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How does the specific immune response work, how does vaccination give immunity, and why are antibiotics losing their power?

4.1.1 The immune response: the structure and function of antibodies; the roles of B and T lymphocytes in the humoral and cell-mediated responses; the primary and secondary responses and the role of memory cells; the principles of vaccination and herd immunity; the differences between active, passive, natural and artificial immunity; and the development of antibiotic resistance.

A focused answer to the OCR H420 4.1.1 dot point on the specific immune response. Covers antibody structure, B and T lymphocytes, the primary and secondary responses, memory cells, vaccination and herd immunity, the four types of immunity, and how antibiotic resistance evolves.

Generated by Claude Opus 4.814 min answer

Reviewed by: AI editorial process; not yet individually human-reviewed

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  1. What this dot point is asking
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What this dot point is asking

OCR wants you to describe antibody structure and function, explain the roles of B and T lymphocytes in the humoral and cell-mediated responses, contrast the primary and secondary responses and the role of memory cells, explain vaccination and herd immunity, distinguish the four types of immunity, and explain how antibiotic resistance evolves.

The answer

Antibodies

An antibody is a globular protein (immunoglobulin) with quaternary structure: two heavy and two light polypeptide chains arranged in a Y shape, held by disulfide bonds. The variable region at the tips has a specific shape complementary to one antigen, so each antibody binds only one antigen, forming an antigen-antibody complex. The constant region is the same within a class of antibody and determines its function (for example binding to phagocytes). Antibodies work by agglutination (clumping pathogens), acting as opsonins (marking pathogens for phagocytosis), and neutralising toxins.

B and T lymphocytes

The specific response has two arms:

  • Cell-mediated response (T lymphocytes). A macrophage presents antigen; T helper cells with complementary receptors are activated and release interleukins (cytokines) that stimulate the appropriate B cells, T cells and phagocytes. T killer (cytotoxic) cells destroy body cells infected with the pathogen.
  • Humoral response (B lymphocytes). A B cell whose antibody matches the antigen is selected (clonal selection) and, stimulated by T helper cells, divides (clonal expansion) into plasma cells (which secrete large amounts of antibody) and memory cells.

Primary and secondary responses

  • The primary response (first exposure) is slow because the correct lymphocytes must be selected and undergo clonal expansion; antibody levels rise slowly and the person may feel ill. Memory cells are left behind.
  • The secondary response (re-exposure to the same antigen) is faster, larger and longer-lasting because memory cells recognise the antigen at once and divide rapidly into plasma cells, usually destroying the pathogen before symptoms appear.

Vaccination and herd immunity

A vaccine introduces antigens (a dead or weakened pathogen, or its antigens) to trigger a primary response and produce memory cells without causing the disease, so a later real infection meets a rapid secondary response. Herd immunity occurs when a high proportion of the population is immune, so the pathogen cannot spread easily; this protects unvaccinated individuals (for example the very young or immunocompromised) because infected people contact fewer susceptible hosts.

Types of immunity

Type How antibodies arise Memory cells? Example
Natural active Body makes its own after catching the disease Yes (long-lasting) Recovering from measles
Artificial active Body makes its own after vaccination Yes (long-lasting) A measles vaccine
Natural passive Ready-made antibodies received naturally No (short-lived) Antibodies via placenta or breast milk
Artificial passive Ready-made antibodies injected No (short-lived) Anti-venom or antibody injection

Active immunity makes its own antibodies and memory cells (slow but long-lasting); passive immunity uses ready-made antibodies (immediate but short-lived, no memory).

Antibiotic resistance

Antibiotics kill bacteria or inhibit their growth but do not affect viruses. Resistance evolves by natural selection: a random mutation gives a bacterium resistance; when the antibiotic is present it acts as a selection pressure, killing non-resistant bacteria while resistant bacteria survive and reproduce, passing on the resistance allele (often on plasmids). Over generations the allele frequency increases. Overuse and misuse accelerate this, which is why finishing prescribed courses and reserving antibiotics for bacterial infections matter.

Examples in context

Example 1. Maternal antibodies in breast milk. A baby receives ready-made antibodies through the placenta and breast milk (natural passive immunity), giving immediate but short-lived protection while its own immune system develops.

Example 2. MRSA. Methicillin-resistant Staphylococcus aureus is a hospital "superbug" that evolved resistance to many antibiotics through repeated selection, illustrating why antibiotic stewardship and hygiene are vital.

Try this

Q1. Describe the role of T helper cells in the specific immune response. [2 marks]

  • Cue. They are activated by presented antigen and release interleukins (cytokines) that stimulate the appropriate B cells, T killer cells and phagocytes.

Q2. Explain why passive immunity does not give long-term protection. [2 marks]

  • Cue. The antibodies are ready-made and are not produced by the person's own lymphocytes, so no memory cells are formed; the antibodies are broken down and not replaced.

Q3. State what is meant by herd immunity. [1 mark]

  • Cue. When a high proportion of a population is immune, so the pathogen cannot spread easily and unvaccinated individuals are protected.

Exam-style practice questions

Practice questions written in the style of OCR exam questions on this dot point, with worked answer explainers. The year tag is the paper they imitate, not the source.

OCR H420/02 20186 marksExplain why the secondary immune response to a pathogen is faster and larger than the primary response.
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Contrast the two responses through the action of memory cells.

In the primary response, the antigen is encountered for the first time. The correct B and T lymphocytes must be selected (clonal selection) and then divide (clonal expansion), which is slow, so antibody production is delayed and the person may feel ill. After the antigen is cleared, memory cells remain.

In the secondary response, the same antigen is met again. The memory cells recognise it immediately and divide rapidly into many plasma cells, so antibodies are produced faster, in greater quantity and for longer. The pathogen is usually destroyed before symptoms appear, so the person is immune.

Markers reward clonal selection and expansion being slow in the primary response, and memory cells producing a faster, larger, longer response on re-exposure.

OCR H420/02 20224 marksExplain how antibiotic resistance arises in a population of bacteria and why the overuse of antibiotics increases it.
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Frame it as natural selection acting on random variation.

A random mutation in a bacterium can give resistance to an antibiotic; this variation exists before the antibiotic is used. When the antibiotic is present it acts as a selection pressure: non-resistant bacteria are killed, but the resistant bacteria survive and reproduce, passing on the resistance allele (including by plasmid transfer).

Over generations the frequency of the resistance allele increases, so more of the population is resistant. Overuse and misuse (not finishing courses, using antibiotics for viral infections) increases the selection pressure and the chance that resistant strains spread.

Markers reward random mutation, selection pressure, survival and reproduction of resistant bacteria, and increasing allele frequency.

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