Chapter 7.2 Non-specific Defences Against Disease ✓ Flashcards

(50 cards)

1
Q

What are specific defences and non-specific defences?

A

-Specific defences are directed at a particular pathogen
-Non-specific defences work against all pathogens

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2
Q

What are external defences that stop pathogens from entering the body?

A

Short answer:
-Skin
-Mucus
-Hairs
-Cilia
-Acids
-Lysozyme
-Cerumen
-Movement of fluids

Skin
-Effective barrier covering the outside of the body. -Good at stopping the entry of micro-organisms, provided it is not broken by cuts or abrasions.
-The skin has other defence mechanisms such as it has an oily secretion called sebum which is produced by oil glands in the skin. It contains substances that kill some pathogens.
-Sweat secreted onto the skin contains salts and fatty acids that prevent the growth of many micro-organisms

Mucus
-Mucous membranes lines the body cavities that open to the exterior.
-They secrete mucus which traps air particles and therefore inhibits the entry of micro-organisms.
-The digestive, urinary and reproductive tracts are all protected in this way.

Hairs
-Hairs found in nasal cavity in the nose and ears.
-In the nose, the hairs and a layer of mucus trap up to 90% of particles inhaled when breathing

Cilia
-Tiny hair-like projections from cells that are capable of a beating motion.
-The mucous membranes lining the nasal cavity, the trachea and other air passages have cilia.
-The beating of the cilia moves mucus, containing trapped particles and micro-organisms, towards the throat, where it may be coughed up or swallowed

Acids
-Stomach juices are strongly acidic. The acid kills many of the bacteria taken in with food of those contained in mucus swallowed from the nose and windpipe.
-The vagina also has acid secretions that reduce growth of micro-organsims,
-Urine and the sweat on the skin are also slightly acidic.

Lysozyme
-An enzyme that kills bacteria.
-The eyes are protected by the flushing action of tears, which contain this enzyme.
-Lysozyme is also found in saliva, sweat, secretions of the nose and tissue fluid.

Cerumen
-Or ear wax, protects the outer ear against infection by some bacteria.
-It is slightly acidic and contains lysozyme

Movement of fluid
-The flushing action of body fluids helps to keep some areas relatively free of pathogens
-Urine flowing through the urethra has a cleansing action.
-This prevents bacterial growth and helps to stop bacteria reaching the bladder and kidneys.
-Women have a shorter urethra than men and so they tend to suffer more bladder infections.
-Tears, sweat and saliva are also involved in flushing and cleansing.

On diagram
-Eyes (cleansed by tears)
-Nasal cavity (hairs and mucus trap micro-organisms)
-Mouth cavity (mucous membrane traps micro-organisms and the mouth is cleansed by saliva)
-Skin (a barrier)
-Urethra (Urine flow prevents bacterial growth)
-Anus (Mucous membrane traps micro-organisms)
-Vagina (acidic secretion inhibit growth of pathogens)
-Stomach ( acidic juices kill many micro-organisms)
-Trachea and bronchi (mucus layer traps micro-organisms)
-Ear (cerumen inhibits bacterial growth)

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3
Q

What is a reflex?

A

An automatic, involuntary response to a stimulus.

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4
Q

What do protective reflexes help to protect?

A

Help to protect the body from injury by removing foreign particles in an automatic involuntary response

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5
Q

What are the four reflexes that help protect the body against infection?

A

Simple answer
-Sneezing
-Coughing
-Vomiting
-Diarrhoea

Sneezing
-The stimulus is irritation of the walls of the nasal cavity
-The irritation may be caused by harmful fumes or dust particles, which are likely to be carrying micro-organisms.
-Forceful expulsion of air from the lungs carries mucus, foreign particles and irritating gases out through the nose and mouth.

Coughing
-The stimulation is irritation in the lower respiratory tract - the bronchi and bronchioles
-Similar to sneezing, air if forced from the lungs to try to remove the irritant
-The air drives mucus and foreign matter up the trachea towards the throat and mouth.

Vomiting
-Psychological stimuli, excessive stretching of the stomach and bacterial toxins can all induce vomiting
-Contraction of the muscles of the abdomen and the diaphragm, not the contraction of the stomach, expels the stomach contents.

Diarrhoea
-Irritation of the small and large intestine by bacteria, viruses or protozoans can cause diarrhoea
-The irritation causes increased contractions of the muscles of the wall of the intestines so that the irritant is removed as quickly as possible.
-Material does not stay in the large intestine long enough for water to be absorbed, so the faeces are very watery.

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6
Q

What are phagocytes?

A

Specialised white blood cells that engulf and digest micro-organisms and cell debris

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7
Q

What are leucocytes?

A

white blood cells

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8
Q

What are the different types of cells that are phagocytic?

