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Primary function of the immune system
To detect injury and return tissues to homeostasis.
Chronic inflammation
The result when tissue cannot be repaired or an infection cannot be cleared.
Infection vs. Disease
Infection is microbial invasion; disease is the resulting clinical damage or dysfunction.
PAMPs
Pathogen-Associated Molecular Patterns; recognized by the innate immune system.
DAMPs
Damage-Associated Molecular Patterns; signals of tissue damage recognized by innate immunity.
Innate Immunity (Timing)
The immediate response, acting within minutes to hours of microbial invasion.
Adaptive Immunity (Timing)
A slowly developing response, taking days to weeks to become fully effective.
Soluble components of Innate Immunity
Complement, antimicrobial proteins/peptides (defensins), and cytokines.
Cellular components of Innate Immunity
Phagocytosis, reactive oxygen/nitrogen species, and induction of adaptive responses.
Humoral Adaptive Immunity
Involves B cells, immunoglobulins (antibodies), and the complement system.
Cell-mediated Adaptive Immunity
Involves T cells and Antigen-presenting cells (like Dendritic cells).
Extracellular pathogen defense
Cell-independent killing (complement) and antibody opsonization for phagocytosis.
Intracellular pathogen defense
Cytotoxic T cells, NK cell cytotoxicity, and Helper T cell cytokines.
Immunologic Memory
The ability of adaptive immunity to provide enhanced protection upon repeated exposures.
Hematopoietic stem cell
The bone marrow cell from which all immune cells arise.
Primary lymphoid organs
Sites where precursor cells complete development, such as the Thymus and Bursa/Bone Marrow.
T cell maturation site
The Thymus.
B cell maturation site
The Bursa (in birds) or Bone Marrow.
Symbiotic microbes
Non-dangerous microbes on barriers (skin, GI tract) that can be beneficial.
Cost of immune response
Expansion of specific cells, production of mediators, and potential tissue damage.
Immune Over-function
Leads to allergy, hypersensitivity, or autoimmune disease.
Immune Under-function
Leads to primary immunodeficiency or susceptibility to infection.
Vaccines
Therapeutics that mimic natural infection to induce immune memory.
Immunotherapies
Treatments that exploit immune knowledge, such as inhibiting cancer-induced suppression.
Antigen-binding receptors
Highly specific, diverse receptors characteristic of the adaptive immune response.
Immediate Innate Immune Response
0 to 4 hours
little to no tissue damage
preformed soluble effector molecules and resident effector cells in the infected tissue
Induced innate immune response
4 hours to 4 days
Activation of resident cells
-Recruitment of effector cells
-Inflammation, Fever
-Acute phase response
-Soluble effector molecules and effector cells recruited and pathogen is attacked
Adaptive Immune Response
4 days until the defeat of the pathogen, defeat of the host, or the truce of the chronic disease
-Secondary lymphoid tissue is made aware of the infection
-Reactive B & T cells are identified in secondary lymphoid tissue
-B & T cells proliferate and mature to become effector cells
-Antibodies and effector T cells moves to infection
-Pathogen dies or host dies
hematopoietic stem cells -> Common lymphoid precursor -> 1. ____ 2. ____
B Cell
NK/T Cell Precursor
B Cell -> ____
Plasma Cell
hematopoietic stem cells -> Common Myeloid Precursor -> 1. , 2.
Megakaryocyte/Erythroid Progenitor
Granulocyte-macrophage progenitor
Megakaryocyte/Erythroid Progenitor -> 1. -> 2.
Megakaryocyte
platelets
Megakaryocyte/Erythroid Progenitor -> 1. -> 2.
Erythroblast
Erythrocyte
Granulocyte-macrophage progenitor -> 1., 2., 3.
Neutrophil
Eosinophil
Basophil
Granulocyte-macrophage progenitor -> Macrophage and dendritic precursor -> 1. -> 2., 3.
Monocyte
Macrophage
Dendritic Cell
Granulocyte-macrophage progenitor -> unknown precursor -> 1.
Mast Cell