Lecture 8: The Innate Immune system Flashcards

1
Q

The Immune System

A
  • The immune system fights off foreign material that threatens the body
  • Protects against disease
  • think: police to patrol bad guys in a city with diff. departments & diff. neighbourhoods have diff. squads
    where in the body (b/c they offer diff. req’s that req. diff levels of protection
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2
Q

What are the 2 branches of the immune system?

A
  1. Innate
    • NON-specific
    - treats everything the same with only some differences that aren’t based on specificity but on broader similarity)
    - think: talking to worst enemy & grandma in same tone/engagement
  2. Adaptive
    • HIGHLY specific
    - tailoring response to SARS-COVI-2 delta, omricon etc. based on which variant you get, you’ll get a response which is why vaccinations against a variant won’t have same efficiency against another 1 b/c tailored
    - think: someone has brown hair for while & then changes it next day to red, you have to relearn them as red head
    - previous recognition of them is no longer effective, expect more work & decreased effectiveness initially
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3
Q

The Innate Immune System

A

Protect humans from most infectious diseases

  • • Exists at birth and always present
  • doesn’t learn or grow
  • always the same from birth to death; limitations b/c of this

• Natural host resistance

  • • No memory
  • think: 50 1st dates - constantly relearning b/c you don’t remember anything from previous encounter
  • Can be specific for a particular tissue
  • Consists of:
  • Physical barriers
  • Chemical defenses
  • Cellular defenses
  • Molecular defenses
  • Physiological processes
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4
Q

Infection site and tissue specificity

A

*what’s happening in the lung will have a diff. response & diff. things ignored then what might be happening elsewhere for ex

• Pathogens prefer a specific body site to initiate infection
- ex- fecal oral mechanism of spread- things thare coming into stomach acidity of stomach (1-3) depending on how much food is present these will be very harsh conditions any organism that has the capacity to be able to tolerate it, must have an evolutionary measure in place - otherwise it cannot
use stomach as mode of entry or place to grow

• Based on nutritional and metabolic needs
- better have what it req’s in the site where it lives or don’t work/thrive

• Mechanism of spread
• Aerosols (droplets) vs blood/bodily fluids
- size, density, amount of time that material spends in atm will determine likelihood that it’s spread to someone else (if it settles out really quickly that means likelihood it’ll spread to another is less, esp. if there’s distancing. If it can linger in air for longer depending on transmission mode & form its in then it has opp. to cause more serious problems - persist for longer)

• Clostridium tetani can be INGESTED (fecal oral) or can enter into DEEP WOUNDS
- cause tetanus - rigid paralysis from toxin

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5
Q

Clostridium tetani can be INGESTED or can enter into DEEP WOUNDS

B/t these 2 forms, do you req. the same amount of infectious material in both or amount that needs to enter will be same for all quartiles of entry?

A
  • causes tetanus - rigid paralysis from toxin
  • v. diff!
  • stomach - lose a lot of organism b/c of harsh conditions found there
  • deep wound - puts right where it needs to be in a v. hospitable, non-harsh envir., the quantity of infectious material is diff.
  • blood - pH is neutral, conditions fav. so organism can thrive under those conditions
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6
Q

Natural host resistance

A

• Susceptibility to pathogens varies from one species to another

• Anthrax causes fatal blood infection in cattle and cutaneous infection in humans
- type of infection, severity of infection are all diff depending on organism

• HIV can infect human cells but not mice or guinea pigs

  • some ppl are resistant to diff forms while some are susceptible (COVID too)
  • b/c human immunodeficiency virus that req’s the CD4 receptor for the virus to get in under most conditions
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7
Q

Physical barriers to infection:

A
  1. Skin

2. Mucous membranes

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8
Q
  1. Skin
A

largest organ; covers all extremities

• Prevents invasion by microbes

  • b/c skin is forming TIGHT JUNCTIONS & MULTILAYERED
  • layers stacked on top of each other –> large amount of protection against infection

slightly acidic pH

• Rich in tough protective protein
• KERATIN - lower [ ] creates more looseliness & flexibility
- finger nails are keratin protein - higher [ ]

• High [NaCl]-periodic drying

  • creates a hypertonic condition that drags water out of the organism – organism doesn’t have opp. to do well, when it doesn’t have appropriate water content on the inside of the cell
  • maintain to fluorish
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9
Q

keratinocyte

A

type of cell that is distributed throughout skin and responsible for producing keratin

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10
Q

Where can some fungal infections grow?

