Introduction
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The immune system protects the body from infectious agents and foreign substances.
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When foreign molecules enter the body, the immune system recognizes them as non-self and activates immune defenses.
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These foreign molecules are called antigens (Ag).
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Antigens interact with immune cells and receptors to initiate an immune response.
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The immune response mainly involves B-lymphocytes and T-lymphocytes.
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B-cells produce antibodies (humoral immunity), while T-cells mediate cellular immunity.
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Understanding antigens, immunogens, epitopes, and haptens is important for studying vaccines, autoimmune diseases, allergies, transplantation, and immunotherapy.

Immunogen and Antigen
When foreign substances (antigens – Ag) enter the body, they stimulate the production of antibodies (Ab) against them.
These foreign substances may include:
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Bacteria
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Viruses
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Parasites
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Foreign proteins
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Toxins
When these substances enter the body, they stimulate the immune system and produce an immune response.
Immune Response
Immune response refers to the activation of immune cells after antigen exposure.
Antigenic stimulation leads to activation of:
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B-lymphocytes → Humoral immune response
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T-lymphocytes → Cellular immune response
Immunogenic and Antigenic Substances
Foreign substances may be classified as immunogenic or antigenic depending on their ability to stimulate immune responses.
Immunogens
Immunogens are substances that:
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Produce a specific immune response
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Stimulate immune cells
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Activate B-cells or T-cells
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Lead to humoral or cellular immune reactions
Example:
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Bacterial proteins
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Viral antigens
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Toxins
Antigens
Antigens are substances that:
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Can bind to antibodies or immune receptors
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May not directly stimulate an immune response
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Often require carrier proteins to become immunogenic
Therefore:
All immunogens are antigenic, but not all antigens are immunogenic.
In everyday usage, the term antigen is commonly used to describe both.
Antigens
Antigens may be classified into two types:
1. Complete Antigens
Complete antigens are capable of:
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Stimulating an immune response
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Reacting with antibodies
Example:
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Bacterial toxins
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Viral proteins
2. Incomplete Antigens (Haptens)
Incomplete antigens are called haptens.
These substances:
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Cannot stimulate immune response alone
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Become antigenic when attached to carrier proteins
Examples include:
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Drugs
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Antibiotics
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Chemicals
Properties of Antigen
For a substance to act as an effective antigen, it must possess certain characteristics.
A. Foreignness
Foreignness is the most important property of an antigen.
The immune system must recognize a substance as non-self in order to respond.
The immune system normally develops tolerance to self-antigens, meaning it does not react against its own tissues.
However, in some diseases, antibodies react against self-antigens, producing autoimmune diseases.
Examples of Antigenic Structures
The cell membrane contains:
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Proteins
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Phospholipids
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Cholesterol
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Carbohydrates
These molecules form:
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Glycoproteins
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Glycolipids
Certain regions of these molecules act as antigenic determinants called epitopes.
Other examples:
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Bacterial capsules are strongly immunogenic.
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Non-capsulated bacteria have surface structures that act as antigens.
Types of Antigens Based on Origin
Autologous Antigens
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Self antigens
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No immune response occurs.
Allogenic Antigens
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From the same species but genetically different individuals.
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May cause immune reactions.
Examples:
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Blood transfusion
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Kidney transplantation
Heterologous Antigens
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From different species
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Cause strong immune reactions and rejection.
Example:
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Animal proteins injected into humans.
B. Chemical Nature
Most antigens are proteins or large polysaccharides.
Rarely, lipids or nucleic acids act as antigens.
Antigens may exist as:
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Cell surface molecules
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Membrane-bound antigens
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Soluble proteins
Types of Molecules Acting as Antigens
Proteins
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Most powerful antigens
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High molecular weight
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High structural complexity
Example:
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Enzymes
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Bacterial toxins
Lipoproteins
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Present on cell membranes
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Can act as antigens
Lipopolysaccharides
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Components of bacterial endotoxin
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Capsular polysaccharides of bacteria such as pneumococci
Carbohydrates
Polysaccharides are generally weak antigens but may become antigenic when attached to carrier molecules.
Example:
Red blood cell antigens are glycoproteins.
Nucleic Acids
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Generally poor antigens
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Single stranded DNA may act as antigen in some cases
Polypeptides
Examples include:
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Hormones
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Insulin
These are usually weak antigens.
