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Questions and Answers
What role does fever play in the second line of host defense?
What role does fever play in the second line of host defense?
Which cells are primarily responsible for producing histamine during the inflammatory response?
Which cells are primarily responsible for producing histamine during the inflammatory response?
Which of the following is NOT a type of antimicrobial substance involved in the second line of defense?
Which of the following is NOT a type of antimicrobial substance involved in the second line of defense?
What is phagocytosis primarily defined as?
What is phagocytosis primarily defined as?
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Which leukocyte type predominates early in an infection?
Which leukocyte type predominates early in an infection?
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What are the primary functions of eosinophils in the immune response?
What are the primary functions of eosinophils in the immune response?
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Which of the following cytokines is NOT considered pro-inflammatory?
Which of the following cytokines is NOT considered pro-inflammatory?
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What blood cell type is responsible for the majority of the phagocytic activity?
What blood cell type is responsible for the majority of the phagocytic activity?
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What is the primary function of neutrophils in the immune response?
What is the primary function of neutrophils in the immune response?
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Which of the following is NOT a stage of phagocytosis?
Which of the following is NOT a stage of phagocytosis?
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What role do opsonins play in phagocytosis?
What role do opsonins play in phagocytosis?
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What chemical is specifically mentioned as a chemotactic substance for monocytes?
What chemical is specifically mentioned as a chemotactic substance for monocytes?
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During which phase of phagocytosis does the phagocyte plasma membrane extend to engulf the pathogen?
During which phase of phagocytosis does the phagocyte plasma membrane extend to engulf the pathogen?
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Which enzymes are involved in the digestion stage of phagocytosis?
Which enzymes are involved in the digestion stage of phagocytosis?
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What happens to the residual body after digestion in phagocytosis?
What happens to the residual body after digestion in phagocytosis?
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What is the role of macrophages in phagocytosis compared to neutrophils?
What is the role of macrophages in phagocytosis compared to neutrophils?
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What is one of the primary functions of the complement system?
What is one of the primary functions of the complement system?
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Which statement is true regarding the components of the complement system?
Which statement is true regarding the components of the complement system?
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Which of the following is NOT a characteristic of Natural Killer (NK) cells?
Which of the following is NOT a characteristic of Natural Killer (NK) cells?
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Which pathway of the complement system is the most specific?
Which pathway of the complement system is the most specific?
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What role do lysozymes play in the oxygen-independent killing mechanism?
What role do lysozymes play in the oxygen-independent killing mechanism?
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What happens to the complement's lytic activity when heated to 56 ºC for 30 minutes?
What happens to the complement's lytic activity when heated to 56 ºC for 30 minutes?
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Which of the following effector molecules is responsible for depriving pathogens of iron?
Which of the following effector molecules is responsible for depriving pathogens of iron?
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How are the fragments of complement components designated when cleaved?
How are the fragments of complement components designated when cleaved?
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What type of pathogens does Mannose-binding Lectin (MBL) primarily bind to?
What type of pathogens does Mannose-binding Lectin (MBL) primarily bind to?
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Which complement pathway is characterized by being antibody-dependent?
Which complement pathway is characterized by being antibody-dependent?
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What is the primary role of C3b during complement activation?
What is the primary role of C3b during complement activation?
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Which statement accurately describes the role of regulatory proteins in complement activation?
Which statement accurately describes the role of regulatory proteins in complement activation?
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What is the mechanism by which lysozyme acts on bacteria?
What is the mechanism by which lysozyme acts on bacteria?
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Which type of interferon is primarily produced by T cells and NK cells?
Which type of interferon is primarily produced by T cells and NK cells?
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Which consequence of complement activation leads to the formation of a membrane attack complex (MAC)?
Which consequence of complement activation leads to the formation of a membrane attack complex (MAC)?
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Which type of carbohydrate does mannose-binding lectin bind to on pathogens?
Which type of carbohydrate does mannose-binding lectin bind to on pathogens?
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What is the primary role of acute-phase proteins in the body?
What is the primary role of acute-phase proteins in the body?
