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THE IMMUNE SYSTEM
Presented By:
Dr. Amjad El-Shanti
MD, MPH, PhD
Associate Professor of Public Health
2022
Blood Cells
Body Defenses
• Viruses and bacteria are everywhere.
Some of them want to invade your body.
How does your body defend itself against
viruses and bacteria?
W
O
R
K
T
O
G
E
T
H
E
R
Defense Against Disease
If these barriers are penetrated,
the body responds with
If the innate immune response is insufficient,
the body responds with
Adaptive Immune Response
cell-mediated immunity, humoral immunity
Nonspecific External Barriers
skin, mucous membranes
Innate Immune Response
phagocytic and natural killer cells,
inflammation, fever
First line of defense
• Non-specific defenses are designed to
prevent infections by viruses and
bacteria. These include:
– Intact skin
– Mucus and Cilia
– Phagocytes
Role of skin
• Dead skin cells are
constantly sloughed
off, making it hard for
invading bacteria to
colonize.
• Sweat and oils
contain anti-microbial
chemicals, including
some antibiotics.
Role of mucus and cilia
• Mucus contains lysozymes,
enzymes that destroy
bacterial cell walls.
• The normal flow of mucus
washes bacteria and viruses
off of mucus membranes.
• Cilia in the respiratory tract
move mucus out of the
lungs to keep bacteria and
viruses out.
Role of phagocytes
• Phagocytes are several types
of white blood cells (including
macrophages and
neutrophils) that seek and
destroy invaders. Some also
destroy damaged body cells.
• Phagocytes are attracted by
an inflammatory response of
damaged cells.
Role of inflammation
• Inflammation is signaled by mast cells,
which release histamine.
• Histamine causes fluids to collect around
an injury to dilute toxins. This causes
swelling.
• The temperature of the tissues may rise,
which can kill temperature-sensitive
microbes.
Role of fever
• Fever is a defense mechanism that can
destroy many types of microbes.
• Fever also helps fight viral infections by
increasing interferon production.
• While high fevers can be dangerous,
some doctors recommend letting low
fevers run their course without taking
aspirin or ibuprofen.
• Why aren’t non-specific defenses enough?
Why do we also need specific defenses?
W
O
R
K
T
O
G
E
T
H
E
R
Specific defenses
• Specific defenses are those that give us
immunity to certain diseases.
• In specific defenses, the immune system
forms a chemical “memory” of the
invading microbe. If the microbe is
encountered again, the body reacts so
quickly that few or no symptoms are felt.
Major players
• The major players in the immune system
include:
– Macrophage
– T cells (helper, cytotoxic, memory)
– B cells (plasma, memory)
– Antibodies
Cells of the Immune System
White Blood Cells
• Phagocytes - Neutrophils
- Macrophages
• Lymphocytes
Phagocytes
• Produced throughout life by the bone
marrow.
• Scavengers – remove dead cells and
microorganisms.
Neutrophils
• 60% of WBCs
• ‘Patrol tissues’ as they squeeze out of the
capillaries.
• Large numbers are released during
infections
• Short lived – die after digesting bacteria
• Dead neutrophils make up a large
proportion of puss.
Macrophages
• Larger than neutrophils.
• Found in the organs, not the blood.
• Made in bone marrow as monocytes,
called macrophages once they reach
organs.
• Long lived
• Initiate immune responses as they display
antigens from the pathogens to the
lymphocytes.
Macrophages
Phagocytosis
Phagocytosis
• If cells are under attack they release histamine.
• Histamine plus chemicals from pathogens mean
neutrophils are attracted to the site of attack.
• Pathogens are attached to antibodies and
neutrophils have antibody receptors.
• Enodcytosis of neutrophil membrane 
phagocytic vacuole.
• Lysosomes attach to phagocytic vacuole 
pathogen digested by proteases
Lymphocytes
• Produce antibodies
• B-cells mature in bone marrow then
concentrate in lymph nodes and spleen
• T-cells mature in thymus
• B and T cells mature then circulate in the
blood and lymph
• Circulation ensures they come into contact
with pathogens and each other
B -Lymphocytes
• There are c.10 million different B-
lymphocytes, each of which make a
different antibody.
• The huge variety is caused by genes
coding for abs changing slightly during
development.
• There are a small group of clones of each
type of B-lymphocyte
B -Lymphocytes
• At the clone stage antibodies do not leave the B-
cells.
