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00:38 | Okay. Okay folks, um turns on martin. Yeah, there we |
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00:49 | . Okay. Um let's see. today we're going to begin the last |
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00:56 | of the course. So uh which going to be aspects of medical |
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01:03 | So looking at the new system basically um we start with kind of how |
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01:10 | body fights disease and the mechanisms you . And then later next week we |
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01:16 | a kind of the actually down it's going to be in the flipped |
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01:22 | form right there and uh okay, the microbial pathogens. Micro pathogens overcome |
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01:34 | defenses to cause disease. So Kind get it from both sides and then |
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01:39 | up with and I'll talk more about next time next week when we get |
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01:45 | 26 here in diseases, I don't what's going on there with diseases. |
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01:52 | there's like if you've you've um if looked ahead in the notes um chapters |
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02:02 | . Head at the beginning a couple a couple of slides that list um |
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02:10 | different pathogens. Pathogen list is listed diseases and then by pathogens. So |
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02:14 | kind of goes both ways to look it. So, so you have |
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02:20 | list of pathogens and then the So you're gonna have its heavily grant |
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02:25 | heavily memorization and stuff, but um figure it's it's it's I think it's |
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02:30 | for you, especially for going to school or planning to um or some |
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02:36 | profession at least have some familiarity with of the diseases, infectious diseases. |
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02:42 | and so it's kind of broken, make an easy study guide yourself. |
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02:46 | make a table pathogens on this in column, diseases they cause in this |
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02:51 | and then some interesting features about So it's all detailed in the In |
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02:56 | nose for Chapter 26 and just a up on that. Okay. Um |
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03:02 | and there's like, and the other is I certainly don't cover every disease |
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03:06 | talk about in chapter 26. So sure you stick to that list. |
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03:10 | . There's like maybe a dozen or I think diseases. Um anyway, |
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03:15 | talk more about that next week. uh let's see. So obviously what |
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03:21 | talking about today is not on the . Remember the exam is starting tomorrow |
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03:26 | friday. And so um this is what we're starting to talk about today |
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03:31 | for the next three weeks is just four. Right? So so remember |
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03:37 | is no comprehensive exam here and the quote here is exam four, which |
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03:42 | The material which we're starting today. chapter 23 through 26 is Example |
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03:49 | Okay. Uh and that's not not a month yet. So um let's |
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03:55 | . So what else we have. smart work. There's nothing to do |
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03:57 | smart work Sunday. So that uniform doesn't begin to be turned in for |
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04:03 | couple of weeks yet. So and of that is available to you on |
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04:06 | work as well. Uh let's Um Okay. Blackboard quiz. So |
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04:13 | blackboard quiz this the blackboard quiz will just be what we talked about |
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04:16 | Okay, so it's not gonna be I made five questions that relate relate |
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04:23 | um to today's material which is basically part of one. We do |
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04:29 | like a 1.5 lectures as part one part one in part one and |
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04:34 | So all 23 is like over 1.5 And then we'll go into uh the |
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04:41 | immune system. So uh chapter 24 relatively brief um because that can be |
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04:48 | very complicated subject when you start talking antibodies and antibody production and whatnot. |
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04:54 | do offer a course in department um that goes into great depth but I |
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05:01 | kind of give you an overview of going on there. Um but that's |
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05:06 | for that reason it kind of it's of short, that kind of expands |
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05:10 | on vaccines and what the different vaccines what that's about. Okay, so |
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05:19 | so um so what we're of what we're talking about here in this |
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05:25 | is starting with the innate immune system and you know, the your immune |
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05:32 | of course uh uh and the strength that immune system of course can vary |
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05:39 | times depending on if you're sick yourself you're on antibiotics or um um your |
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05:48 | compromise in terms of immune system that determine certainly how susceptible you are |
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05:54 | to infection. And um and so question of does infection infection there is |
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06:02 | sort of equal disease. Is that ? If you are infected, you |
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06:10 | disease symptoms of disease or you're going get sick? Thank you. |
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06:16 | absolutely. And there are asymptomatic that all familiar with that in terms of |
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06:21 | asymptomatic carriers. Right? And that to a number of countries diseases of |
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06:26 | . Um so remember, that's counter to what the coke thought. |
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06:31 | Cokes postulates about only only diseased animals or diseased individuals have the pathogen and |
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06:40 | that's not the case. Okay. , the the infectious disease you are |
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06:46 | vaccinated for prior, prior to coming school as they're all college students not |
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06:52 | meningitis, that the meningitis vaccine that when there are outbreaks of that |
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06:59 | the the source for The organism is humans because about 50, more than |
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07:06 | of the population naturally carries that in system and their throat critically and they |
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07:13 | have any symptoms of disease. They're carriers. Um, and that's true |
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07:17 | a number of infectious diseases. so questions, not infection does not |
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07:23 | disease. You could have become You may have had the covid virus |
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07:28 | never knew about it because your body took care of it. Okay. |
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07:32 | with the other types of infections. it's just a lot of factors playing |
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07:38 | whether you will succumb to infectious Okay. And so um not only |
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07:44 | your health immune system, the The of pathogen, it is the the |
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07:49 | of pathogen that infected you. And far there's a lot of different variables |
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07:53 | the window that. Okay so um I kind of start this with, |
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08:00 | is mostly stuff we're going to cover chapter 25. Okay I'm not microbial |
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08:06 | but I figured since we're going to spending next 2.5 days talking about your |
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08:11 | system then let's just kind of talk little bit about things that constant factors |
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08:17 | and how they do that. And again we'll revisit this these terms and |
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08:22 | in a in a next week. don't be you don't have to be |
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08:26 | those about writing all this stuff down because you're gonna see it again. |
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08:30 | . But anyway, so we have pathogen. Okay. And obviously I'm |
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08:34 | it's obvious to you that you we're talking about disease, we're talking |
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08:36 | infectious disease. We're not talking you know, non infectious diseases, |
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08:41 | and heart disease, whatnot. So infectious diseases. And so the pathogen |
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08:46 | pathogen um might be any microbe will a an environment where they naturally |
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08:54 | Okay. And we refer to that the source or more correctly than reservoir |
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09:02 | is where if you want to study . X. Okay. And it |
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09:06 | have to be a disease outbreak occurring you to do that. You just |
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09:10 | to study it. You go the of where natural designs is where you |
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09:15 | the reservoir. Okay. Um Does know the reservoir for Covid? It |
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09:26 | it's not a scientist in Wuhan Mhm. You actually got it from |
