function of the immune system is to recognize ____ from __ and to ____ body against nonself
self, nonself, to defend
an effective immune response requires cooperative interaction between
-specific cells of the immune system
-cellular elements
-cell products
-non-lymphoid elements
desirable consequences of immunity are
-natural resistance
-recovery
-acquired resistance to infectious disease
undesirable consequences of immunity are
-allergy
-transplant rejection
-autoimmunity
example of innate surface epithelial barriers
skin, mucus, tears
innate cells are stored where
free floating in tissue
when monocyte moves to issue it becomes a
macrophage
granulocyte definition
granule containing enzymes and proteins in cytoplasm
two devisions of immune system
innate and adaptive
B lymphocyte location
stay in bone marrow
T lymphocyte location
go to thymus Th or Tc
lymphocytes arise from progenitor cells of the __ and __ in embryo
yolk salk, liver
sole provider for progenitor cells that develop into lymphocytes
bone marrow
continued cellular development and proliferation of lymphoid precursors occur as cells travel to the
primary and secondary lymphoid tissues
primary/central lymphoid organs
bone marrow thymus
secondary lymphoid tissues
-lymphoid
-spleen
-GALT (gut-associated)
-thoracic duct
-BALT (bronchus-associated)
-SALT (skin-associated)
-blood
first line of body defense
-unbroken skin
-mucosal membrane surfaces
-secretions
-physical ability to wash away pathogens
-chemical properties of tears and saliva
microbiota
-regulation of innate immunity functions and homeostasis
-regulation of adaptive immune functions in intestine
-regulation of systemic innate adaptive immune functions
second line of body defense
natural immunity
-innate/ inborn resistance to infection
-nonspecific mechanism
third line of body defense
adaptive immunity
B cells become __ that secretes ____
plasma cells antibodies
specific features of adaptive acquired immunity
-specificity
-memory
innate immune system is an ancient form of host defense that appeared before
adaptive immune system
innate focuses on
few larger groups of microorganisms called pathogen-associated molecular pattern (PAMPS)
-foreign
innate receptors that recognize PAMPS are called
pattern recognition receptors (PRR)
three activation pathways
-classical
-alternate
-mannose-binding lectin
complement protein made in the
liver
compliment is a
glycoprotein- proteins in plasma
over ___ glycoproteins present in active form in serum and all tissue fluids except urine and CSF
25
compliment glycoproteins are heat-liable meaning
disintegrate in heat
complement is activated by a cascade by antigen-antibody, endotoxin, capsules all of which ___ the next step
amplify
three primary functions of compliment
-cell lysis (poke hole, fluid in, cell burst)
-opsonization (flag “look at me”)
-regulation of immune and inflammatory response including immune adherence, anaphylatoxin, and chemotaxis
chemotaxis
tells other cells to move toward infection/inflammation
alterations in compliment proteins
-elevated complement levels
------ increased in many inflammatory conditions, trauma, and acute illness because components such as C3 are acute phase reactants (wound fight off)
-decreased complement levels
------decreased because of excessive activation, currently being consumed (all used up from fighting), or a single complement component is absent because of a genetic defect (sick all the time due to genetics), all can mean liver damage
diagnostic evaluation
indicators for complement testing
-recurrent pyogenic infections, especially meningococcal meningitis, and S. pneumoniae and neisseria species
-angioedema without urticaria
-autoimmune disorders
biological response modifiers: B lymphocytes secrete
specific antibodies
biological response modifiers: T lymphocytes secrete soluble mediators:
-interleukin-2 (IL-2) and other ils
-granulocyte-monocyte colony-stimulating factor (GM-CSF)
-interferon-y (IFN-y)
-tumor necrosis factor- B (TND-B)
biological response modifiers: Natural killer (NK) lymphocytes secrete
interferon-a (IFN-a)
biological response modifiers: Monocytes and macrophages secrete
-interferon a (IFN-a)
-Interleukin-1 (IL-1)
-Tumor necrosis factor-a (TNF-a)
-Granulocyte-monocyte colony-stimulating factor (GM-CSF)
common actions of cytokinesis
-secrete cytokines in rapid bursts, synthesized in response to cell activation
-bind to specific membrane receptors on target cells
-regulate receptor expression in T and B cells, which drives positive amplification or negative feedback
-act on different cell types
-excite same functional effects with multiple cytokines (redundancy)
-act close to the site of synthesis on the same cell or on a nearby cell
-influence the synthesis and actions of other cytokines
Interleukins (type of cytokine)
-molecules made by lymphocytes and act on lymphocytes
-mediate local interactions between leukocytes but do not bind to antigen
-modulate inflammation and immunity by regulating growth, mobility, and differentiation of lymphoid cells
innate major cell source
macrophages NK cells
major cell source of adaptive immunity
t lymphocytes
innate stimuli
virus
adaptive stimuli
protein antigens
innate quantity
possibly high, detectable in serum
innate effects on body
local and systemic
quantity of adaptive
usually low, usually undetectable in serum
adaptive effects on body
local
interferons
-natural defense response to foreign components
-broad actions (enhance the expression of specific genes, inhibit cell production, augment immune effector cells)
-demonstrated to act as (antiviral, immunomodulators (not let get out of control), antineoplastic agents (can destroy non-self cells that are bad or infected ))
tumor necrosis factor
principal mediator of acute inflammatory response to gram-negative bacteria and other infectious microbes
-simulates recruitment of neutrophils and monocytes to sites of infections
