Pathogen
something that causes and generates disease (bacteria, fungi, parasites)
Innate immune system
System we are born with, include skin, mucus, sweat, tears, gastric acid, human microbiota
Mucus
contains mucins, enzymes & defensins, trap/impede pathogen entry, neutralize pathogens
Mucins
glycoproteins, thicken extracellular fluid, retain water, slow & impede pathogen movement
Sweat
Acidic pH, high salt (hypertonic to pathogens), defensis, dermcidin
Tears
Lysozyme, mucins, surfactants
Gastric acid
In stomach, contains hydrochloric acid, denatures proteins, dissolves microbes or inhibits growth
Human microbiota
Makes it difficult for pathogens to develop, secrete chemicals that impede pathogenic bacteria, crowd out other bacteria, compete for resources
Steps of phagocytosis
Chemotaxis & adherece of microbe to phag, ingestion of microbe, formation of phagosome, fusion of phagosome with a lysosome forming a phagolysosome, digestion of ingested microbe by enzymes, formation of residual body containing indigestible material, discharge of waste materials
Chemotaxis
movement of cells towards or away from chemical,
Diapedesis
passage of blood cells through capillary walls, help RBCs as well as macrophages get to different parts of the body
Complement proteins
mostly produced by liver, always circulating;remain inactive if not needed, activated by pathogens
Complement protein functions
recruit macrophages, activate mast cell degranulation, can also attack pathogenic cells itself
Interferons
Inc. antiviral defenses, inc. DNA repair, MHC-1 & MHC-2 presentation, NK cell activity & destruction of infected cells
Interferon alpha
prod. by cells infeceted w viruses, attracts & stimulates NK cells & enhances resistance to viral infection
Interferon beta
secreted by fibroblasts and slows inflammation in damaged area
Interferon gamma
secreted by T & NK cells, stimulate macrophage activity
Inflammation
bodily response to injury or disease in which heat, redness & swelling occur to eliminate harmful substances & repair damaged tissue
4 signs of inflammation
Heat, pain, redness, swelling
Histamine
Causes vasodilation, inc. vessel permeability, inc. fluids also leak, leading to heat, redness & swelling
Fever
Pyrexia, add energy & speed up metabolism in immune cells, make body inhospitable for foregin bacteria, inhibit bacterial & viral enzymes, stresses out our body
Pyrogens
Chemicals that cause the body to produce more heat, released by bacteria & immune cells
Normal body temp range
96.8-99.5 F
hypothermia
Temp < 95 F
fever
Temp > 100.4
hyperpyrexia
Temp > 104 F
Neutrophils
Phagocytic, degranulation, promote inflammation & recruit other immune cells, form NETs, expendable
Degranulation
release of toxic chemicals from cellular vesicles (granules)
Defensins
enzymes that produce free radicals, degrade extracellular matrices,
Pus
Thick opaque fluid, result from inflammation or infection, contain remnants of infection (proteins, pathogen remnants, cell 7 tissue debris, dead WBCs)
NK cells
Innate cells, recognize abnormal cells, cause apoptosis,
NK cell self tolerance
NK cells read MHC-1 of all cells, induces apoptosis on any infected or tumorous cells
MHC- 1 & 2 location
found on surface of all cells
MHC-1
Cells display their own proteins on MHC-1 receptors, serve as ID for cells
MHC-2
Present extracellular antigens, displayed by pro APCs
Professional APCs
Dendritic cells, macrophages, B cells
Antigen-presenting cells (APCs)
Present antigens from foreign particles to T cells, so the body can learn how to respond to the invader, or alert T cells that a cell is compromised
Cytotoxic T cells
Detect pathogen antigens, kill infected cells
T helper cells
Support cells that phagocytize pathogens, tell cytotoxic T cells to activate & multiply, help macrophages become deadlier
T regulatory cells
Protect self cells from cytotoxic T cells, important in immune self-tolerance
B cells
Produce immunoglobulins, can create enormous variety of antibody binding sites, shuffle genes that make antibody lift & heavy chains
Plasma cells
produce and secrete antibodies
T&B memory cells
Record of past antigens, allow faster response to same antigen in future, prod. in primary response
Secondary lymphoid organs
Sites where lymphocytes mount adaptive immune responses; examples include lymph nodes and spleen
GI tract
