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Summary - The Immune System in Health and Disease (5BBBI203)

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Summary of all lecture notes for exam revision. With these notes, I achieved a 1st in second year.

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Uploaded on
April 15, 2024
Number of pages
56
Written in
2022/2023
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Summary

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Immunology



Recognise

- Self vs Non-self

- Normal vs abnormal

- Danger vs innocuous

React

- Barriers to entry

- Inflammation

- Killing (Cytotoxicity)

Immune system must react proportionally to the danger, not overreact and cause more damage

,Immune system everywhere but the eyes

Immune response initiated in the lymph node then back to the injured tissue

The magnitude of the immune response is completely dependent on the magnitude of the attacking
pathogen – mount appropriate response




Innate –

 Fast

 “Not Antigen-specific”

 “No memory”

 Present since birth

Adaptive -

 Slow

 Antigen-specific

 Memory

 Develops in response to exposure to a foreign substance



Anatomical and chemical barriers

Lysosomes in tears – digestive enzyme

Removal of particles by mucus and beating cilia - Epithelia respiratory tract (respiratory cilia)

,Tight junctions in respiratory tract

Skin – physical barrier (fatty acid production inhibits microbes on skin, outcompeting Staphylococcus
aureus bacteria)

Low HCl pH - stomach

Outcompeting microbiome – gut – lactobacilli

, Cells of the immune system: innate



Phagocytes:

Monocyte -> Macrophage

Monocytes circulate in blood and mature intro macrophages in the tissues.

Phagocytosis, bactericidal, antigen presentation, cytokine production, tissue homeostasis.

One lobed nucleus

Engulf and destroy pathogens through the generation of reactive oxygen species

Macrophage produces chemokines to attract other immune cells to site of infection

Release of cytokines from macrophage - TNFa, IL-1b, IL-6 (IL-8, IL-12)

Effects:

- Up-regulates vascular adhesion molecules to direct cells to site of inflammation
- Increases vascular permeability
- Vasodilation
- Induce maturation of dendritic cells




Dendritic cells

Antigen uptake in periphery -> antigen presentation (professional)

Cytokine production.

Branch like projections

Present in tissue that have contact with the external environment (where antigens present)

(lining of nose, lungs stomach and intestines)

Present antigens to lymphocytes (adaptive immune cells) – attach on antigen

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