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Immune system components
Cellular and molecular structures, not organs like other systems
Immunity
The goal of the immune system; protection from harm
Pathogens
Infectious agents that can damage or kill a host
Bacteria
Single-celled prokaryotes that lack a nucleus, nuclear envelope, and organelles, and are enclosed by a cell wall
Viruses
Pieces of DNA or RNA in a capsid (protein shell) that must enter a cell to reproduce (obligate intracellular parasites)
Fungi
Eukaryotes with a plasma membrane and cell wall that include mold, yeast, and multicellular fungi that produce spores; release proteolytic enzymes that induce inflammation
Protozoans
Eukaryotes without a cell wall; are called parasites when they cause disease
Parasitic worms
Nonmicroscopic multicellular parasites that take nourishment from host they reside in
Prions
Fragments of infectious proteins that cause damage in nervous tissue; are neither viruses nor bacteria
Immune response
Collective term for all physiological processes of the immune system components
Innate immune response
Provides the first and general/nonspecific response; immune response we are born with
Adaptive immune response
Provides a specific, custom-made response that takes days to respond fully; must have encountered the attacking pathogen to engage
Branches of adaptive immunity
1. Cell-mediated immunity
2. Antibody-mediated immunity
Cell-mediated immunity
Does not rely on antibodies; involves T-lymphocytes reacting directly with antigens
Antibody-mediated immunity
Involves B-lymphocytes, plasma cells, and antibodies to neutralize or eliminate pathogens
Nonspecific internal defenses
-Selected immune cells
-Antimicrobial proteins
-Inflammation
-Fever
The two types of immunity differ based on
-Cells involved
-Specificity of cell response (what antibody attacks each cell)
-Mechanisms of eliminating harmful substances
-Amount of time for response
First line of defense
Skin and mucous membranes (keep pathogens out)
Second line of defense
Internal processes such as activities of immune cells (neutrophils, macrophages, etc.), chemicals (interferons and complement), and physiological processes (inflammation and fever)
Leukocytes
WBCs that are formed in the red bone marrow
Cytokines
Small proteins that regulate immune activity; produced by both the innate and adaptive immune cells and act as chemical messengers released from one immune cell that bind to the receptors of the target cell
Effects of cytokines
-Regulates cell-to-cell communication
-Controlling the development and behavior of immune cells
-Regulating immatory response
Autocrine cytokines
Act on the cell that released it
Paracrine cytokines
Act on locall cells (no not circulate through blood)
Endocrine cytokines
Act on distant cells after circulating through blood
Antigens
Unique molecule on the surface of a pathogen that bind to a component of the adaptive immune system, which trigger immune responses to produce antibodies; lymphocytes must distinguish between foreign and self-antigens
Examples of antigens
-Antigens on the capsid of a virus
-Antigens of cell walls of bacteria
-Tumor antigens of cancer cells
Immunogen
An antigen that produces an immune response
Haptens
A small molecule that is too small to cause an immune response, but becomes antigens when attached to a host molecule
Phagocytosis
Engulfing unwanted substances that is performed by dendritic cells, macrophages, and neutrophils, in which all three present antigens to B cells
Respiratory burst
Production of reactive oxygen-containing molecules that help destroy pathogens
Chemotactic chemicals
Chemicals released by basophils and mast cells that attract immune cells and promote inflammation
Histamine
Increases vasodilation and capillary permeability
Heparin
Acts as an anticoagulant
Eisosanoids
Released from the plasma membranes of basophils and mast cells that increase inflammation
Natural killer (NK) cells
Lymphocytes that destroy unhealthy (e.g., viral- and bacterial-infected cells, tumor cells, etc.) by releasing chemicals and perform immune surveillance
Perforin
Creates a transmembrane pore
Granzymes
Enters pores created by perforin and causes apoptosis
Eosinophil immune response
-Attack parasitic worms
-Degranulate, release enzymes and other toxic substances via forming transmembrane pores in parasites
-Participate in immune responses of allergy and asthma
-Engage in phagocytosis of antigen-antibody complexes
Pattern recognition receptors
Receptors on microbe's cell surface that bind to cells of the innate immune system
Antimicrobial proteins
Function against microbes
Interferons
A class of cytokines that nonspecifically interferes with the spread of intracellular parasites
IFN-alpha and IFN-beta
Bind to neighboring cells and prevent their infection, inhibits synthesis of viral proteins, and stimulates NK cells to destroy virus-infected cells; produced by leukocytes and virus-infected cells
IFN-gamma
Stimulates macrophages to destroy virus-infected cells; produced by T-lymphocytes and NK cells
Complement system
Group of over 30 plasma proteins that help antibodies to fight infections by attaching to the surface of a pathogen enters; made by the liver and circulate in blood
Classical pathway of complement
Help antibodies by attaching to antibodies of foreign substances
Alternative pathway of complement
Helps and binds to polysaccharides of bacterial or fungal cell wall
Lectin pathway of complement
Lectin protein binds to carbohydrates on some microbes and complement attaches to lectin
Inflammation
An immediate local, nonspecific response of vascularization tissue to injury or infection; major response of innate immune system
Events of inflammation
1. Release of chemicals by pathogens, basophils, and neutrophils such as histamine, leukotrienes, prostaglandins, and chemotactic factors
