IB Biology HL Disease & Immunity Paper 1 & 2 ~9 min read

The Immune System

You have two immune systems, not one. The first reacts to anything foreign, straight away, and never learns. The second takes days to get going the first time, but it remembers. Almost every immunity question comes down to telling those two apart.

📘 What you need to know

Self and non–self

Before either system can act, your body has to answer one question: is this thing mine? It answers it by reading the molecules on the surface of whatever it has bumped into.

Definition An antigen is a molecule that can trigger an immune response.

Every cell has antigens on its cell surface membrane. Your own cells carry self antigens, so they are left alone. A foreign cell carries non–self antigens, so it sets off a response.

This is why allergies happen. Pollen grains and other allergens carry molecules the innate system reads as non–self. There is no pathogen and no infection, but the response fires anyway, and the symptoms of the allergy are the result.

The two systems side by side

Two systems, two jobs Both are working in you right now INNATE ADAPTIVE Reacts to anything non–self bacteria, fungi, viruses, protists, pollen, dust You are born with it. It never changes. Phagocytes engulf and digest the invader. Broad = non–specificReacts to one specific antigen e.g. the antigens of one type of pathogen Makes antibodies and memory cells. Faster and stronger the second time. Targeted = specificThe innate system never learns. The adaptive system does nothing else. That single difference explains why vaccines work.
The shield is the same for every attacker. The lock and key only fits one. Keep that picture in your head and the comparison questions get easy.

The innate immune system

The innate system recognises anything that enters the body and is non–self. It does not care what it is. Bacteria, fungi, viruses, protists, pollen grains and dust all get the same treatment, because they all display non–self antigens.

“Non–specific” does not mean weak or sloppy. It means the response is the same whatever the invader is. That is a strength, because the innate system starts working immediately while the adaptive system is still identifying the enemy.

The adaptive immune system

The adaptive system responds to the presence of specific non–self antigens — for example, the antigens of one particular type of pathogen.

The first time it meets a new antigen, a sequence of events runs that eventually produces antibodies and leaves memory cells in the blood. The next time the same antigen appears, that sequence runs much more quickly and produces many more antibodies, so the pathogen is destroyed before any symptoms develop.

What happens when, during one new infection Time is not to scale, but the order isminutes to hours several days INNATE RESPONSE ADAPTIVE RESPONSE pathogen gets in memory cells left behindThe innate system buys time while the adaptive system gets ready Second time round, the green bar starts almost immediately.
On a first exposure you usually feel ill, because the adaptive response is still being built. On a second exposure it fires straight away and you may notice nothing at all.

The comparison table to learn

FeatureInnateAdaptive
Triggered byAny non–self antigenOne specific non–self antigen
Also calledNon–specific responseSpecific response
Present fromBirthDevelops with age as you meet antigens
Changes over a lifetime?NoYes — this is immunological memory
SpeedImmediate, every timeSlow on first exposure, very fast on repeat
Main cellsPhagocytesLymphocytes (T cells and B cells)
Produces antibodies?NoYes, along with memory cells
🧠

Innate = Inborn. Adaptive = Adjusts.

Innate is what you were born with and it never changes. Adaptive adjusts every time you meet something new.

Worked examples

WE 1

Distinguish between innate and adaptive immunity

Distinguish between the innate and adaptive immune systems. (3 marks)

Point 1: what triggers each The innate system responds to any non–self antigen, so it is non–specific. The adaptive system responds to one specific antigen. Point 2: change over time The innate response is present from birth and does not change during a lifetime. The adaptive system develops with age as different antigens are encountered. Point 3: memory Only the adaptive system produces antibodies and memory cells, so only it responds faster on a second exposure. Non–specific and fixed vs specific and improving “distinguish” means both sides in every point — write innate does X, adaptive does Y
WE 2

Explain how the body tells self from non–self

Explain how the immune system distinguishes between the body’s own cells and foreign cells. (2 marks)

Point 1: the markers All cells display molecules called antigens on their cell surface membranes. Point 2: the recognition The body’s own cells carry self antigens and are not attacked. Foreign cells carry non–self antigens, which trigger an immune response. Self antigens are ignored, non–self antigens trigger a response say antigen, not “marker” — the technical word is what earns the mark
WE 3

Apply it: why babies get ill more often

Suggest why young children tend to catch more infections than adults. (2 marks)

Point 1: what they are missing Adaptive immunity develops with age. A young child has met fewer antigens, so has far fewer memory cells. Point 2: the consequence Most infections are a first exposure for them, so a slow primary response has to run each time and symptoms develop. An adult often has memory cells already and clears the pathogen before symptoms appear. Fewer memory cells means more first exposures do not say their immune system is “weaker” — their innate system works perfectly well

💡 Exam tips

⚠ Common mistakes

Up next: White Blood Cells. We have named phagocytes and lymphocytes without saying what they look like or where they come from. That is the next page.

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