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System
Innate Adaptive
Immunity Immunity
□ Age
□ Hormones
□ Drugs and chemicals
□ Malnutrition
□ Fatigue and stress
□ Genetic determinants
Innate Immunity:
Internal Defense System
□ Triggered when the external defense system
has been breached
□ Cells
□ Soluble factors
□ Processes
■ Inflammation
■ Phagocytosis
■ Complement cascade
Inflammation
□ Four cardinal signs/clinical symptoms
□ Steps:
■ Dilation of blood vessels to increase blood flow
to the affected area
■ Chemotaxis - chemicals released which cause
phagocytic white cells to migrate to the area
■ Increased capillary permeability allowing
white cells to go to injured area, a process known
as “diapedesis”
■ Formation of exudate (pus) - same composition
as plasma and it contains antibacterial substances,
phagocytic cells, and drugs and antibiotics, if
present
Inflammation
Inflammation
Phagocytosis
□ Most active phagocytes: neutrophils,
monocytes, macrophages, dendritic cells
□ Prefix phago- or phag- means to eat,
consume, or destroy
□ Enhanced by opsonins
Phagocytosis
Memorize these steps!
1. Adherence physical contact between phagocyte and microbe
2. Engulfment outflowing of the cytoplasm to surround the
microbe
3. Formation of phagosome microbe is completely surrounded
by a part of the cell membrane
4. Granule contact fusion of lysosomal granules with the
phagosome
5. Formation of phagolysosome contents of the lysosome are
emptied into this membrane-bound space
6. Digestion hydrolytic enzymes in vacuole destroy the microbe
7. Exocytosis contents of the phagolysosome are expelled to the
outside
Phagocytosis
Phagocytosis: Recognition
□ Host phagocytes possess pathogen
recognition receptors (PRRs)
■ Encoded by the host’s DNA – they’re already
there, a part of the cell membrane
□ Pathogens possess molecules on their surface
that are absent on our cells – termed
pathogen-associated molecular patterns
(PAMPs)
□ PRRs recognize PAMPs, results in adherence
Phagocytosis: Recognition
□ Besides the PRR + PAMP mechanism, a
phagocyte can know to engulf something if
it’s opsonized
□ 3 major opsonins:
1. CRP
2. Complement components
3. Antibodies
□ Phagocyte has receptors for opsonins
If Pathogen Evades Phagocytosis…
□ If bacteria are not successfully killed locally, may further
invade the host by way of the lymphatics to the regional
lymph nodes
■ within lymph nodes the bacteria meet other phagocytic cells
■ bacteria may overcome these and gain access to the
bloodstream where they meet circulating phagocytes
(neutrophils and monocytes)
■ may pass through the bloodstream and reach organs such as the
liver and spleen where they come into contact with tissue
macrophages
■ although a powerful defense system, this final phagocytic
barrier may be overcome, with seeding of the microorganism to
organs such as bone, brain, and kidney, terminating in fatal
septicemia.
Cells of the Innate Immune System
■ Phagocytic cells
□ Mononuclear phagocytes
□ Polymorphonuclear phagocytes
□ Eosinophils
□ Dendritic cells
■ Mediator cells
□ Basophils and mast cells
□ Platelets
Cells of the Adaptive Immune System
□ Lymphocytes
□ T cells
□ B cells
□ NK cells***see notes below
□ Plasma cells
Hematopoiesis
□ Origin of all these cell types are from pluripotential stem
cells found in the bone marrow
□ These self replicating cells differentiate into two types of
"committed" stem cells: common myeloid precursors and
common lymphoid precursors
http://en.wikipedia.org/wiki/Dendrite#medi
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Mediator Cells of Innate Immunity
□ Influence the immune response by releasing various
chemical substances into the circulation
□ Have a variety of biological functions
■ Increase vascular permeability
■ Contract smooth muscle
■ Enhance the inflammatory response
■ Enhance phagocytosis
□ Two types
■ Basophils/mast cells
■ Platelets
Basophils
□ Basophils easily identified due to large numbers of bluish-
black granules in the cytoplasm
□ The granules are a source of mediators such as histamine and
heparin
□ Circulating basophils greatly resemble tissue mast cells and it
is likely that they are closely related in function
□ Caution: basophils don’t differentiate into mast cells (like
monocytes become macrophages). Basophils and mast
cells arise from different lineages
□ Basophils exist only a few hours in bloodstream
□ Both basophils and mast cells play a role in hypersensitivity
(allergic) reactions
□ IgE
Mast cells
□ Resemble basophils
□ Fixed in the tissues: found in the skin, connective
tissue, and mucosal epithelium (respiratory,
genitourinary, and digestive tracts)
□ Long life span, 9-18 months
□ Plays a role in hypersensitivity reactions by binding
IgE
Mast Cell Activation
Platelets
□ Small non-nucleated cells derived from
megakaryocytes of the bone marrow
□ Important in blood clotting
□ Contribute to the immunological tissue injury
occurring in certain types of hypersensitivity
reactions by releasing histamine and related
substances which are contained within
specialized granules in their cytoplasm