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immunology
study of all features of the bodys second and third lines of defense, study of bodys response to infectious agents, study of allergies and cancer
a healthy functioning immune system is responsible for:
surveillance of the body, recognition of foreign material, and destruction of entities that are foreign
innate immunity (nonspecific)
inborn host defenses against a broad range of pathogens
adaptive immunity (specific immunity)
essential second tier of the immune system that targets specific pathogens to minimize their harmful effects
first line of defense
keep pathogens on the outside or neutralize them before infection begins, any barrier that blocks invasion at the portal of entry
mechanical barriers:
rinse, flush, or trap pathogens to limit their spread into the body (mucus, saliva, urine, tears)
physical barriers
structures that physically block pathogen entry (epithelial cells, tight junctions, cilia)
microbiota barrier
forms a type of structural barrier, can block the access of pathogens to epithelial surfaces
amyloid-beta protein
plays a role in innate defense of the brain by containing invading pathogens, form a mesh of fibrils that trap bacteria that are able to invade the CNS
chemical barriers
sebaceous secretions (skin, sweat)
strong acidity in the stomach
defensins
peptides that damage cell membranes and lyse bacteria and fungi
lysozyme
enzyme found in tears and saliva that hydrolyzes the peptidoglycan in the cell wall of bacteria
hematopoiesis
production of blood cells
whole blood consists of
blood cells, plasma, serum
immune cells develop from
hematopoietic stem cells in the bone marrow
white blood cells function
measure the number of leukocytes found in the blood
high white blood cell count can stem from:
bacterial infection
autoimmune disorders
drugs
low white blood cell count can stem from
viral infections or pneumonia
autoimmune diseases
severe bacterial infections
drugs
what does low neutrophil count lead to?
normal microbiota becoming opportunistic pathogens
what are the most extensive body compartments in the immune function?
reticuloendothelial system
spaces surrounding tissue cells that contain extracellular fluid
bloodstream
lymphatic system
mononuclear phagocytic (reticuloendothelial) system
continuous connective tissue framework throughout the body. activities of one compartment must be communicated to other compartments
what system is our immune system interconnected with?
the lymphatic system
what does the lymphatic system do?
collects, circulates, and filters fluid in boy tissues before its returned to the blood. surveillance, recognition, an protection against foreign materials. drains lymph fluid from extravascular tissues
describe the process of lymph
some plasma exits the capillaries, seeps into small spaces which becomes interstitial fluid, lymphatic capillaries then take this up which becomes lymph, travels to lymph nodes, screened, channeled into veins, then returns back to circulatory system
red bone marrow (primary)
found in flat bones and ends of long bones
site of blood cell production
B cells complete maturation here
Thymus (primary)
t-cell maturation
originates in the embryo as 2 lobes in the lower neck
t cells migrate and settle in the lymph nodes and spleen
secondary lymphatic organs (sites of immune cell activation, residence, and functioning)
lymph nodes
spleen
associated lymphoid tissues (MALT, SALT, GALT)
lymph node function
filters for foreign particles including cancer cells, but no detoxification function
where can lymph nodes be found?
armpit, groin, neck
spleen
leukocytes look for invaders
filters blood rather than lymph
damaged erythrocytes removed
can children have their spleen removed?
No
skin associated lymphoid tissues SALT
discrete lymphocytes beneath the skin and mucosal surfaces. effective first strike potential against influx of microbes and other foreign materials
mucosa associated lymphoid tissues MALT
tonsils: active source of lymphocytes in the pharynx
gut associated lymphoid tissue GALT
appendix
lacteals
peyers patches: compact aggregations of lymphocytes i the ileum of the small intestine
second line of defense
operates when pathogens penetrate the skin or mucous membranes
cells, antimicrobial chemicals, and processes
what kind of functions does the second line of defense provide
inflammation and phagocytosis, act rapidly at both local and systemic levels once first line has been overcome
self cells
body cells
nonself cells
any foreign material in the body
how do autoimmune disorders work?
result of the immune system attacking the bodys own tissues and organs
the immune system evaluates cells by examining molecules on cell surfaces called:
antigens or markers
consist of proteins and/or sugars
pathogen associated molecular patterns PAMPs
structures and molecules (markers) not found in or on host cells, one common PAMP is LPS which is on the outer membrane of gram-negative bacteria
pattern recognition receptors PRRs
used by host cells in the innate immunity of second line of defense
leukocytes have membrane bound or soluble proteins that recognize PAMPs
Non self proteins that are not harmful are recognized as such and the immune system is signaled not to react
what cells partake in phagocytosis
neutrophils (general purpose)
monocytes
macrophages
dendrites
Phase 1 of phagocytosis: chemotaxis
chemical attraction of phagocytes to microorganisms
step 2 of phagocytosis: adhesion
attachment of the phagocytes plasma membrane to the surface of the microbe or other foreign material
step 3 of phagocytosis: engulfment
plasma membrane of the phagocyte engulfs the microbe
step 4 of phagocytosis: phagosome formation
the microbe is surrounded with a sac called the phagosome
step 5 of phagocytosis: phagolysosome formation
phagosome and lysosome fuse to form a phagolysosome
step 6 of phagocytosis: digestion/destruction
contents of the phagolysosome brought in by ingestion are digested in the phagolysosome
step 7 of phagocytosis: excretion of residual debris
phagolysosome moves to cell boundary and excretes its waste outside the cell
inflammation
host response to tissue damage characterized by redness, pain, heat, and swelling
acute inflammation
symptoms develop rapidly and usually last for a few days or weeks (sore throat, cold, flu)
chronic inflammation
symptoms develop more slowly and can last for up to several months or years (tuberculosis, rheumatoid arthritis)
PRISH
pain, redness, immobility, swelling, heat
inflammation functions
destroy the injurious agent
limit the effects on the body by confining the agent and its by-products
repair or replace tissue damaged by the agent and its by-products
fever
universal symptom of infection
exogenous pyrogens
products of infectious agents such as viruses, bacteria, protozoans, fungi, blood, blood products, coming from outside the body
endogenous pyrogens
liberated by monocytes, neutrophils, and macrophages during phagocytosis
should you treat a slight to moderate fever (100-101)
no
high grade fever
104-106
fever side effects
tachycardia: rapid heart rate
tachypnea: elevates respiratory rate
lowering of seizure threshold
death occurs at what temperature
112-114
body temperature is maintained by the
hypothalamus
antimicrobial substances
final component of the second line of defense, proteins of the complement system, interferons, iron-binding proteins, and antimicrobial peptides
cascade reaction
sequential physiological response
first substance in a chemical series activates the next, which activates the next, and so on
classical complement pathway
initiated by binding to the antibodies that are already bound to pathogen surfaces
alternative complement pathway
initiated by the presence of foreign cell antigens, quicker response than classical pathway
lectin pathway
lectin binds to mannose on the surface of a microbe
all complement pathways have the 3 same outcomes:
opsonization: tags the invader with compliment proteins
formation of a membrane attack complex
inflammation
cytokines
signaling proteins that allow cells to communicate with each other, coordinating immune actions
cytokine storm
exaggerated cytokine response
interferons
protein molecules released by host cells to nonspecifically inhibit the spread of viral infections
type 1 (alpha and beta)
present early in infections
type 2 (gamma)
show up later in infections
produce by activated t lymphocytes
antimicrobial products: antimicrobial peptides
short proteins of 12-50 amino acids
can insert themselves into bacterial membranes