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why is inflammation in the brain particularly bad?
neurons can’t regenerate
name the 4 reasons why we need an immune system
identify threats to protect host from damage
prevent reinfection (immunological memory)
promote healing
normal physiology (development, homeostasis, etc.)
examples of immune system identifying threats and protecting the host from damage
identify and protect from pathogens
bacteria, viruses, parasites
identify and protect from/limit damage from internal pathogens
tumours, cell debris, pathological protein buildup, etc.
what is the duality of the immune system
must recognize and eliminate threats but also recognize and protect host tissues
results of an underactive immune system
cancer, infections
results of an overactive immune system
chronic inflammation, autoimmune disorders
level 1 immune system includes:
barriers and innate immune system
examples of innate immune system cellular components
myeloid, natural killer cells, dendritic
examples of innate immune system molecular components
cytokines, complement system
level 2 immune system includes:
adaptive immune system
examples of adaptive immune system cellular components
lymphocyte
examples of adaptive immune system molecular components
antibodies
is innate immunity antigen INDEPENDENT or DEPENDENT
antigen-independent (non-specific)
is adaptive immunity antigen INDEPENDENT or DEPENDENT
antigen-dependent/antigen-specific
which immune system acts immediately or within hours of encountering an antigen
innate immunity
which immune system has takes time after exposure to an antigen to have maximal response
adaptive
which immune system has immunologic memory
adaptive immunity
what does a capacity for memory mean
enables the host to enact a more rapid and efficient response upon exposure
characteristics of innate immunity
non-specific
quick and short
no immunologic memory
characteristics of adaptive immunity
antigen-specific
slow and long-lasting
immunologic memory
the two types of barriers
physical, chemical
examples of physical barriers
skin
mucous membranes
respiratory tract
GI tract
example of how skin is a physical barrier
cell shedding
how do mucous membranes barricade against pathogens
mucous is sticky (catches pathogens) then cilia move the pathogen out of the body
examples of chemical barriers
skin
respiratory tract
tears/saliva
stomach
examples of skin as a chemical barrier
anti-microbial peptides (AMPs)
sebum
sweat
how does sebum work
lowers pH of skin, making it a hostile area for bacterial growth
effect of AMPs on pathogens
toxic
examples of respiratory tract as a chemical barrier
AMPs
examples of tears/saliva as a chemical barrier
enzymes in tears/saliva
eg. lysozyme, lactoclarin
examples of stomach as chemical barrier
acid
digestive enzymes
how is acid in stomach a chemical barrier
is already a low pH (which is makes it hostile for pathogens)
examples of brain barriers
skin
skull
meninges
blood-brain barrier
blood-csf barrier
which brain barriers are cns specific
meninges
blood-brain barrier
blood-csf barrier
what do the BBB and BCSFB do (generally)
protect brain from immune cells and pathogens
where do all the cells in the immune system originate from
hematopoietic stem cell (in the bone marrow)
what do hematopoietic stem cells differentiate into
common myeloid progenitor
common lymphoid progenitor
what do common lymphoid progenitors differentiate into
B cells
T cells
Natural killer cells
(partially) dendritic cells
what do common myeloid progenitors differentiate into
red blood cells
platelets
granulocytes
monocytes
(partially) dendritic cells
what do monocytes turn into
macrophages
dendritic cells
what do granulocytes differentiate into
neutrophils
eosinophils
basophils
mast cells
which cells are part of the innate immune system
natural killer cells
dendritic cells
macrophages
neutrophils
eosinophils
basophils
mast cells
which cells are part of the adaptive immune system
B cells
T cells
which cells help with the adaptive immune system
dendritic cells
natural killer cells
characteristics of granulocytes
granules of chemicals
rapidly destroy pathogens
non-specific
can drive inflammation, tissue damage and allergic responses
why can granulocytes become problematic
because they drive inflammation, tissue damage and allergic responses which can be counterproductive in the brain
which type of granulocyte is most abundant/common
neutrophils
where and how do neutrophils, eosinophils and basophils migrate to from the bone marrow
to the tissue via chemotaxis through bloodstream
when do neutrophils arrive at the site of infection
early, one of the first to arrive
neutrophil 3 MAIN mechanisms of action
phagocytosis
degranulation (cytotoxic)
neutrophil extracellular traps (NETs)
what is degranulation
release of cytotoxic or non-cytotoxic granules
what happens when neutrophils release cytokines
