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Microbiology: Human Immune Defenses and Cells

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  • Physical factors of the first line of defense

    Include the dermis (connective tissue), epidermis (keratinized epithelial cells), mucous membranes, mucus, lacrimal apparatus, ciliary escalator, epiglottis, earwax, urine flow, vaginal secretions, and physical removal mechanisms like peristalsis, defecation, vomiting, and diarrhea.

  • Chemical factors of the first line of defense

    Include sebum (lowers skin pH to 3-5), lysozyme (destroys bacterial cell walls, especially gram-positive), gastric juice (pH 1.2-3.0), and vaginal secretions (low pH inhibits microbes).

  • Role of normal microbiota in defense

    Compete with pathogens via microbial antagonism, producing harmful substances, altering conditions, preventing harmful microbe overgrowth, and aiding immune system development.

  • Definition of commensalism

    A relationship where one organism benefits and the host is unharmed.

  • Examples of opportunistic pathogens in normal microbiota

    E. coli, S. aureus, S. epidermidis, Enterococcus faecalis, and Pseudomonas aeruginosa.

  • Types of blood cells and their functions

    Erythrocytes carry oxygen, leukocytes fight infection, and platelets stop blood loss.

  • Definition of hematopoiesis

    The creation of blood cells.

  • Granulocytes and their roles

    Neutrophils: highly phagocytic, early infection responders.
    Basophils: release histamine, involved in allergies.
    Eosinophils: phagocytic, toxic to parasites and helminths.

  • Agranulocytes and their roles

    Monocytes: mature into macrophages, phagocytic.
    Dendritic cells: phagocytic, found in skin and mucous membranes.
    Lymphocytes: T cells, B cells, and NK cells involved in adaptive immunity.

  • Function of the lymphoid system

    Collects leaked fluid from blood, transports it through lymph nodes where immune cells encounter and destroy pathogens.

  • Phagocytosis stages

    Chemotaxis, adherence, ingestion, and digestion of microbes by phagocytes.

  • Signs of inflammation (PRISH)

    Pain, Redness, Swelling, Heat, and Loss of function.

  • Stages of inflammation

    Vasodilation and increased permeability, phagocyte migration and phagocytosis, and tissue repair/healing.

  • Difference between adaptive and acquired immunity

    Both terms refer to immunity developed after exposure to antigens; adaptive immunity is the body's specific response, also called acquired immunity.

  • Definition of antigen

    Substances that cause antibody production; foreign to the body, including microbes, pollen, and transplant molecules.

  • Definition of hapten

    A small molecule that cannot trigger antibody production unless attached to a carrier molecule.

  • Structure and classes of antibodies

    Antibodies are Y-shaped proteins with 4 chains; classes include IgG, IgM, IgA, IgD, and IgE, each with distinct functions and locations.

  • Functions of IgG antibodies

    Monomer, 80% of serum antibodies, found in blood, lymph, intestine; cross placenta, activate complement, enhance phagocytosis, neutralize toxins and viruses.

  • Functions of IgM antibodies

    Pentamer with 10 binding sites, 6% serum antibodies, stays in blood vessels; first responder, causes agglutination, activates complement.

  • Functions of IgA antibodies

    Monomer in blood, dimer in secretions; 13% serum antibodies; found in mucous membranes, saliva, tears, breast milk; prevents microbial attachment.

  • Antigen-antibody interaction mechanisms

    Include affinity, agglutination (clumping), opsonization (enhanced phagocytosis), and complement activation.

  • Classes and functions of T cells

    CD4+ (Th): helper cells activating B cells; CD8+ (CTL): cytotoxic cells killing virus-infected cells; NK cells: destroy infected and tumor cells without antigen specificity.

  • Functions of cytokines

    Interleukins: leukocyte communication.
    Chemokines: leukocyte chemotaxis.
    Interferons: interfere with viral infections.
    Tumor necrosis factor alpha: inflammation.
    Hematopoietic cytokines: control blood cell development.

  • What is a cytokine storm?

    An excessive immune response causing uncontrolled bleeding and clotting, often dangerous and difficult to control.