Identifying Pathogens

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Immune System

Identifying Pathogens Robert Koch (1843-1910) German doctor Studied and isolated anthrax- a bacteria born disease which affects cattle Established a way to identify pathogens called Koch s Postulates

Figure 14.3, steps 1 2

Figure 14.3, steps 3 4

Figure 14.3, step 5

Figure 14.3 - Overview

These are symptoms of some kind of infection. Waking up with these symptoms indicates that some pathogen has entered your body and has triggered an immune You wake up one morning with a stuffy response. nose, slight fever, and fatigue. Do you cold have or the a cold flu. or Though the flu? they Or are are both they the the same? However, it is not clear whether you have a result of a viral pathogen, a cold and flu are not the same. Should You should you not go see to your the doctor doctor for for an an antibiotic? Why or why not? antibiotic because antibiotics are pharmaceutical drugs made to combat bacterial pathogens; they are useless against viruses. T H I N K I T O U T

Give examples of pathogens that you know. B R A I N S T O R M

The not-so-common cold The common cold is an infection of the mucus membranes of the respiratory tract by a rhinovirus. Over 100 rhinoviruses have been identified, which is one reason why we don t become immune to the cold.

Virus vs. Bacteria Colds and influenza (the flu) are caused by viruses. Rhinovirus Viruses are non-living particles that contains genetic material, and tricks your cells into reproducing their parts. Viruses cannot be killed with antibiotics. Influenza virus

Virus vs Bacteria Bacteria are living organisms that have a metabolism, have DNA, and can reproduce on their own. E. coli Bacteria can be killed with antibiotics because these substances target key processes in bacteria, such as production of the bacterial cell wall. Streptococcus

Body Defenses

The body is like a fortress and has many lines of defense in order to protect us from disease. Viruses and bacteria are everywhere. Some of them Barriers want to invade your body. Our How second does line your of defense- body defend Non-specific itself against viruses and bacteria? We have our first line of defense- External Immunity And our Last line of defense- Adaptive Immune Responses/ Specific Defense T H I N K I T O U T

Defense Against Disease Nonspecific External Barriers skin, mucous membranes If these barriers are penetrated, the body responds with Innate Immune Response phagocytic and natural killer cells, inflammation, fever If the innate immune response is insufficient, the body responds with Adaptive Immune Response cell-mediated immunity, humoral immunity

Non-specific immunity refers to the fact that the particular immune response or structure will work the same for each and every pathogen. Its function is not tailored to What is specific meant by pathogens. non-specific? T H I N K I T O U T

First line of defense Non-specific defenses are designed to prevent infections by viruses and bacteria. These include: Intact skin Mucus and Cilia

Role of skin Dead skin cells are constantly shed, making it hard for invading bacteria to colonize. Sweat and oils contain anti-microbial chemicals, including some antibiotics.

Role of mucus and cilia Mucus contains lysozymesenzymes that destroy bacterial cell walls. The normal flow of mucus washes bacteria and viruses off of mucus membranes. Cilia in the respiratory tract move mucus out of the lungs to keep bacteria and viruses out.

Second line of defense Nonspecific Immunity Inflammatory phagocytes Temperature Proteins

Role of inflammation Inflammation- a stimulated immune response which acts as a series of events which suppress infection and speed recovery

Role of inflammation When infection or injury occurs inflammation is signaled to release histamine. Histamine increases blood flow and permeability of surrounding capillaries. This will cause redness, swelling, warmth, and pain in the area.

Role of inflammation At the site of injury, platelets will seal the site of injury; this prevents loss of blood and further pathogen entrance The release of histamine also triggers WBCs called phagocytes

Role of phagocytes Phagocytes are several types of white blood cells (including macrophages and neutrophils) that seek and destroy invaders. Some also destroy damaged body cells. Phagocytes are attracted by an inflammatory response of damaged cells.

Role of phagocytes Neutrophils- most abundant phagocyte (the first responders) Macrophage- engulf pathogens and cellular debris Natural Killer cells- large WBCs which attack infected cells (like cancer cells); pierces the membrane of target and allows for cytolysis

Role of inflammation

Temperature: Fever A fever is a defense mechanism that can destroy many types of microbes. It is characterized simply by a rise in body temperature above normal 37 C (98.6 F) Fever also helps fight viral infections by increasing interferon (signaling proteins) production.

