1. Immune/Lymphatic System

2. I. Brief history of disease
A. Disease: any change, other than injury, that disrupts the normal functions of the body.
1. Inherited
2. Environmental
3. Infectious agents (pathogens- “sickness maker”)

3. B. Spread & the Fight Against
1. Fight a disease by avoiding it
2. Understand disease so you are better able to prevent it.
3. Remove vectors: organisms that carry disease causing agents.
a. Ex: mosquito & spray insecticides
4. New Drug Treatments: Antibiotics-work by killing bacteria BUT not the host cells.

4. C. For thousands of years people did not know what caused illness
1. Curses, evil spirits, etc
2. Mid 19th century Louis Pasteur & Robert Koch concluded that disease was caused by microorganisms or germs called “Germ Theory of Disease”

5. II. Body Defenses
A. The body is constantly in contact with bacteria, fungi, and viruses
B. Because of our two defense systems
1. Nonspecific defense system
2. Specific defense system

7. C. Nonspecific Body Defenses
1. 1st line of defense
a. Intact skin & production of sweat, body oils & Mucous
b. Chemicals produced by the body (very low pH in the stomach, slightly lower pH in urine and female reproductive tract.)

8. 2. 2nd line of defense
a. Defensive Cells- cells that roam the body engulfing (phagocytosis) intruder cells
Neutrophils
Phagocytes-> macrophages
b. Natural Killer Cells
i. can recognize invader cells based on chemicals on cell membrane (cancer and viral cells) before specific defense kicks in.
Use perforin, not phagocytosis
Figure 12.7a

9. c. Inflammatory Response
i. Triggered when body tissues are injured
ii. Produces 4 cardinal signs
Redness
Heat
Swelling
Pain
iii. chain of events which lead to protection and healing

10. Steps in the Inflammatory Response
histamine
Allow: Blood vessels to dilate, become more permeable & allow more Defense cells to the wound area
3 parts of the inflammation responses?
1. Blood Vessels dilate
heat
2. leaky capillaries:
Pain & Swelling (aka: edema)
3. NEUTROPHILS ENTER BLOOD FROM BONE MARROW AND GO TOWARDS CHEMICAL “SCENT”
SQUEEZE THROUGH THE CAPILLARY WALL (DIAPEDESIS)
NEUTROPHILS GATHER AT SPOT OF TISSUE INJURY. EAT FOREIGN MATERIALS
PHAGOCYTES COME LATER- turn into MACROPHAGES (eating machines)
Pus indicates a possible problem.
Figure 12.8

11. Complement proteins ENHANCE THE INNATE DEFENSES EITHER BY
ATTACKING MICROORGANISMS
OR HINDER THEIR ABILITY TO REPRODUCE.
COMPLEMENT FLOAT AROUND INNATE UNTIL ACTIVATED BY FOREIGN MATERIAL THROUGH COMPLEMENT FIXATION (THEY ATTACH TO MATERIAL).
ALSO ACTIVATE INFLAMMATION.
Interferon. CHEMICAL RELEASED BY INFECTED CELLS TO “TELL” HEALTHY CELLS INCREASE DEFENSE PROTEINS.

12. Fever Caused by pyrogens activating the hypothalamus.
 Allows the liver and spleen to pull in iron & zinc, taking it away form invaders use.
 Increases metabolism.
 if too high it can be detrimental…denatures proteins and can kill you if too high.

13. Understanding Specific Immune
1800’s scientists determined
Antigen specific- acts against particular pathogens/foreign substances
Systemic- full body not just sight of initial infection
Memory- amounts a stronger attack upon 2nd exposure

14. Specific defense system
Humoral-makes the antibodies (memory)
Cellular immunity- lymphocytes (white blood cells) defend directly with lysing or indirect with chemicals
a. A.K.A. “immune system”

15. Types of Immunity 1. Antibody-mediated immunity (HUMMORAL)
a. Cells (lymphocytes) produce chemicals (anti-bodies) to mark antigens for disposal.
2. Cell-mediated immunity
a. Cells target virus infected cells directly

16. Antigens (Nonself)
1. Any substance capable of activating the immune system and provoking an immune response
2. Examples of common antigens
a. Foreign proteins
b. Pollen grains
c. Microorganisms

17. Self-Antigens
1. Our cells have many surface proteins thus our system can recognize itself
2. Our immune cells typically do not attack our own cells (If it did that would be a homeostatic imbalance!)
3. BUT each persons surface proteins are unique so, our cells in another person’s body can trigger an immune response because they are foreign
a. Restricts donors for transplants
b. Can cause miscarriage

18. Cells of the Immune System
1. Lymphocytes
a. from stem cells in the red bone marrow
b. B lymphocytes create antibodies & memory cells (hummoral)
c. T lymphocytes specialized in the thymus gland (cell Mediated)
2. Macrophages (cell mediated)
a. Large cells that eat other invader cells
b. Become widely distributed in lymphoid organs

19. Immunocompetance
All of your immune cells need to mature before they can do their job. Being immunocompetant means that the immune cell is able to bind to its specific antigen.
B cells in bone marrow
T cells in thymus
1 receptor for 1 antigen so each immune cell is immunocompetent is for 1 specific antigen!

