Parks UTA
Physical barriers
prevent pathogen from reaching target tissue site - Cells create tight junctions, desmosomes, or gap junctions
gap junctions
selective access to certain molecules
Shedding of _________ cells help shed microbes
epidermis
Mucous membranes
protect via tight junction - Nose, mouth, lungs, urinary, and digestive
Mucus
may also contain antimicrobial peptides
Mucociliary escalator
ciliated epithelial cells of the upper respiratory system move debris-laden mucus out of the lungs
Endothelia
tightly packed epithelial cells lining blood vessels, lymphatic vessels, urogenital track and others * Endothelia of blood-brain barrier protects CNS (tight junctions)
Mechanical Innate Defense
physically remove; urine, feces, blinking, cilia, shedding, and mucus
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
Chemical Mediators
produced to inhibit microbial growth; can be produced by host (endogenous) or resident microbiota (exogenous)
chemical defenses
Body fluids
Antimicrobial peptides
Plasma protein mediators
Cytokines
Inflammation eliciting mediators
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
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
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)
EX: Bacteriocins and Defensins
Plasma Mediators
Acute phase proteins (liver -> blood) Complement proteins (lectin, alt, classical, opsonization (phagocytized later), MAC) Cytokines (chem messengers for long distance, interleukins, chemokines, interferons)
Mannose-binding lectin
activates complete cascade
Precursor proteins float in blood until _________ ________.
complement activation
Classical
antibody-antigen complex C1
Lectin
Acute-Phase Proteins (APPs); inflammatory response; mannose-binding lectin C4-->Carbohydrates
Alternative
Spontaneous Activation; C3b and C3a
Though complement activation initiation is __________, protective outcomes are the __________
different; same
Opsonization
coating of a pathogen by a chem substance (opsonin) to be phagocytized more easily (binding)
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+
Cytokines
communication proteins that can stimulate immune cells to produce chemical defenses
Autocrine
same cell secretes and receives cytokine signals (positive-feedback loop)
Paracrine
cytokine signal secreted to a nearby cell (neighbor)
Endocrine
cytokine signal secreted to circulatory system; travels to distant cells (roundtrip)
Cytokine classes
Interleukins, Chemokines, Interferons
Interleukins
help recruit immune cells to infection site
Chemokines
help recruit specific leukocytes
Interferons
released by cells with viral infection to recruit immune cells
Cytokine Inflammatory Mediators
Histamine, Leukotrienes, Prostaglandins, Bradykinin
Histamine
to cause bronchoconstriction (coughing)
Leukotrienes
to induce coughing, vomiting, diarrhea
Prostaglandins
to induce fever
Bradykinin
induce permeability in capillaries; contributing to edema (acute) (swelling)
Hematopoiesis
differentiation of blood cells from bone marrow stem cells
Granulocytes – innate WBCs
Neutrophils
Eosinophils
Basophils
Agranulocyte exception: Natural killer cells
Lymphocytes (adaptive)
Monocytes (adaptive)
Neutrophils
most abundant, pus formation, NET (mesh of chromatin w/ AMPs to trap pathogens), defensins & hydrolytic enzyme
Eosinophils
protection against protozoa & helminths, histamine, MBP, degradative enzymes
Basophils
complement cascade degranulation, allergies and edema, histamine and cytokines
Lymphocytes
B & T cells, seek out and find abnormalities to kill
Monocytes
largest constituent; macrophages (tissues) and dendritic cells (skin and mucus) (mononuclear phagocyte system); adaptive immunity
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)
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
Leukocytes
phagocytes that travel to infection site; Site is entered through diapedesis, initiated by complement factor 5a and cytokines
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
Transendothelial migration
flattening out and squeezing through cellular junction after “rolling adhesion”
PAMPs
auto recognition for pathogen-associated molecular patterns Peptidoglycan LPS Flagellin Microbial DNA/RNA lipopeptides
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
Toll-like receptors (TLRs)
bind to PAMPs and communicate with phagocyte nucleus to elicit a response
Phagocytosis Stages
Pathogen engulfment (phagocytosis)
Formation of phagosome (digestion)
Formation of phagolysosome and pathogen particle degradation
Expulsion of debris
Pathogen Recognition
When PAMP is recognized, phagocyte activates genes for phagocytosis, cell proliferation, interferon production, and/or cytokines
Inflammation
Recruitment of immune cells
Additional elimination tactic of dead/damaged cells
Initiate repair of host damage
Acute
immediate response to breach in physical barrier. Induces erythema (redness), edema (swelling), heat, pain, and altered function
Chronic
occurs when short term (acute) inflammation is not enough. Infections sites may be walled off with WBCs (granulomas)
Fever
Systemic inflammatory response that raises overall body temperature
Enhances innate immune defenses; mesophiles are inhibited and increases WBC
Vasoconstriction and shivering
Pyrogens
produced by pathogens that alter hypothalamus (regulator of body temp)
exogenous (LPS) or endogenous (interleukins)
Crisis phase
fever breaks; vasodilation and sweating