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00:02 | Yeah. Um Almost. Ok. . Mhm. So thank you. |
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00:50 | Testing. Testing. Testing. Hey , welcome. We are uh down |
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01:02 | the end here. Uh Let's see week then we have Thanksgiving week and |
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01:12 | day there and then done. so 12345 class periods probably more like |
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01:22 | . Ok. Any case. So any case, uh so we're gonna |
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01:30 | on with unit four. We started Tuesday. Um So obviously none of |
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01:36 | stuff this week is on the Exam starts tomorrow and Saturday. Um |
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01:43 | , there's a weekly quiz, the today uh this week's stuff. So |
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01:49 | your, your, your brain is this stuff. Ok? So just |
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01:53 | until Monday then just do the do quiz on Monday. Ok, after |
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01:59 | Sunday, you know what have Ok. Um I think there's like |
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02:05 | six questions or something like that. uh let's see. Um ok, |
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02:12 | continuing on with 24. So um basically what we're doing here is looking |
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02:20 | um we're coming to in the end , chapter 26. Uh So I |
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02:26 | as well, you know, as if you look ahead at that |
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02:30 | You're gonna go. Oh my There's like a bazillion diseases in chapter |
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02:35 | . Yeah, there's, they cover number of things. I don't cover |
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02:38 | I picked out select once. So, um, and basically it's |
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02:44 | . Here's disease. What causes What are some of the features of |
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02:50 | , of the pathogen? Um What some of the characteristics of the |
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02:54 | stuff like that? Ok. um yeah, I probably not, |
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03:00 | a lot of that. Just, a lot of that material is just |
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03:03 | memorization and stuff, right? Uh 26 material. So, uh any |
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03:09 | , um if you look ahead, know, kind of, I have |
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03:13 | list of what you need to know what to know about each disease. |
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03:16 | just pay attention to that. Uh we're not there yet, we're getting |
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03:20 | . And so right now we're in at the um uh how your body |
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03:26 | disease, basically, right? We on this last time with the innate |
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03:30 | system, uh what you're born with physical chemical barriers. And then um |
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03:38 | begin today, we'll actually start 24 little bit of that today at the |
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03:43 | , uh the adaptive immune system. uh then in the in microbial |
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03:50 | we basically turn it, turn the to the pathogen and what does it |
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03:57 | in terms of overcoming all of these barriers that we have in terms of |
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04:02 | immune system. Ok. And then of diseases is where it kind of |
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04:06 | comes together. Ok. So, , so let's start with this is |
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04:12 | question we had last time. This is the after one. So |
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04:16 | saw this before. Uh, let pull up my picture of the results |
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04:24 | time. Let's see. Ok. . Mm. Looks like looking for |
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04:43 | false answer here. Ok. Only seven people picked the correct answer |
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04:59 | time. OK. Only seven people . Ok. Let's see if there's |
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05:04 | change in that. Yeah, we for a second. Yeah. |
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05:28 | Let's count down here. 98. I paused it one second. So |
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05:44 | most popular answer last time was F . Ok. Let's see what, |
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05:52 | see what you got. Ok. went from 7 to 49 G is |
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06:00 | correct answer? Ok. F stayed 110. That's weird. OK. |
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06:08 | Third line defense. Yeah. B or T cell. That's your adaptive |
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06:11 | system. Its third line defense. . Uh Do you have Clostridium Tetani |
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06:18 | part of your microbiome? I hope . Ok. Um You don't, |
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06:23 | a soil microorganism. Catch it you know, step on a rusty |
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06:27 | . Get a tetanus shot, Um That's where opportunistic pathogens arise. |
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06:31 | from your, what's, what's on and they kind of yet, you |
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06:36 | , uh by accident, typically they in other parts of your body that |
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06:40 | don't normally go to and that's when cause issues, staph infection and stamps |
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06:44 | your skin because membranes, you get puncture wound. Now you, you |
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06:49 | provide a entry point for those OK? Um Yeah, A through |
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06:54 | for all ro OK. So let's at the kind of a summary of |
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07:00 | we did last time. So um remember like 1st, 2nd line |
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07:05 | these double as having secretions as right? Chemical barriers. So um |
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07:12 | so remember that, you know, skin uh mucous membranes and secretions. |
