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THE CONCEPT OF IMMUNITY
 Immunity
• Ability to ward off disease caused
by microbes
 Susceptibility
• Vulnerability or lack of immunity
 Innate
• Defenses present at birth
 Specific resistance
• Immunity/resistance to a specific
pathogen
 Nonspecific resistance
• Defenses against any pathogen
Skin
Mucous membranes
Ciliary escalator
Lacrimal apparatus
Saliva
Urine
Vaginal secretions
MECHANICAL FACTORS
Skin
Skin
• Intact skin prevents microbes from
entering the skin
• Broken skin – port of entry for microbes
• How?
– Bacteriocidal secretion by the sebaceous
glands
– Keratin - Desquamation
– Dryness - Perspiration
Mucous Membranes
• Barrier protection
• Lining of the respiratory tract, GI tract and
genitourinary tract
• Mucus – a glycoprotein produced by
goblet cells that keeps surfaces moist
• Mucosal cells are rapidly dividing  flush
out of the body along with attached
bacteria
Epithelial lining of the trachea
• Digestive tract
–Mouth and lower digestive tract
–How?
• Mucus
• Saliva (contains lysozyme)
• Bile (alkaline) in small intestine
• Stomach acids
• Defecation
• Mucus contain antibacterial agents,
antibodies and immune cells called
phagocytes
Mucous Membranes
• Genitourinary tract
–Urinary tract is sterile in a health person
except the distal urethra
–How?
• Urination
• Secretion (vaginal and seminal fluid)
• Low pH of vagina (presence of
several Lactobacillus sp.)
Mucous Membranes
• Respiratory tract
– Nose - nasal hair, mucus
secretions (phagocytes
and antibacterial
enzymes), irregular
chambers
– ciliated epithelium (nasal
cavity, sinuses, bronchi
and trachea)
– Cough reflexes
– Alveolar macrophages
Mucous Membranes
Lacrimal apparatus
• Protection for the eye
• Tears are produced by the lacrimal gland
• Tears and their washing action helps keep
the surface of the eye free from bacterial
accumulation
• LYSOZYME is also found in tears and this
enzyme has anti-bacterial action as well
Lacrimal apparatus
CHEMICAL FACTORS
 Sebum
 Perspiration – lysozyme
 Gastric juice
 Vaginal secretions – glycogen
 Urine – lysozyme, pH (average of
6), urea and other metabolic
products
NORMAL MICROBIOTA
 Microbial antagosism
• Normal microbiota compete
with pathogens
SECOND LINE of DEFENSE
• Once beyond the protective
outer barrier of the body, the
invading microbes will encounter
a series of nonspecific cellular
and chemical defense
mechanisms
Mechanisms:
Inflammation – a series of events that
removes or contain the offending agent
and repair the damage
Chemotaxis – movement of cells toward
a chemical influence (chemokines or
chemotatic agents)
Phagocytosis – process in which cell
ingest foreign matter
Many are carried out by the white blood
cells in blood
Blood Components
• Fluid portion
–Serum: liquid portion of clotted blood
–Plasma: liquid portion with clotting factors
–“Plasma can clot; Serum cannot”
–Contains antibodies & other proteins
• Clotting factors (proteins)
–Fibrinogen
–Prothrombin
I. Erythrocytes – red blood cells
(RBC) – carry oxygen and carbon
dioxide; no nucleus
II. Leukocytes – white blood cells
(WBC) - defense
III. Platelets – thrombocyte
particles – clotting; no nucleus
 Formed Elements in Blood
 White Blood Cells
• Granulocytes
–Neutrophils
–Eosinophils
–Basophils
• Agranulocytes
–Monocytes
–Dendritic cells
–Lymphocytes
Monocytes
(marcophage)
Lymphocytes
Neutrophils
Eosinophils
Basophils
Erthrocytes
(RBC)
Platelets
Wright’s stain of the peripheral blood cells can identify
granulocytes based on properties of the granules. It contain
two dyes:
• Eosin dye stains basic cell components  reddish
• Methylene blue dye stain acidic cell components  blue-ish
 White Blood Cells
WBC differentials
• Never – neutrophils 60-70%
• Let – lymphocytes 20-25%
• Monkeys – monocytes 3-8%
• Eat – eosinophils 2-4%
• Bananas - basophils 0.5-1%
Formed Elements In Blood
Formed Elements In Blood
Wandering or Fixed
Can you identify these leukocytes?
erythrocyte
platelet
A
B
C
D
E
F
G
H
I
Granulocytes
 Neutrophils (aka polymorphonuclear cells or
PMN)
• Most common leukocytes in the blood.
