Heredity and immunity: how genes affect our protection
I. Fundamental foundations: immune system and genetics
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Immune system: multi -level protection of the body.
- Inborn immunity: the first line of defense.
- Physical barriers: skin, mucous membranes, cilia.
- Cell components: natural killers (NK cells), macrophages, neutrophils, dendritic cells.
- Molecular components: complement, cytokines (interferons, interleukins), cheemokins.
- Mechanisms: phagocytosis, inflammation, complement activation.
- Acquired immunity: adaptive and specific protection.
- Lymphocytes: B cells (humoral immunity, antibodies) and T cells (cellular immunity).
- Antigen-presenting cells (agro-industrial complex): dendritic cells, macrophages, B cells.
- The main stages: antigen recognition, activation of lymphocytes, pathogen elimination, the formation of immunological memory.
- Types of adaptive immunity: humoral (antibodies) and cellular (cytotoxic T-lymphocytes, T-highpers).
- Inborn immunity: the first line of defense.
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Genetics: the language of heredity.
- DNA: a molecule of life.
- DNA structure: double spiral, nucleotides (adenin, guanine, cytosine, thyme).
- Genes: DNA areas, encoding proteins.
- Chromosomes: structures containing DNA.
- Genom: a complete set of genetic information of the body.
- Inheritance: transmission of genetic information.
- Mendel laws: dominance, splitting, independent inheritance.
- Genotype and phenotype: genotype – genetic constitution, phenotype – observed characteristics.
- Mutations: changes in DNA (spontaneous and induced).
- Polymorphisms: Variations in the DNA sequence (single -okleotide polymorphisms – SNPS).
- The effect of genes on protein synthesis: central dogma of molecular biology.
- Transcription: synthesis RNA of DNA matrix.
- Broadcast: Songs of Squirrel on Matrice RNA (Ribosomy, TCK).
- Regulation of genetic expression: transcription factors, epigenetic mechanisms.
- DNA: a molecule of life.
II. Genetic control of the immune response: genes that form protection
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Genes of the main histocompatibility complex (MHC): Key players in immune recognition.
- MHC structure and functions:
- MHC Class I: Presentation of antigens cytotoxic t-lymphocytes (CD8+ T cells).
- MHC Class II: Presentation of antigens to T-HELPERS (CD4+ T cells).
- High polymorphism MHC: Provides recognition of a wide range of antigens.
- HLA genes (Human Leukocyte Antigen): MHC options in humans.
- Genetic predisposition to diseases associated with MHC:
- Autoimmune diseases: ankylosing spondylitis (HLA-B27), rheumatoid arthritis (HLA-DR4).
- Infectious diseases: HIV (slow progression with certain HLA options).
- Organ transplantation: HLA compatibility is a critical success factor.
- MHC structure and functions:
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Immunoglobulin genes (IG) and T-cell receptors (TCR): ensuring the variety of antibodies and T-cells.
- V (D) j recombination: the mechanism for creating a huge variety of antibodies and TCR.
- Genes V (Variable), D (Diversity), J (Joining): segments involved in recombination.
- RAG1/RAG2 recombination: enzymes catalyzing recombination.
- Mechanisms for increasing diversity: combinatorial diversity, somatic hypermuting (for antibodies).
- The role of genetics in the formation of the immune repertoire:
- Restrictions in the repertoire: increased susceptibility to certain infections.
- Autoimmune: Incorrect recombination can lead to the formation of autoreactive antibodies and T cells.
- V (D) j recombination: the mechanism for creating a huge variety of antibodies and TCR.
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Genes of cytokines and their receptors: modulation of the immune response.
- Tsitokins: mediators of intercellular communication in the immune system.
- Инт add (Il): il-1,-2, il-4, il 6, IL-10, IL-12 и дhila.
- Interferons (IFN): IFN-α, IFN-β, IFN-γ.
- Tumor necrosis factor (TNF-α).
- Hemokins: attract immune cells to the focus of inflammation.