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09:31 | else or here. Um What do say? What kind of bad? |
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09:39 | it's bad. Yeah. Uh that for um uh well rabies is a |
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09:48 | of different animals. Different mammals type carry rabies. Um And so it's |
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09:53 | vary, it can be an it's very common to be an animal |
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09:57 | be called Zoonotic diseases originate in Um uh It could be soil, |
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10:02 | could be water, it could be , so it's uh different reservoirs. |
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10:09 | It it depends depends on the on pathogen type, but so you have |
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10:13 | source where they're found then the house course has to get to you. |
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10:17 | , so that's the transmission right? can be through the air, |
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10:21 | foodborne. What happened? Okay. then uh you know, susceptible, |
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10:26 | are you going to succumb to it not? Just mentioned, it's gonna |
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10:29 | on your defenses and your health and immune system? Okay, so from |
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10:34 | perspective of the pathogen um it has you know, several steps here. |
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10:42 | it's not just as easy as coming your body and bam you've got disease |
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10:46 | itself, he has to obviously enter host by some means of transmission. |
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10:54 | . Um and then oops wrong button uh get through uh invaded the host |
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11:03 | host. And you know whether it damage or not, you know? |
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11:06 | it all depends on the pattern type keyword here. Virulence factors, it's |
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11:12 | about endurance factors with pathogens. And um the severity, severity or |
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11:19 | lengths, violence related to severity um the pathogen will depend on what the |
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11:27 | factors that has um what do they ? Some can be things like toxins |
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11:33 | obviously that will damage host cells. uh other things and very often it's |
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11:41 | that a passenger will have a time temporal infection cycle, so to |
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11:49 | So of course though it'll still express early in the infection cycle that relate |
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11:54 | maybe be able to stick to a cells. Right. Adherence is can |
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11:58 | a big difference factor for many cells pathogens, so stick to the |
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12:02 | so to speak. Right then it okay breaching host barriers. So back |
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12:09 | the meningitis organisms. You will see that one is um Uh huh. |
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12:16 | has to um it normally resides in what we call the nasal pharyngeal |
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12:22 | 10 of them, back back throat , the mucus membranes and um but |
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12:28 | not where it causes disease. It disease when it gets into your central |
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12:33 | system. Okay, so pathogens that that that invade the central nervous |
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12:38 | That's a big hurdle overcome because you your central nervous system obviously, right |
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12:46 | and spinal cord, right? You it has its own kind of |
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12:50 | uh, it's protected by a number different cells that restrict what can have |
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12:54 | to it. And so and then provide the right environment for neurons. |
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13:00 | ? Remember neurons form action potentials. have to have proper uh saw you |
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13:06 | , things like that. So it a whole network themselves that support, |
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13:10 | ? Uh, and so it's restricted to what can get in there. |
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13:13 | pathogens that that that's what they They have to have a certain business |
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13:19 | to kind of get through. It's called the blood brain barrier. So |
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13:24 | the cross that, it's not an thing. So pathogens that do not |
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13:28 | different strategies and meningitis, bacterium is of them. Okay, so |
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13:34 | the bottom line here is the the a business factors are what enable passengers |
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13:39 | college disease and the collection of various they have will determine really how how |
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13:48 | they are in terms of causing Okay, but we're gonna revisit this |
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13:52 | a couple of weeks. So, of course you have various the whole |
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13:59 | of of defenses to counteract, you , the pathogen and that's what we're |
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14:05 | to go into uh, today. . And so again, more terms |
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14:10 | you that you use, of course talking about disease infected disease. So |
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14:15 | the cause of disease, The ideology ideological agent is the cause of |
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14:22 | Pathology. Pathology is kind of the process, right? And it includes |
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14:27 | cause includes um mechanism by which the gets in that causes damage um the |
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14:35 | process if you will. And then course that can be accompanied certainly by |
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14:40 | changes. Right? Um fever, other kinds of symptoms. Okay, |
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14:49 | um or maybe not so much. . It all depends on the pageant |
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14:52 | the infection type. Okay, so look at this question. Alright, |
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14:58 | kind of alluded to this previously when talked about something else that phase |
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15:04 | we talked about the time. in terms of response, because there |
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15:09 | be a difference, maybe there's a between your immune systems and so uh |
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15:14 | I said, we're gonna start today be the innate immune system and see |
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15:20 | that operates. Alright, let's see you think there's a time element |
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15:34 | Okay, Okay, a little Right. So the innate immune system |
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16:15 | just think about it. Pathogen pathogen out here and I want it's gonna |
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16:20 | you. Okay, what are the that's going through to do that? |
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16:24 | , So your adaptive immune system? innate immune system is immediately write your |
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16:29 | is a natural barrier. Okay, the the blinding of your um throat |
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16:40 | , uh mucus membranes we're talking Right? That's another physical barrier, |
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16:45 | ? So um that doesn't require any other than just being there. Right |
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16:51 | then those um surfaces also have secretions different types of antimicrobial chemicals in |
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16:58 | Okay so it's things that are always . Alright. So does that mean |
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17:02 | much of a time parliament with But with the adaptive immune system there |
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17:07 | because it has specificity. And so can look at the innate immune |
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17:14 | What can you get the whole thing as 1st, 2nd and 3rd |
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17:19 | Okay and so again just to visualize pathogen not here. In fact the |
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17:26 | how its layers is going through. certain intact skin mucous membrane and don't |
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17:33 | the microbes already on your body and your body they they to play a |
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17:37 | role In your system. Um 2nd defense I call more specialized cell types |
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17:47 | processes kind of characterized second line Okay so uh white blood cells. |
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17:55 | ? The Vegas of ties Lucas sites and include neutrophils, neutrophils. And |
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18:00 | have other types of macrophages of Vegas is a major process that's used to |
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18:09 | pathogens. Okay. And these cells specialized in that certain ones are uh |
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18:14 | when I turn processes that are involved things like inflammation fever compliment compliment our |
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18:22 | factors in your blood that get activated cause different effects uh antimicrobial substances. |
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18:30 | again uh this character actors. 2nd defense. And so um and so |
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18:36 | third line we called at that Okay. So t cells b cells |
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18:44 | obviously heard of antibody production. That's that's the realm of your third |
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18:48 | defense. Okay. And so this the concept of specificity. Okay. |
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18:53 | which relates to the time element here the immune system, is going to |
