Year 12

AQA A level Biology Immunity Notes

Immunity

— Biology · AS Level (7402)
★ Exam Tip: Immunity is a short chapter but every part links to the next: WBC types → antigen → phagocytosis → antigen presentation → humoral / cell-mediated response → memory → vaccines → monoclonal antibodies. Learn it as one story, not separate topics.

1. Key Terms

Term Meaning
Pathogen disease-causing organism (virus, bacteria, fungi)
Pathogenicity disease-causing ability — an organism that has it is called a pathogen
Immune system the body's internal defence system
Immunity protection against diseases (e.g. you are "immune" to chicken pox after having it, or after vaccination)
Remember: Organism = pathogen. Ability = pathogenicity. They are used all the time in this chapter!

• Not all microbes are harmful — bacteria on the skin and in the gut live mutualistically with us. Only those which can make toxins / chemicals / harmful reactions are pathogens.

• The main cells of the immune system = WBCs (white blood cells) = leukocytes. Unlike RBCs (one type), WBCs have different types with different roles.

2. Classification of Leukocytes

① By FUNCTION (role in defence)

Leukocytes (WBCs) A. Phagocytes B. Lymphocytes C. Others (i) neutrophils (ii) monocytes /macrophages → PHAGOCYTOSIS B-lymphocytes T-lymphocytes plasma cells→ antibodies B memory cells T-helper cellT-killer cell TH memory cellTK memory cell (i) eosinophils(ii) basophils (not in syllabus) B + T lymphocytes= ADAPTIVEimmune response
classification on the basis of what each WBC DOES
  • Monocyte vs macrophage: a monocyte is the immature cell. When it matures and embeds in deep tissues / organs it becomes a macrophage (mature form).
  • Phagocytes (neutrophils + monocytes/macrophages) → perform phagocytosis only. They do NOT make antibodies.
  • Plasma cells → produce antibodies. B memory cells, TH / TK memory cells → remember the antigen so a second attack is stopped quickly.
  • T-helper and T-killer cells — roles come later (both are lymphocytes).
Sir's analogy: antibodies = a guard at your house who chases off a thief. Memory cells = the guard recognises the same thief instantly the next time.
Note: Eosinophils (fight infections — their count rises in a blood test during infection) and basophils are not in the syllabus, so we don't study them. Focus: phagocytes + lymphocytes.

② By APPEARANCE (under the microscope)

(1) Granulocytes — cytoplasm contains granules.
e.g. neutrophils, basophils, eosinophils.

(2) Agranulocytes — cytoplasm is devoid of any visible granules.
e.g. monocytes, lymphocytes.

Trick: prefix "a-" = absence of (a-granulo = no granules; a-sexual; a-political).
neutrophilbasophileosinophil monocyteB / plasmaT lymph. → macrophage GRANULOCYTES granules + lobed nucleus AGRANULOCYTES granules ABSENT lobes ①②③ lymphocytes: LARGE SPHERICAL nucleus
sir marked: B cell = plasma cell · "T killer cell" = the natural killer cell drawn · monocyte → macrophage
Cell type Granules? Nucleus
neutrophil, basophil, eosinophil present lobed (neutrophil: 3 lobes)
monocyte absent not round — lobed / bean-shaped (sir counted it with the lobed group)
lymphocytes (B, T, killer) absent large spherical nucleus

3. Antigens & the Immune Response

Antigen: a macromolecule (usually a protein, not always) that can trigger an immune response. Antigens are cell recognition markers — glycoproteins on the cell surface membrane with a unique shape, like your ID card that tells the body "who this cell is".

RBCRBCRBC Blood group B (B+)antigen B on surface Blood group Aantigen A on surface Blood group ONO A/B antigen different shape of antigen = different identity (the A / B / O names come from the antigen)
antigens on a cell surface = its identity badge
Sir's blood-group example:
My blood is B+ → my RBCs carry antigen B. My WBCs know antigen B = "my own people, no danger". If an A-group person donated blood to me, antigen A is foreign → my WBCs attack it, the donor RBCs clot, vessels get blocked → can cause death.
Self antigenNOT foreign to your body → will NOT trigger an immune response ("apna banda — why harm it?")
Non-self (foreign) antigenforeign to your body → WILL trigger an immune response immediately

Immune response: a complex series of reactions carried out by phagocytes and lymphocytes in response to a foreign (non-self) antigen.

