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SILVERTHORN SAMENVATTING/SUMMARY - Chapter 24 (Immune System)

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In this document, you get the chapter notes from Chapter 24 from ‘Human Physiology, An Integrated Approach’ (Dee Silverthorn) 7th Edition. Chapter 24 covers the immune system. I used these notes to prepare for the SUMMA entrance exam. I ultimately got selected for SUMMA in May 2025. This essentially means that my summaries really effectively and thoroughly cover each chapter (namely Chapters 7 through 26). In other words, you won't miss anything! I include digital images directly from the book. Whether you are trying to catch up in a course, or prepare for the SUMMA entrance exam (like I did), these summaries are excellent. These notes are written in English, as Silverthorn is written in English. If you need associated questions, check out the packet: COMPLEET SUMMA SELECTIE PAKKET, by me! This includes these notes AND over 1400 flashcards covering chapters 7 to 26 (NOTE: the questions I wrote are in Dutch).

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OVERVIEW (CHP 24)
The functions of the immune system include:
1.​ Tries to recognize and remove abnormal “self” cells
2.​ Removes dead or damaged cells
3.​ It protects the body from disease-causing invaders.
Failures of the immune system include:
1.​ Incorrect responses (autoimmune diseases)
2.​ Overactive responses (allergies)
3.​ Lack of responses (immunodeficiency disease)
a.​ Primary immunodeficiency – genetically inherited immunodeficiency
b.​ Acquired immunodeficiency – acquired as a result of a virus or treatment


PATHOGENS (CHP 24)
Bacteria and viruses differ in a number of ways.
1.​ Structure:
a.​ Bacteria are cells, with a cell membrane and often a cell wall. Encapsulated bacteria have a
capsule.
b.​ Viruses are not cells. They are a ball of nucleic acid (DNA or RNA) enclosed ina coat of viral
proteins called a capsid.
2.​ Living conditions and reproduction.
a.​ Bacteria can survive and reproduce outside of a host (wtih required nutrients)
b.​ Viruses must use the intracellular machinery of the host cell to replicate.
3.​ Susceptibility to drugs.
a.​ Bacteria can be killed by antibiotics
b.​ Viruses cannot be killed by antibiotics, some can be killed by antiviral drugs.


Viral Replication
1.​ The virus enters the host cell via receptor mediated endocytosis or fusion with the membrane.
2.​ Within the cell, the virus overtakes the host cell resources for nucleic acid replication.
3.​ These components are assembled into additional viral particles which infect other cells.
4.​ Viruses are released from the cells. Possible in two ways…
a.​ The virus induces host cell rupture.
b.​ Virus surrounds itself in host cell membrane and buds off cell surface.

, THE IMMUNE RESPONSE (CHP 24)
The body has two lines of defense:
1.​ Physical and chemical barriers.
2.​ Internal immune response.
The internal immune response has four basic steps.
1.​ Detection and identification of a pathogen.
2.​ Communication with other immune cells.
3.​ Recruitment of assistance and coordination of the response among all participants.
4.​ Destruction or suppression of the invader.
The immune response is distinguishable from other responses.systems by its extensive use of chemical
signalling.
-​ Cytokines are protein messengers released by one cell to affect the growth or activity of another.
-​ Antibodies are proteins secreted by certain immune cells, that bind antigens and make them visible
to the immune system
The immune system can be divided into two
subsystems:
1.​ The innate (non-specific) immune system:
Defense mechanisms present from birth
a.​ Broad specificity receptors, specific to
patterns common in pathogens.
b.​ Inflammation is a hallmark of innate
immunity.
2.​ The acquired (specific) immune system:
Defence mechanisms acquired as a result of
previous confrontation with a non-self
molecule.
a.​ High specific receptors, receptors distinguishable between targeted pathogen.
b.​ Cell-mediated immunity: contact dependent signalling to carry out immune response.
c.​ Humoral immunity (antibody mediated): antibody dependent signalling to carry out immune
response.
-​ The innate response occurs first, but the acquired immune response, once developed is stronger,
more specific and very rapid.

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