Granules unstained.
• mobile cells and can pass through
capillaries and engulf bacteria by
phagocytosis
• secrete a fever inducing agent called
pyrogen which also helps the body
fight infection.
 Eosinophils
• the granules of cytoplasm are stainable
with eosin (red)
• The exact function of eosinophils has
been a mystery for many years, but
research has pointed to its role in
allergy, asthma and parasitic
(helminth) infection; some
phagocytosis.
 Basophils
•rarest WBC in normal
blood
•Blue granules contain
histamine
•play a role in immediate
hypersensitivity reactions
and in some cell-mediated
delayed reactions, such as
contact hypersensitivity in
humans, skin graft or
tumor rejections
Granulocytes
Monocyte (Macrophage)
 Monocytes (the blood form)
• the largest WBC's normally found in
blood
• horseshoe or "U" shape nucleus, or it
may be folded
• travel to different tissue to mature into
specific macrophage
 Macrophage
• As it developed from monocytes, its
size can increase 2-3 times
• Wandering – motile and travel in
bloodstream; found throughout body
• Fixed (histiocytes)– attached and
remain in the tissue
• Removal and engulfment of foreign
particles and useless body
cells/material
 Lymphocytes
• The lymphocyte nucleus is
usually round to slightly
indented with a sharply
defined edge, and deep,
dense purple. Cytoplasm
may be scant or form a
narrow rim around the
nucleus.
• Cornerstone of the
immune system: antibodies
production & cell-mediated
immunity
 the ingestion of microorganisms or other matter
by a cell. Many white blood cells engulf invasive
microorganisms by the process of phagocytosis.
– 1. Chemotaxis - phagocytes are attracted to
microorganisms.
– 2. Attachment - phagocyte adheres to the
microbial cell. This adherence may be
facilitated by opsonization – coating the
microbe with plasma proteins.
– 3. Ingestion - Pseudopods of phagocytes
engulf the microorganism and enclose it in a
phagosome to complete ingestion.
– 4. Digestion - Lysosomes fuse with the
phagosome to form a digestive vacuole. The
microbe is killed and digested.
Phagocytosis
Stages of phagocytosis
Phagocytosis
Inflammation
• Four cardinal signs
– Redness
– Heat
– Swelling
– Pain
• Primary functions
– Localize infection
– Neutralize toxins at
injury site
– Repair damage
tissue
• Major events
– Vasodilation
– Increase
permeability of
capillaries
– Mobilization of
leukocytes to site
of injury
(chemotaxis &
emigration)
– Phagocytosis
Second Line of Defense
Inflammation
Inflammation – cont.
(Chemotaxis)
Fever
• Systemic response to injury
• Abnormally high body temperature
• Shivering - the result of a new higher set
point for body temperature
• Death results if body temperature rises
above 44 to 46 degrees Celsius
Antimicrobial Substances
• Complement
• Interferon
• Iron-binding proteins
• Anti-microbial peptides
Complement
• Defensive system of over 30 proteins that
are made in the liver and circulate in the
blood and tissues
• Activation of complement destroys
microbes by lysis, inflammation, and
phagocytosis
• Complement proteins act in a CASCADE,
that is, one reaction triggers another
Complement
Interferon
• Classes of anti-viral proteins
• First discovered in the mid 1950’s
• Produced by cells such as lymphocytes,
macrophages and fibroblasts AFTER viral
stimulation - RNA viruses
• Interfere with viral multiplication
Interferon
• Three classes of interferons
– Alpha - leukocytes
– Beta - fibroblasts
– Gamma - lymphocytes (T cells)
• Produced after viral infection
• Induces near by cells to produce anti-viral to
protect against the virus
• Currently produced by recombinant DNA
technology
