Immunity
Chapter 11 of the Cambridge International AS and A Level Biology 9700 revision series covers Topic 11, Immunity, for the 2028 to 2030 syllabus, whose teaching content is unchanged from the 2025 to 2027 syllabus. It teaches all ten learning outcomes in two subtopics. The immune system: the mode of action of the two phagocytes the syllabus names, neutrophils and macrophages, in six steps from chemotaxis, recognition of non-self and engulfing into a phagosome to lysosome fusion, hydrolysis by hydrolytic enzymes and, in macrophages, antigen presentation; what an antigen is, with the cross-reference to cell surface antigens in topic 4, and the difference between self and non-self antigens; the sequence of the primary immune response with the roles of macrophages, B-lymphocytes including plasma cells, and T-helper and T-killer cells, taught as clonal selection of the few lymphocytes whose receptors are already complementary, then clonal expansion by mitosis; and the role of memory cells in the faster, larger and longer secondary response and in long-term immunity. Antibodies and vaccination: antibody structure related to function, with two heavy and two light chains, disulfide bonds, variable regions forming two identical antigen-binding sites, the constant region and the hinge, and the functions of agglutination, neutralisation, marking for phagocytes and lysis; the hybridoma method for monoclonal antibodies; the principles of using monoclonal antibodies in diagnosis and treatment, with a pregnancy test as the worked case; active, passive, natural and artificial immunity in a two by two grid with a sorting drill; the syllabus statement that vaccines contain antigens that stimulate immune responses to provide long-term immunity; and how vaccination programmes, herd immunity and ring vaccination control the spread of infectious diseases, with the eradication of smallpox and the reasons vaccination is harder against some pathogens. Six worked examples, a response graph studio, a blood-smear practical with graticule calibration and a differential count, a Paper 5-style antibody titre plan, a mistake clinic, retrieval practice, Paper 1, 2 and 3 style questions with marking points and a spaced-review plan complete the chapter.Show moreShow less
Revision notes
Interactive notes with exam tips and worked examples.
Study path
Chapter overview
A summary of this Biology chapter — open a section to read it. The full notes, worked examples and practice questions are in the study modules above.
What is Immunity about?
When a pathogen gets past the body’s barriers, two kinds of white blood cell deal with it. Phagocytes — neutrophils and macrophages — engulf and digest anything recognised as non-self, in the same way every time. Lymphocytes respond to one particular antigen. The body already has lymphocytes with receptors of millions of different shapes, a few of each; the antigen selects the few whose receptors are complementary to it, and those few divide by mitosis into a clone. B-lymphocytes become plasma cells that secrete antibodies; T-helper cells release cytokines that activate them; T-killer cells destroy infected body cells. That first, primary response is slow because so few cells fit at the start. It leaves memory cells, so a second meeting with the same antigen gives a secondary response that is sooner, faster, larger and longer, and usually destroys the pathogen before symptoms appear — that is immunity. The antibody itself is a Y-shaped protein of four chains whose every feature has a job; one clone of antibody-secreting cells gives monoclonal antibodies for tests and treatments. Vaccines contain antigens that stimulate immune responses to provide long-term immunity, and when enough of a population is immune, a pathogen cannot spread.
An antigen is a molecule that is recognised by lymphocytes and stimulates an immune response. It is usually a protein or glycoprotein, and sometimes a polysaccharide or glycolipid.
Specificity is by selection. Before any infection the body already has millions of different B and T cells, each with receptors of one shape, and only a few of each shape. An antigen cannot make a lymphocyte fit it. It selects the few lymphocytes whose receptors are already complementary to it (clonal selection), and those cells then divide repeatedly by mitosis into a clone of genetically identical cells with the same receptor (clonal expansion, topic 5).
Vaccines contain antigens that stimulate immune responses to provide long-term immunity.
Key ideas to remember
- Complementary, not the same shape — and selected, not made to fit. Few cells fit at first, so the primary response is slow; memory cells make the fit many, so the secondary response is fast.
- Complementary, not the same shape; selected, not made to fit. Memory cells make the second response sooner, faster, larger and longer. Vaccines contain antigens that stimulate immune responses to provide long-term immunity.
What you need to be able to do
- 11.1.1 I can describe — describe the mode of action of phagocytes (macrophages and neutrophils)
- 11.1.2 I can explain — explain what is meant by an antigen (see 4.1.3) and state the difference between self antigens and non-self antigens
- 11.1.3 I can describe — describe the sequence of events that occurs during a primary immune response with reference to the roles of: • macrophages • B-lymphocytes, including plasma cells • T-lymphocytes, limited to T-helper cells and T-killer cells
- 11.1.4 I can explain — explain the role of memory cells in the secondary immune response and in long-term immunity
- 11.2.1 I can relate — relate the molecular structure of antibodies to their functions
- 11.2.2 I can outline — outline the hybridoma method for the production of monoclonal antibodies
- 11.2.3 I can outline — outline the principles of using monoclonal antibodies in the diagnosis of disease and in the treatment of disease
- 11.2.4 I can describe — describe the differences between active immunity and passive immunity and between natural immunity and artificial immunity
- 11.2.5 I can explain — explain that vaccines contain antigens that stimulate immune responses to provide long-term immunity
- 11.2.6 I can explain — explain how vaccination programmes can help to control the spread of infectious diseases
Why Immunity matters
Why each kind is used where it is. A snakebite or a tetanus toxin acts within hours, far faster than a primary response can develop, so ready-made antibodies are given: protection now, but no memory. A vaccine is given before any exposure, so the slow start does not matter, and it leaves memory cells for years. A newborn baby’s own immune response is still developing; its mother’s antibodies cover the first months.