Common mistake: only plasma cells (a type of B cell) make antibodies. Phagocytes never make antibodies — they only engulf / digest.

4. The Defence System — 3 Lines of Defence

Think of border security: the 1st line of soldiers faces the enemy, the 2nd stands behind them, and the 3rd is the most advanced. (Or: a student reaching the principal goes through the CR first — a fixed channel.) The body protects itself at every level.

① EXTERNAL ② INNATE ③ ADAPTIVE no WBCsnon-specificfixed, constant PHAGOCYTESnon-specificno memory LYMPHOCYTESSPECIFICimmunological memory pathogen escapes ① → meets ② → escapes → meets ③ ② + ③ = INTERNAL defence (involves WBCs)
1st line = external · 2nd line = innate · 3rd (most advanced) = adaptive

① External defence — no WBCs, non-specific, fixed & constant

Type Examples How it protects
(1) Physical barriers skin · nasal hair · cilia skin separates outside from inside; nasal hair traps dust (sneezing); cilia brush particles out
(2) Chemical barriers mucus · HCl mucus = mucin (glycoprotein) + serous fluid, sticky → traps bacteria/dust, cilia sweep it out; HCl in gastric juice → acidity kills bacteria
(3) Cellular barriers platelets (clotting mechanism) at a cut, platelets trigger fibrinogen → fibrin mesh/web that seals the wound so pathogens can't enter
Note: The same skin / mucus / HCl / clotting protects against every foreign particle in exactly the same way — that is what "non-specific, fixed, constant" means. These barriers are not part of the immune system itself; the immune system switches on only when a pathogen enters the internal environment (blood).

② vs ③ Innate and Adaptive immune response

Innate immune response Adaptive immune response
Cells involved phagocytes (neutrophils, macrophages) lymphocytes (B cells, T cells)
Specificity non-specific — attacks any foreign particle specific — only the antigen with a complementary receptor
Immunological memory none yes (memory cells)
Why "no memory" for phagocytes? They just notice "a foreign particle — eat it!" without caring what it is, so nothing specific is remembered. Lymphocytes get a specific receptor shape at maturation → specific + memory.

5. Innate Immune Response — Phagocytosis

Done by neutrophils and macrophages (macrophages are the more important ones). Like a shark smelling prey from far away, or a sniffer dog following a scent — phagocytes follow chemical signals.

  1. Chemotaxis — chemo = chemical, taxis = movement: movement towards a chemical stimulus (chemicals released when a pathogen enters; histamine too) → phagocyte runs to the pathogen.
  2. Recognition + attachment — phagocyte recognises it as non-self (not my self-antigen) and sticks to it.
  3. Endocytosis / phagocytosis — membrane wraps around and engulfs the pathogen → a vesicle forms = phagocytic vesicle = phagosome (vesicle with the pathogen inside).
  4. Lysosome attaches to the phagosome → they fuse = phagolysosome.
  5. Lysosome secretes hydrolytic (digestive) enzymes into the vesicle → pathogen is digested.
  6. Remaining residual waste is removed by exocytosis.
① chemotaxis② recognise + attach③ endocytosis→ PHAGOSOME④ lysosomefuses → PHAGOLYSOSOME⑤ hydrolytic enzymesdigest pathogen⑥ residue out byEXOCYTOSISlysosome
phagosome = vesicle + pathogen · phagolysosome = phagosome + lysosome (enzymes pour in)
Exam Tip: Know the difference: phagosome = just the vesicle holding the pathogen. Phagolysosome = once a lysosome has fused with it and is releasing enzymes. Keep the order: chemotaxis → recognition + attachment → endocytosis → phagosome → phagolysosome → digestion → exocytosis.

If phagocytosis is NOT enough → Antigen Presentation

Sometimes at stage 5 the phagocyte realises the pathogen is too powerful (e.g. only 20–30% digested). It then shows the left-over pathogen as an antigen on its own cell surface — a call for help to the lymphocytes (3rd line of defence). This is antigen presentation, and the cell doing it is an antigen-presenting cell (APC).

antigens displayed APC "call for help"
APC with antigen "spikes"
  • Only macrophages can do antigen presentation — neutrophils cannot.
  • Antigen is fused into the cell surface membrane → connects innate to adaptive immunity.
  • Only the lymphocyte with a complementary receptor can answer → the system becomes specific here.
Analogy: hospital emergency = phagocytes (treat everyone). When it is a specialist case (neuro, nephro…), they refer to the specific doctor = the matching T-helper cell.