- Genetic polymorphisms in the genes of cytokines and their receptors and their influence on the immune response:
- Increased products of pro -inflammatory cytokines: chronic inflammatory diseases.
- Reduced cytokine products: increased susceptibility to infections.
- Examples: polymorphisms in the genes TNF-α, IL-10, IL-6.
- Tsitokins: mediators of intercellular communication in the immune system.
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Genes participating in the regulation of the immune response: Balance between protection and autoimmune.
- FOXP3 Genes: Regulatory T cells (Treg).
- Treg function: suppression of autoimmune reactions, maintaining immunological tolerance.
- Mutations in the FOXP3 gene: IPEX syndrome (Immunodysregulation Polyendocrinopathy Enteropathy X-Linked Syndrome)-serious autoimmune disease.
- CTLA-4 genes: inhibitory receptor on T cells.
- CTLA-4 function: Reducing the activation of T-cells.
- Polymorphisms in the CTLA-4 gene: Association with autoimmune diseases (type 1 diabetes mellitus, Hashimoto thyroiditis).
- PD-1 genes (Programmed Cell Death Protein 1): Regulation of the immune response in tumor micro-infection.
- Function PD-1: inhibiting T-cells.
- Using PD-1 inhibitors in cancer immunotherapy.
- FOXP3 Genes: Regulatory T cells (Treg).
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Genes that determine the function of congenital immunity: recognition of pathogens and activation of protection.
- Patterns recognition receptors (PRRS): TLRS, NLRS, RLRS, CLRS.
- PRRS function: recognition of conservative molecular structures of pathogens (PAMPS-Pathogen-Sassociated Molecular Patterns) and molecules released when cell damage (DAMPS-Damage-SSOCIETED MOLECULAR PATTERNS).
- TLRS (TOLL-LIKE Receptors): TLR4 (lipopolysaccharide), TLR3 (double-tension RNA), TLR9 (DNA with non-aligned CPG-dinucleotides).
- NLRS (NOD-LIKE Receptors): recognition of intracellular pathogens and damage.
- Rlrs (Rig-I-Like Receptors): Viral RNA recognition.
- CLRS (C -type Lectin Receptors): recognition of carbohydrate structures on the surface of pathogens.
- Genetic variants of PRRS and their impact on susceptibility to infections:
- Variations in the TLR4 gene: different sensitivity to lipopolisaccharide (LPS) – component of the cell wall of gram -negative bacteria.
- Variations in gene NOD2: Association with Crohn’s disease.
- Variations in the MBL genes (semolor -binding lectin) and ficolins: influence on complement activation.
- Patterns recognition receptors (PRRS): TLRS, NLRS, RLRS, CLRS.
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Genes that determine cell migration and adhesion: the direction of immune cells to the focus of inflammation.
- Selectins, integrines, cadgerines: adhesion molecules participating in the migration of leukocytes.
- Selek: E-Selek, P-Selence, L-Selek.
- Integrins: LFA-1, MAC-1, VLA-4.
- Kadgerins: provide cellular adhesion between cells of the same type.
- Hemokins and their receptors: Navigators of immune cells.
- Examples of chemokin: CXCL8 (IL-8), CCL2 (MCP-1), CCL5 (Rantes).
- Hemokins receptors: CXCR4, CCR5.
- Genetic polymorphisms in the genes of adhesion and chemokins and their influence on the immune response:
- Influence on the development of inflammatory diseases.
- Influence on susceptibility to infections.
- Selectins, integrines, cadgerines: adhesion molecules participating in the migration of leukocytes.
III. Genetic predisposition to immune diseases: heredity and pathology
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Autoimmune diseases: the attack of the immune system on its own fabrics.
- Genetic risk factors for autoimmune diseases:
- MHC (HLA) genes: a key role in the development of many autoimmune diseases.
- Cytokines and their receptors: an imbalance in the products of cytokines.
- Genes of regulatory T cells: violation of the suppressor function.
- PRRS Genes: Aberrant activation of congenital immunity.