A

• Some fungal infections can grow right on the skin’s surface

  • NOT penetrating
  • doesn’t need to penetrate or have a puncture wound that’ll allow them to go any further in order to manifest & est. a successful infection - called tinia (fungal infection of a certain variety where you get pink patches right on the surface of skin that has higher moisture ex: from bra on skin)
  • paler skin - pink patches
  • darker skin - white patches

• Many require broken skin in order to PENETRATE and cause infection
- wound for ex

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11
Q

What is the best treatment for a fungal infection?

A
  • best mode of treatment: TOPICAL (CREAM)
  • not swallowing an antieukartic drug that can do non-specific tissue damage, once loose through body
  • prefered b/c issues with selective toxicity - leaving own cells alone while harming bad cells
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12
Q

Mucous membranes

A

have OPENINGS to outside of the body (get dirty/contaminated b/c of openings to external envir. so become infective more freq)

Line tracts (open) in the body
• Respiratory tract (for respir. path's to enter), digestive tract (call it fecal oral spread - spread from mouth to other end & again), reproductive tract (for STI's for ex), urinary tract (opp. to come up to bladder & eventually onto the kidney's)
  • rich in goblet cells

Mucous produced by GOBLET CELLS
traps microbes preventing infection

Contains ANTIMICROBIAL SECRETIONS
have enzymes & other defenins, that have opp. to kill off/limit growth of organisms coming in via this route

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13
Q

Explain how the mucous traps microbes?

A

Mucous produced by GOBLET CELLS
- viscous glycoprotein
• (viscosity) Traps microbes preventing infection/opp. to penetrate deeper within the tract (stops them in their tracks)
- mucous prod. there, then gets expelled to the outside of body where its physically removing these contaminants, preventing serious infection

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14
Q

What is the difference between Mucous membranes vs. Sereus membrane?

A

Mucous membranes - have OPENINGS to outside of the body (get dirty/contaminated b/c of openings to external envir. so become infective more freq)

Sereus membrane - CLOSED OFF (sterile sites b/c no openings to outside of body, therefore consistently have protection against microbial contamination)
- ex: abdominal cavity (periteneum)

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15
Q

The respiratory tract

A

• Contains the MUCOCILLIARY ESCALATOR

  • Mucosal epithelial cells contain CILIA (can switch back & forth to allow for movement of certain structures)
  • Serve to filter incoming air
  • Sweeping action of cilia allows the removal of mucous and trapped microbes from the lungs
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16
Q

epithelial cells

A

cells that line respiratory mucosa

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17
Q

cilia

A

attached to epithelial cells

- have hairs that allow motility so they can swish back and fourth to allow for movement of certain structures

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18
Q

Mucocilliary escalator

A

any bact. that come in this way, the goblet cells are gonna serve to create the viscosity & the cilia with their movements up & down & back & forth are gonna allow the mucous to physically exit the body

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19
Q

When sleeping at night with a cold:

A
  • theirs a large # of respiratory contaminants
  • result:
  • more mucous prod. b/c body understands need to trap these guys
  • cilia have moved against the force of gravity (easier when laying flat)
  • get urge to cough when awake b/c got an accumulation of mucous right there)
  • when cough can either: physically remove from body or swallow it (sending mucous (glycoprotein - nutrients), bact. (dead & alive - PL’s, nucleotides, AA’s, & sugars) & immune cells, dust/debris (dead skin cells) to get broken down by digestive tract so you get source of nutrient for building blocks or ATP prod.)
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20
Q

Pertussis (whooping cough)

A

caused by bordetella bacterium & the Pertussis toxin it produces destroys epithelial lining, so you lose that lining

result:

  • have infection
  • excellerated mucous prod.
  • got mucous that needs to be cleared from the airway
  • but get no help from ciliated cells
  • therefore, on you to cough to physically clear the lung which is far from the throat, so now its an exaggerated cough (whooping cough) & can die from exhaustion (just finding ability to breathe)
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21
Q

