Ch. 22 Part 3

Immunity Overview

  • Immunity: Ability to resist and defend against infectious organisms and harmful substances.

  • Resistance: Body's ability to maintain immunity.

  • Immune Response: The body's reaction to infectious agents and other abnormal substances.

Types of Immunity

  • Innate Immunity:

    • Nonspecific defense mechanism against any type of invading agent.

  • Adaptive Immunity:

    • Specific immunity that protects against particular antigens.

Lymphocytes

  • Types of Lymphocytes:

    • B Cells: Part of adaptive immunity; mature in bone marrow.

    • T Cells: Part of adaptive immunity; mature in thymus.

    • NK Cells (Natural Killer): Part of innate immunity.

  • Distribution: B and T cells have different distributions in tissues; can travel through blood vessels or lymphatic system.

  • Longevity: Lymphocytes can survive for many years (up to 20 years).

Lymphocytopoiesis (Lymphocyte Production)

  • Location: Involves bone marrow, thymus, and peripheral lymphoid tissues.

  • Stem Cells: Hemocytoblasts in bone marrow divide into lymphoid stem cells.

    • Group 1: Produce B cells and NK cells (B cells mature with interleukin-7).

    • Group 2: Produce T cells (mature with hormonal exposure).

Role of NK Cells

  • Remain in red bone marrow, producing NK cells and B cells.

  • Conduct immune surveillance by attacking foreign cells, virus-infected body cells, and cancer cells.

  • Mechanism: Secrete chemicals to lyse plasma membranes of abnormal cells.

Antibody-Mediated Immunity

  • B Cells: When stimulated, differentiate into plasma cells, which secrete antibodies.

  • Function of Antibodies: Attach to pathogens, initiating a chain reaction leading to pathogen destruction.

Innate Defenses

  • Characteristics: Born with these defenses; nonspecific.

  • First Line of Defense: Include physical barriers, phagocytes, immune surveillance, interferons, complement system, inflammation, fever.

Physical Barriers in Innate Immunity

  • Components:

    • Outer skin layer, hair, epithelial layers of internal passageways.

    • Secretions that flush away materials and kill/inhibit microorganisms.

Phagocytes

  • Function: Attack and remove dangerous microorganisms.

  • Types:

    • Microphages: Includes neutrophils and eosinophils; exit bloodstream to fight infections.

    • Macrophages: Large phagocytic cells making up the monocyte-macrophage system.

Activated Macrophages

  • Responses:

    • Engulf and destroy pathogens using lysosomal enzymes.

    • Bind pathogens for destruction by other cells.

    • Release toxic chemicals into interstitial fluid to destroy pathogens.

Types of Macrophages

  • Fixed Macrophages (Histiocytes): Stay in specific tissues (e.g., microglia in the CNS, Kupffer cells in the liver).

  • Free Macrophages: Wander the body (e.g., alveolar macrophages in lungs).

Immune Surveillance

  • ** NK Cells**: Act as "police" in circulation; detect cells marked as abnormal.

  • Mechanism: Release perforins to target and destroy abnormal cells.

Interferons (IFNs)

  • Definition: Small proteins released by lymphocytes, macrophages, and virally infected cells.

  • Role: Cytokines that initiate local immune responses.

Complement System

  • Definition: Composed of plasma proteins assisting antibodies in destroying pathogens.

  • Activation Pathways:

    • Classical pathway, lectin pathway, alternative pathway.

  • Outcome: Inflammation and opsonization aid in pathogen destruction.

Effects of Inflammation

  • Purpose: Temporarily repair and prevent more pathogens from entering the wound; slows pathogen spread; mobilizes defenses.

  • Signs and Symptoms: Redness, heat, swelling, pain.

  • Products of Inflammation: Necrosis, pus, abscess.

Fever

  • Definition: Body temperature exceeding 37.2ºC (99ºF).

  • Effects: Increases metabolic rate, accelerates defenses, inhibits certain viruses/bacteria.

Pyrogens

  • Definition: Fever-inducing agents that prompt the hypothalamus to raise body temperature.

  • Sources: Produced by bacteria, molds, viruses, and yeasts; includes endogenous pyrogens such as interleukin-1 and interferons.

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