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What is the body's first line of defense against foreign matter in a NON-SPECIFIC manner?
innate immunity
Physical barriers
prevent pathogen from reaching target TISSUE site
What do physical barriers use to prevent pathogens from reaching target tissue site?
tight junctions, desmosomes, or gap junctions
What can invading pathogens use to break junctions in the physical innate defense?
enzymes
Hyaluronidase
an enzyme that degrades hyaluronic acid, a natural substance found in the body's tissues and fluids, "spreading factor"
What is the most prominent physical barrier?
skin
What can serve as a portal of exit for many pathogens
wounds - S. aureus infections
Keratin
resists microbial enzymes
Salt
can inhibit growth
Mucous membranes
protect via tight junctions (nose, mouth, lungs, urinary, digestive)
How are microbes shed through the mucous membrane?
through mucus produced and/or cilia
Mucus
may contain antimicrobial peptides
Mucociliary escalator
ciliated epithelial cells of the UPPER RESPIRATORY SYSTEM move debris-laden mucus out of the lungs
Peristalsis
movement of smooth muscles to move
Candida albicans
cause yeast infections
Endothelia
tightly packed epithelial cells lining BLOOD VESSELS, lymphatic vessels, urogenital track
What protects the Blood-brain barrier that protects the CNS
endothelia
Mechanical innate defense
physical removal of pathogens (urine, feces, tears, cilia, shedding of skin cells, and mucus)
Microbiome innate defense
microbiome competition of beneficial microbes inhibits growth of potential pathogens
Example of a microbiome innate defense
resident flora of vaginal area keeps candida albicans in check
Chemical mediators
produced to inhibit microbial growth
Endogenous
produced by host
Exogenous
resident microbiota produced
Can be continuously produced or in response to a stimulus and can work alone or in conjunction with other substances
chemical mediators
What does Lactobacilli ferment?
glycogen to produce lactate which lowers pH making a more acidic environment (pathogen prevention)
Sebum oil produced by sebaceous gland to seal off pores
endogenous example
Proprionibacterium acnes digest sebum to produce oleic acid and lower skin pH
exogenous example
Saliva produced in oral cavity (saliva contains lactoperoxidase system that catalyzes the activity of hydrogen peroxide)
endogenous example
In the digestive system stomach acid, pancreatic and intestinal enzymes, cryptins, liver bile, Paneth cells eliminate most pathogens
endogenous examples
Lactobacilli in the vagina ferment glycogen to produce lactate, lowering pH
exogenous example
Antimicrobial peptides (AMPs)
cell-derived mediators with broad-spectrum antimicrobial properties that damage membranes, destroy DNA/RNA, or cell wall synthesis
Bacteriocins
resident microbiota, gastrointestinal tract, bacteria, disrupts membrane
Cathelicidin
epithelial cells, macrophages, other cell types, skin, bacteria and fungi, disrupts membrane
Defensins
epithelial cells, macrophages, and neutrophilis, throughout the body, bacterial/fungi/viruses, disrupts the membrane
Dermicidin
sweat glands, skin, bacteria/fungi, disrupts the membrane and ion channles
Histatins
salivary glands, oral cavity, fungi, disrupts intracellular functions
Plasma mediators
antimicrobial compounds that are found in blood plasma
Acute phase proteins
produced in liver and secreted into blood
Acute phase proteins - C - reactive proteins and serum amyloid A
coats bacteria (opsonization), preparing them for ingestion by phagocytes
Acute phase proteins - Ferritin and Transferrin
bind and sequester iron, thereby inhibiting the growth of pathogens
Acute phase proteins - Fibrinogen
involved in the formation of blood clots that trap bacterial pathogens
Acute phase proteins - Mannose-binding lectin
activates complement cascade
Complement system
antimicrobial but also connects innate with adaptive immunity
Precursor proteins float in blood until what?
compliment activation (through 3 pathways)
Complement system - Alternative pathway
initiated by the spontaneous activation of C3
Complement system - Classical pathway
SPECIFIC ANTIBODY bind to pathogen, activating C1 complex
C1 complex
multipart protein complex; each component required for full activation overall. After C1, remaining classical pathway recruited and activated in a cascade
Cytolysis
bursting of cells
Chemotaxis
movement of immune cells
Complement system - Lectin pathway
triggered by binding of mannose-binding lectin to carbohydrates on microbe
Lectins (acute-phase proteins) is unregulated because of what?
