haya.Learning made clear
Unit VII · Human health and diseases
12 min readConcept sheet1-mark MCQ or assertion-reason, a 2-mark question on barriers or antibody structure, a 3-mark question on humoral vs cell-mediated immunity; also a NEET favourite

Immunity: innate and acquired; antibodies and immune responses

Innate immunity is non-specific and present from birth; acquired immunity is pathogen-specific and has memory, using antibodies from B cells and killing by T cells.

ImmunityThe overall ability of the host to fight disease-causing organisms, given by the immune system
AntibodyFour peptide chains: two heavy and two light, written H₂L₂; types include IgA, IgM, IgE, IgG
Humoral responseAntibody-mediated, by B-lymphocytes; antibodies are in the blood
Cell-mediated immunity (CMI)By T-lymphocytes; responsible for graft rejection

Innate immunity: four barriers

BarrierExamplesHow it protects
PhysicalSkin; mucus lining the respiratory, digestive and urogenital tractsSkin blocks entry; mucus traps microbes
PhysiologicalAcid in the stomach, saliva in the mouth, tearsPrevent microbial growth
CellularNeutrophils (PMNL), monocytes, natural killer cells in blood; macrophages in tissuesPhagocytose (engulf) and destroy microbes
CytokineInterferons secreted by virus-infected cellsProtect non-infected cells from further viral infection

Innate vs acquired immunity

InnateNon-specific; present at birth; works through barriers; no memory.
AcquiredPathogen-specific; develops during life; has memory; carried out by B and T lymphocytes.

Primary vs secondary response

Primary responseOn the first meeting with a pathogen. Slow and of low intensity.
Secondary (anamnestic) responseOn later meetings with the same pathogen. Fast and highly intensified, because the body has a memory of the first meeting.

Antibody structure and how to draw it

  • Antibodies are proteins made by B-lymphocytes (through plasma cells) in response to pathogens.
  • Draw a Y shape made of four chains: two long heavy chains forming the full Y, and two short light chains along the outer side of each upper arm.
  • Join the chains with short lines marked S-S (disulphide bonds): between the two heavy chains, and between each heavy and light chain.
  • Label the tips of the two arms antigen binding sites. Write N at the free tips and C at the lower ends of the heavy chains, as in the textbook figure. Extra labels, not in that figure: the tips are the variable region, the rest the constant region.
  • Write the formula H₂L₂ below the figure.

Humoral vs cell-mediated immunity

Humoral (antibody-mediated)B-lymphocytes produce antibodies that circulate in the blood and lymph (the body 'humors') and act against pathogens. T-cells do not make antibodies but help B cells make them.
Cell-mediated (CMI)T-lymphocytes act directly. The body tells self from non-self, and CMI causes graft rejection. So organ transplants need tissue and blood group matching, and patients take immunosuppressants all their life.
In real life

The acid in your stomach and the tears in your eyes are part of your innate immunity. When a relative gets a kidney transplant in an Indian hospital, doctors first match tissues and blood groups, then give lifelong immunosuppressants to stop T cells rejecting it.

Exam angle

2 marks: “Name the four barriers of innate immunity with one example each.” Physical: skin, mucus. Physiological: stomach acid, saliva, tears. Cellular: neutrophils, monocytes, NK cells, macrophages. Cytokine: interferons.

3 marks: “Draw a labelled diagram of an antibody molecule. Why is it written as H₂L₂?” Y-shaped with two heavy and two light chains, S-S bonds, antigen binding sites at the tips (extra labels: variable and constant regions). H₂L₂ because it has two heavy and two light chains.

3 marks: “Distinguish between humoral and cell-mediated immune responses. Why are transplanted organs sometimes rejected?” Humoral: B cells, antibodies in blood. CMI: T cells act directly. Rejection: body recognises the graft as non-self and CMI destroys it; hence tissue matching and immunosuppressants.

Remember it

B cells make antiBodies (Blood, humoral); T cells do the Tough fighting (cells, transplants).