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Transcript
Lec 7 (Ch14, 15):
Nonspecific Immunity –
Host Defenses
Topics
- Defense Mechanisms (innate, acquired)
- Systems (anatomic, immunological)
- Non-specific immunity (general response)
1
Kinds of Resistance
• 2 Major divisions:
– Nonspecific
– Specific
• 3 Lines of Defense
– Exterior
– General response
– Specialized response
2
Defense Mechanisms
• Innate and nonspecific
– First line of defense
(barriers)
– Second line of defense
(phagocytes, inflammation, fever, antimicrobials)
• Acquired and specific
– Third line of defense (specific resistance,
B&T lymphocytes, Abs
3
1
Major Components of Host Defenses
4
First line of defense
(mechanical, chemical, normal flora)
• Barriers
–
–
–
–
Anatomical
Chemical
Normal Flora
Genetic
5
Anatomical barriers
• Skin
– Outermost layer
– Hair follicles
– Skin glands
• Mucous membrane
–
–
–
–
Digestive
Urinary
Respiratory
Eye
6
2
The trachea contain cilia that entrap and propel particles out of the
respiratory tract.
F
7
Chemical barriers
• Antimicrobial peptides:
– Sebaceous secretions
– Eyelid glands – meibomian gland
– Tears and saliva – lysozyme
• Acidic pH
–
–
–
–
–
Sweat
Stomach
Skin
Semen
Vagina
8
1st Line Nonspecific Chemical
Defenses
• Toll-like receptors (TLRs)
– Integral membrane proteins produced by
phagocytic cells
– Bind pathogen-associated molecular patterns
(PAMPs)
– Initiate defensive responses
• Apoptosis
• Secretion of inflammatory mediators
• Production of stimulants of adaptive immune
response
• NOD proteins
– Cytosolic proteins that bind PAMPs
9
3
Primary anatomical
and chemical defense
barriers
10
Normal Flora as 1st Line
Microbial antagonism
Normal flora compete against potential
pathogens:
•Nutrients
•Environment
•Stimulate second line of defense
•Promote health (provide vitamins)
11
Genetic barriers
• Different level of sensitivity and
resistance to infectious agents
– Malaria
– Tuberculosis
– Leprosy
– Fungal infections
12
4
2nd Line of Defense
13
2nd line of Defense – What is it?
• Response to pathogen penetration (skin or mucous
membranes)
• Cells, antimicrobial chemicals
• Blood Chemistry:
– Plasma
– Serum
– Erythrocytes (O2)
– Leucocytes (white cells) (5 kinds)
– Platelets (blood clotting)
• Immunology
• Protective cells
14
What is Immunology?
• Study of the development of resistance to
infectious agents by the body
– Surveillance of the body
– Recognition of foreign material
– Destruction of foreign material or agent
• Involve nonspecific and specific immune
defense systems
• White blood cells (wbc) or leukocytes are
involved
15
5
Non-specific Phagocytosis
• Phagocytes (white
cells)
• Migration of
roaming cells
• also histiocytes Kupffer’s cells,
alveolar,
microglial etc.
16
WBC
• WBC recognize self markers on the
host cell
– Do not attack or do not respond to host cell
• WBC recognize non-self markers on the
invading microbe
– Attack or respond to microbe
17
WBC must
recognize and
destroy non-self
cells
18
6
Systems - connections
• All systems are integrated
–
–
–
–
Recticuloendothelial system (RES)
Extracellular fluids system (ECF)
Blood or circulatory
Lymphatic
19
Reticuloendothelial (RES)
• Network of connective tissue fibers
(Reticulum)
• Interconnects cells
• Allows immune cells to bind and move
outside the blood and lymphatic system
20
Extracellular fluid (ECF)
• The spaces
surrounding tissue
cells and RES
• Enable immune
cells to move
21
7
Blood
• Stem cells precursors
• Hemopoiesis
• Components :
(Blood Chemistry)
–
–
–
–
Plasma
Serum
Erythrocytes (O2)
Leucocytes (white cells)
(5 kinds)
– Platelets (blood clotting)
22
Stem cells
• From blood cells
– RBC
– platelets
• Hematopoietic stem cells
(yolk sack and liver, then bone marrow)
– Neutraphils, basophils, eosinophils, monocytes
• Lymphoid stem cells
– T cells
– B cells
23
Hematopoiesis
24
8
The three types
of stem cells -
differentiate into:
•Blood
•platelets
•Granulocytes
•agranulocytes
25
Leucocytes
(white blood cells)
• Leukocytes
– Granulocytes (large cytoplasmic granules)
• Neutrophils  phagocytes, digestive enzyme, 1st to
arrive
• Basophils  histamine, like eosinophils, localized ones
called mast cells
• Eosinophils phagocytosis, eukaryotic pathogens,
inflammation & allergy
– Agranulocytes (very small granules)
• T cells  cell-mediated
• B cells  Ab production
• Monocytes  mature into macrophage
26
Leukocytes (Blood Smear)
27
9
Lymphocytes
• Specific immunity
– T cells (cell-mediated)
– B cells (Ab-mediated)
• Present throughout the
body:
– Phagocytes (white cells)
– Migration of roaming
cells
– also histiocytes
Kupffer’s cells, alveolar,
microglial etc.