2. Released chemicals cause vasodilation and capillary permeability; cells increase leukocyte attachment
3. Recruitment of leukocytes
Cell-adhesion molecules (CAMs)
Increased endothelial expression of molecules for leukocyte adhesion
5 cardinal signs of inflammation
1. Redness
2. Heat
3. Swelling
4. Pain
5. Loss of function
Redness (rubor)
Increased blood flow due to vasodilation
Heat (calor)
Increased blood flow and increased metabolic activity within the area
Swelling (tumor)
Increase in fluid loss from capillaries
Pain (dolor)
Stimulation of pain receptors due to compression from extra fluid and chemical irritants
Loss of function (functio laesa)
From pain and swelling in severe cases
Margination
The physical adhesion of leukocytes to endothelial CAMs
Diapedesis
Cells escape BV
Chemotaxis
Leukocytes migrate towards chemicals released from damaged, dead, or pathogenix cells
Acute and chronic inflammation
Acute inflammation usually lasts 8-10 days
Chronic inflammation has detrimental effects
Inflammatory time frame
Inflammation slows after 72hr as macrophages eat bacteria, damaged host cells, and dying neutrophils
Blood clotting
-Seal microbes out by having plasma proteins arrive to the injury site
-Plasma proteins include antibodies, complement, clotting proteins, and kinins
-Leukocytes release cytokines that stimulate leukopoiesis in bone marrow
Pyrogens
Fever-inducing molecules released by macrophages
Fluid at injury site
Higher percentage of fluid is taken up by the lymphatic system to monitor contents of blood and prevent spread of infection
Pyrexia
Abnormal body temperature elevation (fever); 2F or more than normal; results from the release of pyrogens
Benefits of fever
-Inhibits reproduction of bacteria and viruses
-Promotes interferon activity
-Increases activity of adaptive immunity
-Accelerates tissue repair
-Increases CAMs on endothelium of capillaries in lymph nodes, as well as additional immune cells migrating out of cells
-Recommneded to leave a low fever untreated
Events of fever
1. Onset
2. Stadium
3. Defervescence
Onset
Temperature begins to rise; hypothalamus stimulates constriction of dermal BV (blood moves towards core) and shivering of skeletal muscle generates heat
Stadium
Elevated temperature is maintained; metabolic rate increases to promote elimination of harmful substances
Defervescence
Time when temperature returns to normal; hypothalamus stimulates to release heat (e.g., vasodilation of skin BV, sweating)
CD4
Protein receptor located on helper T-cells
CD8
Protein receptor located on cytotoxic T-cells
BCR
Protein receptor (antibody) located on B-cells
Events in the life of a lymphocyte
1. Formation and selection
2. Activation
3. Effector response
Formation and selection
Lymphocytes become able to recognize one specific foreign antigen; occurs in primary lymphoid structures
Activation
Migration to secondary lymphoid structures
Effector response
Lymphocytes are first exposed to antigen and become activated; replicate to form identical lymphocytes
Helper T-cells
T-lymphocytes that regulate cells of the adaptive and innate immune systems; release cytokines
Cytotoxic T-cells
Destroy unhealthy cells by apoptosis
Memory T-cells
Persist in the body after an infection to provide long-term protection against future exposures to the same pathogen
Plasma cells
Produce antibodies
B cells
Sense the need for antibodies and stimulate plasma cells (matured B cells) to produce them
Neutralization
An antibody physically covers the area the pathogen uses to enter the cell and makes it ineffective in establishing infection
Agglutination
An antigen-antibody complex is formed and antibodies link to multiple pathogens forming clots
Precipatition
An antibody cross-links circulating antigens, becomes insoluble, precipitates out of body fluids, and gets phagocytized
Classes of immunoglobulins
1. IgG
2. IgM
3. IgA
4. IgD
5. IgE
IgG
Most common immunoglobulin (75-85%) in blood and other bodily liquids that can participate in all types of antibody actions; only immunoglobulin that can cross the placenta
IgM
Found mostly in blood and has a pentamer structure that is effective at agglutination and binding complement; responsible for rejection of mismatched tranfusions
IgA
-Found in areas exposed to the external environment and is composed of two antibody molecules
-Produced in mucus, saliva, tears, and breastmilk, and protects the respiratory and GI tracts
-Prevents pathogens adhering to and penetrating epithelium via agglutination
IgD
Functions as a B-cell receptor to identify and regulate immature lymphocytes ready for activation; found on the surface of B-cells and in serum
IgE
Activated in response to parasites and allergic reactions, which attracts eosinophils and release of products from basophils and mast cells
Immunological memory
Results from formation of a long-lived army of lymphocytes after exposure to a specific antigen
Primary response
The first time the immune system encounters a specific pathogen and is slow at producing antibodies; no detectable antibodies for 3-6 days and IgM and IgG produced within 1-2 weeks
Secondary response
The second time the timmune system encounters a specific pathogen and produces antibodies much more quickly
Lag phase
The period of little or no antibody production; longer in primary response and shorter in secondary phase
Antibody titer
Concentration of antibody that can measure the development of antibodies; initial exposure can be via active infection or vaccine
Vaccines
Contain weakened or dead pathogens to stimulate the immune system to develop memory B-cells; may provide lifelong immunity or require a booster shot
Herd immunity
Resistance of members within a population to a disease due to a high proportion (~83-94%) of people who are immune to the disease, so that the number of infectible people are low
Active immunity
Results from a direct encounter with the pathogen where memory cells against the specific pathogen are formed