
IV. Responding to Environmental Changes
33. The Immune System
Dedicated to the memory of Don Wiley, a pioneer in unraveling the structural basis of immune-system function
We are constantly exposed to an incredible diversity of bacteria, viruses, and parasites, many of which would flourish in
our cells or extracellular fluids were it not for our immune system. Remarkably, we are often even able to defend
ourselves against organisms that we have never before encountered. How does the immune system protect us? The key is
our ability to produce more than 10
8
distinct antibodies and more than 10
12
T-cell receptors, each of which presents a
different surface for specifically binding a molecule from a foreign organism and initiating the destruction of the invader.
The presence of this remarkable repertoire of defensive molecules poses a challenge. What prevents the immune system
from attacking cells that express molecules normally present in our bodies; that is, how does the immune system
distinguish between nonself and self? We shall examine these questions, focusing first on the structures of the proteins
participating in the molecular recognition processes and then on the mechanisms for selecting cells that express
molecules useful for protecting us from a specific pathogen. Emphasis will be on the modular construction of the
proteins of the immune system
identifying structural motifs and considering how spectacular diversity can arise from
modular construction.
33.0.1. The Immune System Adapts, Using the Principles of Evolution
The immune system comprises two parallel but interrelated systems. In the humoral immune response, soluble proteins
called antibodies (immunoglobulins) function as recognition elements that bind to foreign molecules and serve as
markers signaling foreign invasion (Figure 33.1). Antibodies are secreted by plasma cells, which are derived from B
lymphocytes (B cells). A foreign macromolecule that binds selectively to an antibody is called an antigen. In a
physiological context, if the binding of the foreign molecule stimulates an immune response, that molecule is called an
immunogen. The specific affinity of an antibody is not for the entire macromolecular antigen but for a particular site on
the antigen called the epitope or antigenic determinant.
In the cellular immune response, cells called cytotoxic T lymphocytes (also commonly called killer T cells) kill cells that
display foreign motifs on their surfaces. Another class of T cells called helper T lymphocytes contributes to both the
humoral and the cellular immune responses by stimulating the differentiation and proliferation of appropriate B cells and
cytotoxic T cells. The celluar immune response is mediated by specific receptors that are expressed on the surfaces of the
T cells.
The remarkable ability of the immune system to adapt to an essentially limitless set of potential pathogens requires a
powerful system for transforming the immune cells and molecules present in our systems in response to the presence of
pathogens. This adaptive system operates through the principles of evolution, including reproduction with variation
followed by selection of the most well suited members of a population.
If the human genome contains, by the latest estimates, only 40,000 genes, how can the immune system generate more
than 10
8
different antibody proteins and 10
12
T-cell receptors? The answer is found in a novel mechanism for generating
a highly diverse set of genes from a limited set of genetic building blocks. Linking different sets of DNA regions in a
combinatorial manner produces many distinct protein-encoding genes that are not present in the genome. A rigorous
selection process then leaves for proliferation only cells that synthesize proteins determined to be useful in the immune
response. The subsequent reproduction of these cells without additional recombination serves to enrich the cell
population with members expressing a particular protein species.
Critical to the development of the immune response is the selection process, which determines which cells will
reproduce. The process comprises several stages. In the early stages of the development of an immune response, cells
expressing molecules that bind tightly to self-molecules are destroyed or silenced, whereas cells expressing molecules