Lecture 13 Flashcards

1
Q

How does you body respond to the presence of microbes 3

A
  1. Tolerance - nothing if microbes are friendly/harmless
  2. Segregation - Keep microbes out of places they should normally be (harmless and harmful microbes)
  3. Combat - mount and immediate/aggressive anti-microbial response (harmful)
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2
Q

Functions of human immune system 3

A
  1. Create a physical/biological/chemical barrier that prevents foreign from entering “internal” body sites
  2. Recognize and eliminate foreign material
    - cancer cells, transplants
    - pathogenic micro-organisms
  3. Create memory of old encounters of foreign material
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3
Q

How to deal with different kinds of pathogens

A

Viruses: defense needs to recognize and eliminate “self” cell acting as host for virus

Bacteria, fungi, parasites: Requires ability to recognize and eliminate nonself microbe while not harming host tissues

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4
Q

Solutions to deal with different kinds of pathogen

A

Using multiple mechanisms that coop with eachother and back each other up (redundancy)

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5
Q

Defense against foreign microbes occurs by two mechanisms:

  1. Innate immunity
A

Non specific defense systems

-respond same way (no preference)
-No memory (repeat exposure don’t improve defenses)
(external barrier defenses and internal cellular/ biological defenses)

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6
Q

Defense against foreign microbes occurs by two mechanisms:

  1. Acquired/adaptive immunity
A

Specific defense systems

-individual response designed for each diff. microbe
-memory (a second exposure to the same microbe gives faster and stronger response)
(Antibody-mediated/ humoral immunity and cell-mediated immunity)

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7
Q

Innate Immunity

1.External surface entry barriers

(Intended to block microbes from entering sterile internal tissues)

4

A

A) Structural Defenses (skin, mucous membranes)

  • Hard to penetrate barrier that protects deeper tissues
  • Continual loss of dead skin cells removes attached microbes
  • Dry, salty environment (of skin) limits growth of microbes

B) Mechanical Defenses
-Flushing action of fluids (urine, tears, saliva)
-Ciliated cells in lungs move mucus (Along with attached microbes) toward mouth -> swallowed and eliminated
(swallow and digest 1 Liter of mucus)

C) Microbial defenses
-Normal microbial flora (eg gut bacteria) out competes pathogenic microbes for nutrients and for attachment sites on tissue surfaces

D) Biochemical Defenses
-Chemical produced by body that harm microorgnanisms or restrict their growth

Eg: Lysozyme
-enzyme in human fluid breaking bond between NAG - NAM in bacterial Peptidoglycan

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8
Q

Innate Immunity

Internal Cellular and Biological Defenses

Come into action if pathogen overcomes surface barriers

4

A

A) Phagocytosis
B)Inflammation
C)Complement
D)Fever

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9
Q

Phagocytosis

A

Digest and remove foreign material that
Mainly white blood cells:
-Monocytes, neutrophils, eosinophils (circulate in blood)
-Macrophages (monocytes which moved from blood to deeptissue/organ)
-Dendritic Cells (in tissues close to body surfaces)

  • Note: Phagocytosis is a non-specific mechanism → any microbe can be ingested & killed by any phagocytic cell
  • ie. no different phagocytic cell for every different species of bacteria
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10
Q

How does phagocyte recognize foreign microbe and not one of your own cells

A

Pattern recognition receptors - proteins on surface of phagocytes that recognize characteristic molecules found in microbes but not in host cells

eg. Peptidoglycan and LPS (bacteria), chitin (fungi)

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11
Q

How are bacteria actually killed once ingested by phagocyte

A

Various degradative enzymes and toxic molecules found in lysosome of phagocyte

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12
Q

What happens to the stuff phagocytes spit out

A

Further degraded and absorbed but can irritate surround tissues if present in large amounts

defensive actions of phagocytes can contribute to the symptoms associated with an infection

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13
Q

Can Bacteria defend themselves against phagocytosis ?

