CHAPTER 24 – THE BODY’S DEFENSES AGAINST PATHOGENS STATE STANDARDS Standard 10.a. – The role of the skin is to provide nonspecific defenses against infection Standard 10.b. – Antibodies play a role in the body’s response to infection Standard 10.c. – Vaccination protects an individual from infectious diseases Standard 10.d. – There are important differences between bacteria and viruses with respect to their requirements for growth and replication, the body’s primary defenses against bacterial and viral infections, and effective treatments of these infections Standard 10.e. – Individuals with a compromised immune system may be unable to fight off and survive infections by microorganisms that are usually benign PATHOGENS PATHOGENS • • • Pathogens are disease causing agents They are usually microorganisms - Viruses – cold, influenza, HIV, SARS - Bacteria – E. coli, stomach ulcers, strep throat, MRSA - Fungi – ringworm, yeast infections - Protozoa – malaria - Parasites – trichinosis, round worm, tapeworm - Protein – BSA Mad Cow disease Bacteria and viruses are everywhere in nature, but only a few cause disease. PATHOGENS Pathogenic Bacteria • Some bacteria damage the bodies cells and tissues by breaking down the cells for food. • Other bacteria release toxins (poisons) that travel throughout the body interfering with the normal activity of the host. Pathogenic Viruses • Viruses can attack and destroy certain cells in the body, causing symptoms of the disease. • Other viruses cause infected cells to change patterns of cell/tissue growth and development. EVERYDAY STEPS TO PROTECT YOUR HEALTH • • • • • Cover your nose and mouth with a tissue when you cough or sneeze. Throw tissue in the trash after you use it. Wash your hands often with soap and water. Alcohol based hand cleaners are also effective. Avoid touching your eyes, nose or mouth. Germs spread this way. Try to avoid close contact with sick people. Cook food thoroughly. PREVENTING INFECTIONS • • • Sterilization (medical, tattoo, piercing equipment) Disinfectants/Antiseptics (bleach, “Lysol” type cleaners) - Chemicals that oxidize or inactivate the infecting organism - Useful in decontaminating surfaces with which the body may come into contact Food processing (canning and packaging hygienically) Preventing & Dealing with Infections Viral •Antiviral drugs: limit virus ability to replicate and infect new cells of your body –Ex: tamiflu, AZT Both •Immune response •Vaccine: a weakened form of pathogen immune system makes memory cells that remember how to fight off infection *over the counter medications like Tylenol and Nyquil treat the symptoms not the infection!!! Bacterial •Antibiotics: drugs that KILL bacteria by interfering with their growth and reproductive processes –Ex: penicillin, erythromycin TREATING BACTERIAL INFECTIONS - ANTIBIOTICS Antibiotics • Chemicals that inhibit (slow/stop) the growth of bacteria • Function by - reducing the number of bacteria or - slowing the growth rate of the population giving the body’s defenses time to fight the bacteria TREATING BACTERIAL INFECTIONS - ANTIBIOTICS • • Effective in treating bacterial infections only Ex: penicillin interferes with the growth of bacterial cell walls Also work by • Destroying bacterial cell walls (lysozyme) • Interfering with the function of the bacterial cell wall • Inhibiting the bacteria from synthesizing DNA, RNA, or proteins (erythromycin, streptomycin, tetracycline) • • Why doesn’t penicillin affect your cells? Why doesn’t penicillin affect a virus infection? ANTIBIOTIC RESISTANCE • • When a strain of bacteria is exposed to an antibiotic - the bacteria that are susceptible to the antibiotic die. - the ones that have genetic resistance survive and multiply. Complication: Antibiotics also kill beneficial bacteria (that live on and in you) that normally keep the harmful strains in check. THE BODY’S DEFENSES NONSPECIFIC DEFENSES AGAINST INFECTION • The body’s first lines of defense against pathogens are nonspecific - They do not distinguish one pathogen from another NONSPECIFIC DEFENSES – 1ST LINE OF DEFENSE Skin • Outer layer is a barrier of dead cells that most bacteria and viruses can’t penetrate. • Acids in sweat and oils inhibit growth of microorganisms. • Sweat contains lysozyme that attacks cell walls of bacteria. (Found in saliva and tears, too) NONSPECIFIC DEFENSES – 1ST LINE OF DEFENSE Digestive system Stomach acid kills most bacteria swallowed in food Respiratory system • Hairs in nostrils filter air. • Mucus in respiratory tubes trap microorganisms • Cilia sweep mucus up and out NONSPECIFIC DEFENSES – 2ND LINE OF DEFENSE – INTERNAL DEFENSES Internal defenses • When an invader penetrates the body’s external barriers, a set of nonspecific internal defenses that depend mostly on white blood cells acts as a second line of defense. 