inflammatory response
Lectin pathway protective outcome
Opsonization - coating of a pathogen by a chemical substance (opsonin) to be phagocytized more easily
Opsonization
coating of a pathogen by a chemical substance (opsonin) to be phagocytized more easily
Membrane attack complex (MAC)
•complex of C6, C7, C8, C9; forms pores in the membranes of G-, water, ions, etc. move through pores leading to cell lysis and death, Cannot penetrate thick peptidoglycan of G+
Cytokines
communication PROTEINS that can stimulate immune cells to produce chemical defenses
Cytokine molecular messengers - Autocrine
same cell secretes and receives cytokine signal
Cytokine molecular messengers - Paracrine
cytokine signal secreted to a nearby cell
Cytokine molecular messengers - Endocrine
cytokine signal secreted to circulatory system, travels to distant cells "train"
Cytokine classes - Interleukins
help recruit immune cells to infection site
Cytokine classes - Chemokines
help recruit specific leukocytes
Cytokine classes - Interferons
released by cells with viral infection to recruit immune cells
Inflammation eliciting mediators
cytokines can induce production of various inflammatory mediators: histamine, leukotrienes, prostaglandins, bradykinin
Histamine
causes bronchoconstriction
Leukotrienes
to induce coughing, vomiting, diarrhea
Prostaglandins
induce fever
Bradykinin
induce permeability in capillaries; contributing to edema (helps immune cells get out of capillaries to get to infection)
What plays a key role in innate immuity
white blood cells
Hematopoiesis
differentiation of blood cells from bone marrow stem cells
Granulocytes
innate WBCs (neutrophils, eosinophils, basophils)
Agranulocyte exception
natural killer cells
Neutrophils characteristics
3-5 connected lobes, small purple granules
Eosinophils characteristics
2-3 lobes, large red/orange granules
Basophils characteristics
2 lobes, larger purple granules
Involved with destruction of extracellular bacteria and produces defensins and hydrolytic enzymes
Neutrophils
NETS
neutrophil extracellular traps. Mesh of chromatin with AMPS to trap pathogens
Pus formation is visible at the site of infection. What does pus contain?
leukocytes, cellular debris, and bacteria
Good protection against protozoa and helminths
Eosinophils
What do the eosinophil granules contain?
histamine, degradative enzymes, and MAJOR BASIC PROTEIN (MBP)
Activated by complement cascade and is important in allergic reactions and inflammatory responses
Basophils
Basophil granules contain what?
histamine and cytokines
Interluekins in cytokines are found in what category?
basophil category
Derived from the same source cell as neutrophils, eosinophils, and basophils. Similar function to basophils
Mast cells
Where are mast cells found?
reside in surrounding tissue and associated with blood vessels and nerves or found close to surface structures (skin and mucous membranes)
Lack visible granules in cytoplasm
Agranulocytes
What are two types of agranulocytes
lymphocytes and monocytes
Lymphocytes
natural killer cells (innate immune system) and B cells and T cells (adaptive immune system)
Natural killer cells - Agranulocytes
seek out non-self markers by recognizing the MHC PROTEIN. Can express cytokines and cytotoxic molecules stored in granules to kill non-self cells.
What does the MHC protein do?
is on host cells and tells natural killer cells not to kill them. When cells are infected they do not have it.
What do natural killer cells use to induce apoptosis?
perforin and granzymes
Largest constituent of WBCs and can differentiate into tissue-specific phagocytes
monocytes
Macrophage
specialized in tissues
Dendritic cells
skin and mucous membranes
What two cells are apart of monocytes
macrophages and dendritic cells
Tissue - brain and central nervous system
macrophage - microglial cells
Tissue - liver
macrophage - Kupffer cells
Tissue - lungs
macrophage - alveolar macrophages (dust cells)
Tissue - peritoneal cavity
macrophage - peritoneal macrophage
Phagocytes that travel to infection site. Site is entered through diapedesis, and initiated by complement factor 5a and cytokines
Leukocytes
Diapedesis or extravasation
process of leukocytes passing through capillary walls to tissues
Flattening out and squeezing through cellular junction after "rolling adhesion"
Transendothelial migration