28
Phagocytosis
• Chemotaxis
• Adherence (opsins can increase this)…
• Ingestion via phagocytic vesicle
phagosome
– pH to 4.0, enzymes kick in
• Lysosomes fuse w/ phagosome
phagolysosome
• 30 minutes bacteria dead
29
Phagocytosis
– the artist’s rendition
30
10
How to evade phagocytosis!
(run away run away!)
• Adherence inhibition via M protein or
capsule
• Toxins (Staph produces leukocidins,
Streps produce streptolysin)
• Membrane attack proteins
• Special adaptive factors and tolerances
31
Non-phagocytic Killing
• Eosinophils:
– Attack parasitic helminths (surface attachment)
– Secrete toxins (weaken or kill helminths)
– Eosinophilia (elevated) often = helminthic infestation
– Eosinophil mitochondrial DNA and proteins form
structure that kills some bacteria
• Natural Killer Cells (lymphocytes):
– Secrete toxins onto surface of virally infected cells and
tumors
– Differentiate normal body cells because they have
membrane proteins similar to the NK cells
32
Non-phagocytic Killing (cont.)
• Neutraphils:
– Produce chemicals that kill nearby invaders
– Generate extracellular fibers [neutrophil extracellular
traps (NETs)] that bind to and kill bacteria
33
11
Lymphatic system
• Network of vessels that extend to most body
areas
• Includes nodes, spleen, thymus…
• Connected to the blood system
• Provides an auxiliary route for the return of
extracellular fluid to the circulatory system
• “Drain off” system for inflammatory response
• Contains lymphocytes, phagocytes and
antibodies
34
Artist’s rendition- Lymphatic System
35
Lymphatic Fluids
• Plasma-like fluid (lymph)
– Water
– Dissolved salts
– Proteins (antibodies, albumin)
– White blood cells
– No red blood cells
• Formed from blood components
– Diffuse into the lymphatic capillaries
36
12
Lymphatic Vessels
(carry lymphatic fluid…)
• Parallels the blood system
• Returns lymph to the blood system
• Movement of lymph depends on muscle
contractions
• Permeates the body except the cns,
bone, placenta, and thymus.
37
Lymph nodes
• Exist in clusters
• Located
– along the lymphatic
channels and blood
vessels
– in the thoracic and
abdominal cavity regions,
armpit, groin and neck
• Filter for the lymph
• Provide environment for
immune reactions
38
Spleen
• Located in the upper left portion of the
abdominal cavity
• Filter for blood
– traps pathogens and phagocytizes
pathogens
• Adults can survive without spleen
• Asplenic children are severely
immunocompromised
39
13
Thymus
• Embryo
– two lobes in the pharyngeal
region
– Differentiate immature T-cells
into mature t-cells
– High activity (releases
mature T cells) until puberty
• Adult
– Gradually shrinks
– Lymph node and spleen
supply mature T cells
40
Gut-Associated Lymphoid Tissue
(GALT)
• Recognized incoming microbes from food
• Supply lymphocytes for antibody response
• Ex. Appendix, lacteals, Peyer’s patches,
isolated lymphoid follicles (ILF)
41
Non-specific Immunity
•
•
•
•
Inflammation
Phagocytosis
Interferon
Complement
42
14
Inflammation
•
•
Triggered by damage
Five (4 major) symptoms 
1.
2.
3.
4.
5.
•
Redness
Warmth
Swelling
Pain
*Loss of function
Acute vs. Chronic
43
Typical symptoms that occur after injury.
44
Inflammation
•
Causes:
– Trauma
– Tissue injury due to physical
or chemical agents
– Specific immune reactions
•
3 Functions:
– Destroy agent (and remove
or destroy)
– Limit wall or confine
– Repair or replace
•
Results in:
• Mobilization and attraction of
immune components to the
site of injury
• Aid in repair of tissue
damage
• Localized, remove of harmful
substances
• Destroy microbes and block
their invasion
Stages:
– vascular
– edema
– fever
45
15
The major events in inflammation:
injury, vascular reactions, edema, resolution
46
3 Stages of Inflammation
1. Vascular changes
(vasodilation = increased permeability)
2. Edema
(phagocytic migration and phagocytosis)
3. Fever
(followed by tissue repair)
47
1-Vascular changes
• Blood cells, tissue cells, and platelets release
chemical mediators and cytokines
• Chemical mediators (Cause fever, stimulate
lymphocytes, prevent virus spread, cause allergic reactions)
– Vasoactive
• Affect endothelial cells, smooth muscles of blood vessels
• histamines
• permeability rise = edema  nerve damage, toxin
irritation, pressure etc.)