Common mistakes to avoid
- “The antibody is the same shape as the antigen, and a B cell makes an antibody to fit whatever antigen it meets.” Correct Complementary, not the same shape — and selected, not made to fit. The binding site is complementary to one region of the antigen. Every B cell’s receptor shape exists before the infection; the antigen selects the few cells whose receptors are already complementary (clonal selection), and those cells divide by mitosis.
- “Phagocytes produce antibodies.” Correct Phagocytes engulf and digest. Plasma cells, formed from B-lymphocytes, secrete antibodies.
- “T-killer cells kill bacteria.” Correct T-killer cells destroy infected body cells, which display the pathogen’s antigen. Bacteria in blood and tissue fluid are dealt with by antibodies and phagocytes.
- “The second response is faster because the antibodies from the first infection are still in the blood.” Correct Those antibodies have almost gone. The second response is faster because memory cells are present in large numbers, and they divide into plasma cells that make new antibody.
- “An antibody has one binding site.” Correct Two identical antigen-binding sites, one at the tip of each arm. That is what lets one antibody link two pathogens (agglutination).
- “Antibodies from the mother give the baby active immunity.” Correct Antibodies across the placenta or in breast milk give natural passive immunity: the baby makes no memory cells, so it lasts only weeks to months.
- “Vaccines contain antibodies.” Correct Vaccines contain antigens that stimulate immune responses to provide long-term immunity. An injection of antibodies is passive immunity, not a vaccine.
- “Herd immunity means everybody is vaccinated.” Correct Enough of the population is immune that the pathogen cannot spread, which protects the people who are not immune.
- “Phagocytes produce antibodies.” Repair Phagocytes engulf and digest; plasma cells, from B-lymphocytes, secrete antibodies.
- “An antigen is a foreign cell.” Repair An antigen is a molecule, usually a protein or glycoprotein, that stimulates an immune response. Cells carry antigens.
- “The antibody has the same shape as the antigen.” Repair Its binding site is complementary to a region of the antigen.
- “B cells make antibodies to fit any antigen they meet.” Repair Each B cell’s receptor shape already exists; the antigen selects the few cells whose receptors are complementary (clonal selection), and they divide by mitosis.
- “The macrophage presents the antigen to the B cell, which then makes antibodies straight away.” Repair The macrophage presents to T-helper cells. The selected B cell is activated by their cytokines, divides by mitosis, and the clone differentiates into plasma cells, which secrete the antibodies.
- “T-killer cells kill bacteria.” Repair T-killer cells destroy infected body cells; bacteria outside cells are dealt with by antibodies and phagocytes.
- “In the secondary response the antibodies from the first infection are still there.” Repair Those antibodies have almost gone; memory cells make new ones quickly.
- “An antibody has one binding site.” Repair Two identical antigen-binding sites, one on each arm.
- “Antibodies punch holes in bacteria.” Repair Antibodies bound to a bacterium trigger its lysis. Background, not examined: the holes are made by other blood proteins that the bound antibodies activate, not by the antibody itself. Some textbooks state the shortcut; this chapter does not.
- “Monoclonal antibodies come from one antibody.” Repair From one clone of cells, all descended from one hybridoma.
- “A mother’s antibodies across the placenta give the baby active immunity.” Repair Natural passive immunity: the baby makes no memory cells.
- “Vaccines contain antibodies.” Repair Vaccines contain antigens; a person given antibodies has passive immunity.
- “Herd immunity means everyone is vaccinated.” Repair A high enough proportion is immune that the pathogen cannot spread, protecting those who are not vaccinated.
Examiner tips
- Read the command word before you decide how much to write. This syllabus has seventeen of them: assess, calculate, comment, compare, contrast, define, describe, determine, discuss, explain, give, identify, outline, predict, sketch, state and suggest. The four that carry topic 11’s outcomes, in the syllabus’s own words: describe — “state the points of a topic / give characteristics and main features”; explain — “set out purposes or reasons / make the relationships between things clear / say why and/or how and support with relevant evidence”; outline — “set out the main points”; state — “express in clear terms”. Questions on this topic also use compare (“identify/comment on similarities and/or differences”), calculate (“work out from given facts, figures or information”) and suggest (“apply knowledge and understanding to situations where there are a range of valid responses to make proposals / put forward considerations”). Relate, in 11.2.1, is the outcome’s verb, not a command word: it asks you to pair each structural feature with the function it serves. Check any other word against the syllabus’s table.