runs from mouth to anus
Mesentery
a fused double layer of the parietal peritoneum that attaches parts of the intestine to the interior abdominal wall, serve as scaffold for blood vessels
GI tract organs
oral cavity, pharynx, esophagus, stomach, small intestine, large intestine
Accessory organs (digestive)
Teeth, tongue, salivary glands, liver, gallbladder, pancreas
Mastication
chewing
Saliva
1-1.5 L produced daily, 99% h20, fluids & digestive enzymes help digest food, normal pH range 6.35-6.85
Enzymes in saliva
Salivary amylase, lingual lipase, immunoglobulins, lysozyme, peroxidases, defensins
Teeth
Deciduous, incisors, canines, premolars, molars
Deciduous teeth
baby teeth
Permanent teeth
Replace baby teeth
Incisors
Shaped like dull blades, slice food, 4 on top 4 on bottom
Canines
Tears up food, 2 on top, 2 on bottom
Premolars
8 total
Molars
6 on top, 6 on bottom
Deglutition (steps)
Bolus gets swallowed -> tongue pushes up against hard palate, soft palate is closed -> Hyoid pulls up & forward, epiglottis shuts
Esophagus layers
Lumen, mucosa, submucosa, muscularis externa, adventitia
Peristalsis
series of wave-like involuntary contractions
Muscle contraction during peristalsis
contraction of circular muscle -> contraction of longitudinal muscle
regions of the stomach
Cardia, fundus, body, pylorus
layers of muscularis externa (stomach)
(deep) Oblique, circular, longitudinal
Parietal cells
prod. hydrochloric acid, secretes intrinsic factor,
Intrinsic factor
protein which is important for absorption of vitamin B12
Mucus cells
prod. mucus
Chief cells
secrete pepsinogen
Pepsinogen
needs to combine with hydrochloric acid to become pepsin (active), helps breakdown food molecules
G cells
produce gastrin
Gastrin
peptide hormone, increases stomach motility, stimulates acid & enzyme production
Peptic Ulcers
Gastric acid eats away at stomach lining
Common cause of peptic ulcers
Helicobacter pylori, invades mucosal layer, secretes proteases & toxins
Mechanical digestion (stomach)
churning and mixing until food is a soupy liquid called "chyme"
Hydrochloric acid
helps break down food in the stomach
Duodenum
Where food first enters the intestines, produces gastrin
Cephalic phase
thinking of food, inc. hunger, stimulating stomach
Gastric phase
Gastric acid released stimulating prod. & release of other substances (HCL, mucus, pepsinogen)
Intestinal phase
Bolus moves on into the intestines
Secretin
Inc. pancreatic secretion of bicarbonate, Inc. bile production by liver
Cholecystokinin (CKK)
Fatty acids & amino acids stimulate release, inhibits gastric emptying, inc. bile production, suppresses hunger, keeps food in stomach longer, more time to digest
Glucose-dependent insluniotropic polypeptide (GIP)
Abnormally high GIP levels dec. gastric acid, stimulated by high glucose duodenal content, stimulates release of insulin
Ileum
Thinner circular folds, smaller villi, absorbs vitamin B12 & bile acids, longest portion, contains peyer's patches
Peyer's patches
clusters of lymphatic tissue around small intestine to monitor digestive system
Lobes of the liver
Left lobe, caudate lobe, right lobe, quadrate lobe.
lipoproteins
LDL, HDL, transport cholesterol, triglycerides & fats
Coronary ligament
Anchors liver to diaphragm
Blood flow through the liver
portal vein->portal venules->sinusoids->central venule->sublobular veins->hepatic veins->IVC
Liver cells
Kupffer cells, hepatocytes,
Kupffer cells
~80-90% of all resident (fixed) macrophages, Dispose pathogens, foreign particles & debris, Recycle cell debris & large molecules, release inflammatory cytokines
Hepatocytes
~80% of the livers mass, prod. plasma proteins, Metabolize carbs, fats & lipids
Bile
A substance produced by the liver that breaks up fat particles, stored in gallbladder
Porta hepatis
Where the hepatic portal vein, artery and common bile duct enter the liver
Gallbladder
Stores & concentrates bile produced in the liver
Pancreas
produces insulin and glucagon
Pancreatic duct
Carries exocrine secretions of pancreas to duodenum
Pancreatic acini
exocrine cells that secrete digestive enzymes into the pancreatic duct; 99% of pancreatic cells
Pancreatic islets
Secrete insulin & glucagon into the bloodstream
Pancreatic juice
Exocrine secretion, basic pH, helps neutralize chyme, 1L prod. per day
Pancreatic juice enzymes
Amylases, lipases, proteases, nucleases