UPSC MainsMEDICAL-SCIENCE-PAPER-I20215 Marks
Q16.

Explain the functions of each class of immunoglobulins. Describe the subsets of T-lymphocytes.

How to Approach

This question requires a detailed understanding of both humoral and cell-mediated immunity. The answer should begin by outlining the five classes of immunoglobulins – IgG, IgM, IgA, IgE, and IgD – detailing their structure, function, and location. Subsequently, it should describe the various subsets of T-lymphocytes – helper T cells (Th1, Th2, Th17, Tfh), cytotoxic T cells, regulatory T cells, and memory T cells – outlining their roles in immune responses. A structured approach using headings and bullet points will enhance clarity and comprehensibility.

Model Answer

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Introduction

The immune system is a complex network of cells, tissues, and organs that defends the body against harmful invaders. Immunoglobulins, also known as antibodies, are crucial components of humoral immunity, while T-lymphocytes are central to cell-mediated immunity. These two arms of the immune system work in concert to provide robust protection against a wide range of pathogens. Understanding the specific functions of each immunoglobulin class and T-lymphocyte subset is fundamental to comprehending the intricacies of immune responses and immunological disorders.

Immunoglobulins: Functions of Each Class

Immunoglobulins are glycoprotein molecules produced by plasma cells (differentiated B lymphocytes) that bind specifically to antigens. There are five major classes of immunoglobulins, each with distinct characteristics and functions:

  • IgG: This is the most abundant immunoglobulin in serum (75-80%). It provides long-term immunity, crosses the placenta to provide passive immunity to the fetus, neutralizes toxins, opsonizes pathogens (enhancing phagocytosis), and activates the complement system. There are four subclasses: IgG1, IgG2, IgG3, and IgG4, each with slightly different functions.
  • IgM: The first antibody produced during an immune response. It is a pentamer (five antibody molecules joined together) and is very effective at activating the complement system. It is primarily found in the bloodstream and is important in combating bacterial infections.
  • IgA: Predominantly found in mucosal secretions (saliva, tears, breast milk, respiratory and gastrointestinal tracts). It provides localized immunity by neutralizing pathogens and preventing their attachment to epithelial surfaces. It exists as a dimer in secretions.
  • IgE: Involved in allergic reactions and parasitic infections. It binds to mast cells and basophils, triggering the release of histamine and other inflammatory mediators upon antigen exposure.
  • IgD: Found on the surface of mature B cells, where it acts as an antigen receptor. Its precise function is not fully understood, but it is thought to play a role in B cell activation.

Subsets of T-Lymphocytes

T-lymphocytes mature in the thymus and play a critical role in cell-mediated immunity. They recognize antigens presented by antigen-presenting cells (APCs) in the context of Major Histocompatibility Complex (MHC) molecules. Different subsets of T-lymphocytes perform specialized functions:

  • Helper T Cells (Th): These cells coordinate the immune response by releasing cytokines that activate other immune cells. Several subsets exist:
    • Th1 cells: Promote cell-mediated immunity, activating macrophages and cytotoxic T cells. Important for intracellular pathogens.
    • Th2 cells: Promote humoral immunity, activating B cells to produce antibodies. Important for extracellular parasites and allergens.
    • Th17 cells: Important for immunity against extracellular bacteria and fungi, and contribute to autoimmune diseases.
    • Tfh (Follicular Helper T) cells: Located in the germinal centers of lymph nodes, they provide help to B cells for antibody production and affinity maturation.
  • Cytotoxic T Cells (Tc or CD8+ T cells): Directly kill infected cells, tumor cells, and foreign cells by releasing cytotoxic granules containing perforin and granzymes.
  • Regulatory T Cells (Treg): Suppress the immune response to prevent autoimmunity and maintain immune homeostasis. They express the transcription factor FoxP3.
  • Memory T Cells: Long-lived cells that provide immunological memory. Upon re-exposure to the same antigen, they rapidly proliferate and differentiate into effector T cells, providing a faster and more effective immune response.

The interplay between these T-lymphocyte subsets is crucial for a balanced and effective immune response. Dysregulation of these subsets can lead to immunodeficiency, autoimmunity, or chronic inflammation.

Conclusion

In conclusion, immunoglobulins and T-lymphocytes are essential components of the adaptive immune system, each with specialized functions that contribute to the body’s defense against pathogens. Understanding the distinct roles of each immunoglobulin class and T-lymphocyte subset is vital for comprehending the complexities of immune responses and developing effective strategies for preventing and treating infectious diseases, autoimmune disorders, and cancer. Further research into the intricacies of these immune components will undoubtedly lead to advancements in immunotherapy and personalized medicine.

Answer Length

This is a comprehensive model answer for learning purposes and may exceed the word limit. In the exam, always adhere to the prescribed word count.

Additional Resources

Key Definitions

Antigen
A substance that triggers an immune response. Antigens can be proteins, carbohydrates, lipids, or nucleic acids, and are often found on the surface of pathogens.
Cytokines
Small proteins released by immune cells that act as signaling molecules, regulating the immune response. Examples include interleukins, interferons, and tumor necrosis factor.

Key Statistics

Globally, approximately 3.5 million people die annually from infectious diseases, highlighting the importance of a robust immune system.

Source: World Health Organization (WHO), 2023 (Knowledge Cutoff: Dec 2023)

Approximately 1 in 200 children are affected by primary immunodeficiency disorders worldwide.

Source: Jeffrey Modell Foundation, 2022 (Knowledge Cutoff: Dec 2023)

Examples

Passive Immunity in Newborns

Newborns receive passive immunity from their mothers through the transfer of IgG antibodies across the placenta. This provides temporary protection against infections during the first few months of life, before the infant's own immune system is fully developed.

Frequently Asked Questions

What is the difference between humoral and cell-mediated immunity?

Humoral immunity involves antibodies produced by B cells, targeting extracellular pathogens. Cell-mediated immunity involves T cells directly attacking infected cells or coordinating the immune response.

Topics Covered

ImmunologyMedicineAntibody ClassesT Cell SubsetsImmune Response