first line of defense
barriers that block invasion at the portal of entry
does not involve recognition of foreign substances
general in action
second line of defense
nonspecific
internalized system of protective cells and fluids
inflammation and phagocytosis
acts rapidly at the local and systemic levels
third line defense
acquired on an individual basis as each foreign substance is encountered by lymphocytes
produces unique protective substances and cells that can come into play if the microbe is encountered again
provides long-term immunity
a healthy, functioning immune system is responsible for
surveillance of the body
recognition of foreign material
destruction of entities deemed to be foreign
white blood cells
move throughout the body, searching for potential pathogens
trained to recognize self, or body cells, and non-self bacterial cells, or other invading pathogens
antigens
molecules on the surfaces of cells
composed of proteins and/or sugars
evaluated by cells of the immune system
autoimmune disorders
many are a result of the immune system mistakenly attacking the body's own tissues and organs
rheumatoid arthritis
the body attacks its own joints and tissues, causing pain and loss of function
pathogen-associated molecular patterns
PAMPs
markers that many different kinds of microbes have in common
pattern recognition receptors
PRRs
used by host cells with important roles in the innate immunity of the second line of defense to recognize PAMPs
extracellular fluid
found in spaces surrounding tissue cells
interstitium
name given to extracellular spaces and their lymph fluid
bloodstream
transports products of a lymphatic reaction
lymphatic system
a compartmentalized network of vessels, cells, and specialized accessory organs
major functions of the lymphatic system
provide an auxiliary route for return of extracellular fluid to the circularory system
act as a "drain-off" system for the inflammatory response
render surveillance, recognition, and protection against foreign materials, through a system of lymphocytes, phagocytes, and antibodies
lymph
plasmalike liquid carried by the lymphatic circulation
formed when certain blood components move out of the blood vessels into the extracellular spaces and diffuse or migrate into the lymphatic capillaries
transports numerous white blood cells, fats, cellular debris, and infectious agents that have gained access to tissue spaces
two differences between the bloodstream and lymphatic system
lymph moves in one direction only: from the extremities to the heart
lymph is only transported through the contraction of skeletal muscles
primary lymphatic organs
red bone marrow
thymus
secondary lymphatic organs
lymph nodes
spleen
SALT, MALT, and GALT
red bone marrow
typically found in the internal matrix of long bones and is the site of blood cell production
all blood cells originate in the bone marrow, including B- and T-lymphocyte precursors
B lymphocytes complete their maturation process while still in the bone marrow
the thymus
site of T-cell maturation
triangular structure in the upper thoracic region
naive T lymphocytes mature at the thymus
lymph nodes
small, encapsulated, bean-shaped organs
stationed in clusters along lymphatic channels and large blood vessels
filters out material that has entered the lymph and provides appropriate cells for immune reaction
major aggregations of lymph nodes
loose connective tissue in armpit (auxiliary nodes)
groin (inguinal nodes)
neck (cervical nodes)
lymph node enlargement
enlargement of lymph nodes reflects the replication of many lymphocyte clones during an adaptive immune response
may indicate the presence of a systemic illness
may be evidence of a localized infection
the spleen
lymphoid organ in the upper left portion of abdominal cavity
serves as a filter for blood instead of lymph
primary function of spleen
remove worn-out red blood cells from circulation
immunologic function of the spleen
filter pathogens from the blood for phagocytosis by macrophages
associated lymphoid tissues
bundles of lymphocytes beneath the skin and mucosal surfaces all over the body
SALT
MALT
tonsils
breasts of pregnant women
GALT
plasma
clear, yellowish fluid
serum
clear fluid from clotted blood often used in immune testing and therapy
heamtopoiesis
production of blood cells
stem cells
precursor to blood cells
pool undifferentiated, pluripotent cells
maintained in the bone marrow
immature or unspecialized cells develop the specialized form and function of mature cells
immature cells that arise from stem cells
myeloid cells differentiate into erythroblasts and megakaryoblasts
lymphoid cells differentiate into myeloblasts and lymphoblasts
white blood cells (leukocytes)
evaluated by reactions to hematologic stains that contain a mixture of dyes
cells differentiated by color and morphology
appear with or without colored granules in the cytoplasm
granulocytes
dark staining granules
arganulocytes
do not have granules, large nucleus
mononuclear phagocyte system
support network of connective tissue fibers
reticular system
interconnects nearby cells
meshes with the massive connective tissue network surrounding all organs
monocytes
give rise to macrophages and dendritic cells
reside near portals of entry or filtration organs, waiting to attack foreign intruders
specialized histiocyte cells include
liver (Kupffer cells)
lungs (alveolar macrophages)
skin (Langerhans cells)
brain (microglia)
cytokines
products of monocytes, macrophages, lymphocytes, fibroblasts, mast cells, platelets, and the endothelial cells of blood vessels
pro-inflammatory cytokines
IL-1 and TNF-B
IL-1
comes from macrophages, B cells, dendritic cells
target B cells, T cells
TNF-B
comes from T cells
target phagocytes, tumor cells
anti-inflammatory cytokines
IL-10
comes from T cells
target B cells, macrophages
vasodilator and vasoconstrictors
serotonin and histamine
serotonin
comes from platelets and intestinal cells
target cells in peripheral and central nervous system
histamine
comes from mast cells and basophils
target blood vessels, sensory nerves, neutrophils
growth factors
IL-7 and erythropoietin
IL-7
comes from bone marrow cells, epithelial cells
target stem cells
erythropoietin
comes from endothelial cells
target stem cells
skin
few pathogens can penetrate this unbroken layer
separates our inner bodies from microbial assaults of the environment
outer layers of skin are constantly sloughing off, taking associated microbes with them
stratum corneum
epithelial cells compacted, cemented together, and impregnated with keratin
