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Nonspecific chemical defenses
Sebaceous secretions, Lysozyme, High lactic acid and electrolyte concentration in sweat
innate defenses
Skin's acidic pH, HCl in stomach, antimicrobial chemical in semen
major histocompatibility complex
The MHC is a set of genes on chromosome 6 essential for acquired immune system to recognize foreign cells. They code for MHC glycoproteins. They distinguish self vs non self.
first line of defense
surface protection: intact skin, mucous membranes and their secretions, normal microbiota, lyzosyme
plasma cells
produce and secrete antibodies
helper t cells
Activate macrophages, B cells and T cells.
clonal deletion
The process of destroying B and T cells that react to self antigens (self specificity)
antigen presenting cells
dendritic cells, macrophages, B cells
Lyzozyme
An enzyme that breaks down pathogens on the skin's surface
Neutralization
antibodies covering surface receptors on a virus or toxin molecule, thereby disrupting their activity
MHC molecules are expressed on
all nucleated cells
Basophil
The rarest leukocyte that has histamine in the granules
keratin defense
creates a physical barrier against pathogens.
Eosinophil
white blood cell containing granules that stain red; associated with parasites
antigen
a foreign molecule that causes a specific immune response
Fc region
AKA the cystallizable fragment, stem of antibody that contains an effector molecule that can fix complements and bind to macrophages and mast cells
sterilization
The process that completely destroys all microbial life, including spores.
disinfection
A process that eliminates many or all microorganisms, with the exception of bacteria spores, from inanimate objects
most resistant microbes
prions and endospores
least resistant microbes
Viruses (enveloped and non enveloped) and gram-positive bacteria
factors that effect cell death rate
number of microorganisms, type of microorganism, temperature, ph, concentration
Cellular targets of physical and chemical agents
cell wall, cell membrane (DNA, RNA), proteins
Bacteriostatic
inhibits bacterial growth
Moist heat
lower temperatures and shorter exposure time; coagulation and denaturation of proteins
Dry heat
moderate to high temperatures; dehydration, alters protein structure; incineration and oxidation
normal microbiota is found in the
skin, upper respiratory system, GI tract, external genitalia, vagina
pathogenicity
ability to cause disease
Virulence
degree of pathogenicity
steps of a microbe causing disease
finding a portal of entry, attaching and negotiating the microbiome, surviving host defenses, causing damage, exiting
Viral adhesion mechanisms
fimbriae, capsules, spikes
endotoxin
A toxic component of the outer membrane of certain gram-negative bacteria that is released only when the bacteria die.
exotoxin
a toxin released by a living bacterial cell into its surroundings.
hemolysins
Toxins that lyse red blood cells.
course of infection
incubation period, prodromal stage, acute phase (height of infection) , convalescence (recovery)
horizontal transmission
disease is spread through a population from one infected individual to another
second line of defense
a cellular and chemical system that comes immediately into play if infectious agents make it past the surface defenses. ex: phagocytosis, inflammation
third line of defense
adaptive immunity, B cells and T cells
markers
Molecules on the surfaces of cells
composed of proteins and/or sugars
Evaluated by cells of the immune system
4 systems involved with first line of defense
skin, mucous membranes, respiratory, genitourinary
Phagocytosis steps
chemotaxis, ingestion, phagolysome formation, destruction, excremtion
Inflammation steps
benefits of fever
Inhibits multiplication of temperature-sensitive microorganisms, impedes nutrition of bacteria by reducing the available iron, increases metabolism and stimulates immune reactions
interferon
Protein that induces the production of proteins that eliminate viral genes and block viral replication
4 antimicrobial products
interferons, complements, antimicrobial peptides, restriction factors
restriction factors
inhibit the multiplication of viruses in host cells
antimicrobial peptides
short peptides (between 12-15 aminos) capable of inserting themselves into bacterial membranes
class I MHC
found on all nucleated cells
class II MHC
found on antigen presenting cells (macrophages, dendritic cells, B cells)
clonal selection
antigens bind to specific receptors, causing a fraction of lymphocytes to clone themselves
immunoglobulins
b cell surface receptor
t cells
mature in the thymus, high concentration in the blood
b cells
mature in the bone marrow, low concentration in the blood, make antibodies
humoral immunity
specific immunity produced by B cells that produce antibodies that circulate in body fluids
cell-mediated immunity
type of immunity produced by T cells that attack infected or abnormal body cells
superantigens
potent T cell stimulators; can provoke a cytokine storm
helper t cells
CD4 only interact with class ii (antigen presenting) mhc cells
cytotoxic t cells
CD8 only interact with class i
epitope
Small, accessible portion of an antigen that can be recognized.
