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Life Saving College Of Nursing
By: Farooq Marwat
Objectives
At the end of this presentation, students will
Know about different level of immunity
The Mechanism of immunity
Know about inflammatory response
Know about different Cells of immune system
Know about Proteins that helps in immunity
Levels Of Immunity
Levels of Immune System
When a pathogen or any antigen try to enter into the
body, it is resist with different mechanism at different
levels and of immunity
Basically there are three Levels of immunity which
encounter the pathogen
First Line Defense/Innate immunity
The body's first line of defense against pathogens
uses mostly physical and chemical barriers. Such
barrier includes:
Skin – acts as a barrier to invasion
Sweat – has chemicals which can kill different
pathogens.
First Line Defense/Innate immunity
Tears - have lysozyme which has powerful
digestive abilities that render antigens harmless.
Saliva – also has lysozyme.
Mucus - can trap pathogens, which are then
sneezed, coughed, washed away, or destroyed by
chemicals.
Stomach Acid – destroys pathogens
Second-Line Defenses
If a pathogen is able to get past the body's first line of
defense, and an infection starts, the body can rely on
it's second line of defense. This will result in a
process is called
Inflammatory response (inflammation )
Inflammatory Response
Inflammatory response is a protective
attempt by the organism to remove the
injurious stimuli and to initiate the healing
process.
It is part of the complex biological response
of vascular tissues to harmful stimuli, such as
pathogens, damaged cells, or irritants.
Inflammatory response
Inflammatory response causes
Redness - due to capillary dilation resulting in
increased blood flow
Heat - due to capillary dilation resulting in increased
blood flow
Swelling – due to passage of plasma from the blood
stream into the damaged tissue
Pain – due mainly to tissue destruction and, to a
lesser extent, swelling.
Immunity
Third-Line Defenses 
Sometimes the second line of defense is still not
enough and the pathogen is then heading for the
body's last line of defense, the immune system.
The immune system recognizes, attacks, destroys,
and remembers each pathogen that enters the
body. It does this by making specialized cells
and antibodies that render the pathogens
harmless.
Third-Line Defenses 
Unlike the first line and second line
defense the immune system differentiates
among pathogens.
For each type of pathogen, the immune
system produces cells that are specific for
that particular pathogen therefore also
called Specific Immunity.
Levels Of Defense Mechanism
Cells Of Immune System
Cells of Immune System
White Blood Cells
 Phagocytes
Neutrophils
Monocytes / Macrophages
Eosinophils
Basophils
Lymphocytes
Monocytes/Macrophages
The monocytes are larger WBCs about 10 to 18
um in diameter (enlarge 5 to 10 times more
when encounter with pathogen)
They represent 5-8% of WBCs
Monocytes have a horse shoe shape nucleus
and contain azurophilic granules and have got
well developed Golgi complexes and
lysosomes.
Monocytes/Macrophages
Phagocytic macrophages are present in many
organs and are named according to there position
e.g. liver macrophages are also called Kuffer cells
& brain cells are also called Macroglial cells.
They are long lived months to years
Monocytes / Macrophages actively phagocytise
organisms
There main role is to remove the antigens from
the body
Monocytes
Neutrophils
The most numerous cells of Immune system are
the neutrophils also called PMNs (Polymorphs),
constitute the majority of leukocytes in the blood
i.e. about 60 – 70 %
They have characteristic multi lobed nucleus and
are 10 – 20 um in diameter.
Large numbers are released during infections
Short lived – die after digesting bacteria
Neutrophils
Like monocytes they adhere to endothelial cell lining
of the blood vessels and move toward tissues by
squeezing between the endothelial cells to leave the
circulation.
This process is known as diapedesis. This process is
promoted by chemo attractants such as chemokines.
They are Patrol tissues as they squeeze out of the
capillaries.
Dead neutrophils make up a large proportion of puss.
There main role is phagocytosis .
Eosinophils
Eosinophils comprise 2 – 5 % of the blood
leukocytes in a healthy non allergic person
Eosinophils have a bi lobed nucleus with many
cytoplasmic granules that stain with acidic dye
e.g. eosin
There are many hydrolytic enzymes present in
the granules responsible for the anti- helminthic
activity.