• The abs are embedded in the plasma
membrane of the cell and are
called antibody receptors.
• When the receptors in the membrane recognise
and antigen on the surface of the pathogen the
B-cell divides rapidly.
• The antigens are presented to the B-cells by
macrophages
B -Lymphocytes
B -Lymphocytes
• Some activated B cells  PLASMA
CELLS these produce lots of antibodies, <
1000/sec
• The antibodies travel to the blood, lymph,
lining of gut and lungs.
• The number of plasma cells goes down
after a few weeks
• Antibodies stay in the blood longer but
eventually their numbers go down too.
B -Lymphocytes
• Some activated B cells  MEMORY
CELLS.
• Memory cells divide rapidly as soon as the
antigen is reintroduced.
• There are many more memory cells than
there were clone cells.
• When the pathogen/infection infects again
it is destroyed before any symptoms show.
Antibodies
• Also known as immunoglobulins
• Globular glycoproteins
• The heavy and light chains are polypeptides
• The chains are held together by disulphide
bridges
• Each ab has 2 identical ag binding sites –
variable regions.
• The order of amino acids in the variable
region determines the shape of the binding
site
How Abs work
• Some act as labels to identify
antigens for phagocytes
• Some work as antitoxins i.e. they block toxins
for e.g. those causing diphtheria and tetanus
• Some attach to bacterial flagella making
them less active and easier for phagocytes to
engulf
• Some cause agglutination (clumping
together) of bacteria making them less likely
to spread
Different Immunoglobulins
Type Number of
ag binding
sites
Site of action Functions
IgG 2 •Blood
•Tissue fluid
•CAN CROSS
PLACENTA
•Increase
macrophage activity
•Antitoxins
•Agglutination
IgM 10 •Blood
•Tissue fluid
Agglutination
IgA 2 or 4 •Secretions (saliva,
tears, small intestine,
vaginal, prostate,
nasal, breast milk)
•Stop bacteria
adhering to host
cells
•Prevents bacteria
forming colonies on
mucous membranes
IgE 2 Tissues •Activate mast cells
 HISTAMINE
•Worm response
Some vocabulary:
• Antibody: a protein produced by the
human immune system to tag and destroy
invasive microbes.
• Antibiotic: various chemicals produced by
certain soil microbes that are toxic to many
bacteria. Some we use as medicines.
• Antigen: any protein that our immune
system uses to recognize “self” vs. “not
self.”
Antibodies
• Antibodies are
assembled out of
protein chains.
• There are many
different chains
that the immune
system
assembles in
different ways to
make different
Antibodies as Receptors
• Antibodies can
attach to B cells,
and serve to
recognize
foreign antigens.
Antigens as Effectors
• Free antibodies
can bind to
antigens, which
“tags” the
antigen for the
immune system
to attack and
destroy.
Antigen recognition
• Cells of the immune system are “trained”
to recognize “self” proteins vs. “not self”
proteins.
• If an antigen (“not self”) protein is
encountered by a macrophage, it will bring
the protein to a helper T-cell for
identification.
• If the helper T-cell recognizes the protein
as “not self,” it will launch an immune
response.
T-Lymphocytes
• Mature T-cells have T cell receptors which
have a very similar structure to antibodies
and are specific to 1 antigen.
• They are activated when the receptor
comes into contact with the Ag with
another host cell (e.g. on a macrophage
membrane or an invaded body cell)
T-Lymphocytes
• After activation the cell divides to form:
• T-helper cells – secrete CYTOKINES
 help B cells divide
 stimulate macrophages
• Cytotoxic T cells (killer T cells)
 Kill body cells displaying antigen
• Memory T cells
 remain in body
Active and Passive Immunity
Active immunity
Lymphocytes are activated by antigens on
the surface of pathogens
Natural active immunity - acquired due to
infection
Artificial active immunity – vaccination
Takes time for enough B and T cells to be
produced to mount an effective response.
Active and Passive Immunity
Passive immunity
B and T cells are not activated and plasma
cells have not produced antibodies.
The antigen doesn’t have to be encountered
for the body to make the antibodies.
Antibodies appear immediately in blood but
protection is only temporary.
Active and Passive Immunity
Artificial passive immunity
Used when a very rapid immune response
is needed e.g. after infection with tetanus.
Human antibodies are injected. In the
case of tetanus these are antitoxin
antibodies.
Antibodies come from blood donors who
have recently had the tetanus vaccination.
