160 Chapter 9
What physical and chemical barriers help
prevent an infection?
- Intact skin and mucous membranes are physical barriers to
infection. - Chemicals such as lysozyme in mucus help destroy some
microbes.
takE-homE mEssaGE
lysozyme Enzyme that
destroys many bacteria.
Barriers to infection
n Phagocytosis, inflammation, and fever are the body’s
“first responder” mechanisms that act at once to counter
threats in general and prevent infection.
n Links to Cells 3.1, blood cells 8.1, blood clotting 8.7
White blood cells and proteins carry out innate immune
responses. An extremely important part of these responses
is a set of proteins called the complement system, or
simply complement. These proteins circulate in the blood
and tissues. Contact with antigens or substances leaking
from damaged body cells activates them. Then a cascade of
reactions activate ever more complement proteins, until the
molecules flood a damaged area.
Complement proteins coat pathogens. Some also form
membrane attack complexes that create a pore—a
hole—in the cell wall or plasma membrane of invading bac-
teria (Figure 9.6A). The punctured cell then disintegrates.
A complement coating also attracts phagocytes like mac-
rophages, dendritic cells, and neutrophils to invaded tissues.
Macrophages are usually the first defenders on the scene.
They engulf virtually anything other than healthy body cells.
If a macrophage detects an antigen, it releases cytokines that
alert the adaptive immune system that a threat is present.
Neutrophils literally blow apart when they come in
contact with a particular combination of complement pro-
teins and other signaling molecules. The “remains” of each
neutrophil, including its granules, form a net that traps
nearby invaders (Figure 9.6B).
n Pathogens usually cannot get past the skin or the linings of
other body surfaces such as the digestive tract.
n Links to Tissue membranes 4.7, skin 4.9
At this moment, there are probably thousands of micro-
organisms on every square inch of your skin (recall the
microbiome mentioned in Section 3.5). They usually are
harmless as long as they stay outside the body. Some types
grow so densely that they help prevent more harmful spe-
cies from gaining a foothold (Figure 9.5).
Normally “friendly” bacteria in the mucosal lining of
the digestive tract also help protect you. In females, lactate
produced by Lactobacillus bacteria in the vaginal mucosa
helps maintain a low vaginal pH that most bacteria and
fungi cannot tolerate. Any change in the conditions in
which these organisms grow can cause an infection. For
example, some antibiotics can trigger a vaginal yeast infec-
tion because they also kill Lactobacillus. The fungus that
causes athlete’s foot may begin to grow between your toes if
the skin there is often moist and warm.
The inner walls of the respiratory airways leading to
your lungs are coated with sticky mucus. That mucus
contains protective substances such as lysozyme, an
enzyme that chemically attacks and
helps destroy many bacteria. Broom-
like cilia in the airways sweep out
the pathogens.
Lysozyme and some other chemicals in tears, saliva,
and gastric fluid offer more protection. Urine’s low pH and
flushing action help bar pathogens from the urinary tract.
In adults, mild diarrhea can rid the lower GI tract of patho-
gens. In children, diarrhea serves the same function but
must be controlled to prevent dangerous dehydration.
innate immunity
Figure 9.6 Animated! Complement proteins help launch innate
immune responses. A–B Membrane attack complexes can form
lethal holes in the plasma membrane of bacteria. C Two Klebsiella
bacteria (purple) snared in a neutrophil net. This species can cause
serious lung infections. (Top left: From Frances Sienkiewicz Sizer; Eleanor Noss
W hitney, Nutrition: Concepts and Controversies, © 2002 Cengage Learning; Top right:
Robert R. Dourmashkin, courtesy of Clinical Research Centre, Harrow, England; Bottom:
© 2010 Papayannopoulos et al. Originally published in J. Cell Biol. 191:6 7 7– 6 91,
doi: 10.1083/jcb.201006054. Image by Volker Brinkman and Abdul Hakkim)
9.3 9.4 invading bacteria
complement (purple dot)
on bacterium
neutrophil
macrophage
basophil
eosinophil
capillary is becoming
more permeable
mast cell releasing
histamine
histamine
molecules
dilating anteriole
capillary
macrophage
entering
tissue
Figure 9.5 Many types of bacteria live on body surfaces.
This image shows Staphylococcus epidermis, the most
common species of bacterium on human skin.
Scimat/Science Source
C
A B
membrane attack complex pore
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