Temperature: Fever Fevers can slow bacterial and viral growth while allowing WBCs to work effectively Temperatures over 39 C (103 F) can denature proteins Temperatures above 41 C (105 F) can lead to death

Proteins Complement system- a complex of about 20 different proteins Circulate in the blood and activate when pathogens are encountered Puncture the cell membranes of infected cells Interferons- protein released by infected cells that stimulates a viral protection response in nearby cells

There are a couple of reasons for this. Firstly, a fever is an immune response which helps your body to overcome an infection. Secondly, aspirin masks a fever and its symptoms. Therefore, when normally a While high fevers can be dangerous, fever some may doctors cause you recommend to feel sluggish letting and low fevers run their course without taking not aspirin allow yourself or ibuprofen. appropriate Why time might to this rest be? lethargic, on aspirin, you may be active and and recover. Lastly, just stop taking medicine to cure all of your problems!! T H I N K I T O U T

Inflammation appears as: 1. Damaged skin. 2. Dark dry skin. 3. Red and puffy skin. 4. No change in skin is observed.

Based on what you know about non-specific defenses, what s the best way to treat a 1. Leave it exposed to open air. 2. Wash it, and cover it with a clean bandage. 3. Take antibiotics and then wash the cut and cover it up. cut in your skin?

Simply put, not all pathogens will be stopped by our non-specific defenses Why aren t non-specific defenses because they do not act to target or destroy enough? specific Why do functions we also or need structures specific defenses? of foreign agents. T H I N K I T O U T

Immune System Overview Immune System- made up of cells and tissues which recognize and attack foreign substances in the body. Provides the body with specific defenses.

Immune System Overview The Immune System is made up of the following: Bone Marrow Thymus Lymph Nodes Spleen Tonsils (including adenoid)

Immune System Overview Bone Marrow- produces billions of new lymphocytes Thymus- gland located above the heart, produces specialized lymphocytes Lymph Nodes- collect pathogens and expose them to lymphocytes Spleen- (largest lymphatic organ) stores healthy blood cells, breaks down aging RBCs, and collects pathogens from blood Tonsils (including adenoid)- masses of lymph tissue found in nose and throat; they alert our system of pathogens

Specific defenses Specific defenses are those that give us immunity to certain diseases. In specific defenses, the immune system forms a chemical memory of the invading microbe. If the microbe is encountered again, the body reacts so quickly that few or no symptoms are felt.

Major players The major players in the immune system include: Macrophage T cells (helper, cytotoxic, memory) B cells (plasma, memory) Antibodies

Review Vocabulary: Antibody: a protein produced by the human immune system to tag and destroy invasive microbes. Antibiotic: various chemicals produced by certain soil microbes that are toxic to many bacteria. Some we use as medicines. Antigen: a toxin or other foreign substance that induces an immune response in the body, especially the production of antibodies. Cytokines: proteins that can affect the behavior of other immune cells

Immune Response Overview Two- Part attack on pathogens Made up of Cell-Mediated and Humoral Responses Cytokines such as Interleukin-1 and Interleukin-2 play an important role Macrophages engulf pathogen and release Interleukin-1 This activates T Cells

Cell-Mediated Immune Response Carried out by more than one type of T-Cell Interleukin-2 will stimulate production of more T-Cells Increase in Helper T-Cells = positive feedback and results in increase of interleukin-2 Interleukin-2: Allows T-Cells to divide rapidly And stimulates production of cytotoxic T Cells (Killer T Cells) Suppressor T Cells- shut down immune response once pathogens are eliminated

Humoral Immune Response Involves the action of B Cells and occurs at the same time as the cell-mediated response Triggered when macrophages engulf pathogens B Cells with receptors complimentary to pathogen s antigen divide and change into plasma cells Plasma Cells- highly specialized; produce antibodies

Antibodies Antibodies are assembled out of protein chains. There are many different chains that the immune system assembles in different ways to make different antibodies.

