SCIT 1408 Applied Human Anatomy and Physiology II - Immune System Chapter 21 A

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    The Immune System: Innate and Adaptive Defenses

    Figure 21.1

     Non-

    specific

    Specific

    1st line

    2nd line

    Phagocytosis,

    cells, chemicals

    Inflammation

    3rd line

    B, T cells

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    First Line of Defense: Surface Barriers

    Skin, mucous membranes, and their secretions

    Skin- Keratin:

    Presents a physical barrier to most microorganisms

    Is resistant to eak acids and bases, bacterialen!ymes, and to"ins

    #ucosae pro$ide similar mechanical barriers

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    First Line of Defense: hemica! Barriers

    %pithelial membranes Skin acidity &p' of ( to )* inhibits bacterial groth

    Sebum- chemicals to"ic to bacteria

    Stomach mucosae-'+l, protein-digesting en!ymes

    Sali$a lacrimal fluid contain lyso!yme, Ig

    .igesti$e respiratory systems- #ucus ciliatrap e/ect bacteria

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    Second Line of Defense: e!!s and hemica!s

    Phagocytes

     Natural killer &NK* cells

    ntimicrobial proteins in blood and tissue fluid

    Inflammatory response &macrophages, mast cells, 0B+s,and chemicals*

    Surface carbohydrates on pathogens ser$e as

    antigens

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    Second Line of Defense: "hagocytes

    #acrophages, monocytes &in blood*, neutrophils

    &blood tissues*, mast cells, eosinophils

    1ree: ander thru tissue in search of cellular debris

    1i"ed: Kupffer cells &li$er*

    #icroglia &brain*

     

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    $#%

    Lysosome

    &icro#e adheres to phagocyte.

    "hagocyte forms pseudopods that

    eventua!!y engu!f the partic!e.

    "hagocytic vesic!e is

    fused 'ith a !ysosome.

    &icro#e in fused vesic!e

    is (i!!ed and digested #y

    !ysosoma! en)ymes 'ithin

    the phago!ysosome* !eaving

    a residua! #ody.

    Indigesti#!e andresidua! materia!

    is removed #y

    e+ocytosis.

    "hagocytic vesic!e

    containing antigen

    $phagosome%.

    ,esidua! #ody

    Acid

    hydro!ase

    en)ymes

    "hago!ysosome

    -

    2

    1

    /

    Phagocytosis

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    Second Line of Defense: 0atura! i!!er $0% e!!s

     Nonspecific

    2arge granular lymphocytes

    Bind targets &recogni!e as 3non-self4*

    Induce apoptosis of targets

    2yse cancer cells, $irus-infected cells

    5elease perforins, other cytolytic chemicals %nhance inflammation

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    Second Line of Defense:Inf!ammation

     Non-specific response to in/ury

    Pre$ents the spread of damaging agents to nearby tissues

    .isposes of cell debris and pathogens

    Sets the stage for repair processes

    'allmarks:

    1. Red (rubor)

    2. Hot (calor)

    3. Swollen (tumor)

    . Painful (dolor)

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    To!!!i(e ,eceptors $TL,s%

    #acrophages and cells lining the gastrointestinal

    and respiratory tracts bear T25s

    T25s recogni!e specific classes of infecting

    microbes

    cti$ated T25s trigger the release of cytokines

    that promote inflammation

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    Inf!ammatory ,esponse: "hagocytic

    &o#i!i)ation

    1our main phases: 2eukocytosis 6 neutrophils are released from the

     bone marro in response to leukocytosis-inducingfactors released by in/ured cells

    #argination 6 neutrophils cling to the alls ofcapillaries in the in/ured area

    .iapedesis 6 neutrophils s7uee!e through capillary

    alls and begin phagocytosis

    +hemota"is 6 inflammatory chemicals attractneutrophils to the in/ury site

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    0eutrophi!s enter #!ood

    from #one marro'

    3ndothe!ium

    Basement mem#raneapi!!ary 'a!!

    &argination

    Diapedesis

    "ositive

    chemota+is

    Inf!ammatory

    chemica!s diffusing

    from the inf!amed

    site act as chemotactic

    agents

    1

    2

    -

    Inf!ammatory ,esponse: "hagocytic &o#i!i)ation

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    Second !ine of "efense# Inflammation

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    4omeostatic Im#a!ance

    Inflammation does not clear infection debris

    bscess &Pus not cleared*

    58: I .