Summary of Innate Immunity Defenses
FIRST LINE OF DEFENSE: SKIN AND MUCOUS MEMBRANES
Component Function
PHYSICAL FACTORS
 Epidermis of skin Forms a physical barrier to the entrance of
microbes
 Mucous membranes Inhibit the entrance of many microbes
 Mucus Traps microbes in respiratory and GI tracts
 Lacrimal apparatus Tears dilute and wash away irritating substances
and microbes
 Saliva Washes microbes from surfaces of teeth and
mucous membranes of mouth
 Hairs Filter out microbes and dust in nose
 Cilia Together with mucus, trap and remove microbes
and dust from upper respiratory tract
 Epiglottis Prevents microbes from entering lower resp. tract
 Urine Washes microbes from urethra
 Vaginal secretions Move microbes out of female reproductive tract
 Peristalsis, defecation, vomiting Expel microbes from the body
CHEMICAL FACTORS
Component Function
 Sebum Forms a protective acidic film over the skin surface that
inhibits growth of many microbes
 Lysozyme Enzyme that digests peptidoglycan in perspiration,
tears, saliva, nasal secretions, urine, and tissue fluids
 Saliva Contains lysozyme, and uric acid, which inhibit
microbes; and immunoglobulin A, which prevents
attachment of microbes to mucous membranes. Slight
acidity discourages microbial growth
 Gastric juice Destroys bacteria and most toxins in stomach
 Urine Contains lysozyme, urea, and uric acid, which inhibit
microbes; slight acidity discourages microbial growth
 Vaginal secretions Slight acidity discourages bacterial and fungal growth
SECOND LINE OF DEFENSE
Component Functions
 Defensive Cells
• Phagocytes Phagocytosis by cells such as neutrophils, eosinophils,
dendritic cells, and macrophages
• Natural killer (NK)
cells
Kill infected target cells by releasing granules that
contain perforin and granzymes. Phagocytes then kill the
infected microbes
 Inflammation Confines and destroys microbes and initiates tissue
repair
 Fever Intensifies the effects of interferons, inhibits growth of
some microbes, and speeds up body reactions that aid
repair
 Antimicrobial Substances
• Complement system Causes cytolysis of microbes, promotes phagocytosis
and contributes to inflammation
• Interferons Protect uninfected host cells from viral infection
• Iron-binding proteins Inhibit growth of certain bacteria by reducing the amount
available iron
• Antimicrobial
peptides
Inhibit cell wall synthesis, form pores in the plasma
membrane that cause lysis; and destroy DNA and RNA
Innateimmunity nonspecificdefensesofthehost-final-150330233237-conversion-gate01

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Innateimmunity nonspecificdefensesofthehost-final-150330233237-conversion-gate01

  • 1.
  • 2. THE CONCEPT OF IMMUNITY  Immunity • Ability to ward off disease caused by microbes  Susceptibility • Vulnerability or lack of immunity  Innate • Defenses present at birth  Specific resistance • Immunity/resistance to a specific pathogen  Nonspecific resistance • Defenses against any pathogen
  • 3.
  • 4. Skin Mucous membranes Ciliary escalator Lacrimal apparatus Saliva Urine Vaginal secretions MECHANICAL FACTORS
  • 6. Skin • Intact skin prevents microbes from entering the skin • Broken skin – port of entry for microbes • How? – Bacteriocidal secretion by the sebaceous glands – Keratin - Desquamation – Dryness - Perspiration
  • 7. Mucous Membranes • Barrier protection • Lining of the respiratory tract, GI tract and genitourinary tract • Mucus – a glycoprotein produced by goblet cells that keeps surfaces moist • Mucosal cells are rapidly dividing  flush out of the body along with attached bacteria
  • 8. Epithelial lining of the trachea
