Quote: "THE BEST DEFENSE IS ATTACK." - Italian Proverb
Understanding the Immune System: Explains the various components and functions of the immune system in protecting the body.
Three main defenses:
Anatomic barriers: Physical barriers to pathogens.
Inflammatory response: Reaction to injury or infection that isolates pathogens.
Immune response: Adaptive mechanisms to eliminate pathogens.
Skin: First line of defense.
Epithelial cells: Line respiratory tract to trap microbes.
Stomach acid: Destroys pathogens ingested with food.
Cilia: Hair-like structures in the bronchus help remove microbes from the lungs.
Blood: Transports immune cells and nutrients.
Lymph: Fluid derived from blood that circulates through the lymphatic system.
Source of fluid: Interstitial fluid that re-enters the circulatory system.
Major lymphoid tissues: Include lymph nodes, spleen, and thymus.
Types of leukocytes:
Neutrophil: Most abundant phagocyte.
Monocyte: Develops into macrophages.
Macrophages: Key phagocytes in tissues.
Basophils and Mast Cells: Involved in allergic reactions.
Lymphocytes: Include B-Cells (produce antibodies) and T-Cells (cell-mediated immunity).
Natural Killer Cells: Attack cancerous and virus-infected cells.
Definition: Process through which certain cells (like macrophages) engulf and digest pathogens.
Etymology: Derived from "phagein" (to devour) + "cyt" (cell) + "tosis" (process).
Innate Defenses: General, non-specific defenses present since birth.
Adaptive Defenses: Specific immune responses developed following exposure to pathogens.
Humoral vs. Cell-Mediated Immunity:
Humoral Immunity: Involves B-Cells producing antibodies.
Cell-Mediated Immunity: Involves T-Cells attacking infected cells directly.
Types of antibodies (Immunoglobulins):
IgG: Greatest abundance, provides majority of antibody-based immunity.
IgA: Found in mucosal areas, protection against pathogens.
IgM: First antibody produced in response to an infection.
IgE: Involved in allergic reactions.
IgD: Functions mainly as a receptor on B-cells.
Sepsis: Systemic response to infection, characterized by SIRS (Systemic Inflammatory Response Syndrome) + infection.
Hypersensitivity Reactions: Abnormal immune response to substances that may cause tissue damage.
Types:
Type I: Anaphylaxis (IgE mediated).
Type II: Cytotoxic (IgG mediated) reactions, such as transfusion reactions.
Type III: Immune complex-mediated reactions, e.g., Lupus.
Type IV: Delayed-type hypersensitivity, e.g., poison ivy reactions.
Examples include:
Lupus: Systemic disease that affects multiple organs.
Grave's disease: Hyperthyroidism resulting from autoimmune activity.
Type 1 Diabetes: Autoimmune destruction of insulin-producing cells in the pancreas.
Rheumatoid Arthritis: Chronic inflammatory disorder affecting joints.
Immunosuppressants: Medications that reduce the strength of the immune system.
Immunodeficiencies: Conditions that impair the immune response, e.g., HIV/AIDS.
Impact of Aging: Questions on how immune response changes with age, including development and efficiency.
Nutrition and Stress: Key factors that influence immune health.
ABO Phenotypes: Importance of understanding blood compatibility for transfusions.
Type O: Universal donor.
Type AB: Universal recipient.
Rh Factor: The presence (Rh+) or absence (Rh-) of D antigen on red blood cells; significant in transfusions and pregnancy complications due to Rh incompatibility.
Explanation: Rh-negative mothers with Rh-positive fetuses may develop antibodies that affect future pregnancies.
Type I: Anaphylaxis from allergens.
Type II: Blood transfusion reactions.
Type III: Autoimmune disorders like lupus.
Type IV: Contact dermatitis from poison ivy.