UPSC MainsMEDICAL-SCIENCE-PAPER-II20224 Marks
Q12.

Define the following terms :

How to Approach

This question requires defining immunological terms, demanding precision and conciseness. The approach should involve providing clear, scientifically accurate definitions, highlighting key features and relevance to medical science. Focus on explaining the core principles of each term, avoiding overly complex jargon while maintaining scientific rigor. Structure the answer by defining each term separately, using a consistent format for clarity.

Model Answer

0 min read

Introduction

Immunology, the study of the immune system, is central to understanding and combating disease. Precise definitions of its core terms are crucial for medical professionals. This answer will define key immunological terms, providing a foundational understanding of their roles in immune responses. These definitions are essential for comprehending various immunological disorders, vaccine development, and diagnostic procedures. A strong grasp of these concepts is fundamental to effective medical practice and research.

1. Antibody (Immunoglobulin)

Antibodies, also known as immunoglobulins (Ig), are Y-shaped glycoproteins produced by plasma cells (differentiated B lymphocytes) in response to an antigen. They function by recognizing and binding to specific antigens, initiating an immune response. There are five major classes of antibodies: IgG, IgM, IgA, IgE, and IgD, each with distinct functions and locations in the body.

  • IgG: Most abundant, provides long-term immunity.
  • IgM: First antibody produced during an immune response.
  • IgA: Found in mucosal secretions (e.g., saliva, tears).
  • IgE: Involved in allergic reactions and parasitic infections.
  • IgD: Function is not fully understood, found on B cell surfaces.

2. Antigen

An antigen is any substance that can trigger an immune response. Antigens are typically proteins or polysaccharides, but can also be lipids or nucleic acids. They are recognized by the immune system as foreign and induce the production of antibodies or activate T lymphocytes. Antigens can be exogenous (originating outside the body) or endogenous (produced within the body).

3. Hapten

A hapten is a small molecule that can elicit an immune response only when attached to a larger carrier protein. Haptens themselves are not immunogenic (cannot induce an immune response on their own) but become immunogenic when conjugated to a carrier. A classic example is penicillin, which can act as a hapten and cause allergic reactions.

4. Major Histocompatibility Complex (MHC)

The Major Histocompatibility Complex (MHC) is a set of genes encoding proteins present on the surface of cells that are crucial for the adaptive immune system. MHC molecules present antigen fragments to T lymphocytes, enabling them to recognize and respond to infected or abnormal cells. There are two main classes of MHC molecules:

  • MHC Class I: Present on all nucleated cells; present antigens to cytotoxic T cells (CD8+).
  • MHC Class II: Present on antigen-presenting cells (APCs) like macrophages, dendritic cells, and B cells; present antigens to helper T cells (CD4+).

5. Cytokines

Cytokines are small signaling proteins secreted by immune cells that mediate and regulate immunity, inflammation, and hematopoiesis. They act as messengers between cells, influencing their behavior and coordinating immune responses. Examples include interleukins (ILs), interferons (IFNs), and tumor necrosis factor (TNF).

Cytokine Function
Interleukin-2 (IL-2) T cell proliferation and differentiation
Interferon-gamma (IFN-γ) Macrophage activation, antiviral activity
Tumor Necrosis Factor-alpha (TNF-α) Inflammation, apoptosis

6. Complement System

The complement system is a cascade of proteins in the blood that enhances (complements) the ability of antibodies and phagocytic cells to clear microbes and damaged cells. It can be activated by three pathways: classical (antibody-antigen complexes), alternative (direct activation on microbial surfaces), and lectin (mannose-binding lectin). Activation leads to opsonization, inflammation, and direct lysis of pathogens.

Conclusion

Understanding these fundamental immunological terms is paramount for medical professionals. Antibodies, antigens, haptens, MHC molecules, cytokines, and the complement system all play critical roles in orchestrating immune responses. Continued research into these areas will undoubtedly lead to advancements in the prevention and treatment of infectious diseases, autoimmune disorders, and cancer. A robust immunological foundation is essential for navigating the complexities of modern 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

Immunogenicity
The ability of a substance to provoke an immune response in the body.
Opsonization
The process by which pathogens are coated with antibodies or complement proteins to enhance phagocytosis.

Key Statistics

Globally, approximately 3.5 million people are newly infected with HIV each year (UNAIDS, 2023 data).

Source: UNAIDS

Vaccination prevents an estimated 2-3 million deaths each year globally (World Health Organization, 2021).

Source: World Health Organization

Examples

Autoimmune Diseases

Rheumatoid arthritis is an autoimmune disease where the immune system attacks the joints, leading to inflammation and damage. This demonstrates a breakdown in immune tolerance.

Frequently Asked Questions

What is the difference between innate and adaptive immunity?

Innate immunity is the first line of defense, providing a rapid, non-specific response. Adaptive immunity is slower to develop but is highly specific and provides long-lasting protection through immunological memory.

Topics Covered

MedicineImmunologyHerd ImmunityVaccine EffectivenessImmunology