the immune response is amplified
when are granules made
premade, when maturing in the bone marrow
how does chemotaxis work
detect chemical signals from pathogens
they roll along endothelium
there is upregulation of adhesion molecules which slow the rolling
adhesion to endothelium
transmigration into interstitium
what is transmigration
neutrophil, basophil and eosinophil from blood passing through endothelium into the tissue (interstitium) where the pathogen is located
what direction do neutrophils, basophils and eosinophils travel in
in the direction of blood flow
what is NETosis
releasing NETs comprised of DNA and proteases
what is suicidal NETosis
releasing so much DNA that the neutrophil ends up killing itself
what are cytokines
small proteins that mediate and regulate immunity, inflammation and hematopoiesis
how do cytokines work
released from cytokine-producing cells after an inducing stimulus
attach to receptors on target cells
send signal to activate gene in target cell
create biological response
examples of cytokines
interleukins
IL-1, IL-6
chemokines
interferons (INF)
tumor necrosis factors (TNF)
what tissues do eosinophils migrate to
GI tract, thymus
what is the main response to parasite infection
eosinophils
characteristics of eosinophils
main response to parasite infection
mediator of allergic responses
eosinophil main mechanisms of action
degranulation (cytotoxic)
eosinophil extracellular traps (EETs)
cytokine release
which immune cells are rare
basophils
characteristics of basophils
large
rare
inflammatory and allergic responses
basophils main mechanisms of action
degranulation (NOT cytotoxic)
cytokine release
what is not cytotoxic degranulation
release of histamines, heparins and other molecules to promote inflammation
what is histamine
vasodilator (acts on blood vessels)
what is heparin
anticoagulant (prevents blood clotting)
where do mast cells reside
tissues (not circulating in blood)
characteristics of mast cells
longer lived (than basophils)
inflammatory and allergic responses
which cells are similar but develop separately from a common precursor
basophils and mast cells
mast cells main mechanisms of action
degranulation (not cytotoxic)
cytokine release
where do monocytes mature and live
bone marrow, circulate in blood
characteristics of monocytes
agranulocytes (don’t release granules)
monocytes main mechanisms of action
phagocytosis
release cytokines
antigen presenting cells (APCs)
travel to tissues and differentiate into macrophages and dendritic cells
what is the deal with monocytes and phagocytosis
not as effective as other types of phagocytes
where do macrophages live
in the tissue
where do macrophages derive from
some from monocytes, most self-renew locally during embryogenesis
example of macrophages in brain
microglia
characteristics of macrophages
large
long-lived
macrophages main mechanisms of action
phagocytosis
co-ordinate immune response by releasing cytokines
professional antigen presenting cells
process of antigen presentation
pathogen is phagocytosed by macrophage/dendritic cell
pathogen is lysed into antigen (fragment of pathogen)
MHC-II protein binds to antigen fragment
MHC-II protein present the antigen to the T cell receptor
what is an antigen
substance that can cause an immune response
where do dendritic cells live
in tissue
what do dendritic cells do
provide a link between innate and adaptive immune systems
dendritic cells main mechanisms of action
professional antigen-presenting cells (APCs)
secrete cytokines
what does it mean for a cell to be a “professional” APC
samples the environment and processes pathogens into fragments that become antigens, then present them to T-cells (adaptive immune system)
where are natural killer cells found
in blood and tissue
what type of cell are natural killer cells
lymphocyte belonging to innate lymphoid cell (ILC) family
natural killer cell response
non-specific cytotoxic response (innate)
what do natural killer cells do
rapid removal of once healthy cells that are now a threat
examples of types of cells natural killer cells target
viral infected cells
stressed or damaged cells
tumor cells
what kinds of receptors do natural killer cells have
inhibitory and activating receptors
what is the purpose of the missing-self strategy
to determine host vs damaged cells
what is the missing-self strategy
MHC-I on healthy.cells inhibit cytotoxicity because they are recognized by the inhibitory receptors on natural killer cells
missing MHC-I means no inhibitory recognition, so they get killed
stress induced ligands activate the activating receptor, so they get killed
what a cell (typically) needs to be killed by natural killer cells
both no MHC-I and stress induced ligand
natural killer cells mechanisms of action
release proteins (perforin, granzyme)
release cytokines
antibody-dependent cellular cytotoxicity (ADCC)