ARISTOTLE UNIVERSITY OF THESSALONIKI MEDICAL DEPARTMENT IOANNOY GEORGE PANTELI MICHALIS A.M. : 27284 A.M. : 27275 THESSALONIKI 2003-2004 2 Contents 1. The Immune System: An Overview The primary lymph organs The secondary lymph organs 2. The Immune System: Diseases, disorders or problems that may occur AIDS Leukemia Allergies 3. The Immune System: How to maintain a healthy system Keep the body Alkaline Supplements 4. List of Medical Words 5. List of Academic Words 6. Bibliography and Resources 3 The Immune System: An Overview Immune system are called the organs responsible for immunity. These organs are divided into primary and secondary lymphoid organs. The primary lymphoid organs are: 1. Thymus 2. The bone marrow The secondary lymph organs are: 1. The lymph nodes 2. The lymphoid aggregates, which are: The spleen Tonsils Gastrointestinal lymph tissue Payer’s patches The immune system is very complex. Vitamins and minerals are important components of many of the chemical messengers produced by immune cells. Basically, there are two parts of the immune system; one is called the humoral immune system and the other is called the cellular immune system. The humoral part is responsible for the production of antibodies and memory (acquired immunity) and the cellular part (natural immunity) protects without prior exposure to foreign substances. The other side, the natural or innate system includes, skin, mucous membranes, complement, phagocytes, and macrophage-derived cytokines (chemicals from cells). The Phagocytes make up the second major cell population of the immune system. The macrophage is a principle form of phagocyte. In the 1970's it was observed that macrophages infiltrate tumors and speculated that this infiltration was the first line of defense against metastatic spread. Tumor associated macrophages have been identified in several species and there is little doubt that the macrophage plays an important role in the host-tumor relationship. Since macrophages infiltrate tumors it is likely that they are the first line of defense against the spread of tumors. These cells take up other particles and foreign invaders such as microbes and represent the clearest example of cells that are critical for natural immunity (they also play a role in acquired immunity). Macrophages are one of the principal cell types involved in natural immunity, they swallow-up foreign particles and destroy or process them. These cells release enzymes and other substances that kill microbes and tumor cells and control the spread of infection. Often the release of these chemicals can damage normal tissues in the immediate area, leading to inflammation. 4 Macrophages produce chemicals that signal other immune cells to the site of infection and produce such effects as fever. Macrophages also produce growth factors for cells that repair injured tissues. These cells do play various important roles in the progression of acquired immune responses as well. Bacteria are capable of growing outside of cells, in circulation, in connective tissue and in spaces and airways in the human body. These microorganisms can cause disease in two basic ways. First, they induce inflammation that damages surrounding tissue. Second, bacteria produce toxins with differing effects. Such toxins may be endotoxins, which are parts of the broken bacterial cell wall, or exotoxins, which the bacteria make and release.One type of endotoxin, a polysaccharide (similar to beta glucan) called lipopolysaccharide or LPS is a potent stimulator of immune cells. Immune cells respond to LPS in an effort to eliminate the bacteria producing it. Because bacteria and tumor cells are rapidly killed by macrophages and the resistance of bacterial and tumor cells to phagocytosis is an important factor in how successful they are. Both cell types succeed by multiplying rapidly and overwhelming the immune system. For bacteria, toxins such as LPS are released as old bacteria die, and these stimulate the production of chemicals by macrophages that end up destroying the bacteria that released the toxin. Both nutrient and non-nutrient compounds have been shown to affect the immune system. Beta glucan polysaccharides are capable of stimulating macrophages (and other immune cells) and are capable of acting as dietary immunological response modifiers. Beta glucan carries a rating from the FDA, Generally Regarded As Safe (GRAS), which means that there is no known toxicity for an oral dose of the purified form. There is much evidence in scientific literature over the past 70 years indicating that beta glucan stimulates the macrophage to engulf foreign particles more efficiently, fight the growth and spread of tumors and is effective as a preventive treatment in promoting health. 