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immune system
protects the body against pathogenic microbes
recognizes our cells as “self” and doesn’t destroy them
innate vs. adaptive immune response
innate: some immune cells exhibit antimicrobial function immediately after infection and in the same way during re-infection, every time (same every time)
adaptive: other immune cells exhibit antimicrobial function after infection more slowly, but in a more protective, longer-lasting way (faster, better, stronger)
pathogen
microbe that causes disease in its host
infection vs. disease
infection: when a microbe invades the body + multiplies
disease: tissue damage due to infection
pathogenesis
molecular and cellular events that cause tissue damage and disease
pathogenecity
ability of a microbe to cause disease in a host; defined by both the microbe and the immune response
damage-response framework
adequate: sweet spot; enough immune response to take care of the pathogen but not so much that you damage yourself
too little immune response → pathogen causes tissue damage
too much immune response → immune response causes tissue damage

5 characteristics that make a pathogen successful
ability to…
1) colonize the host (attachment and entry)
2) find a nutritionally compatible niche in the host
3) avoid/subvert host innate and adaptive immune responses
4) replicate successfully, using host resources
5) exit and transmit to a new host
4 main functions of the immune system
1) antimicrobial function: prevent/limit infection
2) tumor/tissue homeostasis: identify + eliminate damaged cells
3) regulation: prevent inadvertent damage to the host
4) immune memory: prepare for future exposure to previous pathogens
how does our immune system know what is “self?'“
we label our cells with Major Histocompatibility Complex 1 (MHC 1) proteins
MHC 1 proteins
helps our immune system recognize whether cells are “self”
every nucleated cell in our body expresses MHC 1 except red blood cells (why we can donate RBCs and receive blood transplants)
3 lines of defense against pathogens
1) barriers (keeps pathogens out)
physical barriers
mechanical barriers
chemical factors
normal microbiome
2) innate immune response (hours to days)
phagocytes (innate immune cells)
complement proteins
inflammation/fever
3) adaptive immune response (weeks to years)
B cells, T cells, antibodies
physical barriers
blocks pathogens from entering the body
ex: skin, epiglottis, eyelids, tight junctions b/w epithelial cells
mechanical barriers
mechanical actions that remove microbes + debris
ex: shedding of skin cells, cilia movement in respiratory tract, sneezing, coughing, tears
chemical factors
proteins + other compounds produced by the body that inhibit or kill microbes
ex: gastric juices, sebum, antimicrobial peptides produced by barrier tissues
normal microbiome
microorganisms (fungi, bacteria, viruses) that aren’t pathogenic + are found all over the human body
how does the normal microbiome compete with pathogens?
1) compete for nutrients
2) produce toxic substances
3) stimulate host immune system
4) take up space (compete for attachment)
2 main tissue systems with critical barrier function
1) skin
2) mucous membranes (gastrointestinal, urogenital, respiratory tracts and ocular system)
how important is the skin as a barrier to infection
the skin is the body’s primary + most vital physical line of defense against infection
30-50% mortality rates due to infection in severe burn patients
mucous membranes
lubricate many organs and body cavities to protect against pathogens
where most infections start; most pathogens get in via the mucous membranes
3 main components of the immune response
1) proteins
2) cells
3) anatomy (tissues/organs)
primary vs. secondary lymphoid tissues
primary: sites were immune cells are produced (thymus and bone marrow)
secondary: sites were the adaptive immune cells are located with antigens (spleen and lymph nodes)
bone marrow
bone tissue containing progenitor stem cells - produce all immune cell types, red blood cells, and platelets
thymus
site of T cell maturation (T cells are an essential cell type of the adaptive immune system)
lymphatic system
consists of specialized vessels that drain fluid (lymph) from tissues
lymph nodes
interspersed along the vessels of the lymphatic system
function to concentrate antigen and immune cells
also critical for initiating adaptive immune responses against most pathogens that enter through the skin or mucus membranes
spleen
organ that initiates adaptive immune system responses against pathogens that enter through the blood
bone marrow
site of hematopoiesis that generates myeloid cells and lymphoid cells from common progenitor cells
myeloid cells are innate; lymphoid cells are adaptive
phagocytes
function to surround, engulf (“eat”), and break down microbes, small particles, and apoptotic host cells
key phagocytes
1) neutrophils
2) macrophages
3) dendritic cells
granulocytes
innate cells that possess cytoplasmic granules pre-filled with inflammatory and mediators
neutrophils, basophils, eosinophils, and mast cells
neutrophils
type of granulocyte that is always first on the scene of infection to ingest bacteria + cellular debris through phagocytosis
key source of pus
netosis
process where neutrophils release their DNA to form sticky “nets” to trap bacteria
eosinophils
type of granulocyte that is high in parasitic worm (helminth) infections and allergies
mast cells
type of granulocyte that rapidly secrete proinflammatory factors (Histamine) in response to infections
activated when IgE receptor binds antigen → releases histamine → causes inflammation + calling in other immune cells
antigen
substance (from a microbe or self) that stimulates an immune response
antigen presentation
process where antigens are captured by APC (antigen presenting cells) and processed into peptides that are loaded into MHC and “presented” on the surface of APC to activate T cells

3 types of antigen presenting cells
1) dendritic cells - most “expert” at antigen presentation
2) macrophages - pretty good at antigen presentation
3) B cells
lymphocytes (T and B cells)
white blood cells that form the core of the body’s adaptive immune system
each B and T cell has a unique/variable surface receptor that responds to a specific antigen
antibodies
type of protein that are the secreted version of B cell antigen receptors
don’t directly kill; they tag foreign antigens for removal by other immune cells or protein factors
3 main ways antibodies contribute to immunity
1) neutralization - antibodies bind directly to pathogens to block them from entering healthy host cells
2) opsonization - antibodies coat surface of pathogen, flagging them so phagocytes can engulf them
3) complement activation - antibodies trigger the complement system to clear the infection
the complement system
consists of over 30-50 plasma and cell-surface proteins that work in an enzymatic cascade to opsonize, inflame, and lyse pathogens
what’s the role and function of major protein components in the complement system?
C3 - the most abundant and central protein of the entire complement system; splits into:
1) C3a - recruit immune cells (rapid response + amplification of immunity)
2) C3b - deposit on the surface of pathogens + opsonizes (tags) them to be eaten
C5 - activated by C3
1) C5a - recruit immune cells (rapid response + amplification of immunity)
2) C5b - anchor that initiates the assembly of the MAC (Membrane Attack Complex) on the pathogen
doesn’t kill gram-positives or bacteria w/ capsules
3 ways the complement system controls infection
1) amplifies inflammation
2) increases phagocytosis
3) directly kills pathogens
cytokines vs. chemokines
small proteins that act locally and at a distance
cytokines: responsible for cell-to-cell communication during an immune response
chemokines: direct traffic; draw immune cells towards sites of infection/inflammation