|
Lecture 1 - Innate (
Nonspecific ) Immunity - The term, Innate immunity, refers to the
basic resistance to disease that a species possesses - the first line
of defense against infection.
Potential pathogens are encountered routinely, but only rarely cause disease. The vast majority of microorganisms are destroyed within minutes or hours by innate defenses. The acquired specific immune response comes into play only if these innate defenses are breached. In this lecture we will review the elements of the innate immune response. Anatomic Barriers Skin (physical barrier,
low pH due to lactic and fatty acids) Mucous membranes (ciliated epithelial cells; saliva, tears and mucous secretions) - GI, urogenital, respiratory tracts - collectively represents a huge surface area. Physiologic Barriers Temperature - normal body temperature inhibits growth of most microorganisms. Elevated body temperature (fever) can have a direct effect on pathogenic microorganisms. pH - low pH of stomach, skin, & vagina (inhibits microbial growth) Oxygen tension Huge number of chemical factors (a few examples given below):
Endocytic
and Phagocytic Barriers Endocytosis - Process by which
macromolecules contained within the extracellular tissue fluid are internalized
by cells. Internalization occurs as small regions of the plasma membrane
invaginate, Pinocytosis - nonspecific membrane invagination Receptor-mediated endocytosis - specific, macromolecules are selectively internalized after binding to specific membrane receptors. Following internalization, the endosomes fuse with primary lysosmes. Lysosomes contain large numbers of degradative enzymes (> 20 different hydrolytic enzymes including proteases, nucleases, lipases, etc). The ingested macromolecules are subsequently digested into small breakdown products. Products not utilized by the cell are released through the process known as exocytosis. Phagocytosis Involves
the ingestion of particulate material including whole pathogenic microorganisms.
The plasma membrane expands around the particulate material to form large
vesicles called phagosomes (10-20times larger than endosome). Only specialized
cells are capable of phagocytosis, whereas endocytosis is carried out
by virtually all cells. The so-called "professional phagocytes" include: monocytes & macrophages, neutrophils, and dendritic cells There are a few other cells which can be induced to become phagocytic under certain circumstances (i.e. during intense inflammation) Both fibroblasts and epithelial cells are known as "non-professional" phagocytes. How Do Phagocytic Cells Distinguish Between Self/ and Non-Self? Increasing experimental evidence in this field suggests that organisms recognize invading microorganisms by recognizing common microbial patterns (i.e. molecular patterns). Perhaps surprisingly, it appears that essentially all eukaryotic organisms recognize and respond to the same microbial patterns. This would suggest that these innate mechanisms for self/non-self recognition are phylogenetically ancient. A partial list of these microbial patterns follows:
These common microbial patterns are recognized by host proteins which have been termed Pattern Recognition Molecules (PRMs) or Pattern Recognition Receptors (PRRs). A partial list of these PRMs follows:
The interaction between a PRM and its microbial pattern leads to a rapid cascade of events. Just to give one example of the nature of these interactions we will take a look at the interaction between CD14 and its ligand: CD14 cannot bind to LPS directly. A protein termed LBP (for lipopolysaccharide binding protein) must first bind to LPS. The LPS-LBP complex then binds to CD14 and the receptor-ligand complex is internalized. In addition, CD14 is associated with a protein known as Toll-like receptor 4 (TLR-4). As a consequence of the CD14-LPB/LPS interaction at the level of the membrane, TLR-4 becomes activated. TLR-4 plays an important role in signal transduction [ transfer of the signal received at the cell membrane eventually to DNA sequences located in the nucleus of the cell]. Importantly, TLR-4 is now known to activate a transcription factor known as NFkB. NFkB activation eventually leads to transcriptional activation resulting in the synthesis of:
Toll and Toll-Like Receptors Toll receptors were first identified in the fruitfly, Drosophila, and were shown to play a very important role in the development of the insect. More recently, toll receptors have been shown to also be involved in the innate immune response of fruit flies and other insects. A long list of similar proteins have been discovered in a very wide variety of vertebrate organimsms including humans. |