5 The primary lymph organs 1. Thymus Thymus is a bilobed organ in the root of the neck, above and in frond of the heart. The thymus is enclosed in a capsule and directed internally by cross walls into many lobules, each full of T-lymphocytes (are white blood cells associated with antibody production). In relation to body size the thymus is larger at birth. It doubles in size by puberty, after which it gradually shrinks, its functional tissue being replaced by fatty tissue. In infancy the thymus controls the development of lymphoid tissue and the immune response to microbes and foreign proteins (accounting for allergic response, autoimmunity and the rejection of organ transplant). T-lymphocytes migrate from the bone marrow to the thymus, where they mature and differentiate until activated by antigen. 2. Bone marrow The bone marrow is the tissue contained within the internal cavities of the bone. At birth, these cavities are filled entirely with blood-forming myeloid tissue (red marrow) but in later life the marrow in the limp bones is replaced by fat (yellow marrow). 6 The secondary lymph organs 1. The lymph node The lymph node is one of a number of small swellings found at intervals along the lymphatic system. Group of nodes are found in many parts of the body; for example, in the groin and armpit and behind the ear. They are composed of lymphoid tissue and act as filters for the lymph, preventing foreign particles from entering the bloodstream; they also produce lymphocytes. 2. Lymphoid aggregates i. The spleen The spleen constitutes the largest concentration of lymphoid tissue in the body. Because of the large amount of phagocytes and the close relation to the circulatory system the spleen becomes a major defense against invading microorganisms. It is the decomposing station of aging erythrocyte. White cells are also produced in the spleen and then enter the bloodstream. The spleen reacts against antigens carried in the bloodstream, consisting a major immunological filter of the blood which produces antibodies. ii. Tonsils Tonsil is a mass of lymphoid tissue on either side of the bect of the mouth. It is concerned with protection against infection. The term usually refers to either of the palatine tonsils, but below the tongue is another pair, the lingual tonsils. iii. Gastrointestinal lymph tissue The gastrointestinal lymph tissue contains large numbers of lymph nodes spread over the gastrointestinal tube. Their purpose is to prevent foreign particles from entering the bloodstream and producing lymphocytes. iv. Payer’s patches Payer’s patches are composed by large concentrations of lymph follicles. Their number and growth depends by age. They consists a defensive wall against any disease causing factors entering from the large intestine. 7 The Immune System: Diseases, disorders or problems that may occur 1. AIDS AIDS (acquired immune deficiency syndrome) is a condition caused by a virus called HIV. This virus attacks the immune system, the body's "security force" that fights off infections. When the immune system breaks down, you lose this protection and can develop many serious, often deadly infections and cancers. These are called opportunistic infections, because they take advantage of the body's weakened defenses. You have heard it said that someone "died of AIDS." This is not entirely accurate, since it is the opportunistic infections that cause death. AIDS is the condition that lets them take hold. The most common opportunistic infections are the following: 1.PCP (Pneumocystis carinii pneumonia) a lung infection 2.KS (Kaposi’s sarcoma) a skin cancer 3.CMV (Cytomegalovirus) an eye infection 4.Candida a fungal infection HIV is a virus, like the flu or cold. A virus is really nothing but a set of instructions for making new viruses, wrapped up in some fat, protein and sugar. Without living cells, a virus can't do anything – it's like a brain with no body. In order to make more viruses (and to do all of the other nasty things that viruses do), a virus has to infect a cell. HIV mostly infects T-cells, also known as CD4+ cells, or T-helper cells. These cells are white blood cells that turn the immune system on to fight disease. Once inside the cell, HIV starts producing millions of little viruses, which eventually kill the cell and then go out to infect other cells. The virus may be passed from one person to another when infected blood, cemen or vaginal secretions come in contact with an uninfected person’s broken skin or mucus membranes. Pregnant women can also infect their children through pregnancy, delivery or even breast-feeding. 