Medico-Legal

Antigens: The Immune System’s Most Wanted

Shivendra Pratap Singh

Advocate

High Court Lucknow

Medico Legal

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Published on: 12 Aug, 2023

At any given moment, our bodies are teeming with billions of molecules. Some belong to us, intrinsic to our cells and tissues. Others, however, are foreign — visitors from the outside world or abnormal products of our own cells. Among these myriad molecules, a special group stands out for its ability to draw attention from our immune system: the antigens. In this blog post, we’ll dive deep into the world of antigens, understanding their nature, functions, and significance in health and disease.

What is an Antigen?

An antigen is any molecule or molecular fragment that can be specifically recognized by and bound to an antibody, a product of the immune system. While many antigens are foreign substances, like pieces of bacteria or viruses, some can be self-derived, such as those displayed by cancer cells.

Types of Antigens:

  1. Exogenous Antigens: These are external antigens, often from pathogens like bacteria, viruses, and fungi. They enter the body from the environment.
  2. Endogenous Antigens: Produced within the cells, often due to infections or mutations. For example, viral proteins produced inside an infected cell or abnormal proteins in cancerous cells.
  3. Autoantigens: These are normal proteins and complexes within an individual’s body. When the immune system mistakenly targets them, it can lead to autoimmune diseases.

How does the Immune System Recognize Antigens?

  1. Antigen Presentation: Specialized cells called antigen-presenting cells (APCs) capture and process antigens. They then display fragments of these antigens on their surface using molecules called Major Histocompatibility Complex (MHC).
  2. T-Cell Recognition: The displayed antigens are recognized by T cells, a type of white blood cell. Depending on the nature of the antigen and the MHC molecule presenting it, different subsets of T cells are activated.
  3. B-Cell Activation: B cells, another white blood cell type, produce antibodies. When they encounter their specific antigen along with appropriate help from T cells, they become activated.

Significance of Antigens in Medical Science:

  1. Vaccination: Vaccines contain antigens from pathogens in a form that can’t cause disease. Introducing these antigens helps the immune system “learn” and “remember” them. If the real pathogen ever invades, the immune system can respond swiftly.
  2. Diagnostics: Blood tests for certain infections or conditions often measure the presence or absence of specific antigens or antibodies against them.
  3. Transplants: For successful organ transplantation, the antigens of both donor and recipient need to be closely matched to prevent rejection.
  4. Allergies: Some antigens, like pollen or dander, can provoke allergic reactions in susceptible individuals.
  5. Cancer Therapy: Some treatments now aim to boost the immune system’s ability to recognize and attack cancer antigens.

Antigens vs. Pathogens:

It’s important to differentiate between antigens and pathogens. While a pathogen is a disease-causing agent (like a bacteria or virus), an antigen is just a part or a product of this pathogen that the immune system can recognize. One pathogen can have multiple antigens.

Conclusion:

Antigens play a pivotal role in the immune system’s ability to recognize friend from foe, ensuring our bodies can fend off infections and other diseases. Their importance extends beyond natural immunity, influencing many medical and diagnostic applications. As we continue to understand the intricate dance between antigens and our immune responses, we move closer to harnessing this knowledge for even greater health breakthroughs.

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