The gastrointestinal tract

A

called an ALIMENTARY CANAL b/c we have an opening at top & bottom (mouth –> anus)
- when we take nutrients into the body, they move from location to location along length of eliminatory canal, being further digested at each station in order to change chemical comp. & simplify material along the way

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22
Q

The stomach

A

1st location esophagus delivers food to is the stomach

• Strongly acidic: pH~2

  • pH 1-3
  • 1 = HCl acid which comes from gastric glands has a pH of 1 (SA that fully depros)
  • 3 = BUT add food to stomach (which isn’t strongly acidic - buffer scenario so its not acidic all the time b/c can be destructive)
  • also has PEPSIN - proteolytic enzyme, acid in stomach unraveals the protein you consumed, therefore proteins become denatured, exposing peptide bonds & then pepsin has a go at some of those in order to fragment & simplify the dietary protein or protein part of bact. cell or your own cells or enzymes from mouth for ex
  • outcome: later on during digestion, there’s less work to be done
  • Contains PROTEASES
  • FEW microbes are able to SURVIVE in this environment
  • b/c so acidic
  • not a perfect fool proof antimicrobial defense
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23
Q

Few microbes are able to survive in this environment (stomach) b/c so acidic. Why is it not a perfect fool proof antimicrobial defense?

A

viruses like HIV that come into baby’s body via infected breast milk

  • virus isn’t bothered by these conditions & have capacity to survive transit directly through
  • therefore, not all viruses will have problems with this so it’s not a perfect fool proof antimicrobial defense
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24
Q

The small intestine

A
PANCREATIC JUICE (has trypsin, chymotrypsin, carboxypeptidase & pancreatic lypase (respon. for most fat digestion that occurs from the digestive tract, pancreatic amylase & nuclease enzymes to digest DNA & RNA that might be present within the tract) buffers acidity of incoming contents from the stomach: pH ~7
- don't want acidic conditions in intestine b/c can create ulcers & will also be inhospitable for the envir. that the enzymes req here (pH neutral)
- contains HCO3-; neutralizes the acidic material that's coming from the stomach so you don't have an acidic envir. here where it shouldn't be - protection
• Contains PANCREATIC ENZYMES

• Contains BILE from the liver

  • serves to emulsify fat
  • stored in gall bladder
  • break fats into smaller, manageable pieces (hydrophobic fats want to stay together to min. contact with the water)
  • bile salts are amphipathic & have opp. to interact with fat droplets & water fav. – keeps them apart so pancreatic lipase can digest them more effectively in a more timely fashion
  • can also tear apart bact. mem

• Very DIFFICULT for microbes to MAINTAIN CELLULAR INTEGRITY in this harsh environment

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25
Q

What is the overall function of the small intestine?

A

receives chyme that still has a lot of nutrients that’ll req. increased help for digestion

*- really simplifying dietary nutrient source - making it into small molecules that are v. easy to digest & absorb into the blood to be sent off to various cells within your body

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26
Q

On the layer of the enterocites which line the SI, you also have ______, which are….

A

BRUSH BORDER ENZYMES

periferal proteins that behave as enzymes to digest maltose, sucrose, lactose, etc.

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27
Q

The large intestine (colon)

A

Contains the normal microbiota

• Normal resident bacteria that live SYMBIOTICALLY inside of the colon

• Use ATTACHMENT sites to persist
- b/c if can’t stay - will be flushed out b/c of constant forward movement of this material

  • CONSUME UNDIGESTED nutrients
  • Competitive exclusion
  • PRODUCE ANTIMICROBIAL compounds
  • Microbial antagonism
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28
Q

The large intestine (colon) overall function

A

not doing enzymatic digestion - not taking things apart (everything we needed to absorb from a nutrient standpoint has been absorbed)
- therefore, material entering LI is undigested content & waste products that are supposed to leave body

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29
Q

Goal in LI is:

A
  • take back water to keep a consistant texture for our stole
  • so its not diarrhea which will also dehydrate us
  • & take back a lot of salts which is an incentive for water to follow
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30
Q

Competitive exclusion

A
  • competing with each other
  • by consuming those undigested nutrients, should a bad bact be able to enter the body, it’s not gonna have opp. to persist b/c these good guys are there consuming nutrients & taking up space
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31
Q

Microbial antagonism

A

producing bad things - toxic, poisonous to organism, therefore means won’t be able to persist if there’s toxicity that kills off the cell

