Epithelial barriers, such as skin and mucosal membranes, prevent pathogen entry into the body's interior
Epithelial layers produce protective substances like acidic pH, enzymes, binding proteins, and antimicrobial peptides
Skin produces an antimicrobial peptide called Psoriasin that kills Gram-negative microbes
Anti-Microbial Peptides:
Short, cationic peptides made by neutrophils and some epithelial cells
Interact strongly with acidic phospholipids and form pores in membranes
Differentially active against different micro-organisms
Barrier breach results in immune activation
Innate immune system receptors recognize threats
Pattern recognition receptors (PRRs) bind and target invaders for clearance
Ligands for PRRs are pathogen-associated molecular patterns (PAMPs) and damage-associated molecular patterns (DAMPs)
Immune cascades are initiated
Pattern Recognition Receptors:
Toll-like Receptors (TLRs) recognize many types of pathogen molecules
TLRs bind PAMPs and DAMPs
TLR binding of PAMPs activates signaling pathways
PRR signaling pathways activate expression of genes like antimicrobial peptides, Type I interferons, cytokines, chemokines, enzymes, and more
Complement system is a complex group of over 30 proteins that work together to lyse targets
Complement is made in the liver
Complement in combination with antibodies eliminates bacteria, viruses, and other pathogens
Complement operates as a cascade mechanism with multiple outcomes
Complement accelerates the uptake of foreign substances by phagocytic cells through opsonization
Opsonization promotes phagocytosis by binding to antigens
Major pathways of complement activation converge at the formation of the C5 convertase
The complement system must get the Membrane Attack Complex (MAC) to the right place to disrupt osmotic integrity and result in cell death
MAC forms pores in target cell membranes
The right place for MAC is the surface of foreign substances, while the wrong place is any healthy normal cell of the body
The classical pathway of complement activation is initiated by antibody binding, where IgM or IgG binds to a multivalent antigen, allowing the binding of C1q
Innate immunity is the frontline of immunity and depends on the recognition of general pathogen molecules
Responses include phagocytosis, triggering of inflammatory responses, direct destruction by natural killer cells, and initiation of adaptive immune responses
The complement system links innate and adaptive immune responses