A

Short answer
-Monocytes and macrophages
-Neutrophils
-Dendritic cells

Monocytes and macrophages
-When a tissue becomes infected or inflamed, monocytes leave the bloodstream and enter the tissue.
-Here they differentiate into macrophages, which are large phagocytic cells.
-Some macrophages move through the tissues looking for and destroying pathogens
-Others are fixed in one place and only deal with the pathogens that come to them
-Macrophages are particularly important in removing microbes and dying cells through phagocytosis

Neutrophils
-Described as granulated leucocytes, due to the granules visible in their cytoplasm
-They are also characterised by their lobulated (consisting of or divided into lobules) nucleus
-Most abundant leucocytes, accounting for 55-70% of all leucocytes
-During an infection, neutrophils are the first cells to move into the tissue to destroy the pathogen by phagocytosis
-They are particularly important in killing pathogens inside cells
-They have a short life span and die after a few days.
-The dead cells make up a large portion of the pus that forms after an infection.

Dendritic cells
-Characterised by projections from the cytoplasm
-Their function goes beyond just phagocytosis (compared to other leucocytes)
-These cells have the ability to detect, engulf and process foreign particles
-They then use information about the ingested particle to assist with specific immunity

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9
Q

What is inflammation?

A

The response to damage to a tissue. It involves swelling, heat, pain and redness in the affected area

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10
Q

Words ending in what indicates it is an inflammation?

A

-itis
e.g. tonsillitis

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11
Q

What are the purposes of an inflammation?

A

-To reduce the spread of any pathogens, to destroy them and to prevent the entry of additional pathogens
-To remove damaged tissue and cell debris
-To begin repair of the damaged tissue

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12
Q

What are the four signs of inflammation?

A

-Swelling in affected area
-Pain in affected area
-Heat in affected area
-Redness in affected area

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13
Q

What is the complement system?

A

A system of proteins produced by the liver that enhances the activity of antibodies and phagocytes

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14
Q

What are the steps of the inflammatory response?

A

1) Mechanical damage or local chemical changes causes specialised leucocytes called mast cells to be activated by complement proteins. This results in the release of histamine, heparin and other chemicals into the tissue fluid.
2) Histamine increases blood flow through the area due to vasodilation, making the walls of the blood capillaries more permeable. More fluid moves through the capillary wall into the tissue. The increased blood flow causes heat and redness and the escape of fluid from the blood causes swelling
3) Heparin prevents clotting, so the release of heparin from the mast cells prevents clotting in the immediate area of the injury. A clot of the fluid forms around the damaged area, which slows the spread of the pathogen into healthy tissue.
4) Complement system proteins and some chemicals released by the mast cells attract phagocytes, particularly neutrophils, which actively consume micro-organisms and debris by phagocytosis.
5) The abnormal conditions in the tissue stimulate pain receptors, and so the person feels pain in the inflamed area
6) The phagocytes filled with bacteria, debris and dead cells, begin to die. The dead phagocytes and tissue fluid form a yellow liquid called pus.
7) New cells are produced by mitosis and repair of the damaged tissue takes place

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15
Q

What are mast cells?

A

A type of cell found in loose connective tissue; involved in the inflammatory response

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16
Q

What do mast cells release?

A

Histamine and heparin

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17
Q

What is a fever?

A

An elevation of body temperature above the normal temperature 37°C

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18
Q

A change in the body’s temperature is controlled by what?

A

The hypothalamus

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19
Q

What are pyrogens?

A

A substance that results in a fever

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20
Q

What releases pyrogens?

A

Leucocytes or White blood cells

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21
Q

What is interleukin-1?

A

A pyrogen produced primarily by macrophages

22
Q

Describe the body temperature during a fever (the graph pg166)

A

-Due to infection, the body’s thermostat becomes set at an abnormally high level
-The body fells cold and responds by shivering and vasoconstriction in the skin
-Body temperature rises
-The fever breaks, with sweating and vasodilation in the skin
-Body temperature falls to normal

23
Q

What is a fever considered beneficial?

A

-High body temperature is believed to inhibit the growth of some bacteria and viruses.
-Heat speeds up the rate of chemical reactions, which may in turn help body cells repair themselves more quickly during a disease
-May also inhibit viral replication by allowing chemicals called interferons to operate more quickly

24
Q

What are interferons?

A

Any of several proteins that are produced by cells as a defensive response to viral infection, preventing replication of the virus

