Lecture 5: The Innate Immune System Flashcards
What is the immediate response of the innate immune system
Send neutrophils to site
What are some local effects of the innate immune system
Heat, redness, pain, swelling
Describe the pathway of systemic effects of inflammation
Sentinel cells (mast cells, macrophages, dendritic cells) release cytokines that act on distant locations (hypothalamus, liver, and bone marrow) which results in an immune response
Why is the hypothalamus response to systemic inflammation
Fever, anorexia, sleepiness, depression
What is the livers response to systemic inflammation
Increased synthesis of acute phase proteins, iron sequestration
What is the bone marrows response to increased systemic inflammation
Increased WBC production
What are some possible changes to CBC indicating systemic inflammation
Neutrophilia, neutropenia, changes to iron parameters, anemia of chronic disease
What is an example of an acute phase protein
Serum amyloid A (SAA)
Why sequester iron
Bacteria needs iron so body will protect itself by storing it in liver
What is a consequence of iron sequestration
Anemia of chronic disease/inflammation
What is an indication of increased WBC production
Start seeing bands released which are immature WBC
Describe the cascade of events for conditions like systemic inflammatory response syndrome and multiple organ dysfunction syndrome
- Infection, 2. Recognized by PAMPS/DAMPS, 3. Release proinflammatory cytokines, 4. Local vasodilation resulting in hypotension and enemia, acute phase response resulting in thrombosis, activation of monocytes, neutrophils and DC’s, all ending with hypoxia and apoptosis and necrosis
Systemic inflammatory response syndrome
Results from overexpression of multiple cytokines. These cytokines trigger a series of events that result in widespread cell death and multiple organ failure
What effects does a fever have on adaptive and innate immune systems
Innate: increase neutrophils, increased NK cells
Adaptive: increase dendritic cells, macrophages, and T cells
What is an example of a clinical test for inflammation
Acute phase proteins- SAA
Function of lysozymes
Innate barrier in tears saliva, milk, GI, destroys bacterial cell walls, peptidoglycan
What do defending and cathelicidins do
Innate barrier to destroy microbial cell membranes