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INNATE IMMUNITY – NONSPECIFIC DEFENSES OF THE HOST CHAPTER 16 Copyright © 2010 Pearson Education, Inc. The Concept of Immunity Susceptibility: Lack of resistance to a disease Immunity: Ability to ward off disease Innate immunity: Defenses against any pathogen Adaptive immunity: Immunity, resistance to a specific pathogen Copyright © 2010 Pearson Education, Inc. The Concept of Immunity Host Toll-like receptors (TLRs) attach to Pathogen-associated molecular patterns (PAMPs) TLRs induce cytokines that regulate the intensity and duration of immune responses Copyright © 2010 Pearson Education, Inc. Physical Factors Skin Epidermis consists of tightly packed cells with Keratin, a protective protein Copyright © 2010 Pearson Education, Inc. Figure 16.2 Physical Factors Mucous membranes Mucus: Traps microbes Ciliary escalator: Microbes trapped in mucus are transported away from the lungs Copyright © 2010 Pearson Education, Inc. Ciliary Escalator Copyright © 2010 Pearson Education, Inc. Figure 24.7 Ciliary Escalator Copyright © 2010 Pearson Education, Inc. Figure 16.4 Physical Factors Lacrimal apparatus: Washes eye Saliva: Washes microbes off Urine: Flows out Vaginal secretions: Flow out Copyright © 2010 Pearson Education, Inc. Lacrimal Apparatus Copyright © 2010 Pearson Education, Inc. Figure 16.3 Q&A During one year, nosocomial infections occurred in 74 patients in one hospital. All 74 patients were intubated and mechanically ventilated. The infections were caused by Burkholderia cepacia transmitted in nonsterile mouthwash. Copyright © 2010 Pearson Education, Inc. Q&A Why did these patients develop infections while others who used the mouthwash were not infected? Copyright © 2010 Pearson Education, Inc. Chemical Factors Fungistatic fatty acid in sebum Low pH (3–5) of skin Lysozyme in perspiration, tears, saliva, and urine Low pH (1.2–3.0) of gastric juice Low pH (3–5) of vaginal secretions Copyright © 2010 Pearson Education, Inc. Normal Microbiota and Innate Immunity Microbial antagonism/competitive exclusion: Normal microbiota compete with pathogens or alter the environment Commensal microbiota: One organism (microbe) benefits and the other (host) is unharmed May be opportunistic pathogens Copyright © 2010 Pearson Education, Inc. Formed Elements in Blood Red Blood Cells Transport O2 and CO2 White Blood Cells: Neutrophils Phagocytosis Basophiles Histamine Eosinophils Kill parasites Copyright © 2010 Pearson Education, Inc. Formed Elements in Blood Monocytes Phagocytosis Dendritic cells Phagocytosis Natural killer cells Destroy target cells Copyright © 2010 Pearson Education, Inc. Formed Elements in Blood T cells Cell-mediated immunity B cells Produce antibodies Platelets Blood clotting Copyright © 2010 Pearson Education, Inc. 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 20–25% Copyright © 2010 Pearson Education, Inc. Components of Lymphatic System Copyright © 2010 Pearson Education, Inc. Figure 16.5a The Lymphatic System Copyright © 2010 Pearson Education, Inc. Figure 16.5b–c Phagocytosis Phago: From Greek, meaning eat Cyte: From Greek, meaning cell Ingestion of microbes or particles by a cell, performed by phagocytes Phagocytic cells: Neutrophils, Fixed macrophages, Wandering macrophages Copyright © 2010 Pearson Education, Inc. Figure 16.6 Phagocytosis Copyright © 2010 Pearson Education, Inc. Figure 16.7 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 HIV, Mycobacterium tuberculosis fusion Survive in phagolysosome Copyright © 2010 Pearson Education, Inc. Coxiella burnettii Inflammation Acute-phase proteins activated (complement, cytokine, and kinins) Vasodilation (histamine, kinins, prostaglandins, and leukotrienes) Redness Swelling (edema) Pain Heat Copyright © 2010 Pearson Education, Inc. Chemicals Released by Damaged Cells Histamine Vasodilation, increased permeability of blood vessels Kinins Vasodilation, increased permeability of blood vessels Intensity histamine and kinin effect Prostaglandins Leukotrienes Copyright © 2010 Pearson Education, Inc. Increased permeability of blood vessels, phagocytic attachment The Process of Inflammation Copyright © 2010 Pearson Education, Inc. Figure 16.8a, b Phagocyte Migration and Phagocytosis [Insert Animation Inflammation: Overview, Steps.] Copyright © 2010 Pearson Education, Inc. Figure 16.8c Tissue Repair Copyright © 2010 Pearson Education, Inc. Figure 16.8d Fever Abnormally high body temperature Hypothalamus normally set at 37°C Gram-negative endotoxin cause phagocytes to release interleukin–1 (IL–1) Hypothalamus releases prostaglandins that reset the hypothalamus to a high temperature Body increases rate of metabolism and shivering which raise temperature Vasodilation and sweating: Body temperature falls (crisis) Copyright © 2010 Pearson Education, Inc. Fever Advantages Increases transferrins Increases IL–1 activity Produces Interferon Copyright © 2010 Pearson Education, Inc. Disadvantages Tachycardia Acidosis Dehydration 44–46°C fatal The Complement System Serum proteins activated in a cascade Activated by Antigen-antibody reaction Proteins C3, B, D, P and a pathogen C3b causes opsonization C3a + C5a cause inflammation C5b + C6 + C7 + C8 + C9 cause cell lysis Copyright © 2010 Pearson Education, Inc. The Complement System Copyright © 2010 Pearson Education, Inc. Figure 16.9 Effects of Complement Activation Opsonization or immune adherence: Enhanced phagocytosis Membrane attack complex: Cytolysis Attract phagocytes Copyright © 2010 Pearson Education, Inc. Figure 16.10 Inflammation Stimulated by Complement Copyright © 2010 Pearson Education, Inc. Figure 16.11 Classical Pathway of Complement Activation Copyright © 2010 Pearson Education, Inc. Figure 16.12 Alternative Pathway of Complement Activation Copyright © 2010 Pearson Education, Inc. Figure 16.13 Lectin Pathway of Complement Activation Copyright © 2010 Pearson Education, Inc. Figure 16.14 Some Bacteria Evade Complement Capsules prevent C activation Surface lipid-carbohydrates prevent membrane attack complex (MAC) formation Enzymatic digestion of C5a Copyright © 2010 Pearson Education, Inc. Interferons (IFNs) IFN- and IFN-: Cause cells to produce antiviral proteins that inhibit viral replication Gamma IFN: Causes neutrophils and macrophages to phagocytize bacteria Copyright © 2010 Pearson Education, Inc. Antiviral Actions of Interferons (IFNs) Copyright © 2010 Pearson Education, Inc. Figure 16.15 Innate Immunity Transferrins Bind serum iron Copyright © 2010 Pearson Education, Inc. Antimicrobial peptides Lyse bacterial cells