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18:57 | a little bit slow to respond because relies on the presence of Anthony. |
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19:07 | . So what's answered? An engine going to be the molecules that are |
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19:12 | are on the periphery of the Right. A and LPS layer of |
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19:16 | gram negative capsule that has that uh you know, any kind of |
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19:22 | biological proteins on the surface despite the . Right. These are all things |
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19:27 | on the surface. So do you of your cells of the adaptive immune |
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19:33 | is having eyeballs? And they're looking see what's out there. Okay. |
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19:37 | so they can only see what's on surface. All right. And so |
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19:42 | so it takes um the Texan recognition two engines and then that induces a |
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19:55 | output. Okay. A production of , you know, antibodies or other |
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20:02 | . Okay. So it's this Right. So that takes time to |
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20:07 | recognize, bind and form whatever the is. So that's why it's not |
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20:15 | . Okay. And that's why Pathogens try to buy time. Right. |
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20:22 | by temporarily hiding from the adaptive immune . Right. Remember the phase variation |
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20:27 | talked about in chapter 10 is how pathogens can switch on a different form |
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20:34 | the engine. And so when they that, then it's temporarily invisible. |
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20:39 | that's time one because it has to detected recognized bound to. And then |
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20:45 | put a curse. Right? That time. And we all know how |
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20:48 | bacteria can grow. Okay. And within a couple hours, bam you've |
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20:53 | lots of more pathogens. Okay. they'll do whatever they can to buy |
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20:58 | , right? That's time they can and increasing effect. Okay. And |
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21:05 | , um so well look 1st, at one of the main defenses, |
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21:14 | have This one right here. You're . Okay. So of course. |
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21:23 | it just doesn't appear out of All right. That's what this question |
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21:26 | meant to answer. Okay. So can think. Who can you think |
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21:32 | providing europe microbiota? Yeah, it's have to It's a clicker question. |
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21:43 | , excited there. Yeah, you be. Yeah. Mm hmm. |
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22:01 | . Yeah. I should admit that actually make another correction there, you |
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22:04 | , not addition, not correction addition this. Um mm hmm. |
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22:16 | So I'm pretty sure. But guess ? I think they're going to |
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22:21 | Mm hmm. All right. And answer is mother. Yes. |
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22:30 | Um or I should also on their . So the person who gave birth |
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22:37 | you. Let's put it that Okay. Um through the birth canal |
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22:43 | acquire initially require your uh microbiome Shortly followed Once you're out in the |
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22:50 | outside the room. Um uh Obviously breathing breathing stuff and the beginning eating |
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22:58 | right? Um And that of course the amount and diversity of your |
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23:04 | So you know even at at at early age and again don't memorize this |
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23:11 | . It's just meant to show you of the numbers of of microbes in |
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23:17 | on your body in certain parts mouth G. U. G. |
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23:21 | . Tract. And and the obviously staggering amount in your intestines is you |
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23:30 | pretty remarkable. Um And then also ratio of a roads and a roads |
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23:35 | of anaerobic activity. Okay and so even in a newborn you can see |
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23:43 | differences in the microbiome um babies that born naturally versus cesarean, cesarean. |
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23:53 | miss out. I'm going through that canal right? Um differences in breast |
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23:59 | versus bottle feeding, breastfeeding. Uh course it produces um in the milk |
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24:06 | milk is lactose sugar that baby can and get energy from. But also |
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24:12 | things in there that baby can't necessarily anything with. But what I can |
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24:17 | something with it are the are the in its body. And so they |
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24:20 | of can feed on selectively selectively feeds . And so Um and if there's |
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24:27 | kinds of studies done and it's been been going on for that for the |
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24:31 | 1015 probably 20 years now about your and the importance of it and what |
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24:37 | can do for you. Um Something day comes out something new about that |
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24:43 | terms of research. And so uh no doubt if you think about humans |
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24:48 | been evolving for six million years. had that microbiome in the same amount |
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24:53 | time. So obviously they've coexisted with . Coe vulnerable us. Um and |
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25:00 | not surprisingly have lots of benefits. . And so um having I'm here |
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25:08 | convince you if you're a germophobe to not to eat so much of a |
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25:11 | . Okay too. Uh I'm not you to go bask in the in |
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25:17 | sewage to get your bacteria on Okay. But you know have a |
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25:21 | of uh don't don't but don't be much the other way either. |
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25:24 | I think it's good to kind of you know yourself to various various |
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25:31 | Okay. Uh But they know that a diversity of microbiome is better than |
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25:39 | that's restrictive. So that your book about this hygiene hypothesis where that that |
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25:45 | our our ancestors like we had a diverse microbiome um than modern man does |
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25:53 | now we're you know of course our were more out in the open. |
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25:58 | They were more of an indoor type , right? We have developed all |
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26:06 | of hand sanitizers and soap and wash clean and all that good stuff, |
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26:11 | that has taken a toll in terms our microbiome. It's believed and so |
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26:17 | like being less susceptible to allergies and disorders has been correlated to something more |
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26:26 | . Um verse microbiome. So among things. And so um so it's |
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26:32 | good thing. Okay. And as know, I think we mentioned on |
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26:36 | one that um the member of microbes your microbiome outnumber your own cells. |
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26:44 | . And there's uh you know, lots of benefits. We've mentioned some |
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26:48 | these as we go through. And having said, microbes are everywhere, |
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26:53 | in and on your body. They be everywhere. Right. Obviously you |
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26:57 | an infection serious infection if you're seeing in your in your vital organs in |
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27:02 | brain, you know that that's that's normal of course, but they can |
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27:06 | pretty much everywhere else. Okay. so of course it can vary, |
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27:11 | know, because your your health varies over, you know, your |
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27:15 | And geography can play a role in too in terms of how your microbiome |
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27:20 | experience changes throughout your life. Different factors play into that. Um |
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27:27 | one of the main benefits in terms um preventing disease is this you probably |
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27:35 | this uh this term in uh intro basically one of the ecological terms go |
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27:43 | competitive exclusion. I think the ecological is no two species can occupy the |
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27:51 | niche, one has to go either out or killed. Right? So |
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27:58 | is the same idea. Okay um mere fact that microbes are occupying your |
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28:04 | inside and out means that for something come in and take hold, it |
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28:10 | not an easy task because the microbes have are very well adapted to their |
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28:17 | niche on your body. Okay. your body, micro environments can |
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28:22 | right? Um depending on where it's um Some areas are more uh salty |
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28:29 | skin tends to be more more more . So you have to particular microbes |
