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metha 2010 chp14
nonspecific host defense
| Question | Answer |
|---|---|
| First Line of Defense | Physical Barriers Skin Mucous membranesgoblet cells produce mucus – ciliary escalatorChemical factorsSebum perspiration lysozyme gastric juicetransferrinsNormal MicrobiotaCompetitive exclusion Immunology |
| Immunology | Recognition of selfmarkers |
| The Reticuloendothelial System | network of fibers that connectscells and support system forwandering macrophages and dendritic cells |
| The Circulatory System | Cardiovascular System Lymphatic System |
| Whole Blood | Plasmawhich contains Formed elementserythrocytes aka red blood cells thrombocytes aka platelets Lymphno –no RBCs contraction of the skeletal muscles (RBCs);leukocytes aka white blood cells WBCs |
| Functionsand characteristics of formed elements in the blood | hemopoiesis |
| Figure 14.9 p. 426 | p 426 |
| Red blood cells | bone marrowlose their nucleushemoglobinO2 and CO2 |
| Platelets | blood clottingnot whole cells |
| White blood cells | NLMEB |
| Neutrophils | highly phagocyticbacteria |
| Basophils | inflammatory and allergic responsesrelease histamine |
| Eosinophils | helminths fungi and protozoa weakly phagocytic inflammatory responses and allergens |
| Monocytes | macrophagesphagocyticnonspecific Note:lymph node swelling |
| Lymphocytes | third line of defensenot phagocytic |
| T-cells | – cell-mediated immunityviral infectionsTH Helper T cellsTC Cytotoxic T cellsNatural killer (NK) cellsvirus-infected cells |
| B- cells | – humoral immunityproduce antibodies |
| Dendritic cells | ingestion of bacteria and viruses stimulates migration to lymphoid tissues where they interact with T cells and B cells |
| Mast cells | inflammatory reactions |
| Second Line of Defense | – Inflammation phagocytosis fever interferon complement |
| Rubor | –redness; |
| Calor | – heat; |
| Tumor | – swelling |
| Dolor | – pain |
| Tissue damage | initially vasoconstriction histamine vasodilationattracting phagocytes |
| Vasodilation | allows phagocyte migration diapedesis |
| The leukocytes enter the damaged area | also fluidedema (swelling)pain blood clotsabscesspus – a mixture of dead cells and body fluid Pyogenicbacteria |
| Tissue repair by the stroma (dermis) | and/or the parenchyma(epidermis)stromaof the skinscarcardiac cells don't regenerate |
| Fever | systemic response |
| Hypothalamus | the body's thermostatpyrogenic |
| blood vessel constriction | increased rate of metabolism with chills and shiveringwhen the infection starts to go away heat-losing mechanisms such as vasodilation and sweating begin |
| High body temperature benefits | inhibits multiplication of temp sensitive |
| Complications of fever | death |
| Treatment of a Fever | Antipyretic drugsNSAIDsacetaminophenibuprofennaproxenaspirin |
| Alpha-interferon and beta-interferon | are produced by virus-infected host cellsdiffuse to uninfectedcause the uninfected cells to make mRNA for the synthesis of antiviral proteins (Refer to Figure 14.20 p. 439) |
| Gamma-interferon | is produced by lymphocytesstimulates kill bacteria phagocytosis |
| Problems | short periods of time |
| Treatments | afpha IFN |
| The Complement System | defense set of over 30 proteins produced |
| Cytolysis: | membrane attack complex (MAC) which inserts itself though the pathogen membraneGram negative cells are more susceptible to MAC because of the presence of an outer membrane and thin cell wall |
| Second Line of Defense | Inflammation Fever Phagocytosis Interferon Complement |
| First Line of Defense | Intact Skin Mucous membranes and their secretions Normal Microbiota |
| Third Line of Defense | Immune response that is directed by specialized lymphocytes: B-cells and T-cells B-cells produce antibodies T-cells produce cytokines that destroy antigens or regulate immune response |