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Honors Anatomy & Physiology Chapter 21  nonspecific defense that is active immediately upon infection  found in all animals & plants  includes:  outer covering   skin or shell chemical secretions  @ openings to interior of body  skin, mucous membranes & their secretions highly effective barriers…unless not intact  epidermis with thick keratinized layers of cells blocks most microorganisms keratin resistant to most bacterial enzymes & toxins  intact mucosae just as protective  1. Acid  acidic pH inhibits bacterial growth (bacteriostatic) 2. Enzymes   Lysozyme in saliva, tears, sputum bacteriocidal gastric enzymes also bacteriocidal 3. Mucin  + water  sticky lining of digestive & respiratory passages: traps pathogens 4. Defensins: broad-spectrum antimicrobial peptides secreted by mucous membranes & skin 5. Other: lipids in sebum & dermicidin in eccrine sweat toxic to bacteria 1. Phagocytes:  Neutrophils  become phagocytic when find infectious material Fixed & Wandering Macrophages  from monocytes 2. Natural Killer Cells  in lymph   phagocyte must adhere to pathogen in order to ingest it  bacteria with external capsules elude capture  Opsonins: proteins released by immune cells that coats the capsules (opsonization)  phagocytes can capture them  nonspecific killers of any cell w/out “self” cell surface markers  travel through body patrolling for:   virus-infected cell cancer cells  Not phagocytic  induce target cell  apoptosis  secrete potent chemicals that enhance inflammatory response  triggered when tissues injured by: physical trauma 2. intense heat irritating 3. chemicals 4. infection by viruses, fungi, or bacteria 1.  beneficial 1. 2. 3. 4.  effects: prevents spread of damaging agents to nearby tissues diposes of cell debris & pathogens alerts adaptive immune response sets stage for repair *ultimate goal: clear injured area of pathogens, dead tissue cells, other debris so tissue can be repaired 1. 2. 3. 4. Redness Heat Swelling Pain  1st step: “chemical alarm”  chemicals released by:    injured or stressed cells immune cells mast cells  histamine macrophages recognize type of invader using surface receptors called TLRs and release specific chemical in response  triggers release of cytokines  other    chemicals released: kinins prostaglandeins complement 1. 2.  vasodilation  hyperemia (congestion with blood)  2 of cardinal signs: redness & heat increased permeability = exudate  other 2 cardinal signs: swelling (edema), pain capillaries allow fluid containing clotting factors & antibodies  swelling  pain  macrophages predominant cell cleaning up cell debris @ sites of prolonged or chronic inflammation  pus: mixture of dead or dying neutrophils, damaged or dead tissue cells, living & dead pathogens  if inflammatory response has failed to clear area collagen fibers may be laid down  walling off area  abscess: may require surgical drainage to heal 1. Interferons  secreted by cells in response to viral invasion  not viral specific  help nearby cells make proteins that interfere with viral replication 2. Complement provides major mechanism for destroying foreign substances in body  releases inflammatory chemicals  lyses & kills certain bacteria  abnormally high body temperature  pyrogens: chemicals released by neutrophils & macrophages  alters thermostat in hypothalamus  adaptive response that benefits body: 1. liver & spleen sequester iron & zinc making them less available to support bacterial growth 2. increases metabolic rate of tissue cells in general  https://www.khanacademy.org/science/hea lth-and-medicine/human-anatomy-andphysiology/introduction-toimmunology/v/inflammatory-response  body‘s built -in specific defense system  3 features: 1. Specific 2. Systemic 3. Memory  2 parts 1. Humoral or antibody-mediated immunity  B Cells 2.Cellular or cell-mediated immunity  T Cells  1. complete antigens  2. incomplete antigens  Functions: 1. 2. Immunogenicity: ability to elicit certain lymphocytes to proliferate (multiply) Reactivity: ability to react with activated lymphocytes & the antibodies released B lymphocytes  T lymphocytes  make antibodies  cellular immunity humoral  mature in thymus immunity 1. Immunocompetence  mature in bone  ability of immune cells marrow to recognize (by binding) to specific agns; recognition implies presence of plasma membrane receptors 2. Self-tolerance  APCs  engulf agns  present fragments of them onto their cell-surface markers  major types: 1. Dendritic cells 2. Macrophages 3. B cells  most important APC (only job they have)  internalize agn  migrate to nearest lymph node  present agn to T cells  present agns to T cells in order to be activated by effector T cells  release chemicals that in turn activate the macrophage  increases their phagocytic activity  do not activate naïve T cells like dendritic cells or macrophages  only present to T helper cells in order to get help for