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32
Q

Imagine you take an antibiotic for UTI, & although it’s atypical say its gram + (using broad spectrum 1 that’s both gram +/-). What’s the prob

A

will kill the good ones

  • lose competitive exclusion
  • lose microbial antagonism

chose gram + infection b/c in reality gram - organisms live inside LI

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33
Q

The genitourinary tract

A

diff in males & females

• Genital and urinary tracts are SEPARATE in FEMALES (genital tract - vaginal –> cervix –> uterus –> FT’s –> ovary & then urethra –> bladder –> ureters –> kidneys) and JOINT in MALES (urethra serves as a port of passage for serum & urinary tract (similar to females)

  • Urinary tract contains urine
  • Includes many toxins that are intolerable by bacteria
  • The act of urination physically removes contaminating microbes
  • The female reproductive tract contains normal microbiota
  • Glycogen secreted by vaginal epithelial cells supplies nutrients for microbial growth (@ puberty)
  • Lactobacillus acidophilus
  • Ferments glucose to lactic acid (drops pH of vaginal lumen)
  • Local pH ~4.5 (antimicrobial defense against STI’s b/c slightly acidic - also reason why semen contains alkaline secretion b/c sperm will be comprised by this acidity as well - imp. opp. to protect them against acidity to make sure they can make it to the egg properly
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34
Q

Why are woman encouraged to urinate after sexual activity?

A

The act of urination physically removes contaminating microbes

  • b/c any contaminants that may have been redistributed b/c of the urethra, vaginal & rectum openings you have opp. for material in trace amounts to move back & forth (otherwise can dev. a bladder infection)
  • make way up urethra (short) (if able to spread it can cause pyelonephritis (life threatening b/c a) immune activation in kidney can lead to scar tissue & b) if bact makes way into blood then outcome is you might end up with sepsis
35
Q

the Lymphatic System:

A

• Composed of organs and vessels that allow immune cells to contact foreign antigenic material

36
Q

antigen

A

is foreign material that is able to activate cells of the immune system

37
Q

Components of the lymphatic system include:

A

Lymphatic vessels

Lymphoid organs

38
Q

Lymphatic vessels

A

Carry lymph from the tissues to the lymph nodes
• Unidirectional (always away from tissues

Lymph is rich in leukocytes (white blood cells) lymphatic fluid is clear

• Free of erythrocytes (red blood cells

39
Q

Lymphoid organs

A

primary and secondary

40
Q

Explain Lympathic System

A

when blood comes in at arteriole end of capillary there’s a net filtration pressure that forces fluid out into ECF
- deliver oxygen and nutrients to tissue cells
100% gets pushed out

venial capillary- we take up 90% of filtered fluid
10% goes into lymph capillaries into lymph nodes

41
Q

Step on nail (foot)

A

inoculated yourself with bacteria when you take back 10% into lymphatic capillary bacteria go into there bacteria go into lymph nodes- cells in there get activation signals to proliferate (mitotic division) and nodes swell

42
Q

Primary lymphoid organs:

A
  • Bone marrow
  • Leukocytes are produced here

• Thymus gland
• Some leukocytes mature here
- t lymphocytes mature here

43
Q

where are T lymphocytes made?

A

Bone marrow

44
Q

B lymphocytes

A

antibody producing b cell

- mature in bone marrow

45
Q

Secondary lymphoid organs

A

Lymph nodes
• Spleen
• Mucosa associated lymphatic tissue (MALT)
• **All contain a high concentration of leukocytes
• Incoming lymph is filtered

46
Q

Mucosa Associated Lymphatic Tissue (MALT):

A

• Associated with all mucous membranes
- added layer or protection

mucosal sites are very dirty need immune response is higher here than sterile places which rarely have microbes

47
Q

GALT: Gut Associated Lymphatic Tissue

A

Leukocytes present here are constantly
phagocytosing material in their surroundings
in search of foreign content
- taking material breaking it down

48
Q

How does GALT not work in favour?

A

doesn’t always work in your favour
* women who have HIV and breastfeed baby virus then comes into GI tract and when galt gets grip on virus T helper cells-> cells that HIV goes into and infects makes baby Hiv positive

49
Q

Leukocytes

A

-white blood cells
• Circulate in the blood and the lymphatic system
• Reside in the tissues and the lymph nodes
• Play a role in both innate and adaptive immunity

50
Q

What are the 2 broad categories of leukocytes?

