Immunity is essential for understanding concepts surrounding microbial genesis and polyclonality.
Importance of optimal immunity: maintaining health and preventing illness.
Innate (or nonspecific) immunity: provides general protection against pathogens.
First line of defense: physical barriers including skin and mucous membranes.
Examples:
Skin: A barrier; breaks in the skin increase infection risk.
Mucous membranes: Ciliated cells in the GI and respiratory tract aid expulsion of foreign particles.
Normal flora: Beneficial organisms that prevent pathogenic proliferation but can become pathogenic under certain circumstances.
Adaptive (or acquired) immunity: specific response tailored to particular pathogens.
Requires initial response from innate immunity for effectiveness.
Involves lymphocytes:
B lymphocytes (B cells): Responsible for antibody production.
T lymphocytes (T cells): Assist in targeting specific pathogens.
Helper T cells (CD4): Activate B cells and cytotoxic T cells.
Cytotoxic T cells (CD8): Directly attack infected cells.
Recognized as foreign substances in the body, provoking an immune response.
Antigens are identified by cells and presented to immune cells for a targeted response.
Physical and chemical barriers:
Skin, tears, saliva, natural flora in the gut.
Comprised of nonspecific responses involving:
Neutrophils and macrophages mobilizing to site of infection.
Inflammation: key components include redness, swelling, heat, pain, and loss of function.
Increases blood flow and allows cells to reach the affected area.
Cytokines: Signaling proteins that coordinate the inflammatory response and recruit more immune cells.
Process by which immune cells, like macrophages and neutrophils, engulf and destroy pathogens.
Involves four steps:
Margination: White blood cells adhere to blood vessel walls.
Transmigration: Cells exit the bloodstream and enter tissue.
Chemotaxis: Movement toward higher concentrations of signaling molecules.
Engulfment: Phagocytes internalize and digest the pathogen.
T cells play a crucial role:
Helper T cells (CD4): Activate other immune cells and initiate antibody production by B cells.
Cytotoxic T cells (CD8): Target and kill infected or abnormal cells.
B cells transform into plasma cells that produce antibodies in response to specific antigens:
Antibodies: Proteins that bind to antigens, marking them for destruction and neutralization.
Subtypes:
IgG: Main type of antibody; involved in long-term immunity.
IgM: First antibody produced in response to infection.
IgA: Found in mucosal areas; provides protection at entry points of pathogens.
IgE: Associated with allergic reactions and responses to parasites.
B and T cells can become long-lasting memory cells after activation, providing quicker and more robust responses to subsequent exposures to the same antigen.
The immune system is constantly balancing between attacking pathogens and tolerating self-components.
Disorders can result from a breakdown in these processes, leading to autoimmunity or hypersensitivity reactions.
Complement System: Enhances the ability of antibodies and phagocytic cells to clear microbes and damaged cells.
Mast Cells: Release histamine and other mediators during inflammation, contributing to allergic responses.
Cardinal Signs of Inflammation: Redness, swelling, heat, pain, and loss of function signal an active immune response depending on the nature of the insult.