their own activation  once activated, most of the clone members become effector cells = plasma cells  plasma cells secrete antibodies  rest become memory cells  http://web.biosci.utexas.edu/psaxena/Micro biologyAnimations/Animations/HumoralIm munity/micro_humoral.swf  Memory cells capable of mounting a rapid attack against the same antigen in any later encounters (secondary immune response)  Memory B cells provide humoral immunological memory  http://web.biosci.utexas.edu/psaxena/Micro biologyAnimations/Animations/HumoralIm munity/micro_humoral.swf  acquired during 1st exposure to agn:  Infection  Vaccination provides memory  acquired     Active through injection of abys into body passage of abys from mother  fetus in utero passage of abys to newborn in breastmilk *NO MEMORY Passive  Immune system exposed to harmless version of pathogen    triggers active immunity stimulates immune system to produce antibodies to invader rapid response if future exposure  Most successful against viral diseases 1914 – 1995 April 12, 1955  Developed  first vaccine against polio  attacks motor neurons Albert Sabin 1962 oral vaccine 4    polypeptide chains 2 heavy chains 2 light chains held together by disulfide bonds  constant areas determine function & aby class  variable area enable recognition of specific agn 1. 2. 3. 4. 5. Ig M: 1st aby secreted from plasma cell during 1◦ response, potent agglutinator Ig A: found in body secretions: saliva, sweat, milk, blocks attachment of agns to mucous membranes Ig D: functions as B cell membrane agn receptor Ig G: most #’s in plasma, main aby of 1◦ & 2◦ responses, only 1 to cross placenta Ig E: binds to mast cells & basophils  release histamine, levels rise during allergic rx or chronic parasitic infections of GI tract http://highered.mheducation.com/sites/0072507470/stude nt_view0/chapter22/animation__the_immune_response.ht ml  pure preparations (a clone) of a single aby type  useful in diagnostic tests 1. 2. 3.  pregnancy STDs Hepatitis treating some types of cancer   Leukemia Lymphomas You need trained assassins to kill off these infected cells! T Attack of the Killer T cells! 2007-2008  agn presentation to T cells  provokes cellular immune response  2 major populations of T cells (based on which of 2 surface proteins a mature T cell displays:; both  memory cells: 1. CD4 = helper T cells: TH   activate B cells, macrophages direct adaptive immunity (does not happen w/out TH CD8= cytotoxic T cells: TC 2.  destroy any cell in body that has anything foreign in it infected cell killer T cell or activated macrophage helper T cell helper T cell stimulate B cells & antibodies helper T cell Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y helper T cell Y Y Y interleukin 1 activate killer T cells Y helper T cell  Destroys   infected body cells binds to target cell secretes perforin protein  punctures cell membrane of infected cell Killer T cell binds to infected cell infected cell destroyed Killer T cell vesicle cell membrane perforin punctures cell membrane target cell cell membrane http://highered.mheducation.com/sites/0072507470/st udent_view0/chapter22/animation__tcell_dependent_antigens__quiz_2_.html skin free antigens in blood humoral response Y Y antibodies Y Y Y Y memory B cells Y Y Y Y Y macrophages (APC) helper T cells B cells plasma B cells pathogen invasion antigen exposure skin antigens on infected cells cellular response T cells memory T cells cytotoxic T cells  cell-mediated responses reject grafts & foreign transplants unless the recipient is immunosuppressed  infections are major complications SCID 1.     Severe Combined Immunodeficiency group of genetic disorders deficit of functioning T and B cells untreated:fatal tx:bone marrow transplant acquired immunodeficiencies 1.Hodkins lymphoma 2. AIDS  Human   Immunodeficiency Virus virus infects helper T cells helper T cells don’t activate rest of immune system: T cells & B cells  also destroy T cells  Acquired   ImmunoDeficiency Syndrome infections by opportunistic diseases death usually from other infections  pneumonia, cancer  occurs when the body regards its own tissues as foreign & mounts an immune attack against it  Rheumatoid arthritis  Graves disease  Hashimoto’s thyroiditis  Multiple sclerosis  Celiac disease  Lupus (SLE)  abnormal reaction to otherwise harmless agn immediate hypersensitivity 1. allergies/ Ig E aby 2. subacute hypersensitivity:  abys & complement  3. delayed hypersentsitivity:  cell-mediated 4 attributes that characterize the immune system as a whole  specificity   diversity   react to millions of antigens memory   antigen-antibody specificity rapid 2° response ability to distinguish self vs. non-self  maturation & training process to reduce auto-immune disease 
 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
									 
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                             
                                            