6. Origin & Maturation of Lymphocytes

All blood cells (RBCs, WBCs, platelets) are made from stem cells in the bone marrow (that's why a bone marrow transplant can cure blood cancer / sickle-cell anaemia — healthy marrow replaces faulty marrow).

Stem cells (bone marrow) myeloid lymphoid RBCsplateletsneutrophils basophils, eosinophilsmonocytes / macrophages lymphocytes B lymphocytesT lymphocytes
lymphoid → lymphocytes only. Myeloid → everything else
Memory: T cells mature in the Thymus.
Production Maturation
T lymphocytes bone marrow thymus (gland in the upper chest near the thyroid)
B lymphocytes (and all other WBCs) bone marrow bone marrow

• T cells leave marrow immature → travel to the thymus → mature → released into the bloodstream.

What does maturation do?

Glycoproteins on the cell surface = cell recognition markers = receptors. Each has a certain shape, so only a complementary-shaped molecule can bind. Immature cells have no receptors; during maturation each T cell gets a glycoprotein receptor placed on its surface (different shape on different cells).

each receptor has a different shape → each lymphocyte can bind only ONE complementary antigen

B cell receptors = ANTIBODIES

  • The glycoprotein receptor on the surface of a B cell is given a special name: antibody (the word is used for no other cell).
  • An unspecialised B cell has antibodies on its surface but cannot release them into blood. It then specialises into plasma cell (can produce & release antibodies into blood) and B memory cell (keeps memory).
Trick: AntiBody → "AB" → there is a B in antibody → antibodies belong to B cells.
Common mistake: "Every B cell has antibodies on its surface" ✓ — but "every B cell can release antibodies into blood" ✗. Only plasma cells can.

7. Structure of an Antibody

light chains heavy chains VARIABLE region = antigen-binding sites disulfidebonds (S–S) CONSTANT region(same in ALL antibodies) receptors of constantregion → effectivephagocytosis
Y-shaped antibody: 2 light + 2 heavy chains held by S–S bridges; top = variable (varying shape), stem = constant
Feature Detail
Type of molecule glycoprotein, globular (soluble). Also called immunoglobulins.
Polypeptide chains 4 — 2 light (globin) chains + 2 heavy (globin) chains (light/heavy = smaller/larger Mr)
Protein structure quaternary (more than one polypeptide)
Bonds disulfide bonds link the chains — each antibody has 16 (sir's number)
Variable region (antigen-binding site)top of the Y — shape varies for every antibody; complementary to one antigen
Constant regionrest of the Y — common to all antibodies; no antigen binds here
Why must the variable region differ?
Millions of B cells → each has its own antibody shape → each antibody fits its own antigen. If all shapes were the same, the body couldn't tell which antibody should attack the virus and which the bacteria. Like enzymes: specific to their substrate.

The constant region & OPSONISATION

The "lollipop" receptors on the constant region help phagocytes. When a pathogen enters, chemicals (mostly histamine) signal it; antibodies attach to the pathogen by their variable region and coat its surface. Because antibodies are glycoproteins → sugars → sticky, the coat makes it easy and strong for a phagocyte to attach and engulf. This is opsonisation.

pathogen phagocyte antibodies coat it (constant region)
opsonisation: antibody "coat" makes the pathogen sticky
Sir's kitchen analogy: to stick breadcrumbs on dough you first dip it in egg / water; to stick two layers you brush a liquid between them. The antibody coat is that sticky layer.
Common mistake: "If antibodies already attack the antigen, why do we need phagocytes?" — Phagocytes are non-specific and need help attaching. The variable region does the specific binding; the constant region + sticky sugar just makes phagocyte attachment easier. Don't confuse the two jobs.

