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immune system

common types of pathogens:

  • living organisms:

    • parasites: unicellular and multicellular eukaryotes (e.g., tapeworms).

    • protozoa: malaria.

    • fungi: unicellular and multicellular eukaryotes (e.g., athlete’s foot).

    • bacteria: unicellular prokaryote (e.g. leprosy).

  • non-living organisms:

    • virus: HIV

    • prion: misfolded proteins (e.g., CID).

lymphatic organs:

  • lymph vessels:

    • network of vessels, similar to veins.

      • begins as blind-ended lymphatic capillaries.

    • lymphatic vessels transport lymph.

    • lymph is a milky fluid containing:

      • white blood cells

      • protein

      • fats

      • occasionally bacteria and viruses.

    • eventually drain into cardiovascular system through right lymphatic duct and thoracic dust.

lymph nodes cleanse the lymph:

  • lymph nodes filter lymph, trapping germs and abnormal cells.

  • contains macrophages and lymphocytes that destroy invaders.

  • cleaned lymphs leave nodes and return to the blood stream.

spleen = largest organ in the lymphatic system.

  • filters old red blood cells and fights infection.

  • red pulp: cleans blood + stores it for emergencies.

  • white pulp: immune cells scan for germs.

thymus gland causes t lymphocytes to mature.

  • thymus gland:

    • located behind the sternum, above heart.

    • site of maturation of t cells (t lymphocytes)

    • secretes 2 hormones that control t cell development: thymosin & thymopoietin.

    • largest, most active during childhood.

    • atrophies with age.

  • tonsils: filters food and air enters the throat.

  • adenoids: filter air, back of nasal passages.

nonspecific defense: 2nd line of defense.

  • phagocytic cells: white blood cells that surround and engulf invading bacteria.

    • neutrophils: first responders (blood, bacteria).

    • macrophages: leave blood and enter tissue (viruses, parasites).

    • eosinophils: (large parasites)

  • inflammation: any injury will trigger inflammation as a way the body quickly deals with infection.

    • redness: dilation from histamine mast cells. more blood cells make it red.

    • swelling: histamines cause the blood cells to become leaky.

    • heat: warmth blood flows to the injured area.

    • pain: more fluid from swelling presses against the nerves.

  • natural killer cells: a type of lymphocyte that attacks tumour cells.

  • interferons: antiviral proteins.

  • fever responses: pyrogens.

lymphocytes are central to specific defenses:

  • b lymphocytes: antibody mediated immunity.

    • antibody and proteins made by b lymphocytes that bind with and neutralise specific antigens.

    • active against viruses, bacteria, and soluble foreign molecules.

    • t lymphocytes: cell-mediated immunity.

      • directly attacks foreign cells.

      • coordinate the immune response.

      • active against parasites, viruses, fungi, intracellular bacteria, cancer cells, cells with ‘non-self’ MHC.

antibody production by b cells.

  • b cells made in bone marrow, travel to lymphatic tissue,

  • each has a unique receptor, matches a specific antigen.

  • b cells are activated when the pathogen’s antigen matches a b cell receptor.

  • the b cells grow and divide.

  • some of the ‘clones'' become plasma cells, secreting antibodies.

  • other clones become memory b cells– long-term immunity.

t cells: cell-mediated immunity

  • cytotoxic t cells have co8 receptors.

  • activated by APCs.

  • undergo clonal expansion.

  • cdb+ cells directly kills abnormal or cancerous cells by releasing toxic chemicals.

  • activated cdb+ cells patrol the body, searching for matching antigens.

  • some cytotoxic cells become memory cells.

immune memory creates immunity

  • primary immune response

    • occurs on first exposure to antigen

    • characteristics:

      • lag time of 3-6 days for antibody production.

      • peaks at 10-12 days.

  • secondary immune response

    • occurs on second and subsequent exposure to antigen.

    • characteristics:

      • lag time is hours.

      • peaks in days.

      • much more antibody produced.

tissue rejection: may occur following tissue or organ transplant if recipient’s immune system attacks the transplanted tissue/organ.

  • to minimise risk of rejection.

    • must match ABO and other blood group antigens and MHC antigens.

    • 75% MHC match is essential

      • MHC antigens allow body to distinguish ‘self’ from ‘non-self’

  • immunosuppressive drugs prevent patient’s immune system from attacking transplanted organ.

allergies: hypersensitivity reactions.

  • inappropriate response to an allergen.

  • allergen: any substance (antigen) that causes an allergic reaction (not a pathogen, but the body reacts as though it’s a pathogen).

  • excessive inflammatory response.

autoimmune disorders:

  • inability of immune system to distinguish ‘self’ from ‘non-self’

  • autoantibodies and cytotoxic cells target the body’s own tissues.