20. Self-Tolerance
The immune system need to be trained to go after antigens and avoid “self” cells.
T cells go through this in the thymus.
The T cells with the best ability to identify antigens survive.
T cells that strongly identify with SELF antigens are destroyed!
B cells go through this in the bone marrow but little is known about that…
Autoimmune diseases are an issue with this process

22. Your GENES determine what specific foreign substances our immune system will be able to recognize and resist.
Ebola is “new” to our immune system so it does not have a receptor for it in our bodies.

23. antigen-presenting cells
Engulf antigens and present fragments of them on the outside of their cell. So they can activate T cells.
A big part of activating the immune system
Dendritic cells
Macrophages- stay in the lymph nodes
B lymphocytes

24. Antibody-Mediated Immune Response (HUMMORAL)
1. B lymphocytes with specific receptors bind to a specific antigen
2. activates the lymphocyte to clone itself
A large number of clones are produced with same receptor.
3. most clones become plasma cells
Make antibodies at 2000 per minute!!!
Other B cells become Memory cells

25. Secondary Response to an invader
1. Memory cells are long-lived
2. A second exposure causes a rapid response
3. The secondary response is stronger (w/i hours) and longer lasting (weeks to months)
Gives you life-long immunity
Figure 12.13

26. Immunity
1. Active:
a. Your B cells actively encountered antigens and produce antibodies
b. usually life-long immunity
2. Passive:
a. Antibodies are obtained from “other” source.
b. B cell memory does not occur because your body did not create the antibodies

28. Antibodies (Immunoglobulins)
1. proteins secreted by cloned plasma cells
2. Carried in blood
3. Bind to specific antigens to inactivate them…

29. 29

30. Cell-Mediated Immune Response
1. Antigen presenting cells directly attack invaders.
2. “eat” invaders & displayed bits of antigen on surface.
APC Essential in activating T cells!
3. Helper T ( the managers)cells bind to these macrophages antigens and release cytokines (attract more lymphocytes)

31. T cell activation and interactions with other cells of the immune response.
Antigen
“Presented”
antigen
Cytotoxic
(killer)
T cell
Cell-mediated
immunity
(attack on
infected cells)
T cell antigen
receptor
Dendritic cell
Helper
T cell
Cytokines
Humoral
immunity
(secretion of
antibodies by
plasma cells)
Self-
protein
Antigen
processing
B cell
Cytokines 31

32. 4. Cytokines: attract Killer T, B cells & other phagocytic WBC.
A. B cells are activated by Helper T cells.
B. Killer T Cells (cytotoxic T) are very effective in killing. Because they actively seek out the specific invader.
a. Killer T makes organ transplant difficult

33. Other T Cells 1. Regulatory T cells 2. Memory T
a. Once the invader has been removed chemicals are released to suppress the activity of T and B cells
b. Stop the immune response to prevent uncontrolled activity 
2. Memory T
Again, respond quickly to later invasions.

34. Figure 12.19 A summary of the adaptive immune responses.34

35. Immune game: log onto a desktop and go to the HW website for the link
Immune game: log onto a desktop and go to the HW website for the link. Play the game reading all of the information as you go Take notes on any NEW information
If there is time we’ll watch the flu video.
HW: wp #4 & review worksheets

36. Transplant 4 types of grafts
Auto- self to self, like a skin graft for a burn.
Iso- twin to self grafts, this would be best…but if doesn’t exist…
Allo- other person to self, family member possible or donor list. This is the most common transplant from a donor who has recently died.
Xeno- animal to self, mostly pig heart valves

37. Allograft Success
Check: ABO, other blood group antigens and membrane antigens.
minimal 75% match of above
Difficult to find
Immunosuppressive therapy
Reduce rejection
Drugs and therapy kill rapidly dividing cells like WBC
All have severe side effects
Biggest issue is body not protected from infection as well
50% rejection of organ by 10 years
New look at teaching the body tolerance vs current drugs.

