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the study of physiological mechanisms that are used to defend the body from invasion by foreign or infectious agents |
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The Four Kinds of Pathogen that Cause Human Disease |
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Bacteria, Fungi, Parasites, and viruses |
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(Innate) - Series of proteins that act to tag an invader for uptake (phagocytosis) by other immune cells or by poking holes in the microbe by completing the complement cascade. |
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Immune Defense-Innate Vs. Adaptive Immunity |
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Innate immune system Is the first line of defense against infections It works rapidly Gives rise to the acute inflammatory response Has some specificity for microbes Adaptive immune system Takes longer to develop Is highly specific for antigens, including those associated with microbes Primary immune response = first time the adaptive immune response is activated against a pathogen. Secondary immune response = any time the adaptive immune response is activated against a pathogen that it has been exposed to before Remembers that it has encountered a microbe previously (i.e. shows memory) |
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Cells of the Immune System |
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Lymphoid, Mononuclear phagocytes, Granulocytic, Dendritic |
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20-50% of white blood cells T cells, B cells, and NK cells |
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Monocytes that circulate in the blood and Macrophages found in tissues |
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Neutrophils Eosinophils Basophils based on morphology and cytoplasmic staining characteristics |
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Main function is the presentation of antigen to T cells |
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The generation of the cellular elements of blood, including: Red blood cells (RBC) White blood cells (WBC) or leukocytes Platelets |
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types of hematopoietic cells |
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A general term for a white blood cell Lymphocytes, granulocytes and monocytes are all leukocytes |
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A class of white blood cells that consist of small and large lymphocytes |
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(adaptive immunity cells) B lymphocytes (B cells) T lymphocytes (T cells) |
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Large granular lymphocytes |
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Natural killer (NK) cells, lymphocytes of innate immunity |
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NK cells (large granular lymphocytes) are found throughout the tissues of the body but mainly in the circulation Constitute 5-10% of lymphocytes in human blood Contain cytotoxic substances which are important for protection against viruses and some tumors Secrete cytokines which Prevent viral replication and Helps to activate T cell-mediated immunity |
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Effectors of innate immunity – specialized in the capture, engulfment and killing of microbes Work in the anaerobic conditions found in damaged tissue Are short-lived and die at site of the infection Are phagocytic cells that contain toxic substances in intracellular granules Employ oxygen-dependent and oxygen-independent pathways to destroy pathogens |
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Monocyte progenitors in the bone marrow differentiate into pro-monocytes, which enter the blood, where these differentiate into monocytes Monocytes circulate in the blood for about 8 hours, then mature and migrate into tissues, they are then referred to as macrophages. Differentiation of monocyte into macrophage requires changes Monocyte cells enlarge 5-10 times Increased intracellular organelles Increased phagocytic ability Production of hydrolytic enzymes Secretion of soluble factors There are tissue specific “fixed” macrophages and “free” macrophages |
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Dendritic cells are so called because of their many surface membrane folds, similar in appearance to dendrites of the nervous system These folds allow maximum interaction with other cells of the immune system There are three main kinds of dendritic cells which are found in skin and in T cell and B cell areas of lymphoid tissue: Langerhans cells (LH) Interdigitating cells (IDC) Follicular dendritic cells (FDC)
Most dendritic cells Possess high levels of surface MHC class II molecules Process and present peptide antigens to T cells Their role is to recognize microbial antigens through innate receptors and process and present them to T cells of the adaptive immune system Follicular dendritic cells (FDC) hold intact antigens in specialized areas of lymphoid tissues |
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Eosinophils are granular leukocytes which stain with eosin (red) They are present at low levels in the circulation (1-6% of blood leukocytes Eosinophils have some phagocytic activity but are primarily responsible for extracellular killing of large parasites such as worms They usually bind to an antibody-coated parasite and release the contents of their granules (degranulate) onto the parasite surface |
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Basophils are granulocytes which stain with basic dyes (blue) and are present in very low numbers in the circulation (<0.2% of the granular leukocytes) Basophils and mast cells are very similar in morphology Both contain and release large characteristic electron-dense granules in their cytoplasm during allergic reactions Like all the granulocytes, basophils are produced from stem cells in the bone marrow |
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Megakaryocyte is a bone marrow cells responsible for the production of blood platelets when its cytoplasm becomes fragmented These fragments are blood platelets Megakaryocytes account for less than 1% of bone marrow cells but can be 10 to 15 times larger than a typical red blood cell The nucleus of the megakaryocyte is very large and lobulated, which, under a light microscope, can give the false impression that there are several nuclei Megakaryocyte function is determined by a large number of cytokines, including thrombopoietin Thrombopoietin is a glycoprotein hormone produced mainly by the liver and kidney that regulates the production of platelets by the bone marrow |
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Erythrocytes bind to immune complexes composed of antigen and antibody and carry these complexes to the liver where these are cleared by Kupffer cells Erythrocytes have an important immunological role in clearing immune complexes from the circulation in persistent infections and in some autoimmune diseases Kupffer cells = phagocytic cells of the liver that line the hepatic sinusoids |
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Mononuclear Phagocyte System |
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Mononuclear phagocyte system System of phagocytes located mainly in the organs and tissues Monocytes are present in the blood stream and settle in the tissues as macrophages Macrophage-like cells in the liver – Kupffer cells Macrophage-like cells in the brain – Microglia |
