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The Remarkable Journey of Immunology

By 

René F. Najera, DrPH

May 23, 2025

Imagine if your body had its own army, with specialized soldiers, intelligence officers, and memory units that could recognize and fight off invaders. This isn’t science fiction—it’s your immune system, and understanding how it works has been one of humanity’s greatest scientific adventures. The story of immunology (the study of how our bodies defend against disease) is filled with curious observations, bold experiments, and discoveries that have saved millions of lives.

When Ancient Greeks Noticed Something Peculiar 

Our story begins over 2,400 years ago in ancient Athens, where a devastating plague was tearing through the city during the Peloponnesian War. The Greek historian Thucydides that would echo through the centuries: those who survived the plague never got sick from it again. He wrote that “the same man was never attacked twice—never at least fatally”. Without knowing it, Thucydides had documented the first recorded evidence of acquired immunity (the body’s ability to remember and protect against diseases it has encountered before).

This wasn’t just idle curiosity. Thucydides was describing something that would become the foundation of all vaccination efforts: the idea that surviving one exposure to a disease could protect you from future encounters. Of course, at the time, nobody understood why this happened. They didn’t know about germs, antibodies (special proteins that fight infections), or any of the microscopic battles happening inside the human body.

The Risky Business of Early Prevention 

Fast-forward to ancient China, where around 1549, (deliberately infecting someone with a mild case of smallpox to prevent a severe case later). This was like playing a dangerous game of chicken with one of history’s deadliest diseases. Chinese practitioners would take powdered scabs from smallpox victims and blow them into healthy people’s noses, hoping to trigger a mild infection that would protect against the full-blown disease.

The practice spread westward, reaching the Ottoman Empire by around 1650. Lady Mary Wortley Montagu, an English aristocrat whose face had been scarred by smallpox in her youth, . She was so impressed that she had her own children inoculated and became a champion of the practice when she returned to England. Imagine attending a party where the main event was deliberately getting infected with a potentially deadly disease. The guests probably didn’t need much entertainment beyond that!

However, variolation was risky business. Because practitioners were using actual smallpox material, some people developed full-blown smallpox and died. It was like trying to teach someone to swim by throwing them into deep water—sometimes it worked, but the consequences of failure were severe.

A Country Doctor’s Brilliant Observation 

Enter , a country doctor in Gloucestershire, England, who would change everything in 1796. Jenner had heard local folklore claiming that milkmaids who caught cowpox (a much milder disease affecting cows and humans) never got smallpox. Being a scientist at heart, Jenner decided to test this theory in a way that would make modern ethics committees faint.

On May 14, 1796, , the son of his gardener. The boy developed a mild fever and felt unwell for a few days, but recovered completely. Then came the moment of truth: Jenner exposed James to actual smallpox material. Remarkably, the boy showed no signs of infection.

Jenner repeated this experiment 23 more times to prove his theory wasn’t just a fluke. He called his method “vaccination” from the Latin word “vacca,” meaning cow. Think about it—one of medicine’s most significant breakthroughs came from paying attention to what dairy workers had known all along. Sometimes the most profound discoveries are hiding in plain sight.

The Birth of Modern Immunology 

While Jenner’s vaccine saved lives, scientists were still puzzling over how immunity worked. The breakthrough came in the late 1800s when two competing theories emerged. A Russian zoologist, Elias Metchnikoff, proposed that special cells called phagocytes (literally “cell eaters”) . Meanwhile, German scientists Emil Behring and Paul Ehrlich discovered that .

Picture this scientific rivalry: on one side, Metchnikoff argues that immunity is all about cellular bodyguards chomping on invaders, and on the other side, Behring and Ehrlich insist it is about chemical weapons floating in the blood. As it turned out, both were right. The immune system uses both cellular soldiers and chemical weapons in its defense arsenal.

Metchnikoff’s discovery came from a wonderfully simple experiment. . It was like watching a microscopic version of white blood cells organizing a neighborhood watch. His work laid the foundation for understanding innate immunity (the body’s first line of defense that responds quickly but not specifically to threats).

The Nervous System Joins the Fight 

One of the most surprising discoveries came much later, when scientists realized that the nervous system also controls immunity. It turns out that neurons (nerve cells) can regulate how strongly the immune system responds to threats. This makes sense when you think about it—having an overly aggressive immune response can be just as dangerous as having no response at all. It’s like having security guards who are so trigger-happy that they attack the homeowner along with the burglars.

Research showed that signals traveling through the vagus nerve (a major nerve connecting the brain to various organs) can release acetylcholine (a chemical messenger) that tells immune cells to calm down. This ancient regulatory mechanism helps prevent the immune system from causing more damage than the original threat.

Unraveling the Mystery of Memory 

By the mid-20th century, scientists began understanding how the immune system remembers past encounters with germs. They discovered that special cells called plasma cells (factories that produce antibodies) can live for incredibly long periods in the bone marrow. Some of these cellular memories can last for decades or even lifetimes, which explains why you typically only get diseases like measles or chickenpox once.

. Scientists identified T cells (immune cells that coordinate responses and directly kill infected cells) and B cells (immune cells that produce antibodies). They found that these cells work together like a sophisticated military operation, with some serving as scouts, others as commanders, and still others as specialized weapons manufacturers.

Modern Marvels and Future Frontiers 

Today’s immunology looks like science fiction compared to Jenner’s cowpox experiments. Scientists have developed checkpoint inhibitors (medicines that help immune cells better recognize and attack cancer) that . They’ve created CAR-T cell therapy (a treatment that genetically modifies a patient’s immune cells to fight cancer) and designed mRNA vaccines (vaccines that teach cells to make proteins that trigger immunity) in record time during the COVID-19 pandemic.

Perhaps most remarkably, researchers have learned that . Studies of ancient DNA show that early farmers’ immune systems adapted to handle the new diseases that came with living closely with animals. Their descendants developed immune responses that were less likely to cause the kind of overwhelming inflammation that can be deadlier than the original infection.

The Ongoing Adventure

The story of immunology is far from over. Scientists continue to discover new ways our immune systems protect us, from understanding how different types of immune cells develop to figuring out why some immune systems attack their own bodies in autoimmune diseases. Each discovery builds on ancient Greek historians’ observations that plague survivors seemed protected from future outbreaks.

This scientific journey is remarkable because it combines careful observation, bold experimentation, and sometimes a bit of luck. From Thucydides watching plague survivors in ancient Athens to modern researchers designing personalized cancer vaccines, each generation has added pieces to our understanding of this incredibly complex and beautiful biological system that keeps us healthy.

The next time you get a vaccination or recover from a cold, remember that you’re participating in a biological process that has been protecting living creatures for millions of years, and that humans have been trying to understand and harness it for over two millennia. Your immune system represents both an ancient evolutionary achievement and one of modern science’s most extraordinary ongoing adventures. And unlike poor James Phipps, you don’t have to be scratched with cowpox to benefit from all this accumulated knowledge. However, you probably should still thank a dairy worker or two for their inadvertent contribution to medical history.

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