Only provides short term protection as abs
destroyed by phagocytes in spleen and
liver.
Active and Passive Immunity
Natural passive immunity
A mother’s antibodies pass across the
placenta to the foetus and remain for
several months.
Colostrum (the first breast milk) contains lots
of IgA which remain on surface of the
baby’s gut wall and pass into blood
Vaccination
A preparation containing antigenic
material:
• Whole live microorganism
• Dead microorganism
• Attenuated (harmless) microorganism
• Toxoid (harmless form of toxin)
• Preparation of harmless ags
Vaccination
• Injection into vein or muscle
• Oral
Vaccination
Why aren’t they always effective?
• Natural infections persist within the body
for a long time so the immune system has
time to develop an effective response,
vaccinations from dead m-os do not do
this.
• Less effective vaccines need booster
injections to stimulate secondary
responses
Vaccination
Why aren’t they always effective?
• Some people don’t respond well/at all to
vaccinations
• Defective immune systems
• Malnutrition particularly protein
Vaccination
Why aren’t they always effective?
• Antigenic variation caused by mutation
• Antigenic drift – small changes (still
recognised by memory cells)
• Antigenic shift – large changes (no longer
recognised)
Vaccination
Why aren’t they always effective?
• No vaccines against protoctista (malaria
and sleeping sickness)
• Many stages to Plasmodium life cycle with
many antigens so vaccinations would have
to be effective against all stages (or be
effective just against infective stage but
given in very small time period).
Vaccination
Why aren’t they always effective?
• Sleeping sickness – Trypanosoma has a
thousand different ags and changes them
every 4-5 days
Vaccination
Why aren’t they always effective?
• Antigenic concealment parasites live
inside body cells
• Plasmodium – liver and blood cells
• Parasitic worms – cover themselves in
host proteins
• HIV – live inside T-helper cells
Smallpox
Symptoms
• Red spots containing transparent fluid all
over body.
• Spots fill with pus
• Eyelids swell and become glued together
Smallpox
Mortality
• 12-30% died
• Survivors often left blind and disfigured
with scabs.
Smallpox
Eradication programme
• Started by WHO in 1956
• Aimed to rid world of smallpox by 1977
• Involved vaccination and surveillance
• Over 80% of populations at risk of the
disease were vaccinated
• After any reported case everyone in the
household and 30 surrounding households
vaccinated – RING VACCINATION
Smallpox
Eradication programme
• Last case of smallpox reported in Somalia
in 1977
• World declared free of smallpox in 1980
Smallpox
Eradication programme – why was it successful?
• Variola virus stable -> cheap as everyone used
same vaccine
• Vaccine made from harmless strain of similar
virus (vaccinia)
• Vaccine could be used at high temperatures
• Easy to identify infected people
• Smallpox doesn’t lie dormant in body
Smallpox
Eradication programme – why don’t all work?
• Political instability
• Poor infrastructure
• Unstable m-os
Measles
• Caused by an airborne virus
• 9th leading cause of death worldwide
• Causes rash and fever
• Can have fatal complications
• Passive immunity from mothers in infants under
8 months
• Now quite a rare disease in developed
countries due to vaccination
Measles
• Transmitted easily in overcrowded, insanitary
conditions
• Mainly affects malnourished infants with vitamin
A deficiencies
• Responsible for many cases of childhood
blindness and can cause severe brain damage
• Herd immunity of 93-95% needed to prevent
transmission within a population.
Allergies
• When the immune system responds to
harmless substances
• Allergens – antigenic substances which do no
real harm
• Allergens include house dust, animal skin,
pollen, house dust mite and its faeces
Allergies
• Histamine causes blood vessels to widen and
become leaky.
• Fluid and white blood cells leave capillaries.
• The area of leakage becomes hot, red and
inflamed
Asthma
• Attacks can occur at any time
• Genes play a role in who develops asthma
• Breathing becomes difficult, sufferers
experience wheezing, coughing, a tightness
about the chest and shortage of breath.
• 1/7 children in UK has asthma, number is
increasing.
• >1000 people die each year from asthma every
year in the UK
Asthma
• Airways in asthmatics are always inflamed,
during an attack this worsens.