A
  1. Granulocytes:

2. Agranulocytes

51
Q
  1. Granulocytes:
A

Large, visible granules in the cytoplasm

• Granules are reactive
• Can kill microbes
• Can serve as signaling molecules by binding to other immune cells to recruit
and activate other components of the
immune system
52
Q

3 types of granulocytes

A

. Neutrophils
. Eosinophils
Basophils and Mast Cells

53
Q

. Neutrophils

A

Cytoplasmic granules contain
• Lysozyme
• Defensins

• Circulate in the blood
• Exit the capillaries during
periods of infection

• Strongly phagocytic

• Very important cells of the innate
immune system

54
Q

. Eosinophils

A

Non-phagocytic cells
• Cytoplasmic granules will stain with acidic dyes
• Work to destroy large parasitic cells
• Protozoa and parasitic worms
• Secrete extra-cellular enzymes and reactive oxygen
species
• H2O2, OH.
, O.
• Can also exit the capillaries into infected tissues

*extra vasation- leaving so can find infectious material

55
Q

Basophils and Mast Cells

A
  • Cytoplasmic granules stain with basic dyes
  • Not strongly phagocytic
  • Basophils circulate in the blood
  • Mast cells reside in mucosal tissue

• Degranulate in response to appropriate stimuli
• Release histamine
• Important part of the allergic response
• Causes vasodilation locally
• Causes life threatening vasodilation and
bronchiolconstriction when released systemically

56
Q

histamine

A
57
Q

Agranulocytes:

A

Contain cytoplasmic granules that are much smaller and more difficult to view than granulocytes

58
Q

What do agranulocytes include?

A
  1. Monocytes; macrophages, dendritic cells

2. Lymphocytes; B, T and NK cells

59
Q

Monocytes

A

• Circulate in the blood

• Migrate into tissues and mature into
either macrophages or dendritic cells

• Once in the tissues they are
very strongly phagocytic

• Present foreign antigen to other
cells of the immune system

60
Q

Macrophages:

A

ONLY INNATE IMMUNITY

  • Located in the tissues
    • Lungs, connective tissue, spleen, liver
  • any infectious material that comes in they can initiate phagocytosis and allow removal of material
  • Contain special surface receptors that allow them to recognize many pathogens with one receptor
  • Toll-like Receptors (TLRs)
61
Q

Toll-like Receptors (TLRs)

A

special surface receptors on macrophages that allow them to recognize many pathogens with one receptor

Recognize things like LPS ( allowing cell to bind recognize and activate against any gram negative organism), peptidoglycan,
elements of the fungal cell wall

• Binding of the toll-like receptor to antigen
induces phagocytosis

62
Q

Dendritic Cells (DCs):

A

ONLY INNATE IMMUNE RESPONSE

Found in tissues that are often sites of entry for
infectious materials
* have the oppurtunity to stick arms into fluid that will be present at tissue location so they can reach and grab find material that’s not supposed to be there
• In the skin they’re called Langerhan’s Cells

• Also found in the mucus membranes of the nose, the lungs and the intestines
• Regularly sample the surroundings and phagocytose antigens
• Phagocytosed antigen is carried to lymphoid organs
• Presented to other cells of the immune system
(T/B lymphocytes)
• Activate the adaptive immune response; memory

63
Q

Proactive immune response

A

have the opportunity to find things at skin surface bring into nearest lymph node and initiate a immune response at that time so it doesn’t have chance to enter body thru cut and cause infection and proactive immune response

64
Q

Lymphocytes

A

Agranulocytes
Leukocytes the are involved in the adaptive immune response
• Circulate through the blood and remain in the lymphoid organs

65
Q

B lymphocytes

A

Also called B cells or plasma cells
• Antibody producing/secreting cells
• Form the main component of humoral immunity (element of adaptive immunity, capacity to help with binding material that shouldn’t be in the body)

  • mature in bone marrow
66
Q

T lymphocytes

A

Also called T cells- mature in thymus gland
• Different types
• Form the main component of cell mediated immunity

67
Q

. Natural Killer Cells (NK cells):

