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Lesson 10: Innate Immunity/ Nonspecific Defenses of the Host March 24, 2015 Overview • Our bodies are constantly being attacked by microbes – Susceptible—the inability to ward off disease – Immunity—ability to fight off a disease • Immune system—is a set of biological structures and systems that protect an organisms from invading pathogens – Innate Immunity – Adaptive Immunity • Innate Immunity—refers to defenses that are present at birth – The body’s first line of defense against invading microorganisms – Always present to provide a rapid response to protect against disease – No memory response present • Multiple infections with same organism would produce similar response • Components of Innate Immunity – First line of defense • Skin and mucous membranes – Lacrimal glands (eye), saliva, urine, vaginal secretions – Mucous is secreted by goblet cells in epithelial lining – Second line of defense • • • • • Natural killer cells Phagocytes Inflammation Fever Antimicrobial substances • Serves as the body’s early-warning system – Designed to prevent microbes from gaining access into the body – The microbes that slip past the skin and mucous membranes usually are eliminated by the innate immune system • Also referred to as “non-specific immunity” • Responses of the innate system are activated by protein receptors (Toll-like receptors) on the plasma membrane of defensive cells • Toll-like receptors (TLRs) recognize various components found on/in pathogens (pathogenassociated molecular patterns) • Examples of PAMPs – – – – Lipopolysaccharide (LPS) Peptidoglycan Flagella DNA • Each TLR can recognize a specific PAMP – Multiple TLRs can be used to bind one PAMP – 13 TLRs have been identified. Function of two are unknown • Binding of TLR to PAMP induces a chemical response – Cytokines—proteins released by the cell to signal an infection has taken place – Cytokines regulate the intensity and duration of an immune response – One role of cytokines is to recruit other immune cells to the site of the infection • Cytokines function in both Innate and Adaptive immunity – Cytokines recruits macrophages and dendritic cells to the site of the infection – Cytokines activate T-cells and B-cells involved in adaptive immunity. (stimulates antibody production) • Adaptive immunity—the portion of the immune system that “remembers” an attacking pathogen – Activated when innate immunity fails to stop an invading microbe – Slower activation than innate immunity but contains a memory component – Specific immunity “Particular response for a specific microbe” • Components of adaptive immunity – T-cells (T-lymphocytes) – B-cells (B-lymphocytes) • Lymphocytes are a type of white blood cell Figure 16.1 An overview of the body’s defenses. First line of defense • Intact skin • Mucous membranes and their secretions • Normal microbiota Second line of defense • Phagocytes, such as neutrophils, eosinophils, dendritic cells, and macrophages • Inflammation • Fever • Antimicrobial substances Third line of defense • Specialized lymphocytes: T cells and B cells • Antibodies Innate Immunity • The first line of defense against an invading pathogen is the skin and mucous membranes – Physical factors—provide a physical barrier • Skin • Mucous membranes – Chemical factors—secrete chemicals that inhibit growth or eradicates the bacteria Physical Factors • Skin – Largest organ in the body – Dermis—skin’s inner, thicker portion. Composed of connective tissue – Epidermis—skin’s outer, thinner layer. Direct contact with the external environment • Keratin—protective layer of protein epidermis w/ keratin epidermis dermis • Anti-microbial properties of the skin – Shedding of the top layer of epidermis aids in the removal of microbes (sloughing) – Dryness of the skin prevents microbial colonization • Populations in humid climates have a greater incidence of skin infections • Athletes Foot Fungus (Trichophyton spp) – Compactness of the cells prevents pathogen passage (tight junctions) – pH of skin is between 3-5 • Mucous membranes – Consists of epithelial layer and connective tissue – Line the gastrintestinal, respiratory, and genitourinary tracts – Goblet cells secretes mucous (slightly viscous glycoprotein) • Prevents colonization Mucus Epithelial Layer Connective Tissue Other Physical Barriers • Lacrimal apparatus (tear ducts) washes microbes and other particulates from the eyeball • Saliva dilutes the numbers of microbes and washes them from the teeth and mucous membranes of the mouth • Hair aids in filtering the inhaled air by trapping