physically remove; urine, feces, blinking, cilia, shedding, and mucus
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Microbiome Innate Defense
microbiome competition of beneficial microbes inhibits growth of potential pathogens; secrete own defenses; EX: resident flora of vaginal area keeps C. albicans in check
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Chemical Mediators
produced to inhibit microbial growth; can be produced by host (endogenous) or resident microbiota (exogenous)
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chemical defenses
1. Body fluids 2. Antimicrobial peptides 3. Plasma protein mediators 4. Cytokines 5. Inflammation eliciting mediators
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endogenous examples
- sebum oil produced by sebaceous gland to seal off pores - saliva produced in oral cavity - In the digestive system stomach acid, pancreatic and intestinal enzymes, cryptins, liver bile, Paneth cells eliminate most pathogens - tear production
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exogenous examples
- Propionibacterium acnes digest sebum to produce oleic acid (olay) and lower skin pH - Lactobacilli in the vagina ferment glycogen to produce lactate, lowering pH
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Antimicrobial peptides (AMPs)
cell-derived mediators with broad-spectrum antimicrobial properties; AMPs can damage membranes, destroy DNA/RNA, or cell wall synthesis; Some are specific to Gram (+) or Gram (-); others broad-range (bacteria fungi, protozoa, viruses)
Though complement activation initiation is __________, protective outcomes are the __________
different; same
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Opsonization
coating of a pathogen by a chem substance (opsonin) to be phagocytized more easily (binding)
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Membrane Attack Complex (MAC)
complex C6, C7, C8, C9; forms pores in the membranes of G- - Water, ions, etc. move through pores leading to cell lysis and death - Cannot penetrate thick peptidoglycan of G+
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Cytokines
communication proteins that can stimulate immune cells to produce chemical defenses
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Autocrine
same cell secretes and receives cytokine signals (positive-feedback loop)
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Paracrine
cytokine signal secreted to a nearby cell (neighbor)
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Endocrine
cytokine signal secreted to circulatory system; travels to distant cells (roundtrip)
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Cytokine classes
Interleukins, Chemokines, Interferons
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Interleukins
help recruit immune cells to infection site
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Chemokines
help recruit specific leukocytes
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Interferons
released by cells with viral infection to recruit immune cells
induce permeability in capillaries; contributing to edema (acute) (swelling)
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Hematopoiesis
differentiation of blood cells from bone marrow stem cells
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Granulocytes – innate WBCs
- Neutrophils - Eosinophils - Basophils
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Agranulocyte exception: Natural killer cells
- Lymphocytes (adaptive) - Monocytes (adaptive)
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Neutrophils
most abundant, pus formation, NET (mesh of chromatin w/ AMPs to trap pathogens), defensins & hydrolytic enzyme
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Eosinophils
protection against protozoa & helminths, histamine, MBP, degradative enzymes
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Basophils
complement cascade degranulation, allergies and edema, histamine and cytokines
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Lymphocytes
B & T cells, seek out and find abnormalities to kill
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Monocytes
largest constituent; macrophages (tissues) and dendritic cells (skin and mucus) (mononuclear phagocyte system); adaptive immunity
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Mast Cells
same source as neutrophils and eosinophils; same function as basophils; leave blood and reside in surrounding tissue; associated w/ blood vessels and nerves or found close to surface structures (i.e. skin and mucus membranes)
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Natural Killer Cells
Seek out non-selfmarkers (i.e. tumors and viral infectedhost cells); Can express cytokines & cytotoxic molecules stored in granules to kill non-self cell ** Use perforin (punches a hole into the cell) and granzymes to induce apoptosis in target cells
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Leukocytes
phagocytes that travel to infection site; Site is entered through diapedesis, initiated by complement factor 5a and cytokines
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Diapedesis or extravasation
process of leukocytes passing through capillary walls to tissues - cannot go through arterioles/arteries or venioles/veins bc these are thick and the process occurs in thin capillaries
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Transendothelial migration
flattening out and squeezing through cellular junction after “rolling adhesion”
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PAMPs
auto recognition for pathogen-associated molecular patterns Peptidoglycan LPS Flagellin Microbial DNA/RNA lipopeptides
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Pattern recognition receptors (PRRs)
structures that allow phagocytic cells to detect PAMPs (external surface of leukocytes); phagocyte surface or embedded internally -PRRs on macrophages also respond to chemical distress signals from damaged or stressed cells; inflammatory response
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Toll-like receptors (TLRs)
bind to PAMPs and communicate with phagocyte nucleus to elicit a response
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Phagocytosis Stages
1. Pathogen engulfment (phagocytosis) 2. Formation of phagosome (digestion) 3. Formation of phagolysosome and pathogen particle degradation 4. Expulsion of debris
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Pathogen Recognition
When PAMP is recognized, phagocyte activates genes for phagocytosis, cell proliferation, interferon production, and/or cytokines
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Inflammation
- Recruitment of immune cells - Additional elimination tactic of dead/damaged cells - Initiate repair of host damage
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Acute
immediate response to breach in physical barrier. Induces erythema (redness), edema (swelling), heat, pain, and altered function
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Chronic
occurs when short term (acute) inflammation is not enough. Infections sites may be walled off with WBCs (granulomas)
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Fever
Systemic inflammatory response that raises overall body temperature - Enhances innate immune defenses; mesophiles are inhibited and increases WBC - Vasoconstriction and shivering
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Pyrogens
produced by pathogens that alter hypothalamus (regulator of body temp) - exogenous (LPS) or endogenous (interleukins)