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Preventing and fighting disease Learning Objectives Introduce the barriers to infection entering the body. Introduce and describe the non specific disease prevention system looking at roles of different organs, cells and chemicals. Inside the body The immune system http://www.youtube.com/watch?v=IWMJIMzs EMg&feature=related (introduction to how the body fights disease) Analogy How is this city defended? What are the weak points? How is each weak point defendable? If an attacker gets inside how does the city defend itself? Find analogies for each of these situations in the human system Three lines of defense 3. Specific internal defenses or immune response that fight specific infections and then remember the infection to allow for more rapid response next time it is encountered. External barriers 1. 2. Non-specific internal defenses including white blood cells that engulf invading particles and destroy infected cells, and chemicals released by infected cells and white blood cells that induce inflammation and fever which help to fight the disease. Mark the barriers to infection on the outline body Human immune system Need to learn: How do non specific defenses function? The role of white blood cells in non specific defense The role of the inflammatory response and fever The role of white blood cells in the specific immune response The role of antibodies The role of cytokinins This leads on to Acquiring immunity Medical help for the immune system Allergies Autoimmune diseases Immuno-deficiency diseases HIV Cancer. Non specific internal response • • • • • • • • • If invaders get in they will encounter: Leukocytes (white blood cells) These include: Macrophages and neutrophils that eat bacteria, foreign substances and dying cells by phagocytosis and subsequent digestion using lysosomes. http://www.youtube.com/watch?v=UeuL3HPfeQw (live film of phagocytosis) http://www.youtube.com/watch?v=7VQU28itVVw (animated explanation of process of phagocytosis) Flood to the site of injuries Can squeeze through capillary walls and onto lung surfaces etc. http://www.youtube.com/watch?v=cL9KY_ECzfo&feature=related (how macrophages recognise pathogens) Natural Killer Cells Another type of leukocyte Attack cancerous cells Attack cells infected by viruses. Act by boring holes into cells and injecting enzymes that destroy the cells. http://www.youtube.com/watch?v=HNP1EAYLhOs (natural killer cells) The inflammatory response http://www.youtube.com/watch?v=CmbWE3jLUgM (explanation of inflammatory response) Injured tissues become warm swollen and red. Inflammatory response attracts phagocytes to site of potential infection. Damaged cells release substances that stimulate mast cells to release histamine Histamine makes capillaries leaky and relaxes smooth muscles in arterioles allowing greater blood flow to the site of infection. Other chemicals actively attract phagocytes http://www.youtube.com/watch?v=uNG-jZxvhcg Write a script for this 2nd video! Inflammatory response contd. Phagocytic macrophages and neutrophils squeeze out of leaky capillaries. Act on invaders and damaged cells. Pus is a mixture of living and dead white cells, dead bacteria and tissue debris. Macrophages release cytokines which help cells coordinate response to pathogens. Leaky capillaries lead to clotting – cutting off infected area. Pain encourages us to protect the damaged area. Fever Controlled by Hypothalamus Body temperature is intentionally raised, This happens in response to the release of the cytokine endogenous pyrogen by some macrophages. Raised body temperature and warmth seeking behaviour speeds up defense responses, i.e. activity of white cells and multiplication of immune response cells. Less ideal conditions for bacterial reproduction which reduces their ability to attack. Increases interferon production by cells attacked by viruses which increases the resistance of neighbouring cells to viral attack Proof fever works • People with flu were given either aspirin which brings down fever or a placebo which does not. • Those taking aspirin had much higher viral loads in their sneezes than those taking the placebo. Plenary What is a leukocyte? How does phagocytosis work? How does the release of cytokinins help the body to fight infection? http://www.youtube.com/watch?v=JGb5IweiY G8