Antibodies as Receptors Antibodies can attach to B cells, and serve to recognize foreign antigens.

Antigens as Effectors Free antibodies can bind to antigens, which tags the antigen for the immune system to attack and destroy.

Role of antibodies Antibodies released into the blood stream will bind to the antigens that they are specific for. Antibodies may disable some microbes, or cause them to stick together (agglutinate). They tag microbes so that the microbes are quickly recognized by various white blood cells.

Antigen recognition Cells of the immune system are trained to recognize self proteins vs. not self proteins. If an antigen ( not self ) protein is encountered by a macrophage, it will bring the protein to a helper T-cell for identification. If the helper T-cell recognizes the protein as not self, it will launch an immune response.

Helper T cells Helper T-cells have receptors for recognizing antigens. If they are presented with an antigen, they release cytokines to stimulate B-cell division. The helper T-cell is the key cell to signal an immune response. If helper T-cells are disabled, as they are in people with AIDS, the immune system will not respond.

B cells B-cells in general produce antibodies. Those with antibodies that bind with the invader s antigen are stimulated to reproduce rapidly. B-cells differentiate into either plasma cells or memory B-cells. Plasma cells rapidly produce antibodies. Memory cells retain the memory of the invader and remain ready to divide rapidly if an invasion occurs again.

Clonal Selection

Killer T cells While B-cells divide and differentiate, so do T-cells. Some T-cells become cytotoxic, or killer T-cells. These T-cells seek out and destroy any antigens in the system, and destroy microbes tagged by antibodies. Some cytotoxic T-cells can recognize and destroy cancer cells.

Calling a halt When the invader is destroyed, the Suppressor T Cells call a halt to the immune response. Memory T-cells are formed, which can quickly divide and produce cytotoxic T- cells to quickly fight off the invader if it is encountered again in the future.

A foreign protein that enters the body is an: 1. antibiotic. 2. antigen. 3. antibody. 4. anti-inflammatory.

The specific immune response is triggered when: 1. A macrophage delivers an antigen to a T-helper cell. 2. Plasma cells begin making antibodies. 3. Pyrogen stimulates a fever. 4. Clonal selection of B-cells occurs.

Medical Assistance

Helping the immune system Medical science has created two systems for augmenting the human immune system: Antibiotics Vaccines

How antibiotics work Antibiotics help destroy bacteria (but not viruses). Antibiotics work in one of several ways: Slowing bacteria reproduction. Interfering with bacterial cell wall formation.

Antibiotic myths Antibiotics are not antibodies. Antibiotics do not weaken our immune system. They help it by weakening bacteria. Humans do not become immune to antibiotics. Bacteria that resist antibiotics and are not completely destroyed may multiply, producing more antibiotic-resistant bacteria.

Vaccine history Variolation: The deliberate inoculation of people with secretions from smallpox (Variola) sores, by inhaling the dried secretions or rubbing them on broken skin. Used for centuries in Asia and Africa.

Vaccine history Vaccination: (From vacca, Latin for cow.) Invented by Edward Jenner in 1796. Jenner knew that dairy maids who had contracted cowpox never got smallpox. He inoculated a boy with secretions from cowpox sores, and showed the boy was immune to smallpox.

Not that everyone accepted the process. Cartoons like this created widespread fear of the cow pock vaccine.

How vaccines work Modern vaccines are created from killed bacteria or viruses, or fragments of proteins from these microbes. The proteins are recognized as antigens by our immune systems. This causes a mild immune response. Memory T-cells and B-cells remain ready to fight off the illness if it is encountered again.

Vaccine myths The flu vaccine does not give you the flu. Some people get the vaccine too late, or catch a cold and think they have the flu. Vaccines are not less effective than a natural infection with the illness. The immunity is the same, and a mild response to a vaccine is much less risky than a full-blown infection of measles.

Virus

True or false: Antibiotics weaken the immune system because your body doesn t learn to make enough antibodies. 1. True. Antibiotics are a type of antibody. 2. False. Antibiotics are not antibodies.

True or false: Vaccines weaken the immune system because the body doesn t learn to defend itself without help. 1. True. The immune system needs to exercise itself or it won t get strong. 2. False. Vaccination causes the body to learn to defend itself.