8. Functions of Antibodies

  1. Opsonisation — coat the pathogen surface to promote effective phagocytosis (constant region).
  2. Bind to viruses → prevent their entry into the host cell.
  3. Bind to toxins and neutralise them (e.g. toxins released by bacteria) → such antibodies are antitoxins.
  4. Bind to the flagellum of bacteria → restrict bacterial motility.
  5. Punch holes in the cell wall of bacteria (like a punching machine) → water enters → bacterium bursts = cell lysis (lysis = bursting / breaking apart).
  6. Clump antigens together → agglutination (antigens stuck in a big clump).
opsonisationblock viruses / toxins flagellum boundagglutination holes in wall → LYSIS
quick sketches of antibody actions (blue = antibody)

9. Adaptive Immune Response

Carried out by lymphocytes (B cells + T cells). Both have glycoprotein receptors from maturation → specific. B-cell receptors = antibodies. It has two types:

① Humoral (antibody-mediated)done by B cells (via antibodies) — against pathogens in the blood
② Cell-mediateddone by T-killer cells — against cancerous (tumour) cells and/or virus-infected cells

"Mediated" = the connecting link that carries out the response. Antibody-mediated → antibody does it; cell-mediated → a particular cell does it.

Adaptive immune response Humoral (AB-mediated)Cell-mediated B cells plasma cells→ make & release ABB memory T cells T-helper + TH memoryT-killer + TK memory
summary tree — B: plasma + B memory · T: helper + killer, each with memory cells
Link from phagocytosis: APC shows antigen → T-helper cell with a complementary receptor binds (not T-killer, plasma or memory cells!). T-helper then decides which response: humoral (pathogen) or cell-mediated (virus-infected / tumour cell).

A) Humoral (antibody-mediated) response — step by step

APC showing VIRAL or TUMOUR antigenTH cell binds → releases CYTOKINESHIR → B cell(humoral response)CMIR → clone of TK cells selected(clonal selection)clonal expansion — MITOSISACTIVATED TKTK MEMORY cells(2nd exposure)bind antigen → vacuoles release H₂O₂ + interferons→ holes punched in membrane → infected / tumour cell LYSES
HIR = humoral immune response · CMIR = cell-mediated immune response
Sir's emergency analogy: the T-helper asks the APC "what help do you need?" → "I know someone who can do this — the B cell." Cytokines = the message sent to that B cell.

Clone = a group of identical cells (like identical twins). We stimulate only the clone whose antibody receptor is complementary to the antigen, then make more copies — more are needed now (plasma cells) and some stored for later.

① CLONAL SELECTIONT-helper cells secrete cytokines to stimulate the clone of B cells with a complementary antibody receptor
② CLONAL EXPANSIONrapid division by mitosis → numerous identical cells
③ DIFFERENTIATION→ plasma cells: production + secretion of numerous identical antibodies (into blood) · → B memory cells: reside in the lymph nodes, retain immunological memory (insurance for the second attack)
1 selectedB cell(binds antigen)CLONALEXPANSIONmitosismany identicalB cellsPLASMA CELLSmake + secrete many identical antibodiesB MEMORY CELLSlive in lymph nodes — 2nd attackDIFFERENTIATION(specialise)antibodies released into blood
one selected B cell → many copies → plasma cells (antibodies) + memory cells
Vaccine link (COVID):
a weakened/dead pathogen is injected; your immune system treats it as a real threat → plasma cells make antibodies and memory cells remain. You needn't actually catch the disease.

B) Cell-mediated response — T-killer cells

Used against virus-infected cells and tumour (cancer) cells. (Tumours: mutation in cell-division genes → uncontrolled mitosis → irregular mass; the body fights them via the immune response, or by apoptosis — see mitosis notes.)

APC virus | tumourantigens H₂O₂ / interferons TK mitosis TKTK activated TK TK memory cells THreleases cytokines(chemical signals) HIR → B cellCMIR → T-killer cells
HIR = humoral immune response (→ B cells) · CMIR = cell-mediated (→ T-killer cells)
  1. APC displays a viral or tumour antigen; a complementary T-helper cell binds → releases cytokines (chemical signals).
  2. Clonal selection of the clone of T-killer cells with complementary receptors.
  3. Clonal expansion via mitosis.
  4. Differentiate into activated TK cells and TK memory cells (memory for 2nd/3rd exposure — skips the whole long cycle).
  5. Activated TK cells bind to the antigens and destroy the cell bearing them: their vacuoles release hydrogen peroxide (H₂O₂) and interferons which punch holes in the cell membrane of the affected cell → cell lysis / death.
Don't mix up: T-helper cytokines → B cells (humoral) or T-killer cells (cell-mediated). T-killer cells don't make antibodies — they kill the cell directly.
★ Exam Tip — full story to learn: pathogen → barriers (no WBCs) → phagocytosis (innate) → if it fails: antigen presentation → T-helper → cytokines → humoral (B cells: plasma + memory) or cell-mediated (T-killer + memory). Memory cells give the faster 2nd response.

