LECTURE 2 If you do not read and study textbooks……… • Weir & Stewart Immunology [S-LEN 599 L098*7;2 • Bauman • Wood 11/e Chaps 1-4 599 L098*7 Microbiology 2/e Chap 15 Understanding Immunology 2/e • P rescott Microbiology 5/e 576 N02*5;25 8th ed ] 616.9 P7 616.07 P16 Part IX S-LEN 576 N02*5 Any Microbiology/Immunology text after 2008! 616.7 Immunity is • ‘Increased resistance to’ not ‘Complete protection from’ • Innate or Non-specific - comes with us at birth! • Acquired or Specific - we develop it as we grow and experience ‘non-self’ substances! What about plants? • Plants have immune-type defence systems but based on alkaloids and other chemicals • One can immunise plants by exposing to a vaccine e.g. Tobacco mosaic virus What about animals? • Immune systems become more complex with higher phylogenetic rank Phylogeny Ontogeny • Grow more complex with ontogenetic development also Innate Resistance (inbuilt from birth) • Resistance due to physiological barriers and processes that are incompatible with those of the pathogen! – Suitable chemical receptors not present on host cells! – Temperature, pH and conditions may be incompatible with those necessary for the pathogens survival! • Provides basic resistance to most pathogens! • Innate immunity depends on genetic capability we receive plus state of health and nutrition Response to Infection • Awareness – sensing systems • Immediate response - activation, physiological alterations of blood flow and cell recruitment • Delayed response - cell multiplication, induction, new factors, more specific. • Destruction or elimination of pathogen. • Trigger repair. • Provision of future immunity 3 lines of Defence External First Line of Defense barriers and coatings • Structures, cells, chemicals, processes that work to prevent pathogens from entering the body • Non-specific defenses – Includes the skin and mucous membranes of the respiratory, digestive, urinary, and reproductive systems Epithelial cells Renewed every 5 weeks Skin – Barrier layers • Two major layers – Epidermis • Outer layer of multiple layers of tightly packed cells » Few pathogens can penetrate these layers » Shedding of dead skin cells removes attached microorganisms • Epidermal dendritic cells (Also termed Langerhans cells) – Phagocytize, carry and present pathogens as antigens – Dermis • Contains protein fibers called collagen – Give skin strength and pliability to resist abrasions that could introduce microorganisms Skin – Chemical coatings • Perspiration secreted by sweat glands – Salt- inhibits growth of pathogen by drawing water from their cells – Lysozyme- destroys cell wall of bacteria • Sebum secreted by sebaceous (oil) glands – Helps keep skin pliable and less likely to break or tear – Lowers the pH of the skin to a level inhibitory to many bacteria Internal surfaces Mucous membrane Mucous Membranes • Line all body cavities open to the outside environment • Two distinct layers – Epithelium • Thin, outer covering of the mucous membranes • Unlike surface epidermal cells, epithelial cells are living • Tightly packed to prevent entry of pathogens • Continual shedding of cells carries attached microorganisms away – Deeper connective layer that supports the epithelium Microbial Antagonism • Normal microbiota help protect the body by competing with potential pathogens – Secrete antimicrobial substances that limit pathogen growth – Consumption of nutrients makes them unavailable to pathogens – Create an environment unfavorable to other microorganisms by changing pH Microbial Antagonism & Normal flora – Help stimulate the body’s second line of defense – Regulate each other by competition – Displace any newcomers – Promote overall health by providing vitamins to host Other First-Line Defenses • Many body organs secrete chemicals with antimicrobial properties e.g lysozyme, spermine • Lachrymal glands that bathe the eye Lubricant and antimicrobial secretions Second Line of Defenses (inside the tissues) • Operates when pathogens succeed in penetrating the skin or mucous membranes • Non-specific defence of cells, antimicrobial chemicals, and processes but no physical barriers – Many of these components are contained or originate in the blood Blood • Composed of cells and portions of cells within a fluid called plasma – Plasma is mostly water containing electrolytes, dissolved gases, nutrients, and proteins • Plasma minus clotting factors is called serum • Other plasma proteins include complement proteins and antibodies • The cells and cell fragments in plasma are called formed elements Formed Elements • Three types of formed elements – Erythrocytes- carry oxygen and carbon dioxide in the blood – Platelets-(not cells) involved in blood clotting – Leukocytes- involved in defending the body against invaders • 2 groups – Granulocytes – Agranulocytes Stem cell WBC RBC Platelets Granulocytes Lymphocytes • Contain large granules that stain based on dye affinity • 3 types – Basophils- granules stain blue with the basic dye methylene blue – Eosinophils- granules stain red/orange with the acidic dye eosin – Neutrophils- granules stain poorly • Neutrophils and eosinophils can phagocytoze pathogens • Neutrophils and eosinophils are capable of diapedesis Neutrophil 70% of WBC in blood Also known as a polymorphonuclear leucocyte or PMN Eosinophil 2-4% of WBC in blood Basophil or Mast cell - less than 1% of WBC in blood Agranulocytes (No granules) • Cytoplasm appears uniform under a light microscope • 2 types – lymphocytes- most involved in specific immunity Monocyte - 3-8% of WBC in blood Become macrophages in the tissues Macrophages • Phagocytic cells of the second line of defence • Wandering macrophages leave the blood via diapedesis