As long ago as the 5th century B.C., Greek physicians noted that
people who had recovered from the plague would never get it again-they
had acquired immunity. This is because, whenever T cells and B cells
are activated, some of the cells become "memory" cells. Then, the
next time that an individual encounters that same antigen, the immune
system is primed to destroy it quickly.
The
degree and duration of immunity depend on the kind of antigen, its
amount, and how it enters the body. An immune response is also dictated
by heredity; some individuals respond strongly to a given antigen,
others weakly, and some not at all.
Infants
are born with relatively weak immune responses. They have, however,
a natural "passive" immunity; they are protected during the first
months of life by means of antibodies they receive from their mothers.
The antibody IgG, which travels across the placenta, makes them
immune to the same microbes to which their mothers are immune. Children
who are nursed also receive IgA from breast milk; it protects the
digestive tract.
Passive
immunity can also be conveyed by antibody-containing serum obtained
from individuals who are immune to a specific infectious agent.
Immune serum globulin or "gamma globulin" is sometimes given to
protect travelers to countries where hepatitis is widespread. Passive
immunity typically lasts only a few weeks.
"Active"
immunity-mounting an immune response-can be triggered by both infection
and vaccination. Vaccines contain microorganisms that have been
altered so they will produce an immune response but will not be
able to induce full-blown disease. Some vaccines are made from microbes
that have been killed. Others use microbes that have been changed
slightly so they can no longer produce infection. They may, for
instance, be unable to multiply. Some vaccines are made from a live
virus that has been weakened, or attenuated, by growing it for many
cycles in animals or cell cultures.
Recent
research, benefiting from the biotechnology
revolution, has focused on developing vaccines that use only part
of the infectious agent. Such subunit
vaccines , which are now available for meningitis, pneumonia,
and hepatitis B, produce the desired immunity without stirring up
separate and potentially harmful immune reactions to the many antigens
carried, for instance, on a single bacterium.