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Skin (1st line of defense)
top layer is made of dead cells filled with keratin
waterproof
shedding removes outer epithelial layers
flushing effect of sweat glands helps remove microbes
Mucous membranes of digestive, urinary, respiratory tracts and the eye
Moist and permeable
easier to cross without keratinized layer
mucous coat prevents entry and attachment of bacteria
Respiratory tract
nasal hair
cilia lining nasal cavity sweep debris upwards (mucocililary elevator) then swallowed to be killed by stomach acid
sneezing, coughing
Urinary tract
flushing of urine to remove bacteria from urinary tract
Skin and mucous membranes
sebaceous glands exert antimicrobial effect
secrete lysozyme that breaks down peptidoglycan in cell walls
lactic acid in sweat and fatty acid content are going to lower the skin pH to be acidic
Stomach
flush by peristalsis
hydrochloric acid
Intestines
digestive juices
bile
Defensins
small peptides that poke holes in cells
SurA pokes holes in E. coli
important for innate immunity
Phagocytosis overview
phagocytic cell attaches to bacterium
phagocyte pseudopods extend and engulfs organism
Ingests into phagosome, fusion with lysosome turn into phagolysosome
Enzymes will break down pathogen
waste material released
Recognizing alien cells and particles
Bacteria and viruses contain unique structure that immediately tag them as foreign
look for MAMPs (Microbial- associated molecular patterns; pili, LPS, flagella, cell wall)
our cells have PRRs (pattern recognition receptors) that look for MAMPs
TLRs (toll-like receptors)
also look for MAMPs
TLR4 looks for LPS (G-)
TLR2 looks for Techoic acid (G+)
PRRs (pattern recognition receptors)
can be inside cell to recognize structures hidden
signal pathways will produce cytokines (small peptides) after pathogen engulfed and tells other cells possible infection
Pathogens can produce a capsule around bacteria, so we must use Opsonization
antibodies’ arms bind to pathogen, stem will interact with immune cells
neutrophils and macrophages will bind to antibodies and engulf bacteria
Phagolysosome
permits anerobic and aerobic pathways
Anerobic (Lysozyme will break down peptidoglycan, Lactoferrin will trap iron and keep it away, Defensins will poke holes, Hydrolases will break down macromolecules)
Aerobic (oxidative/ respiratory burst, oxygen radicals (superoxide ion and hydrogen peroxide; they will damage DNA)
Ways pathogens can survive phagocytosis
some live in phagolysosome
escape from phagosome
stays in phagosome but secretes proteins that prevent fusion with lysosome
Can enter host cell and kill it by triggering apoptosis
complement system (C)
produce MACs (membrane attack complexes) that make large hole into membrane
are made in liver (inactive) and are activated by being cleaved
Complement system regulation (how body protects our immune system)
CD59 (protectin)
cell surface protein that inhibits MAC formation
Factor H (always active)
circulating protein that inhibits any C3b
During inflammation (2nd line of defense)
resident-macrophages engulf pathogens and secretes cytokines and chemoattractants to cause pain and swelling and alert neutrophils and granulocytes
Cytokines
more permeable membrane and causes dilation of blood capillary
secrete selectins and ICAMs/VCAMs on wall of capillary
Selectins
select for neutrophils and WBCs
attract WBCs/neutrophils and cause to roll on walls
ICAMs and VCAMs
stop neutrophil rolling and squeeze (extravasation) through gap of endothelial cells and go to site of infection
at the end of infection
inflammation ends
neutrophils trigger apoptosis
Interferon
interfere with pathogenic replication
two types
Type 1 Interferon
warn cells about intracellular pathogen
produced when cell infected, get out and bind to neighboring cells to warn
induce dsRNA-activated endoribonucleases to break down viral RNA and protein kinases to inactivate ribosomes
How is a fever generated
exogenous pyrogen (pathogen) is engulfed by immune cells (macrophages, lymphocytes), which activate immune cells
Endogenous pyrogen (cytokines; IL-1) travels through blood circulation
Anterior hypothalamus (prostaglandins reset hypothalamus to higher temperature)
increase “set point”
leads to fever (shivering, increased metabolism, vasoconstriction)
decreases body temperature (Crisis, vasodilation and sweating)
Why is a fever important
slows down replication
increases activity of neutrophils and macrophages