Video Transcript
In this video, we’ll find out all
about the nonspecific immune response, the innate human system, which acts to
prevent infection by pesky pathogens. We’ll explore the structures,
secretions, and reflexes which limit the entry of infectious agents into the
body. And we’ll discover how the
processes of inflammation and phagocytosis work together to target pathogens that
manage to evade this first line of defense.
It all begins with a pathogen. This can be a bacterium, a fungus,
a virus, or even a protist. These biological agents are not
harmful in themselves. But if they gain the ability to
infect a host, such as a human, and cause disease, they become dangerous, with the
potential to make us really ill. This is when we refer to them as
pathogens. When pathogens are preparing to
invade, the human body has only one option. It must defend itself against
attack in order to survive. And luckily for us, it has a
specialized system for doing just that, the immune system.
The human immune system has three
lines of defense. The first comprises all the
mechanisms which stop the pathogen from getting inside the body in the first
place. The second line of defense involves
a chemical and cellular response, which is nonspecific. In other words, it protects us
against all pathogens in the same way, which means it can happen very rapidly. The third line of defense involves
a chemical and cellular response that’s specific to the pathogen that’s causing the
infection. This is known as the adaptive or
acquired immune response. And it typically takes between four
and seven days to be initiated in someone who is otherwise healthy. For someone with an underlying
health condition, it can take even longer than this.
The first and second lines of
defense are known collectively as the innate or nonspecific immune response. This is initiated immediately and
can keep serious infections at bay while the adaptive immune response is being
prepared. In this video, we’ll be
concentrating on the nonspecific immune response. So let’s start by having a closer
look at the first-line defenses the pathogen will encounter when it tries to
invade.
The skin is the body’s largest
organ, covering and protecting all of its external surfaces. It therefore acts as a physical
barrier to pathogen entry. While the skin protects the
external surfaces, the human body has many natural openings and internal surfaces
that pathogens could use to get inside. These are protected by mucous
membranes. As the name suggests, mucous
membranes secrete sticky mucus, which lines the internal surfaces and traps any
pathogens that try and get inside.
Mucous membranes are primarily
found in the eyes, the ears, the nose, the mouth, the airways, the anus, and the
vagina. The eyes are also protected by
fluid secreted from the lacrimal glands. This fluid forms our tears. As well as being able to flush
foreign matter, like dust, away from the eyes, tears also contain enzymes which can
destroy certain bacteria. The ears also have a second
protective secretion in the form of earwax, which has the scientific name
cerumen. Cerumen is produced by the outer
ear and works by trapping pathogens and other foreign material. It has also been shown to have some
antimicrobial and antifungal properties.
Saliva, which is produced in the
mouth by the salivary glands, contains enzymes which can destroy some types of
bacteria. In addition to mucus secretion,
some mucous membranes, such as those which line the airways, contain ciliated
epithelial tissue. Cells of this ciliated epithelium
have tiny hair-like structures on their surface called cilia. The cilia are there to waft mucus
containing trapped pathogens and other foreign materials back up the airways to be
swallowed.
Anything that gets swallowed ends
up in the stomach. The stomach contains gastric
juices, which have a pH of around two, meaning they’re highly acidic. Most pathogens that enter the
stomach, either in our food or in mucus from our airways, will be destroyed by this
acid.
The final kind of first-line
defenses are the expulsive reflexes. These are reflexes which forcefully
expel potentially infectious agents from the body. The best examples of expulsive
reflexes are coughing, which expels material from the airways; sneezing, which
expels material from the nose; and vomiting, which expels material from the
stomach.
Despite all these mechanisms, some
pathogens still manage to fight their way into the body. But just because they’ve managed to
breach the first line of defense, it doesn’t mean things are gonna get any easier
for them. It’s now time for them to face the
second line of defense.
When pathogens get into the body
and infect a particular tissue, in this example when bacteria infect the skin
through an open wound, the site of infection immediately becomes reddened, swollen,
painful, and hot. These are all effects of the
inflammatory response or inflammation.
Let’s examine this response in a
bit more detail. The skin is home to a particular
type of white blood cell called a mast cell. Mast cells detect injury or
infection and respond by releasing a chemical called histamine, as represented by
the yellow dots on this diagram. Histamine causes the blood vessels
in the skin to increase in diameter, allowing more blood to flow to the site of
infection. This is known as vasodilation, and
it’s the reason why the infected area becomes hot and red. Histamine also makes the
capillaries more permeable, allowing more fluid to enter the tissues of the skin
from the blood. This explains the swelling.
As well as histamine, mast cells
also release other chemicals called cytokines, shown here as green dots. Cytokines are responsible for
attracting phagocytes, another type of white blood cell, to the site of
infection. Because of the increased blood flow
and permeability of the capillaries, lots of phagocytes are able to migrate to the
infected area really quickly. Later, the cytokines will attract
other important types of white blood cell, but they’re part of the specific immune
response. So we won’t be looking at them in
this video.
Once our army of phagocytes have
located the infecting bacteria, they must attempt to take out these pathogenic
invaders the only way they know how, by a process called phagocytosis. This is where a phagocyte engulfs a
pathogen before digesting it with enzymes.
