The immune system responds to infectious disease through a complex and coordinated series of actions aimed at identifying and neutralizing the invading pathogen.
Here's a breakdown of the process:
1. Recognition of the Invader
- Innate Immunity (First Line of Defense): This is the body's immediate, non-specific response. It involves physical barriers (skin, mucous membranes), chemical barriers (enzymes in saliva, stomach acid), and internal defenses such as:
- Phagocytes (e.g., macrophages, neutrophils): These cells engulf and destroy pathogens through a process called phagocytosis.
- Natural Killer (NK) Cells: These cells target and kill infected or cancerous cells.
- Inflammatory Response: This process recruits immune cells to the site of infection, promoting healing and preventing the spread of the pathogen. Key signs of inflammation include redness, swelling, heat, and pain.
- Adaptive Immunity (Specific Response): This is a slower but more targeted response that develops over time. It involves specialized immune cells called lymphocytes (B cells and T cells) that recognize specific antigens (molecules on the surface of pathogens).
2. Activation of the Immune Response
- Antigen Presentation: Antigen-presenting cells (APCs) like macrophages and dendritic cells engulf pathogens, process their antigens, and present them on their cell surface to T cells.
- T Cell Activation: T cells recognize the presented antigens and become activated. There are two main types of T cells:
- Helper T Cells (CD4+ T cells): These cells release cytokines (chemical messengers) that activate other immune cells, including B cells and cytotoxic T cells.
- Cytotoxic T Cells (CD8+ T cells): These cells directly kill infected cells.
- B Cell Activation: B cells recognize antigens directly or with the help of T cells. Once activated, they differentiate into plasma cells and memory B cells.
- Plasma Cells: These cells produce large amounts of antibodies specific to the antigen.
- Memory B Cells: These cells provide long-term immunity by "remembering" the antigen and allowing for a faster and stronger response upon subsequent exposure.
3. Elimination of the Pathogen
- Antibody-Mediated Immunity: Antibodies bind to antigens on the surface of pathogens, neutralizing them or marking them for destruction. Antibodies work through several mechanisms:
- Neutralization: Antibodies block pathogens from infecting cells.
- Opsonization: Antibodies coat pathogens, making them more easily recognized and engulfed by phagocytes.
- Complement Activation: Antibodies trigger the complement system, a cascade of proteins that leads to the destruction of pathogens and the recruitment of immune cells.
- Cell-Mediated Immunity: Cytotoxic T cells directly kill infected cells, preventing the pathogen from replicating and spreading.
4. Resolution and Memory
- Resolution: Once the pathogen is eliminated, the immune response subsides. Regulatory T cells help to suppress the immune response and prevent autoimmunity.
- Immunological Memory: Memory B cells and memory T cells provide long-lasting immunity. If the body encounters the same pathogen again, these memory cells will quickly activate and mount a faster and stronger immune response, often preventing the disease from developing.
In short, the immune system employs both general and targeted strategies to recognize, attack, and eliminate infectious agents, while also developing a long-term "memory" to protect against future infections. This complex process involves a variety of cells and molecules that work together to maintain health.