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Immunity (medicine)

life science Maturity 11-13 Next article →

Immunity is the biological state of being resistant to a noxious agent or process. This resistance is especially important against a pathogen, which is an infectious agent that causes disease. In a healthy biological environment, the body maintains a balance between "self" and "non-self." The system aims to spare the body's own tissues while eliminating foreign substances through inflammatory and immunological responses. When the body fails to eliminate foreign invaders, or when it accidentally attacks its own tissues, disease can arise.

Immunity
Immunity

The immune system operates through two primary components: innate immunity and adaptive immunity. Innate immunity, also called native immunity, serves as the first line of defense. It is a semi-specific and widely distributed response that helps maintain homeostasis. Unlike the adaptive system, innate immunity does not change based on prior infections. Instead, it relies on genetically encoded recognition of specific patterns to identify threats. It includes processes such as inflammatory responses and phagocytosis, where cells engulf foreign particles.

Adaptive immunity is the more advanced, active component of the host response. This system is mediated by antigen-specific lymphocytes, which are specialized cells. Adaptive immunity is highly specific to particular pathogens and possesses the unique ability to develop immunological memory. This memory allows the body to recognize and respond more effectively to the same pathogen if it returns. The adaptive system is divided into two functional parts: humoral immunity and cell-mediated immunity.

Immune response2
Immune response2

There are several ways an organism can acquire these different types of protection. Active immunity occurs when the body is exposed to a pathogen, triggering the production of its own antibodies. This can happen naturally through infection or artificially through vaccination. Passive immunity, however, involves the transfer of ready-made antibodies or activated T-cells from an immune host. While passive immunity provides immediate protection, it is short-lived because the recipient does not develop immunological memory. This often requires booster doses for continued protection.

Fc receptor schematic big
Fc receptor schematic big

Passive immunity can be acquired through natural or artificial means. Naturally, a fetus acquires maternal passive immunity when antibodies are passed through the placenta. This occurs around the third month of gestation via an FcRn receptor on placental cells. IgG is the only antibody isotype capable of passing through the placenta. Additionally, mothers pass IgA antibodies through breast milk, such as colostrum, to protect a nursing infant's gut. Artificially, passive immunization uses human or animal blood plasma, pooled human immunoglobulin, or monoclonal antibodies. This is often used when there is a high risk of infection and no time for the body to react.

Antitoxin diphtheria
Antitoxin diphtheria

Human understanding of immunity has evolved significantly over thousands of years. Prehistoric views often attributed disease to supernatural forces or divine punishment. In Classical Greece, Hippocrates suggested that illness resulted from an imbalance of the four humors: blood, phlegm, yellow bile, and black bile. In 430 BC, the Athenian Thucydides observed that survivors of a plague were free from apprehension because they were not attacked a second time. In the 9th century, the Islamic physician Al-Razi provided the first clinical description of how exposure to smallpox and measles confers lasting immunity.

Cholera art
Cholera art

Modern immunology grew from the rejection of the miasma theory, which claimed "bad air" caused diseases like cholera. The 19th century saw the rise of germ theory and major scientific breakthroughs. In 1882, Ilya Mechnikov revealed the process of phagocytosis. Louis Pasteur's work with germ theory helped explain how bacteria cause disease and how bodies resist them. In 1798, Edward Jenner developed the smallpox vaccine by using the cowpox virus, a method known as vaccination. By 1890, the discovery of antitoxins for diphtheria and tetanus by Behring and Kitasato marked a major success for therapeutic immunology.

Albert Edelfelt - Louis Pasteur - 1885
Albert Edelfelt - Louis Pasteur - 1885
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🖼️ Images & Media (7)
File:Fc receptor schematic big.png
Fc receptor schematic big.png
File:Immunity.svg
Immunity.svg
File:Cholera art.jpg
Cholera art.jpg
File:Albert Edelfelt - Louis Pasteur - 1885.jpg
Albert Edelfelt - Louis Pasteur - 1885.jpg
File:Antitoxin diphtheria.jpg
Antitoxin diphtheria.jpg
File:Immune response2.svg
Immune response2.svg
File:Poster for vaccination against smallpox.jpg
Poster for vaccination against smallpox.jpg
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