CD4 T cells recognize antigen presented on MHC class II and differentiate into either TH1 or TH2 effector cells. TH1 cells activate macrophages and release cytokines like IFNγ to kill intracellular pathogens. TH2 cells activate B cells to secrete antibodies through cytokines like IL4. CD8 cytotoxic T lymphocytes recognize antigen on MHC class I and kill infected cells through release of perforin and granzymes or Fas-Fas ligand interaction. T cell activation involves cytokine signaling and interaction with antigen presenting cells to mount an adaptive immune response against pathogens.
T-cells is explained with a emphasis with humoral and adaptive immunity . And the diffrent subsets of t cells are well explained by Dr Harshavardhan Patwal here .
Lymphocyte is a type of white blood cell in the immune system of jawed vertebrate. Lymphocytes include natural killer cells (which function in cell-mediated, cytotoxic innate immunity), T cells (for cell-mediated, cytotoxic adaptive immunity), and B cells (for humoral, antibody-driven adaptive immunity). They are the main type of cell found in lymph, which prompted the name "lymphocyte". Th all myeloid and lymphoid cells develop from one type of stem cell called as Hematopoietic stem cell is a undifferentiated cell give rise to further diffetentiation of all the immune cell as well as blood cells include the T- cell and B-cell. The B-cell is synthesis and matured in the Bone Marrow and T- cell is synthesis in Bone marrow but matured in the thymus. In this topic will be discussed how the B-cell and T-cell are developed
T-cells is explained with a emphasis with humoral and adaptive immunity . And the diffrent subsets of t cells are well explained by Dr Harshavardhan Patwal here .
Lymphocyte is a type of white blood cell in the immune system of jawed vertebrate. Lymphocytes include natural killer cells (which function in cell-mediated, cytotoxic innate immunity), T cells (for cell-mediated, cytotoxic adaptive immunity), and B cells (for humoral, antibody-driven adaptive immunity). They are the main type of cell found in lymph, which prompted the name "lymphocyte". Th all myeloid and lymphoid cells develop from one type of stem cell called as Hematopoietic stem cell is a undifferentiated cell give rise to further diffetentiation of all the immune cell as well as blood cells include the T- cell and B-cell. The B-cell is synthesis and matured in the Bone Marrow and T- cell is synthesis in Bone marrow but matured in the thymus. In this topic will be discussed how the B-cell and T-cell are developed
introduction of adaptive immunity. classification of adaptive immunity, factor affecting it and mechanism of adaptive immunity comparison between adaptive immunity and innate immunity. characteristic of adaptive immunity . cell mediated immune responses immunoglobulins
types of immunoglobulins. functions of immunoglobulins, hypersensitivity reactions
Describes the basic properties and mechanisms of T cells and B cells in maintaining Immune Response against foreign antigens or infections and covers the UG and PG portion of immunology.