– Chemotactic (chemokines)
• Affect WBC
48
16
Effects of chemical mediators during inflammation
49
2 - Edema
• Leakage of vascular fluid (exudate) into
tissue
• Exudate - plasma proteins, blood cells
(wbc), debris, and pus
• Migration of wbc is called diapedesis or
transmigration
– Chemotaxis
50
Transmigration (diapedesis) of WBCs
is followed by chemotaxis
51
17
3 - Fever
• Caused by pyrogens
– reset the hypothalamic thermostat (increase
temperature)
– Vasoconstriction
•
•
•
•
Phagocytes release IL-1 increase t-cells
Increases interferon effect (Fe++)
Speeds up metabolism
Inhibits microbe and viral multiplication (
reduces nutrient availability, increases immune reactions )
52
Fever (pyrexia)
•
•
•
elevation in the
thermoregulatory set-point:
release of prostaglandin E2
 hypothalamus
Caused by pyrogens
Endogenous
– (cytokines, IL-6, tumornecrosis factor)
OR
• Exogenous
– Microbes and their products
(ex. Endotoxins, LPS,
superantigens)
53
Neutrophils and eosinophils
• Early responders to inflammation
• Neutrophils are primary components of
pus
• Eosinophils are primary responders to
parasitic infections
54
18
Macrophages
• Monocytes transform into macrophages
• Scavengers
– Histiocytes – reside in one location (ex.
Alveolar, Kupffer, Langerhans)
– Drift throughout the RES
• Undergo phagocytosis,
• Interact with B and T cells
55
Histiocytes
Macrophages can
become histiocytes
by taking up
permanent
residence in the
lung (alveolar), liver
(Kupffer) and skin
(Langerhans).
56
Macrophage mechanism
•
•
•
•
Chemotaxis
Ingestion
Phagolysosome
Destruction
57
19
Chemotaxis
• Directed by
– Pathogen-associated molecular patterns
(PAMPs)
• Peptidoglycan
• LPS
– Foreign debris
58
Ingestion
• Pseudopods enclose the pathogen or
foreign material
• Form a phagosome
59
Phagolysosome
• Lysosomes fuse with the phagosome
• Other antimicrobials chemicals are
released into the phagolysosome
60
20
Destruction
• Within the phagolysosome
– Oxygen-dependent system
• Oxidative burst (oxidizing agents)
– Enzymes
– Nitric oxide
• Undigestible debris are released
61
Phagocytosis mechanism
62
2nd Line includes:
Nonspecific Chemical Defenses –
Interferons
Interferons
– Protein molecules released by host cells to
nonspecifically inhibit the spread of viral
infections
– Cause many symptoms associated with
viral infections
– Two types
• Types I (alpha and beta)
• Type II (gamma)
63
21
Interferon
•Produced in response to:
•viral infections
•microbe infections
•RNA
•immune products
•antigens
•
•
Synthesis: WBCs,Tissue cells
Classes:
1. Alpha = prod of
lymphocytes and
macrophages
2. Beta = prod of fibroblasts
and epithelial cells
3. Gamma = prod of T-cells
64
Interferon activity
• Ex. Virus - binds to host cell
• A signal is sent to the nucleus to synthesized
(transcription and translation) interferon
• Interferon is secreted
• Binds to other host cells
• Host cells produce antiviral proteins
– inhibit viral multiplication or translation
• Not virus-specific
65
Interferon mechanism: produced, released, and taken-up by a near-by cell,
original cell is not protected but recipient cell is protected
66
22
Alpha & Beta Interferons
67
Other Interferon roles
• Activates and instructs T and B cell
development
• Inhibits cancer cells
• Activates macrophages
68
Complement – What is it?
• Causes cell lysis
• Consist of 26 blood proteins
• Produced by liver hepatocytes,
lymphocytes, and monocytes
• 3 major Pathways
• Cascade reaction
• What are the stages?
69
23
Complement pathways
• Classical
– activated by the presence of antibody bound to
microbes
• Lectin
– activated when a host serum protein binds a sugar
(mannan) in the wall of fungi and other microbes
• Alternative
– activated when complement proteins bind to cell
wall or surface components of microbes
70
The complement pathways, activators, and involved
proteins
71
Complement Pathwaysanother view
72
24
Complement Stages
1.
2.
3.
4.
Initiation
Amplification and cascade
Polymerization
Membrane attack !!
73
The Cascade
74
Classical pathway
Begins when C1
components bind
to antibodies.
It completes by
puncturing small
pores through the
membrane.
This results in
lysis.
75
25
Membrane Attack Complex=
Lysis!
76
Onward!
…to Specific Immunity –
The 3rd Line of Defense
Graphic from: Oat Willie’s Logo, Austin Texas
77
Some additional Info
78
26