Infection 4 - Innate Immune System Flashcards
Name some PHYSICAL barriers against infectious disease:
- Skin
- Mucous membranes (resp/GI/urinary tracts, mouth)
- Bronchial cilia
Name some PHYSIOLOGICAL barriers barriers against infectious disease:
- Diarrhoea
- Vomiting
- Coughing
- Sneezing
Name some CHEMICAL barriers against infectious disease:
- Stomach acid between pH 1-3
- Stomach pepsin
- Skin pH = 5.5
- Vaginal pH = 4.4
- IgA in tears/saliva/mucous membranes
- Lysozymes in sebum/perspiration/urine
- Mucous
- Beta-defensins on skin and mucous membranes
What is the pH of our skin?
pH = 5.5
What is the pH in the vagina?
pH = 4.4
Where in our bodies do we have normal flora?
- Nasopharynx
- Mouth
- Throat
- Skin
- GI tract
- Vagina
How does our normal flora protect us against infectious disease?
- They compete with pathogens for attachments sites and resources
- They produce antimicrobial chemicals
Name some bacteria which are commonly part of our normal flora on our skin:
- Staph. aureus
- Staph. epidermis
- Strep. pyogenes
- Cand. albicans
- Clost. perfringens
Name some bacteria which are commonly part of our normal flora in our nasopharynx:
- Strep. pneumoniae
- Neis. meningitidis
- Haemophilus spp.
Why are diabetics at high risk of infection?
Neuropathy:
- trauma goes unnoticed
- urine retention
High blood glucose
- bacteria thrive in
- deregulates neutrophil synthesis
- decreases complement response and leukocyte adherence
May result in acidosis, which limits immune system
Why are asplenic/hyposplenic patients at high risk of infection of encapsulated bacteria?
Spleen is essential for clearing encapsulated bacteria, as produces antibodies against them (IgM, IgG).
Amorphous polysaccharide coat impairs clearance without antibodies.
What bacteria should asplenic/hyposplenic patients be vaccinated against?
- Strep. pneumoniae
- Haem. influenza B
- Neis. meningitidis
What are the main functions of Macrophages?
- Phagocytosis
- Antigen presentation to T cells
- Produce cytokines and chemokines
How does the body respond to the TNF/IL-2/IL-6 released by macrophages?
- Vasodilation
- Increased vascular permeability
- Adhesion molecules stimulated
- Bone marrow activated = neutrophil mobilisation
- Hypothalamus stimulated to increase temperature
Liver produces:
- CRP = release of opsonins
- MBL = activates complement
Which immune cell makes up 60% of WBCs in the blood?
Neutrophils