1. Antibodies are created by plasma cells which How differentiate does a from vaccine B Cells stimulate due to the invasion each a of the following: recognition of a pathogen. 2. Helper T Cells are used to identify pathogens as 1. Antibodies either self or non self. They release cytokines upon recognizing a foreign invader which stimulates the production of our WBCs. 2. Helper T Cells 3. Memory b cells are formed as a result of an 3. Memory Cells invading pathogen. B cells differentiate into Memory cells. Also Memory T Cells are formed to be able to produce cytotoxic T Cells in order to destroy the future invaders T H I N K I T O U T

Immune system challenges

But I caught a cold... again! Because there are over 100 different known rhinoviruses, it s possible to catch colds again and again. In addition, cold viruses can mutate quickly. No sooner do we have immunity to one form than along comes another.

How did I get this cold? To catch a cold, a rhinovirus must reach the mucus membranes of your upper respiratory system. Your hands pick up rhinoviruses from surfaces. Every time you touch your eyes or nose, or eat something with your hands, the viruses get a free ride. Like Mom said, wash your hands! Viruses may also ride on re-circulated air, or reach you if someone sneezes right at you.

Cold myths Colds and the flu are different illnesses. Not every respiratory infection is the flu. Colds are not caused by getting chilled. This belief comes from medical ideas of prior centuries and that a person with a cold actually had too much coldness. Feed a cold, starve a fever also comes from prior centuries, when it was thought that people with a cold had too much cold and moisture in their bodies, and needed food to increase heat, while people with fever had too much dryness and heat, so needed less food to cool them down.

Cold vs. Flu (influenza) Symptoms Cold Flu Fever rare characteristic Headache mild (sinus) strong Aches & Pains slight usual, strong Fatigue mild 2-3 weeks Exhaustion never early, profound Stuffy nose usual sometimes Sneezing usual sometimes Sore throat common sometimes Chest discomfort mild common, strong

Stomach flu? Influenza is a respiratory virus. Strictly speaking, there is no stomach flu. There are, however, viruses that attack the digestive system. Norovirus and rotavirus cause the nausea, vomiting, and diarrhea that many people call stomach flu. If left untreated, the rapid dehydration these viruses cause can be fatal. Bacterial food poisoning can also cause fastonset vomiting and diarrhea.

Echinacea for colds? Echinacea is supposed to strengthen the immune system. Studies in petri dishes showed Echinacea stimulated white blood cells to produce more virus-killing peroxides, but controlled human trials have not had consistent results.

Vitamin C for colds? Vitamin C is necessary for making collagen, and for many body functions. Absorption of Vitamin C increases during illness. It also has a very slight antihistamine effect. Vitamin C won t cure a cold, but may support some aspects of immune response.

Zinc for colds? Some studies have shown that moderate use of zinc lozenges slightly decreases the duration and severity of colds. However, too much zinc can suppress the immune system, and can reach toxic levels. Zinc nasal sprays can destroy olfactory receptors.

Vitamin D for colds? New research suggests that Vitamin D plays a role in immune response, and may be critical for fighting off viruses. Vitamin D is fat-soluble and can accumulate to toxic levels. A blood test can determine if a person needs to take Vitamin D.

Evolution of the flu Flu viruses also mutate quickly. The same form of the flu may have the ability to infect several different vertebrate animals. Different forms may hybridize their genetic material, causing new strains to develop in a single generation.

New Flu

Flu Pandemic The deadly 1918 flu pandemic has been recently identified as an avian flu. Unlike common flu, it killed mostly young, healthy people. The recent H1N1 flu, mostly a swine flu, had many avian genetic markers similar to the 1918 flu.

Allergies Allergies are an immune system reaction to harmless antigens. Some, such as pollen, may get in through the respiratory system. Fragments of food proteins may get through the digestive system. The next time these proteins are encountered, the immune system attacks them.

Achoo! Pollen is a harmless protein, yet we can become allergic to it. Most of the symptoms are caused by histamines released by mast cells. That is why antihistamines are used to treat allergies.

Discuss the best ways to prevent yourself from catching colds and influenza. T H I N K I T O U T