- Genes of immunoglobulins and T-cell receptors: violation of central and peripheral tolerance.
- Examples of autoimmune diseases and their genetic component:
- Rheumatoid arthritis (RA): HLA-DR4, PTPN22, CTLA-4.
- System Red lupus (SLE): HLA-DR2, HLA-DR3, IRF5, StAT4.
- Type 1 diabetes (CD1): HLA-DR3, HLA-DR4, CTLA-4, PTPN22, IL2RA.
- Scattered sclerosis (RS): HLA-DRB1*1501, IL2RA, IL7R.
- Inflammatory diseases of the intestine (BCC): Crohn’s disease (NOD2), ulcerative colitis (IL23R).
- Autoimmune thyroiditis (Hashimoto thyroid): HLA-DR3, CTLA-4, PTPN22.
- Epigenetic factors in the development of autoimmune diseases:
- DNA methylation: change in genes expression.
- Modification of histones: the effect on the structure of chromatin and genes transcription.
- Microrm: regulation of genes expression at the post -transcriptional level.
- Genetic risk factors for autoimmune diseases:
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Immunodeficiency states: impaired function of the immune system.
- Primary immunodeficiency (PID): genetically determined defects of the immune system.
- Severe combined immunodeficiency (TKKU): defects in the genes necessary for the development of T- and B cells (RAG1/RAG2, IL2RG, ADA).
- General variable immune deficiency (ovin): defects in genes affecting the function of B cells (ICOS, BAFF-R).
- IGA deficiency: the most common PID, often asymptomatic.
- Chronic granulomatous disease (CGB): defects in genes encoding the components of Nadph-oxidase (Cybb, Cyba), leading to violation of phagocytosis.
- Viscott-Oldrich Syndrome: a defect in the WASP gene, which affects the function of T cells, B cells and platelets.
- Secondary immunodeficiency: acquired defects of the immune system (for example, HIV infection).
- HIV/AIDS: Human immunodeficiency virus affects CD4+ T cells, leading to a decrease in immunity.
- Immunosuppression caused by drugs: after organs transplantation or in the treatment of autoimmune diseases.
- Insufficient nutrition: deficiency of trace elements and vitamins necessary for the normal function of the immune system.
- Genetic predisposition to complications for HIV infection:
- CCR5 Genes: CCR5 -δ32 deletion provides resistance to HIV infection.
- HLA Genes: Influence on the rate of progression of the disease.
- Primary immunodeficiency (PID): genetically determined defects of the immune system.
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Allergic diseases: hypersensitivity to allergens.
- Genetic risk factors of allergic diseases:
- Atopia: a genetic predisposition to the development of allergic diseases (eczema, allergic rhinitis, asthma).
- Genes IL-4, IL-5, IL-13: IGE increase.
- TLRS genes: the impact on the development of allergic inflammation.
- FilagGrin genes: violation of the barrier function of the skin, increased sensitization to allergens.
- Examples of allergic diseases and their genetic component:
- Asthma: IL4R, IL13, ADRB2, PHF11.
- Allergic rhinitis: IL4, IL5, IL13.
- Atopic dermatitis (eczema): Filaggrin, IL4, IL13.
- Food allergies: depends on a particular allergen and individual genetic predisposition.
- Epigenetic factors in the development of allergic diseases:
- Environmental influence: exposure to allergens, air pollution, smoking.
- Change of intestinal microbiots: dysbiosis.
- Genetic risk factors of allergic diseases:
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Oncological diseases associated with impaired immune function:
- Immune supervision: the role of the immune system in preventing the development of tumors.
- Cytotoxic T-lymphocytes (CTL): destruction of tumor cells.
- Natural killers (NK cells): the destruction of tumor cells that do not express the MHC class I.
- Macrophages: phagocytosis of tumor cells and the presentation of antigens to T-cells.
- Genetic factors affecting the risk of cancer related to impaired immune function:
- MHC genes: the impact on the recognition of tumor antigens.
- Cytokines and their receptors: the effect on the activation of immune cells.