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28:33 | that are suited for that environment. Others areas are more anaerobic. And |
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28:39 | just just various. Right? But are very well suited for where they |
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28:43 | on your body, right? And is something that really just can't come |
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28:46 | and kick them out normally. so that that this idea of competitive |
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28:51 | is is a good one because it can potentially minimize the uh the pathogen |
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28:58 | taking hold um And so we look symbiotic relationships alright, which can be |
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29:05 | , bad or or no no no foul in terms of these plus |
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29:10 | and zero designations. And so most your in fact I'd say most of |
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29:16 | microbes are in these two categories, als and mutual stick. Okay, |
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29:22 | commence als have no uh you don't benefit or harm. So there's really |
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29:29 | effect on you but they do Of course food, shelter, |
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29:33 | that kind of thing uh mutually Microbes of course can produce things like |
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29:39 | you know asking is that you normally be able to produce certain vitamins uh |
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29:45 | microbes can digest certain foods you would be able to otherwise. Um There's |
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29:52 | system functions. They have um they to be chemicals that they produce that |
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29:59 | interact with immune system selves to kind enhance their activities. They can um |
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30:05 | can minimize the effect of anti inflammatory your body may throw out because of |
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30:12 | response to some allergen or something. so a diverse microbiome. There's members |
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30:17 | there that can that can kind of that effect somewhat. So that's all |
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30:21 | of these being being benefits to Okay. Um and you can enhance |
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30:30 | uh protection enhance with the use of . Okay. Does anybody use programs |
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30:37 | you think it helps you are how I don't think that's this before |
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30:47 | What? Probably back in day I don't know what the answer |
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30:54 | Mm hmm. Uh Yeah, I take my wife takes and I tend |
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30:59 | do lots of things like yoga and like that. So I get bacteria |
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31:02 | way. Um I think um it's certain happening. It's one of those |
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31:09 | test for yourself. Um My wife's mine but uh you know it's uh |
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31:17 | think we're gonna do it I'd say the get the pills that have the |
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31:21 | concentration of bacteria because you know a of are gonna carriage as they go |
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31:25 | your got it. So but they certainly uh benefit they many of them |
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31:33 | the members that you find in Okay. But much more concentrated. |
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31:39 | but certainly uh I would certainly recommend if you've been on antibiotics, right |
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31:44 | gonna wipe out a good portion so take them out or something like |
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31:48 | Um Anybody have a bad experience with . Really bad. Really? Okay |
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31:55 | you're not taking them anymore obviously. . Really. Given any details. |
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32:00 | fine. Um Okay uh What about pathogens? Okay. So even within |
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32:11 | group. Okay. This which most your microbiome was in one of those |
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32:16 | groups. There can be types that cause disease. Okay so that's what |
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32:23 | entrepreneur types are normally not a problem there can be a problem when um |
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32:31 | when they are able to get out their usual environment. Okay so basic |
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32:39 | of that is to say a staph like you have your staff that normally |
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32:43 | in your skin because membranes and you some kind of a mood into the |
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32:48 | for example then they can get into areas that don't normally reside and that's |
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32:52 | the problems can occur. Um a imbalance in your microbiome. You may |
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32:59 | heard of clostridium difficile and causes especially elderly uh and the newborns uh it |
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33:09 | be a very serious diarrheal disease. that organism normally resides in your |
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33:15 | but it's not a problem unless typically you're on antibiotics in your gut microbiome |
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33:20 | of changes or is upset, then guys, those clostridium can take hold |
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33:26 | and and and cause this disease more so an issue and with elderly |
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33:32 | because they tend to be somewhat sickly sometimes and and and and on antibiotics |
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33:38 | things, so but nonetheless, the pathogens. So in contrast or primary |
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33:45 | , you don't have a primary pathogen accident. Okay, If you have |
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33:49 | of those, it's obviously there to disease and examples of that are things |
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33:55 | anthrax Ebola service. Um these kind things that don't live in the body |
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34:01 | , but in fact and and cause . Um Now. Okay, so |
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34:08 | the next question. This gets us the next part. Okay. Which |
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34:12 | going to be um uh first line second line defenses here. Okay, |
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34:20 | let's see uh how we do Okay, um so we'll start first |
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34:29 | the physical chemical barriers. Some of things are mentioned here then. 2nd |
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34:34 | defense or different cell types. A of those are mentioned here. |
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34:58 | mm hmm. Yeah. Mhm. . Okay. Let's see what we |
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35:35 | and good. Okay, if you answered. Gur correct. Okay, |
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35:43 | all these are true. A through for all true as we'll see, |
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35:46 | gonna go through all these um So um of particular importance in terms |
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35:55 | really how your adaptive immune system works . Are these guys? Okay, |
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36:05 | guys here. Okay. Um So you're gonna be able to take something |
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36:11 | not supposed to be in your you're gonna have a system that you |
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36:15 | yourself, Okay, this is supposed be here, right? Because then |
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36:19 | won't be able to make a distinction what's supposed to be there and what's |
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36:21 | . So the MHC system is really barcodes on your cells, right, |
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36:27 | safe, This belongs to you. if something doesn't match that barcode then |
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36:32 | are then they can potentially be taken of. Okay. Um So let's |
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36:39 | so as we go through first line , it's gonna be a little bit |
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36:44 | repetitive in the sense that the physical also produce secretions that double as chemical |
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36:53 | . Okay, so in terms of skin, skin is a fairly pew |
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37:01 | um uh surface. Okay, very would sell sell that liquid cell layers |
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37:08 | has this character. So the character really thick. And your nails fingernails |
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37:12 | here, that's that's keratin. But too there's a layer of this on |
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37:16 | on the skin as well. now there are natural openings of course |
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37:22 | glands towards etcetera. Hair follicles, openings. Um But except for |
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37:28 | you know, it can be fairly a good barrier. Um Of course |
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37:33 | you do have a wound or some of splinter or whatever puncturing and that's |
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37:37 | I call subcutaneous. Um You can into the skin layers. The mucus |
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37:43 | of course are what line your body . And there's a mucus secretion to |
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37:50 | those those cells can be susceptible to out. So you have a mucous |
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37:54 | to keep them to bathe them in , keep them happy. Um But |
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37:59 | you have different things like um hairs , hairs in your nose, Celia |
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38:06 | respiratory tract. The mucosa Salieri Right? That's a big defense |
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38:11 | You have to keep things in your . Okay so it's Celia that are |
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38:17 | moving and mucus produced helps to trap microbes and the moving Celia caused you |