    9ranulomas 6 infectious granulomas such as tuberclescontaining Mycobacterium tuberculosis

    5esistant to digestion by #acrophages

    Infected macrophages ith fibrous capsule +an remain asymptomatic until immunocompromised

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    Second Line of Defense:Antimicro#ia! "roteins

    ttack microorganisms ;r inhibit reproduction

    Interferon

    +omplement proteins

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    Second Line of Defense:Antimicro#ia! "roteins 

    Interferon $IF0%

    I1N synthesi!ed by $irus infected cells I1N diffuses to nearby cells, stimulate synthesis of proteins

    &PK5* that inhibit $iral replication

    PK5 is nonspecific inhibits replication of all $iruses #any types of I1N from many different cell types

    lpha I1N used:

    s an anti$iral drug against hepatitis + $irus

    To treat genital arts caused by the herpes $irus

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    Interferon $IF0%

    Figure 21./

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    Second Line of Defense:Antimicro#ia! "roteins 

    omp!ement

    proteins in blood in an inacti$e form

    Proteins include +? through +@, factors B, ., and

    P, and regulatory proteins Pro$ides a ma/or mechanism for destroying foreign

    substances in the body

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    Second Line of Defense: Antimicro#ia! "roteins 

    omp!ement

    cascade of r"ns that amplifies inflammation,nonspecific specific immune responses

    Kills bacteria, cells &punches holes in membranes*

    +lassical Pathay acti$ates specific immunity by:

    b binds pathogen

    +? binds to g-b comple" lternate Pathay by: factors B, ., P surface

     polysaccharides of microorganisms

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    omp!ement "ath'ays

    Figure 21.6

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    Second Line of Defense: Antimicro#ia! "roteins5

     reactive "rotein $,"%

    Produced by li$er in response to: Infection

    Inflammation

    Csed as clinical marker to assess the abo$e

    Binds to pathogens targets them for:

    Phagocytosis

    ;psoni!ation

    +omplement acti$ation

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    Second Line of Defense: Fever 

    body temperature

    In response to infection by microorganisms or

    e"posure to antigens

    #oderate fe$er ;K: 2i$er, spleen se7uester iron !inc from pathogens

    metabolic rate speeds up tissue repair 

    Too high, denatures en!ymes

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    Adaptive Defenses $Specific Immune ,esponse%

    dapti$e immune system- functional system :

    5ecogni!es antigens &anything foreign*

    ntigen-specific, systemic, and has memory

    cts to immobili!e, neutrali!e, or destroyforeign substances

    mplifies inflammatory response andacti$ates complement

    'umoral 6 antibody-mediated immunity

    +ellular- cell-mediated immunity

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    Specific Immune ,esponse : Antigens

     Anything the body perceives as foreign; “non-self”

    utoimmune diseases

    Substances that stimulate an immune response

    Pathogenicity or $irulence is defined as the degree

    to hich a pathogen can %D.% the immuneresponse

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    Specific Immune ,esponse : omp!ete Antigens

    1unctional properties:

    Immunogenicity 6 ability to stimulate proliferation

    of specific lymphocytes and antibody production

    5eacti$ity 6 ability to react ith acti$ated

    lymphocytes and the antibodies released in

    response to them

    +omplete antigens- foreign protein, nucleic acid,

    some lipids, and large polysaccharides

    Csually large molecules

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    Specific Immune ,esponse: 4aptens $Incomp!ete

    Antigens%

    Small moleculesE peptides, nucleotides, manyhormonesE

    not immunogenic

    are reacti$e hen attached to protein carriers

    'apten > bodyAs protein F immune response as inallergies

    'aptens in poison i$y, dander, some detergents,and cosmetics

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    Specific Immune ,esponse : Antigenic Determinants

    Immunogenic part of ag

    ntibodies and acti$ated lymphocytes bind to

    antigenic determinants

    #ost antigens Fnumerous antigenic determinants : #obili!e se$eral different lymphocyte populations

    1orm different kinds of antibodies against it

    2arge, chemically simple molecules &eGgG, plastics*

    ha$e little or no immunogenicity

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    Specific Immune ,esponse : Antigenic Determinants

    Figure 21.7

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    Specific Immune ,esponse: &4 "roteins

    #a/or 'istocompatibility +omple"- self antigens,

    uni7ue to an indi$idual

    +lass I #'+ 6 on all body cells

    +lass II #'+ 6 on certain cells in$ol$ed in theimmune response

    These are the markers that ill elicit graft re/ection transfusion r"ns

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    Specific Immune ,esponse: e!!s of Adaptive Immune

    System

    ?G B lymphocytes or B cells 6 humoral immunityE

    ab production

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    S$ecific Immune Res$onse# !ym$hocyte %aturation,ed #one

    marro'

    Bone marro'Thymus

    Lymph nodes*

    sp!een* and other

    !ymphoid tissues

    Immature

    !ymphocytesircu!ation

    in #!ood

    Immunocompetent*

    #ut sti!! naive*

    !ymphocyte migrates

    via #!ood

    Activated

    Immunocompetent

    B and T ce!!s

    recircu!ate in

    #!ood and !ymph

    9 Site of !ymphocyte originey:

    9 Site of antigen cha!!enge*

    activation* and fina!diff erentiation of B andT ce!!s

    9 Site of deve!opment of   immunocompetence as

    B or T ce!!s5 primary!ymphoid organs

    Lymphocytes destined

    to #ecome T ce!!s

    migrate to the thymus

    and deve!op

    immunocompetence

    there. B ce!!s deve!op

    immunocompetence

    in red #one marro'.

