What type of immunity is not due to antibodies




















The impact of vaccines over the past years is evident, but challenges remain. Researchers are exploring new possibilities for vaccine development and delivery.

Diphtheria has largely been eliminated in the United States since immunization became widespread. It was once a leading cause of death in children.

This article assumes familiarity with the terms antibody, antigen, immunity, and pathogen. See the Glossary for definitions. A person may become immune to a specific disease in several ways. For some illnesses, such as measles and chickenpox, having the disease usually leads to lifelong immunity to it. Vaccination is another way to become immune to a disease. Both ways of gaining immunity, either from having an illness or from vaccination, are examples of active immunity.

If the person encounters that pathogen again, long-lasting immune cells specific to it will already be primed to fight it. The protection offered by passive immunization is short-lived, usually lasting only a few weeks or months. But it helps protect right away. Breast milk, though not as rich in protective components as colostrum, also contains antibodies that pass to the nursing infant. This protection provided by the mother, however, is short-lived. During the first few months of life, maternal antibody levels in the infant fall, and protection fades by about six months of age.

Artificial Passive immunity can be induced artificially when antibodies are given as a medication to a nonimmune individual. These antibodies may come from the pooled and purified blood products of immune people or from non-human immune animals, such as horses. In fact, the earliest antibody-containing preparations used against infectious diseases came from horses, sheep, and rabbits.

Antibodies were first used to treat disease in the late 19 th century as the field of bacteriology was emerging. The first success story involved diphtheria, a dangerous disease that obstructs the throat and airway of those who contract it.

In , Shibasaburo Kitasato and Emil von Behring immunized guinea pigs against diphtheria with heat-treated blood products from animals that had recovered from the disease. The preparations contained antibodies to the diphtheria toxin that protected the guinea pigs if they were exposed soon thereafter to lethal doses of diphtheria bacteria and its toxin.

Next, the scientists showed that they could cure diphtheria in an animal by injecting it with the blood products of an immunized animal. They soon moved to testing the approach on humans and were able to show that blood products from immunized animals could treat diphtheria in humans. The antibody-containing blood-derived substance was called diphtheria antitoxin, and public boards of health and commercial enterprises began producing and distributing it from onward.

Kitasato, von Behring, and other scientists then devoted their attention to treatment of tetanus, smallpox, and bubonic plague with antibody-containing blood products. The use of antibodies to treat specific diseases led to attempts to develop immunizations against the diseases. Their pioneering work, along with advances in the separation of the antibody-containing blood component, led to many studies on the effectiveness of antibody preparations for immunization against measles and infectious hepatitis.

Before the polio vaccine was licensed, health officials had hopes for the use of gamma globulin an antibody-containing blood product to prevent the disease.

William M. He showed that administration of gamma globulin containing known poliovirus antibodies could prevent cases of paralytic polio. However, the limited availability of gamma globulin, and the short-term protection it offered, meant that the treatment could not be used on a wide scale. The licensure of the inactivated Salk polio vaccine in made reliance on gamma globulin for poliovirus immunization unnecessary. Today, patients may be treated with antibodies when they are ill with diphtheria or cytomegalovirus.

Or, antibody treatment may be used as a preventive measure after exposure to a pathogen to try to stop illness from developing such as with respiratory syncytial virus [RSV], measles, tetanus, hepatitis A, hepatitis B, rabies, or chickenpox. Antibody treatment may not be used for routine cases of these diseases, but it may be beneficial to high-risk individuals, such as people with immune system deficiencies.

Vaccines typically need time weeks or months to produce protective immunity in an individual and may require several doses over a certain period of time to achieve optimum protection. Passive immunization, however, has an advantage in that it is quick acting, producing an immune response within hours or days, faster than a vaccine.

Additionally, passive immunization can override a deficient immune system, which is especially helpful in someone who does not respond to immunization. Antibodies, however, have certain disadvantages. Immunity : Natural immunity occurs through contact with a disease causing agent, when the contact was not deliberate, where as artificial immunity develops only through deliberate actions of exposure. Both natural and artificial immunity can be further subdivided, depending on the amount of time the protection lasts.

Passive immunity is short lived, and usually lasts only a few months, whereas protection via active immunity lasts much longer, and is sometimes life-long. These antibodies are developed in another individual or animal and then injected into another individual. Antiserum is the general term used for preparations that contains antibodies. Artificial active immunization is where the microbe, or parts of it, are injected into the person before they are able to take it in naturally. If whole microbes are used, they are pre-treated, attenuated vaccines.

This vaccine stimulates a primary response against the antigen in the recipient without causing symptoms of the disease. Artificial passive immunization is normally administered by injection and is used if there has been a recent outbreak of a particular disease or as an emergency treatment for toxicity, as in for tetanus.

Thus, humanized antibodies produced in vitro by cell culture are used instead if available. The first record of artificial immunity was in relation to a disease known as smallpox. Individuals were exposed to a minor strain of smallpox in a controlled environment. Once their bodies built up a natural immunity or resistance to the weakened strain of smallpox, they became much less likely to become infected with the more deadly strains of the disease.

In essence, patients were given the disease in order to help fight it later in life. Although this method was an effective one, the scientists of the time had no real scientific knowledge of why it worked. Active immunity is long-lasting, and sometimes life-long. Passive immunity is provided when a person is given antibodies to a disease rather than producing them through his or her own immune system.

The major advantage to passive immunity is that protection is immediate, whereas active immunity takes time usually several weeks to develop. However, passive immunity lasts only for a few weeks or months. Only active immunity is long-lasting. How Does the Immune System Work? Antibodies also can: neutralize toxins poisonous or damaging substances produced by different organisms activate a group of proteins called complement that are part of the immune system.

Complement helps kill bacteria, viruses, or infected cells. Humans have three types of immunity — innate, adaptive, and passive: Innate immunity: Everyone is born with innate or natural immunity, a type of general protection.

For example, the skin acts as a barrier to block germs from entering the body. And the immune system recognizes when certain invaders are foreign and could be dangerous. Adaptive immunity: Adaptive or active immunity develops throughout our lives. We develop adaptive immunity when we're exposed to diseases or when we're immunized against them with vaccines. Passive immunity: Passive immunity is "borrowed" from another source and it lasts for a short time.

For example, antibodies in a mother's breast milk give a baby temporary immunity to diseases the mother has been exposed to.



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