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Transcript
Physiology
Unit3
INNATEIMMUNITY
Non-SpecificImmuneResponse
InPhysiologyToday
ResistancetoDisease
• Bodydefensesagainstinfectiousdisease
• Immunesystemhas2arms:
– Innateornon-specificimmunity
– Adaptiveorspecificimmunity
ImmuneCells
• Diversecollectionof
cellsthatarefoundin
blood,lymphand
tissuesthroughoutthe
body
• Cytokines
– Chemicalmessengers
secretedbyimmune
cells
• Cells
–
–
–
–
–
–
Leukocytes
Plasmacells
Macrophages
Dendriticcells
Lymphocytes
Mastcells
ImmuneCells
• Leukocytes
– Usebloodprimarilyfortransportandmigrateto
thetissueswheretheyfunction
• Plasmacells
– Foundintissues(lymphnodes)wherethey
differentiatefromBlymphocytes
– Synthesizeandsecreteantibodies
ImmuneCells
• Macrophages
– Foundinallorgansandtissuesstrategicallyplaced
wheretheywillencountertheirtargets
• Epitheliaincontactwiththeoutsideofthebody
– skin,liningofdigestiveandrespiratorytract
– Linebloodandlymphvessels
– Tissuespecificresidentpopulations
– Derivedfrommonocytes,transformintomacrophages
– Passthroughwallsofcapillariestoentertissues
• Diapedesisandextravasation
Macrophage
•
•
•
•
•
•
•
•
•
KupferCells(liver)
MesangialCells(kidney)
SatelliteCells(PNS)
Microglia(CNS)
DendriticCells(skin)
Monocytes
DustCells(lungs)
Histocytes(c.t.)
Osteoclasts(bone)
• Macrophagearelong
lived(severalmonths)
• APCrole
• Removalofcellular
debris
• Inflammatoryresponse
• Tissuerepair
• Woundhealing
DiapedesisorExtravasation
ImmuneCells
• Dendriticcells
– Epitheliumincontact
withtheexternal
environment,
– Macrophagefunction
– Migratetolymphnodes
• APC’s
• PresenttoTCells
• Messengersbetween
innateandadaptive
immunity
Lymphocytes
Recognitioncellsinspecificimmunedefensesandareessentialfor
allaspectsofspecificimmuneresponses
ImmuneCells
• Mastcells
– Foundinconnective
tissues(especiallybelow
epithelialsurfacesofthe
body)
– Moveintotissueswhere
theydifferentiateand
divide
– Containvesiclesthat
containhistamineand
heparin
Cytokines
• Immunecellssecretemorethan100protein
messengersthatregulatehostcelldivision
• Involvedinnon-specificandspecificimmune
defenses
• Mostoftheiractionsactlocally
– Paracrine/autocrineagents
– Somewillcirculateinbloodandactashormoneson
distantorgans
• Allowcommunicationbetweendifferentimmune
cellsandtimingofcascadereactions
NonspecificImmuneDefenses
InnateImmuneResponse
• Againstall“non-self” cells
• Recognizesomegeneralpropertymarkingthe
invadersasforeign
– Antigens
• Notdependentuponexposuretodisease
• Include:defensesatthebodysurfaces,the
inflammatoryresponse,interferons
DefensesattheBodySurface
PhysicalBarriers
• Skin
– Watertightbarrier
– Keptcleananddry
– Sweatglandssecreteantibodies,lysozyme
– Mostlyimpermeabletomicrobes
• Certainmicrobesdrillthrough(syphillis,hookworms,manyarthropodborne
pathogens)
• Coughandsneezereflex
• Hairsattheentranceofthenose
DefensesattheBodySurface
PhysicalBarriers
• Mucousmembranes
• Nonkeratinized
epithelialmembranes,
oftenciliated
• Linedwithmucus
• Containantimicrobial
chemicals
• Excellentfortrapping
microbesforexpulsion
DefensesattheBodySurface
PhysicalBarriers
• Serousmembranes
• Lubricatedwithserumfrom
“leakycapillaries”
• Internalphysicalbarriertoinfectionofvital
organs
• Heart,lungs,andabdominalviscera
• Similarprotectionbythemeningesofthe
brainandspinalcord
NonspecificChemicalDefenses
• pHlevels
– Gastricjuice,vaginalsecretions,urine
• Lysozyme
– Intears,saliva,sweat
– Bindstomicrobesandpunchesholesinthecell
wall
– Foundingranulesofneutrophilsand
macrophages
NonspecificCellularDefenses
• Neutrophils
• FirstWBCatan
infectionsite
• Voraciousphagocytes
• Microphage
• Uselysozymesand
oxygenradicalsto
dissolvemicrobes
NonspecificCellularDefenses
• Eosinophils
• Slightlyphagocytic
• Majorroleininfections
involvingeukaryotic
parasites(worms)
• Alsoinvolvedincertain
allergies,dissolving
clots,detoxifying
foreignsubstances
NonspecificCellularDefenses
• Basophils
• Similartomastcellsof
looseconnectivetissue
• Granulescontain
– Heparin
– Histamine
• vasodilator,increases
capillarypermeability
• Importantto
inflammation,especially
relatedtoallergies
NonspecificCellularDefenses
• Monocytes
• Transformwhenactivated
tomacrophages
• “Eat”microbesand
cellulardebris
• Storedintheredpulpof
thespleen
• Linknonspecificbody
defensestothespecific
immuneresponses
– APC
NonspecificCellularDefenses
• NaturalKillers
• NKCells
• “lymphocytelikecell”,butnot
immunologicallyspecific
• Performstumorsurveillance
Inflammation
• Localresponsetoinfectionorinjury
• Functions
– Todestroyforeigninvaders
– Preparefortissuerepair
• Keymediatorsarephagocyticcells
– Neutrophils,macrophages,dendriticcells
Inflammation
• Inflammationaccompaniesmanyimmune
responses
• Involvesphagocytosisandmanyimmune
processes
• FirstWBCatinfectionsite:neutrophil
• Stimulatedbythepresenceofinfectionor
allergen
• Signs:pain,heat,swelling,redness
Inflammation
1. Infectionorinjurycausesreleaseofchemicals
2. Localvasodilation
3. Increaseinproteinpermeabilityresultingin
diffusionofproteinandfiltrationoffluidinto
interstitialfluid
4. Diapedesis:movementofleukocytesfromvenules
intointerstitialfluidofinfected/injuredarea
5. Destructionofbacteria
6. Tissuerepair
ComplementPathway
• A“suite” (orfamily)ofplasmaproteins
• Extracellularkillingofbacteriawithoutphagocytosis
• Sequentiallybindtobacteria,formingapore,causing
lysis
• Antibodiesactivatethefirstcomplementprotein
(C1)
• Someformopsonins
– Makemicrobes“tasty”
– Chemicalattractantforphagocytes
– Moleculethatenhancesphagocytosis
Complement
Complement
Interferons
• Nonspecificchemicaldefensesinplasma
• Interferon familyofcytokines
• Nonspecificallyinhibitviralreplicationincells
– Protectionforhealthycellsagainstnewlyreleased
viruses
– Host(tissue)specific,notvirusspecific
• Releasedbyvirusinfectedbodycells
InterferonAction