and phagocytize throughout the body • Fixed macrophages do not move throughout the body and often phagocytoze within a specific organ – Include Langerhans cells (epidermis), alveolar macrophages (lungs), microglia (central nervous system), Küpffer cells (liver) • All macrophages, both wandering and fixed constitute the mononuclear phagocytic system Lab Analysis of Leukocytes • The differential white blood cell count can signal signs of disease – Increased eosinophils ……. allergies or parasitic worm infection – increase in leukocytes particularly neutrophils …… Bacterial diseases – increase in lymphocytes………….Viral infections (AIDS is characterised by drop in T lymphocyte (CD4) count) Mechanisms of the Second Line of Defence • • • • • Phagocytosis Extracellular killing by leukocytes Non-specific chemical defences Inflammation Fever Phagocytosis • Cells capable of phagocytosis (certain leukocytes or their derivatives) are called phagocytes • Phagocytosis killing is not completely understood • Can be divided into 5 stages HELP! Why don’t phagocytes eat our cells? • The host’s cells are protected from destruction by the phagocytes because – phagocytes have receptors for bacterial surface components, such as flagellar proteins or cell wall components, that are lacking on the host cells – Opsonins such as complement and antibody provide labels or indicators to mark targets for the phagocyte Extracellular Killing by Leukocytes Fluke • 2 Cell types that kill extracellularly – Eosinophils • Mainly attack parasitic helminths (worms) by attaching to their surface • Secrete toxins that weaken or kill the helminth • Eosinophilia, or elevated eosinophil levels, is often indicative of a helminth infection Extracellular Killing by Leukocytes – Natural killer lymphocytes (NK cells) • Secrete toxins onto the surface of virally infected cells and tumors • Trigger apoptosis (self destruction genes) Nonspecific Chemical Defenses • Augment phagocytosis – Some attack pathogens directly – Some enhance other features of nonspecific resistance • Includes various chemicals – Lysozyme – Complement – Interferons – Defensins Gram positive bacterial cell wall - murein Complement System • Set of serum proteins designated numerically according to the order of their discovery • Complement activation results in inflammatory signals and ends in lysis or damage of nearby membranes. • It is a cascade pathway which acts as a biological burglar alarm • Complement can be activated in several ways – Classical Pathway – Alternate Pathway The complement pathways Red cell perforated by complement. • Activated Complement has a short half-life • Body’s own cells withstand complement cascade – Membrane-bound proteins on many cells bind with and break down activated complement proteins – High turnover rate for cell membranes means any bound membrane attack complexes are shed or endocytosed before any damage occurs Interferons • Protein molecules released by host cells to nonspecifically inhibit the spread of viral infections • Particularly effective against viruses with RNA genomes • Cause many symptoms typically associated with viral infections • 3 Classes » Alpha (from many cell types) » Beta (from many cell types) » Gamma (from T-cells) • Alpha and beta interferons are present early in the infection • Gamma interferon appears later in the course of infection Interferon Therapy • It was thought that this might be a good antiviral treatment • Many viral infections don’t respond to interferon therapy at all • Only a slight effect is seen with those viral infections that do respond Defensins • Small peptides that function nonspecifically to protect against a broad range of pathogens • Act against pathogens in various ways – Punch holes in cytoplasmic membranes – Interfere with internal signaling and other metabolic processes – Interfere with the protein that preserves the shape of bacterial proteins under heat stress • In humans, inflammation increases the production of defensins Inflammation • Nonspecific response by circulatory system to tissue damage resulting from various causes • Characterized by redness, heat, swelling, and pain • Two types – Acute – Chronic Inflammation of…. = - itis e.g. Tonsilitis Nephritis Appendicitis Acute vs Chronic Inflammation • Acute inflammation – Develops quickly and is short lived – Is usually beneficial – Important in the second line of defense • Dilation and increased permeability of the blood vessels • Migration of phagocytes • Tissue repair • Chronic inflammation – Develops slowly and lasts a long time – Can cause damage to tissues Chemical Mediators of Inflammation Fever • A body temperature over 37°C • Results when chemicals called pyrogens trigger the hypothalamus to increase the body’s core temperature • Various types of pyrogens – Bacterial toxins – Cytoplasmic contents of bacteria released by lysis – Antibody-antigen complexes – Interleukin-I (IL-1) Fever Production • IL-1 causes the hypothalamus to secrete prostaglandin which resets the hypothalamic “thermostat” • Communication with the brain initiates muscle contractions, increased metabolic activity, and constriction of blood vessels which raises the body’s temperature • Chills associated with fever are due to the reduced blood flow of constricted vessels • Decrease in IL-1 production results in the body’s temperature returning to normal Benefits of Fever • Enhances the effects of interferons • Inhibits growth of some microorganisms • May enhance the performance of phagocytes, cells of specific immunity, and the process of tissue repair A Summary of Some Non-specific Components of the First and Second Lines of Defense
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