10. Types of Immunity

Types of immunity ACTIVE immunity immune system itself is stimulatedto PRODUCE antibodies PASSIVE immunity immune system NOT producing antibodies;antibodies come from an EXTERNAL source natural activeartificial active(vaccination) natural passiveartificial passive LONG-TERM immunitySHORT-TERM immunity (memory cells formed)(no memory cells)
Type What happens Example
Natural active pathogen enters naturally from the environment → immune system makes its own antibodies; no human intervention catching chicken pox
Artificial active vaccination — dead / weakened (attenuated) pathogen injected; body doesn't know it's harmless → makes antibodies itself polio, measles, COVID vaccines
Natural passive baby gets mother's antibodies via the placenta (blood systems linked) and via breast-feeding (milk has strong antibodies) newborn protection
Artificial passive ready-made antibodies injected from an external source (e.g. extracted from an animal's serum, then humanised so the body won't reject it) antibody injection
Sir's memory trick: Active = you work for your antibodies. Passive = antibodies are "served on a plate" — so it is short-lived.

11. Vaccination (Artificial Active Immunity)

Definition: a medical service in which an injection containing antigen is given to achieve artificial active immunity (→ antibody production).

Types of vaccine

  1. Killed whole-cell pathogens (dead pathogen)
  2. Live vaccines — weakened (attenuated) pathogen; disease-causing ability removed
  3. Microbial subunit vaccine (and toxoid vaccine)
  4. Genetically engineered vaccines

What makes a GOOD vaccine?

  1. Low toxicity
  2. Stimulates both humoral and cell-mediated responses
  3. Thermostable (no fridge chain needed)
  4. Easy to produce and cheap
  5. Effective in all age groups and ethnicities
  6. No need for boosters

Booster doses

[AB]time required amount 100 vaccine 1booster
dose 1 gives only ~10 units, below the requirement → booster (vaccine 2) lifts it

First dose → antibodies rise (e.g. 0 → 10 units) but not enough. A booster (2nd dose of the same vaccine) raises antibody concentration to the required level. It works well because plasma cells, antibodies and memory cells already exist — memory cells recognise the antigen at once, so only a "boost" is needed (like a new employee inheriting half-finished work). Analogy: your energy low in the afternoon, then boosted by good news.

Problems associated with vaccines

Problem Why
1. Poor response to vaccine Malnourishment — antibodies are glycoproteins (protein-based); with no protein the body can't make new antibodies. Immunocompromised patients (e.g. AIDS) — immune system itself is damaged ("front-line soldiers bought by the enemy") → no response to any number of vaccines.
2. Live vaccines the attenuated / weakened pathogen can mutate / reverse inside the body → regains disease-causing ability → causes the disease.
3. Antigenic variation mutation changes the antigen so the vaccine no longer matches (why flu and COVID are hard to vaccinate against). Antigenic drift = minor changes (people slowly drifting apart). Antigenic shift = major change (shifting house).
4. Antigenic concealment pathogen hides inside body cells (e.g. liver cells; malaria — later), not in blood → WBCs/antibodies never see it → no immune response.
Careful: Malnourished ≠ "zero antibodies". Sir: the problem is that new antibodies are not produced in response to the vaccine.

12. Primary & Secondary Immune Response

Primary immune response: the response generated on first exposure to an antigen.
Secondary immune response: the response on second or subsequent exposure to the same antigen.

[AB]time 1st exposure2nd exposure PRIMARY peakSECONDARY peak (higher) slow, long lag(no memory cells) rapid fall quick, faster AB stay in bloodfor a long period gap
same antigen twice: 2nd response is faster, higher, longer-lasting
Primary immune response Secondary immune response
(a) Slow — due to lack of memory cells (longer lag phase) (a) Rapid / quick — memory cells recognise antigen at once
(b) Peak antibody conc. is not as high as the secondary response (b) Peak antibody concentration is higher
(c) Antibodies stay in blood for a shorter time — hydrolysed within the body (rapid decline) (c) Antibodies stay in blood for a longer time
★ Exam Tip: Graph questions: describe lag time, rate of rise, peak height and how fast it falls for both. Cause of the difference = memory cells (B memory → plasma cells quickly).