-activates neutrophils and monocytes to eradicate microbes
hemopoietic stimulators
-stem cell factors (c-kit ligand)
-colony-stimulating factor (CSFs)
-transforming growth factor B (TGF-B)
-chemokines
acute phase proteins
group of glycoproteins associated with the acute phase response with
-inflammation
-infection
-malignant neoplasia
-carious diseases or disorders
-trauma
-surgical procedures
-drug response
acute response can measure
response to therapy or inflammatory diseases
Acute Phase reactants
synthesized rapidly in response to tissue injury
varying degrees of increase, some decrease
examples:
-C-reactive protein (CRP)
-procalcitonin (PCT)
-a1-antitrypsin
-ceruloplasmin
C reactive protein (CRP)
-1000 fold increase when tissue damage (rapid)
-opsonin (flag)
-activates complement
-indicator of acute inflammation
CPR diagnostic use
low- no inflammation
high- inflammation
-evaluation and detecting inflammatory disease
-screening for inflammatory and malignant disease
-monitoring therapy or inflammatory disease
-fastest responder and most sensitive indicator of acute inflammation
-CPR v ESR
CRP use in diagnostics
-rises abruptly with trauma including surgery
-return to basal slate within 7-10 days
-if evaluation continues, sepsis or infection may be occuring. Maybe unreliable in some disorders
-CRP maybe a better predictor than LDL as a benchmark for cardiovascular risk (LDL can form plaque, CRP released in response)
Alpha1-antitrypsin
increased production in inflammation
inside granule is neutrophil elastics if not in check
alpha1-antitrypsin will stop it
inflammation symptoms
redness, fever, swelling, and pain
immunogen characteristics
a macromolecule capable of triggering an adaptive immune response and then reacting with the antibodies produced
antigen characteristics (self)
any substance that may be specifically bound by an antibody molecule or t-lymphocyte receptor (trigger)
hapeten (non-self transplant cells) characteristics
a lower molecular weight molecule that can be bind to an antibody but must be attached to a macromolecule as a carrier to stimulate immune response
epitope
specific part of antigen that reacts specifically with antibody/t-lymphocyte
histocompatibility antigens
major histocompatibility complex (MHC)
-referred to as human leukocyte antigens (HLAs)
-surface of nucleated cells and tissues (HAS TO HAVE NUCLEUS)
-recognize as self
histocompatibility antigens important in
-transplantation
-paternity testing
-forensic medicine
-disease associations
two classes od MHC molecules
1 and 2
autoantigens
“self antigens”
-failure to recognize self produces autoantibodies
blood group antigens
certain antigens, especially those of the Rh system, are integral structural components of the erythrocyte RBC membrane
chemical nature of antigens
-antigen (immunogen)
-protein, large polysaccharide, or combination of carbohydrate and protein (glycoprotein) 1,2,3
-rarely composed of lipids
physical nature of antigens
-foreignness (route of entry and degree)
-degradability
-molecular weight
-structural stability (more=better)
-complexity (more=better)
general characteristics of antibodies
-isolated in the gamma globulin fraction of protein by electrophoretic separation
-primary function to combine with corresponding antigen
immunoglobulin classes
IgM-2
igG- most important
IgA-3
igD
igE
Antigen structure- ig M
-5 binding sites
-1st released in response
-can’t cross placenta
antigen structure- igG
-high in plasma/serum
-2nd response
-can cross placenta
antigen structure- ig A
-mucus membrane
-highest number antibody
Antigen structure- secretory ig A
-highest in molecular weight
-the secretory component is how it can move through mucus
antibody structure- ig E
-allergic reaction
-parasympathetic infection
-mask cell w histamine
immunoglobulin variants
-isotype
allotype
-idiotype
isotypic
all animals of species
allotypic
variations between species
idiotypic
variation within one person
antibody synthesis
-primary antibody response
-secondary (anamnestic) antibody response
functions of antibodies
principal functions- to bind antigen
may also exhibit secondary effector functions and behave as antigens
affinity
-initial force
-how well one antigen is able to join one antibody
-Greatest igG
avidity
how many binding sites there are
-greatest Ig M
molecular basis of antigen-antibody reactions
-types of bonding
-goodness of fit (better fit better reaction)
-detection of antigen-antibody reactions
-influence of antibody types of agglutination (visualize reaction)
origin and development of blood cells: 2-8 weeks of life (dont memorize)
erythroblasts formed in islets of yolk sac
origin and development of blood cells: 2-5 months of gestation (dont memorize)
liver and spleen are major sites of hematopoiesis
-granular leukocytes also appear
origin and development of blood cells: fourth month of gestation (dont memorize)
bone marrow begins to produce blood cells
origin and development of blood cells: fifth month of gestation (dont memorize)
bone marrow assumes ultimate role as primary site of hematopoiesis
granulocytic cells: neutrophils
-defense against bacterial infection (most common)
-essential component of innate immune response
-roles in phagocytosis
-2 pools (circulating and marginating)
2 pools in neutrophils
circulating (blood)
marginating (tissue)
neutrophil cell
-lots of granules that destroy foreign
-inside granule is enzyme that kills bacteria
-dark purple nucleus (multiple)
-pink
microbicidal primary neutrophil
myeloperoxidase
eosinophils
eosinophils are homeostatic regulators of inflammation
-low # in body
eosinophil cell
-bilobed dark purple
-increases during parasitic reaction
-allergy reaction
-large
basophil
hypersensitivity reaction (tissue form of basophil = mast cell)
basophil cell
-huge granulocytes
-very dark purple
-rare to see in blood smear
-high level uncommon