Lecture 11 Flashcards
First line of defense
Any barrier that blocks invasion at the portal of entry
Limits access to the internal tissues of the body
Not considered a true immune response because it does not involve recognition of foreign substances; very general in action
Second line of defense
Internalized system of protective cells and fluids
Includes inflammation and phagocytosis
Acts rapidly at both the local and systemic levels once the first line of defense has been circumvented
Third line of defense
Acquired on an individual basis as each foreign substance is encountered by lymphocytes (white blood cells)
The reaction with each different microbe produces unique protective substances
Provides long-term immunity (memory)
Most defenses?
overlap and are redundant in some of their effects
Is the survival of invading microbes unlikely or likely?
because of the set of defenses it is unlikely
Which defenses are acquired/specific, which are innate/non specific?
Innate/nonspecific: first and second line of defense
acquired/specifc: third line of defense
What is included in the first line of defense?examples?
A surface protection composed of
anatomical and physiological barriers that keep microbes from penetrating sterile body compartments.
e.g. Physical barriers, chemical barriers, Genetic
components
What is included in the second line of defense? examples?
A cellular and chemical system that comes
immediately into play if infectious agents make it
past the surface defenses.
e.g.Phagocytosis, inflammation, fever, antimicrobal proteins
What is included in the third line of the defense?
Includes specific host defenses that mustbe developed uniquely for each microbethrough the action of specialized whiteblood cells.
e.g. active infection/passive maternal antibodies
B cells, T cells
and their effects
What is considered a first line of defense?
Barriers
Explain what the first line of defense is?
Inborn, nonspecific defenses can be divided into three types of barriers
Examples of physical, chemical and genetic barriers???
Physical: Actual barriers such as skin, membranes
Movement/flushing
Chemical enzymatic:pH, lysozyme
Genetic:Mutations in components of any of these lines of defense
What do the barriers in the first line of defense do?
These barriers impede the entry of microbes and other foreign agents, living or non-living
What should you think of when you think of the first line of defense?
Think barriers or constant movement and/or flushing
How is skin a barrier, give examples? and what is Stratum corneum?
Stratum corneum: Compacted layer of epithelial cells that are impregnated with the insoluble protein keratin.
Constant sloughing of the outer layers of skin removes microbes
Hair shaft is periodically shed and follicle cells are desquamated (outer layer is peeled off)
Flushing effect of sweat removes microbes from glands
How is mucus a physical barrier?
Mucous membranes of the digestive, urinary, and respiratory tracts, eye
Mucous coating impedes entry/attachment
Blinking and tear production flush the eye
Constant flow of saliva carries microbes to the stomach
How is the Genitourinary tract a physical barrier?
Protection through the continuous trickle of urine through ureters (kidney to bladder)
Periodic bladder emptying flushes urethra
How is the respirtory tract a physical barrier?
because of the FLOW of mucus (fluids provide flushing action) Ciliated epithelium conveys particles trapped in mucus toward the pharynx
Coughing, sneezing expels microbes and other particles
explain how resident microbiota is a physical barrier?
Microbial antagonism against colonization by potential pathogens
Take up space, nutrients
Altering environment, e.g. acid production
There are like 7 examples of nonspecific chemical barriers, try to name all of them and explain do ur best ily
- Secretions from sebaceous glands have an antimicrobial effect
- Lysozyme: an enzyme found in tears and saliva that hydrolyzes the peptidoglycan in the cell wall of bacteria
- High lactic acid and electrolyte content of sweat
- Acidic pH and fatty acid content of the skin
- Hydrochloric acid in the stomach gives protection against microbes that are swallowed
- Digestive juices and bile in the intestine are destructive to microbes
- Vagina has a protective acidic pH maintained by normal microbiota
What is an lysozyme?
an enzyme found in tears and saliva that hydrolyzes the peptidoglycan in the cell wall of bacteria
what is the definition of…. Immunology
The study of all features of the body’s immune system
what does Immune system mean? what lines of defenses does it include?
System of the body that helps fight and protect against disease
Infectious disease as well as others (e.g. cancer)
Includes the “second and third lines of defense” mentioned earlier
Innate or non-specific immunity (rest of Chap 12)
Adaptive or specific immunity
what is a healthy, functioning immune system is responsible for ? (three points)
Surveillance of the body
Recognition of foreign (or malfunctioning) material
Destruction of entities deemed to be foreign
• What is epidemiology?
Study of frequency and distribution of disease and other health-related factors in defined populations
**Recognize that it is applied both to infectious disease and noninfectious diseases. **
What is prevelance?
Total number of existing cases with respect to the entire population
(Total cases / total people in population) x 100%
What is incidence?
Measures the number of new cases over a certain time period
new cases per unit time / Total number of people
What is the mortality rate of a disease?
Number of deaths in a year due to a given disease
Reportable or notifiable diseases