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    HOST DEFENSE

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    Three lines defense

    1stline of defense : Non-specific: Natural barriers (Physical; Chemical and

    Genetic ?? barrier's ).

    2ndline of defense : Non-specific: Phagocytic Whiteblood cells( WBC),

    Antimicrobial proteins and Inflammatory process.

    3rdline of defense: Lymphocytes and Antibodies.

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    1stline of defense :

    Non-specific: Natural barriers (Physical; Chemical and

    Genetic ?? barrier's ).

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    Most microorganisms express repeating patterns of molecularstructures termed Pathogen Associated Molecular Patterns (PAMPs)

    The biological system has evolved mechanisms capable of recognizingthese repeating patterns termed Pattern Recognition Receptors(PRRs)

    Examples of Pattern Recognition Receptors:- Mannose-Binding Lectin (MBL)- Macrophage Mannose Receptor- Scavenger Receptors- Toll-like Receptors (TLRs)- Nod-like Receptors (NLRs)- RNA helicases (RIG-I, MDA-5)

    Pathogen Recognition

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    2ndline of defense

    Non-specific: Phagocytic Whiteblood cells( WBC)

    Inflammatory process and

    Antimicrobial proteins

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    Macrophage destroying bacterial cells

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    \

    Form a cascade effect - if only a few are activated, they will trigger others to become active in

    great numbers

    Some punch holes in bacterial walls (forms holes where cellular components leak out)

    Some promote inflammation

    Concentration gradients attract phagocytes to irritated or damaged tissue

    Encourage phagocytosis in phagocytes (promotes "eating")

    Some bind to the surface of invading organisms

    Chemokines- create a chemical gradient to attract neutrophils and other leucocytes to the wound

    site Inflammation

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    Causes localized redness, swelling, heat, and painChanges in capillary wall structure allow interstitial fluid and WBC's to leak out intissuePromotes macrophage (phagocytic WBC's) activityMacrophages secrete Interleukins(communication proteins among WBC's)

    Interleukin-1: increases body temperature (i.e. causes a fever)This enhances the WBC's ability to protect the bodyCauses drowsiness - reduces the body's energy usage and stress

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    Molecular cues that stimulate lypmphocytes to create animmune response

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    3rdline of defense:

    Lymphocytes and Antibodies.

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    Cell-mediated immune response

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    B Cell & Antibodies

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    2ndline of defense

    Phagocytosis

    - the process by which particular substances orcells are ingested and destroyed by

    specialized cells

    - neutrophils, macrophages (monocytes, tissue

    macrophages)

    P th R iti

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    Most microorganisms express repeating patterns of molecularstructures termed Pathogen Associated Molecular Patterns (PAMPs)

    The biological system has evolved mechanisms capable of recognizingthese repeating patterns termed Pattern Recognition Receptors(PRRs)

    Examples of Pattern Recognition Receptors:- Mannose-Binding Lectin (MBL)- Macrophage Mannose Receptor- Scavenger Receptors- Toll-like Receptors (TLRs)- Nod-like Receptors (NLRs)- RNA helicases (RIG-I, MDA-5)

    Pathogen Recognition

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    Once the PRRs are activated by the PAMPs,

    phagocytosis is initiated

    Phagocytosis is active process:

    - Internalization of pathogen into phagosome- Acidification of phagosome

    - Fusion of phagosome with lysosomes thatcontain anti-microbial compounds

    (phagolysosome)- This may be sufficient to kill the pathogen

    - If not, reactive oxygen and nitrogenspecies may need to be generated

    Macrophage Microbial Killing

    Ph t i d E i f

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    Phagocytosis and Evasion ofPhagocytosis

    ANIMATION Phagocytosis: Microbes That Evade It

    ANIMATION Virulence Factors: Inactivating Host Defenses

    ANIMATION Virulence Factors: Hiding From Host Defenses

    ANIMATION Phagocytosis: Mechanism

    ANIMATION Phagocytosis: Overview

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    Process of Phagocytosis

    Phagocytes engulf and kill microorganismsSteps o f phagocy tos is :

    Chemotaxis

    Recognition and attachment

    Engulfment and creation of phagosome

    Fusion of phagosome with lysosome Destruction and digestion

    Residual body Exocytosis

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    Phagocytosis

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    Process of Phagocytosis

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    Inflammation

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    Inflammation

    Inflammationis the body's reaction to injury

    and is known as the body's second line of

    defense which results in:

    Increased blood supply to the area.