- Interleave with the chapters that use this one. Topic 10 (infectious diseases) is the other half of this chapter: when you revise it, explain why vaccination has controlled TB and cholera only partly, and why HIV is so damaging to the immune response. Topic 19 (genetic technology) returns to antibodies: when you reach it, explain why a therapeutic monoclonal antibody is humanised. Recalling a topic inside a new context is worth more than another pass over this chapter on its own; at A Level, Paper 4 assumes the whole of the AS content, so nothing here is ever finished with.
How Immunity is examined
- Cambridge International AS & A Level Biology 9700 has five components. Topic 11 is AS Level content, so it is examined in Papers 1, 2 and 3. AS Level content: examined in Paper 1 (multiple choice), Paper 2 (AS structured) and, as practical context, Paper 3. Assumed knowledge for Papers 4 and 5. AS Level candidates take Papers 1, 2 and 3; A Level candidates take all five, either staged over two years (Papers 1–3 in year one, Papers 4 and 5 in year two) or together in one series. Examinations are available in the June and November series, and in March in India.
- Across both the AS Level and the A Level the assessment objectives are weighted AO1 40% (knowledge and understanding), AO2 40% (handling, applying and evaluating information) and AO3 20% (experimental skills and investigations). AS candidates are graded a–e; A Level candidates A*–E. There is no data booklet in Biology. At A Level, the statistical formulae (Hardy–Weinberg, the Lincoln index, Simpson’s index, standard deviation, standard error, 95% confidence intervals, the χ² test, the t-test, and Pearson’s and Spearman’s correlation) are printed in a question when it needs them, and so are the tables of critical values; degrees of freedom you must work out yourself. Everything else — magnification, surface area to volume, RQ, Rf, rates — you must recall, and this chapter says which is which.
- A Paper 1 item on this topic can turn on one exact distinction: which cell secretes antibodies (a plasma cell, never a phagocyte), what a T-killer cell destroys (infected body cells), how many binding sites an antibody has (two), or which kind of immunity a case gives (antibodies across the placenta are natural passive). Wrong options can be the near-misses listed in the danger zones below. In Paper 2 you may be asked to describe the mode of action of phagocytes or the sequence of the primary response, explain the secondary response, how a vaccine works or how each part of the antibody serves its function, and outline the hybridoma method.
- A question can give you a graph of antibody concentration against time after two exposures to read lag, peak and duration from; a diagram of an antibody to label and explain; an electron micrograph of a plasma cell to measure and relate to its function; a test strip to interpret; or vaccination figures to turn into percentages. The mathematics is AS: magnification = image size ÷ actual size, a percentage, a rate from a graph, and eyepiece graticule calibration. You recall all of them; none is printed. Every concentration, count and coverage figure in this chapter is a fictional learning value.
- The syllabus names no practical for topic 11. Its microscope work is a prepared, stained blood smear: calibrate the eyepiece graticule, measure each white cell, count 200 white cells along a fixed path, and draw a neutrophil and a lymphocyte to the syllabus’s rules. Its planning context is an antibody titre: serum diluted by serial dilution (independent variable), clumping of antigen-coated beads judged in each well (dependent variable), saline and uncoated beads as controls, and judging clumping by eye as the main source of error.
- Read the command word before you decide how much to write. This syllabus has seventeen of them: assess, calculate, comment, compare, contrast, define, describe, determine, discuss, explain, give, identify, outline, predict, sketch, state and suggest. The four that carry topic 11’s outcomes, in the syllabus’s own words: describe — “state the points of a topic / give characteristics and main features”; explain — “set out purposes or reasons / make the relationships between things clear / say why and/or how and support with relevant evidence”; outline — “set out the main points”; state — “express in clear terms”. Questions on this topic also use compare (“identify/comment on similarities and/or differences”), calculate (“work out from given facts, figures or information”) and suggest (“apply knowledge and understanding to situations where there are a range of valid responses to make proposals / put forward considerations”). Relate, in 11.2.1, is the outcome’s verb, not a command word: it asks you to pair each structural feature with the function it serves. Check any other word against the syllabus’s table.
Syllabus reference and sources
Written against: Cambridge International AS & A Level Biology (9700). Syllabus for 2028, 2029 and 2030 (version 1, September 2025); content unchanged from the 2025-2027 syllabus examined now. Topic 11: Immunity.
Written by: Academiq Edu Instructor Panel
Source documents
- Cambridge International AS & A Level Biology 9700
- Section 5 of the same syllabus, “Practical assessment”
- Section 6 of the same syllabus, “Additional information”
All educational content, structured explanations, diagrams, worked examples, and pedagogical materials contained within this chapter revision note are the exclusive intellectual property of Academiq Edu. Unauthorized reproduction, distribution, resale, or extraction of this content without prior written permission is strictly prohibited under international copyright laws. Cambridge Assessment International Education (CAIE) is a registered trademark of Cambridge University Press & Assessment. This revision guide is independently authored by the Academiq Edu Instructor Panel for educational purposes and is not affiliated with or endorsed by Cambridge Assessment International Education.
Verified content
Every chapter note, MCQ explanation and structured mark scheme is checked by Cambridge curriculum specialists.