  • 9. • Digestive tract –Mouth and lower digestive tract –How? • Mucus • Saliva (contains lysozyme) • Bile (alkaline) in small intestine • Stomach acids • Defecation • Mucus contain antibacterial agents, antibodies and immune cells called phagocytes Mucous Membranes
  • 10. • Genitourinary tract –Urinary tract is sterile in a health person except the distal urethra –How? • Urination • Secretion (vaginal and seminal fluid) • Low pH of vagina (presence of several Lactobacillus sp.) Mucous Membranes
  • 11. • Respiratory tract – Nose - nasal hair, mucus secretions (phagocytes and antibacterial enzymes), irregular chambers – ciliated epithelium (nasal cavity, sinuses, bronchi and trachea) – Cough reflexes – Alveolar macrophages Mucous Membranes
  • 12. Lacrimal apparatus • Protection for the eye • Tears are produced by the lacrimal gland • Tears and their washing action helps keep the surface of the eye free from bacterial accumulation • LYSOZYME is also found in tears and this enzyme has anti-bacterial action as well
  • 14. CHEMICAL FACTORS  Sebum  Perspiration – lysozyme  Gastric juice  Vaginal secretions – glycogen  Urine – lysozyme, pH (average of 6), urea and other metabolic products
  • 15. NORMAL MICROBIOTA  Microbial antagosism • Normal microbiota compete with pathogens
  • 16. SECOND LINE of DEFENSE • Once beyond the protective outer barrier of the body, the invading microbes will encounter a series of nonspecific cellular and chemical defense mechanisms
  • 17. Mechanisms: Inflammation – a series of events that removes or contain the offending agent and repair the damage Chemotaxis – movement of cells toward a chemical influence (chemokines or chemotatic agents) Phagocytosis – process in which cell ingest foreign matter Many are carried out by the white blood cells in blood
  • 18. Blood Components • Fluid portion –Serum: liquid portion of clotted blood –Plasma: liquid portion with clotting factors –“Plasma can clot; Serum cannot” –Contains antibodies & other proteins • Clotting factors (proteins) –Fibrinogen –Prothrombin
  • 19. I. Erythrocytes – red blood cells (RBC) – carry oxygen and carbon dioxide; no nucleus II. Leukocytes – white blood cells (WBC) - defense III. Platelets – thrombocyte particles – clotting; no nucleus  Formed Elements in Blood
  • 20.  White Blood Cells • Granulocytes –Neutrophils –Eosinophils –Basophils • Agranulocytes –Monocytes –Dendritic cells –Lymphocytes
  • 21. Monocytes (marcophage) Lymphocytes Neutrophils Eosinophils Basophils Erthrocytes (RBC) Platelets Wright’s stain of the peripheral blood cells can identify granulocytes based on properties of the granules. It contain two dyes: • Eosin dye stains basic cell components  reddish • Methylene blue dye stain acidic cell components  blue-ish  White Blood Cells
  • 22. WBC differentials • Never – neutrophils 60-70% • Let – lymphocytes 20-25% • Monkeys – monocytes 3-8% • Eat – eosinophils 2-4% • Bananas - basophils 0.5-1%
  • 24. Formed Elements In Blood Wandering or Fixed
  • 25. Can you identify these leukocytes? erythrocyte platelet A B C D E F G H I
  • 26. Granulocytes  Neutrophils (aka polymorphonuclear cells or PMN) • Most common leukocytes in the blood. Granules unstained. • mobile cells and can pass through capillaries and engulf bacteria by phagocytosis • secrete a fever inducing agent called pyrogen which also helps the body fight infection.  Eosinophils • the granules of cytoplasm are stainable with eosin (red) • The exact function of eosinophils has been a mystery for many years, but research has pointed to its role in allergy, asthma and parasitic (helminth) infection; some phagocytosis.
