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Simplified Immunology

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SIMPLIFIED NOTES

Functions of the Immune System

The immune system has four main functions:

 Protection against foreign microorganisms such as bacteria,


viruses, parasites, and fungi

 Homeostasis (body equilibrium) through the removal of worn-out or dead


cells

 Surveillance and removal of mutant cells

 Regulation through increasing and suppressing immune response

The immune system is capable of carrying out these functions primarily through
its ability to tell the difference between self (part of the body) and non-
self (invading organisms like bacteria, fungus, and viruses, or toxins) cells. It
determines this by the antigens, or proteins, on the cell surface. Cells with
antigens that the immune system recognizes as the self are left alone, while a
non-self-antigen cell will deploy our immunity, which will respond by
recruiting, activating and mobilizing the appropriate white blood cells to the
location of the threat. One of the problems with cancer cells is that they have
found ways to disguise themselves to look like self.

Types of Immunity

The two basic types of immunity are innate and acquired immunity. Some of
our white blood cells play a role in innate immunity, others in acquired
immunity, while some are involved in both.

Innate Immunity

Innate immunity is the first-line, non-specific response to any breach of our


bodies. We are born with innate immunity. Innate immunity is carried out by
four mechanisms: mechanical barriers, chemical barriers, fever, and
phagocytosis or inflammation.

 Mechanical barriers include the skin and membranes that line our
mouths, nose, airways, urinary tracts, and gastrointestinal organs. When
these are intact, they provide a physical barrier against the entry of toxins
and harmful organisms.
 Chemical barriers include sweat, tears, saliva, stomach acids, mucus,
and other fluids secreted by the body. These prevent foreign invaders by
making the environment inhospitable to them. For example, chemical
barriers may make a tissue too acidic or sticky and thus deter the
organism or toxin from attaching and inhabiting the body.

 Fever helps the body defend against bacteria and viruses that are
sensitive to extremes in temperature. These invaders excrete substances
that trigger the body into increasing its temperature. These types of
organisms cannot tolerate the elevated temperatures for an extended
period of time. (This is why it's now recommended to leave a low-grade
fever alone with colds and the flu - unless you are uncomfortable - since
it is one of the ways that our bodies fight those infections.)

 Inflammation occurs when the mechanical and chemical barriers to


foreign invaders have failed. The response is very fast, but also very
short-lived. This is a non-specific response, that is, your body does not
have to have been exposed to this invader before to respond to it.
Inflammation is initiated and controlled by phagocytic WBCs, such
as polymorphonuclearleukocytes or“granulocytes”--
neutrophils, monocytes, macrophages, eosinophils, basophils, and natural
killer cells. Neutrophils attack organisms such as bacteria and fungi and
may leave the blood for the tissues during an inflammatory response.
Basophils initiate an inflammatory response to environmental antigens,
whereas eosinophils defend the body against parasites. Natural killer cells
use potent chemicals to kill infected cells on contact. Macrophages act as
scavenger cells in the tissues, while monocytes perform their role in the
bloodstream. Once a macrophage digests a foreign invader, it presents
details about that organism to T-lymphocytes and helps to recruit the
acquired immune system.

Acquired Immunity

Acquired immunity, also called adaptive immunity, is a learned immune


response to a specific foreign invader. Once the body becomes exposed to
a foreign antigen, acquired immunity kicks in and remembers that
information long-term. Many years later, when our immune system sees that
same antigen again, it is already prepared for it and can launch a rapid attack.
The two main mechanisms for this type of immunity are cell-mediated
immunity and humoral immunity, which are both executed by lymphocytes.

Lymphocytes make up about a third of the WBCs in our bodies. Lymphocytes


are small cells that can circulate in the blood but are also able to exist in tissues,
essentially roaming freely in the body looking for work. The subtypes of
lymphocytes are T lymphocytes or T-cells, (which play a role in both cell-
mediated and humoral immunity) and B lymphocytes or B-cells. Some B-
lymphocytes become plasma cells, which in response to a particular antigen can
remember an invader at a future exposure and produce antibodies to that
specific antigen.

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