Immunology Flashcards
Immunology
- the study of immunity
- ability to ward of disease and protect against environmental factors
- types
- innate
- adaptive
Innate immunity
- present at birth
- fast, general response
- no memory response
- includes:
- first line of defense
- second line of defense
Adaptive
- slow, specific response
- memory response
- Includes:
- third line of defense
First Line of defense
- skin
- mucous membranes
- body secretions
Skin
- physical barrier
- several layers of tightly packed keratinized epithelial cells - chemical barrier:
- sebum (oily substance)
- low pH 3-5
- Lysozyme: enzyme that breaks down bacterial cell walls
Mucous Membranes
Physical barriers
- mucus lines open body cavities
- ciliary escalator: lining of trachea to propel microbes upward toward throat
Body Secretions
- Lysozymes:
-found in tears, sweat, saliva, urine - Perspiration:
-flush microbes from surface - saliva
-flush microbes from teeth - gastric juice
-acidic pH 1-2
5: urine
-acidic pH 6
-Uric acid and hippuric acid (inhibit microbes) - Vaginal Secretions
-acidic pH 3-5
Cervical mucous (antimicrobial properties)
Second Line of Defense
- phagocytes
- inflammation
- fever
- antimicrobial substances
Phagocytes
cells that ingest other microorganisms and substances
- neutrophils (PMNs)
- Eosinophils
- monocytes
- dendritic cells
Neutrophils
- polymorphonuclear leukocytes
- highly phagocytic and motile
- first to respond to an infection
- can leave blood and go into infected tissue
Eosinophils
- somewhat phagocytic
- Produce toxic proteins against parasites
Monocytes
- not actively phagocytic in circulating blood
- mature in tissues–> macrophages
- macrophages
- Fixed (histiocytes): stay in certain tissues or organs’
- free (wondering): motile, roam tissues, gather at sites of infection
- macrophages
Dendritic cells
- phagocytic
- initiate adaptive immunity (antigen presenting cell)
Mechanism of phagocytosis
- chemptaxis
- adherence
- ingestion
- digestion
chemotaxis
chemical attraction to microbes
adherence
- contact between phagocyte and microbe
- toll-like receptors (TLRs): protein receptors on phagocytes that attach to PAMPs on pathogens
- PAMPs: pathogen associated molecular patterns
- ex. LPS, flagellin, peptidoglycan
- binding causes release of specific cytokines
- cytokines recruit additional phagocytes
- faciliated by opsonins
- opsoninis: proteins that coat and promote attachment
Ingestion
pseudopods form and engulf microbe in a phagosome
Digestion
phagosome fuses with lysosome–> phagolysome
microbe is digested by hydrolytic enzymes
indigestible material (residual body) expelled
Inflammation
- cardinal signs/symptoms
- redness
- heat
- swelling
- pain
- caused by:
- tissue damage
- infection
function:
-destroys/slowdown pathogens
Inflammation steps
- chemicals released by damaged cells
- vasodilation
- increased permeability
- chemotaxis (attracting phagocytes)
- phagocytic migration
- margination (phagocytes stick to endothelium)
- Diapedisis (phagocytes squeeze through endothelium) - Phagocytosis
- Tissue repair
Fever
Abnormally elevated body temperature
Caused by:
- Pyrogens:
- Exogenus pyrogens: products of pathogens
- Endogenous pyrogens: products of leukocytes (i.e. Interleukin 1)
Actions: adjusts hypothalamus (thermostat) to higher temperature
Results in:
- constricting blood vessels to skin
- increased rate of metabolism
- shivering
Benefits of moderate fevers
- inhibits/ slows pathogen growth
- speeds up tissue repair
- intensifies actions of interferon
Complication of high fevers
- Tachycardia
- increased metabolic rate –> acidosis
- dehydration
- seizures
- neurological damage