• Fluid leaks from blood into airways and goblet
cells secrete lots of mucus
• Airways can become blocked
• Muscles surrounding trachea and bronchioles
contract which narrows airways further
Asthma
• Vaccines are being developed to make allergic
responses less severe
• Designed to desensitise people so they do not
produce antibodies to allergens
• Genetic tests may be used to screen children
and then a vaccine could be given to prevent
them developing asthma
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L6_immunity__system.ppt

  • 1. THE IMMUNE SYSTEM Presented By: Dr. Amjad El-Shanti MD, MPH, PhD Associate Professor of Public Health 2022
  • 4. • Viruses and bacteria are everywhere. Some of them want to invade your body. How does your body defend itself against viruses and bacteria? W O R K T O G E T H E R
  • 5. Defense Against Disease If these barriers are penetrated, the body responds with If the innate immune response is insufficient, the body responds with Adaptive Immune Response cell-mediated immunity, humoral immunity Nonspecific External Barriers skin, mucous membranes Innate Immune Response phagocytic and natural killer cells, inflammation, fever
  • 6. First line of defense • Non-specific defenses are designed to prevent infections by viruses and bacteria. These include: – Intact skin – Mucus and Cilia – Phagocytes
  • 7. Role of skin • Dead skin cells are constantly sloughed off, making it hard for invading bacteria to colonize. • Sweat and oils contain anti-microbial chemicals, including some antibiotics.
  • 8. Role of mucus and cilia • Mucus contains lysozymes, enzymes that destroy bacterial cell walls. • The normal flow of mucus washes bacteria and viruses off of mucus membranes. • Cilia in the respiratory tract move mucus out of the lungs to keep bacteria and viruses out.
  • 9. Role of phagocytes • Phagocytes are several types of white blood cells (including macrophages and neutrophils) that seek and destroy invaders. Some also destroy damaged body cells. • Phagocytes are attracted by an inflammatory response of damaged cells.
  • 10. Role of inflammation • Inflammation is signaled by mast cells, which release histamine. • Histamine causes fluids to collect around an injury to dilute toxins. This causes swelling. • The temperature of the tissues may rise, which can kill temperature-sensitive microbes.
  • 11. Role of fever • Fever is a defense mechanism that can destroy many types of microbes. • Fever also helps fight viral infections by increasing interferon production. • While high fevers can be dangerous, some doctors recommend letting low fevers run their course without taking aspirin or ibuprofen.
  • 12.
  • 13. • Why aren’t non-specific defenses enough? Why do we also need specific defenses? W O R K T O G E T H E R
  • 14. Specific defenses • Specific defenses are those that give us immunity to certain diseases. • In specific defenses, the immune system forms a chemical “memory” of the invading microbe. If the microbe is encountered again, the body reacts so quickly that few or no symptoms are felt.
  • 15. Major players • The major players in the immune system include: – Macrophage – T cells (helper, cytotoxic, memory) – B cells (plasma, memory) – Antibodies
  • 16. Cells of the Immune System White Blood Cells • Phagocytes - Neutrophils - Macrophages • Lymphocytes
  • 17. Phagocytes • Produced throughout life by the bone marrow. • Scavengers – remove dead cells and microorganisms.
  • 18.
  • 19. Neutrophils • 60% of WBCs • ‘Patrol tissues’ as they squeeze out of the capillaries. • Large numbers are released during infections • Short lived – die after digesting bacteria • Dead neutrophils make up a large proportion of puss.
  • 20. Macrophages • Larger than neutrophils. • Found in the organs, not the blood. • Made in bone marrow as monocytes, called macrophages once they reach organs. • Long lived • Initiate immune responses as they display antigens from the pathogens to the lymphocytes.
  • 23. Phagocytosis • If cells are under attack they release histamine. • Histamine plus chemicals from pathogens mean neutrophils are attracted to the site of attack. • Pathogens are attached to antibodies and neutrophils have antibody receptors. • Enodcytosis of neutrophil membrane  phagocytic vacuole. • Lysosomes attach to phagocytic vacuole  pathogen digested by proteases
  • 24. Lymphocytes • Produce antibodies • B-cells mature in bone marrow then concentrate in lymph nodes and spleen • T-cells mature in thymus • B and T cells mature then circulate in the blood and lymph • Circulation ensures they come into contact with pathogens and each other
  • 25. B -Lymphocytes • There are c.10 million different B- lymphocytes, each of which make a different antibody. • The huge variety is caused by genes coding for abs changing slightly during development. • There are a small group of clones of each type of B-lymphocyte
  • 26. B -Lymphocytes • At the clone stage antibodies do not leave the B- cells. • The abs are embedded in the plasma membrane of the cell and are called antibody receptors. • When the receptors in the membrane recognise and antigen on the surface of the pathogen the B-cell divides rapidly. • The antigens are presented to the B-cells by macrophages
  • 28. B -Lymphocytes • Some activated B cells  PLASMA CELLS these produce lots of antibodies, < 1000/sec • The antibodies travel to the blood, lymph, lining of gut and lungs. • The number of plasma cells goes down after a few weeks • Antibodies stay in the blood longer but eventually their numbers go down too.
