immunology step by step

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本课程“免疫学一步一步”旨在系统地讲解免疫学的基础知识。课程将免疫系统比作一支精心调校的乐队,每个部分——免疫细胞、器官、分子——协同工作,维持身体的稳态。 课程将免疫系统的成员大致分为**先天免疫系统**和**适应性免疫系统**两大类,并强调它们如何协同对抗病原体。讲师将侧重于**宏观概念**,帮助学习者理解免疫学的核心思想,而非纠结于繁杂的细节和例外。 **为什么免疫学如此重要?** 免疫系统几乎参与了所有与健康和疾病相关的领域。从抵抗感染、控制炎症,到肿瘤的免疫逃逸以及过敏等免疫失调,免疫学知识对于开发诊断、治疗和预防策略至关重要。 课程还将追溯免疫学的**历史发展**,从古代的经验性疗法(如人痘接种)到19世纪末20世纪初巴斯德和科赫的微生物学革命,再到“细胞学说”和“体液学说”的争论,以及抗体和细胞免疫的发现,勾勒出免疫学学科的形成与进步。 课程内容涵盖: * 物理屏障 * 免疫学机制 * 先天免疫系统 * 适应性免疫系统 * 免疫系统器官 * 免疫细胞 * 抗原、巨噬细胞 * 免疫应答 * 免疫球蛋白 * 免疫耐受 * 组织相容性 * 免疫疗法 * 细胞因子 * 补体系统 * 免疫应答的调控 * 对感染的免疫 * 移植免疫学 * 自身免疫疾病 * 超敏反应 * 免疫接种 * 肿瘤免疫学 * 免疫诊断

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Anyone who has had the good fortune to hear an orchestra brilliantly perform a symphony composed by one of the great masters knows that each of the carefully tuned musical instruments contributes to the collective, harmonious sound produced by the musicians. In many ways, the normally tuned immune system continuously plays an orchestrated symphony to maintain homeostasis.The immune system is a "team effort," involving many different players. These players can be divided roughly into two groups: those that are members of the innate immune system team and those that are part of the adaptive immune system. Importantly, these two groups work together to provide a powerful defense against invaders. Immunology is a difficult subject for several reasons. First, there are lots of details, and sometimes these details get in the way of understanding the concepts. To get around this problem, we're going to concentrate on the big picture. It will be easy for you to find the details somewhere else. Another difficulty in learning immunology is that there is an exception to every rule. Immunologists love these exceptions, because they give clues as to how the immune system functions. But for now, we're just going to learn the rules. Oh sure, we'll come upon exceptions from time to time, but we won't dwell on them. Our goal is to exam-ine the immune system, stripped to its essence.A third difficulty in studying immunology is that our knowledge of the immune system is still evolving. As you'll see, there are many unanswered questions, and some of the things that seem true today will be proven false tomorrow. The term "immunology" is derived from Latin word "immunis" means exempt, i.e., protection from infectious diseases. Extensive work on bacteriology and pathology made their respective workers to find methods to develop resistance against infectious diseases in the latter half of 19th and beginning of 20th century. Although the history of immunology is about 100 years old, cellular immunology dates back to the 1950swhy is immunology so important? The immune system has involvement in almost all fields related to health and disease. Infections continue to confront human health and well-being on a global scale. Inflammation contributes to the lung, heart and joint diseases, and diabetes mellitus; cancers have to evade immune surveillance, and immune dysregulation leads to allergies that are increasingly prevalent across the world. Only improved understanding of the mechanisms by which microbes, allergens, and tumor cells cause disease will result in the development of diagnostic, therapeutic, and preventative strategies to combat this threat.However, we are only beginning the voyage of immunology, and there is much we still need to research and understand. The study of basic immunology may provide students with an opportunity to relate the findings of fundamental sciscientific investigations to clinical problemshistoryBabylonian Epic of Gilgamesh (2000 B. C.) records the presence of pestilence and diseases. The study of Immunology stemmed out from the Thucydides' description of individuals who recovered from the plague in Athens. Those individuals, who had already contracted the disease, recovered and became "immune." Variolation was practiced for many years in China. The process involved exposing healthy people to the material derived from the lesions caused by the disease by either putting it under the skin or, more often, inserting powdered scabs from smallpox pustules into the nose. However, that occasionally resulted in death because there was no standardization of the inoculum. Variolation, later, became popular in England, mainly due to the efforts of Lady Mary Wortley Montague and the American colonies. In 1796, Jenner inoculated James Phipps with the material obtained from a cowpox lesion, which appeared on the hand of a dairymaid, and he inoculated the experimental subject with smallpox about six weeks later, without producing disease [1]. In 1875, Robert Koch was able to show the presence of anthrax causing bacteria in the lymph nodes of a dead rabbit that was earlier inoculated with the blood of a diseased animal [2]. In a serendipitous discovery, Pasteur was able to attenuate the virulent chicken cholera bacillus and coined the term vaccination. Later, he developed first viable vaccine for anthrax and rabies while Robert Koch studied hypersensitivity in tuberculosis. Although many consider Louis Pasteur the "father of immunology," it is due to his and Koch's efforts that firmly established the historical germ theory of disease. Then, various scientists contributed to the development of the concept of cellular and humoral immunity. While working on the development of digestive organ in starfish larvae, Metchnikoff became a leading proponent of the "Cellularists." He believed that phagocytes, not antibodies, played the leading role in immunity. Emil von Behring and Kitasato demonstrated the transfer of immunity against Diphtheria by a soluble "anti-toxin" in the blood whereby, Paul Ehrlich predicted the existence of immune bodies (antibodies) and side-chains from which they arise (receptors). Ehrlich suggested that antigens interact with receptors borne by cells, resulting in the secretion of excess receptors (antibodies).the supporters of alternative theory, i.e., "Humoralists," believed that a soluble substance in the body was responsible for mediating immunity OVERVIEW OF THE IMMUNE SYSTEMPHYSICAL BARRIERSimmunological mechanismsTHE INNATE IMMUNE SYSTEMTHE ADAPTIVE IMMUNE SYSTEMorgan of immune systemcells of immune systemAntigenMacrophagewhat is immune response ?immunoglobulinimmunotolerancehistocompatibilityimmunotherapycytokinescomplement systemRegulation of immune responseimmunity to infectiontransplantation immunologyautoimmune diseaseshypersensitivity immunizationtumor immunologyimmunodiagnostics

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