ENHANCEMENT CLASS: BASICS OF IMMUNITY Flashcards
The immune system is composed of wide array of:
• Cells
• Soluble molecules (humoral factors)
• Tissues
That have a role in recognition, interaction, disposal, and regulation during healthy and diseased states.
IMMUNE SYSTEM
Substances that may or may not induce an immune response
ANTIGENS
- Disease-causing (e.g., pathogens, carcinogens)
- Non-disease causing (e.g., food, dust)
ANTIGENS MAY BE FOREIGN
Host’s own proteins, carbohydrates, lipids, nucleic acids
ANTIGENS MAY BE PRESENT IN THE HOST
Is the failure to mount an immune response to an antigen
TOLERANCE
Failure to attack the body’s own proteins and other antigens (a good thing)
SELF-TOLERANCE
Recognize self from non-self and defend against nonself
PRIMARY ROLE OF IMMUNE SYSTEM
IMMUNITY is divided into two types:
- INNATE Immunity
- ADAPTIVE Immunity
INNATE OR ADAPTIVE IMMUNITY?
Present at birth “NATURAL”
INNATE IMMUNITY
INNATE OR ADAPTIVE IMMUNITY?
No prior exposure to pathogen required
INNATE IMMUNITY
INNATE OR ADAPTIVE IMMUNITY?
Little or no memory of prior exposure
INNATE IMMUNITY
INNATE OR ADAPTIVE IMMUNITY?
Non-specific
INNATE IMMUNITY
INNATE OR ADAPTIVE IMMUNITY?
Immediate response
INNATE IMMUNITY
INNATE OR ADAPTIVE IMMUNITY?
Same response upon re-exposure
INNATE IMMUNITY
INNATE OR ADAPTIVE IMMUNITY?
Exposure to pathogen required
ADAPTIVE IMMUNITY
INNATE OR ADAPTIVE IMMUNITY?
Memory of prior exposure
ADAPTIVE IMMUNITY
INNATE OR ADAPTIVE IMMUNITY?
Specific
ADAPTIVE IMMUNITY
INNATE OR ADAPTIVE IMMUNITY?
Slow response
ADAPTIVE IMMUNITY
Faster and increased response upon re-exposure
ADAPTIVE IMMUNITY
NONSPECIFIC DEFENSE MECHANISM
FIRST LINE OF DEFENSE
SECOND LINE OF DEFENSE
SPECIFIC DEFENSE MECHANISM
THIRD LINE OF DEFENSE
FIRST LINE OF DEFENSE
PHYSICAL BARRIERS
CHEMICAL BARRIERS
BIOLOGICAL BARRIERS
SECOND LINE OF DEFENSE
Cellular: Phagocytic Cells Humoral Factors (Acute Phase Reactants, Complement, Cytokine
THIRD LINE OF DEFENSE
- Lymphocytes
- Antibodies
Ability to resist infection by means of normally present body functions
INNATE IMMUNITY
Refers to external and internal defenses that function in the early stages of host defense
INNATE IMMUNITY
Block or limit access to the body (physical barriers)
to
Initiate activation of immune mechanism (humoral and cellular factors)
INNATE IMMUNITY
Block or limit access to the body (physical barriers)
to
Initiate activation of immune mechanism (humoral and cellular factors)
INNATE IMMUNITY
SKIN AND ITS SECRETIONS
MUCOUS MEMBRANES, SECRETIONS, AND MECHANISM
NORMAL FLORA
FIRST LINE OF DEFENSE
Tightly packed epithelial cells, keratinization, and constant renewal of epidermis
INTACT, UNBROKEN SKIN
Maintain the pH of the skin (approx. pH 5.6), thus inhibiting the growth of some microorganisms
LACTIC ACID IN SWEAT; FATTY ACIDS IN SEBUM
- Produced by keratinocytes
- Protein with antibacterial effect vs. gram-negative bacteria (E. coli)
PSORIASIN
- Mucus, Surfactants, and Cilia
- Coughing and Sneezing
RESPIRATORY
Urination (Flushing action, and slight acidity)
URINARY
Urination (Flushing action, and slight acidity)
URINARY
Lactic Acid (Acidity destroys pathogens; pH 5)
GENITAL
Hydrochloric Acid
DIGESTIVE
Lysozyme in tears
LACRIMAL AND SALIVARY GLANDS
Non-pathogenic organisms in some parts of the body deter growth of pathogens
Normal flora (Microbiota)
