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Innate Immunity: Nonspecific Defenses of the Host

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16<br />

<strong>Innate</strong><br />

<strong>Immunity</strong>:<br />

<strong>Nonspecific</strong><br />

<strong>Defenses</strong><br />

<strong>of</strong> <strong>the</strong> <strong>Host</strong>


SLOs<br />

Differentiate between innate and adaptive immunity.<br />

Define toll-like receptors.<br />

Differentiate physical from chemical factors, and list examples <strong>of</strong><br />

each.<br />

Describe <strong>the</strong> role <strong>of</strong> normal microbiota in innate resistance.<br />

Classify phagocytic cells, and describe <strong>the</strong> roles <strong>of</strong> granulocytes and<br />

monocytes.<br />

Define and explain phagocyte and phagocytosis.<br />

Explain <strong>the</strong> different stages <strong>of</strong> inflammation.<br />

Describe <strong>the</strong> cause and effects <strong>of</strong> fever.<br />

Describe two <strong>of</strong> <strong>the</strong> three pathways <strong>of</strong> activating complement and<br />

describe <strong>the</strong> 3 outcomes.<br />

Compare and contrast <strong>the</strong> actions <strong>of</strong> -IFN and -IFN with -IFN.<br />

Describe <strong>the</strong> role <strong>of</strong> transferrins and antimicrobial peptides in innate<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


TLRs on Ms,<br />

dendritic cells,<br />

epi<strong>the</strong>lial cells<br />

Cytokines!<br />

PAMPs recognition


Horseshoe structure <strong>of</strong> TLR3, showing attached sugars<br />

(spheres) and internal structures<br />

Fig. 16.7


The Concept <strong>of</strong> <strong>Immunity</strong><br />

• Susceptibility: Lack <strong>of</strong> resistance to a disease.<br />

• <strong>Immunity</strong>: Ability to ward <strong>of</strong>f disease.<br />

• <strong>Innate</strong> immunity: <strong>Defenses</strong> against any pathogen.<br />

• Adaptive immunity: <strong>Immunity</strong>, resistance to a specific<br />

pathogen.<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings<br />

Fig 16.1


First Line <strong>of</strong> Defense:<br />

Skin and Mucous Membranes<br />

Physical Factors<br />

• Epidermis: consists <strong>of</strong> tightly packed cells with<br />

keratin, a protective protein<br />

• Two o<strong>the</strong>r protective physical factors <strong>of</strong> skin?<br />

• Mucus <strong>of</strong> mucous membranes<br />

• Lacrimal apparatus<br />

• Saliva<br />

• Nose hairs<br />

• (Muco)-ciliary escalator<br />

Fig 16.3<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


Chemical Factors<br />

• Fungistatic fatty acids in sebum<br />

• Low pH (3-5) <strong>of</strong> skin<br />

• Lysozyme in _______________________<br />

• Low pH (?) <strong>of</strong> gastric juice<br />

• Transferrins in blood<br />

Also important: Antagonism and<br />

competitive exclusion <strong>of</strong> normal microbiota<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


1 st Line<br />

Defense in<br />

Human<br />

ANIMATION <strong>Host</strong><br />

<strong>Defenses</strong>: The Big Picture


Second Line <strong>of</strong> Defense: Formed Elements<br />

in Blood Compare to Table 16.1<br />

60-70%<br />

2-4%<br />

0.5-1%%<br />

3-8%<br />

20-25%<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


Process <strong>of</strong> Phagocytosis<br />

Phagocytes engulf and kill microorganisms<br />

Steps <strong>of</strong> phagocytosis:<br />

• Chemotaxis<br />

• Recognition and attachment<br />

• Engulfment and creation <strong>of</strong> phagosome<br />

• Fusion <strong>of</strong> phagosome with lysosome<br />

• Destruction and digestion<br />

• Residual body Exocytosis<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings<br />

Fig 16.7


Phagocytosis<br />

Foundation Fig<br />

16.7


Microbial Evasion <strong>of</strong> Phagocytosis<br />

Inhibit adherence: M<br />

protein, capsules<br />

Kill phagocytes:<br />

Leukocidins<br />

Lyse phagocytes:<br />

Membrane attack<br />

complex<br />

Escape phagosome<br />

Prevent phagosomelysosome<br />

fusion<br />

Survive in<br />

phagolysosome<br />

Streptococcus pyogenes, S.<br />

pneumoniae<br />

Staphylococcus aureus<br />

Listeriamonocytogenes<br />

Shigella<br />

HIV<br />

Coxiella burnetti


Phagocytosis and Evasion <strong>of</strong> Phagocytosis<br />

ANIMATION Phagocytosis: Overview<br />

ANIMATION Phagocytosis: Mechanism<br />

ANIMATION Virulence Factors: Hiding From <strong>Host</strong> <strong>Defenses</strong><br />

ANIMATION Virulence Factors: Inactivating <strong>Host</strong> <strong>Defenses</strong><br />