25
What cause a fever during an infection?
It cause a fever when pyrogens released by white blood cells during the inflammatory response act on the hypothalamus, raising the body's temperature set point.
26
What happens when the hypothalamus detects a higher set point for body temperature?
The body conserves heat by vasoconstriction and shivering, causing body temperature to rise
27
What is the 'crisis' point in a fever?
The point where the hypothalamus resets the body's thermostat to normal, leading to sweating and vasodilation to cool down the body.
28
What is the danger of a fever becoming too high?
It can cause convulsions, brain damage and death if body temperature reaches 44.4-45.5°C
29
What causes the body to feel cold and shiver during the onset of a fever?
It happens because pyrogens (like interleukin-1) released during infection act on the hypothalamus, raising the body's temperature set point. As a result, the body senses its current temperature as too low and responds by shivering and vasoconstricting to conserve heat
30
What is the lymphatic system?
A system of vessels that drains excesses fluid from the tissues
31
What does the lymphatic system consist of?
-A network of lymph capillaries joined to larger lymph vessels -Lymph nodes, which are located along the length of some lymph vessels
32
What is the main function of the lymphatic system?
To collect some of the fluid that escapes from the blood capillary and return it to the circulatory system -It plays an important part in the body's internal defence system
33
What does each lymphatic node contain?
Masses of lymphoid tissue, the cells of which are criss-crossed by a network of fibres
34
What does lymph contain when it enters the lymph nodes?
-Cell debris -Foreign particles -Micro-organisms Larger particles e.g. bacteria, are trapped in the meshwork of fibres as the lymph flows through the spaces in the nodes which are then ingested and destroyed by macrophages via phagocytosis
35
What causes lymph nodes to swell and becomes ore during infection?
During an infection, lymphocyte production increases in the lymph nodes as part of the immune response, leading to swelling and tenderness
36
Explain why the skin is such an effective external defence to infection
-It is an effective defence because the skin forms a strong multi-layered physical and chemical barrier that prevents pathogens from entering the body. -It also secretes chemicals (sebum and sweat) that inhibit micro-organism growth on the skin -The skin seals wounds quickly through clotting so micro-organisms won't seep into the body
37
Describe the role of cilia in the external defence mechanisms
-Cilia play a role in external defence by helping to remove foreign particles and micro-organisms from the respiratory tract. -Cilia are tiny hair-like projections lining the airways that beat in coordinated, wave-like motion, moving mucus (produced by goblet cells) towards the throat where it can be swallowed or coughed out. -This action helps prevent pathogens from reaching the lungs
38
List the parts of the body that use acids to protect against disease
-Stomach (HCl) -Skin (sweat and sebum) -Vagina
39
List five protective reflexes that protect against disease or injury
-Sneezing -Coughing -Vomiting -Diarrhoea -Blinking
40
Name three cells that are phagocytes in tissues
-Phagocytes are white blood cells that protect the body by engulfing and digesting pathogens, dead cells and cellular debris. -Monocytes and macrophages -Neutrophils -Dendritic cells
41
Draw a series of diagrams to show phagocytosis
Pages 163
42
Define 'fever' and 'pyrogen' and explain their relationship
-Fever is an elevated body temperature above the normal range that occurs as part of the body's immune response to inflammation -A pyrogen is a substance that induces fever by causing the hypothalamus to raise the body's temperature set point. -Pyrogens stimulate the hypothalamus, and fever is the result of the increase in body temperature.
43
Describe how lymph nodes provide non-specific defence against disease
-Lymph nodes provide non-specific defence by filtering lymph and trapping pathogens, debris and foreign particles. -Phagocytic cells such as macrophages in the nodes engulf and destroy these materials through phagocytosis, helping prevent the spread of infection
44
Explain why is it common to cough after being in a dusty environment
-It is common to cough after being in a dusty environment because dust irritates the lining of the airways, triggering the cough reflex -This reflex expels air forcefully to remove the dust and protect the lungs from harm
45
Suggests what nephritis is
Inflammation of the nephrons
46
Compare and contrast macrophages and neutrophils
Similarities -Both are phagocytic white blood cells -Both engulf and destroy pathogens through phagocytosis -Both are part of the non-specific immune system response -Both help trigger the inflammatory response Differences Neutrophils -Most abundant white blood cells in the blood -First to arrive at infection sites -Found mainly in the blood, move into tissue when needed -Short lifespan -Die after phagocytosis and form pus Macrophages -Develop from monocytes that leave the blood and enter tissues -Arrive after neutrophils at infection sites -Found mainly in tissues (e.g. liver, lungs , lymph nodes) -Longer lifespan -Can also present antigens to T cells, helping activate the specific immune system.
47
Explain how histamine causes swelling during inflammation
-Histamine is released by mast cells and basophils during inflammation -It causes blood vessels in affected areas to dilate and become more permeable, allowing more fluid and white blood cells to enter the tissues. -This increased fluid movement from the blood into the tissue causes swelling
48
When people are sick, they often feel cold even though their body temperature may be above normal. Explain why this happens
-When pyrogens reset the hypothalamus to a higher set point during a fever, the body responds by conserving and generating heat to reach this new temperature. -Even though the actual body temperature is already elevated, the body perceives it as too low compared to the new set point, causing the person to feel cold and shiver until the higher temperature is reached.
49
During COVID-19 pandemic, it was compulsory in many places to wear a mask when in public. Explain how a mask could reduce the transmission of the virus.
-Viruses like COVID-19 can be spread through droplets released when an infected person coughs, sneezes or talks. -Wearing a mask in public helps reduce the transmission by blocking respiratory droplets, preventing them from reaching others or contaminating surfaces. -Masks also help protect the wearer by filtering out virus-containing droplets in the air.
50
Traditionally, it was common practise to cover your mouth with your hand when coughing. Recently, it is recommended that you cough into your elbow or shoulder. Explain why this method could be more beneficial in preventing the transmission of disease
-Coughing into the elbow or shoulder is recommended because it helps trap respiratory droplets that may contain pathogens, preventing them from spreading into the air or onto surfaces. -The elbow is less likely to come into contact with contaminated surfaces compared to the hands, which can transfer germs to objects or people, reducing the overall transmission of diseases.