events in b cell activation
events in t cell activation
A phagocytic cell processes an antigen and displays an antigen complex on its surface. The cell presents the antigen complex to CD8 cytotoxic T-cells.
active immunity
A form of acquired immunity in which the body produces its own antibodies against disease-causing antigens.
passive immunity
the short-term immunity that results from the introduction of antibodies from another person or animal
natural immunity
acquired as part of normal life experiences
artificial immunity
from medical procedures
Type I Hypersensitivity (immediate)
Immediate allergic reaction mediated by IgE (mast cells, basophils, etc)
Type II Hypersensitivity (antibody mediated)
labeled cytotoxic/ cytolytic & involve IgM or IgG interacting with foreign cells to cause their destruction (cell lysis) ex: incompatible blood groups
Type III Hypersensitivity (Immune Complex)
Type III hypersensitivity occurs when immune complexes, made of antigens and antibodies, build up in tissues. These complexes trigger inflammation and tissue damage. involves IgG
Type IV Hypersensitivity (Delayed)
Tissue damage caused by a delayed hypersensitivity response of T-lymphocytes to antigens. Symptoms arrive one to several days post exposure ex: contact dermatitis
oral inflammatory drugs
block production of IgE and inhibit lymphocyte activity.
atopy
chronic local allergy such as hay fever or asthma
lyse
Cell bursting.
six methods of physical control of microorganisms
heat, cold, desiccation, radiation, filtration, osmotic pressure
TDT (thermal death time)
Time required to kill a specific bacteria at a specific temperature
Thermal death point (TDP)
the lowest temperature required to kill all microbes in a sample in 10 minutes
Boiling water
Disinfection by boiling at 100°C for 30 minutes to destroy non-spore-forming pathogens items can easily be recontaminated
Pasteurization
treating a substance with heat to kill or slow the growth of pathogens, flash method is preferred because it doesn't change flavor and nutrients
Steam sterilization (autoclave)
utilizes moist heat in the form of saturated steam under pressure within an enclosed environment; the most dependable method of sterilization in which all microbes including spores are destroyed
Cold treatment
merely retards the activities of most microbes
lypophilization
method for preserving materials by freezing and then drying them directly from the frozen state
Ionizing radiation (X rays and gamma rays)
destroys DNA through mutations and damages proteins
nonionizing radiation
Atomic excitation leads to the formation of abnormal bonds
pyrimidine dimers
DNA mutations that result from UV exposure, damage to thymine and cytosine
Surfactants
A contraction of surface active agents; substances that allow oil and water to mix, or emulsify.
Degermation
reduces the number of microbes through mechanical means
Sanitization
remove vegetative life forms and debris to reduce contamination to safe levels
examples of surfactants
soaps, detergents, quats
Ethylene oxide
Sporicidal gas used to sterilize surgical instruments and other supplies but is toxic to humans
Halogens
Chlorine, iodine, fluorine, and bromine
Chlorine
Can kill endospores and sterilize, denatures proteind
Iodine
Interfere with metabolic functions and boding . Can be irritating to the skin.
Iodophors
Complex of iodine and alcohol
Have replaced free iodine solutions in medical antisepsis
hydrogen peroxide
Chemical compound of hydrogen and oxygen produces highly reactive free radicals and decomposes to oxygen
The granules of neutrophils contain
digestive enzymes
Pulse Field Gel Electrophoresis