8 2. LEUKEMIA Leukemia is a cancer of the early blood-forming cells. Usually, the leukemia is a cancer of the white blood cells, but leukemia can involve other blood cell types as well. In most cases, the marrow produces too many immature white blood cells called blasts that are abnormally shaped and cannot carry out their usual duties. This explains why the disease is called "leukemia," which literally means "white blood". An accumulation of immature cells in the bone marrow and blood occurs. Anemia normally develops in all leukemia patients while the lack of mature white blood cells leaves the individual unable to fight infections. When there is a decreased number of platelets, there will be bruising and easy bleeding. Leukemia starts in the bone marrow and then spreads to the blood. From there it can go to the lymph nodes, spleen, liver, central nervous system (the brain and spinal cord), testes (testicles) or other organs. 3. ALLERGIES Allergies are an immune system reaction to a typically harmless substance. The immune system is always fighting off parasites, fungi, viruses and bacteria. Sometimes your immune system, on the other hand, will treat a harmless substance (called an allergen) as an unwanted invader and try to fight it. This overreaction of the body's immune system to a typically harmless substance is called an allergic reaction. When you inhale, allergens enter your body through your nose, mouth and lungs and can trigger an allergic reaction. Certain substances, or allergens, that surround you everyday can trigger annoying symptoms (sneezing, coughing, itchy nose-throat, red-itchy eyes). When your body comes in contact with allergens, your immune system overreacts and causes you to have these symptoms. 9 The Immune System: How to maintain a healthy system A. Keep the body Alkaline 1. Eat plenty of fruits and vegetables. Generally speaking - fresh fruits and vegetables are alkaline forming, while starches and proteins are acid forming. The good news is that the more physically active you are the more acid-forming foods your body can handle. 2. Eat whole, natural foods. As much as possible eat fresh, in season, organically grown. Eat most food raw or slightly steamed with an emphasis on green leafy vegetables. 3. Chew food well - saliva alkalinizes food. 4. Eat whole grains that have been germinated. Germination makes them more alkaline, easier to digest, and increases protein and enzyme content. 5. Get adequate rest. 6. Exercise. 7. Drink pure water. 8. Get fresh air. Things to avoid 1. Refined sugar. 2. Refined, chemicalized, stale, and overcooked foods. 3. Poisons such as drugs, vaccines, insecticides. 4. Coffee, tobacco, alcohol. B. Supplements All of necessary vitamins and minerals needed for a healthy life are available through good nutrition. 1. Vitamins C, A, E, B complex. 2. Minerals zinc, calcium, magnesium, iodine, iron, and selenium. 3. Herbs such as garlic, alfalfa, echinacea, yarrow, gingerroot, cayenne, and taheeboo. 4. Lemons. A special mention for Dairy Products The elimination of dairy products for the elimination of childhood diseases is mentioned by many writers and teachers such as macrobiotic and Natural Hygiene schools of thought. It’s not so much the total elimination of dairy that will promote a healthy lifestyle but the elimination of adulterated dairy products - pasteurized, homogenized and chemicalized. 10 List of Medical Words A/A TERM Example in Context information Definition When you inhale, Noun An antigenic substance capable of allergens enter producing immediate type your body… hypersensitivity reaction (allergy). …associated with Noun Substance formed in the blood in antibody response to harmful bacteria production… … until activated Noun Substance which, when is put into the by antigen. body causes it to produce antibodies 1. Allergen 2. Antibody 3. Antigen 4. Autoimmunity …autoimmunity and the rejection of organ transplant… Bacteria Bacteria are capable of growing outside of cells… Blood … immunological filter of the blood... 5. 6. Word class Dictionary Noun Noun Noun Greek Translation Αλεργιογόνο Αντίσωμα Αντιγόνο A condition in which an individual's Αυτοανοσία immune system starts reacting against his or her own tissues, causing diseases such as lupus Bacteria are small (linear dimensions Βακτήρια of around 1 m), no compartmentalised, with circular DNA and ribosomes of 70S. Considered a circulating tissue Αίμα composed of a fluid portion (plasma) with suspended formed elements (red blood cells, white blood cells, platelets). An alteration in the state of the body Ασθένεια or of some of its organs, interrupting or disturbing the performance of the vital functions, and causing or threatening pain and weakness A triglyceride (lipid) that is usually Λίπος solid at room temperature 7. Disease … can cause disease in two basic ways… Noun 8. Fat Noun 9. Heart … the marrow in the limp bones is replaced by fat… … in frond of the heart. Noun A hollow, muscular organ, which, by Καρδία contracting rhythmically, keeps up the circulation of the blood. "Why does my blood thus muster to my heart!" Immune system are called the organs… Noun The body system, made up of many organs and cells, that defends the body against infection, disease and foreign substances. It is often stimulated in specific ways to fight cancer cells. 