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How do microbes cause disease?
1) Gain entry to the host
2) Attach to and invade specific cells and/or tissues within the host
3) Survive host immune system defenses
first layer of defense
external physical barriers and their associated chemical barriers. (skin and mucous membranes)
second layer of defense
cellular defense, inflammation, fever, and molecular defense like complement and interferon.
third layer of defense
lymphocytes (B and T cells)
Innate
layers 1 & 2
act against any type of invading agent
The first line of defense
not specific
Adaptive
Layer 3
specific
involves action of B and T Lymphocytes
Six main Innate defenses
1) Physical barriers
2) Chemical barriers
3) Cellular defenses
4) Inflammation
5) Fever
6) Molecular defense
Layer 1 defenses
Physical barriers and Chemical barriers
Physical barriers
skin and mucous membranes
Chemical barriers
sweat, sebum, pH, lysozyme, defensins, transferrin, and lactoferrin
what does our body do following a failure or breach of physical barriers (layer 1)?
must depend on layer 2
Layer 2 defenses
Cellular defenses, inflammation, fever, and molecular defenses
Homeopoiesis
production of blood cells
stem cells
undifferentiated cells, precursor of new blood cells
Leukocytes
white blood cells; granulocytes and agranulocytes
Granulocytes
lobed nucleus, often presence of granules in cytoplasm
Neutrophils, eosinophils, basophils
Agranulocytes
unlobed, rounded nucleus
Neutrophils
55-90% - phagocytes and first responders to site of infection
Eosinophils
1-3% - orange granules and bilobed nucleus; destroy eukaryotic pathogens
Basophils
0.5%-mobile in the bloodstream, release potent chemical mediators (histamine)
Mast cells
similar to basophils but nonmobile found bound to connective tissue
Lymphocytes
20-35%, specific immune response
B cells
when activated, produce antibodies
T cells
when activated, modulate immune functions and kill foreign cells
Monocytes/Macrophages
3-7% - largest of WBCs, kidney-shaped nucleus; phagocytic
Macrophages
final differentiation of monocytes
dendritic cells
trap pathogens and participate in immune reactions
Erythrocytes
develop from bone marrow stem cells, lose nucleus, simple biconcave sacs of hemoglobin
Platelets
formed elements in circulating blood that are not whole cells
Phagocytes
cells that engulf and destroy bacteria
Phagocytosis
1) Chemotaxis
2) Adhere
3) Ingest MO
4) Digest MO
Chemotaxis
Cell movement that occurs in response to chemical stimulus
What are PAMPs?
molecules found on groups of microbes
Natural Killer
cells secrete products that trigger death of virus-infected cells and certain cancers
lymphatic system functions
-Collect excess fluid from spaces between body cells
-Provide many innate and adaptive defense mechanisms against infection
-Transport digested fats to cardiovascular system/bloodstream
Spleen
can filter blood and recycle red blood cells
Thymus
educates T-cells
Lymph nodes
encapsulated globular structures that act as filters an via defensive cells present clear the lymph of MO
Tonsils
aggregation of lymphocytes
Signs of infammation
redness, warmth, swelling, pain
Diapedesis
process by which white blood cells migrate from the blood vessels to the site of infection
molecular defenses
interferon and complement
Interferon
Proteins that act nonspecifically to cause cell killing or to stimulate cells to produce antiviral proteins
Complement
26 proteins that work in concert to destroy bacteria and viruses
Pathways for Complement Activation
-classical
-lectin pathway
-alternative
Classical
activated by the presence of antibody bound to MO
lectin pathway
nonspecific reaction of a host serum protein that binds mannan
Alternative
begins when complement proteins bind to normal cell wall and surface components or MO
4 stages of complement cascade
1. Initiation
2. Amplification and cascade
3. Polymerization
4. Membrane attack
Opsonization
antibodies bind to antigens on bacteria creating a target for macrophages or neutrophils, triggering phagocytosis
inflammation
initiates and enhances inflammation by stimulation chemotaxis and phagocytosis, also adhere to basophil and mast cells to induce histamine release to increase permeability of blood vessels
membrane attack complex
a membrane pore protein made in the complement cascade