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what are the two defenses of the immune system
innate and adaptive
innate immunity is what line of defense for
first line for non specific
adaptive immunity is what line of defense for
second for specific immunity
what are the two types of adaptive immunity
humoral and cell mediated
what is humoral immunity mediated by
B cell
what is cell mediated immunity mediated by
T cell
examples of anatomical physical barriers
skin, oral mucosa, respiratory epithelium, intestine
examples of chemical barrier complement/antimicrobial proteins
C3, defensins, regllly
examples of sensor innate immune cells
macrophages, granulocytes, natural killer cells, epithelial cells
examples of adaptive immunity sensor cells
B cells/antibodies, T cells
epithelial surface of skin
stratified epithelium
mechanics of skin stratified epithelium
longitudinal flow of air or fluid
chemical composure of skin stratified epithelium
fatty acids
antimicrobial peptides of skin stratified epithelium
B-defensins, lamellar bodies, cathelicidin
gut epithelial surfaces
single cell layer of columnar epithelium
mechanics of gut epithelial surfaces
longitudinal flow of air or fluid
chemical composure of gut epithelial surfaces
low pH and enzymes (pepsin)
antimicrobial peptides of gut epithelial surfaces
a-defensins (cryptdins), reglll (lecticidins), cathelicidin
lung epithelial surfaces of the upper airway
pseudostratified columnar epithelium
lungs epithelial surfaces of lower airway
single cell layer of columnar epithelium
mechanics of lungs epithelial surfaces
movement of mucus by cilia
chemical composure of lungs epithelial surfaces
pulmonary surfactant
antimicrobial peptides of lungs epithelial surfaces
a-defensins, cathelicidin
eyes/nose/oral cavity epithelial surfaces
pseudostratified columnar epithelium
mechanics of eyes/nose/oral cavity epithelial surfaces
tears, nasal cilia
chemical composure of eyes/nose/oral cavity epithelial surfaces
enzymes in tears and saliva (lysozyme)
antimicrobial peptides of eyes/nose/oral cavity epithelial surfaces
histatins, b-defensins
what does lysozyme do to the peptidoglycan layer
creates a defect and exposes underlying cell membrane to other antimicrobial agents
why is lysozyme effective against gram-positive bacteria
greater accessibility to peptidoglycan
what do lysozymes do to the gram-positive and gram-negative cell walls
digests
what are defensins
amphipathic peptides that disrupt the cell membranes of microbes
what happens when positively charged defensins interact with charged surface of cell membrane
become inserted in the lipid bilayer and forms pores and causes loss of membrane integrity
what brings the defensin into the lipid bilayer
electrostatic attraction and transmembrane electric field
2 broad cells of the innate immune system
granulocytes and agranulocytes
types of granulocytes
neutrophils, eosinophils, basophils, mast cells
types of agranulocytes
monocytes, innate lymphocytes, dendritic cells
types of monocytes
dendritic cells and macrophages
types of innate lymphocytes
NK cells and ILCs
what cells make up the 3 classes of phagocytes in the immune system
macrophages, granulocytes, and dendritic cells
WBC normal range of neutrophils
2000-7000, 40-70%
WBC normal range of lymphocytes
1500-4000, 20-40%
WBC normal range of monocytes
200-800, 2-8%
WBC normal range of eosinophils
40, 1-6%
WBC normal range of basophils
less than 10, less than 1%
what is the myeloid lineage mostly comprised of
most cells of innate immune system
lineage of granulocytes
myeloid
granulocytes contain what in their cytoplasm
granules, membrane organelle containing proteins and chemicals needed for immune response
amount of neutrophils and function
>50% of leukocytes, first line of defense
amount of eosinophils and function
1-3%, important in parasitic infection
amount of basophils and function
<1%, combat parasitic infection
mast cells function and location
alert system, reside in tissue
who discovered granulocytes and how
paul ehrlich, using acid base staining
neutrophils mechanism of action
phagocytosis and activation of bactericidal mechanisms
eosinophil mechanism of action
killing of antibody coated parasites
basophil mechanism of action
allergic responses and augmentation of anti parasitic immunity
mast cells mechanism of action
release granules containing histamine and active agents
lineage of myeloid APCs (antigen presenting cells)
myeloid
what do antigen presenting cells do
process and present antigens to T cells
what do APCs express
MHC-II (major histocompatibility complex)
types of APCs
monocytes, macrophages, dendritic cells
monocytes abundance and function
5-10% of WBCs, precursor to macrophages
macrophages function
phagocytic, engulf pathogens
dendritic cells function
present antigens to T cells to initiate adaptive immune responses
what is the most important type of APCs
dendritic cells
macrophage mechanism of action
phagocytosis and activation of bactericidal mechanisms, antigen presentation and cytokine production
dendritic cells mechanism of action
antigen uptake in peripheral sites, antigen presentation and cytokine production
innate lymphocytes lineage
lymphoid lineage
types of innate lymphocytes
natural killer cells and innate lymphoid cells
what do NK cells do
recognize and destroy virus infected and tumor cells
what do ILCs do
secrete cytokines and activate innate immune cells
what forms the bridge between adaptive and innate immune responses
dendritic cells
what are the cells of the adaptive immune system
lymphocytes to T and B cells
types of T cells
helper and cytotoxic
helper T cell function
helps cytotoxic T and B cells in their immune functions
cytotoxic T cell function
kills virus infected and damaged cells
types of B cells
plasma cell
plasma cell function
produce antibodies
inflammatory inducers of innate immune system
bacterial lipopolysaccharides, ATP, urate crystals
sensor cells of innate immune system
macrophages, neutrophils, dendritic cells
mediators of innate immune system
cytokines and cytotoxicity
target tissues of innate immune system
production of antimicrobial proteins, induction of intracellular antiviral proteins, killing of infected cells
are all microbes pathogens? if no, what else could they be
no, microbiome/commensals
what is the difference between pathogens and commensals
if it induces damage
what is a PRR
pattern-recognition receptors
what do PRRs do
recognize simple molecules and patterns of molecular structures (PAMPs)
what is PAMPs
pathogen-associated molecular structures
what do sensor cells express
PRRs
example of PAMPs
peptidoglycan (PGN), lipopolysaccharide (LPS),CpG DNA
examples of PRRs
toll like receptors (TLRs), NLRs
how do sensor cells induce an inflammatory response
producing mediators such as cytokines and chemokines
what triggers macrophages to release cytokines and chemokines
bacteria
what do cytokines do to blood vessels
increase permeability, allowing fluid and proteins to flow into tissues (redness, heat, swelling)
what do chemokines do
direct migration of neutrophils to site of infection
what does the migration of neutrophils (inflammatory cells) into tissues cause
inflammatory mediators that cause pain are released
how does the response triggered by cytokines (redness, heat, swelling) help the innate immune response
promotes immune cell migration to site of infection, and immune cell function at an infection site
what is the cause of a fever
cytokines and inflammatory mediators
what does a fever do in tissues
alter metabolism so heat output increases, increasing body temp
what decreases and what increases during a fever
pathogen growth decreases, adaptive immune response increases
what are the 3 strategies the host adopts to deal with threat posed by pathogens
avoidance: physical and chemical barriers
resistance: sensor cells and effector mechanisms
tolerance: inflammation