Lecture 4 - Immunity Part 1 Flashcards
What organs are included in the immune system?
Thymus
Lymph Nodes (& vessels)
Bone Marrow
Spleen
Tonsils
Mucous Membranes
Skin
What can attack our immune system?
Microoragnisms / pathogen:
Virus
Bacteria
Fungi
Harmful Toxins:
Smoking
Mercury
Lead
Nickel
What are the two types of immune responses?
1.INNATE immune response
- ADAPTIVE (aka Acquired) immune Response
What is an innate immune response?
Is always there – barriers, cellular mediators etc
Non Specific
Doesn’t produce a memory, doesn’t care what’s invading us.
Doesn’t matter if it’s a bacteria, virus or parasite- it will have the same response.
It doesn’t remember what it is.
What is an adaptive immune response?
Is responsible to the specific type of organism you are being invaded by.
This is where we develop immunological memory
Where antigens (proteins) from a pathogen are presented, we remember them as being the “enemy”, so if we ever get invaded again, our body will know how to deal with it.
But this will take a while – can take a few weeks.
Being invaded by a virus, will take your body a few weeks to adapt and kill it off, so in the mean time we need the innate response to help take charge initially – until the adaptive come in.
What are the barriers to our innate immune system?
SKIN - External Barrier
Mucosal Membrane – Internal Barriers
Name orifices with mucosal membrane rather than skin?
Mouth
Anus
Nose
Eyeballs
Urino-genital
Ears
How are mucosal membranes different to the skin?
Are different to the skin and have more vulnerability, so have adapted to withstand pathogens.
Still lined by epithelial cells, but they may not be stratified squamous, but instead single cuboidal or pseudo stratified.
But they are STILL epithelium Epithelium is THE barrier!
What varieties of fluids do mucosal membranes secrete?
such as saliva, acid and pancreatic juice (gastro-intestinal tract) and mucus (respiratory tract), which provide a defence against pathogenic micro-organisms.
These can also contain antibodies (IgA type)
The unidirectional flow of mucus results in expulsion of bacteria and also comprises a physical barrier e.g. respiratory tract, vaginal mucus.
What is saliva comprised of?
99.5% mostly water,
Electrolytes
mucus,
white blood cells,
epithelial cells (which can be used to extract DNA),
glycoproteins, enzymes (such as amylase),
antimicrobial agents such as secretory IgA and lysozyme.
The enzymes found in saliva are essential in beginning the process of digestion of dietary starches and fats.
What is gastric acid?
pH of gastric acid is 1.5-3.5 (pH of vinegar)
Is a mixture of HCl, KCl and NaCl acids
The acid plays a key role in digestion of:
Proteins
by activating digestive enzymes, and making ingested proteins unravel so that digestive enzymes break down the long chains of amino acids.
What is the respiratory tract cilia/mucus?
Epithelium that produce mucus
Cilia within them – nose / trachea
Physiological response (reflex)
Coughing / sneezing
Smoking reduces our ability to protect us
Smoking kills off the cilia
Hacking cough the cilia are damaged by the smoke, pathogens now entering the respiratory tract can come straight through down to the alveoli. You have removed the first line of defense, so you can only rely on the cough as a defense mechanism.
Smoke also reduces the elastic recoil in the lungs, so it’s even harder to cough things out.
What is microbiome?
The body carries its own natural ‘flora’ of micro-organisms that we happily live with, which also prevent other more dangerous bugs from taking over. They are called commensals.
Antibiotics can disturb this arrangement
Can allow overgrowth of pathogenic bacteria e.g. Clostridum difficile – caused 29,000 deaths in US in 2011
How to remember most abundant to least abundant leukocytes?
Never Let Monkey’s Eat Bananas
Neutrophils ; Lymphocytes (but in adaptive) ; Monocytes ; Esonophils ; Basophils
What do Leukocytes do
They arrive at the site of damage or infection and either
Eat the invading organisms by a process called phagocytosis, or
Release chemicals toxic to the invader.
Remove the debris after such a interaction, and
Some of them also play a part in killing abnormal cells
What are the roles of a Neutrophil?
Cytotoxic
Phagocytosis
Acute inflammatory response
What are the roles of an Eosinophil?
Destruction of IgE coated parasites
Activation of type 2 T Helper cells
What are the roles of Basophils/mast cells?
Trigger immediate hypersensitivity
Allergy
What are the roles of Natural Killer (NK) cells?
Cytotoxic
Trigger IFN-Y production
What are the roles of Macrophages?
Antigen capture
Antigen processing
Production of ROS
Increase lysosome number
What are phagocytic cells?
Engulf “eat” cells
“phagocyte” umbrella term for cell eaters.
Macrophages are a large type of phagocytic cell “Big Eater”
You can get different types of phagocytic cells:
E.g. Neutrophils and monocytes are phagocytic
They are present in most tissues of the body, not just the blood
E.g. Dendritic cells found in epithelia.
Regardless of what is invading you, macrophages will:
Engulf it
Destroy it
Present it
Becomes an antigen presenting cell – which links to adaptive response.
What are NK cells?
Same family as T and B cells
Best known for killing virally infected cells
NK cells respond to infection either directly:
Recognising virus infected cells
Indirectly
By interacting with dendritic cells which express Toll – like receptors.
NK cells also have the ability to sense stressed cells i.e. cells that are infected with a virus or are turning cancerous. They will seek them out and destroy them before they do any harm. Therefore, they serve as a role as the sentinels of the body.
How does the body know whether what is invading you if foreign or not?
Think of it as FLAGS
Every living organism / virus is made up with proteins associated with them
They have proteins (think of it as a flag) which the body recognizes as not being one of us
When a macrophage (might be a neutrophil, monocyte etc) comes across it, it will:
Engulf it
Destroy it
Present it
The macrophage will present a fragment of the protein on its surface and becomes an antigen presenting cell.
The ‘Flag” (aka the Protein, or sugar) is the antigen.
It is now the antigen presenting cell which causes
the ADAPTIVE IMMUNE SYSTEM to
respond.
What are the main cells of the adaptive immune system?
B cells and T cells