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18 Cards in this Set

  • Front
  • Back

First Line of Defense

Surface coverage, tries to block anything and everything


Skin, sweat, cilia and mucous, stomach acid


Mucousal surfaces-projectiles, traps potential pathogens, some have lysozyme


Cilia filters


Stomach acid traps and kills most pathogens

Second Line of Defense

Non-specific response-attacks anything foreign


incl: Leukocytes, antimicrobial proteins, inflam response


- Cytokines (messengers)


- Interferons: dimmed released upo infection, reg of immune system


Tumor Necrosis Factors (TNFs): major mediator of inflam


- IL specific signalling molecules for T and B cell activation


- Leukocytes, phagocytes, lymphocutes (NK)


- Natural Killer cells (non-specific)


- Phagocytosis, digests and disposes


- Macrophages, Neutophils (1st responders), Eosinophils (attack parasites and responsible for allergiec reactions), basophils (important for inflam response, Mast cells), all are Granulocytes


- Antimicrobial proteins help out +inflam response

Third Line of response

- Specific responses, incl T cells (knights, helpr T cells to stimulate T and B to dive and diff, then killer T cells destroy marked antigens) (c-mediated response), B-antibody mediated (effector B cells, antibody production, Memory B cells, recognizes past intrudres)



Cell-Mediated Response (3rd line, T-cells)

1. Helper T activated by recognizing an antigen presented y a macrophage; opsonization, marking an intruder for an IR


2. Activated Helper T stimualte cyto T to divide


3. Cytotoxic T cells search for pathogens


4. Uses performs (swords) to rupture cell membrane of pathogens/infected cells

Antibody Mediated Response (3rd, B-cell)

1. Activated Helper T from CELL rest, stimulates B to grow and divide


2. B cells divide and diff into Memory B and effector B


3. Effector B cells (plasma cells) produce antibodies


4. Antibodies mark antigens for destruction via macrophages

Antibodies (relics/strong weapons, 3rd)

Antibodies=IG, focus on surface of B cells, secreted by plasma


- On B cells, Fab (antigen binding fragment), Fc (crystallizable fragment)

Antibody Functions (3rd Line)

- Opsonization for phagocytosis (coat pathogen)


- Neutralization (neutralize toxins secreted by pathogens)


- activation of complement (classical path start lysing of cell)


- Antibody dependent cell mediated cytotoxicity (ADCC)



ADCC

- Most useful tactics


- Facilitates parasite phagocytosis, and antibody binds to parasite, and phago recognizes antobody and engulfs parasite


- Reactive oxygen intermediates (ROI) released to destroy the pathogen



The effects of a successful invasion: pathogenesis of parasitic infections

- 4 ways that parasites can cause a disease:


Trauma, nutrition robbing, toxin production, interactions between host immune/inflam response

1. Trauma

Physical trauma: destruction of cells, tissues, or organs by mechanical or chemical means

2. Nutrition robbing

- diversion of host nutritive substances

3. Toxin production

- Malaria, erythrocysts burst and toxic cellualr wastes in blood, increase in CK, fever

4. Interactions between host immnue/inflam

- Most serious pathogensis

How do parasites evade the IS?

- Plasmodium falciparum


- Antiegenic variation/polymorphism


- Induction of blocking antibodies


- Anergy of T-Cells-immunosupression

Entamoeba histolytica Evades IS

- Cytolytic capacity: damages host cells and tissues


- Degradation of antibodies by proteases


- Anergy of T-cells immunosuppression


- Release of products that inhabit macrophage



Fasciola hepatica evades IS

- Ig-cleabing protease on surface


- Brugia malayi: microfilariae secrete antiinflam


- Onchocerca volvulus: cystatin on surface, protease inhibitor, blocks antigen processing

REconnaissance

NORMALLY parasites are found, but when that fails, many tests have been developed that take advantage of patients immune system



Tests

1. Skin test: antigen in skin, and many infections produce immediate hypersensitivity reactions


2. Indirect Hemagglutination Test (IHA): RBCs are coated with antigen of parasite and incubated with patient's serum, afflutination of the erythrocytes=psitive


3. Indirect Fluorescent Antibody (IFA): prasites fixes to slide, incubated with patients serum, washed treated with human IG, if anti-ig binds to test serum IG and can be visualized under a fluroresnce microscope


4. Enzyme Linked Immunosorbent Assay (ELISA): test serum added to plates with antigen, remove and rose, anti IG is added, removed and rinsed, anti-ig is enzyme hat catalyzes for colour change, substrate for enzyme added, colour change= +