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38:26 | expel them. So it's important defense for uh your rest of lungs particularly |
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38:32 | whooping cough disease is um when that damages that system. And so you |
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38:41 | to a severe respiratory infection. Um any case uh tears and saliva, |
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38:48 | ? You have different kinds of fluids well. So saliva uh you know |
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38:52 | swallow it fairly regular pace. It's about the day. Uh that |
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38:59 | washing over your gums and teeth can wash stuff off um tears of course |
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39:05 | keep your eyes moist and can also off microbes and particulates. Um Other |
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39:12 | like the glass of course covers that so you don't get material in their |
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39:17 | wax. Okay can can trap microbes funny digestion right? Your paris |
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39:24 | Your intestinal tract is moving moving stuff . Okay. But then again as |
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39:31 | these are all both these barriers also chemical factors in them. Antimicrobials. |
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39:37 | In particular what's common to many of is right here. Right. |
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39:42 | I write you see it in the , saliva. Um sweat. Okay |
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39:50 | my design breaks down pepper look like . Right? Which of course is |
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39:54 | cell walls of bacteria. Um Also differences in these fluids. Right? |
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40:01 | gastric juice certainly is very acidic as vaginal human secretions are acidic. Um |
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40:10 | can have antibodies in them. Uh uh I mean coastal secretions will have |
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40:19 | uh I. G. What's called . G. A. A. |
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40:24 | serves to buy into pathogens and keep from binding to your cells. So |
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40:28 | so different types of of um Antimicrobial defenses is another one. I I |
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40:38 | these are like um symmetrical shape hollow . If you will uh that kind |
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40:45 | can insert into the membrane and cause of material killing the cells. And |
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40:52 | there's um these defenses are rather small there are hundreds of different types of |
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40:59 | things produced by various cells um including like macrophages, neutrophils but also some |
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41:05 | cell types produced these um as a as a as a defense. Okay |
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41:12 | The. Okay total like receptors. I equate this to um Let's see |
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41:22 | pulling the lever to sound the fire right? Fired you send the smoke |
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41:28 | goes off and you are building pull fire alarm. Alright that's what these |
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41:34 | are full of receptors are the alarm in the body. Okay. And |
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41:38 | when they're triggered so like most everything your body alright yourselves communicate with each |
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41:47 | through binding of chemicals right? Uh yourself are told to grow by the |
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41:55 | of certain kinds of hormones. Um So similarly it's it's chemical signals |
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42:01 | are sent out and that's how your of the immune system responds. Okay |
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42:05 | the trigger is something like this. so this term maps pants or it |
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42:11 | ridiculous but the the the name has and I'm not sure why they changed |
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42:16 | . But um the A. P. S. Part of the |
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42:20 | associated molecular patterns. So M. microbial P. Is panicking associated. |
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42:27 | . Um I used them interchangeably but but what what are you going to |
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42:34 | into that? We're going to buy the things on the periphery of the |
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42:37 | right? And he was basically. and so uh the gentleman cell wall |
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42:43 | . And so you see here in upper corner here a this is actually |
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42:53 | part of a macrophage I think think cell. And so it figures Excel |
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43:01 | course engulfs and digests, microbes and and part one is to bind. |
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43:07 | and so you see the binding here a toll like receptor. Okay so |
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43:13 | there's a number of cells that have just macrophages and neutrophils but other cell |
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43:18 | will have them. And you see so total like receptors on the |
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43:24 | All right as you see here these ones very similar called nod like |
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43:29 | Our internal. Okay so one of things too no um is that packages |
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43:37 | in two types those that do their outside your cells extra cellular pathogens. |
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43:44 | that cause damage part of their their their their things to go inside |
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43:49 | Well we already know viruses do Right so that's obvious but you'll also |
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43:54 | that there are bacterial types that do as well. Okay so the difference |
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44:00 | the bacterial types that do this aren't it to use the cell to replicate |
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44:06 | they're just going inside the cell to out from the immune system or and |
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44:12 | to use it as a as a to get further into your body. |
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44:17 | penetrating different cell layers. Okay. So if that's the case then you |
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44:23 | to have systems that will be able detect both types. Okay you're active |
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44:29 | systems also set up that way to those that are exercisable pathogens and those |
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44:34 | are interested because it required a different kind of strategy to deal detect the |
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44:39 | . Okay so in terms of these so external receptors these T. |
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44:45 | R. S. They will recognize bind to something like this. |
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44:51 | So here's a himself a gentleman contact receptor or maybe it's a spike of |
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44:58 | virus. Okay, internally so remember a virus of kind of course uh |
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45:05 | and maybe maybe viral proteins that are synthesized and assembled will contact one of |
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45:11 | receptors or it could be a bacterial that's inside of it. Maybe it |
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45:16 | a toxin that's inside. So not case, you have a way to |
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45:21 | that as well now whichever one Okay the the effect is the |
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45:27 | Okay so what's gonna happen is a a cascade type reaction occurs but one |
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45:34 | becomes activated and the next thing that activated and then we finally have an |
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45:39 | and in this case it's cytokines. this is a term you will see |
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45:44 | here throughout this whole section. The study is is a generic term |
|
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45:51 | a number of different chemicals with different involved in some aspect of dealing with |
|
|
46:00 | disease. Okay and so here is a small mess. Okay. But |
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46:07 | these are very common effects of it it will be different cytokines that will |
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46:12 | these different effects about. Okay so of them is chemo attractive. So |
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46:17 | are gonna are gonna, what we'll , it means just themselves to the |
|
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46:22 | of infection. Okay, um vessel factors. So these are medications that |
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46:30 | with blood vessels to manipulate the permeability blood vessels. So why is that |
|
|
46:36 | ? Because when your main Vegas civic types that deal with infections are |
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46:42 | neutrophils are circulating in your blood. so in order in order for them |
|
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46:49 | interact with an infection that's occurring outside bloodstream it has to exit the blood |
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46:55 | . And so there's a process that's in doing that and basil active factors |
|
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47:00 | enable that to happen. Mixed blood more permeable so so that the nutrients |
|
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47:04 | exit. Okay um that's all part the explanatory response. We'll talk about |
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47:10 | next week um activation of T cells cells um really kind of control the |
|
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47:19 | adaptive immune response. Okay yes B are part of that but T cells |
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47:24 | also controlled B cells. And so T cells are part of the main |
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47:29 | that control the whole thing. So them. You can really activate the |
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47:33 | immune system um activated macrophages. Macrophages very vague acidic cell types um And |