A

Destroy abnormal cells in the body (cancer cells, infected cells)
- INNATE IMMUNITY

68
Q

Molecular defenses:

A

Secreted at mucosal sites

• Lysozyme:
• Cuts b-1,4 NAG AND NAM glycosidic bonds in
peptidoglycan; allows PD to be destroyed organism won’t have intact cell wall

• Defensins:
• Antimicrobial peptides that poke
holes in bacterial cell membranes; loses structural integrity contents leak dead organism

69
Q

Phagocytosis

A

• Destroys pathogens that may have never before

been encountered in the body

70
Q

What leukocytes are involved in phagocytosis?

A

Neutrophils and macrophages

71
Q

How does phagocytosis begin?

A

Recognize pathogen associated molecular
patterns (PAMPS):
• Lipopolysaccharide, lipoteichoic acid,
flagellin

• PAMPs are recognized by TLRs located on the
surface of phagocytic cells
• TLRs are also called pattern
recognition receptors (PRRs)

• Interaction of PAMP with a TLR
triggers phagocytosis

72
Q

Describe • Oxygen independent killing

A

Phagocytes engulf and destroy invading microbes
• Cell membrane invaginates around a foreign particle
• Engulfs it into a phagosome
• Phagosome fuses with a lysosome to form a phagolysosome
• Filled with:
• Lysozyme and defensins
• Proteases (degrade proteins)
• Lipases (degrade phospholipids)
• Nuclease (degrade nucleicacids)

oxygen independent; no ROS

73
Q

• Oxygen dependent killing:

A

• Activated phagocytes produce reactive oxygen
compounds:
• H2O2, O2•, OH•, HOCl, NO
• Kill ingested microbes by oxidizing cell components

74
Q

Once invaders have been killed:

A
  • Neutrophils perform exocytosis
  • Fragments are expelled from the cell

• Macrophages and Dendritic cells become antigen
presenting cells; rather then vomiting out material they take it and put it onto the surface of the cell

• Fragments of the intruder are presented on
the cell surface to trigger an adaptive immune
response; used to show other immune cells whats going on

75
Q

Inflammation:

A

• Occurs non-specifically in response to tissue

damage, toxins, and infectious material has been localized present inside of the body

76
Q

What are the 5 cardinal signs of infection

A

• Redness (erythema, increase in blood flow ), warmth, pain, swelling (edema, b/c fluid is leaking out of blood vessel in response to inflammation ) and loss of function

77
Q

In response to infection…..

A

injured tissue and leukocytes release pro-inflammatory cytokine; amp up immune response-> try to protect the body, draw other immune cells to location
Blood vessels dilate; increase blood flow increase delivery of white blood cells and other things that will help fend off infection
• Allows more leukocytes to access the area

78
Q
A

Vessel walls become more permeable; become wide
• Leukocytes can squeeze into tissues; ECF of tissue
• Extravasation- get to where infectious material is
• Attack invading pathogens

79
Q
A

Temperature increase may slow the growth
of pathogens; due to increased blood flow, if they don’t have optimum temp wont do well in replicating
• Also promotes faster healing of damaged
tissues

80
Q
A

Blood leaking into tissue spaces can clot; bc don’t want infectious material to become systemic or disseminate to other body parts
• Prevents movement of pathogens

*LOCALIZATION MAKES JOB OF SYSTEM EASIER

81
Q

• Fever:

A

An increase in body temperature
• Controlled by the hypothalamus of the brain

  • It is triggered by toxins, LPS, and chemicals produced by the immunesystem
  • All of these things reset the bodies thermostat with idea to put things back to normal so you don;’t end up with serious infection
82
Q

What does a fever result in :

A
  • Muscle contraction-shivering; heat is lost as a byproduct
  • Increased temperature-faster metabolism and promoted healing

• Faster phagocytosis- under increased temp

  • Slower growth of microbes
  • E. coli prefers to grow at 37oC
  • Growth slows at 40oC
  • Up to a certain temperature fever is a defense against disease
  • Fever above 43oC can cause death; bc can cause damage to our enxymes proteins
83
Q

Explain why on the back of tylenol it says if fever persists go to dr

A

b/c everytime the drug is being broken down in your system and if fever still keeps coming back that means the fever still exists