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pathogens only cause disease if…
it gains access via skin penetration or portals of entry
attaches itself to host cell
evades the host body mechanism
Humans naturally resist some pathogens because…
our cells dont have the cellular receptors for a pathogen to attach to
conditions in our body arent suitable for pathogen to grow
Our body temperature and pH levels make it hard for pathogen to survive
First line of defense
skin
mucous membrane
secretions
reflexes
normal microbiota
Second line of defense
inflammation
phagocytes
fever
complement system
interferon
Third line of defense
T cell lymphocytes
B cell lymphocytes
antibodies
Physical aspects of skin that prevent pathogen entry
epidermis acts as physical barrier
continuous shedding of epidermal cells
dendritic cells in the epidermis
collagen fibers in dermis
Chemical aspects of skin that prevent pathogen entry
antimicrobial peptides
dermcidin in sweat
lysozyme in swat
sebum from sebaceous gland
Location of mucous membranes
respiratory tract
digestive tract
urinary tract
salivary glands
lactating breast
lacrimal glands
tonsils and adenoids
Physical protection by mucous membranes
tightly packed epithelial cells
shedding of epithelial cells
goblet cells and mucus secretion
ciliated columnar cells in trachea
dendritic cells beneath epithelium
chemical protection by mucus membrane
antimicrobial peptides (defensins)
acidic environment in mucus membrane
lysozyme in nasal mucus
What is the lacrimal apparatus
a system of structures that produce and drain tears to maintain moisture and cleanliness
what does the lacrimal apparatus do
secrete tears and the tears travel through the ducts on to the surface of the eye
where do tears go?
-they either evaporate or drain into lacrimal canals
-they flow into nasolacrimal ducts which empty into nose
-tears mix with nasal mucus and flow into the pharynx where they are swallowed
Normal microbiota in the skin
staphylococcus epidermis, bacterium acnes, micrococcous luteus
Normal microbiota in the oral and respiratory tract
streptococcus salivarius, streptococcus mutans
Normal microbiota in the gastrointestinal
E. coli, lactobacillus, bacteroids species
Normal microbiota in the urogenital tract
lactobacillus, staphylococcus saprophyticus
Normal microbiota in the intestinal tract
bifidobacterium enterococcus
How do microbiota protect against disease
competition for nutrients
pH modification
stimulation of immune response
antimicrobial production
vitamin production
antimicrobial peptides (defensins) do what
help the body fight infections by targeting microorganisms
antimicrobial peptides are found where
mucus membranes, skin, and neutrophils
antimicrobial peptides are activated how
triggered by sugar and protein molecules on the surface of microbes
antimicrobial targets..
gram positive, gram negative, protozoa, fungi, or enveloped viruses
antimicrobial peptides mechanisms of action
membrane disruption
immune system activation
bacterial capture
components of blood
plasma, WBC, RBC and platelets
what is blood
a complex liquid tissue composed of cells and portions of cells within a fluid called plasma
what is plasma
liquid component of blood, composed of water, electrolytes, dissolved gases, nutrients and proteins
types of plasma proteins
transferin, ferritin, siderophores, lactoferrin, complement proteins, antibodies/immunoglobins
functions of plasma proteins
clotting
iron binding
complement protein
antibodies
Hematopoiesis (begins and branches)
begins in bone marrow with stem cell
branches into 3 pathways: erythroid, myeloid, or lymphoid cells
Erythroid branch
produces erythrocytes, focuses on gas transportaion
Myeloid branch
makes platelets, basophils, neutrophils, eosinophils, and monocytes
Lymphoid branch
includes cells for adaptive immunity: B, T and NK cells
cells of hematopoiesis
erythrocytes: most numerous—carries oxygen and carbon dioxide
platelets: pieces of megakaryocytes: involved in blood clotting
What are neutrophils
(granulocyte) phagocytic pathogens perform diapedesis allowing them to exit the bloodstream and attack invading microbes in tissues
What are eosinophils
(granulocyte)phagocytic pathogens defend against parasitic worms, present in large numbers during allergic reactions
what are basophils
(granulocyte) can leave blood via diapedis. do not phagocytize but do release inflammatory chemicals contributing to immune response
what are lympocytes
(agranulocytes) most are involved in adaptive immunity: B, T and NK cells
what are monocytes
(agranulocytes) leave blood via diapedesis and mature in macrophage
types of macrophages
wandering
fixed
types of second line of defense
phagocytosis, non-phagocytic killing by leukocytes, nonspecific chemical defenses, inflammation and fever
Phagocytosis
chemotaxis: phagocytes are chemically attracted to the site of infection
adhesion: phagocytes attaches to the surface of the microorganism
Ingestion: phagocyte extends pseudopods to surround the microbe. Pseudopods fuse internalizing the microbe into a food vesicle called the phagosome
phagosome maturation and microbial killing: lysosome fuses with phagosome creating a highly acidic, toxic environment that kills most pathogens
Elimination: once microbe is digested, phagocyte gets rid of debris. phagolysosome fuses to cell membrane and releases waste material out of the cell
death by eosinophils
adhesion: they attach to the surface of the parasite. (triggered by presence of antibody IgE
degranulation: releases content of its internal granules onto parasites surface
chemical weapons: granules contain highly toxic and enzymes
membrane damage: the chemicals work together to weaken and poke holes in the parasites tough outer membrane, killing it
NK perforin/granzyme pathway
NK cell releases perforins which punch holes in tumor cell’s membrane
granzyme B enters through the holes, activating enzymes that force the cell to undergo apoptosis or necrosis
NK death receptor pathway
FasL: Nk cell has a ligand (FasL) on its surface
Fas is a receptor on tumor cell
when the two connect, it triggers a death signal inside tumor cell, apoptosis occurs
NK antibody-dependent cellular ecotoxicity
Ab: if antibodies have already attached to an antigen (Ag) on the tumor cell then the NK cell can recognize them
the NK cell uses FcR to latch onto tail end of antibody
connection triggers NK cell to release deadly perforins and granzymes at the targer
death by neutrophils
degranulation: neutrophils vomit granules with toxic chemicals and antimicrobial proteins into extracellular space which destroy the bacteria’s cell walls or neutralize toxins before the enter the cell
phagocytosis: neutrophils wrap its membrane around the bacteria swallowing it into a phagosome, toxic granules fuse with phagosome creating a stomach filled with digestive enzymes and acids that dissolve the bacteria instantly
NETosis: neutrophil ejects DNA into the environment, DNA is coated in sticky proteins that look like nets. These nets act like a spiderweb and trap bacteria in place so they can’t spread while enzymes kill them.