microbes, dust, and pollutants Other Physical Barriers • Cilia are hair-like structures on cells that help propel particulates out of the lower respiratory tract (ciliary escalator) – Toxins in cigarette smoke impair cilia function Figure 24.7 Ciliated cells of the respiratory system infected with Bordetella pertussis. B. pertussis Cilia © 2013 Pearson Education, Inc. Other Physical Barriers • Cilia are hair-like structures on cells that help propel particulates out of the lower respiratory tract (ciliary escalator) – Toxins in cigarette smoke impair cilia function • Epiglottis is a small flap of cartilage in the larynx • Earwax traps microbes in the external ear Other Physical Barriers • Urine/vaginal secretions functions by mechanically cleaning the urethra and vagina, respectively • Peristalsis, defecation, vomiting, diarrhea all act to remove microbes and toxins from the body – Contraction of gastrointestinal muscles is an effort of the body to remove toxins (stomach pains) Chemical Factors • Sebaceous (oil) glands secretes sebum that forms a protective film over the skin surface – Sebum contains unsaturated fatty acids that prevents the growth of certain pathogens – Contributes to acidic pH (3-5) of the skin • Perspiration (sweat) eliminates certain wastes and microbes from the body – Also contains lysozyme—enzyme that breaks down the cell wall of Gram (+) bacteria and some Gram (-) bacteria • Found in tears, saliva, nasal secretions, tissue fluids, & urine • PEPTIDOGLYCAN!!!! • Earwax is a mixture of secretions rich in fatty acids (lowers pH) – Sebaceous glands – Sweat glands • Saliva contains lysozyme, urea, and uric acid that inhibit microbial growth – Immunoglobin A (antibody) that prevents microbial attachment to cells • Gastric juice – Produced by stomach glands. – Very acidic (pH 1.2-3.0) – Destroys microbes and their toxins • Vaginal Secretions – Contains glycogen that is digested by Lactobacillus acidophilus, resulting in lactic acid (pH 3-5) • Urine – Contains lysozyme that lowers pH thus inhibiting microbial growth Normal Microbiota • The normal flora also acts as a first line of defense against invading pathogens – Microbial antagonism • Changes in pH – Prevents Candida albicans growth in the vagina • Oxygen availability • Production of bacteriocins that inhibit growth of pathogens – E. coli production of bacteriocins prevent Shigella and Salmonella growth • Competition for nutrients • Probiotics—live microbial cultures applied to or ingested to exert a beneficial effect – Prebiotics (chemicals that selectively promote growth of beneficial bacteria) – Studies have shown that the introduction of certain lactic acid bacteria can prevent the growth by Salmonella enterica Innate Immunity: Nonspecific Defenses of the Host Second Line of Defense • If a microbe escapes the first line of defense, the body begins mounting a second wave of defense – Production of phagocytes – Inflammation – Fever – Antimicrobial substances Formed Elements in Blood • Blood consists of plasma (fluid) and formed elements (cells and cell fragments) • Cells of the blood – Erythrocytes – Leukocytes (white blood cells) • Granulocytes • Agranulocytes • During an infection, the number of leukocytes can increase (leukocytosis) or decrease (leukopenia) Table 16.1 Formed Elements in Blood (Part 1 of 2) Insert Table 16.1 If possible, break into multiple slides Table 16.1 Formed Elements in Blood (Part 2 of 2) Insert Table 16.1 If possible, break into multiple slides Differential White Cell Count • Percentage of each type of white cell in a sample of 100 white blood cells Neutrophils 60–70% Basophils 0.5–1% Eosinophils 2–4% Monocytes 3–8% Lymphocytes (NK cells, T and B cells) 20–25% Lymphatic System • Is part of the circulatory system that functions by carrying a clear liquid (lymph) towards the heart • Transports leukocytes and antigen-presenting cells to and from lymph nodes • Lymph nodes are organized collection of lymphoid tissue through which lymph passes before circulating back into the blood • Lymph nodes are primarily found in the neck, chest, armpit, pelvis, groin, and intestines Figure 16.5a The lymphatic system. Right lymphatic duct Right subclavian vein Thoracic (left lymphatic) duct Left subclavian vein Tonsil Thymus Heart Thoracic duct Spleen Lymphatic vessel Small intestine Large intestine Red bone marrow (a) Components of lymphatic system Peyer’s patch Lymph node Figure 16.5b-c The lymphatic system. Venule Tissue cell Blood Interstitial fluid Blood capillary One-way opening Arteriole Blood Lymphatic capillary Interstitial fluid (between cells) Lymph