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Samenvatting hoofdstuk 24_IMMUNO_boek

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In dit document wordt hoofdstuk 24 besproken van het boek: 'Human Physiology: an integrated approach'. Een van de hoofdstukken die je voor het examen van immunologie moest kennen.

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Subido en
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2023/2024
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CH 24

1.​ overview

-​ immune system: physiological system whose primary job is to protect the body from
damage
-​ body’s ability to protect itself is known as immunity
-​ nonself: includes bacteria; virus; … and other disease causing pathogens
-​ body’s first line of defense against pathogens includes physical; chemical;
mechanical barriers (skin); tears; mucus and stomach acid
→ attempt to keep pathogens from entering ECF
but if they evade them the body initiates an immediate response: 4 steps
➢​ detection and identification of the pathogen
➢​ communication with other immune cells to rally an organized response
➢​ recruitment of assistance and coordination of the response among participants
➢​ destruction / suppression of pathogen

-​ substances that trigger the body’s immune response: immunogens
-​ immunogens that react with products of the immune response are known as antigens
-​ inter immune response is carried out by the leukocytes, dependant on cell-cell
communication
-​ chemical communication includes substances released by damaged or dying cells as
well as cytokines (protein signal molecules released by one cell that affect the growth
or activity of another cell)
-​ immune system is also the primary user of contact dependent signaling: when
surface receptors on one cell recognize and bind to surface receptors on another cell

-​ internal immune response can be divided into 2 phases
➢​ a rapid innate response
➢​ slower adaptive response

1.1 innate immunity
-​ present from birth
-​ body’s immediate response to invasion
-​ not specific to a pathogen
-​ inflammation: visible on skin when red; warm; swollen → sign of innate immunity
-​ a innate response to pathogen in not remembered by the immune system and must
be triggered anew with each exposure
-​ cell responsible for the rapid response: circulating and stationary leukocytes that are
programmed to respond to a broad range of material
vb. phagocytes identify bacteria as pathogen; they ingest it via phagocytosis and digest it
-​ cells that display pathogen this way are called antigen presenting cells (APCs)

1.2 adaptive immunity
-​ directed at particular invaders of the body’s specific immune response
-​ steps needed to launch a specific immune response may take days to week
-​ re exposure: certain immune cells called memory cells remember the prior exposure;
react rapidly

, -​ it can be divided into 2 categories
➢​ cell mediated immunity: B en T lymphocyten
➢​ antibody mediated immunity: antibodies

1.2.1 cell mediated immunity
= acquired immunity
-​ requires contact dependent signaling between immune cell and receptors on its
target cell

1.2.2 antibody mediated immunity
= humorale immuniteit
-​ uses antibodies (proteins secreted by immune cells to carry out immunes response)
-​ antibodies binds to foreign substances to disable them or make more visible for cells
of immune system
-​ humoral: referring to the blood; comes from school of medicine which classified
body’s fluid into four humors: blood; phlegm; black bile; yellow bile

★​ the innate and adaptive immunity overlap; we described them as separate but in
reality they are interconnected parts of single process
★​ innate response: more rapid response; not target specific invader; reinforced by
antigen specific adaptive response
★​ not all pathogens can be destroyed by immune system; sometimes damage the
control and keep invader from spreading
vb. tbc: hides inside cells in the lung; malaria parasites hide inside liver…

immune system serves three major functions
➢​ it tries to recognize and remove abnormal self cells: created when normal cell growth
goes wrong
➢​ it removes dead or damaged cells: as well as old RBC; scavenger cells of immune
system patrol the EC compartment; digesting dead or dying cells
➢​ it protects the body from disease causing pathogens: microbes act as pathogens
include bacteria; virus: larger pathogens include multicellular parasites

2.​ anatomy of the immune system
2 anatomical components
➢​ lymphoid tissues
➢​ cells responsible for immune response: positioned wherever pathogens are likely to
enter the body

2.1 lymphoid tissues
-​ found all over the body
-​ primary lymphoid tissues are the thymus (produces T lymphocytes) gland and bone
marrow (produces RBC)
-​ secondary lymphoid tissues: mature immune cells interact with pathogens and initiate
a response
➢​ encapsulated tissues: spleen and lymph nodes: monitor EC compartment for foreign
invaders; phagocytic cells in spleen trap and remove aging RBC; lymph nodes part of
lymphatic circulation (capillaries of CVS; BP creates net flow of fluid out of blood

, capillaries into interstitial space); filtered fluid: picked up by lymph capillaries and
passes through encapsulated lymph nodes on its way back to the heart
-​ once microbes in lymphatic circulation; immune cells in lymph nodes try to capture
them to prevent their spread

➢​ unencapsulated tissues: diffuse lymphoid tissues; appear in other organs and
tissues; include cells in the skin; tonsils (De keelamandelen of tonsillen bevinden zich
in de keelholte en werken als een soort filter die binnenkomende ziektekiemen
kunnen bestrijden); cells with mucosal surfaces
-​ mucosa associated lymphoid tissue (MALT)
-​ subgroups of MALT include the gut associated lymphoid tissue (GALT), lies under the
epithelium of esophagus and intestines
-​ each location: immune cells positioned to intercept invading pathogens before the
general circulation

WBC (leukocyten):
-​ primary cell type responsible for immune responses
-​ much larger than RBC
-​ not very numerous in the circulation (5 million RBC; 7000 WBC)
-​ circulate in blood: they also leave the capillaries and function extravascularly
-​ some types of WBC live out in the tissue for months; others only days
-​ divided into 6 basic types
➔​ basophils: in the blood and related to mast cells in tissues
➔​ eosinophils
➔​ neutrophils
➔​ monocytes and their derivative macrophages
➔​ dendritic cells
➔​ lymphocytes and their derivative plasma cells
-​ dendritic and mast cells not usually found in the blood; often excluded of leukocytes
in blood
-​ leukocytes can be distinguished from one another in stained tissue samples by the
shape and size of the nucleus

immune cell names
-​ one morphological group of leukocytes is the granulocytes
→ whose plasma contains granules
-​ granulocytes includes: basophils; eosinophils; neutrophils
★​ basophil granules: dark blue with basic dye
★​ eosinophil granules: dark pink with acidic dye eosin (dawn)
★​ neutrophil granules: not stain darkly with blood and is neutral
→ they all release it granules by exocytosis (degranulation)

-​ 2 function group of leukocytes
➢​ phagocytes: ingest material from ECF using large vesicle; include neutrophils;
macrophages; dendritic cells
➢​ antigen presenting cell: APCs: ability to du-isplay bits of antigen on their surface as a
signal to other immune cells
→ primary APC: are the macrophages and dendritic cells
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