A

-Produce Capsular polysaccharide
(harder for phagocyte to grab on and ingest)

-Secrete “toxins” that target and destroy phagocytes

-Survive after being ingested
(escape the phagosome-lysosome compartment and enter and grow in cytoplasm

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14
Q

Other ways that cells of the innate immune system can kill microbes (ie. besides phagocytosis)

A
  1. Killing something bigger than you (parasite)
    -Extracellular killing by eosinophils
    (secrete toxic proteins that perforate parasite wall)
  2. Killing something that’s hiding in your own cell (virus)
    -Extracellular killing by NATURAL KILLER (NK) cells
    (recognize a Virus infected host cell and destroy it by secreting degradative enzymes)
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15
Q

Inflammation

A

Rapid biological response to tissue dmg as result of:

  • cuts, burns, bites, exposure to chemicals
  • The action of microbes when causing disease

Five main signs(PRISH):

  • Pain
  • Redness (erythema)
  • Immobility (loss of function)
  • Swelling (edema)
  • Heat

Purpose of inflammation

  • Attract phagocytes and other immune cells to the site of injury
  • Begin the processes that will repair and heal injured tissues

Inflammation is a correct and appropriate response to damaged tissues or to the presence of microbes

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16
Q

S&S of Inflammation due to chemicals released after tissue dmg

A

Eg. Histamine

  • Vasodilation (increases blood flow -erythema, Heat)
  • Increases permeability of blood vessels (edema)
  • Stimulates nerve endings (Pain)

Prostaglandin
-Vasodilation, Fever, increased sensitivity to pain + numerous molecules, proteins involved in repair of tissue, coagulation of blood, stimulation of immune system cells

17
Q

inflammation can be treated with various drugs that counteract the inflammatory chemicals:

A

Anti-histamines - Reduce vasodilation & pain

Aspirin, Ibuprofen - Block the synthesis of prostaglandin

Corticosteroids - Multiple effects on cells to suppress the production or release of inflammatory chemicals

18
Q

Acute Inflammation

A
  • Immediate & beneficial response to tissue injury or microbes
  • (1-2weeks) once cause or dmg healed
  • no long term consequences
  • no treatment needed unless pain severe
19
Q

Chronic Inflammation

A
  • Delayed and potentially harmful response occurs if issue persists or other conditions (arthritis, ulcerative colitis, asthma)
  • Slow to resolve
  • Result in tissue dmg and scarring due to phagocytic cell activity
20
Q

Complement

A

30 different proteins found in blood serum

  • Complemented action of antibodies
  • 10% total serum protein
21
Q

3 Complement Functions

A
  1. Make phagocytosis more efficient by “opsonization”
    - Complement proteins coat surface of bacterial cells
    - receptors on macrophage to better attach to bacterial
  2. Destroy bacteria by forming membrane attack complexed
    - insert into bacterial cell membrane to create pore = leakage = death
  3. Regulate inflammation and other immune system responses
    - cause vasodilation
    - help remove antibody + antigen complexes from circulation
22
Q

Fever

A

Biological response to pyrogenic (fever inducing) agents

  • External pyrogens- Bacterial LPS, fungal wall components
  • Internal pyrogens- Chemicals from phagocytes

Pyrogens cause hypothalamus to produce prostaglandins which set body temp higher

non-pyrogenic = no swelling?

23
Q

Benefits of fever

A
  • Slows growth of temp sensitive microbes
  • reduce availability microbes for growth (low serum levels of iron, zinc, coper)
  • Increases metabolic activity of phagocytic cells
  • Stimulates acute inflammation

Low grade fever beneficial
High grade fever treated with drugs that block prostaglandin synthesis (asprin)

24
Q

Summary Innate Immune System

A

two of three lines of defense against pathogens

  1. surface entry barriers
  2. internal (chemical/cellular) barriers

-non specific and lack memory