Innate Immunity Flashcards

1
Q

Immunity

A

•Defends body against pathogens: anything that can cause cell injury/infection, compromises human health, cause disease/illness

•Ability to resist infection and disease is immunity

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2
Q

Innate (“nonspecific”) defenses

A
  • Present at birth, immediate response
    innate
  • Responds to all pathogens in same way
    Goals: Deny entry, limit spread

• 1st line of defense: physical barriers (intact skin, mucosa)
• 2nd line of defense: phagocytes, NK-cells, other cells, anti-microbial
proteins- INFLAMMATION

  • Interact and cooperate with specific
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3
Q

Adaptive (specific) defenses

A
  • 3rd line of defense: cells and proteins protect against specific pathogens
  • Develop after birth due to exposure, takes more time
  • Depends on activities of B and T cells
    • Recognition of antigens
    • Basis of vaccines
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4
Q

1st line: Physical barriers (innate)

A

•physical barrier prevents entry!….epithelium
- Skin: Cells tightly attached, keratinized (sloughs off)
• Accessory structures: hair
• Sebaceous and sweat glands: flush, have enzymes, low pH, antibodies

  • Mucous membranes: line all body cavities that open to outside
    • Sticky mucus traps microbes, anti-microbial agents
    • Acid in stomach
    • Saliva contains anti-bacterial agents
    • Normal flora (nonpathogenic microorgs) prevent growth of pathogens
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5
Q

2nd line: Cells, proteins

A
  • Remove cellular debris and microorganisms when 1st line breached
    •Phagocytic cells: Macrophages and neutrophils
  • Macrophages: Monocytes that enter tissues- 2 types
    1. Fixed: permanent residents of organ
    (Kupffer cells in liver, microglia in brain)
    2. Free: wander in connective tissue
    • Macrophages are antigen presenting cells:
    (stay tuned)
  • Display parts of pathogen phagocytosed on their plasma membrane - activate T cells

•Neutrophils (microphages)
-In blood but enter tissues in response to chemical signals: 1st to arrive
-Phagocytose cell debris and bacteria

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6
Q

Phagocytosis

A

• Identify and bind to pathogen (adhesion), phagocytose
- Easier with opsonization: pathogen coated with a protein

• Phagolysosome: lysosome enzymes digest pathogen
• Neutrophils kill themselves too, macrophages will live to kill again

• Other possibilities:
- Neutrophils can release defensins:
make holes in pathogen’s membrane
- Destroy large pathogens by releasing
toxic chemicals into interstitial fluid
- Antigen presentation: processes pathogens and “present” so other cells can destrov

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7
Q

NK cells: the police

A

• Immunological surveillance: in blood, lymph
• Not phagocytic
• Non-specific: destroy unhealthy cells (virus infected cell & cancer cells)
- b/c non-self/abnormal surface markers

•Release cytotoxic chemicals

  • Perforins: proteins “perforate” unhealthy cell’s plasma membrane by forming pores

Granzymes enter cell through pores
• Cell dies by self-contained apoptosis: cell shrivels up and dies

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8
Q

Basophils and mast cells

A

Basophils (blood) and Mast cells (tissues, mucous membranes)

• Proinflammatory, chemical secreting cells
- Increase fluid movement from blood to injured tissue
- Chemotactic chemicals attract other immune cells

  • Release granules during inflammatory response:
    • Histamine: ^ vasodilation and capillary permeability
    • Heparin: anticoagulant
    • Eicosanoids: increase inflammation
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9
Q

2nd line: Anti-microbial proteins

A

•Innate immunity also mediated by proteins
• Leads to pathogen destruction or interferes with pathogen reproduction:
interferons and complements

•Interferons (FN): “interferes” with spread of viral infection
- Class of cytokines: chemical messengers for cell-cell communication.
Virus-infected cell releases IN to protect healthy neighbor
• Healthy neighbor makes anti-viral proteins, prevents viral replication
- IFNs stimulates macrophages and NK cells to destroy virus-infected cells

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10
Q

Anti-microbial proteins: complement system

A

•Complement (C): 20-30 liver made plasma proteins
•Activation following entry of pathogen into body by 2 pathways:
- Classical: inactive C binds to antibodies bound to foreign antigen
- Alternative: less efficient, C directly binds pathogen membrane

• Result: “complements innate and adaptive immunity”
- Opsonization: Enhanced phagocytosis
- Increased inflammation, attracts immune cells
- Pore formation (membrane attack complex (MAC) formed) -lyses target cell
- Elimination of antibody-antigen

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11
Q

Inflammation: Hallmark of 2nd
line of defense

A

• Body’s immediate, local, non-specific response to tissue damage
• Hallmark of 2nd line of defense
• Advantages:
- Walls off wound (prevents spread of damaging agents to nearby tissues)
- Disposes cell debris and pathogens, temporary repair
- Gets the area ready for repair

• (4) cardinal signs of acute inflammation:
- Redness
- Heat
- Swelling/edema
- Pain
- 5th? - loss of movement function

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12
Q

Inflammatory response

A

Chemical alarm
- Damaged cells, mast cells and infectious organisms release numerous chemicals!

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13
Q

Chemical alarm!

A

• Mast cells (and basophils) - key to
inflammation, release:
- Histamine: vasodilator, increase capillary perm.
- Heparin: anticoagulant
- Prostaglandins: stimulates pain nerves, attracts neutrophils
- Other chemicals to attract WBCs

• Macrophages:
- Release cytokines in response to
foreign pathogens
- Attract WBCS

• Injured cells release leukocytosis-inducing factors
- WBCs leave bone marrow and enter bloodstream

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14
Q

Vascular changes due to chemicals released during inflammatory response

A

-Vasodilation and ^ capillary permeability (histamine), endothelial cells provide cell adhesion molecules (CAMs)
-More blood flow with immune cells, proteins to area, flushes out toxins

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15
Q

Recruitment of leukocytes during inflammatory response

A
  • Margination: leukocytes stick to CAMs
  • Diapedesis: squeeze out of blood vessel
  • Chemotaxis: migrate to injury site following chemical “trail”
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16
Q

Inflammation

A

•Vasodilation and ^ capillary permeability: ^ fluid, protein, immune cells in tissue
•Inflamed endothelial cells display CAMs (cell adhesion molecules)
•Recruitment of immune cells:
- Neutrophils 1st to area
• Margination, diapedesis, chemotaxis

  • Monocytes follow - macrophages-phagocytose infectious agents, cell inflammation debris…final disposal
    -Phagocytes release cytokines
    • Recruit more cells, ^ fibroblast repair
    -Plasma proteins delivered: C, Ab, clotting
17
Q

Sources of cardinal signs of inflammation

A

• Redness: ^ blood flow

• Heat: ^ blood flow, ^ cell metabolic activity

• Swelling: capillaries leak protein-rich fluid into interstitial space

• Pain: ^ stimulation of pain receptors due to excess fluid pressure;
chemical irritation (mast cells, injured and damaged cells release)

• May also have loss of function - due to pain/swelling

18
Q

Fever

A

• Increase in body temp > normal range
(97°F to 99°F); can reflect widespread response to infection

Pyrogens: fever causing molecules that affect hypothalamus (body thermostat) - reset body temp higher
- Released by WBCS, macrophages
- Released by damaged cells, bacteria
•Fever can be beneficial within limits
- decrease bacteria and virus reproduction
-Increase metabolic rate of cells
» Immune cells move faster: tissues
defenses speed up
» Tissue repair processes speed up

• But too high can be dangerous?…
…. Can
denature your enzymes (proteins)!