Immune:
being highly resistant to a disease because of the formation of humoral
antibodies or the
development
of cellular immunity, or both, or as a result of some other mechanism,
as interferon
activity
in viral infections.
Immunity:
the condition of being immune; security against a particular disease.
Immunization:
inoculation with specific antigen to induce an immune response.
Immune
system: consist of specialized cells - lymphocytes and macrophages
- and structures,
including
lymph nodes, spleen, thymus, bone marrow, tonsils, adenoids, and appendix.
Immune
system
and blood are closely related, yet different. The blood includes
plasma and numerous
kinds
of blood
cells. Their cells share a common origin in the bone marrow, and
the immune system uses
the bloodstream
to transport its components.
The immune
system includes organs and tissues in which lymphocytes predominate as
well as cells
that circulate
in peripheral blood. Lymphoid organs includes: lymph nodes and vessels,
spleen,
tonsils,
adenoids, appendix, bone marrow, thymus, and intestinal lymphoid tissue.
The bone
marrow
and thymus play a role in developing the primary cells of the immune system:
B cells and
T cells.
Immunity:
Refers to the body's capacity to resist invading organisms and toxins.
Preventing tissue
and organ
damage. The immune system's cells and organs perform that function.
The immune
system
uses three basic defense strategies: protective surface phenomena,
general host defenses,
and specific
immune responses. It is designed to recognize, respond to, and eliminate
foreign
substances,
such as bacteria, fungi, viruses, parasites,, and preserves the internal
environment by
scavenging
dead or damaged cells and by performing surveillance.
Protective
surface: Physical, chemical, and mechanical barriers work to prevent
organism entry.
Intact
and healing skin and mucous membranes provide the first line of defense
against microbial
invasion,
preventing attachment of microorganisms. Skin desquamation and low
pH further
impede
bacterial
colonization. Seromucous surfaces, such as the conjunctiva of the
eye and the oral
mucous
membranes, are protected by antibacterial substances, such as the enzyme
lysozyme,
found
in tears, saliva, and nasal secretions.
The respiratory
system requires special protection because microorganisms enter it easily
from
outside.
Nasal hairs and turbulent airflow through the nostrils filter foreign materials.
Nasal
secretions
contain an immunoglobulin (naturally produced antibody) that discourages
microbe
adherence.
A mucous layer that's continuously sloughed off and replaced lines the
respiratory
tract.
The mucous layer, coupled with ciliary action, traps and expels inhaled
particles and
microbes
before they can damage delicate alveolar tissues.
The gastrointestinal
system, saliva, swallowing, peristalsis, and defecation mechanically remove
bacteria.
The low pH of gastric secretions is bactericidal, rendering the stomach
virtually free of
viable
bacteria. Resident bacteria prevent colonization by other microorganisms,
protecting the
remainder
of the gastrointestinal system (GI) through a process known as colonization
resistance.
The urinary
system is sterile except for the distal end of the urethra and the urinary
meatus. When
functioning
together, urine flow, low urine pH, and immunoglobulin, and the bactericidal
effects of
prostatic
fluid (in men) impede bacterial colonization. A series of sphincters
also inhibits bacterial
migration.
General
host defenses: Once an antigen penetrates the skin or mucous membrane,
the immune
system
launches nonspecific cellular responses in a attempt to identify and remove
the invader.
These
nonspecific responses differentiate self from nonself but can't distinguish
specific antigens or
respond
to them differently. Inflammation, the first of these response against
an antigen, causes
four characteristic
signs and symptoms: heat, redness, swelling, and pain. Neutrophils
and
macrophages
engulf, digest, and dispose of the antigen. Macrophages and lymphocytes
move to
the site
of insult and infection by two means: diapedesis (blood cell migration
from the
intravascular
compartment
to tissue sites) and chemotaxis (movement toward a chemical attractor).
Specific
immune responses: All foreign substances elicit the same response
in general host
defenses.
By contrast, particular microorganisms or molecules activate specific immune
responses
and can
initially involve specialized sets of immune cells. It is classified
as either humoral or cell
-mediated
immunity. Lymphocytes (B cells and T cells) produce the responses.
Humoral
Immunity: In this specific response, an invasive antigen causes B
cells to divide and
differentiate
into Plasma cells that produce and secrete antigen-specific antibodies.
There are five
types
of antibodies, or immunoglobulins: IgA, IgD, IgE, IgG, and IgM.
Each type serves a
particular
function: IgA, IgG, and IgM protect against viral and bacterial invasion;
IgD acts as an
antigen
receptor of B cells; and IgE causes an allergic response.
After the
body's initial exposure to an antigen, a time lag occurs during which little
or no antibody
can be
detected. During this time, the B cell recognizes the antigen, and
the sequence of division,
differentiation,
and antibody formation begins. This primary antibody response occurs
4 to 10
days
after
first time antigen exposure, during which immunoglobulin levels increase,
then quickly
dissipate,
and IgM antibodies form.
Subsequent
exposure to the same antigen initiates a secondary antibody response.
In this
response,
memory B cells manufacture antibodies (mainly IgG), achieving peak levels
in 1 to 2
days.
These elevated levels persist for months and then fall slowly. The
secondary immune
response
is, therefore, faster, more intense, and more persistent, and it amplifies
with each
subsequent
exposure to the same antigen.
An antigen-antibody
complex forms after the antibody reacts to the antigen. It serves
several
functions.
First, a macrophage processes the antigen and presents it to antigen-specific
B cells.
Then the
antibody activates the complement system, causing an enzymatic cascade
that destroys
the antigen.
The activated complement system bridges humoral and cell-mediated immunity
and
results
in the arrival of phagocytic neutrophils and macrophages at the antigen
site. This
combination
of humoral and cell-mediated immune responses is common.
Cell-mediated
immunity: protects the body against bacterial, viral, and fungal
infections and
resists
transplanted cells and tumor cells. In the cell-mediated response,
a macrophage processes
the antigen,
which is then presented to T cells. Some T cells become sensitized
and destroy the
antigen;
others release lymphokines, which activate macrophages that destroy the
antigen.
Sensitized
T cells then travel through the blood and lymphatic systems, providing
ongoing
surveillance
in their quest for specific antigens.
Diagnostic
tests: The doctor may order several variation of tests to evaluate
the patient's immune
response.
Most common test studies include general cellular tests, such as T- and
B lymphocyte
assays,
to aid diagnosis of primary and secondary immunodeficiency diseases; and
general humoral
test,
such as complement assays, to help detect immuno-mediated disease.
He may also order a
scratch
allergy tests and intrademal skin tests, to evaluate the cell-mediated
immune response. Lab.
studies
such as: WBC or white blood cell count, ESR or Erythrocyte sedimentation
rate, Platelet
count,
Direct antiglobullin test, immunoelectrophoresis, and ELISA enzyme-linked
immunosorbent.
Disorders:
Immune disorders may result from hyperreactivity, as in allergic rhinitis;
autoimmunity,
as in
SLE; or immunodeficiency, as in AIDS.
Symptoms:
Symptoms varies with each disorder
Fatigue,
dyspnea, malaise, frequent or recurrent infections, or slow would healing.
Treatment:
Varies (search your disired disorder for info.)