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innate, natural defenses
present at birth, provide nonspecific resistance to infection. are 1st and 2nd lines of immunity
adaptive immunities
specific, must be acquired. 3rd line of immunity
what does the immune system rely on?
a multilevel network of physical barriers, immunologically active cells, and a variety of chemicals
first line of defense
any barrier that blocks invasion at the portal of entry
second line of defense
protective cells and fluids; inflammation and phagocytosis
third line of defense
acquired with exposure to foreign substance; produces protective antibodies and creates memory cells
which line of defense is the only specific one?
3rd line of defense
3 categories of defenses
physical or anatomical barriers at the body surface
chemical defenses
genetic resistance to infections
built-in defenses in the skin
outermost layer of ____ with epithelial cells cemented together, and impregnated with keratin
flushing effect of sweat
colonized by normal microbes
keratinized skin cells dead
unable to be infected by viruses
waterproof
normal microbes occupy _______ niches
ecological
mucous membranes
coating of digestive, genitourinary, and respiratory tracts
blinking and tear production
flow of saliva
flushing effect of urination, defecation, vomiting
the mucous coat does what?
impedes attachment and entry of bacteria
what happens when bacteria are trapped by mucus?
they are moved against the flow of gravity to the throat where they are either coughed out or swallowed
sebaceous secretions
oily secretion that helps waterproof skin, regulate temp of skin, and decrease sun damage
sebaceous secretions are naturally ________
antimicrobial
surfactant role on skin
causes sweat to coat skin rather than gather in droplets. mixes with oils in skin causes transient bacteria to “slip” off
_________ secreted onto eye with every blink
oily meibum
lysozyme
an enzyme that hydrolyzes the cell wall of bacteria
defensins
peptides that lyse bacteria and fungi
there are high concentrations of _________ and ________ in sweat
lactic acid and electrolytes
skin’s acidic pH
4.5-5.5
__________ acid in the stomach
hydrochloric
humans carrying the gene(s) for sickle-cell anemia are resistant to?
malaria
immunology
study of the body’s 2nd and 3rd line of defense
primary functions of a healthy immune system
surveillance of the body
recognition and differentiation of normal versus foreign material
attack against and destruction of entities deemed to be foreign
white blood cells have the innate capacity for what?
recognition and differentiation of any foreign material
non-self
foreign material that includes cells infected by a virus
self
normal cells of the body
pathogen-associated patterns (PAMPs)
molecules shared by organisms
pathogen recognition receptors (PRRs)
receptors on WBCs for PAMPs
immune cells have _____ on the surface and on their insides that can recognize PAMPs
sensors
body compartments that participate in immune function
reticuloendothelial system
extracellular fluid
bloodstream
lymphatic system
what is needed for effective immune responsiveness?
activities in one fluid compartment must be conveyed to the other compartments
reticuloendothelial system (RES)
network of connective tissue fibers that interconnects other cells and meshed with the connective tissue network surrounding organs
what is the RES inhabited by?
phagocytic cells, macrophages, and dendritic cells ready to attack and ingest microbes that passed the first line of defnese
whole blood
plasma and formed elements
serum
liquid portion of blood after a clot has formed
plasma
92% water, metabolic proteins, globulins, clotting factors, hormones, and other chemicals and gases to support normal physiological functions
hemopoiesis
production of blood cells
hematopoietic stem cells
undifferentiated cells, precursor of new blood cells
primary classes of progeny
platelets
RBCs
WBCs or leukocytes
what are responsible for immune system function?
leukocytes or WBCs
granulocytes
lobed nucleus, contain granules
agranulocytes
unlobed, rounded nucleus; no granules
types of granulocytes
neutrophils
eosinophils
basophils
mast cells
neutrophils
lobed nucleic with lavendar granules; phagocytes; first reponders
what do neutrophils do?
phagocytosis
what can neutrophils do?