    Increased capillary permeability.

    Migration of leukocytes into the surrounding

    tissue. These three events manifest symptoms which

    include pain, heat, redness and swelling.

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    Definition

    Inflammation is a non specific, localized immune reaction of the

    organism, which tries to localized the pathogen agent. Many

    consider the syndrome a self-defense mechanism.

    It consist in vascular, metabolic, cellular changes, triggered by the

    entering of pathogen agent in healthy tissues of the body.

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    Functions of Inflammation

    1. Destroy and remove pathogens

    2. If destruction is not possible, to limit effects

    by confining the pathogen and its products.

    3. Repair and replace tissue damaged by

    pathogen and its products.

    Cli i l t f i fl ti

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    Clinical symptoms of inflammation:pain, redness, heat, swelling

    1. Increased vascular diameter, increased blood flow (heat, redness)

    2. Activation of vascular endothelium to express adhesion molecules, increasesleukocyte binding

    3. PMNs are first cell type recruited to site, followed later by monocytes

    4. Increased vascular permeability results in local swelling and pain

    Microvascular coagulation helps prevent pathogen spread into bloodstream(physical barrier)

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    Antimicrobial Substances:

    Large group of serum proteins that participate in

    the lysis of foreign cells, inflammation, and

    phagocytosis.

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    Antimicrobial Substances

    1. The complement system

    2. Interferons

    3. Transferrins

    4. Antimicrobial peptides

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    The complement system

    The complement components are present in serum ininactive form

    The complement is activated in a cascading manner

    Complement proteins are synthesized mainly in the liver,but tissue macrophages and fibroblasts can synthesize

    some complement proteins as well

    The

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    TheComplement

    System

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    The complement system

    3 pathways of complement activation:

    1/ Class ical

    2/ A lternative

    3/ Lectin

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    Complement System

    Series of 30 plasma (serum) proteins, activated ina cascade

    Three effects of complement system:

    1. Enhances inflammatory response, e.g.:

    attracts phagocytes2. Increases phagocytosisthrough

    opsonizationor immune adherence

    3. Creates Membrane Attack Complexes (MACs)

    Cytolysis

    Opsonins (complement proteins or antibodies) coat bacteria

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    Opsonins (complement proteins or antibodies) coat bacteria

    and promote attachment of micro-organism to phagocyte

    Opsonization

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    Classical Pathway

    Alt ti P th

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    Alternative Pathway

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    Alternative Pathway

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    Lectin Pathway

    Activation begins when mannan-binding protein (MBP) binds to the mannosegroups of the microbial carbohydrates.

    Two more lectin pathway proteins called MASP1 and MASP2 (equivalent to C1rand C1s of the classical pathway) now bind to the MBP.

    This forms an enzyme similar to C1 of the classical complement pathway that isable to cleave C4 and C2 to form C4bC2a, the C3 convertase capable of

    enzymatically splitting hundreds of molecules of C3 into C3a and C3b. The beneficial results are the same as in the classical complement pathway

    above: trigger inflammation (C5a>C3a>c4a);

    chemotactically attract phagocytes to the infection site (C5a);

    promote the attachment of antigens to phagocytes via enhanced attachment oropsonization (C3b>C4b);

    serves as a second signal for the activation of naive B-lymphocytes (C3d);

    cause lysis of gram-negative bacteria and human cells displaying foreign epitopes(MAC);

    and remove harmful immune complexes from the body (C3b>C4b).

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    Figure 7.11: Complement cascade pathways.

    Adapted from S. Smith. Immunologic Aspects of Organ Transplantation.

    Organ Transplant. Medscape, 2002.

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    Comparison of 3 Pathways

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    Both Classical and Alternative Complement Pathways

    Trigger the Cleavage of C3

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    Classical and Alternative Complement Pathways

    Cause Inflammation, Opsonization, and Cytolysis

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    II. Interferons: Antiviral proteins that interfere with viral

    multiplication.

    Small proteins (15,000 to 30,000 kDa)

    Heat stable and resistant to low pH

    Important in acute and short term infections.

    Have no effect on infected cells.

    Host specific, but not virus specific.

    Interferon alpha and beta: Produced by virus infected cells

    and diffuse to neighboring cells. Cause uninfected cells to

    produce antiviral proteins (AVPs).

    Interferon gamma: Produced by lymphocytes. Causes

    neutrophils to kill bacteria.