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47:41 | can actually enhance that ability by by cited kinds to kind of activate |
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47:48 | We'll talk about what that means as . Okay so the point here is |
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47:53 | you know these two receptor types enable of potential of a potential pageant slash |
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48:01 | and the way to alert the body of course through releasing chemicals and specific |
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48:07 | system themselves will respond to those various of chemicals the net result is mobilized |
|
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48:14 | your immune system get get it ready go into action is kind of the |
|
|
48:20 | what's going on here? Um Any about that? Yeah, basically MlRS |
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48:32 | inside security detail and are pretty much , because again, you're you're trying |
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|
48:40 | deal with both of these pathogen Internal and external. Right? I |
|
|
48:47 | was some relations to them. They a little bit different. Yeah, |
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48:50 | there is some there is some module the two. You know? Of |
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48:56 | everyone's the same. Yeah. I don't We're going to the structures |
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49:00 | those things. What kind of what's their different functions are in terms of |
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49:05 | they deal with. Um Let's Okay, so here's another question. |
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49:12 | gets us into the different cell types what do you call it? |
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49:17 | Second line of defense can I? adaptive immune system. Cell types |
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49:25 | Of what type? Um neutrophils, ? Macrophages, Your center fields |
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49:36 | Okay, mm hmm. Alright, see what we got. Yeah, |
|
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50:21 | going to be uh lymphocytes. So B cells and T cells and also |
|
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50:28 | there are natural killer cells are part those as well. Okay, B |
|
|
50:35 | . Um so here we'll look at different cell types involved system. So |
|
|
50:43 | can look at blood and basically fractionated plasma which is basically protein components, |
|
|
50:50 | and compliments. And then the other being we call formed elements, cells |
|
|
50:57 | different types but also in there are . Platelets aren't are not cells they |
|
|
51:02 | protein fragments, cell fragments uh involved the clotting function. Okay. Um |
|
|
51:08 | clotting function. The rigorous sites are course the red blood cells uh these |
|
|
51:17 | what we call a nuclear itself. don't have a nucleus. They're basically |
|
|
51:21 | full of hemoglobin pretty much. And used to bind oxygen. Okay. |
|
|
51:27 | now, aside from those guys then have Lucas sites, red blood white |
|
|
51:31 | cells of different types. The distinction granular sites and a granule sites is |
|
|
51:39 | is a historical term number one based the appearance under the microscope. |
|
|
51:46 | so, grand sites have grand mules are typically full of different types of |
|
|
51:53 | . Um And these gradients are quite in granule sites. Okay. A |
|
|
52:01 | house sites, you might think, , well they don't have Granules. |
|
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52:04 | they do. They're they're just they're not as visible under the microscope. |
|
|
52:09 | that's why you see these two Okay. Um and so we'll focus |
|
|
52:13 | the ground sites. First, neutral , baseball fields, you know, |
|
|
52:18 | , Uh your lymphocytes, dendritic cells macrophages are your ground sites. |
|
|
52:24 | the percentages you see on the slide are are the percentage of their present |
|
|
52:29 | the circulating blood. Okay, so 70% are circulating in the blood every |
|
|
52:37 | . Um I presume the other partner the bone because bone marrow's where these |
|
|
52:42 | were formed. And so that's where remainder would be I guess in |
|
|
52:47 | Um Anyway, so uh are one your main infection fighters early on an |
|
|
52:54 | in terms of the first um stages infection. They're the ones that are |
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|
53:00 | to the site of infection. They the blood vessels. They do their |
|
|
53:04 | . Ah They're followed by macrophages that of do the rest of the |
|
|
53:09 | Okay. Now this term polymorphous right? That refers to this weird |
|
|
53:18 | of the nucleus. Right? So all that really dark purple is dark |
|
|
53:24 | . Is the nucleus? Okay. has different lobes, it's all |
|
|
53:29 | Okay. But it has it just that appearance. Right? So that's |
|
|
53:32 | they called pony morpho nuclear. Um Bezel fills are not really a |
|
|
53:41 | cell type right? There more about releasing chemicals involved in certainly an inflammatory |
|
|
53:48 | . If you do have allergies, allergies, you can often blame |
|
|
53:53 | Or another cell type. And another type called mast cells. They can |
|
|
54:00 | to different types of allergens and release if you're hypersensitive because you get an |
|
|
54:08 | of those chemicals released and you get watering nose and watery eyes right? |
|
|
54:12 | bad. Or it hasn't really I think the uh the oak pollen |
|
|
54:16 | like through the roof nowadays um that stuff raining down that rains down in |
|
|
54:23 | this time of year, every Um So again a very small proportion |
|
|
54:29 | correctly, other cell types um we see them in um in action when |
|
|
54:34 | look at the inflammatory response, they chemicals that have to do with the |
|
|
54:38 | active factors. Okay. Um The fields A little bit higher percentage. |
|
|
54:46 | . Uh they can have a specific . Their thing is really in um |
|
|
54:53 | dealing with large pathogens, that's something don't think about that much. Can |
|
|
54:57 | think of you know bacterial pathogens, pageants? You don't really think of |
|
|
55:03 | ones? Right? But there can multi cellular worms um large protozoa types |
|
|
55:10 | can that can affect you. Okay so these are the ones that typically |
|
|
55:14 | involved in that. Right? So to kill something that's that large requires |
|
|
55:21 | course a collective effort. Okay so gonna just quickly draw this out |
|
|
55:27 | Don't worry about it cause we're gonna it and that doesn't mean response, |
|
|
55:31 | it's just that we have a large . Okay, like this. So |
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|
55:38 | order to kill something like that, gotta bring a bunch of cells |
|
|
55:40 | So yes, Center Fields, which are hanging out here will come |
|
|
55:46 | right? And the way to bring bring them together and this is where |
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|
55:51 | the concept where we'll see this, just with these guys but with |
|
|
55:55 | dendritic cells, they're all that you obviously you have that the immune system |
|
|
56:02 | innate immune system, they do interact in in at certain times. |
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56:09 | And with certain cells. Okay. so by that I mean you can |
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|
56:14 | antibodies And so antibodies I'm sure you are these white they're kind of Y |
|
|
56:19 | proteins. Right? And one end , they'll have two binding sites, |
|
|
56:27 | ? That will bind to a right to an antigen. Okay. |
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|
56:32 | then I'll have another side that combined a receptor on the cell if the |
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|
56:38 | type hasn't. Okay. And so Center Fields have that. And so |
|
|
56:43 | can be made to this pathogen and the other side of the antibody combined |
|
|
56:50 | a single film. So what will is b antibodies will bind and then |
|
|
56:58 | Center Fields bind to the antibody. so now you can bring everything |
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|
57:02 | Okay, collectively bring these essentials together what will do will really just release |
|
|
57:10 | that these Granules and these toxins were out and then because they're all in |
|
|
57:15 | around this pathogen that it'll kill Right, well it's ready to bring |
|
|
57:19 | way to bring together a number of cells. They have them stick to |
|
|
57:22 | pathogen and do their thing. And so again the association between the |
|
|
57:28 | and innate immune system and we will it again here here with the macrophages |
|
|
57:33 | dendritic cells as well. Okay. so the uh next ones are the |
|
|
57:44 | . Okay, so but a quarter the cervix the blood uh typically in |
|
|
57:50 | manga site mainly the monasteries form. so monasteries will differentiate the modern society |
|
|
57:56 | actually exit the blood and a lymphatic we're talking about that shortly um is |
|
|
58:03 | macrophages and dendritic cells. Will the will mature, differentiate into macrophages and |
|
|
58:10 | cells? And these two cell types types that work with your data immune |
|
|
58:15 | as it says. Right so this called antigen presentation is a big |
|
|
58:20 | They do. Okay. And that's kind of bridges the innate immune system |
|
|
58:26 | the that difficult system. Okay um very specific cell types. They can |
|
|
58:33 | activated to be super specific cell Okay um The other lymphocytes are these |
|
|
58:43 | natural killer cells. Okay um they with infected cells. Right so remember |
|
|
58:49 | gonna have a division here of types interact with intracellular pathogens and extra cellular |
|
|
58:55 | . Okay. And so um natural cells are one of those types. |
|
|
59:02 | , the alpha can seek out sometimes out and destroyed cancer cells are |
|
|
59:07 | Okay um And so T cells and cells will I'll leave the details from |
|
|
59:17 | next week. But I mentioned before interest sailor patrons. Extra sailor. |
|
|
59:22 | differentiation here B cells to their antibodies antibodies combined two extra sensitive pathogens and |
|
|
59:31 | like five or six different effects that when antibody engine bind. We'll talk |
|
|
59:35 | that later. The bottom line is can get rid of them. Okay |
|
|
59:38 | get rid of the past. Uh your t cells there are certain T |
|
|
59:42 | types. Okay, whose job is deal with infected cells similar to natural |
|
|
59:49 | cells but in a different way. um and so things like virus infected |
|
|
59:55 | , remember bacteria can also infect cells , right so you have to have |
|
|
59:59 | way because of the if a pathogen inside of a cell right, it's |
|
|
60:05 | from the immune systems, there has be a way to detect those and |
|
|
60:08 | cells have a way to do Okay, so natural killer cells back |
|
|
60:13 | them. Okay, this is where introduced the MHC these self antigens. |
|
|
60:20 | , so um when a cell is and it's not every cell this happens |
|
|
60:28 | you. So that virus infected itself cancerous cell. Okay. There can |
|
|
60:34 | changes on the surface as a result the infection or the cancer itself. |
|
|
60:39 | in all viral infections or all cancers in many that that happens that there's |
|
|
60:46 | and changes to the service can be by certain immune system selves natural killer |
|
|
60:51 | is one of those. Okay, what's what's the MHC thing all |
|
|