  • 29. B -Lymphocytes • Some activated B cells  MEMORY CELLS. • Memory cells divide rapidly as soon as the antigen is reintroduced. • There are many more memory cells than there were clone cells. • When the pathogen/infection infects again it is destroyed before any symptoms show.
  • 30.
  • 31. Antibodies • Also known as immunoglobulins • Globular glycoproteins • The heavy and light chains are polypeptides • The chains are held together by disulphide bridges • Each ab has 2 identical ag binding sites – variable regions. • The order of amino acids in the variable region determines the shape of the binding site
  • 32. How Abs work • Some act as labels to identify antigens for phagocytes • Some work as antitoxins i.e. they block toxins for e.g. those causing diphtheria and tetanus • Some attach to bacterial flagella making them less active and easier for phagocytes to engulf • Some cause agglutination (clumping together) of bacteria making them less likely to spread
  • 34. Type Number of ag binding sites Site of action Functions IgG 2 •Blood •Tissue fluid •CAN CROSS PLACENTA •Increase macrophage activity •Antitoxins •Agglutination IgM 10 •Blood •Tissue fluid Agglutination IgA 2 or 4 •Secretions (saliva, tears, small intestine, vaginal, prostate, nasal, breast milk) •Stop bacteria adhering to host cells •Prevents bacteria forming colonies on mucous membranes IgE 2 Tissues •Activate mast cells  HISTAMINE •Worm response
  • 35. Some vocabulary: • Antibody: a protein produced by the human immune system to tag and destroy invasive microbes. • Antibiotic: various chemicals produced by certain soil microbes that are toxic to many bacteria. Some we use as medicines. • Antigen: any protein that our immune system uses to recognize “self” vs. “not self.”
  • 36. Antibodies • Antibodies are assembled out of protein chains. • There are many different chains that the immune system assembles in different ways to make different
  • 37. Antibodies as Receptors • Antibodies can attach to B cells, and serve to recognize foreign antigens.
  • 38. Antigens as Effectors • Free antibodies can bind to antigens, which “tags” the antigen for the immune system to attack and destroy.
  • 39. Antigen recognition • Cells of the immune system are “trained” to recognize “self” proteins vs. “not self” proteins. • If an antigen (“not self”) protein is encountered by a macrophage, it will bring the protein to a helper T-cell for identification. • If the helper T-cell recognizes the protein as “not self,” it will launch an immune response.
  • 40. T-Lymphocytes • Mature T-cells have T cell receptors which have a very similar structure to antibodies and are specific to 1 antigen. • They are activated when the receptor comes into contact with the Ag with another host cell (e.g. on a macrophage membrane or an invaded body cell)
  • 41. T-Lymphocytes • After activation the cell divides to form: • T-helper cells – secrete CYTOKINES  help B cells divide  stimulate macrophages • Cytotoxic T cells (killer T cells)  Kill body cells displaying antigen • Memory T cells  remain in body
  • 42.
  • 43.
  • 44. Active and Passive Immunity Active immunity Lymphocytes are activated by antigens on the surface of pathogens Natural active immunity - acquired due to infection Artificial active immunity – vaccination Takes time for enough B and T cells to be produced to mount an effective response.
  • 45. Active and Passive Immunity Passive immunity B and T cells are not activated and plasma cells have not produced antibodies. The antigen doesn’t have to be encountered for the body to make the antibodies. Antibodies appear immediately in blood but protection is only temporary.
  • 46. Active and Passive Immunity Artificial passive immunity Used when a very rapid immune response is needed e.g. after infection with tetanus. Human antibodies are injected. In the case of tetanus these are antitoxin antibodies. Antibodies come from blood donors who have recently had the tetanus vaccination. Only provides short term protection as abs destroyed by phagocytes in spleen and liver.
