Book Review: Immune
by Philipp Dettmer
Published: 2021
Review published: September 8, 2025
What’s it about?
Immune: A Journey into the Mysterious System That Keeps You Alive is a vivid tour of your body’s defense forces. Dettmer (founder of Kurzgesagt) turns immunology into a story: patrols, alarms, messengers, and special-forces units coordinating to protect you from billions of daily threats. With crisp metaphors and friendly diagrams, he explains innate vs. adaptive immunity, inflammation, antibodies, vaccines, autoimmunity, and cancer—making a complex, invisible war feel intuitive and unforgettable.
What I Learned / My Take
1. The immune system is an ecosystem, not a single thing—scouts (dendritic cells), first responders (neutrophils), cleaners (macrophages), signalers (cytokines), and specialists (B/T cells) all timing their moves.
2. Innate immunity is fast and blunt: it buys time with inflammation—heat, swelling, pain—so reinforcements can arrive.
3. Adaptive immunity is slow but surgical: once B/T cells learn an enemy’s “key,” they remember it for years.
4. Antibodies aren’t tiny shields; they’re tags that paint targets so killer cells and complement proteins can finish the job.
5. Vaccines are training exercises—wanted posters handed to your memory cells without the casualties of a real infection.
6. Fever is strategy, not malfunction: cytokines raise your thermostat to make life harder for pathogens.
7. Autoimmune disease is friendly fire—pattern-recognition goes wrong and the army attacks home turf.
8. Cancer immunology is a cat-and-mouse game: tumors hide ID badges, jam signals, or mimic harmless cells to slip past defenses.
9. Redundancy is a feature: overlapping pathways look wasteful, but that messiness is why the system is resilient.
10. Being alive is constant motion—billions of skirmishes each day that you never notice unless the system falters.
Scenes and Images that Stuck with Me:
- The fortress patrol: macrophages checking “ID cards” on cells and eating anything that can’t prove it belongs.
- The finger cut battlefield: a flood of neutrophils charging in and dying within minutes—pus as their mass grave.
- The fever command: cytokines turning up the body’s thermostat—miserable for you, miserable for microbes.
- The library of keys: millions of naive B/T cells each carrying one possible key, waiting for the day their lock appears.
- Vaccine boot camp: harmless wanted posters training memory cells so the next encounter is a rout, not a war.
- Betrayal within: autoimmunity as guards mistaking the king for an impostor—joints, nerves, or skin under siege.
- Tumor camouflage: cancer cells cutting the wires on the alarm system, wearing disguises, and recruiting suppressor cells to look “normal.”
Would I recommend it?
Definitely—if you want science that feels like a story. It leaves you with practical intuition for vaccines, fever, allergies, autoimmunity, and why your body’s “messy” design is actually brilliant.