- Genes of immune control points (PD-1, CTLA-4): regulation of the immune response in tumor micro-infection.
- Examples of cancer associated with impaired immune function:
- Cervical cancer (human papillomavirus – HPV): impaired immune control leads to the persistence of the virus and the development of cancer.
- Liver cancer (hepatitis B and C virus): chronic infection and inflammation lead to damage to the liver and cancer development.
- Lymphomas (Epstein-Barr-VEB virus): Violation of immune control leads to the proliferation of B-lymphocytes and the development of lymphoma.
- Cancer immunotherapy: the use of the immune system to combat the tumor.
- Inhibitors of immune control points (PD-1, CTLA-4): activation of T-cells.
- Car-T-cell therapy: modified T cells aimed at tumor antigens.
- Cancer vaccines: stimulation of an immune response against tumor cells.
- Immune supervision: the role of the immune system in preventing the development of tumors.
IV. The influence of genetics on the reaction to vaccination: individual immune response.
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Vaccination: stimulation of adaptive immunity to protect against infections.
- Types of vaccines: live Athenoated vaccines, inactivated vaccines, subunit vaccines, DNA vaccines, RNA vaccines.
- The mechanism of action of vaccines: induction of humoral (antibodies) and cellular immunity.
- Immunological memory: long -term protection against infections.
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Genetic factors affecting the effectiveness of vaccination:
- MHC genes (HLA): the impact on the representation of antigens T-cells.
- Cytokines and their receptors: the effect on the activation of immune cells.
- TLRS genes: influence on the activation of congenital immunity.
- Genes of immunoglobulins and T-cell receptors: the effect on the variety of antibodies and T cells.
- Autophagy genes: the impact on antigens processing and activation of an immune response.
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Individual differences in the reaction to vaccination:
- The strength of the immune response: a different level of antibodies and T cells after vaccination.
- Duration of immunity: a different duration of protection against infections.
- Development of side effects: different frequency and severity of side effects.
- Examples:
- Hepatitis B vaccine: some people do not develop a sufficient level of antibodies.
- Core, rubella, mumps (MMR): a different frequency of side effects.
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Development of personalized vaccines: adaptation of vaccines to individual genetic characteristics.
- The use of genetic information to select the optimal vaccine.
- Development of vaccines aimed at certain HLA options.
- Adjuvantes that enhance the immune response depending on the genetic profile.
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Ethical aspects of personalized vaccination:
- The availability of genetic testing and personalized vaccines.
- Confidentiality of genetic information.
- The justice of the distribution of resources.
V. Genetics and microbias: the interaction of genes and microorganisms in the formation of immunity.
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Human microbia: a community of microorganisms that inhabit our body.
- Microbiotic intestinal: the most large and diverse community of microorganisms.
- Bacteria, viruses, mushrooms, archeas.
- The composition of microbiots depends on the genetic factors, diet, lifestyle, antibiotic.
- The role of microbiots in the development and functioning of the immune system:
- The development of immune tolerance: to recognize the immune system to recognize “their” and “alien” antigens.
- Stimulation of the immune response: activation of innate and acquired immunity.
- Competition with pathogens: protection against infections.
- Products of useful metabolites: short -chain fatty acids (KCHK), vitamins.
- Microbiotic intestinal: the most large and diverse community of microorganisms.
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The influence of the host genetics on the composition of the microbioma:
- Genes encoding secrete factors affecting the composition of microbiots.
- Genes encoding receptors involved in the interaction with microorganisms.
- Examples:
- Genes affecting the secretion of mucin: mucin is a nutrient for some bacteria.
- Genes affecting the products of antimicrobial peptides: defensins, quitelicidins.
- Genes that determine the composition of the intestinal mucous membrane.
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The influence of the microbioma on the expression of the owner genes:
- KCHK: influence on epigenetic modifications and expression of genes.
- Bacterial metabolites: activation of the host receptors and a change in the immune response.
- Microbia: regulation of the permeability of the intestinal barrier.