  • 47. Active and Passive Immunity Natural passive immunity A mother’s antibodies pass across the placenta to the foetus and remain for several months. Colostrum (the first breast milk) contains lots of IgA which remain on surface of the baby’s gut wall and pass into blood
  • 48.
  • 49. Vaccination A preparation containing antigenic material: • Whole live microorganism • Dead microorganism • Attenuated (harmless) microorganism • Toxoid (harmless form of toxin) • Preparation of harmless ags
  • 50. Vaccination • Injection into vein or muscle • Oral
  • 51. Vaccination Why aren’t they always effective? • Natural infections persist within the body for a long time so the immune system has time to develop an effective response, vaccinations from dead m-os do not do this. • Less effective vaccines need booster injections to stimulate secondary responses
  • 52. Vaccination Why aren’t they always effective? • Some people don’t respond well/at all to vaccinations • Defective immune systems • Malnutrition particularly protein
  • 53. Vaccination Why aren’t they always effective? • Antigenic variation caused by mutation • Antigenic drift – small changes (still recognised by memory cells) • Antigenic shift – large changes (no longer recognised)
  • 54. Vaccination Why aren’t they always effective? • No vaccines against protoctista (malaria and sleeping sickness) • Many stages to Plasmodium life cycle with many antigens so vaccinations would have to be effective against all stages (or be effective just against infective stage but given in very small time period).
  • 55. Vaccination Why aren’t they always effective? • Sleeping sickness – Trypanosoma has a thousand different ags and changes them every 4-5 days
  • 56. Vaccination Why aren’t they always effective? • Antigenic concealment parasites live inside body cells • Plasmodium – liver and blood cells • Parasitic worms – cover themselves in host proteins • HIV – live inside T-helper cells
  • 57. Smallpox Symptoms • Red spots containing transparent fluid all over body. • Spots fill with pus • Eyelids swell and become glued together
  • 58. Smallpox Mortality • 12-30% died • Survivors often left blind and disfigured with scabs.
  • 59. Smallpox Eradication programme • Started by WHO in 1956 • Aimed to rid world of smallpox by 1977 • Involved vaccination and surveillance • Over 80% of populations at risk of the disease were vaccinated • After any reported case everyone in the household and 30 surrounding households vaccinated – RING VACCINATION
  • 60. Smallpox Eradication programme • Last case of smallpox reported in Somalia in 1977 • World declared free of smallpox in 1980
  • 61. Smallpox Eradication programme – why was it successful? • Variola virus stable -> cheap as everyone used same vaccine • Vaccine made from harmless strain of similar virus (vaccinia) • Vaccine could be used at high temperatures • Easy to identify infected people • Smallpox doesn’t lie dormant in body
  • 62. Smallpox Eradication programme – why don’t all work? • Political instability • Poor infrastructure • Unstable m-os
  • 63. Measles • Caused by an airborne virus • 9th leading cause of death worldwide • Causes rash and fever • Can have fatal complications • Passive immunity from mothers in infants under 8 months • Now quite a rare disease in developed countries due to vaccination
  • 64. Measles • Transmitted easily in overcrowded, insanitary conditions • Mainly affects malnourished infants with vitamin A deficiencies • Responsible for many cases of childhood blindness and can cause severe brain damage • Herd immunity of 93-95% needed to prevent transmission within a population.
  • 65. Allergies • When the immune system responds to harmless substances • Allergens – antigenic substances which do no real harm • Allergens include house dust, animal skin, pollen, house dust mite and its faeces
  • 66.
  • 67. Allergies • Histamine causes blood vessels to widen and become leaky. • Fluid and white blood cells leave capillaries. • The area of leakage becomes hot, red and inflamed
  • 68. Asthma • Attacks can occur at any time • Genes play a role in who develops asthma • Breathing becomes difficult, sufferers experience wheezing, coughing, a tightness about the chest and shortage of breath. • 1/7 children in UK has asthma, number is increasing. • >1000 people die each year from asthma every year in the UK
  • 69. Asthma • Airways in asthmatics are always inflamed, during an attack this worsens. • Fluid leaks from blood into airways and goblet cells secrete lots of mucus • Airways can become blocked • Muscles surrounding trachea and bronchioles contract which narrows airways further
  • 70. Asthma • Vaccines are being developed to make allergic responses less severe • Designed to desensitise people so they do not produce antibodies to allergens • Genetic tests may be used to screen children and then a vaccine could be given to prevent them developing asthma