molecules onto the
by Rh-negative mothers           the allergic response.                               insensitive to IgG.                 epithelial surface.
are also IgG antibodies and
produce hemolytic disease of
the newborn.

     The formation of an antigen–antibody complex may cause                           molecule change shape. This change exposes areas that
the elimination of the antigen in seven ways:
                                                                                      bind complement proteins. The bound complement mole-
	1.	 Neutralization. Both viruses and bacterial toxins have specific
     sites that must bind to target regions on body cells before                      cules then activate the complement system, which destroys
     they can enter or injure those cells. Antibodies may bind to
     those sites, making the virus or toxin incapable of attaching                    the antigen (as discussed previously).                                 	22
     itself to a cell. This mechanism is known as neutralization.
                                                                      	4.	 Attraction of Phagocytes. Antigens covered with antibodies
	2.	 Precipitation and Agglutination. Each antibody molecule has
     two antigen binding sites, and most antigens have many                           attract eosinophils, neutrophils, and macrophages. These
     antigenic determinant sites. If individual antigens (such as
     macromolecules or bacterial cells) are far apart, an antibody                    cells phagocytize pathogens and destroy foreign or abnor-
     molecule will necessarily bind to two antigenic sites on the
     same antigen. However, if antigens are close together, an an-                    mal plasma membranes.
     tibody can bind to antigenic determinant sites on two sepa-
     rate antigens. In this way, antibodies can link large numbers    	5.	 Opsonization. A coating of antibodies and complement pro-
     of antigens together. The three-dimensional structure cre-            teins increases the effectiveness of phagocytosis. This ef-
     ated by such binding is known as an immune complex.                   fect is called opsonization. Some bacteria have slick plasma
     When the antigen is a soluble molecule, such as a toxin, this         membranes or capsules, but opsonization makes it easier
     process may create complexes that are too large to remain             for phagocytes to hold onto their prey before they engulf it.
     in solution. The formation of insoluble immune complexes              Phagocytes can bind more easily to antibodies and comple-
     is called precipitation. When the target antigen is on the            ment proteins than they can to the bare surface of a pathogen.
     surface of a cell or virus, the formation of large complexes is
     called agglutination. For example, the clumping of eryth-        	6.	 Stimulation of Inflammation. Antibodies may promote in-
     rocytes that takes place when incompatible blood types are            flammation by stimulating basophils and mast cells.
     mixed is an agglutination reaction. p. 692
                                                                      	7.	 Prevention of Bacterial and Viral Adhesion. Antibodies dis-
	3.	 Activation of the Complement System. When an antibody                 solved in saliva, mucus, and perspiration coat epithelia,
     molecule binds to an antigen, portions of the antibody                adding an additional layer of defense. A covering of an-
                                                                           tibodies makes it difficult for pathogens to attach to and
                                                                           penetrate body surfaces.

                                                                      &T i p s T r i c k s
                                                                        The classes of immunoglobulins—IgM,IgA, IgD, IgG, IgE—
                                                                        spell MADGE.
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