60:56 | Well, in a second. so in in natural killer cells that |
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|
61:02 | these abnormal cell types because of the surface changes they have, they want |
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61:10 | get rid of them because obviously the to the body is something that's not |
|
|
61:14 | and get rid of it. And so they have these molecules called |
|
|
61:21 | , which means to perforate, Very similar to defenses in terms of |
|
|
61:26 | their like cylinders with like a holding in like a straw emotion. So |
|
|
61:30 | kind of uh can insert into the and cause license. It can also |
|
|
61:35 | enzymes they produced these grand times. So apoptosis. Right. That's that's |
|
|
61:42 | a process that potentially everyone of yourselves do. Right? When when it's |
|
|
61:49 | to do that, you know what call a programmed cell death. And |
|
|
61:55 | yourselves would do that if they were a state where they weren't functioning really |
|
|
62:01 | well anymore. Older cells you kinda to get those out of the |
|
|
62:05 | Okay, if you've been somewhere you've gotten rid of you know, |
|
|
62:10 | peeled right. Those are basically cells were undergoing apoptosis because they've been mutated |
|
|
62:14 | UV light. You want to get of it. So um so but |
|
|
62:18 | are cases where you can actually make cell do that and this natural fuel |
|
|
62:24 | can do that to these damaged cells these chemicals. So um so again |
|
|
62:33 | go back to this MHC and what is all about. Okay so again |
|
|
62:38 | stands for major history compatibility complex. So um the term probably likely came |
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62:48 | uh huh. So organ donation, ? You have someone wants to receive |
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62:52 | organ. All right, some of tissue transplant, you gotta make sure |
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62:57 | the donor and recipient are compatible. and so this is what you're looking |
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63:03 | in terms of compatibility? What's the of chemical nature of the MHC complex |
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63:08 | donor recipient? Right. Um Obviously change for these you inherit from your |
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63:14 | . So obviously you look at that most closely related to the recipients, |
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63:20 | ? Siblings etcetera because they're likely to the most commonality between these things. |
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63:26 | . And so what they are they're the membrane, right? They are |
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63:30 | and nature. They are equate them like barcode. You have a column |
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63:36 | for your body and that barcode is stamping all yourselves? That's kind of |
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63:40 | this represents. Okay because you have have a system if you if you |
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63:44 | to know what's your own if you're detect something that's different coming into your |
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63:49 | . Okay. And so don't obviously for effect but you know so it |
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63:55 | be lined with these MHC antigens we them self antigens. Okay. You're |
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64:01 | with the blood type A. O. Blood type. So red |
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64:05 | cells have their own system and that's they euzebio they'll have those engines on |
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64:11 | surface. Okay. Um And so do we differentiate those two classes? |
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64:17 | . So the easiest way to This is let's define class to |
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64:22 | Okay so these are just these cell ? Dendritic cells macrophages and B |
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64:30 | Okay these are also what we call presenting cells. Okay, we're going |
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64:34 | talk about that in a second. um Class one is basically everything |
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64:41 | not skin cells, your brain your liver cells, kidney cells and |
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64:47 | of these that are new created. ? So that's to distinguish from red |
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64:52 | cells have their own system, the system. So basically everything else uh |
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64:58 | not a dendritic cell. Macrophage or cell is in class. Why? |
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65:06 | if they have a nucleus. So so the um and makes the receptors |
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65:17 | be our embassy molecules can be recognized T cells. Those candidates will have |
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65:23 | for MHC molecules and T cells. some T cells that recognize class one |
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65:31 | . Mhm. And other T cells class too. And um so remember |
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65:37 | natural killer cell. Alright, it for these. All right. So |
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65:44 | they sell us lacking those, it's going to be a cell as a |
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65:48 | cell. The rosella nobody sell basically cell we call it. And so |
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65:55 | that is lacking these class one molecules says oh this is not normal. |
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65:59 | get rid of it. That's what killer cells look for ourselves lacking in |
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66:03 | Class one types. Okay, so so here's the virus infected cell. |
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66:09 | , So again, it's not a thing where every virus infected cell will |
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66:14 | these differences, but many do. . And if they do they may |
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66:18 | some kind of lack MHC engines or we have a weird looking membrane |
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66:25 | Okay. So um any questions about . All right. So it's really |
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66:33 | about setting up a system in your that your cells are marked as yours |
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66:38 | that you can find something that doesn't there. Okay. All part of |
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66:42 | detection recognition binding aspect. Okay. of course if things can go wrong |
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66:50 | your cells may think your own cells not supposed to be there. |
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66:54 | That's autoimmune disorders. That's how that occurs. Okay. Um Now lymphatic |
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67:03 | . Okay, so the lymphatic system of course a system of vessels. |
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67:10 | . It's of course obviously not carrying that's carrying lymphatic fluid but it's but |
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67:16 | vessels of the lymphatic system are closely proximity to blood vessels. Um fluids |
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67:25 | through lymphatic vessels by gravity by muscular probably by contractions of circulatory system. |
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67:34 | vessels as well to push stuff Um So you're only revival organs. |
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67:41 | got a picture here. So all vital organs Have calculus three beds in |
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67:47 | . Right? So your veins and will meet up in this very thin |
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67:53 | vessels capillaries and that's how materials So your tissues receive nutrients. |
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68:00 | Your tissues release waste gets picked So exchange occurs and that's what we |
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68:05 | interstitial fluid. Right so it's it's the cells in the area of these |
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68:11 | beds. Right. So you that's course a loss of volume from your |
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68:17 | system and you wouldn't get that Right. And so that's where lymphatic |
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68:22 | comes in. Right? So those kind of pick that up and then |
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68:26 | return it to your circulatory system. around appear by your clavicle right, |
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68:32 | in back, dumps back into your system. So again so you don't |
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68:36 | a lot of blood line that Okay recover material that you've gotten rid |
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68:41 | . So um but in lymphatic tissues can they can become very thick in |
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68:52 | parts of the body like your armpits groin area, your tonsils um spleen |
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69:00 | parts of your skin underneath in your wall there can be dense collections of |
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69:06 | these lymphatic tissues and in there are of B cells and T cells |
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69:12 | As well as macrophages dendritic cells. and so um but these can protect |
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69:20 | inhaled ingested organisms. Your spleen has tissue that will kind of filter out |
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69:26 | and T cells. B cells. there will kind of grab hold of |
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69:31 | . Okay um so many things that know slide in your mouth, |
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69:35 | Your tonsils are there that they can stuff in your saliva as well. |
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69:40 | these are mechanisms to kind of trap . Okay? Um in different locations |
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69:46 | Here's an example here of what we gut associated lymphoid tissue. So these |
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69:52 | called pirs patches. Okay here you a cross section of the intestine and |
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69:58 | purple blobs here are where these pirate located that are like this, this |
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70:03 | the cartoon of them. So this be intestinal cells here remember the micro |
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70:08 | they have on top to absorb nutrients there will be interest first with these |
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70:13 | patches trap microbes you don't have um macrophages on one side that will then |
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70:20 | them. Um Here's the other example that testing the wall. This will |
