Innate Immunity: Nonspecific Defenses of the Host

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PowerPoint Lecture Presentations prepared by Bradley W. Christian, McLennan Community College C H A P T E R 16 Innate Immunity: Nonspecific Defenses of the Host

Big Picture: Immunity

Big Picture: Immunity

Big Picture: Immunity White blood cell (WBC) counts measure leukocytes in the blood High WBC counts may indicate bacterial infections, autoimmune diseases, or side effects of medications Low WBC counts may indicate viral infections, pneumonia, autoimmune diseases, or cancers

Big Picture: Immunity Plasma White blood cells Red blood cells NORMAL RANGES AND PERCENTAGES for men and nonpregnant women White blood cell count: 5,000 10,000 WBCs per cubic millimeter (mm 3 ) or 5.0 10.0 x 10 9 WBCs per liter. Neutrophils: 60% to 70% Lymphocytes: 20% to 25% Monocytes: 3% to 8% Eosinophils: 2% to 4% Basophils: 0.5% to 1%

The Concept of Immunity Immunity: ability to ward off disease Susceptibility: lack of resistance to a disease Innate immunity: defenses against any pathogen; rapid, present at birth Adaptive immunity: immunity or resistance to a specific pathogen; slower to respond, has memory component

The Concept of Immunity Toll-like receptors (TLRs) on host cells attach to pathogen-associated molecular patterns (PAMPs) TLRs bound to PAMPs induce the release of cytokines from the host cell that regulate the intensity and duration of immune responses

Host Defenses: The Big Picture PLAY Animation: Host Defenses: The Big Picture

Physical Factors Skin Dermis: inner portion made of connective tissue Epidermis: outer portion made of tightly packed epithelial cells containing keratin, a protective protein Shedding and dryness of skin inhibits microbial growth

Figure 16.1 A section through human skin. Top layers of epidermis with keratin Epidermis Dermis

Physical Factors Mucous membranes Epithelial layer that lines the gastrointestinal, respiratory, and genitourinary tracts Mucus: viscous glycoproteins that trap microbes and prevent tracts from drying out Lacrimal apparatus: drains tears; washes eye

Figure 16.2 The lacrimal apparatus. Lacrimal glands Upper eyelid Lacrimal canal Nasolacrimal duct

Physical Factors Ciliary escalator transports microbes trapped in mucus away from the lungs Earwax prevents microbes from entering the ear Urine cleans the urethra via flow Vaginal secretions move microorganisms out of the vaginal tract Peristalsis, defecation, vomiting, diarrhea

Figure 16.3 The ciliary escalator. Trapped particles in mucus Cilia Goblet cells Ciliated cells Computer-enhanced

Chemical Factors Sebum forms a protective film and lowers the ph (3 5) of skin Lysozyme in perspiration, tears, saliva, and urine destroys bacterial cell walls Low ph (1.2 3.0) of gastric juice destroys most bacteria and toxins Low ph (3 5) of vaginal secretions inhibit microbes

Normal Microbiota and Innate Immunity Normal microbiota compete with pathogens via microbial antagonism Produce substances harmful to pathogens Alter conditions that affect pathogen survival Commensalism: one organism benefits while the other (host) is unharmed Probiotics: live microbial cultures administered to exert a beneficial effect

Formed Elements in Blood Cells and cell fragments suspended in plasma Erythrocytes (red blood cells) Leukocytes (white blood cells) Platelets Created in red bone marrow stem cells via hematopoiesis

Figure 16.4 Hematopoiesis.

Formed Elements in Blood Granulocytes are leukocytes with granules in their cytoplasm that are visible with a light microscope Neutrophils: phagocytic; work in early stages of infection Basophils: release histamine; work in allergic responses Eosinophils: phagocytic; toxic against parasites and helminths

Table 16.1 Leukocytes (White Blood Cells)

Formed Elements in Blood Agranulocytes are leukocytes with granules in their cytoplasm that are not visible with a light microscope Monocytes: mature into macrophages in tissues where they are phagocytic Dendritic cells: found in the skin, mucous membranes, and thymus; phagocytic Lymphocytes: T cells, B cells, and NK cells; play a role in adaptive immunity

Table 16.1 Leukocytes (White Blood Cells)

The Lymphatic System Lymph, lymphatic vessels, lymphoid tissue, and red bone marrow Contains lymphocytes and phagocytic cells Lymph carries microbes to lymph nodes where lymphocytes and macrophages destroy the pathogen

Figure 16.5 The lymphatic system. Right lymphatic duct Thoracic (left lymphatic) duct Tonsil Right subclavian vein Left subclavian vein Thymus Lymph node Thoracic duct Spleen Large intestine Small intestine Peyer s patch Lymphatic vessel Red bone marrow