2ND LINE OF NONSPECIFIC DEFENSES Figure 24.4 2ND LINE OF NONSPECIFIC DEFENSES - WBC Types of white blood cells (WBC) • Macrophages – large cells that move in the interstitial fluid and “eat” any bacteria and virus-infected cell they come in contact with • Neutrophils and monocytes – engulf bacteria and viruses in infected tissues • Natural killer cells – attack cancer cells and infected body cells 2ND LINE OF NONSPECIFIC DEFENSES Chemical Warfare 1. Interferons Virus infects cell & then the infected cell produces and releases interferon molecules to warn neighboring cells of viral infection Interferon binds to healthy cell, activating antiviral protein production -What do you think happens when virus tries to infect this cell ? 2. Complement Proteins • Found in blood in inactive form. • Activated by immune system or microbes. • Make microbes easier to engulf by macrophages. • Or cut lethal holes in membranes of microbes. INFLAMMATORY RESPONSE – NONSPECIFIC RESPONSE TO INJURY Figure 24.6 INFLAMMATORY RESPONSE • • • • Can be local… like getting a splinter - Or Widespread due to severe tissue damage or infection Increase in the number of white blood cells Cells release Pyrogens (“firemakers”), chemicals that tell your brain’s thermostat to turn up the temperature. • Causing a fever! 103oF/39.4oC • Will this reduce viral replication or bacterial growth? THE LYMPHATIC SYSTEM • • • The lymphatic system is a network of lymphatic vessels and organs It returns tissue fluid to the circulatory system It fights infections • Lymph nodes can become infected during this war LYMPHATIC SYSTEM Lymph nodes are key sites for fighting infection • They are packed with lymphocytes and macrophages Masses of lymphocytes and macrophages Outer capsule of lymph node Macrophages Lymphocytes Figure 23.3C, D SPECIFIC DEFENSES – THE IMMUNE SYSTEM The Immune System • Recognizes and defends against invading microbes and cancer cells • When detects an antigen increases the number of cells that either - Attack the antigen directly - Produce defensive proteins, antibodies SPECEFICE DEFENSES – THE IMMUNE SYSTEM The immune system • Is very specific • Has memory - remembers antigens it has been exposed to - reacts against the antigens more quickly and more vigorously RECOGNIZING THE INVADERS - LYMPHOCYTES Lymphocytes • are white blood cells found most often in the lymphatic system • produce the immune response • originate from stem cells in the bone marrow RECOGNIZING THE INVADERS - LYMPHOCYTES • • Human body has 2 trillion WBC produced by stem cells in bone marrow Two kinds of lymphocytes carry out the immune response • • B cells secrete antibodies that attack antigens T cells attack cells infected with pathogens THE IMMUNE RESPONSE THE IMMUNE RESPONSE THE CELL MEDIATED IMMUNE RESPONSE In the cell-mediated immune response T cells fight pathogens that have already entered body cells Helper T cells • help activate cytotoxic T cells and macrophages • stimulate B cells to produce antibodies Cytotoxic T cells • Attack body cells infected with pathogens • CELL-MEDIATED IMMUNE RESPONSE Cytotoxic T cells are the only T cells that actually kill other cells CELL MEDIATED IMMUNE RESPONSE • • Cytotoxic T cells may attack cancer cells The surface molecules of cancer cells are altered by disease HUMORAL IMMUNE RESPONSE B cells secrete specific antibody proteins as a form of defense against given identified antigen*. *antigen could be from the surface of a cancer cell, virus, bacteria, or other pathogen… • The variable region of the Antibody that allows it to Bind onto only 1 specific type of antigen ANTIBODIES MARK ANTIGENS FOR ELIMINATION Binding of antibodies to antigens inactivates antigens by Neutralization (blocks viral binding sites; coats bacterial toxins) Agglutination of microbes Precipitation of dissolved antigens Complement molecule Bacteria Virus Antigen molecules Bacterium Enhances Phagocytosis Activation of complement Foreign cell Hole Leads to Cell lysis Macrophage Figure 24.11 ANTIBODIES MARK ANTIGENS FOR ELIMINATION Antibodies • Bind to a certain antigen that triggers mechanisms to neutralize or destroy the invaders by 1. Blocking harmful antigens on microbes 2. Clumping bacteria or viruses together 3. Precipitating