Eosinophils
Eosinophils also release histaminase and aryl
sulphatase which inactivate the mast call
products e.g histamine.
 The effect of eosinophils thus dampen down
the effect of inflammatory response.
This type of action these cells can only make
and only against large pathogens which cannot
be phagocytosed e.g parasitic worms
EosinophilsEosinophils
Basophils
Basophils are found in a small number in the
circulation, about less than 0.2 % of leukocytes
Basophils have membrane bounded granules.
These granules in both basophils or mast cells
contain
Heparin
Leukoterins
histamine etc.
The stimulus for these cells is an allergen – an antigen
causing allergic reaction.
Basophils
Lymphocytes
Lymphocytes
Responsible for the specific immune response.
They are agranulocytes
Represent 20-40% of circulating WBC in blood
Further sub divided into T lymphocytes and B
lymphocytes
Once stimulated with antigen enlarges 15µm into
a blast cell.
T Lymphocytes
These cells are mature In thymus gland therefore
called T- lymphocytes.
T-cells play major role in cell immediate
immunity.
T-cells further divided in
Killer T-cells
Helper T-cells
Memory T-cells
Killer T Cells
Killer T Cells recognize surface markers on other
cells labeled for destruction.
Killer T Cells help to keep virus-infected or
malignant cells in check.
Killer T cell in action
Helper T cells
Helper T cells are the sub group of T
Lymphocytes.
These cells have no cytotoxic or phagocytic
activity.
Helper T cells activate and direct other immune
cells and helps in maximizing bactericidal activity
of phagocytes
Memory T-cells
Memory T-cells are derived from normal T-cells
Memory T cells have learned how to overcome an
invader by ‘remembering’ the strategy used to defeat
previous infections.
The memory cells are long-lived cells
B Lymphocytes
These cells are mature in bone marrow then circulate
in blood and lymph.
 They produce antibodies against antigen, play major
role in Humeral immunity
There are more than 10 million different B-
lymphocytes, each of which make a different
antibody.
The B- cells which produce antibodies are called
plasma cells.
Immunity

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Immunity

  • 1. Life Saving College Of Nursing By: Farooq Marwat
  • 2. Objectives At the end of this presentation, students will Know about different level of immunity The Mechanism of immunity Know about inflammatory response Know about different Cells of immune system Know about Proteins that helps in immunity
  • 4. Levels of Immune System When a pathogen or any antigen try to enter into the body, it is resist with different mechanism at different levels and of immunity Basically there are three Levels of immunity which encounter the pathogen
  • 5. First Line Defense/Innate immunity The body's first line of defense against pathogens uses mostly physical and chemical barriers. Such barrier includes: Skin – acts as a barrier to invasion Sweat – has chemicals which can kill different pathogens.
  • 6. First Line Defense/Innate immunity Tears - have lysozyme which has powerful digestive abilities that render antigens harmless. Saliva – also has lysozyme. Mucus - can trap pathogens, which are then sneezed, coughed, washed away, or destroyed by chemicals. Stomach Acid – destroys pathogens
  • 7. Second-Line Defenses If a pathogen is able to get past the body's first line of defense, and an infection starts, the body can rely on it's second line of defense. This will result in a process is called Inflammatory response (inflammation )
  • 8. Inflammatory Response Inflammatory response is a protective attempt by the organism to remove the injurious stimuli and to initiate the healing process. It is part of the complex biological response of vascular tissues to harmful stimuli, such as pathogens, damaged cells, or irritants.
  • 9. Inflammatory response Inflammatory response causes Redness - due to capillary dilation resulting in increased blood flow Heat - due to capillary dilation resulting in increased blood flow Swelling – due to passage of plasma from the blood stream into the damaged tissue Pain – due mainly to tissue destruction and, to a lesser extent, swelling.
  • 11. Third-Line Defenses  Sometimes the second line of defense is still not enough and the pathogen is then heading for the body's last line of defense, the immune system. The immune system recognizes, attacks, destroys, and remembers each pathogen that enters the body. It does this by making specialized cells and antibodies that render the pathogens harmless.