Non-pathogenic organisms in some parts of the body deter growth of pathogens by:
Competitive Exclusion
Producing Substances
E.g. Vaginal normal flora competes with C. albicans
Competitive Exclusion
E.g. COLICINS by gut bacteria binds and penetrates to negatively charged surface of certain bacteria
Producing Substances
SECOND LINE OF DEFENSE
Cellular Defense (Innate)
Peripheral Blood
Tissues
LIST OF PERIPHERAL BLOOD
- Neutrophil
- Eosinophil
- Basophil
- Monocytes
LIST OF SENTINEL CELLS
- Macrophage
- Mast Cells
- Dendritic Cells
Group of glycoproteins that are normal in serum but rise at different rates and in varying levels during inflammation
ACUTE PHASE REACTANTS
Synthesized rapidly by _____ in response to cytokines within 12-24 hours
HEPATOCYTES; ACUTE PHASE REACTANTS
Synthesized rapidly by _____ in response to cytokines within 12-24 hours
HEPATOCYTES; ACUTE PHASE REACTANTS
Pro-inflammatory cytokines produced by monocytes and macrophages:
- Interleukin-1B (IL-1B)
- Interleukin-6 (IL-6)
- Tumor necrosis factor-alpha (TNF-a)
can also trigger release of APRs
Strenuous exercise
2 TYPES OF ACUTE PHASE REACTANTS
POSITIVE ACUTE PHASE REACTANTS
NEGATIVE ACUTE PHASE REACTANTS
ACUTE PHASE REACTANTS BELONGS TO?? FIRST OR SECOND LINE OF DEFENSE??
SECOND LINE OF DEFENSE
Increases during inflammation
Ex: CRP, mannose binding protein, serum amyloid A
POSITIVE ACUTE PHASE REACTANTS
Decreases during inflammation
Ex: Albumin, transferrin, antithrombin
NEGATIVE ACUTE PHASE REACTANTS
• Bind to microorganisms and promote adherence
• PHAGOCYTOSIS
• Limit destruction caused by proteolytic enzymes from WBCs
ACTIONS OF SECOND LINE OF DEFENSE
- Formerly known as “gamma globulins” (Elvin Kabat)
- Located w/in gamma through beta region
- Specific glycoproteins referred to as immunoglobulins
ANTIBODIES
- Formerly known as “gamma globulins” (Elvin Kabat)
- Located w/in gamma through beta region
- Specific glycoproteins referred to as immunoglobulins
ANTIBODIES
TWO FORMS OF ANTIBODIES:
Cell surface (membrane-bound) Secreted Ig’s (antibodies)
TWO FORMS OF ANTIBODIES:
Cell surface (membrane-bound) Secreted Ig’s (antibodies)
Can be found in blood plasma and in many body fluids (tears, saliva, colostrum)
ANTIBODIES
- Combine with an antigen which may be enough to neutralize bacterial toxins or some viruses
- Facilitate phagocytosis and kill microbes (opsonins)
- Complement activation (e.g. Classical pathway)
ANTIBODIES: Primary Function
2 TYPES OF ADAPTIVE IMMUNITY
Active Immunity
Passive Immunity
ABUNDANT TO LEAST ABUNDANT ANTIBODIES
(GAMDE)
IgG
IgA
IgM
IgD
IgE
LARGEST TO SMALLEST ANTIBODIES
(MAEDG)
IgM
IgA
IgE
IgD
IgG
Immunity developed after being exposed to an infection or getting from a vaccine
Ex: Infection (natural), Vaccination (artificial)
Active Immunity
Immunity acquired from someone else or something else
Ex: Maternal antibodies (natural), Monoclonal antibodies (artificial)
Passive Immunity
Exposed to antigen
ACTIVE
Exposed to antibodies
Passive
Convalescent Immunity that occurs when patient recovers from an infection
ACTIVE NATURAL
Acquired by injection of synthetic preparations such as vaccine, toxin, and toxoid
ACTIVE ARTIFICIAL
Immunity resulting from the utero transfer or through colostrum
PASSIVE NATURAL
Immunity acquired by injection of Immune sera or antitoxin
PASSIVE ARTIFICIAL
What is colostrum?
breast milk of the mother