10. Immune System Ανοσοποιητικό Σύστημα 11 11. Infection … control the spread of infection Noun 12. Lymph … act as filters for the lymph... Noun …swellings found at intervals along the lymphatic System system… 14. Microorganism These microorganisms can cause… Noun 15. Organ These organs are divided… Noun 16. Phagocyte The Phagocytes make up… …acquired immune deficiency syndrome… …in connective tissue... …is a condition caused by a virus... Noun Vitamins and minerals are important components… Noun 13. Lymphatic 17. Syndrome 18. Tissue 19. Virus 20. Vitamin Noun Noun Noun Noun Invasion and multiplication of Μόλυνση microorganisms in body tissues, which may be clinically unapparent or result in local cellular injury due to competitive metabolism, toxins, intracellular replication or antigen antibody response. The almost colourless fluid that bathes Λέμφος body tissues and is found in the lymphatic vessels that drain the tissues of the fluid that filters across the blood vessel walls from blood. Lymph carries lymphocytes that have entered the lymph nodes from the blood. The tissues and organs that produce Λεμφικό and store cells that fight infection and the network of vessels that carry Σύστημα lymph. A microscopic organism, those of Μικροοργανιmedical interest include bacteria, σμός viruses, algae, fungi and protozoa A natural part or structure in an animal Όργανο or a plant, capable of performing some special action (termed its function), which is essential to the life or wellbeing of the whole. A cell that is capable of phagocytosis Φαγοκύτταρο A set of signs or a series of events occurring together that often point to a single disease or condition as the cause. A group of similar cells united to perform a specific function. Viruses are obligate intracellular parasites of living but noncellular nature, consisting of DNA or RNA and a protein coat. An essential low molecular weight organic compound required in trace amounts for normal growth and metabolic processes. They usually serve as components of coenzyme systems. Σύνδρομο Ιστός Ιός Βιταμίνη 12 List of Academic Words A/A TERM Example in Word class Dictionary Greek 1. Accurate Context information Definition This is not entirely Adjective Free from error accurate… Translation Ορθός 2. Chemical 3. Complex 4. Component …many of the chemical messengers produced by immune cells… The immune system is very complex. … minerals are important components… 5. Compound Both nutrient and non-nutrient compounds… Noun 6. Differentiate …they mature and differentiate until activated… Verb 7. Factor Macrophages also produce growth factors for cells… Noun 8. Mature Verb Of or pertaining to a condition of full development. 9. React … they mature and differentiate until activated… The spleen reacts against antigens… Verb To return an impulse or impression; to Αντιδρώ resist the action of another body by an opposite force; as, every body reacts on the body that impels it from its natural state. Adjective A substance composed of chemical elements or obtained by chemical processes. Χημικός Adjective Complicated, not simple. Περίπλοκος A constituent element or part, specifically in neurology, a series of neurons forming a functional system for conducting the afferent and efferent impulses in the somatic and splanchnic mechanisms of the body. A material made up of two or more elements. Συστατικά Noun Σύνθετος The process cells undergo as they Διαφοροποιούmature into normal cells. Differentiated μαι cells have distinctive characteristics, perform specific functions and are less likely to divide. Any of several substances or activities Παράγοντας that are necessary to produce a result, for example a coagulation factor. Ωριμάζω 13 Bibliography and Resources http://www.allergyactionplan.com/allergy101.html http://www.ivillagehealth.com/conditions/autoimmune/articles/0,,165874_1265 36,00.html http://www.cancer.ca/ccs/internet/standard/0,2939,3172_10175_273209_lang Id-en,00.html http://www.stopgettingsick.com/Conditions/condition_template.cfm/2201/75/1 #1 http://seattlecca.org/patientsandfamilies/adultCare/clinicalProgs/leukemia/pati entEdu/WhatisLeukemia.htm http://www.online-medical.dictionary.org http://cancerweb.ncl.ac.uk/omd/ http://www-micro.msb.le.ac.uk/224/Bradley/Bradley.html http://www.bl.uk Αρχές Βιοχημείας ΙΙΙ, Geoffrey L. Zubay – William W. Parson – E. Vance Βασική Ιστολογία Ι, Luiz Carlos Junqueira, Josi Carneiro Ιστολογία – Εμβρυολογία του Ανθρώπου, Χρύση Κεραμέως – Φόρογλου Dorland’s Medical Dictionary Oxford Medical Dictionary Oxford English-Greek Learner’s Dictionary