Transcript

Introduction to the immune system

Innate immunitythe “front line” of defensenon specific

Acquired immunitymechanisms- antigen specificityimmunological memoryprinciples of vaccination

Important features of the immune system

Must be able to distinguish foreign antigens fromself antigens (what is an antigen?)

Must have memory (responds slowly to firstexposure, but more rapidly to subsequentexposures TO THE SAME ANTIGEN)

What does the immune system actually do?

Phagocytes- kill and remove foreign ordamaged cells

Antibodies- “tag” invading cells or viruses for destruction

Cytotoxic cells- killed altered cells

Regulate the immune response

What/where is the immune system?

Barriers

Circulating blood cells

Tissue-fixed cells

Lymphatic system

p. 375, physical barriers to infection

p. 377, origin of lymphoid cells

Cells with immune function (p. 378)GranulocytesNeutrophils

most common leukocyte (50-70%)most potent phagocyte

Eosinophils (2-4%)probably phagocyticinvolved in allergic responses, parasitic infections

Basophils (0-1%)mostly found in tissues (mast cells)release inflammatory molecules

Agranulocytes

Monocytes (5-10%)more common in tissues

In tissues:macrophages- phagocytes; help regulateimmune response (“antigen presenting cells”)

dendritic cells- present antigen to lymphocytes

Lymphocytes (20-40%)B cells- make antibodiesT cells- some are cytotoxic, some are regulatory

Where are the lymphoid cells?

In the blood

In the tissues

In the lymphoid system

Can be recruited to site of injury or infection

p. 396, the lymphoid system

The lymphoid system parallels the circulatorysystem

Primary lymphoid organs- where lymphoid cellsdevelopbone marrow (ALL blood cells)

thymus- T cells mature there (become cytotoxic or helper T cells) and thencirculate

Secondary lymphoid organsPurpose: to trap antigen and present it to lymphocytesMost lymphocytes actually reside in these tissues

Lymph nodes- “filter” antigen from lymph

Spleen- “filters” antigen from blood

Lymphoid tissue in mucosa, gut and skin

Innate defenses

If they are “non-specific” how are they actually activated-appropriately??

Barriersskinantimicrobial chemicals

lysozyme (in tears and salivastomach acidoxygen metabolites

normal flora (“healthy competition”)

If barrier is breached- then what?

Pattern recognition- something is perceived asabnormal

Damaged tissue

Structures associated with bacteria (peptidoglycan,LPS, etc.)toll-like receptors on phagocytes, endothelialcells- some recognizes viruses, tooCell is then activated in response

Toll-like receptors, p. 381

Complement proteins- circulate in blood

Are normally inactive, but become active when binding to antigen, or antigen-antibody complexes

What happens next?

A series of reactions, resulting in:destruction of antigeninflammationenhanced phagocytosis of antigen

Complement system, p. 382

Phagocytosis; how do the cells know whence toengulf?

detectors of microbes and/or damaged cells(pattern recognition)

response to cytokines (produced by damagedcells and other immune cells

complement receptors

What happens in phagocytosis?

Process of phagocytosis, p. 384

Neutrophils are more potent killers, but die quickly

Macrophages can present antigen; amplifyimmune responsecan prolong activity by regenerating lysosomes

Both contribute to inflammatory response toinfection and/or damage

What is the inflammatory process?

What triggers the inflammatory process?

What are the outcomes of inflammation?

What is apoptosis, and how does it preventinflammation?

Inflammatory process, p. 387

Inflammation is triggered by infection or injuryPurpose: to contain damage (and response)

repair damage

“Cardinal signs of inflammation”:swelling, redness, heat, pain

Why swelling?

Chemical signals are released by damaged tissue

Neutrophils, monocytes recruited to the site andenter tissuesfluid enters tissues, too

Why redness?

Chemicals promote vasodilation Blood vessel walls relax; more blood (and

therefore more blood cells) can bebrought to the region

Why heat?Chemicals raise temperature at the spot(pyrogens)Increased temperature kills microbes

phagocytes are more activemore cells are formed

Effect can be systemic (fever)

Why pain?

Chemicals effect free nerve endings (painreceptors)Pain inhibits mobility; can help localizedamage

Inflammation can cause a lot of “bystanderdamage”

Ideally, damaged is confined to the site of injury

Some sites are more sensitive to damage thanothers

Damage can be systemic (septic shock, dueto blood infections: loss of blood volume,tissue damage, excess clot formation

Not all cell death causes inflammation

Apoptosis: programmed cell death

Under genetic control

(In immune response a large number of cells areformed to fight the infection- what happens tothem after the infection is cleared?)

Summary

Innate defense consists of barriers, phagocytesurveillance, and mechanisms to detectinfection or damage

Inflammation is the first line response to infection

Lymphocytes may be activated during this processwhich will respond more rapidly and inten-sively to subsequent infections