Figure 16.6 Lymphatic capillaries. Interstitial fluid (between cells) Tissue cell Lymph in lymphatic capillary Lymphatic capillary Blood capillary Venule Arteriole Flow of fluid between arteriole, blood capillaries, lymphatic capillaries, and venule Lymph in lymphatic capillary Lymphatic capillary One-way opening Interstitial fluid flow Tissue cells Lymphatic vessel Toward lymph node Lymphatic capillaries and lymphatic vein

Host Defenses: Overview PLAY Animation: Host Defenses: Overview

Phagocytes Phago: from the Greek, meaning eat Cyte: from the Greek, meaning cell Fixed macrophages are residents in tissues and organs Free (wandering) macrophages roam tissues and gather at sites of infection

Figure 16.7 A macrophage engulfing rod-shaped bacteria. Macrophage Bacterium

The Mechanism of Phagocytosis Chemotaxis Chemical signals attract phagocytes to microorganisms Adherence Attachment of a phagocyte to the surface of the microorganism Ingestion Opsonization: microorganism is coated with serum proteins, making ingestion easier Digestion Microorganism is digested inside a phagolysosome

Figure 16.8 The Phases of Phagocytosis.

Phagocytosis: Overview PLAY Animation: Phagocytosis: Overview

Phagocytosis: Mechanism PLAY Animation: Phagocytosis: Mechanism

Microbial Evasion of Phagocytosis Inhibit adherence: M protein, capsules Kill phagocytes: leukocidins Lyse phagocytes: membrane attack complex Escape phagosome Prevent phagosome lysosome fusion Survive in phagolysosome Streptococcus pyogenes, S. pneumoniae Staphylococcus aureus Listeria monocytogenes Shigella, Rickettsia HIV, Mycobacterium tuberculosis Coxiella burnetii

Virulence Factors: Hiding from Host Defenses PLAY Animation: Virulence Factors: Hiding from Host Defenses

Virulence Factors: Inactivating Host Defenses PLAY Animation: Virulence Factors: Inactivating Host Defenses

Phagocytosis: Microbes That Evade It PLAY Animation: Phagocytosis: Microbes That Evade It

Inflammation Four signs and symptoms: redness, swelling (edema), pain, heat Destroys injurious agent or limits its effects on the body Repairs and replaces tissue damaged by the injurious agent

Inflammation Inflammation activates acute-phase proteins by the liver that cause vasodilation and increased permeability of blood vessels Histamine Kinins Prostaglandins Leukotrienes Cytokines

Figure 16.9a-b The process of inflammation. Tissue damage Bacteria Epidermis Blood vessel Nerve Dermis Subcutaneous tissue Vascular reactions and phagocytosis Chemicals such as histamine, kinins, prostaglandins, leukotrienes, and cytokines (represented as blue dots) are released by damaged cells. Blood clot forms. Abscess starts to form (orange area).

Inflammation: Overview PLAY Animation: Inflammation: Overview

Inflammation: Steps PLAY Animation: Inflammation: Steps

Phagocyte Migration and Phagocytosis Margination is the sticking of phagocytes to blood vessels in response to cytokines at the site of inflammation Phagocytes squeeze between endothelial cells of blood vessels via diapedesis

Figure 16.9b The process of inflammation. Blood vessel endothelium Monocyte Bacterium RBC Margination phagocytes stick to endothelium. Diapedesis phagocytes squeeze between endothelial cells. Macrophage Neutrophil Phagocytosis of invading bacteria occurs.

Tissue Repair Cannot be completed until all harmful substances are removed or neutralized Stroma is the supporting connective tissue that is repaired Parenchyma is the functioning part of the tissue that is repaired

Figure 16.9c The process of inflammation. (c) Tissue repair Scab Blood clot Regenerated epidermis (parenchyma) Regenerated dermis (stroma)

Fever Abnormally high body temperature Hypothalamus is normally set at 37 C Cytokines cause the hypothalamus to release prostaglandins that reset the hypothalamus to a higher temperature Body constricts the blood vessels, and shivering occurs (which raises temperature) As body temperature falls (crisis), vasodilation and sweating occurs

The Complement System Serum proteins produced by the liver that assist the immune system in destroying microbes Act in a cascade in a process called complement activation Proteins are designated with uppercase C and numbered in order of discovery Activated fragments are indicated with lowercase a and b