- Examples:
- KCZHK: inhibiting histondacilasis (HDACS), a change in the expression of genes associated with inflammation.
- Lipopolisaccharide (LPS): TLR4 activation, stimulation of cytokine products.
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The role of microbioma in the development of immune diseases: autoimmune, allergies, inflammatory intestinal diseases.
- Dysbacteriosis: Microbiotic balance, leading to immune disorders.
- Examples:
- Autoimmune: molecular mimicry between bacterial antigens and the host antigens.
- Allergy: Violation of the development of immune tolerance to allergens.
- Inflammatory diseases of the intestine: a change in the composition of microbiots and impaired intestinal barrier.
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Microbioma correction to improve immunity: probiotics, prebiotics, fecal transplantation.
- Probiotics: living microorganisms that have a beneficial effect on the health of the owner.
- Prebiotics: undigested dietary fiber, stimulating the growth of beneficial bacteria in the intestines.
- Fecal transplantation: transfer of microbiots from a healthy donor to a recipient.
- Personalized approaches to microbioma correction: taking into account the genetic characteristics and composition of microbiota.
VI. The evolution of immunity and genetic diversity: adaptation to changing threats.
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Evolution of the immune system: adaptation to new pathogens.
- Coevolution: joint evolution of the host’s immune system and pathogens.
- Selection pressure: Pathogens create a selection pressure that stimulates the development of new immune protection mechanisms.
- Examples:
- The development of adaptive immunity: allowed to fight more complex pathogens.
- The development of genetic polymorphism MHC: provides recognition of a wide range of antigens.
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Genetic variety of immune genes: ensuring the survival of the population.
- MHC polymorphisms: ensuring recognition of different pathogens by different individuals.
- Variations in the genes of cytokines and their receptors: a different level of immune response in different individuals.
- The genetic variety of immunoglobulins and T-cell receptors: ensuring recognition of a wide range of antigens.
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The role of genetic isolation and migration in the formation of an immune response:
- Genetic isolation: leads to a decrease in genetic diversity and increased susceptibility to certain infections.
- Migration: leads to an increase in genetic diversity and adaptation to new pathogens.
- Examples:
- Immune diseases characteristic of certain ethnic groups.
- Different susceptibility to infections in different populations.
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The influence of modern factors on the evolution of the immune system:
- Globalization: the spread of new pathogens around the world.
- Antibiotic resistance: complication of the fight against bacterial infections.
- Vaccination: change in the pressure of the selection for pathogens.
- Climate change: distribution of infections carriers to new regions.
VII. The future of studies in the field of genetics and immunity: personalized medicine and new therapeutic strategies.
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General studies of immune diseases: identification of new risk genes and the development of new diagnostic tests.
- Full -seed search for associations (GWAS): Search for genetic options associated with the risk of developing diseases.
- Sequencing of a new generation (NGS): Analysis of genomes, exom and transcription for identifying mutations and changes in genes expression.
- Multiomyx approaches: integration of genomic data, proteomics, metabolomics for a more complete understanding of the pathogenesis of diseases.
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Development of new therapeutic strategies based on genetic data:
- Targeted therapy: aiming at specific genes or proteins involved in the development of diseases.
- Gene therapy: correction of defective genes using viral vectors or other methods.
- Personalized immunotherapy: adaptation of immunotherapy to individual genetic characteristics of patients.
- Development of new vaccines that take into account the genetic predisposition to infections.
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Precision medicine in immunology: adaptation of treatment to individual characteristics of patients.
- The use of genetic information to select optimal therapy.
- Using biomarkers to predict a response to treatment.
- Integration of data on genetics, microbiome and lifestyle for the development of individual treatment plans.
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Ethical and social aspects of genetic research in immunology:
- Confidentiality of genetic information.
- The availability of genetic testing and personalized medicine.
- The possibility of genetic discrimination.
- The need for informed consent and ethical regulation of genetic studies.
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The future of immunology: integration of genetics, microbiology and systemic biology to develop new approaches to the prevention and treatment of diseases.
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