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Innate immunity
The body's nonspecific defenses, including the first line of defense (barriers) and the second line of defense (cells, chemicals, and processes).
First line of defense
Structures, chemicals, and processes that work to prevent pathogens from entering the body, including the skin and mucous membranes.
Epidermis
Multiple layers of tightly packed cells that few pathogens can penetrate. Shedding of dead skin cells removes microorganisms, and epidermal dendritic cells phagocytize pathogens.
Dermis
Collagen fibers help skin resist abrasions that could introduce microorganisms.
Sebum
Oil secreted by sebaceous (oil) glands. It helps keep skin pliable and less likely to break or tear, and lowers skin pH to a level inhibitory to many bacteria.
Perspiration
Secreted by sweat glands. Salt inhibits growth of pathogens, and antimicrobial peptides act against microorganisms.
Lysozyme
Destroys the cell wall of bacteria.
Mucous membranes
Line all body cavities open to the environment. They have two layers: an epithelium and a deeper connective layer that supports it.
Mucous membrane epithelium
Thin outer covering, tightly packed to prevent entry of many pathogens. Continual shedding of cells carries away microorganisms, and dendritic cells below the epithelium phagocytize pathogens.
Goblet and ciliated columnar cells
Help remove invaders from mucous membranes.
Microbiome
Competes with potential pathogens by consuming nutrients, creating an environment unfavorable to other microorganisms, preventing pathogens from attaching to host cells, and generating antimicrobial compounds. It also provides vitamins to the host and stimulates the second line of defense.
Microbial antagonism
The microbiome making it hard for pathogens to compete, attach, and grow.
Second line of defense
Operates when pathogens penetrate the skin or mucous membranes. It is composed of cells, antimicrobial chemicals, and processes, many contained in or originating in the blood.
Plasma
Mostly water containing electrolytes, dissolved gases, nutrients, and proteins. Complement proteins and antibodies are also found in plasma.
Serum
The fluid remaining when clotting factors are removed from plasma.
Iron-binding compounds
Found in plasma. Iron is needed for metabolism, and some microbes produce proteins that bind iron.
Formed elements
Cells and cell fragments in plasma: erythrocytes, platelets, and leukocytes.
Erythrocytes
Carry oxygen and carbon dioxide in the blood.
Platelets
Involved in blood clotting.
Leukocytes
Defend the body against invaders. They are divided into granulocytes (innate) and agranulocytes (adaptive).
Differential white blood cell count
Can signal disease. Increased eosinophils indicate allergies or parasitic worm infection. Bacterial diseases often show increased leukocytes and neutrophils, while viral infections show increased lymphocytes.
Phagocytes
Cells capable of phagocytosis: neutrophils, eosinophils, and monocytes.
Phagocytosis stages
Six stages: chemotaxis, adhesion, ingestion, maturation, killing, and elimination.
Toll-like receptors (TLRs)
Integral membrane proteins produced by phagocytic cells. They bind pathogen-associated molecular patterns (PAMPs) and initiate defensive responses, secretion of inflammatory mediators, and stimulation of the adaptive immune response.
PAMPs
Pathogen-associated molecular patterns bound by Toll-like receptors.
Apoptosis
Programmed cell death triggered as a nonspecific chemical defense.
Inflammation
A nonspecific response to tissue damage, characterized by redness, heat, swelling, and pain. Two types: acute and chronic.
Acute inflammation
Develops quickly and is short lived. It is typically beneficial and important in the second line of defense.
Chronic inflammation
Long-lasting inflammation in which damage to tissues can cause disease.
Vasodilation in inflammation
Produces redness and localized heat. It is triggered by bradykinins, prostaglandins, leukotrienes, and histamine, and delivers blood clotting proteins to the site of injury.
Migration of phagocytes
Neutrophils and monocytes are delivered to the infection site, recruited by chemotactic factors. They attach to receptors on blood vessels, squeeze between cells of the vessel wall, and enter the site. Delivery of nutrients and oxygen facilitates tissue repair.
Fever
A body temperature over 37 degrees C. It results when pyrogens trigger the hypothalamus to increase the body's core temperature.
Pyrogens
Include bacterial toxins, cytoplasmic contents of bacteria released by lysis, antibody-antigen complexes, and pyrogens released by phagocytes that have phagocytized bacteria.
Adaptive immunity
The body's ability to recognize and defend itself against distinct invaders and their products.
Five attributes of adaptive immunity
Inducibility, clonality, unresponsiveness to self, memory, and specificity.