13. Monoclonal Antibodies (MABs)

mono = single · clone = identical / similar cells. Each antibody is specific for one antigen. MABs = antibodies against a particular antigen produced by hybridoma cells.

Plasma cell(1) makes large amounts of identical antibodies
(2) short-lived, cannot divide by mitosis
Myeloma cell (cancerous B cell)(1) long-lived, divides by mitosis
(2) cannot produce / release antibodies
plasma cellmyeloma cell(cancerous B cell) +FUSOGEN HYBRIDOMA cell (i) makes identical ABs (ii) divides by mitosis
hybridoma = best of both: makes antibodies + divides forever

Production of monoclonal antibodies

  1. Insert the pathogen (antigen) into a rabbit / mouse.
  2. Allow sufficient time for the immune response to produce plasma cells against the antigen.
  3. Extract the plasma cells from the spleen of the rabbit / mouse.
  4. Fuse plasma cell with myeloma cell in the presence of fusogen → hybridoma cell.
  5. Select the clone of desired hybridoma cells producing the desired antibodies.
  6. Culture the selected clone in large fermenters.
  7. Isolate the antibodies.
  8. Humanisation of the antibodies takes place (so humans don't reject mouse antibodies).

Uses of MABs

Diagnostic Therapeutic / treatment
(1) Diagnose DVT (deep vein thrombosis = clot): anti-fibrin antibody (binds the clot) tagged with gamma radiation → the clot's location is detected
• identify the location of tumours
• identification of pathogens
(1) Trastuzumab — a specific kind of breast cancer
(2) Ipilimumab — against a certain type of skin cancer
(3) Infliximab — to manage rheumatoid arthritis
Note: The board's diagnostic list was cut off after "identify the location of tumours" and "identification of pathogens" — add any other diagnostic uses from your syllabus/textbook.
✓ Quick Recap — Whole Chapter (1/2)
  • Pathogen = organism · pathogenicity = ability · antigen = macromolecule (cell recognition marker) · self = no response, non-self = response.
  • Leukocytes: phagocytes (neutrophils, monocytes → macrophages) · lymphocytes (B: plasma + memory; T: helper + killer + memory). Granulocytes (granules + lobed nucleus) vs agranulocytes (large spherical nucleus in lymphocytes).
  • Defence: ① external (skin, nasal hair | mucus, HCl | platelets) non-specific, no WBCs → ② innate (phagocytes, non-specific, no memory) → ③ adaptive (lymphocytes, specific, memory).
  • Phagocytosis: chemotaxis → recognition + attachment → endocytosis (phagosome) → lysosome fuses (phagolysosome) → hydrolytic enzymes digest → exocytosis. Fails → antigen presentation by macrophage (APC).
  • Stem cells (bone marrow): myeloid → all other blood cells · lymphoid → B & T. T mature in thymus, B in bone marrow. Receptors added at maturation; B receptor = antibody.
  • Antibody: glycoprotein, globular, 4 chains (2 light + 2 heavy), quaternary, 16 S–S bonds · variable region = antigen-binding · constant region = same for all, helps phagocytosis.
  • Functions: opsonisation · block viruses · antitoxins · stop flagella · punch holes → lysis · agglutination.
  • Humoral: APC → TH binds → mitosis (½ TH memory) → cytokines → clonal selection of B clone → clonal expansion → differentiation: plasma cells (antibodies) + B memory (lymph nodes).
  • Cell-mediated: virus-infected / tumour cells → TH cytokines → TK clone selected & expanded → activated TK (H₂O₂ + interferons punch holes → lysis) + TK memory.
✓ Quick Recap — continued
  • Immunity types: active (natural / artificial = vaccination, long-term) · passive (placenta, breast milk / injected antibodies, short-term).
  • Vaccines: killed · live (attenuated) · subunit/toxoid · genetically engineered. Good vaccine = low toxicity, both responses, thermostable, cheap, all ages/ethnicities, no booster. Problems: poor response (malnourished / immunocompromised), live reversal, antigenic variation (drift minor / shift major), antigenic concealment.
  • Primary = slow, lower peak, short-lived AB · secondary = rapid, higher peak, long-lasting (memory cells).
  • MABs: plasma cell (spleen of immunised mouse) + myeloma cell + fusogen → hybridoma → select clone → ferment → isolate → humanise. Uses: DVT (anti-fibrin + γ), tumour location, pathogen ID · trastuzumab, ipilimumab, infliximab.