USMLE - Chapter 2 - Immunology
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Primary Lymphoid Organs to Lymph Node Structural Diagram7Topics
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Introduction to Lymphatic Drainage to Lymph Node Palpability and Right Lymphatic Duct6Topics
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Spleen Structure Overview to Thymus-Related Conditions6Topics
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Components and Mechanism of Immunity to Understanding Immune Privilege4Topics
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MHC I and II: Introduction and Loci to DQ8, DR3, DR49Topics
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Functions of Natural Killer Cells to Major Functions of T Cells3Topics
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T Cell Development: Bone Marrow & Thymus to Regulatory T Cells and Autoimmunity6Topics
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T-cell Activation: Antigen Presentation to B-cell Activation: Co-stimulation, Class Switching, and Maturation4Topics
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Antibody Structure and Function to Antibody Diversity and Specificity4Topics
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Introduction to Immunoglobulin Isotypes to Thymus-Dependent Antigens7Topics
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Introduction to Complement System to Convergence and MAC Formation9Topics
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Introduction to Complement System
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Complement Activation Pathways
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Functions of Complement Components (Part 1)
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Functions of Complement Components (Part 2) & Inhibitors
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Overview of Complement Pathways Diagram
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Detail of Classic Pathway
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Detail of Lectin Pathway
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Detail of Alternative Pathway
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Convergence and MAC Formation
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Introduction to Complement System
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Early Complement Deficiencies to PNH: Hemolysis & Thrombosis4Topics
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Interleukin-1: Macrophage Secretion and Acute Response to IL-10 and IL-13: Immune Regulation and IgE Production7Topics
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Interleukin-1: Macrophage Secretion and Acute Response
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IL-6 and TNF-alpha: Inflammation and Systemic Effects
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IL-8 and IL-12: Neutrophil Recruitment and Th1 Differentiation
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IL-2 and IL-3: T Cell Growth and Bone Marrow Support
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Interferon-gamma: Th1 Response and Macrophage Activation
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IL-4 and IL-5: Th2 Response and Antibody Production
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IL-10 and IL-13: Immune Regulation and IgE Production
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Interleukin-1: Macrophage Secretion and Acute Response
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Respiratory Burst Introduction to Interferons Clinical Use & Side Effects5Topics
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T Cell Surface Proteins to Examples of Passive and Active Immunity4Topics
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Live Attenuated Vaccines: Description to mRNA Vaccine8Topics
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Live Attenuated Vaccines: Description
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Live Attenuated Vaccines: Pros, Cons, Examples
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Killed/Inactivated Vaccines: Description & Pros/Cons
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Killed/Inactivated Vaccines: Examples
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Subunit, Recombinant, Polysaccharide, Conjugate Vaccines: Description & Pros/Cons
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Subunit, Recombinant, Polysaccharide, Conjugate Vaccines: Examples
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Toxoid Vaccine
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mRNA Vaccine
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Live Attenuated Vaccines: Description
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Overview of Hypersensitivity Types to Type II: Cellular Dysfunction & Clinical Examples6Topics
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Type III Hypersensitivity: Mechanism & Examples to Type IV Hypersensitivity: Examples & Tests5Topics
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Allergic and Anaphylactic Transfusion Reactions to Delayed Hemolytic Transfusion Reaction5Topics
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Autoantibodies in Neuromuscular and Systemic Diseases to Autoantibodies in Metabolic, Hematologic, and Renal Disorders5Topics
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Bruton's Agammaglobulinemia to Chronic Mucocutaneous Candidiasis7Topics
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Severe Combined Immunodeficiency (SCID) to Chronic Granulomatous Disease7Topics
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Intro to Immunodeficiency & T-Cell Bacterial Infections to Parasitic Infections & Key Deficiency Note5Topics
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Hyperacute Transplant Rejection to Histology of Transplant Rejection5Topics
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Immunosuppressants: Definition and Risks to Sirolimus & Basiliximab: Clinical Aspects5Topics
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Azathioprine to Immunotherapy: Interleukin-2 and Interferons6Topics
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TNF-α Inhibitors: Adalimumab & Infliximab to Omalizumab & Palivizumab: Allergic & Viral7Topics
Introduction to Immunoglobulin Isotypes to Thymus-Dependent Antigens
Content August 26, 2025
Immunoglobulin isotypes
All isotypes can exist as monomers. Mature, naive B cells prior to activation express IgM and IgD on their surfaces. They may differentiate in germinal centers of lymph nodes by isotype switching (gene rearrangement, induced by cytokines and CD40L) into plasma cells that secrete IgA, IgG, or IgE. For B cells, IgM and IgD mature to plasma cells as they AGE. Affinity refers to the individual antibody-antigen interaction, while avidity describes the cumulative binding strength of all antibody-antigen interactions in a multivalent molecule.
IgG
#boundingbox
Main antibody in 2° response to an antigen. Most abundant isotype in serum. Fixes complement, opsonizes bacteria, neutralizes bacterial toxins and viruses. Only isotype that crosses the placenta (provides infants with passive immunity that starts to wane after birth). “IgG Greets the Growing fetus.” Associated with warm autoimmune hemolytic anemia (“warm weather is Great”).
IgA
#boundingbox
Prevents attachment of bacteria and viruses to mucous membranes; does not fix complement. Monomer (in circulation) or dimer (with J chain when secreted). Crosses epithelial cells by transcytosis. Produced in GI tract (eg, by Peyer patches) and protects against gut infections (eg, Giardia). Most produced antibody overall, but has lower serum concentrations. Released into secretions (tears, saliva, mucus) and breast milk. Picks up secretory component from epithelial cells, which protects the Fc portion from luminal proteases.
IgM
#boundingbox
Produced in the 1° (IMmediate) response to an antigen. Fixes complement. Antigen receptor on the surface of B cells. Monomer on B cell, pentamer with J chain when secreted. Pentamer enables avid binding to antigen while humoral response evolves. Associated with cold autoimmune hemolytic anemia.
IgD
#boundingbox
Unclear function. Found on surface of many B cells and in serum.
IgE
#boundingbox
Binds mast cells and basophils; cross-links when exposed to allergen, mediating immediate (type I) hypersensitivity through release of inflammatory mediators such as histamine. Contributes to immunity to parasites by activating Eosinophils.
Antigen type and memory
Thymus-independent antigens
Antigens lacking a peptide component (eg, lipopolysaccharides from gram ⊝ bacteria), cannot be presented by MHC to T cells. Weakly immunogenic, vaccines often require boosters and adjuvants (eg, capsular polysaccharide subunit of Streptococcus pneumoniae PPSV23 vaccine).
Thymus-dependent antigens
Antigens containing a protein component (eg, diphtheria toxoid). Class switching and immunologic memory occur as a result of direct contact of B cells with Th cells.
Topics Covered:
- Introduction to Immunoglobulin Isotypes
- Immunoglobulin G (IgG)
- Immunoglobulin A (IgA)
- Immunoglobulin M (IgM)
- Immunoglobulin D (IgD) and Immunoglobulin E (IgE)
- Thymus-Independent Antigens
- Thymus-Dependent Antigens