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Which of the following proteins is considered a positive acute-phase protein?
Which of the following proteins is considered a positive acute-phase protein?
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How does the innate immune system differ from the adaptive immune system in terms of specificity?
How does the innate immune system differ from the adaptive immune system in terms of specificity?
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Which characteristic is NOT associated with the adaptive immune system?
Which characteristic is NOT associated with the adaptive immune system?
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What type of cells are primarily involved in the adaptive immune response?
What type of cells are primarily involved in the adaptive immune response?
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What is the approximate time frame for the adaptive immune response to become fully effective?
What is the approximate time frame for the adaptive immune response to become fully effective?
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Which feature is common to both the innate and adaptive immune systems?
Which feature is common to both the innate and adaptive immune systems?
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What is a major cytokine secreted by local inflammatory cells?
What is a major cytokine secreted by local inflammatory cells?
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Study Notes
Immunology (Second Line of Host Defense)
-
Second Line of Host Defense Components:
- Fever
- Inflammation
- Phagocytosis
- Natural killer cells
- Antimicrobial Substances:
- Complement
- Interferons
- Lysozymes
- Acute phase proteins
Fever
- Definition: A systemic non-specific response to infection.
-
Pyrogen Sources:
- Exogenous: LPS, pathogens, foreign cells, vaccines.
- Endogenous: Interleukin-1 (IL-1 and 6) and Tumor necrosis factor (TNF-α).
- Mechanism: Monocytes, neutrophils, and macrophages reset the hypothalamus (in the brain) thermostat to a higher setting.
- Significance: Low-grade fever (38-38.5°C) is an effective defense against disease.
Inflammation
- Mechanism of Action: When pathogens cross skin/mucous membranes into the body, injury to tissues and histamine release initiates this response.
- Key Players: Mast cells (primarily), and then basophils, are the major histamine producers.
Pro-Inflammatory Cytokines
- List: Tumor necrosis factor (TNF-α), Interleukin-1, Interleukin-6, Interleukin-8, Chemokines, Interferons.
Phagocytosis
- Definition: "Eat and cell," a process by white blood cells (monocytes/macrophages, neutrophils, and occasionally eosinophils and dendritic cells).
- Neutrophils: Predominate early in infections.
- Macrophages (Histiocytes): Fixed locations in tissues such as liver, nervous system, lungs, lymph nodes.
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Phagotic Cells (details):
- Macrophage: Monocytes that reside in tissues and organs. They can phagocytose, or secrete toxic substances for killing pathogens. They are also antigen-presenting cells (APCs).
- Monocyte: Functions in blood similar to macrophages in tissues, transforming into macrophages. Phagocytosis in tissues and organs, also APCs.
- Neutrophil: Phagocytosis and secretion of substances involved in inflammation.
- Dendritic Cell: Phagocytosis in tissues and organs, while being antigen-presenting cells (APCs). They link innate and adaptive immune responses.
Origin of Phagocytic Cells (Macrophages, Neutrophils, and Eosinophils)
- Origin: Myeloid and Lymphoid stem cells.
Cellular Elements of Blood
- Cell Type | # Cells/mm³ | Function
- Erythrocytes (RBC) | 4.8-5.4 million | Carry O2 and CO2
- Leukocytes (WBC) | 5000-9000 | Various (including phagocytosis, antibody production)
- Granulocytes | |
- Neutrophils (Microphage) | 70% WBC | Phagocytosis
- Basophils | 1% | Produce histamine
- Eosinophils | 4% | Toxins against parasites, some phagocytosis
- Agranulocytes | |
- Monocytes (Macrophages) | 5% | Phagocytosis
- Lymphocytes | 20% | Antibody production and cell-mediated immunity
- Platelets | 300,000 | Blood clotting
Stages of Phagocytosis
- Chemotaxis: Phagocytes attracted to infection site by chemical factors from microbes, damaged tissues and inflammatory cells.
- Adherence: Phagocyte plasma membrane adheres to pathogen/foreign material. Bacterial capsules can inhibit adherence. Opsonization (coating) with opsonins enhances adherence (antibodies and complement proteins).
