Questions What are the various adaptations of pathogens that help them to survive in the host body?
Answer
Adaptations
May have hooks for attachment
Developments to survive the pH of gut
High reproductive potential
Ability to evade immunological responses of the host
What are the common modes of transmission of pathogens?
How can vector borne infections be controlled?
Modes of transmission
Avoid these routes
How important is the maintenance of personal and social hygiene for prevention of diseases?
“Our habits can save us from many diseases.“Justify this statement with examples
Immunity
Innate
Acquired
Present since birth
Mainly conferred by various barriers
Depends on genetic factors
It is non specific defense system
Physical barriers:
Physiological barriers
Cellular barriers
Cytokine barriers
Desquamation, (shedding), dislodges organisms that have adhered to the surface of the body and are awaiting entry
Inability of the epidermis to retain moisture. Pathogens are killed or inactivated on the skin by desiccation
Lactic and fatty acids in sweat and sebaceous secretions are directly bacteriocidal.
The respiratory, GI and urogenital tracts are lined with a layer of adhesive mucus that can entrap microbes
Contains antimicrobial proteins such as defensins, lysozyme, and surfactants.
Mucous itself is acidic and indigestible
Chemical barriers
Antimicrobial peptides: produced by skin and respiratory tract
Enzymes: lysozyme and phospholipase A2 in saliva, tears, and breast milk
Vaginal secretions are slightly acidic, while semen contains defensins and zinc to kill pathogens
Gastric secretionsgastricacid and proteases
Phagocytes - include macrophages, neutrophils, and dendritic cells
Polymorphonuclear neutrophils are so called because of the varying shapes of the nucleus, which is usually lobed into three segments
Natural Killer Cells Do not directly attack invading microbes They destroy compromised host cells such as tumor cells or virus-infected cells
Cytokines
Induce, Regulate and Coordinate the innate and adaptive immune responses
Develops during life time
Pathogen specific
Has memory
Mainly conferred by lymphocytes
Responsible for the destruction of foreign particles once they have entered the body
Not as good as the innate immune system for keeping out things that it has never encountered before
Before it has seen a foreign particle, it is actually quite ignorant about how to destroy it
During the first exposure to an invader, the acquired immune system must learn how to attack and destroy the foreign particle
Once the acquired immune system has created a response, however, a protective response can be made more quickly and with greater force, allowing it to protect the body from harm
Lymphoid organs
Tissues & cells
Antibodies
Lymphocytes
Primary - $\rarr$ Immaturel differentiate here $\rarr$ bone marrow $\rarr$ thymus
Secondary - $\rarr$ Sites for interaction of lymph antigens $\rarr$ spleen, lymph node, tonsils, peyer’s patches
Lymph nodes
Trap the microbes and other antigens which are present in the lymph or the tissue fluid
They contain B- and T-cells, and also macrophages
Spleen
Body’s largest lymphatic organ
Facilitates immune responses to blood borne antigens
Acts as filter of the blood
Also eliminates worn-out blood cells and platelets
Contains lymphocytes and phagocytes
Malt
Mucosa Associated Lymphoid Tissue(MALT)
Makes up 50% of lymphoid tissue
Tissue fluid is filtered by it
Found close to moist epithelial surfaces e.g mucous membranes of the digestive, respiratory and reproductive systems
Mucosa Associated Lymphoid Tissue
Memory
When body encounters a pathogen for the first time, a response is produced, called Primary Response
It is of low intensity
Subsequent encounter with same pathogen elicits a highly intensified Secondary/ anamnestic response
Antigen = Antibdy generating
$\uparrow$
B cells
$\downarrow$
Antibodies highly specific
Can bind to viruses or bacteria, which interferes with the chemical interactions required for them to infector bind to other cells
May create bridges between different particles containing antigenic sites, clumping them all together and preventing their proper functioning
Opsonize pathogen cells, wherein they mark them for destruction by phagocytes, such as macrophages or neutrophils
The neutralized antibody-coated pathogens can then be filtered by the spleen to be eliminated in urine or feces
Stimulate inflammation, while their presence in mucus and on the skin prevents pathogen attack
Antigen $\rarr$ Antibodies
The cell-mediated response involves mostly T cells
Responds to any cell that displays markers (i.e. antigens), including cells invaded by pathogens, tumor cells, or transplanted cells
Antigens
Cells displaying foreign antigens bind to T cells
Activation of T cells
Proliferation of T cells according to the type of antigen
Cytotoxic T cells destroy the antigen producing cells
Helper T Cells stimulate production of antibodies
Antigen(cancel) = Antibdy generating
B cells $\uparrow$ + T cells
Antibodies highly specific. H2,L2
Passive immunity
Gained by use of pre formed antibodies
Active immunity
Principle - memory of immune system
History
Buddhist monks drank snake venom to confer immunity to snake bite
Variolation (smearing of a skin tear with cowpox to confer immunity to smallpox) was practiced in 17th century China
Edward Jenner is considered the founder of vaccinology in the West
In 1796, he inoculated a 13 year-old-boy with vaccinia virus (cowpox), and demonstrated immunity to smallpox
In 1798, the first smallpox vaccine was developed
Antigenic proteins/atteneuated pathogen injected in the body
Antibodies produced by the hostalong withmemory cells
On actual exposure highly intensified immune response generated
Newer, safer and cheaper vaccines being made using rDNA technology Example hepatitis B vaccine from yeast
Exaggerated response of the immune system to certain antigens
Common allergens: normally harmless substances, such as pollens, foods, and house dust mite
Antibodies involved - IgE type
Caused by release of histamine and serotonin from mast cells
Symptoms sneezing, watery eyes, runny nose, difficulty in breathing
Treatment anti-histamines, adrenalin, steroids
Mast cells are present in tissues that are in contact with the external environment, including the skin, nose, eyes, mouth, throat, stomach and gut
IgE antibodies bind to the surface of mast cells which become ‘IgE-sensitised’
Now these cells can then identify particular allergens the next time they come in contact with the body
At this stage there are no physical symptoms of an allergy
The next time that the same allergen is encountered the mast cells identify it as an intruder and produce histamine and other chemicals
Failure of the body’s immune system to recognize its own cells and tissues as “self”
Instead, immune responses are launched against these cells and tissues as if they were foreign or invading bodies
Any disease that results from such an aberrant immune response is termed an autoimmune disease
Examples: include celiac disease, diabetes mellitus type 1, RA
WHY??
Genetic factors
Other causes still unknown
What are the differences between
1 Primary and Secondary Lymphoid organs
Innate and Acquired Immunity
Cytokines and Lysozyme as innate barrier
B cells and T cells
CMI and Humoral Immunity
Graft rejection and Autoimmunity
Active and Passive Immunity
Allergy and Autoimmunity