unravel their DNA and toss it outside of the cell in a process called NETosis
eosinophils
orange granules and bilobed nucleus; destroy eukaryotic pathogensw
what are high levels of eosinophils in blood associated with?
parasitic infection
what does the detection of a parasite cause eosinophils to do?
drop histamine-containing granules
histamine
causes mucus production and smooth muscle contraction
basophils
bilobed nucleic; dark blue granules; release potent chemical mediators
what are basophils and mast cells associated with?
allergies
mast cells
not found in circulation. nonmotile elements bound to connective tissues
types of agranulocytes
lymphocytes
monocytes
T cells
modulate immune functions and kill foreign cells
B cells
produce antibodies
macrophages main function
phagocytosis
professional antigen presenting cells (APC)
present pieces (antigens0 of things they’ve eaten to adaptive immune cells
why do dendritic cells do phagocytosis?
for the purpose of presenting antigen to adaptive immune cells
primary function of dendritic cells
antigen presentation
erythrocytes
develop from bone marrow stem cells, lose nucleus; simple biconcave sacs of hemoglobin
platelets
formed elements in circulating blood that aren’t whole cells
what does lymphatic system provide?
an auxiliary route for return of extracellular fluid to circulatory system
what does the lymphatic system act as
a drain-off system for the inflammatory response
small amount of blood plasma squeezes of out vessels with every heartbeat
contains sample of everything in blood l
lymph flows over immune cells into ______
lymph nodes
lymph
plasma-like liquid carried by lymphatic circiulation
when is lymph formed?
when blood components move out of blood vessels into extracellular space
what does lymph transport?
WBCs, fats, cellular debris, and infectious agents
lymphatic capillaries
permeate all parts of body except CNS, bone, placenta, and thymus
_______ easily permeated by extracellular fluid which is then moved though contraction of skeletal muscles
thin walls
function of lymphatic vessels
to return lymph to circulation
lymph flow is _________ meaning towards the heart to the bloodstream
unidirectional
what are the primary lymphoid organs
thymus
lymph nodes
spleen
primary organs
site of lymphocytic origin and maturation. thymus gland and bone amrrow
secondary organs and tissues
circulatory-based locations that encounter microbes. lymph nodes, spleen, MALT, and GALT
tymus
high growth and activity till puberty, then begins to shrink
what is site of T cell maturation
thymus
lymph nodes
Small, encapsulated, bean-shaped organs along lymphatic channels and large blood vessels of the thoracic and abdominal cavitie
what do lymph nodes filter?
lymph; provides niches for adaptive immune cell activation
spleen
Structurally similar to lymph node; filters circulating blood to remove worn out RBCs and pathogens
mechanisms that play important roles in host defenses
inflammation, phagocytosis, interferon, and complement
inflammatory response
reaction to any traumatic event in the tissues that attempts to restore homeostasis
what happens when tissue damage causes inflammation?
Damage Associated Molecular Patterns (DAMPs)released and detected by the immune system
4 cardinal signs of inflammation
redness
warmth
swelling
pain
redness (rubor)
increased circulation and vasodilation in response to chemical mediators
warmth (color)
heat given off by increased blood flow
swelling (tumor)
increased fluid in the tissues as blood vessels dilate
pain (dolor)
stimulation of nerve endings
major inflammatory events
injury/immediate reactions
vascular reactions
edema and pus formation
resolution/scar formation
injury/immediate reactions
blood vessels narrow; blood clots; and mast cells release chemokine and cytokines into injured area
chemokines
small proteins that recruit cells to damaged/infected areas
cytokines
small proteins that tell cells how to behave
vascular reactions
nearby blood vessels dilate; increased blood flow; increased vascular permeability; increased leakage of fluid forms exudate
edema and pus formation
collection of fluid; edema/swelling; infiltration by neutrophils; and formation of pus
resolution/scar formation
macrophages, lymphocytes, and fibroblasts migrate in; initiate immune response and repair of injury; scars and loss of normal tissue
chemotaxis
migration in response to specific chemokine, realized at the site of injury or infection