ANIMATION Phagocytosis: Microbes That Evade It<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


Inflammation<br />

Tissue damage leads to inflammatory response<br />

Purpose:<br />

• Destroy pathogen<br />

• limit spread <strong>of</strong> infection<br />

• pave way for tissue repair<br />

4 cardinal signs:?<br />

Acute-phase proteins (Chemical mediators)<br />

activated:<br />

• Complement proteins<br />

• Cytokines<br />

• Specialized proteins such as fibrinogen and<br />

bradykinin<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


The Three Stages <strong>of</strong> Inflammation<br />

1. Vasodilation and increased vessel permeability<br />

due to histamine (and o<strong>the</strong>r cytokine) release <br />

edema<br />

2. Phagocyte migration and phagocytosis<br />

Margination and diapedesis (emigration)<br />

Chemotaxis(due to various cytokines and<br />

components <strong>of</strong> complement system)<br />

Pus formation<br />

Factors challenging effectiveness <strong>of</strong><br />

phagocytosis<br />

3. Tissue repair and regeneration depends on type<br />

Copyright <strong>of</strong> © 2006 tissue<br />

Pearson Education, Inc., publishing as Benjamin Cummings


Inflammatory Process<br />

Margination<br />

Diapedesis<br />

Compare to Fig 16.8


Treatment <strong>of</strong> abscess?


Fever: Abnormally High Body Temperature<br />

• Hypothalamus acts as body’s <strong>the</strong>rmostat<br />

• Endotoxin causes phagocytes to release<br />

interleukin–1 (IL–1). IL-1 is an endogenous<br />

pyrogen<br />

• Hypothalamus releases<br />

prostaglandins that reset <strong>the</strong><br />

<strong>the</strong>rmostat<br />

• Body reacts to raise <strong>the</strong><br />

temperature. How?<br />

• When no more IL–1, body<br />

temperature falls (crisis).<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


Beneficial effects <strong>of</strong> moderate fever:<br />

Inhibited pathogen growth<br />

Increased cellular metabolism e.g.:<br />

• Increased transferrin production<br />

• Increased IL–1 activity T cell production <br />

• Faster repair mechanisms<br />

Problematic effects <strong>of</strong> high fever:<br />

> 40.7C (105F) can be dangerous (Tachycardia,<br />

acidosis, dehydration)<br />

Death at temp. > 44 - 46C


Antimicrobial Substances<br />

1. The complement system<br />

2. Interferons<br />

3. Transferrins: bind serum iron<br />

4. Antimicrobial peptides: cause bacterial<br />

cell lysis. Produced by mucous<br />

membrane cells and phagocytes.<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


The<br />

Complement<br />

System<br />

Compare to<br />

Foundation<br />

Fig 16.9


Complement System Summary<br />

Series <strong>of</strong> 30 plasma (serum) proteins,<br />

activated in a cascade<br />

Three effects <strong>of</strong> complement system:<br />

1. Enhances inflammatory response, e.g.:<br />

attracts phagocytes<br />

2. Increases phagocytosis through<br />

opsonization or immune adherence<br />

3. Creates Membrane Attack Complexes (MACs)<br />

Cytolysis<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


Opsonins (complement proteins or<br />

antibodies) coat bacteria and promote<br />

attachment <strong>of</strong> micro-organism to phagocyte <br />

Opsonization


Classical Pathway<br />

Fig 16.12


Alternative Pathway<br />

Does not require a<br />

specific antibody to<br />

get started<br />

Fig 16.13<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


Some Bacteria Evade Complement<br />

• Capsules prevent Complement activation.<br />

• Surface lipid-carbohydrates <strong>of</strong> some Gramnegatives<br />

prevent MAC formation.<br />

• Enzymatic digestion <strong>of</strong> C5a by Grampositives.<br />

ANIMATION Complement System: Overview<br />

ANIMATION Complement System: Activation<br />

ANIMATION Complement System: Results<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


Interferons (IFNs)<br />

• Family <strong>of</strong> glycoproteins<br />

• <strong>Host</strong>-cell-specific but not virus-specific<br />

• -IFN and -IFN: Produced by virus infected cells.<br />

Mode <strong>of</strong> action is to induce uninfected cells to produce<br />

antiviral proteins (AVPs) that inhibit viral replication.<br />

• -IFN: Produced by lymphocytes. Causes<br />

neutrophils and macrophages to phagocytize<br />

bacteria. Also involved in tumor immunology.<br />

• Recombinant interferons have been produced. However<br />

short-acting and many side-effects. No effect on already<br />

infected cells.<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


Interferons (IFNs)<br />

Fig 16.15<br />

Copyright © 2006 Pearson Education, Inc., publishing as Benjamin Cummings


Unnumbered<br />

Figure 16.1a<br />

Applications <strong>of</strong><br />

Microbiology:<br />

Serum Collection


Unnumbered<br />

Figure 16.1b

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