Thursday, October 16, 2014

Humoral Immunity Reponse



Humoral Immunity Response                  
       By
              Aysha Siddiqui
Walden University



Introduction
Definition of Humoral Immunity
Humoral immunity response is part of the adaptive immunity and is the primary defense mechanism against extracellular microbes, their toxins (Abbas, Lichtman, Pillai, 2012). Humoral immunity is interceded by antibodies and with capsules rich in ‘polysacchrides and lipids’ it is the main defense. The National Institute of Health (NIH) describes humoral immunity response consisting of a number of components that include the naturally occurring antibodies (NAB), pentraxins (family of plasma proteins), complement and contact cascades.
Description of Humoral Immunity: Humoral immune responses to nonprotein antigens are handled by recognizing the antigens of specific immunoglobulin receptors of naïve B cells (Abbas, Litchman, Pillai, 2012). Humoral immune response to a protein antigen is called ‘T-dependant responses and initiated by binding of the protein to specific Ig receptors of naïve B cells in lymphoid follicles’ (Abba, Litchman, Pillai, 2012).
           
Disease associated with Humoral Immunity Response
Stockert et al., (1998) report that growing evidence shows humoral response to autoimmunogenic tumor antigens and tumors develop an antibody response to NY-ESO-1 (humoral response). Breast cancer has shown to be associated with the humoral immunity response by the fact that malignant tumors show different types of molecules that maybe regarded as foreign antigens by the immunity system (Abbas, Litchman, Pillai, 2012). Research has also shown that chronic inflammation leads to cancer development, while enhanced humoral immunity along with innate immune activation alters risk of cancer (Tan, Coussens, 2007).

Behavioral Intervention to Influence Humoral Immunity
            Segerstrom, Miller (2004) report that there are more than 300 research studies with evidence of a relation between stress and immunity response. They report that humoral immunity is not compromised but cellular immunity is affected in times of acute stress (lasting a few minutes) and with chronic stress, humoral immunity is also compromised.
            Behavioral intervention to influence humoral immunity would need to focus around stress reducing techniques. The reason is because stress has been connected to immunity in lot of research. According to Segerstrom, Miller (2004) age can play a crucial role as well, since they conclude that stressors can have varying affect on immunity among older and younger age groups.  Some researchers argue that how can stress get into the body? The sympathetic fibers travel from the brain to the primary and secondary lymphoid tissues (Ader, Cohen, Felten, 1995).
            Segerstrom, Miller (2004) write that according to Maier and Watkins (1998) a close connection exists between stress and immune function: ‘the immunological changes associated with stress were adapted from the immunological changes in response to infection’. Their study explains a ‘sickness behavior’ which includes behavioral changes like lack of socializing, sexual activity and increase in response to pain, depressing moods. This is when body is working towards reserving energy to fight future infections.
Behavioral intervention would include steps like:
  • Identification of stressors
  • Observation of bodily response to stressors
  • Identification of past history of stress, anxiety or depression
  • Recording of family history of physiological conditions and immunity deficient diseases
  •  Understanding of regularity, duration and timings of exacerbations
  • Coping techniques development that are suitable to the individual and their surroundings,

Complementary/alternative modality or lifestyle change
            Complementary or alternative modality or medicine (CAM) cover a broad spectrum of ancient as well we modern techniques, practices to fight and treat disease (Barnes et al., 2008).People who are using or seeking CAM are usually aiming to improve their health and well being.
            To help a patient with breast cancer whose humoral immunity maybe affected, we could use CAM as a mean to improve health as well. Massage therapy is an effective CAM technique that is also known to reduce pain in cancer patients (Pan et al., 2000). Massage therapy is a technique that involves getting deep tissue or muscle massage with an intention to work towards a healing process. Billhult, Dahlberg (2001) describe that in their controlled study female cancer patients described massage therapy as a ‘relief from suffering’ experience. Cassileth, Deng (2004) highlight the importance of awareness of massage therapy and other CAM techniques used by cancer patients for their care providers.








                                                            References

Abbas, A. K., Lichtman, A. H., & Pillai, S. (2012). Basic immunology: functions and disorders of the immune system. Elsevier Health Sciences.
Ader, R., Cohen, N., & Felten, D. (1995). Psychoneuroimmunology: interactions between the nervous system and the immune system. The Lancet, 345(8942), 99-103.
Barnes, P. M., Bloom, B., & Nahin, R. L. (2008). Complementary and alternative medicine use among adults and children: United States, 2007.
Cassileth, B. R., & Deng, G. (2004). Complementary and alternative therapies for cancer. The Oncologist, 9(1),, 80-89.
Pan, C. X., Morrison, R. S., Ness, J., Fugh-Berman, A., & Leipzig, R. M. (2000). Complementary and alternative medicine in the management of pain, dyspnea, and nausea and vomiting near the end of life: a systematic review. Journal of pain and symptom management, 20(5), 374-387.
Segerstrom, S. C., & Miller, G. E. (2004). Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychological bulletin, 130(4), 601.
Shishido, S. N., Varahan, S., Yuan, K., Li, X., & Fleming, S. D. (2012). Humoral innate immune response and disease. Clinical Immunology, 144(2), 142-158.

Tan, T. T., & Coussens, L. M. (2007). Humoral immunity, inflammation and cancer. Current opinion in immunology, 19(2), 209-216.

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