  • 27.  Basophils •rarest WBC in normal blood •Blue granules contain histamine •play a role in immediate hypersensitivity reactions and in some cell-mediated delayed reactions, such as contact hypersensitivity in humans, skin graft or tumor rejections Granulocytes
  • 28. Monocyte (Macrophage)  Monocytes (the blood form) • the largest WBC's normally found in blood • horseshoe or "U" shape nucleus, or it may be folded • travel to different tissue to mature into specific macrophage  Macrophage • As it developed from monocytes, its size can increase 2-3 times • Wandering – motile and travel in bloodstream; found throughout body • Fixed (histiocytes)– attached and remain in the tissue • Removal and engulfment of foreign particles and useless body cells/material
  • 29.  Lymphocytes • The lymphocyte nucleus is usually round to slightly indented with a sharply defined edge, and deep, dense purple. Cytoplasm may be scant or form a narrow rim around the nucleus. • Cornerstone of the immune system: antibodies production & cell-mediated immunity
  • 30.  the ingestion of microorganisms or other matter by a cell. Many white blood cells engulf invasive microorganisms by the process of phagocytosis. – 1. Chemotaxis - phagocytes are attracted to microorganisms. – 2. Attachment - phagocyte adheres to the microbial cell. This adherence may be facilitated by opsonization – coating the microbe with plasma proteins. – 3. Ingestion - Pseudopods of phagocytes engulf the microorganism and enclose it in a phagosome to complete ingestion. – 4. Digestion - Lysosomes fuse with the phagosome to form a digestive vacuole. The microbe is killed and digested. Phagocytosis
  • 33. Inflammation • Four cardinal signs – Redness – Heat – Swelling – Pain • Primary functions – Localize infection – Neutralize toxins at injury site – Repair damage tissue • Major events – Vasodilation – Increase permeability of capillaries – Mobilization of leukocytes to site of injury (chemotaxis & emigration) – Phagocytosis
  • 34. Second Line of Defense Inflammation
  • 36. Fever • Systemic response to injury • Abnormally high body temperature • Shivering - the result of a new higher set point for body temperature • Death results if body temperature rises above 44 to 46 degrees Celsius
  • 37. Antimicrobial Substances • Complement • Interferon • Iron-binding proteins • Anti-microbial peptides
  • 38. Complement • Defensive system of over 30 proteins that are made in the liver and circulate in the blood and tissues • Activation of complement destroys microbes by lysis, inflammation, and phagocytosis • Complement proteins act in a CASCADE, that is, one reaction triggers another
  • 40. Interferon • Classes of anti-viral proteins • First discovered in the mid 1950’s • Produced by cells such as lymphocytes, macrophages and fibroblasts AFTER viral stimulation - RNA viruses • Interfere with viral multiplication
  • 41. Interferon • Three classes of interferons – Alpha - leukocytes – Beta - fibroblasts – Gamma - lymphocytes (T cells) • Produced after viral infection • Induces near by cells to produce anti-viral to protect against the virus • Currently produced by recombinant DNA technology
  • 42. Summary of Innate Immunity Defenses FIRST LINE OF DEFENSE: SKIN AND MUCOUS MEMBRANES Component Function PHYSICAL FACTORS  Epidermis of skin Forms a physical barrier to the entrance of microbes  Mucous membranes Inhibit the entrance of many microbes  Mucus Traps microbes in respiratory and GI tracts  Lacrimal apparatus Tears dilute and wash away irritating substances and microbes  Saliva Washes microbes from surfaces of teeth and mucous membranes of mouth  Hairs Filter out microbes and dust in nose  Cilia Together with mucus, trap and remove microbes and dust from upper respiratory tract  Epiglottis Prevents microbes from entering lower resp. tract  Urine Washes microbes from urethra  Vaginal secretions Move microbes out of female reproductive tract  Peristalsis, defecation, vomiting Expel microbes from the body
  • 43. CHEMICAL FACTORS Component Function  Sebum Forms a protective acidic film over the skin surface that inhibits growth of many microbes  Lysozyme Enzyme that digests peptidoglycan in perspiration, tears, saliva, nasal secretions, urine, and tissue fluids  Saliva Contains lysozyme, and uric acid, which inhibit microbes; and immunoglobulin A, which prevents attachment of microbes to mucous membranes. Slight acidity discourages microbial growth  Gastric juice Destroys bacteria and most toxins in stomach  Urine Contains lysozyme, urea, and uric acid, which inhibit microbes; slight acidity discourages microbial growth  Vaginal secretions Slight acidity discourages bacterial and fungal growth
  • 44. SECOND LINE OF DEFENSE Component Functions  Defensive Cells • Phagocytes Phagocytosis by cells such as neutrophils, eosinophils, dendritic cells, and macrophages • Natural killer (NK) cells Kill infected target cells by releasing granules that contain perforin and granzymes. Phagocytes then kill the infected microbes  Inflammation Confines and destroys microbes and initiates tissue repair  Fever Intensifies the effects of interferons, inhibits growth of some microbes, and speeds up body reactions that aid repair  Antimicrobial Substances • Complement system Causes cytolysis of microbes, promotes phagocytosis and contributes to inflammation • Interferons Protect uninfected host cells from viral infection • Iron-binding proteins Inhibit growth of certain bacteria by reducing the amount available iron • Antimicrobial peptides Inhibit cell wall synthesis, form pores in the plasma membrane that cause lysis; and destroy DNA and RNA