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First line of defense
Involves physical defense mechanisms such as skin, normal flora, and mucous membranes
Second line of defense
Activates after the first line of defense is breached. Includes fever, inflammation, and phagocytes
Third line of defense
Activates if non-specific/innate immunity fails. Includes T and B cells, antibodies
What composes the blood-brain-barrier, and what is its role?
Endothelial cells make up the blood-brain-barrier, and it functions to keep the brain and spinal cord sterile
Chemical factors in sebum
Low pH inhibits microbial growth (fatty acids)
Chemical factors in sweat
Lysozyme, salt, dermicidin (kills microbes)
Chemical factors in saliva
Lysozyme, lactoperoxidase, lactoferrin, IgA antibodies
What produces lactic acid in vaginal flora?
Lactobacillus
Competitive inhibition
Production of antimicrobial molecules (bacteriocins, lactic acid) and use of space and nutrients to prevent colonizaiton
Natural Killer (NK) cells
Lymphocyte (agranulocyte) that KILLS tumor cells or infected body cells. Releases perforin and granzymes in response to foreign antigens
Perforin
Toxic protein released by NK cells that punctures the membrane of an abnormal cell
Granzymes
Enzyme that digests protein through being poured into an abnormal cell, inducing apoptosis
If an NK cell recognizes MHC I on a healthy cell, what happens?
It recognizes the MHC I, and does nto kill the cell
If an infected cell does not present MHC I AND presents ligands for the activating receptor, what happens?
The NK cell attacks the infected cell, killing it
Two types of phagocytes
Neutrophils and macrophages
Steps of phagocytosis (CAIDW)
Chemotaxis → chemokines
Adherence → TLR to PAMP
Ingestion → Phagosome
Digestion → Phagolysosome
Waste removal
What substances induce chemotaxis?
Chemokines
Which structure on a phagocyte binds to a PAMP?
Toll-like receptors
Phagosome
Vesicle formed when a cell performs phagocytosis, holding the engulfed substance
Phagolysosome
Structure formed when a phagosome fuses with a lysosome for digestion
Physical effects of inflammation
Vasodilation and increased blood vessel permeability
Role of phagocytes in migration and phagocytosis
Phagocytes wall off microbes and destroy them
Which cells recognize pathogens, and chemicals do they produce?
Mast cells and resident macrophages recognize pathogens, and release histamine and chemokines
When does tissue repair occur?
When all harmful substances are eliminated from the injured area
Which cells stimulate fibroblasts for tissue repair
White blood cells stimulate fibroblasts
What causes granuloma formation?
Chronic inflammation, where the pathogens remain embedded in tissue
What is the role of pathogens and cytokines in fever?
They cause release of prostaglandins, resetting the hypothalamus to a higher temperature
Purpose of a fever
To inhibit bacterial growth and speed up body reactions to repair more quickly
Which complement protein leads to opsonization and activates C5?
C3b
Complement system
>30 plasma proteins that act in a cascade to help defend the body against invaders
C3
Central player of the complement system. Its point guard
Cytolysis
Bursting of a cell through too much water
Opsonization
Coating of a pathogen with opsonins, “tagging” them for destruction
Opsonization enhances which stage of phagocytosis?
Adherence
Which protein combines with C6, C7, C8 and C9 to form MAC leading to
cytolysis?
C5b
Why are G+ bacteria less susceptible to cytolysis?
Because of their thick peptidoglycan cell walls
Interferon
Type of cytokine made by cells during pathogen infection
Gamma interferon (IFN-γ)
Made by lymphocytes, activates macrophages and neutrophils to kill bacteria
Alpha and beta interferon (IFN-α and IFN-β)
Made by host cells infected with a virus. May diffuse to healthy neighboring cells, which are used to make antiviral proteins to disrupt viral multiplication
Iron-binding proteins
Proteins which “take iron away” from prokaryotes, inhibiting their growth
Lactoferrin
Iron-binding protein in tears
Transferrin
Iron-binding protein in blood and tissue fluids
Ferritin
Iron-binding acute phase protein in liver, spleen, and red bone marrow
Antimicrobial peptides (AMPs)
Short peptides (12-50 a.a.) which kill many microorganisms, including eukaryotic parasites
Modes of AMP action
Destroy DNA/RNA
Make pores in plasma membrane
Inhibit cell wall synthesis
Defensin
AMP produced by neutrophils which damage both fungi and bacteria cell membrane
How does E.coli kill pathogenic bacteria in the colon?
Through bacteriocin production
Complement protein cascade for cytolysis
C3 → C3b → C5 → C5b → C5b/C6/C7/C8/C9 (MAC)
Complement protein cascade for inflammation
C3 → C3a → mast cell activation
C3 → C3b → C5 → C5a → mast cell activation
Role of bacterial capsules in complement system evasion
Capsules can prevent MAC insertion, evading cytolysis
How do some gram-negative bacteria evade the complement system?
Through altering the structure of their outer membrane (LPS)
How do some G- and G+ cocci break down C5a, evading the complement system?
Through releasing an enzyme that breaks down C5a