Biochemistry of Hair fall, A complete review of hair fall cause, Types, Current methods of treatment, Natural methods of treatment,
for more detail text see :https://iiopinion.blogspot.in/2017/01/hair-fall-scientific-way-of-treatment.html
Non-Specific Immune Response, Innate immunity, inherent immunity, Role in overall immunity of individual, Significance, components involve in Non-Specific Immune Response,
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. antigen recognition
does not occur at site
of entry, but usually in
lymph nodes/spleen
activated T cells then
migrate to target
tissues
3. IL2R – complex of αβγ that associate non-covalently, essential for
immune function, as its chains are involved in MANY ILR’s
IL2 is not
absolutely
necessary b/c
other
cytokines can
replace
function
ag:MHC complex binding to TCR triggers IL2R
assembly/synthesis
ensures that
IL2 only
activates
clonal
expansion of
ag-specific
cells
ag:MHC complex binding to TCR
can also stimulate IL2 SYNTHESIS
some cells can make IL2
autocrine/endogenous
can be used
can’t make IL2
paracrine/exogenous IL2
necessary
4. TH1 – synthesize IL2/3,
TNFα, γ-INTERFERON
activates macrophages
and enhances their
ability to kill ingested
microbes (bacteria,
fungi, protozoa)
TH2 – synthesize and
release IL4//5/6/10
activate B-cell
growth/differentiation
CD4
5. TH1
1) γ-inteferon is released in response to
macrophage MHC II antigen presentation
• these combined enhance macrophage lysosome-phagosome
fusion
• DTH – delayed type hypersensitivity can be used to determine
immune status (Tb skin test- PPD)
2) CD40 (macrophage)
binds CD40L(T cell)
and/or TNF (T cell)
interacts with TNF-R
(macrophage)
• - occurs in response to antigen-activation of TH1 cells that are
already sensitized to the specific antigen
• - positive test indicates presence of sensitized T cells indicates
past infection
- inflammation results
from local accumulation
of macrophages
6. TH2
synthesize and release IL4//5/6/10
activate B-cell growth/differentiation
B cell antigen receptors (Ig) can take up antigen very
efficiently
presents antigen on MHCII in high quantities
TH2 cells recognize this on B cells CD40/CD40L
interaction
IL4/5/6 is produced and released to activate B cell class
switching
7. CD4 T cells do not differentiate into TH1
or TH2 until antigen is encountered
NK cells secrete IL12 induces T-BET TH1 pathway
IL12 is
secreted as
part of
response to
infection
IL10 is
secreted by
TH2 cells
INHIBITS TH1
differentiation
IL4 induces GATA-3 TH2
IL4 is secreted by a small subset of NK cells
early in infection
also secreted by other TH2 cells
inhibited by interferon-γ made by
TH1 cells
8. CD8 CYTOLYTIC T
LYMPHOCYTES (CTL):
Function
virally
infected cells
(MAJOR)
bacterial
infected cells
tumor cells
graft rejection
important that their activity is
confined only to target cells
some CD4 and some NK cells
also have cytolytic activity
9. PROTECTION AGAINST VIRAL
INFECTION
antigenic viral proteins can be cytosolic or nuclear-
localized
viral escape mechanisms –
latent
infection
privileged
site
replication
(cells
lacking
MHC I)
inhibit class
I MHC
expression
inhibit
TAP1/2
activity
(peptides
cannot enter
ER)
mutation in
antigenic
peptide
sequence
10. PROTECTION
AGAINST BACTERIAL
INFECTION
• while this might elicit
MHCII/CD4 response in
some cells, certain cell types
several types of
bacteria can reside
and replicate
WITHIN host cells
Salmonella, Listeria,
Myobacteria
LACK these proteins
and the MHCI/CD8
route is the only
alternative
11. ACTIVATION OF CTL
• initial stages are CD4 independent, but CD4 is
required eventually
• mechanism is unclear but maybe…
• CD40/CD40L binding
• CD4 effect on APC’
• “Cross Priming” – if APC’s are not directly
infected
• due to protein fragments that are released
from cytolysed infected non-APC’s
• fragments are taken up and presented by
APC’s on MHCI to CD8+ cells
after activation,
clonal
expansion and
expression of
cytokines also
expression of
cytolytic
proteins
(perforin,
granzymes)
12. MECHANISM OF
CYTOLYSIS
initial contact is antigen-independent (ICAM on target, LFA1 on T
cell)if TCR encounters antigen:MHCI, then CD8 will bind MHCI also
signal cascade is initiated
effect – ICAM/LFA interaction strengthens unidirectional cytolysis
perforin – self-
polymerizes and makes a
pore for granzymes
granzymes – serine
proteases that activate
CAPSASES
granulysin – saposin like
protein; highly cytolytic
Specificity
directional release of cytotoxins from T cell
towards target cell
perforins cannot diffuse through extracellular
fluid
13. OTHER MECHANISMS OF CYTOLYSIS
expression of FAS-L on some activated CD8+
cells (and CD4+)activates apoptotic pathway
accounts for some cytolysis in perforin-deficient
mice
activated T-cells express Fas may help
reduce T-cell response by affecting T cell death
in some cases, one of the pathways will kill
bacteria and the other will SPREAD it