Tissue cell Lymphatic capillary Relationship of lymphatic capillaries to tissue cells and blood capillaries Lymph Details of a lymphatic capillary Phagocytosis • Ingestion of microbes or particles by a cell, performed by phagocytes – Phago: from Greek, meaning eat – Cyte: from Greek, meaning cell • Neutrophils and eosinophils function in phagocytosis • Monocytes mature into macrophages – Fixed macrophages – Wandering (circulating) macrophages Figure 16.6 A macrophage engulfing rod-shaped bacteria. Macrophage Bacterium Pseudopods Mechanism of Phagocytosis 1. Chemotaxis—chemical attraction of phagocytes to microbes 2. Adherence—attachment of the phagocyte’s plasma membrane to the microbe or other foreign particle – Action is enhanced with opsonins 3. Ingestion—uptake of microbe into the cell 4. Digestion—breakdown of microbe via digestive enzymes in lysosomes Figure 16.7 The Phases of Phagocytosis. A phagocytic macrophage uses a pseudopod to engulf nearby bacteria. Pseudopods Phagocyte Cytoplasm 1 CHEMOTAXIS and ADHERENCE of phagocyte to microbe 2 INGESTION of microbe by phagocyte Microbe or other particle Details of adherence 3 Formation of phagosome (phagocytic vesicle) 4 Fusion of phagosome with a lysosome to form a phagolysosome Lysosome PAMP (peptidoglycan in cell wall) Digestive enzymes Partially digested microbe 5 DIGESTION of ingested microbes by enzymes in the phagolysosome Indigestible material 6 Formation of the residual body containing indigestible material TLR (Toll-like receptor) Plasma membrane 7 DISCHARGE of waste materials Pg. 461 of textbook Microbial Evasion of Phagocytosis Inhibit adherence: M protein, capsules Streptococcus pyogenes, S. pneumoniae Kill phagocytes: Leukocidins Staphylococcus aureus Lyse phagocytes: Membrane attack complex Listeria monocytogenes Escape phagosome Shigella, Rickettsia Prevent phagosome– lysosome fusion HIV, Mycobacterium tuberculosis Survive in phagolysosome Coxiella burnettii Inflammation • Damage to the body’s tissues triggers a local defensive response called inflammation – Not only generated by microbes • Inflammation is characterized by four signs/symptoms – – – – Redness Swelling (edema) Pain Heat • Binding of microbial structures stimulate the Toll-like receptors of macrophages and they begin producing TNF-alpha • Activation of acute-phase proteins (complement, cytokine, and kinins) • Vasodilation (histamine, kinins, prostaglandins, and leukotrienes) Chemicals Released by Damaged Cells Histamine Vasodilation, increased permeability of blood vessels Kinins Vasodilation, increased permeability of blood vessels Intensify histamine and kinin effect Prostaglandins Leukotrienes Increased permeability of blood vessels, phagocytic attachment Figure 16.8a-b The process of inflammation. Bacteria entering on knife Bacteria Epidermis Blood vessel Dermis Nerve Subcutaneous tissue (a) Tissue damage 1 Chemicals such as histamine, kinins, prostaglandins, leukotrienes, and cytokines (represented as blue dots) are released by damaged cells. 2 Blood clot forms. 3 Abscess starts to form (orange area). (b) Vasodilation and increased permeability of blood vessels Figure 16.8c The process of inflammation. Blood vessel endothelium Monocyte 4 Margination— phagocytes stick to endothelium. 5 Diapedesis— phagocytes squeeze between endothelial cells. Insert Fig 16.8c 6 Phagocytosis of invading bacteria occurs. Red blood cell Macrophage (c) Phagocyte migration and phagocytosis Bacterium Neutrophil Fever • Abnormally high body temperature • Hypothalamus is normally set at 37°C • Gram-negative endotoxins (LPS) cause phagocytes to release interleukin-1 (IL-1) • Hypothalamus releases prostaglandins that reset the hypothalamus to a high temperature • Body increases rate of metabolism, chills begin and shivering occurs, which raise temperature • Vasodilation and sweating: body temperature falls (crisis) The Complement System • 30+ proteins produced by the liver and are located in blood serum throughout the body – Serum proteins are activated in a cascade • Activated by – Antigen–antibody reaction (Classical) – Complement C3 binds the factors B, D, P on a pathogen (Alternative) – Liver produces Lectins that bind to carbohydrates Effects of Complement Activation • Opsonization, or immune adherence: enhanced phagocytosis – C3a and C5a • Membrane attack complex: cytolysis – C5b, C6, C7, C8, C9 (multiple copies) • Attract phagocytes – C5a (chemoattractant) Figure 16.9 Outcomes of Complement Activation. 