    After !eaving the thymus

    or #one marro' as nave

    immunocompetent ce!!s*

    !ymphocytes ;seed< the

    !ymph nodes* sp!een* and

    other !ymphoid tissues

    'here the antigencha!!enge occurs.

    Antigenactivated

    immunocompetent

    !ymphocytes circu!ate

    continuous!y in the

    #!oodstream and !ymph

    and throughout the

    !ymphoid organs of

    the #ody.

    11

    1

    22

    2

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    T e!! Se!ection in the Thymus Immunocompetence

    Figure 21.=

    &olerance'

    recogniesbinds* %H+

    Immunocom$etence' hasonly mild r,n to %H+

    after binding- 2

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    B e!!s Immunocompetence

    B cells become immunocompetent and self-tolerant

    in bone marro

    Some self-reacti$e B cells are inacti$ated &anergy*

    hile others are killed

    ;ther B cells undergo receptor editing in hich

    there is a rearrangement of their receptors

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    Immunocompetent B or T ce!!s .isplay uni7ue receptors 6 responds to 3that4 antigen

    Become immunocompetent before encounteringantigens they attack 

    re e"ported to secondary lymphoid tissue here

    encounters ith antigens occur 

    #ature into fully functional antigen-acti$ated cells

    upon binding ith their recogni!ed antigen

    It is genes, not antigens, that determine hich

    foreign substances our immune system ill

    recogni!e and resist

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    Antigen"resenting e!!s $A"s%

    ?G Phagocytose antigens 6 partially digest

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    Adaptive Immunity: Summary

    'umoral, +ellular 

    B T lymphocytes, P+s, and specific molecules

    to identify and destroy nonself particles

    Its response depends upon the ability of its cells to: 5ecogni!e foreign substances &antigens* by

     binding to them

    +ommunicate ith one another so that the holesystem mounts a response specific to those

    antigens

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    4umora! Immunity ,esponse

    ntigen challenge 6 first encounter beteen an

    antigen and a nai$e immunocompetent cell

    In spleen or other lymphoid organ

    B cell receptor binds ag, receptor-mediatedendocytosis of the cross-linked antigen-receptorcomple"es, T cell acti$ationinteraction

    B cell forms clones of identical cells &clonal

    selection* Specific b produced against specific ag

    "rimary ,esponse Antigen

    A ti #i di

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    "!asma

    ce!!s

    Secretedanti#ody

    mo!ecu!es

    !one of ce!!s

    identica! to

    ancestra! ce!!s

    Su#se?uent

    cha!!enge #y

    same antigen

    &emory

    B ce!!

    &emory

    B ce!!s

    "!asma

    ce!!s

    Secreted

    anti#ody

    mo!ecu!es

    Secondary ,esponse

    $can #e years !ater%

    $initia! encounter 

    'ith antigen%

    Antigen #inding

    to a receptor on a

    specific B !ymphocyte

    $B !ymphocytes 'ith

    noncomp!ementary

    receptors remain

    inactive%

    "ro!iferation to

    form a c!oneB !ympho#!asts

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    Fate of the !ones

    Secreted antibodies:

    Bind to free antigens

    #ark the antigens for destruction by specific or

    nonspecific mechanisms

    +lones that do not become plasma cells become

    memory cells that can mount an immediate

    response to subse7uent e"posures of the same

    antigen

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    Immuno!ogica! &emory

    Primary immune response 6 cellular differentiation

    and proliferation, hich occurs on the firste"posure to a specific antigen

    2ag period: ( to H days after antigen challenge

    Peak le$els of plasma antibody are achie$ed in ?=

    days

    ntibody le$els then decline

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    Immuno!ogica! &emory

    Secondary immune response 6 re-e"posure to the

    same antigenE amnestic response

    Sensiti!ed memory cells respond ithin hours

    ntibody le$els peak in < to ( days at much higher

    le$els than in the primary response

    ntibodies bind ith greater affinity, and their

    le$els in the blood can remain high for eeks to

    months

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    "rimary and Secondary 4umora! ,esponses

    Figure 21.11

    Ig# Ig9

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    Active 4umora! Immunity

    B cells encounter antigens and produce antibodies

    against them

     Naturally ac7uired 6 response to a bacterial or $iral

    infection

    rtificially ac7uired 6 response to a $accine of

    dead or attenuated pathogens

    Daccines 6 spare us the symptoms of disease, and

    their eakened antigens pro$ide antigenic

    determinants that are immunogenic and reacti$e

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    "assive 4umora! Immunity

    .iffers from acti$e immunity in the antibody

    source and the degree of protection B cells are not challenged by antigens

    Immunological memory does not occur 

    Protection ends hen antigens naturally degrade inthe body

     Naturally ac7uired 6 from the mother to her fetus

    $ia the placenta

    rtificially ac7uired 6 from the in/ection of serum,such as gamma globulin

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    Types of Ac?uired Immunity