Let’s have a look at the five
stages which describe this process. Stage one is membrane binding. This is where receptors on the
membrane of the phagocyte recognize and bind to proteins on the surface of the
pathogen. Next, the pathogen is engulfed by
the phagocyte, forming a specialized organelle called a phagosome. Although it looks a bit like the
pathogen is eaten by the phagocyte at this stage, we need to make sure we use the
word “engulf” instead of “eat” because a phagocyte doesn’t have a mouth or a
digestive system. So it can’t actually eat
anything.
Stage three is where the phagosome
fuses with lysosomes. You may recall that lysosomes are
membrane-bound organelles containing enzymes that work best under acidic
conditions. When they fuse with a phagosome, a
large vesicle called a phagolysosome is formed. During stage four, the pathogen is
neutralized and digested by enzymes inside the phagolysosome. The harmless products of pathogen
digestion are then either released from the phagocyte or presented on its cell
surface membrane as part of the specific immune response. Although phagocytosis will destroy
most pathogens, some bacteria, such as those which cause leprosy and tuberculosis,
are thought to survive and escape the phagolysosome, which is why these diseases can
be so dangerous.
In addition to phagocytosis, there
are several other mechanisms which form part of the nonspecific immune response. Natural killer cells are a type of
white blood cell which can recognize stressed body cells. If a body cell is under stress, it
can be a sign that it’s either infected with a pathogen, such as a virus, or that
it’s a tumor cell, which is proliferating uncontrollably. If a natural killer cell detects a
stressed body cell, it will destroy it.
As we’ve already seen, cytokines
are chemicals which play an important role in cell-to-cell communication during an
immune response. Interferon is a cytokine which is
produced by body cells that have been infected with a virus. It acts on nearby cells to inhibit
viral replication. If the virus can’t replicate, then
the infection won’t be able to spread as quickly. Interferon is also responsible for
activating natural killer cells.
Finally, the complement system is a
collection of soluble proteins found in the blood. They work together in what’s known
as a complement cascade to form an attack complex. This complex makes holes in the
cell membranes of invading bacteria, destroying them. Proteins of the complement system
are also involved in promoting inflammation and stimulating phagocytes to initiate
phagocytosis.
Now, let’s find out what happens
when these immune responses malfunction. The reason we feel ill when we have
an infection is largely down to the inflammatory response that we’ve already talked
about. As you can see on this graph, the
inflammatory response is initiated upon infection and increases rapidly. After about a week, it falls back
down again as the immune system clears the pathogen from the body. This is when we start to feel
better.
However, in some circumstances, the
level of inflammation can remain very high, as represented by the blue line on the
graph. This is known as chronic
inflammation and can lead to a number of different health problems. Although we still don’t fully
understand all the causes of chronic inflammation, we do know that they can either
be infectious or noninfectious. Some pathogens are able to evade
our immune system and, therefore, can’t be fully cleared from the body. Gut microbes that we ingest in our
food can also sometimes activate the inflammatory response inappropriately. These are examples of infectious
causes. Noninfectious causes include
obesity and tissue damage resulting from tumors, autoimmune disorders,
atherosclerosis, and heart disease.
Chronic inflammation can cause
permanent changes to the tissues, such as cell death, scarring, blood vessel growth,
and cell proliferation. It can also be responsible for
metabolic changes, for example, impaired hormone signaling. These changes can ultimately lead
to a number of serious conditions, including type two diabetes, organ failure,
cancer, and Alzheimer’s.
Now we’ve learnt all about the
nonspecific immune response, let’s have a go at a practice question.
How does histamine affect blood
vessels near an injured area? (A) It dilates blood vessels and
decreases capillary permeability. (B) It dilates blood vessels and
increases capillary permeability. (C) It dilates blood vessels but
does not affect capillary permeability. (D) It constricts blood vessels but
does not affect capillary permeability. Or (E) it constricts blood vessels
and increases capillary permeability.
When we injure ourselves, the
affected area quickly becomes red, swollen, painful, and hot. Although this is pretty unpleasant
for us, it’s actually a sign that the body is reacting to the injury and beginning
to repair itself. It does this through a nonspecific
immune response known as inflammation.
Inflammation, which is sometimes
called the inflammatory response, is initiated by a special type of white blood cell
called a mast cell. Mast cells detect injury or
infection and respond by releasing a chemical called histamine. This is what the question is asking
us about. Histamine has two important effects
on the blood vessels near the site of injury. The first is that it causes them to
dilate, allowing more blood to flow to the injured area. This is known as vasodilation, and
it’s what causes the redness and heat. As answer options (D) and (E) say
the blood vessels constrict, which means that they become narrower, these options
must be incorrect.
The second effect of histamine is
that it increases the permeability of capillaries near the site of injury. This allows more fluid to enter the
injured area from the blood, bringing with it specialized white blood cells, such as
phagocytes, which can help to clear any infection. This is what causes the
swelling. We have therefore determined how
histamine affects blood vessels near an injured area. The correct answer is (B). It dilates blood vessels and
increases capillary permeability.
Let’s summarize what we’ve learnt
in this video by reviewing the key points. The first line of defense is a
collection of mechanisms which prevent pathogens from getting inside the body. Inflammation and phagocytosis are
key processes in the second line of defense. Inflammation is initiated and
regulated by chemical messengers. Phagocytes help to clear infection
by engulfing pathogens. And other mechanisms in the
nonspecific immune response also have important roles to play.