The immune system: basis of so much health and disease: 8. antigens and MHC

From Volume 44, Issue 11, December 2017 | Pages 1071-1075

Authors

Crispian Scully

CBE, DSc, DChD, DMed (HC), Dhc(multi), MD, PhD, PhD (HC), FMedSci, MDS, MRCS, BSc, FDS RCS, FDS RCPS, FFD RCSI, FDS RCSEd, FRCPath, FHEA

Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK

Articles by Crispian Scully

Eleni A Georgakopoulou

PhD, MD, MSc, DDS

Research Fellow, University of Athens and Dental Practitioner, 4 Fokaias Str, 14232 N Ionia, Greece

Articles by Eleni A Georgakopoulou

Yazan Hassona

BDS, FFD RCSI, PhD

Assistant Professor and Consultant in Oral Medicine and Special Needs Dentistry, The University of Jordan, Amman

Articles by Yazan Hassona

Abstract

Abstract: The immune system is the body's primary defence mechanism against infections, and disturbances in the system can cause disease if the system fails in defence functions (in immunocompromised people), or if the activity is detrimental to the host (as in auto-immune and auto-inflammatory states). A healthy immune system is also essential to normal health of dental and oral tissues. This series presents the basics for the understanding of the immune system; this article covers antigens and the major histocompatibility complex.

Clinical Relevance: Modern dental clinicians need a basic understanding of the immune system as it underlies health and disease.

Article

Antigens (immunogens) are substances, usually proteins, that can be recognized by the body as foreign and can elicit an antibody response. Antigens are usually exogenous but may be endogenous (host-derived). An epitope, or antigenic determinant, is the part of an antigen recognized by the immune system, specifically by antibodies, B-cells, or T-cells.

Exogenous antigens are often microbial; bacterial antigens include:

Viral antigens include:

Fungal antigens include:

Endogenous antigens include human tissue antigens, such as:

Super-antigens (SAgs) have the following features:

Haptenes are low molecular weight substances which, though not on their own immunogenic, become immunogenic if coupled to a larger carrier molecule (eg albumin, globulins). Examples of haptenes include chemicals and drugs (eg penicillin, sulphonamides, aspirin, cosmetic, tranquillizers, and neomycin).

The properties of antigens are summarized in Table 1.

The major histocompatibility complex (MHC), also referred to as the human leukocyte antigen (HLA) complex, is a generic name for the gene complex that codes the self antigens important in T-cell recognition of foreign antigens.

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