Innate Immunity Patho Flashcards
Describe Physical Barriers of Defense
tightly associated epithelial cells to prohibit passage of microorganisms into underlying tissue (skin)
Describe Mechanical Barries of Defense
normal cell turnover/”washing” of surfaces (skin sloughing off, mucous being excreted)
Describe some biochemical barriers of defense
epithelial-derived chemicals - substances secreted to trap or destroy microorgansisms (mucus, earwax, sweat, saliva, tears, sebaceous glands)
what is a normal microbiome
colonization of surface where there is a mutualistic relationship and does not normally cause disease (can be disrupted by antibiotics)
How does normal microbiome contribute to defense against pathogens
the microbiome offers innate protection through outcompeting pathogens for nutrients
What are first lines of defense?
Physical, Mechanical, Biochemical, and Microbiome
What are second lines of defenes?
non-specific innate immunity - ie inflammation, fever
What is a mast cell?
most important cellular activator of the inflammatory response - contains granules that are released or synthesized when activated
What is mast cell degranulation
release of mast cell granules (histamine, chemotactic factors, cytokines)
What is mast cell synthesis
new production and release of of mediators (leukotrienes, prostaglandins, platelet-activating factors) slower acting
What is the function of histamine
1.causes temporary constriction of smooth muscle lading to vasodilation & increased blood flow to area
2. causes increased vascular permeability through retraction fo endothelial cells & increased adherence of leukocytes to endothelium
3.H1 = proinflammatory, augments neutrophil chemotaxis and activates mast cells and neutrophils
4. H2 = antiinflammatory, opposite of H1
What are the functions of Platelet Activating factor
1.endothelial retration –> increased permeability
2.leukocyte adhesion to endothelial cells
3. platelet activation
What are the functions of prostaglandins
- increase vascular permeability
- smooth muscle contraction
- Works with bradykinin on nociceptors to induce pain
- can suppress release of histamine from mast cells and lysosomal enzymes from neutrophils to inhibit inflammation
What are the functions of leukotrienes
*similar to histamine but slower acting and has prolonged effect
1.smooth muscle contraction
2.increased vascular permeability
3.neutrophil/eosinophil chemotaxis
What are the function of Chemotactants
directs movement of cells along a chemical gradient
1. Neutrophil CF
2. Eosinophil CF of anaphylaxis
3. Leukocyte chemotaxis
What are the functions of growth factors
help with tissue regeneration and angiogenesis
ex) VEGF (endothelial cell proliferation) and PDGF (connective tissue and smooth muscle proliferation)
What are the three plasma protein systems essential to inflammatory response?
Complement, Clotting, and Kinen
Describe the Complement System
- bacteria activate complement cascade
- Proteins form a membrane attack complex (MAC) that break off and form a pore in bacterial membranes, leading to cell lysis and death
What three pathways lie within the Complement System?
Classical, Alternative, and Lectin
Describe the Classical Complement pathway
antibodies activate the first complement component
Describe the Alternative Complement pathway
bacterial products activate cascade, antibodies not required
Describe the Lectin Complement pathway
mannose-binding lectin bind to bacterial polysaccharides containing mannose, activating the cascade