38. Disorders of Immunity:
Autoimmune Diseases: T cells attack its own tissues
Example: Juvenile diabetes – destroys pancreatic beta cells that produce insulin
Self-Tolerance Breakdown?
New “self” antigens appear
“hidden” in sperm, eye lens, thyroid
New mutations that change the structure of self-proteins
Bacterial or viral damage
Foreign antigens look like “self”
Antibodies produced during rheumatic fever cross-react with heart antigens causing damage to the heart muscle, valves, joints and kidneys.

39. Allergies (Hypersensitivity) a. Abnormal, vigorous immune responses

40. hypersensitivity Immediate/Acute: Anaphylactic shock: Delayed:
Triggered by histamine from mast cells (a type of WBC)
Anaphylactic shock:
Rare!
Allergen directly enters the blood and circulates rapidly or some foods (peanuts)
Same as regular allergy attack but whole body involved.
Delayed:
Takes 1-3 days
Cytokines cause
Ex: poison ivy, heavy metals, cosmetics, deodorants

41. Immunodeficencies
Severe combined immunodificiencie disease (SCID) have all or some of their immune system missing

42. AIDS Acquired Immune Deficiency Syndrome
Caused by HIV (Human Immuno Deficiency Virus)
Virus attacks helper T.
People die of other infections.
NEWS 2015: HIV has been reclassified as a chronic life long illness vs. a “death sentence”.

43. Unique Incurable but treatable.
Before the development of anti-virals it had:
high mortality
quickly spread
no vaccine.
**This combination was RARE in this technological age.
Spread through intimate contact w/ an infected person
THIS is a limiting factor!
UNFORTUNATLY a person can carry and transmit HIV for years before symptoms arise

44. How it’s contracted
Unprotected sex (of any kind) is the most common. You can also be exposed…
Sharing needles
Blood transfusion (rare if blood is tested)
Mother/baby
Breastfeeding

45. Not transmitted through…
Sweat, saliva, tears
Insects
Environment: HIV is fragile and dies quickly outside of the body.
Same toilet use
Touching, hugging, hand shaking
Sitting next to or where someone has been sitting

46. Life Cycle
HIV attacks the helper T cell which reduces the number of helper T (hT) cells until the person has AIDS
Usual amount= 1million hT cells in 1 ml pf blood
AIDS= > 200,000 hT cells per 1 ml blood
Takes 2-15 years
HIV is really good at mutating
No one dies from HIV/AIDS
They die from infections that their body can no longer fight off. Can be the common cold to a minor infection.

47. Lymphatic System Anatomy
Consists of two semi-independent parts
Lymphatic vessels
Lymphoid tissues and organs
Lymphatic system functions
Transport fluids back to the blood
Play essential roles in body defense and resistance to disease

48. Organs of the Immune System
outside
Skin-
Mucose Membranes-

49. Inside…
Lymph System
When the Dr. checks your neck they are feeling for swollen lymph nodes.
Lymph system follows the pattern of the circulatory system BUT it is not pressurized, it is passive.
Fluid diffuses into the lymph system and is “pushed” by normal body and muscle motion to the nodes.

51. Lymph Fluid? Clear fluid that bathes the cells in nutrients.
interstitial fluid & blood plasma are similar
Also carries away waste and proteins and random bacteria through the lymph vessels to the lymph Nodes.

52. Lymphatic Vessels
Figure 12.2

53. Lymph Nodes Filter lymph before it is returned to the blood
Defense cells within lymph nodes
Macrophages present to B & T cells here
These nodes swell during some infections due to filtration (full of dead invaders and defense cells)

54. Lymph Node Structure Most are kidney-shaped, less than 1 inch long
Figure 12.4

55. Other Lymphoid Organs
Several other organs contribute to lymphatic function
Spleen
Thymus
Tonsils
Peyer’s patches
Figure 12.5

56. The Spleen Filters blood & Destroys worn out blood cells
Forms blood cells in the fetus
An adult can live w/o the spleen, but you’ll be sick more often

57. The Thymus Located low in the throat, overlying the heart
Functions at peak levels only during childhood to produce/mature t-cells.

58. Tonsils Small masses of lymphoid tissue around the back of the throat
Trap/remove bacteria and other foreign materials & give immune system a “heads up”.
Tonsillitis is caused by congestion with bacteria
They are no longer removed because we now understand their purpose is to become infected (rather than the whole person)

59. Peyer’s Patches Found in the wall of the small intestine
Resemble tonsils in structure
Capture and destroy bacteria in the intestine (same idea as tonsils)
Appendix?