6.3 Defence against infectious disease Flashcards
What happens when the skin is cut?
The blood vessels in it are severed and start to bleed
What process stops bleeding?
Clotting
* changes from a liquid to a semi-solid gel
* Seals up the wound and prevent further loss of blood and blood pressure
* Important because cuts breach the barrier to infection provided by the skin
* Clots prevent entry of pathogens until new tissue has grown to heal the cut
Why do blood clots form?
To stop blood loss and stop entry of pathogens
What release clotting factors in response to a wound?
Platelets (small cell fragments) along with damaged tissue
What are platelets?
- cellular fragments that circulate in the blood
- They are smaller than either red or white blood cells
- When a cur or other injury invovling damage to blood vessels occurs, platelets aggregate at the site forming a temporary plug.
- They then release the clotting factors that trigger off the clotting process
What does clotting factors cause?
A cascade of reaction, each of which produces a catalyst for the next reaction
Process ends with fibrin (a protein) fibres forming a mesh across the wound site
Why must clotting be under strict control?
Because if it occurs inside blood vessels the resulting clots can cause blockages
What does the cascade of reactions result in?
The rapid conversion of fibrinogen to fibrin by thrombin
Is fibrinogen and fibrin soluble?
Fibrinogen is soluble
Fibrin is insoluble (its fibrous)
What is thrombin and what does it do?
It is an enzyme that is produced after the release of clotting factors from platelets that converts fibrinogen (soluble) into fibrin fibres (insoluble) that will form a mesh across the wound site to capture the red blood cells and prevent blood loss and entry of pathogens. The resulting clot is initially a gel, but if exposed to the air it dries to form a hard scab
How does atherosclerosis cause CHD (coronary heart disease)?
Atherosclerosis can lead to blood clots which cause coronary heart disease when they occur in coronary arteries
What is a thrombus?
A medical name for a blood clot
What is coronary thrombosis?
The formation of blood clots in the coronary arteries
What are the consequences of coronary occlusion?
- If a coronary artery becomes completely blocked, an acute myocardial infarction (heart attack) will result
- This is because myocardial tissues require oxygen and nutrients transported via the coronary arteries in order to function
- If the coronary arteries become blocked by a blood clot, part of the heart is deprived of oxygen and nutrients
- Cardiac muscle cells are then unable to produce sufficient ATP by aerobic respiration and their contractions become irregular and uncoordinated
- Fibrillation
- This condition can prove fatal unless it resolves naturally or through medical intervention
What is fibrillation?
When the wall of the heart makes quivering movements that do not pump blood effectively.
What can atherosclerosis cause in coronary arteries?
Occlusion
What happens to the endothelium of arteries when atheromas develop there?
Where atheroma develops the endothelium of the artarteries tends to become damaged and roughened; especially, the artery wall is hardened by deposition of calcium salts. Patches of atheroma sometimes rupture causing a lesion.
What increase the risk of coronary thrombosis?
- Coronary occlusion
- Damage to the capillary epithelium
- Hardening of arteries
- Rupture of atheroma
How are blockages of coronary arteries typically treated?
Can insert a closed stent into that artery then expand it with a balloon which widens the artery and compresses the plaque or by-pass surgery (redirecting the blood)
What are the stages of CHD?
- Formation of atheroma
- Rupture of atheroma
- Platelets activates
- Thrombin
- Fibrinogen converted to fibrin
- Clot
What are the risk factors of coronary heart disease?
- Age – Blood vessels become less flexible with advancing age
- Genetics – Having hypertension predispose individuals to developing CHD
- Obesity – Being overweight places an additional strain on the heart
- Diseases – Certain diseases increase the risk of CHD (e.g. diabetes)
- Diet – Diets rich in saturated fats, salts and alcohol increases the risk
- Exercise – Sedentary lifestyles increase the risk of developing CHD
- Sex – Males are at a greater risk due to lower oestrogen levels
- Smoking – Nicotine causes vasoconstriction, raising blood pressure
Mnemonic: A Goddess
What are some well-known factors that are correlated with an increased risk of coronary thrombosis and heart attacks: (6)
- Smoking
- High blood cholesterol concentration
- High blood pressure
- Diabetes
- Obesity
- Lack of exercise
What are Erythrocytes?
Red blood cells?
What are Erythrocytes?
Red blood cells?
What are microbes that cause disease called?
Pathogens
What are the primary defence against infectious disease to the body?
The first line of defence against infectious disease are the surface barriers that prevent the entry of pathogens into the body
What are the surface barriers that prevent the entry of pathogens into the body? (3)
Skin, mucous membranes, sebaceous glands
What does the skin do in terms of defence against pathogens?
Outermost layer is tough and provides a** physical barrier** against the entry of pathogens and** protection against physical and chemical damage**
What does sebaceous glands do in terms of defence against pathogens?
Are associated with hair follicles and they secrete a chemical called sebum, which maintains skin moisture and slightly lowers skin pH. The lower pH inhibits the growth of bacteria and fungi.
Where can mucous membranes be found on the human body?
- Nasal passages and other airways
- The head of a penis
- Foreskin
- Vagina
What does mucous membranes do in terms of defence against pathogens?
They are thinner and softer type of skin
* The mucus that these areas of skin secrete is a sticky solution of glycoproteins. Mucus acts as a physical barrier; pahogens and harmful particles are trapped in it and either swallowed or expelled. It also have antiseptic properties because of the presence of the anti-bacterial enzyme lysozyme.
Overview of Physical and chemical surface barriers
What is clotting (haemostasis)?
the mechanisms by which broken blood vessels are required when damaged
What are some other primary defenses?
What is coagulation cascade?
A complex set of reactions collectively in the process by which blood clots are formed
What stimulates the coagulation cascade?
By clotting factors released fro damaged cells and platelets
What is the second line of defence against infectious disease?
White blood cells
The innate immune system, which is non-specific in its response
What are the components of the second line of defence?
Principle component: phagocytic white blood cells engulf pathogens by endocytosis and digest them with enzymes from lysosomes
Other components of the innate immune system: inflammation, fever and antimicrobial chemicals (complement proteins)
What results in the formation of a white liquid called pus?
When wounds become infected, large number of phagocytes are attracted, resulting in the formation of a white liquid called pus