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Pyrexia
aka fever
a controlled rise in body temperature due to a higher hypothalamic set-point
triggered by pyrogens released during infection or inflammation
Pyrogens
fever causing substances
Pyrogens are released by…
neutrophils
macrophages
B lymphocytes
epithelial cells
glial cells
Describe the process of a fever
Pyrogens are released
Pyrogens reach the hypothalamus
they trigger enzymes that liberate arachidonic acid
Arachidonic acid is converted to PGE2
PGE2 raises the hypothalamus set-point (acts like turning up a thermostat) and inhibits pathogen reproduction
How does the body respond when the hypothalamic set point rises?
vasoconstriction —> less blood flow to skin —> feels cold
shivering —> generates heat
piloerection (goosebumps) —> traps air
increased metabolism —> produces more internal heat
You feel ___ when the fever is climbing, and ___ once it is reached.
chilly; hot
What are the body’s temperature reducing responses following a fever?
vasodilation
sweating
increased ventilation
What are the two key functions of the innate immune system?
immune clearance
complement
What are the key players in immune clearance?
RBCs
CR1
C3b
antibodies
What is the main function of immune clearance?
to remove pathogens bound to antibodies / complement via RBCs
What is the outcome of immune clearance?
pathogens are carried to the liver or spleen for destruction
Describe the process of natural immune clearance
RBCs act as a transport helper
pathogens are tagged with antibodies and complement proteins (C3b)
RBCs have receptors called CR1 that bind to C3b on the pathogen
The RBCs carry the pathogen to the spleen or liver for destruction
Describe the process of HP (heteropolymer) system immune clearance
shows an engineered version of the natural immune clearance process
however, instead of C3b, a heteropolymer links antibodies to RBCs to help the immune system remove pathogens more efficiently
What is the main function of the complement system?
to directly kill pathogens by forming pores
Leukocytes (WBCs)
the body’s disease fighting cells
True or False: WBCs spend little time in the blood stream
true; instead they migrate through capillary walls (a process called diapedesis) and move into connective tissue
Leukocytes make up about ___ percent of your blood.
1%
How long do leukocytes live for?
roughly 10 days
Innate cells
fast, general, short-term defense
ex: macrophages, neutrophils, eosinophils, natural killer cells
Macrophages
engulf and digest pathogens
Neutrophils
first responders that fight bacteria
Eosinophils
fight parasites and help with allergic rxns
Natural Killer cells
destroy virus-infected or cancerous cells
Adaptive cells
slower, specific, long-term defense
ex: T and B cells
B cells
make antibodies that recognize specific invaders
T cells
include Helper T cells that coordinate immune responses
include cytotoxic T cells that kill infected cells directly
Neutrophils, eosinophils, and macrophages practice ____.
phagocytosis to engulf pathogens.
Cytotoxic T cells and NK cells are ____.
cytotoxic, meaning they kill infected or cancerous cells
What do plasma cells produce?
antibodies
What is the most extensive division of human lymphoid tissue?
mucosal macrophages
MALT
mucosal macrophages associated with lymphoid tissue
GALT
mucosal macrophages associated with the gut
BALT
mucosal macrophages associated with the bronchial-associated lymphoid tissue
NALT
mucosal macrophages associated with nasal lymphoid tissue
VALT
mucosal macrophages associated with the vaginal lymphoid tissue
What do antigen presenting cells do?
label our cells as ours
cradle antigens on the cell surface, specifically the MHC (major histocompatibility complex)
What are the two types of major histocompatibility complexes (MHC)?
MHC 1: T cytotoxic
MHC 2: T helper
What are the things that the Major Histocompatibility Complexes (MHCs) may do?
program a group of B cells to produce antibodies
Suppress the production of an antibody
Directly kill the pathogen
What are examples of humoral immunity?
B cells and antibodies
What are examples of cellular immunity?
T cells and assistive immune responses
What are the four classifications of T Lymphocytes?
Cytotoxic T-cells
Helper T-cells
Suppressor T-cells
Memory T-cells
Cytotoxic T-Cells
attack infected or cancerous cells via chemotaxis
Helper T-Cells
an intermediary between innate and adaptive immune cells
Suppressor T-Cells
prevents excessive responses by other T-cells by suppressing them
Memory T-Cells
long-lived cells that remember previous antigens and respond quickly upon re-exposure
Where do B lymphocytes mature?
in the bone marrow
What do B lymphocytes do?
they migrate to lymph tissues and organs, where they differentiate into plasma cells
these plasma cells then produce and circulate antibodies; and protect immunoglobulins
What do immunoglobulins do?
they protect the body from antigens by neutralizing them
they initiate acute inflammatory reactions to control the spread of antigens and destroy them