1 Inactivated C3 splits into activated C3 C3a and C3b. Pg. 468 of textbook 2 C3b binds to microbe, resulting in opsonization. C3b C3a C3b proteins 3 C3b also splits C5 into C5a and C5b mast cells to release histamine, resulting in inflammation; C5a also attracts phagocytes. opsonization C5 Enhancement of phagocytosis by coating with C3b C5a C5b C5a receptor Histamine C5a Insert Fig 16.9 Mast cell 4 C5b, C6, C7, and C8 bind together sequentially and insert into the microbial plasma membrane, where they function as a receptor to attract a C9 fragment; additional C9 fragments are added to form a channel. Together, C5b through C8 and the multiple C9 fragments form the membrane attack complex, resulting in cytolysis. 5 C3a and C5a cause C6 C3a receptor C3a inflammation C7 C8 Increase of blood vessel permeability and chemotactic attraction of phagocytes C9 Microbial plasma membrane Channel C6 C7 C5b C8 C9 Formation of membrane attack complex (MAC) C6 C5b C7 C8 C9 Cytolysis cytolysis © 2013 Pearson Education, Inc. Bursting of microbe due to inflow of extracellular fluid through transmembrane channel formed by membrane attack complex Figure 16.10 Cytolysis caused by complement. Insert Fig 16.10 Figure 16.11 Inflammation stimulated by complement. C5a C5a receptor Histamine Phagocytes Neutrophil Histaminecontaining granule Insert Fig 16.11 Histaminereleasing mast cell C3a C3a receptor C5a Macrophage Figure 16.12 Classical pathway of complement activation. Microbe Antigen C1 is activated by binding to antigen–antibody complexes. Antibody C1 Activated C1 splits C2 into C2a and C2b, and C4 into C4a and C4b. C4 C2 Insert Fig 16.12 C2b C2a C2a and C4b combine and activate C3, splitting it into C3a and C3b (see also Figure 16.9). Opsonization C3b Cytolysis C4b C4a C3 C3a Inflammation Figure 16.13 Alternative pathway of complement activation. Lipid-carbohydrate complex Microbe C3 combines with factors B, D, and P on the surface of a microbe. B D P C3 Insert Fig 16.13 This causes C3 to split into fragments C3a and C3b. C3b C3a Inflammation Opsonization Cytolysis Key: B B factor D D factor P P factor Figure 16.14 The lectin pathway of complement activation. Microbe Carbohydrate containing mannose Lectin Lectin binds to an invading cell. Bound lectin splits C2 into C2b and C2a and C4 into C4b and C4a. C2 C2b C4 C2a and C4b combine and activate C3 (see also Figure 16.9). Opsonization C4b C2a C4a C3 C3b Cytolysis C3a Inflammation Some Bacteria Evade Complement • Capsules prevent C activation – Disallows Ab from binding to bacteria thus preventing C1 binding • Surface lipid–carbohydrate complexes prevent formation of membrane attack complex (MAC) – Modification of sugars on the bacterial membrane abrogates C5b-C9 from binding to surface • Neisseria gonorrhoeae • Enzymatic digestion of C5a – Gram positive cocci (Streptococcus pyogenes) Interferons (IFNs) • Interferons—class of similar anti-viral proteins produced by certain animal cells and function to abrogate viral multiplication – Host cell specific and not viral specific • IFN- and IFN-: produced by virally-infected cells and causes neighboring cells to produce anti-viral proteins that inhibit viral replication – Oligoadenylate synthetase—degrades viral mRNA – Protein kinase—inhibits protein synthesis • IFN-: produced by lymphocytes and causes neutrophils and macrophages to phagocytize bacteria – Produce iNOS (nitric oxide) that inhibits ATP production Figure 16.15 Antiviral action of alpha and beta interferons (IFNs). 1 Viral RNA from an infecting virus enters the cell. Pg. 471 of textbook 2 The infecting virus 5 New viruses released by the replicates into new viruses. Viral RNA virus-infected host cell infect neighboring host cells. 3 The infecting virus also induces the Infecting host cell to produce virus interferon mRNA (IFN-mRNA), which is translated into alpha and beta interferons. Viral RNA Nucleus Translation Insert Fig 16.15 Transcription Transcription IFN-mRNA 4 Interferons released by the virus-infected host cell bind to plasma membrane or nuclear membrane receptors on uninfected neighboring host cells, inducing them to synthesize antiviral proteins (AVPs). These include oligoadenylate synthetase and protein kinase. Alpha and beta interferons Translation Virus-infected host cell Neighboring host cell Antiviral proteins (AVPs) 6 AVPs degrade viral mRNA and inhibit protein synthesis—and thus interfere with viral replication. Innate Immunity • Iron-binding proteins – Bind free-iron in serum – Siderophores— proteins that microbes secrete to bind iron • Antimicrobial peptides – Chain of 15-20 amino acids – Lyse bacterial cells – Production triggered by protein and sugar molecules on surface of microbes KNOW TABLE ON PAGE 474