Complement: Overview PLAY Animation: Complement: Overview

Complement: Activation PLAY Animation: Complement: Activation

The Classical Pathway Antibodies bind to antigens, activating C1 C1 splits and activates C2 and C4 C2a and C4b combine and activate C3 C3a functions in inflammation C3b functions in cytolysis and opsonization

Figure 16.10a Pathways of complement activation. pathway of complement activation classical Microbe Antigen C1 Antibody C2 C4 C2b C2a C4b C4a C3 C3a C3b inflammation cytolysis opsonization

The Alternative Pathway C3 present in the blood combines with factors B, D, and P on microbe surface C3 splits into C3a and C3b, functioning the same as in the classical pathway

Figure 16.10b Pathways of complement activation. alternative Microbe Lipid carbohydrate complex Microbe B D P Factors C3 C3a C3b inflammation cytolysis opsonization

The Lectin Pathway Macrophages ingest pathogens, releasing cytokines that stimulate lectin production in the liver Mannose-binding lectin (MBL) binds to mannose, activating C2 and C4 C2a and C4b activate C3, which functions the same as in the classical and alternative pathways

Figure 16.10c Pathways of complement activation. lectin Microbe Carbohydrate containing mannose Mannose-binding lectin (MBL) C2 C4 C2b C2a C4b C4a C3 C3a C3b inflammation cytolysis opsonization

Outcomes of Complement Activation Cytolysis Activated complement proteins create a membrane attack complex (MAC) Opsonization Promotes attachment of a phagocyte to a microbe Inflammation Activated complement proteins bind to mast cells, releasing histamine

Figure 16.11 The MAC results in cytolysis.

Figure 16.12 Outcomes of Complement Activation outcomes of complement activation C3 Splits into activated C3a and C3b cytolysis opsonization inflammation C3a C3b C3a C3b C3a C3b C5 C5 C5a C5b C5a C5b C6 Histamine C7 C8 Microbe C3a C5a C9 C3a receptor Mast cell C5a receptor Channel C3b protein Microbes Phagocytesa C6 C7 C5b C8 C9 Phagocyte Microbes burst as extracellular fluid flows in through transmembrane channel formed by membrane attack complex. Coating microbes with C3b enhances phagocytosis. Blood vessels become more permeable, and chemotactic agents attract phagocytes to area. KEY CONCEPTS The complement system is another way the body fights infection and destroys pathogens. This component of innate immunity complements other immune reactions. Complement is a group of over 30 proteins circulating in serum that are activated in a cascade: one complement protein triggers the next. The cascade can be activated by a pathogen directly or by an antibody antigen reaction. Together these proteins destroy microbes by (1) cytolysis, (2) enhanced phagocytosis, and (3) inflammation.

Figure 16.13 Inflammation stimulated by complement. C5a Histaminecontaining granule Mast cell C5a receptor Histamine Neutrophil Phagocytes Histaminereleasing mast cell C3a C3a receptor C5a Macrophage

Complement: Results PLAY Animation: Complement: Results

Outcomes of Complement Activation Regulation of complement Regulatory proteins readily break down complement proteins, minimizing host cell destruction Complement and disease Lack of complement proteins causes susceptibility to infections Evading the complement system Capsules prevent complement activation

Interferons Cytokines produced by cells; have antiviral activity IFN-α and IFN-β: produced by cells in response to viral infections; cause neighboring cells to produce antiviral proteins (AVPs) that inhibit viral replication IFN- : causes neutrophils and macrophages to kill bacteria

Figure 16.14 Antiviral action of alpha and beta interferons (IFNs). New viruses replicated in host cell infect neighboring cells. Viral RNA Viral RNA Transcription Translation Transcription Translation Viral RNA Infecting virus Virus replicates Alpha and beta interferons Antiviral proteins (AVPs) Viral replication inhibited Nucleus IFN-mRNA Virus-infected host cell Neighboring cell Viral RNA from an infecting virus enters the cell. The virus induces the host cell to produce interferon mrna (IFN-mRNA), which is translated into alpha and beta interferons. Interferons make contact with uninfected neighboring host cells, where they bind either to the plasma membrane or to nuclear receptors. Interferons induce the cells to synthesize antiviral proteins (AVPs). AVPs degrade viral mrna and inhibit protein synthesis and thus interfere with viral replication.

Iron-Binding Proteins Transferrin: found in blood and tissue fluids Lactoferrin: found in milk, saliva, and mucus Ferritin: found in the liver, spleen, and red bone marrow Hemoglobin: located in red blood cells Bacteria produce siderophores to compete with iron-binding proteins

Antimicrobial Peptides Short peptides produced in response to protein and sugar molecules on microbes Inhibit cell wall synthesis Form pores in the plasma membrane Broad spectrum of activity