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Anatomy & Physiology Chapter 24: Immune System Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. -The immune system protects against external and internal assaults on the body -Immune system patrols and protects the body Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 2 -Antigens are unique molecules recognized by the immune system that mark cells, viruses, etc. Self markers—identifying YOUR cells as “self” Nonself markers—molecules on the surface of foreign cells that identify it as foreign -Self-tolerance—the ability of our immune system to attack abnormal or foreign cells but spare our own normal cells Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 3 -Innate immunity (nonspecific) provides a general defense against all kinds of pathogens (anything not “self”) - present at birth (innate) - Cells involved in innate immunity: Epithelial barrier cells, neutrophils, macrophages, and Natural Killer cells Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 4 -Adaptive immunity (specific) acts as a defense that recognizes and responds to specific threatening agents -Cells involved in adaptive immunity - - lymphocytes called T cells and B cells Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 6 -Species resistance—genetic characteristics of a species (like Homo sapiens) innately defend against certain pathogens our bodies are not suitable for certain pathogens that affect other animals Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 7 - Internal body is protected by a barrier: skin and mucous membranes - -Sebum- contains pathogen inhibiting agents - -Mucus- pathogens can get stuck in it and swept away - -Enzymes- can hydrolyze pathogens - -HCl in stomach- can destroy pathogens Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 9 Second line of defense- Inflammation and fever -Inflammatory response—tissue damage elicits responses to counteract injury -Chemicals released: histamine, kinins, prostaglandins, etc. Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 10 Chemotactic factors—substances that attract white blood cells to area of injury in a process called chemotaxis -Heat, redness, pain, and swelling caused by increased blood flow and vascular permeability Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. -Fever—abnormally high body temperature triggered by inflammation mediators: prostaglandins -Triggered in SIRS (systemic inflammatory response syndrome) and other events such as viral infections, tumors, allergies Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 12 Prostaglandins released into blood brain Tell hypothalamus to reset body’s set point temperature Our bodies heat up to achieve this new target We shiver (chills) to help heat up 105 and above is dangerous potential denaturation of proteins leading to death Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Fever is thought to increase immune function and inhibit pathogens Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 14 Phagocytosis—ingestion and destruction of microorganisms or other small particles by phagocytes -Neutrophil—most numerous phagocyte; usually first to arrive at site of injury; migrates out of bloodstream, forms pus Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 15 Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 16 Macrophage—large phagocytic monocyte cells that grow to several times original size after migrating out of bloodstream; important APCs Dendritic cells- found in skin and mucous, have long branches or extensions Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 18 Natural killer (NK) cells —lymphocytes (WBC) that kill tumor cells and cells infected by viruses - Made in Red Bone Marrow - Method of killing cells —lysing cells by damaging plasma membranes Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 19 Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 20 Notes 2 Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Part of the third line of defense consisting of lymphocytes 2 types: B lymphocytes (B cells) and T lymphocytes (T cells) Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 22 -B-cells- produce antibodies that attack pathogens -T cells- attack pathogens more directly Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 23 -Effector cell: a B or T cell that is actively producing an immune response -Memory cell: a B or T cell that has been activated but is not an effector cell; rather survives in lymph nodes and produces immune response if exposed to antigen again -Naïve: B or T cell that has never been exposed to a specific antigen (inactive) Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. -Development of B cells 1. B cells are developed in yolk sac and red bone marrow (throughout life)= Naïve B cells 2. Naïve B cells synthesize antibodies in membrane 3. Naïve B cells are activated when they are exposed to an antigen Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 25 4. Binding to antigen triggers rapid mitosis- one B-cell produces clone (family) of identical B-cells 5. Effector B cells and memory B cells formed Effector B cells- produce 1000s of identical antibodies Memory B cells- remain in lymphatic tissue until activated by future antigen exposure Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 27 Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. -Antibodies= proteins of immunoglobulin (Ig) family -Babies are born with different clones of B cells in bone marrow, lymph nodes, and spleen -B cells all synthesize a DIFFERENT specific antibody -Huge antibody diversity: “genetic lottery”- 10 billion possibilities Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 30 Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 31 -Functions of antibodies 1.Recognize antigens and bind to antigenbinding sites- blocks them from invading healthy cells 2.Transforms toxic antigens into harmless substances Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 32 Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Antibodies 3.Agglutinates antigens to make disposal by phagocytes more rapid 4.Binding alters the shape of antibody molecule to expose binding sitesattracts other cells to phagocytize pathogen Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 35 Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 36 1.Primary response—initial encounter with a specific antigen triggers the formation and release of specific antibodies that reaches its peak in a few days vaccination Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 37 Primary and Secondary response 2.Secondary response—a later encounter with the same antigen triggers a much quicker response; B memory cells rapidly divide, producing more plasma cells and thus more antibodies Booster shot Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 39 Vaccine and booster shot Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. T Cells are lymphocytes (WBCs) that go through the thymus gland 1st Activated when an antigen binds to its receptors Causes clone of T cells Effector and memory T cells Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 41 Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 42 Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Cytotoxic T cells= Killer T cells Helper T cells—stimulate B cells, T cells, phagocytes Suppressor T cells—regulatory T cells that suppress lymphocyte function, thus regulating immunity and reducing T cell reactions to self-antigens Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 45 Functions of T cells T cells defend us from viruses and cancer, but also cause rejection of transplanted organs Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. Adaptive or acquired immunity= resistance developed after birth Natural immunity results from nondeliberate exposure to antigens Artificial immunity results from deliberate exposure to antigens, called immunization/vaccination Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc. 47 Types of Adaptive Immunity Active immunity: immune system responds to exposure to harmful agent Passive immunity: immunity in one individual is transferred to another individual ◦ Antibodies in mother’s milk pass immunity to nursing infant ◦ Temporary but immediate protection Mosby items and derived items © 2013, 2010, 2007, 2003 by Mosby, Inc., an affiliate of Elsevier Inc.