Nucleoproteins
These are strong antigens.
Lipids
Lipids are usually non-immunogenic.
Exception:
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Cardiolipin
Lipids may become antigenic when combined with proteins or polysaccharides.
C. Molecular Size
The larger the molecule, the stronger its antigenic potential.
Molecules with molecular weight:
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>10,000 Daltons → highly immunogenic
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<10,000 Daltons → weakly immunogenic
Small molecules such as:
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Amino acids
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Monosaccharides
are not immunogenic.
D. Molecular Structure
Structural stability of antigen is essential.
More complex molecules act as strong immunogens.
Example:
Protein with different amino acids:
A – B – C – D – G → strong antigen
Protein with repeating units:
A – A – A – A → weak antigen
E. Route of Entry
The route of antigen entry influences the immune response.
Natural Routes
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Gastrointestinal tract
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Respiratory tract
Artificial Routes
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Subcutaneous injection
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Intramuscular injection
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Intravenous injection
Local exposure may produce localized immune reactions, whereas systemic entry causes generalized immune responses.
F. Dose of Immunogen
An optimal antigen dose is required for effective immune response.
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Very small dose → no immune response
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Very large dose → immune tolerance may occur
G. Genetic Host Factors
Immune responses vary between individuals due to genetic differences.
Genes controlling immune response are called:
Immune Response Genes (Ir genes).
These genes influence:
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Antibody production
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T-cell activation
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Immune sensitivity
Epitope
An epitope is the specific region of an antigen recognized by antibodies or immune receptors.
Characteristics of epitopes:
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Small molecular regions
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Usually composed of 4–5 amino acids or monosaccharides
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Present on antigen surfaces
Types of Epitopes
Surface (Topographical) Epitopes
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Located on the antigen surface
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Directly recognized by antibodies.
Internal Epitopes
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Hidden within antigen structure
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Exposed after antigen processing by APC.
Valency of Antigen
Antigens may contain multiple epitopes.
The number of epitopes present on an antigen is called valency.
An antigen may contain one to hundreds of epitopes.
Hapten
The word hapten is derived from Greek meaning “to fasten.”
Haptens are:
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Small molecules
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Not immunogenic alone
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Become antigenic when attached to carrier proteins
Carrier proteins include:
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Albumin
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Globulin
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Synthetic polypeptides
Hapten-Carrier Mechanism
Hapten + Carrier Protein → Immunogenic Complex
This complex stimulates antibody production.
The antibodies produced react specifically with the hapten.
Karl Landsteiner Experiment
Karl Landsteiner demonstrated the hapten concept.
Experiment:
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Hapten combined with carrier protein was injected into guinea pigs.
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Antibody formation occurred.
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Antibodies reacted with the hapten molecule.
This proved that haptens are antigenic but not immunogenic.
Examples of Haptens
Common hapten molecules include:
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Penicillin
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Antibiotics
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Analgesic drugs
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Alpha-methyldopa
These may cause drug allergies.
Adjuvants
The word adjuvant comes from Latin meaning “to aid.”
Adjuvants are substances that enhance immune responses to antigens.
They are also called immunopotentiating agents.
Types of Adjuvants
General Adjuvants
These enhance both:
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Humoral immunity
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Cellular immunity
Specific Adjuvants
These enhance only one immune response:
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B-cell response
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T-cell response
Mechanism of Adjuvant Action
Adjuvants enhance immune responses through several mechanisms.
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Slow release of antigen
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Increased exposure time
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Increased antigen size
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Enhanced antigen presenting cell activity
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Increased lymphokine production
Functions of Adjuvants
Adjuvants perform several important roles.
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Increase antibody production
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Decrease threshold dose of antigen
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Convert weak antigens into strong immunogens
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Enhance vaccine efficacy
Examples of General Adjuvants
Common general adjuvants include:
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Water-in-oil emulsions
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Aluminum hydroxide gel
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Synthetic polynucleotides
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Bacterial endotoxins
Freund’s Complete Adjuvant
Freund’s complete adjuvant consists of:
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Killed Mycobacterium tuberculosis
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Oil-in-water emulsion
Functions:
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Increases antibody production
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Enhances cell mediated immunity
Freund’s Incomplete Adjuvant
Freund’s incomplete adjuvant contains:
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Water-in-oil emulsion
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No bacterial components
Function:
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Enhances humoral immune response