dissolved antigens 4. Activating complement proteins IMMUNITY Immunity is resistance to specific invaders Passive immunity TEMPORARY • Antibodies produced by another animal are transferred to you • Mother to child: before birth + by breast milk • If bitten by rabid animal, treatment injection of antibodies against rabies IMMUNITY Active immunity – LONG TERM • Exposed to a pathogen which triggers the immune response and the development of Memory B cells • Developing active immunity by… - Get sick and survive • Get vaccinated (weakened form of pathogen) • More than 20 different vaccines available today IMMUNE RESPONE HAS MEMORY • In the primary immune response, memory cells are produced - These cells may give the person lifelong immunity IMMUNE RESPONSE HAS A MEMORY Remembers antigens it Antigen binding to B cell Antigen B cell Primary Immune response has been exposed to Reacts against the antigens more quickly and more vigorously Some B cells develop into memory B cells. 2nd Exposure to Antigen Memory B cell Memory B cell Divides producing A LOT more Plasma cells to Produce HUGH Quantities of antibodies against reinvading antigen More memory B cells Secondary Immune response IMMUNE RESPONSE HAS MEMORY Primary Immune Secondary Immune Response Response • Occurs when • Occurs when exposed to lymphocytes are first same antigen again exposed to an antigen • Immune response is • Antibodies are produced faster and stronger by B cells • Memory cells divide • Memory cells are quickly producing a large produced number of lymphocytes that attack the antigen • Usually takes several days VACCINATIONS • • • • • Person receives a harmless form of an antigen (Ex: Sabin vaccine used against polio) Causes the primary immune response Produces memory cells When person exposed to actual antigen, secondary immune response occurs Person does not get sick IMMUNODEFICIENCY DISEASES • • • Immune components are lacking, and infections recur. May arise through inborn conditions -SCID: Severe combined immunodeficiency (lack T& B cells) Or from disease. -Example: AIDS (Acquired immune deficiency syndrome) HIV/AIDS Transmission of HIV • HIV is not transmitted through casual contact. • HIV can ONLY be transmitted through the exchange of blood semen vaginal secretions breast milk HIV: Human Immunodeficiency Virus HIV/AIDS How HIV replicates in helper T cell 1. Viral envelope fuses w/ plasma membrane. Virus disassembles 2. HIV’s Reverse transcriptase enzyme copies RNA Genome into DNA 3. Double stranded DNA from new DNA 4. HIV’s DNA inserted into cell’s nuclear DNA (lytic or lysogenic cycle?) 5. Provirus DNA transcribed into RNA 6. Viral RNA translated into viral proteins (capsomeres and enzymes) 7. New HIV viruses assembled 8. New HIV viruses released *Helper T cell eventually dies! • Why are T cells important to your immune system? HIV/AIDS When helper T cell count drops below … TH cells per ml of blood •500 TH cells per milliliter of blood you become vulnerable to opportunistic infections •200 TH cells per milliliter of blood you go from “HIV positive” having “AIDS” HIV/AIDS • • • • Can AIDS Be Cured? No!!! Scientists have no vaccine yet! Why? The high mutation rate of the retrovirus genome is problematic The virus can be controlled by expensive multidrug antiviral “cocktails” that fight the virus. How can new HIV infections be avoided? With knowledge! HIV/AIDS Preventing HIV Infection • The only no-risk behavior with respect to HIV and AIDS is abstinence. • People who share contaminated needles to inject themselves with drugs are at a high risk for contracting HIV. • People who have sex with IV drug abusers are also at high risk. RATING THE RISK OF TRANSMISSION (H) High risk of HIV exposure (R) Reduced risk of HIV exposure (N) No HIV exposure 1. Abstinence (NO sexual intercourse of ANY kind) 2. Unprotected sex of ANY kind 3. Sharing needles 4. Getting blood on yourself while helping an injured person 5. _______ Wearing Latex* gloves when helping a person who is bleeding *if person has latex allergy, can be substitute with polyurethane RATING THE RISK OF TRANSMISSION 6. Sexual intercourse between two UNINFECTED people who remain monogamous (no other partners) and NEITHER person shares needles. 7. Receiving a blood transfusion in the USA where all blood is tested for HIV. 8. An HIV positive mother breast feeding her baby. 9. Using a NEW LATEX condom or oral barrier during sexual intercourse. 10. Sexual intercourse between two people who remain monogamous (no other partners) AND one person shares needles.