thick, tough layer that is highly impervious and waterproof
other barriers associated with the skin
hair follicles and skin glands
hair follicles
hair shaft periodically extruded
follicle cells are desquamated
skin glands
flushing effect of sweat glands helps remove microbes
mucous membrane
digestive, urinary, and respiratory tracts, and the eye
moist and permeable
barrier protection without keratinized layer
impedes entry and attachment of bacteria
respiratory tract
nasal hair traps larger particles
copious flow of mucus and fluids during allergies and colds exerts a flushing action
respiratory tree
ciliated epithelium moves foreign particles entrapped in mucus toward the pharynx for removal
genitourinary tract
protection through the continuous trickle of urine through ureters and bladder emptying that flushes the urethra
vaginal secretions provide cleansing of the lower reproductive tract in females
resident microbiota
provides microbial antagonism
blocks access of pathogens to epithelial surfaces
creates unfavorable environments for pathogens
lysozyme
found in tears and saliva
hydrolyzes peptidoglycan in cell walls of bacteria
stomach chemical defenses
hydrochloric acid
intestine chemical defenses
digestive juices and bile
general activities of phagocytes
to survey the tissue compartments and discover microbes, particulate matter, and injured or dead cells
to ingest and eliminate these materials
to recognize immunogenic information in foreign matter
three main types of phagocytes
neutrophils, monocytes, macrophages
neutrophils
react early in the inflammatory response to bacteria, foreign materials, and damaged tissue
common sign of bacterial infection is a high neutrophil count in the blood
primary component of pus
eosinophils
attracted to sites of parasitic infection and antigen-antibody reactions
play a minor phagocytic role
phagocytosis steps
chemotaxis
ingestion
phagolysosome formation
destruction
excretion
examples of PAMPs
peptidoglycan, lipopolysaccharide, double-stranded RNA found in viruses
toll-like receptors
a type of PRR
recognize PAMP
set in motion a cascade of events inside the host cell that amplifies and orchestrates a defense response to the pathogen
phagosome vacuole is formed when
the phagocyte internalizes its prey
inflammatory response
common reaction to any traumatic event in the tissues
readily identifiable by a classic series of signs and symptoms
rubor
redness; causes by increased circulation and vasodilation in injured tissues
calor
warmth; heat given from the increased blood flow
tumor
swelling; from increased fluid escaping into the tissues
dolor
pain; caused by the stimulation of nerve endings
loss of function
the fifth sign of inflammation
chronic inflammation is
responsible for some chronic diseases, like cardiovascular disease
a feature of many autoimmune diseases
associated with many cases of long COVID-19
chief functions of inflammation
to mobilize and attract immune components to the site of the injury
to set in motion mechanisms to repair tissue damage and localize and clear away harmful substances
destroy microbes and block their further invasion
edema
leakage of vascular fluid into tissue
local swelling and firmness due to accumulation of exudate into the tissues
exudate
blood-borne components that escape into extracellular space
diapedesis
movement of white blood cells from the bloodstream into the tissues
occurs because white blood cells are actively motile and able to change shape
receptors on endothelial cells capture WBCs and participate in their transport
benefits of edema and chemotaxis
influx of fluid dilutes toxic substances
fibrin clot can trap microbes and prevent further spread
neutrophils actively phagocytose and destroy bacteria, dead tissue, and particulate matter
long-lived inflammatory reactions
attract monocytes, lymphocytes, and macrophages
macrophages clear pus, cellular debris, dead neutrophils and damaged tissue
B lymphocytes react with foreign molecules and produce antibodies
T lymphocytes kill intruders directly
tissue is completely repaired or replaced by a scar
fever
an abnormally elevated body temperature
nearly universal symptom of infection
also associated with certain allergies, cancer, and other organic illnesses
low grade fever
100 to 101 degrees F
moderate fever
102 to 103 degrees F
high fever
104 to 106 degrees F
pyrogens
reset the hypothalamic thermostat to a higher setting (cause fever)
exogenous pyrogens
originating outside the body
products of infectious agents, such as viruses, bacteria, protozoans, and fungi
endotox
endogenous pyrogens
originating inside the body
released by monocytes, neutrophils, and macrophages during the process of phagocytosis
interleukin-1 (IL-1) and tumor necrosis factor (TNF)
treatment of fever
difficult decision to suppress fever or not
slight to moderate fever in otherwise healthy person should be allowed to run its course
potential benefits and minimal side effects
interferon
small protein produced naturally by certain WBCs and tissue cells
used in therapy against certain viral infections and cancer
involved in defenses against viruses and other microbes and in immune regulation and intercommunication
three major types interferon
alpha, beta, gamma
alpha interferon
product of lymphocytes, fibroblasts, and macrophages
beta interferon
product of lymphocytes, fibroblasts, and macrophages
gamma interferon
product of T cells
complement
consists of over 50 blood proteins
work together to destroy bacteria and certain viruses
cascade reaction
sequential physiological response
first substance in a chemical series activates the next substance, which activates the next, and so on until the desired outcome is reached
classical complement pathway
activated by antibodies bound to microbial surfaces
lectin pathway
activated by lectins that bind to sugars on microbial surfaces
alternative pathway
activated directly by repeating molecules on the microbial surface, such as LPS
overal stages in the complement cascade
initiation, amplification/cascade, polymerization, and membrane attack
antimicrobial peptides
short proteins capable of inserting themselves into bacterial membranes
between 12 and 50 amino acids
part of the innate immune system
have an effect on other actions of innate and adaptive immunity
host restriction factors
molecules that can limit the ability of viruses to replicate once they are inside a host cell
can bind to certain parts of the virus
prevent synthesis of new virus parts, assembly of new virus, and release from host cell