ability of a host to resist a particular disease
Immunity
Anti-infective other pathologies (allergy, auto-immunity, transplant rejection)
Different type of immune response
innate or nonspecific immunity
Unspecific mechanisms
acquired or specific immunity
specific mechanisms
present at birth always present unspecific not enhance by previous exposure (no immune memory) immediate response
Intrinsic defense mechanisms
previous contact with pathogen is required specific recognition of the pathogen imprimes on repeated exposure immunologies memory
Specific or adaptative immunity
recognition ; activation ; response
different stages of adaptative immunity
Neutrophils (phagocytosis bacteria) Basophils (allergy response) Eosinophils (worms and fungi infection)
Granulocytes
hypersensitivities type I (Histamine and IgE)
Mast cells
Monocytes (macrophages ; dendritic cells) T-Cells (helper ; cytotoxic) B-cells (plasma cells) Natural Cell Killers
Agranulocytes
Bone marrow thymus lymphocytes development and maturation
Primary lymphoid organs + role
where mature lymphocytes and antigens contact each other spleen, MALT, Lymph nodes
Secondary lymphoid organs + role
defense against Ag in blood (LT/LB)
Spleen
circulating Ag from tissues with phagocyte cells
Lymph nodes
capture of Ag from gastrointestinal, urinary, reproductive tracts
mucosal associated lymphoid tissue (MALT)
Substances that are recognize as foreign and trigger an immune responses
Ag (Def)
Immunogenicity -> ability to trigger an immune response Antigenicity -> ability to react specifically with products to an immune response (Ab) (Ab bind and inactivate a specific Ag)
Properties of Ag
inherited as a part of the innate structure (1st of line of defense) biological -> normal flora, microbial chemical -> acidic ph, stomach, vagina ; lysozyme of saliva and tear physical -> skin, mucosal membrane
Host defense mechanisms - Natural barriers
natural, non specific ; second line of defenses
immune defenses : innate
acquired specific ; third line of defenses
immune defenses : adaptative
inflammation, activation of complement, phagocytosis, activation of NK cells, cytokines
innate immunity
reaction to any traumatic event in any tissues
Inflammation response (def)
rubor, heat, tumor, dolor
4 classic signs of inflammation
to mobilize and attract immune components to the site of the injury to activate mechanisms to repair tissue damage and localize and Clea away harmful substances To destroy microbes and block their further invasion
main function of inflammation
Initiation ; vascular reaction ; edema and pus formation ; resolution-scar formation
Acute inflammation 4 steps
occurs when the presence of a MO or foreign molecules or tissue damaged is detected
Acute inflammation -Initiation
tissular response expansion of capillaries to increase blood pressure, blood flow increase permeability of the microvasculalure
Acute inflammation - vascular reaction
leukocytes and extravasation neutrophils recruitment (chemotaxis) opsonization and phagocytosis
Acute inflammation -Edema and pus formation
release of chemical mediators
Acute inflammation -Resolution-scar formation
attraction -> rolling -> margination -> diapedesis -> migration -> chemotaxis -> opsonization -> phagocytosis and cell lysis
The leukocytes reach the damaged tissue attracted by the chemotactic factors and they are activated by the cytokine
edema and pus formation
pathogens are covered by pre-existing Ab or proteins of complement system (C3b)
opsonization
refers to a protein that binds to the bacterial wall and prepare the pathogen to be destroyed by other components of the IS ex opsonin : natural : Ab ; proteins CS
opsonin
a yellowish or greenish opaque liquid produced in infected tissus, consisting of dead white blood cells (leukocytes), and bacteria with tissue debris and serum
Pus
damaged cells are replaced
resolution-scar formation