- Ingestion (Endocytosis): Phagocyte extensions (pseudopods) engulf the microbe, enclosing it in a phagosome.
- Digestion: Phagosome fuses with a lysosome forming a phagolysosome. Lysosomal enzymes kill microbes (e.g., lysozymes, lipases, proteases, RNAses, DNAses) within minutes.
- Exocytosis: Undigested material is discharged
Natural Killer (NK) Cells
- Description: Large granular lymphocytes (LGL).
- Function: Kill virus-infected and tumor cells. They secrete cytokines such as IFNγ and TNFα.
- Activation: Activated by IL-2 and IFN-γ to become Lymphokine Activated Killer (LAK) cells.
5.a. Complement
- Definition: A large group of serum proteins (around 30 types).
- Functions: Lysis of foreign cells, inflammation, and phagocytosis.
- Inactivation: Lytic activity is destroyed upon heating at 56°C for 30 minutes.
- Origin: Produced mainly by hepatocytes, monocytes, and epithelial cells (GI & Genitourinary tracts)
-
Complement Components (Nomenclature):
- Many are proenzymes (zymogens) until activated.
- Named with capital letters (C1, C2...), with cleaved fragments having small letters (C3a, C3b).
Complement Pathways
- Classical Pathway: Antibody-dependent, most specific, using C1.
- Lectin Pathway: Some specificity, using mannose-binding protein to bind C4.
- Alternative Pathway: Non-specific, auto-activation of C3.
Mannose-binding Lectin (MBL) Pathway
- MBL Function: Binds to carbohydrates (D-mannose and L-fucose) on pathogen surfaces (e.g., bacteria, yeasts, viruses, parasites).
Consequences of Complement Activation
- Cytolysis: Formation of the Membrane Attack Complex (MAC) creates lesions in microbial membranes.
- Inflammation: Complement components (C3a) trigger histamine release, increasing vascular permeability.
- Opsonization: Complement components (C3b) bind microbial surfaces enhancing phagocytosis.
- Inactivation of Complement: Regulatory proteins prevent damage to host cells.
5.b. Interferons
- Description: Antiviral proteins.
- Functions: Interfere with viral replication, important in acute/short-term infections.
- Specificity: Host-specific but not virus-specific.
-
Types:
- Type I (α, β): Produced by lymphocytes and macrophages (α), fibroblasts and epithelial cells (β).
- Type II (γ): Produced by T cells and NK cells.
5.c. Lysozyme
- Description: An antimicrobial enzyme in the innate immune system.
- Function: A glycoside hydrolase that catalyzes the hydrolysis of 1,4-beta-linkages between N-acetylmuramic acid and N-acetyl-D-glucosamine residues in peptidoglycan, a major component of Gram-positive bacterial cell walls causing bacterial lysis.
- Location: Abundant in secretions like tears, saliva, human milk, and mucus; also in macrophage and neutrophil cytoplasmic granules.
5.d. Acute-Phase Proteins
- Description: Proteins whose plasma levels change in response to inflammation.
- Functions: Fever, acceleration of peripheral neutrophil circulation, and repair from tissue damage.
- Mechanism: Local inflammatory cells (neutrophils and macrophages) release cytokines (IL-1, IL-6, IL-8, and TNF-α) into the bloodstream, stimulating the liver to produce various acute-phase proteins (ex: C-reactive protein).
Innate Immunity vs. Adaptive Immunity
- Innate: Present from birth. Non-specific; rapid response; limited/lower potency; no immunological memory; includes physical and chemical barriers, phagocytes, leukocytes, dendritic cells, and NK cells.
- Adaptive: Developed in response to foreign exposure. Specific response to pathogens/antigens; slower response; high potency; immunological memory; involves B and T cells (cell-mediated and humoral).
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Description
Test your knowledge on the second line of host defense in immunology, including the roles of fever, inflammation, and phagocytosis. This quiz covers various components such as natural killer cells and antimicrobial substances like complement and interferons. Dive into how these mechanisms work together to protect the body against infections.