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Immunology
4- Barriers to innate immunity
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Cytokines
Small soluble polypeptides that pass signals
Hematopoietic stem cells
(HSCs)
Play role in both
immune systems
and
hematopoiesis
Examples:
Interleukins
,
interferons
,
TNF
Chemokines
Type of cytokine
Chemokines
Send
'come here'
message necessary to recruit cells to their correct places
Bind chemokine receptors
(usually
G-protein coupled receptors
)
Chemokines
are part of the
first
part of the
immune response
(happens before even seeing a pathogen)
Hematopoietic stem cells (HSCs)
Found in
bone marrow
Can
self-replicate
/
regenerate
Pluripotent
: can become many different kinds of cells
Will lay
dormant
until necessary
Hematopoiesis
Highly regulated process
to make all the
blood cell types
Hematopoiesis development
Needs the right microenvironments
Cytokines
: for
homing
and
development
(
stromal cells
)
CSF
:
distinct cytokines-required
at
specific stages
and can
determine cell lineage
Hematopoiesis
development
1.
C-kit ligand
binds to
c-kit receptor
2. Allows
stem cells
to respond to other
CSFs
See
diagram
!
Physical barriers of innate immunity
Skin:
Epidermis
(many layers, tightly packed epithelial cells, Keratinocytes, Langerhans (dendritic))
Dermis:
connective tissue
,
macrophage
,
dendrites
,
mast cells
Sebum:
oily
/
waxy barrier
on skin with some
antimicrobial properties
Pathogens need to overcome the
physical barrier
to be effective
Ways pathogens can overcome physical barriers
Open wounds
Pathogen evolution
Secretions that digest skin
Vector
(like mosquito bite)
Mucosal
tissue
Things like
lungs
,
intestines
; huge amount of
surface area
and only
one layer
of
epithelium
so very easy to get
Permeable barrier
: allows for
gas exchange
but in this case-
BAD
Infections
of
mucosal
tissue
C.diff
Treatment for C.diff
1.
Vancomycin
(4/day, 14 days)
2.
Bowel lavage
3.
Fecal transplant
C.diff
is common to
reoccur
because
spores
in
gut
,
antibiotics
get
less effective
Long term use of antibiotics
allows for the
C.diff
infection