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70:25 | a pirate's patch. These areas that trap microbes, potential pathogens and your |
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70:30 | . Now conversely the pathogen can kind depending on the passage of time they |
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70:35 | kind of exploit that and actually get macrophages and survive in them and then |
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70:42 | out of them and then you know infections. So we'll see an example |
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70:45 | that next week. But nonetheless you these are a defense mechanism. We |
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70:50 | have these similar kinds of things in skin different properties that we call salt |
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70:55 | associated with tissue. Okay it's all you know dense lymphatic tissue full of |
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71:01 | cells B cells. Macrophages, dendritic to kind of help trapped in the |
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71:07 | get rid of potential pathogens. Okay um so the figures psychosis of course |
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71:16 | a primary function of your infection. cells particularly neutrophils. Macrophages. Dendritic |
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71:26 | in particular macrophages really And neutrophils. so your macrophages um can be of |
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71:33 | type that is stationary for the most of basically resides in in in one |
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71:39 | of your body. So like al macrophages or in your lungs patrolling. |
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71:46 | up any kind of patterns that maybe are other microbes. Um But you |
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71:51 | have also wandering those that kind of throughout the body will calm wandering |
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71:55 | Okay. And so um in terms the process process, okay it's going |
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72:03 | follow this pattern of chemo taxes chemicals draw them to the site of |
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72:09 | Adherence. So obviously a figures Excel when you're going to adjust what can |
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72:17 | do, what it sticks to engulf ingested and then digested internally. Okay |
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72:24 | so here's an example of if there an excel type, this could be |
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72:29 | macrophage. And of course the presence these pseudo pods. Right? And |
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72:35 | when you mentioned earlier about activating a , what you're basically doing is increasing |
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72:42 | number of these membrane folds, These pseudo pods. You're increasing these |
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72:47 | greatly because that's how we can contact engulf stuff. So you have more |
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72:52 | these arms, so to speak. you become much more uh powerful fake |
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72:59 | agent. Okay and so and so we saw before the collect receptor so |
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73:05 | can bind there. So you have double whammy. So you get the |
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73:10 | mint of the pathogen but then you the release of these cytokines that can |
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73:13 | other uh communities themselves to the Okay so following. Um so let |
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73:19 | go along here. So we have tactics signals to bring um more so |
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73:25 | the site adherence. Right, so adherence. Um that will bring about |
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73:30 | of sort of kind certainly been So we ingest right from your |
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73:35 | That's going to be that Figo Right figure zone. So it forms |
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73:40 | license zone can then fuse with it the license zone will bring about |
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73:45 | So there's digestive enzymes, it can induce perhaps have oxygen radicals and peroxide |
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73:51 | kill the agent and then uh material cannot be digested, it can be |
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73:56 | , expelled. Okay, But there's other function. Right, This is |
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74:00 | the pathogen presentation comes in. so this would be what you see |
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74:05 | a macrophage for dendritic cell? Right, so these would be a |
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74:12 | of the microbe that was digested. ? So it could be proteins, |
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74:18 | have you here? Right. And that solar produced MHC molecules. So |
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74:26 | macrophages following into class too category. , they will produce self antigens of |
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74:31 | type two. Okay, and they'll those MHC antigens will bind these self |
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74:38 | will bind these guys and then we'll it to the body. Right? |
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74:45 | now this so in this form, this form they're not visible. |
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74:51 | But now in this form they Okay, and that's where a certain |
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74:57 | cell types Okay, will recognize that two receptor bind to it, recognize |
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75:05 | antigen bind to it and then the is typically released satisfies activate the adaptive |
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75:13 | system etcetera etcetera. So but that's another big function. So again we're |
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75:18 | the and Nate an adaptive immune systems by allowing to interact with the cells |
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75:25 | the but that that means that T in particular. Okay. Um and |
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75:30 | that's that's an important function to get you want to get all hands on |
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75:34 | in the in the situation get innate adaptive immune system working together right? |
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75:39 | both going to be a powerful defense fight infection. Okay. Um and |
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75:47 | the the and we'll see that also that B. B cells we'll talk |
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75:54 | this next week. B cells that antibodies also also can present Angela interact |
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75:59 | T cells that help to activate them make antibodies. So all these things |
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76:03 | together time. Um So the Estonians are uh so not every microbe |
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76:14 | amenable to being digitized. So figure relies heavily upon be able to bind |
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76:20 | that microbe and ingest it. If that microbe is not easily bound |
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76:27 | it doesn't work very well. Okay that can happen for microbes that have |
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76:31 | capsule. That's what you see This is a very thick capsule surrounding |
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76:36 | cell. Right, Streptococcus pneumonia The meningitis bacterial also very thick |
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76:42 | OK so those don't make this so susceptible to binding and figure cited |
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76:48 | So how do you enhance that? do it through optimization. Right, |
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76:53 | you involve antibodies? You involve compliment just protein factors. Okay, |
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77:00 | here's an example where we're gonna look antibodies. Ok, so this may |
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77:04 | a form that's not very able to it easily and fix it ties. |
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77:09 | what do you do? Well, produce these options. So antibodies to |
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77:15 | capsule platform if that's a capsule surrounding and it combined to that. |
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77:21 | so now the macrophage or neutral Phil have receptors. That's what the fc |
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77:29 | is that I mentioned earlier, this what combined to the actual macrophages or |
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77:34 | itself. Right through a receptor. , so this is the this end |
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77:38 | the antigen binding portion. This in here is what combined to one of |
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77:43 | . Okay. And so collectively now becomes let's say call it more it's |
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77:48 | this form more slippery. Right? form is more sticky. Okay, |
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77:53 | so now that can that can be to the in this case macrophage and |
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77:59 | whole thing gets engulfed. Right? now you've greatly enhanced the ability to |
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78:05 | the tires to these cells where it it happened that well before. |
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78:09 | so that that's what so the option is the antibody optimization is this |
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78:16 | Okay, and so not only can do this, but complement for a |
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78:21 | protein factors can also bind to the of the cell and your own cells |
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78:26 | receptors for those as well. And very similar fashion. You can take |
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78:31 | cells clearly complement, right? Makes much more easier to figure out the |
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78:35 | . Okay. Um Any questions about ? Yeah. Alright. I think |
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78:43 | yeah, that's a good spot. do this one. We'll start with |
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78:46 | next class with that one. So are yeah, we're up against it |
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78:50 | we're good. So thanks folks. you next |
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