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Several stages Phagocyte attraction to the site of infection Phagocyte contact with the microbe Ingestion (endocytosis) Killing of the ingested microbe by means of oxygen and oxygen-independent mechanisms |
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Way of making microbes more palatable to the phagocyte Molecules coating a microbe, such as complement or antibody facilitate contact and ingestion of the microbe |
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Macrophages Respond to Pathogens |
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Bacterium (red) binds to cell-phagocytic receptors of the macrophage (blue) Bacterium is engulfed into an endocytic vesicle called a phagosome Fusion of the phagosome with lysosomes forms an acidic vesicle called a phagolysome Contains toxic molecules and hydrolytic enzymes that kill the bacterium
Bacterial component binding to a signaling receptor sends a signal to the macrophage’s nucleus This initiates the transcription of genes for inflammatory cytokines The cytokines are synthesized and secreted into the extracellular space |
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Any molecule or molecular fragment that can be bound to by an antibody or be bound by an MHC molecule and presented to a T-cell. Can be proteins, lipids, or sugars Can be found on the surface or secreted by microorganisms |
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(immunoglobulins)- Proteins molecules synthesized by cells of immune system That recognize antigens |
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Occasionally the infection outruns the innate immune response Innate immunity has a restricted number of receptors to recognize pathogens This activates the adaptive immune system The adaptive immune system is mediated by lymphocytes Which expand into effector cells and also persist as memory cells The adaptive immune system generates a huge diversity of immunoglobulins (Ig) and T cell receptors Upon infection, only the B cells with specific Ig, or T cells with specific receptors, are stimulated to proliferate and differentiate into effector cells |
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Organs of the Immune System |
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Distinguished by function Primary and secondary lymphoid organs Thymus and bone marrow are primary organs Where maturation of lymphocytes takes place Lymph nodes, spleen and mucosal-associated tissues are secondary organs Which trap antigen and promote lymphocyte maturation |
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Lymphocytes and Lymphoid Tissues |
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Lymphocytes are Found in lymphoid tissues Activated in the secondary lymphoid tissues Arise from stem cells in bone marrow B cells - mature bone marrow T cells - mature thymus Primary lymphoid tissues Bone marrow and thymus Secondary lymphoid tissue and lymphatics Spleen and lymph nodes |
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Site of T cell development and maturation T cells in the thymus are called thymocytes Thymus is a flat,bilobed organ situated above the heart Function is to generate a diverse repertoire of T cells to protect the body from infections |
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Site of B-cell origin and development B cells proliferate and differentiate by interacting with stromal cells and cytokines |
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Small lymphocytes travel in blood and lymph. Antigens are carried to lymph nodes, as are lymphocytes, enabling interactions When an antigen is encounter the lymphocyte will no longer recirculate. |
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Secondary Lymphoid Organs |
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Meeting place where lymphocytes circulating blood encounter antigens brought from sites of infection Antigens derived from infections originating in connective tissues (as a result of skin wounds) are carried by the lymphatics to the nearest lymph node Dendritic cells activated by infection also carry antigens |
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Lymphocytes leave blood and enter lymph nodes where they are activated by pathogens Pathogens drain from site of infection (example: foot) to lymph nodes via afferent lymphatic vessels Activated lymphocytes stay in lymph nodes and divide and differentiate into effector cells, while non-activated cells leave through efferent lymphatics Lymphocytes recirculate at a rate of 5 X 106 cells/min |
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Architecture of the Lymph Node |
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Kidney-shaped; packed with lymphocytes & macrophages through which lymph percolates Pathogens and dendritic cells carrying pathogens arrive in afferent lymph Pathogens are degraded and used to stimulate lymphocytes Lymphocytes arrive at lymph nodes in arterial blood; extravasate from capillaries In lymph nodes, there are discrete sites where B cells and T cells congregate Effector B cells; plasma cells -secrete antibodies Lymph node increases in size due to dividing lymphocytes - “swollen glands” Expansion occurs in lymphoid follicles As lymphocyte development proceeds, follicle shape changes - germinal center |
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Filter for blood that removes old or damaged cells = Red pulp Site where blood-borne pathogens encounter lymphocytes (a secondary lymphoid organ) = White pulp. Blood is the only way in and out for lymphocytes as well as pathogens. Spleenic macrophages and dendritic cells in the spleen to take-up antigen and stimulate T an B-cells. White pulp of spleen consists of sheath of lymphocytes called the periarteriolar lymphoid sheath (PALS) surrounding a central arteriole (CA) T cells are closest to the CA, while B cells are more peripheral, forming a B cell corona |
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Mucosal-Associated Lymphoid Tissue (MALT) |
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Mucosal surfaces lining digestive, respiratory and urogenital tracts are the major sites of entry for pathogens and are defended by MALT Tissues range from loosely organized clusters of lymphoid cells to well-organized structures – tonsils, appendix The gut associated lymphoid tissues, GALT include tonsils, adenoids, appendix and Peyer’s patches that line the gut Bronchial-associated lymphoid tissues, BALT |
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Pathogens arrive through direct delivery across mucosa mediated by specialized cells called M cells Lymphocytes enter from the blood, if not activated, leave in the lymphatics. (cops waiting in house) |
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Lymphocytes that expand persist, providing long term memory First time infection results in a primary response which leads to memory of the pathogen. Subsequent infections with the same pathogen, having the same antigens, will elicit a secondary response which is much faster and stronger than the original primary immune response. This is the basis of vaccination |
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Mutation in immune function genes leads to immunodeficiency -- different kinds…. In some, only one aspect of immune response is affected In others, adaptive immunity is completely absent Leading to devastating vulnerability to all infections Extreme example of immunodeficiency due to disease is the acquired immune deficiency syndrome, AIDS Caused by infection with the human immunodeficiency virus, HIV |
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