  • 12. Third-Line Defenses  Unlike the first line and second line defense the immune system differentiates among pathogens. For each type of pathogen, the immune system produces cells that are specific for that particular pathogen therefore also called Specific Immunity.
  • 15. Cells of Immune System White Blood Cells  Phagocytes Neutrophils Monocytes / Macrophages Eosinophils Basophils Lymphocytes
  • 16. Monocytes/Macrophages The monocytes are larger WBCs about 10 to 18 um in diameter (enlarge 5 to 10 times more when encounter with pathogen) They represent 5-8% of WBCs Monocytes have a horse shoe shape nucleus and contain azurophilic granules and have got well developed Golgi complexes and lysosomes.
  • 17. Monocytes/Macrophages Phagocytic macrophages are present in many organs and are named according to there position e.g. liver macrophages are also called Kuffer cells & brain cells are also called Macroglial cells. They are long lived months to years Monocytes / Macrophages actively phagocytise organisms There main role is to remove the antigens from the body
  • 19. Neutrophils The most numerous cells of Immune system are the neutrophils also called PMNs (Polymorphs), constitute the majority of leukocytes in the blood i.e. about 60 – 70 % They have characteristic multi lobed nucleus and are 10 – 20 um in diameter. Large numbers are released during infections Short lived – die after digesting bacteria
  • 20. Neutrophils Like monocytes they adhere to endothelial cell lining of the blood vessels and move toward tissues by squeezing between the endothelial cells to leave the circulation. This process is known as diapedesis. This process is promoted by chemo attractants such as chemokines. They are Patrol tissues as they squeeze out of the capillaries. Dead neutrophils make up a large proportion of puss. There main role is phagocytosis .
  • 21. Eosinophils Eosinophils comprise 2 – 5 % of the blood leukocytes in a healthy non allergic person Eosinophils have a bi lobed nucleus with many cytoplasmic granules that stain with acidic dye e.g. eosin There are many hydrolytic enzymes present in the granules responsible for the anti- helminthic activity.
  • 22. Eosinophils Eosinophils also release histaminase and aryl sulphatase which inactivate the mast call products e.g histamine.  The effect of eosinophils thus dampen down the effect of inflammatory response. This type of action these cells can only make and only against large pathogens which cannot be phagocytosed e.g parasitic worms
  • 24. Basophils Basophils are found in a small number in the circulation, about less than 0.2 % of leukocytes Basophils have membrane bounded granules. These granules in both basophils or mast cells contain Heparin Leukoterins histamine etc. The stimulus for these cells is an allergen – an antigen causing allergic reaction.
  • 27. Lymphocytes Responsible for the specific immune response. They are agranulocytes Represent 20-40% of circulating WBC in blood Further sub divided into T lymphocytes and B lymphocytes Once stimulated with antigen enlarges 15µm into a blast cell.
  • 28. T Lymphocytes These cells are mature In thymus gland therefore called T- lymphocytes. T-cells play major role in cell immediate immunity. T-cells further divided in Killer T-cells Helper T-cells Memory T-cells
  • 29. Killer T Cells Killer T Cells recognize surface markers on other cells labeled for destruction. Killer T Cells help to keep virus-infected or malignant cells in check.
  • 30. Killer T cell in action
  • 31. Helper T cells Helper T cells are the sub group of T Lymphocytes. These cells have no cytotoxic or phagocytic activity. Helper T cells activate and direct other immune cells and helps in maximizing bactericidal activity of phagocytes
  • 32. Memory T-cells Memory T-cells are derived from normal T-cells Memory T cells have learned how to overcome an invader by ‘remembering’ the strategy used to defeat previous infections. The memory cells are long-lived cells
  • 33. B Lymphocytes These cells are mature in bone marrow then circulate in blood and lymph.  They produce antibodies against antigen, play major role in Humeral immunity There are more than 10 million different B- lymphocytes, each of which make a different antibody. The B- cells which produce antibodies are called plasma cells.