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First step
First line
1) Mechanical barriers
Second line
A- cells 1- Natural killer 2- Phagocytes B- Soluble factors C- Inflammatory barriers
Anatomic Barriers Skin, Mucous membranes, Cilia, Normal flora Physiological Barriers
Inflammatory Barriers
redness, swelling, heat, pain
Physical barriers
First line
1) Physic-Mechanical barriers:
A. Physical barriers:
Intact skin Mucous coat Mucous secretion
B. Mechanical
Blinking reflex and tears The hair at the nares Coughing and sneezing reflex
First line
2) Chemical & biochemical inhibitors - Sweet and sebaceous secretion - Hydrolytic enzymes in saliva - HCl of the stomach - Proteolytic enzyme in small intestine - Lysozyme in tears - Acidic pH in the adult vagina
First line
2) Chemical & biochemical inhibitors - Sweet and sebaceous secretion - Hydrolytic enzymes in saliva - HCl of the stomach - Proteolytic enzyme in small intestine - Lysozyme in tears - Acidic pH in the adult vagina
First line
3) Biological Barriers: Normal bacterial flora Production of inhibitory substances Competition for essential nutrients
First line
1) Mechanical barriers
Second line
A- cells 1- Natural killer 2- Phagocytes B- Soluble factors C- Inflammatory barriers
Anatomic Barriers Skin, Mucous membranes, Cilia, Normal flora Physiological Barriers
Inflammatory Barriers
redness, swelling, heat, pain
I. Cells
Hematopoiesis
Second line
A) cells
1- Natural killer (NK)
Definition: Large granular lymphocytes
Innate cytotoxic lymphocytes
Source : Bon marrow precursors Location : 10% or 15% of lymphocytes in peripheral blood
1% or 2% of lymphocytes in spleen
I. Cells
Hematopoiesis
Second line
2- Phagocytes
Specialized cells for capture, Ingestion and destruction of invading microorganisms
Role of Neutrophil
MACROFAGEs are MONOCITES which left the circulation & established in tissues
Role of Macrophage
ONeill, Luke A.J. Immunitys Early-Warning System. Scientific American, Jan (2005), 38-45.
Pathogen-associated molecular patterns known as (PAMPs) Damage-associated molecular patterns known as (DAMPs) Stressed induced proteins: HSP Crystals: monosodium urate Nuclear proteins: high mobility group box-1 protein
Second line
B- Soluble factors 1- Acute phase protein (Plasma protein, CRP=C reactive protein, Fibrin.) 2- Complement (proteins in serum, body fluids) 2- Interferons (Proteins against viral infections) 3- Properdin (Complement activation) 4- Beta lysine (Antibacterial protein from Platelets) 5- Lactoferrrin,Transferrin (Iron binding protein) 6- Lactoperoxidase (Saliva & Milk) 7- Lysozyme (Hydrolyze cell wall)
http://www.nature.com/genomics/papers/drosophila.html
1985
1988 1989
1991
Toll receptor has an extracellular region which contains leucine rich repeats motifs (LRRs) Toll receptor has a cytoplasmic tail which contains a Toll interleukin-1 (IL-1) receptor (TIR) domain
TLR
Recognize 1. PAMPs 1. Chemical structure 2. Localization 3. Origine 2. DAMPs 1. HSP 2. HMGB1
TLR6
TLR7
TLR8 TLR9
TLR10 TLR11
Monocytes, low in NK cells and T cells Plasmacytoid percursor DCs, B cells, macrophages, PMLs, NK cells, and microglial cells B cells, plasmacytoid precursor DCs
Not Determined
Converging Pathways
Effects of signaling are cell specific NF-B activation is the end result of TLR-signaling
1. TLR dimers 2. adaptor proteins (MyD88)/ TRIF) 3. Activation of transcriptin factors (NfKB, IRFs) 4. +Genes CC, CK, CAMs/IFN Acute inflammation Antiviral state
Adptoris I: MyD88=Myeloid differentiation factor 88); TRIF (TIR domain containing adaptor inducing IFN ) IRF (interferon response factor)
The end