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07:16 | the lining of your body cavities, membranes, OK. Nose throat, |
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07:22 | , etcetera. Um that you you're gonna have various micro environments within |
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07:28 | areas, right? Um The microbes there metabolize, they produce materials that |
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07:35 | affect the ph of the area. oxygen levels can vary. So you |
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07:40 | have um uh a anaerobic and aerobic in various parts of the body. |
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07:45 | it's a but they're very well right? And so this microbial |
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07:51 | right? These guys help keep unwanted out, not all the time, |
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07:57 | you know, they do a pretty job uh As long as your immune |
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08:00 | is relatively healthy. Ok. Uh line defense, remember these are basically |
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08:06 | cell types that come into play uh . We'll talk about these today. |
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08:12 | . Um And then uh in this lymph lymphatic, your lymphatic system. |
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08:20 | so this is what protects against inhaled microbes, lymphatic tissue is heavy in |
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08:25 | cells, T cells or macrophages, cells and they kind of work together |
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08:31 | um things you may inhale things you ingest uh can come into contact with |
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08:37 | cell types in lymphatic tissue, which be very dense in different parts of |
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08:43 | body, armpits, growing tools, different parts of your skin underneath can |
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08:49 | dense areas of lymphatic tissue. And these serve to obviously protect you. |
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08:56 | . Then um this uh this uh uh remember this is kind of the |
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09:04 | this is the point, the uh alarm, right? Warning your body |
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09:08 | maybe an impending infection. Uh Let's something about it. And to remember |
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09:14 | you talk to your cells through chemicals different kinds, right? And so |
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09:18 | immune system, it's cytokines, of various types that have these kinds |
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09:24 | effects to attract cells to the cy infection, to um uh create |
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09:32 | inflammatory response. We'll talk about that , activate different cell types, |
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09:36 | But that's what these to like They can also be internal as |
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09:42 | The uh what we call the um hold on back up here, what |
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09:48 | call the uh not like NLR receptors are internal. So you can like |
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09:56 | viral infection, maybe viral parts bind it and that can trigger a cytokine |
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10:01 | itself. Uh So cytokines is a term for a lot of different chemicals |
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10:06 | in different parts of, of your system. Ok. Um, we |
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10:11 | at different cell types, of Um, some, some the, |
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10:17 | are the py, we'll start with today here in a second P py |
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10:22 | types are one of your primary So, neutrophils, macrophages, dendritic |
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10:28 | do that. Other types are more bliss chemicals as their function like |
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10:34 | Ok. Um, your lymph that's, that's where your third line |
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10:39 | comes in your T cells. B . We'll get into a little bit |
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10:43 | that today. But also NK cells part of that too. Ok. |
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10:48 | they're, they're more, they're more the basket with innate immune system, |
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10:53 | like B and T cells with your adaptive immune system. And |
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10:57 | um, the other thing here is types of pathogens, you gotta deal |
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11:01 | those that are in intercellular virus. learn that bacterial types can do that |
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11:07 | for different purposes. Uh, protozoal can do that. So if you're |
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11:13 | of a cell, you can be from the immune system. So you |
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11:15 | to have a way of finding those out and get rid of them, |
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11:19 | of course, exercise your pathogens do damage while outside of your cells, |
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11:24 | ? So you have to have different to deal with these. OK. |
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11:27 | looked at uh one type natural killer can deal with some types of, |
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11:32 | infected cells. OK. And we'll at some more, uh, |
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11:37 | shortly. OK? And so the main thing that we ended with last |
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11:42 | was this right here, right? self antigens, right? So class |
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11:48 | , class two. So basically your cells, somatic cells is the term |
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11:53 | use for that skin cells, liver , et cetera. Um these are |
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11:57 | contain the class one. So your cells, right? Red blood cells |
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12:03 | their own system. A bo OK. Um And so uh class |
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12:09 | , a very small group, Acro pages, dendritic cells and B |
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12:14 | . And so the types of MH molecules presented to the to the surface |
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12:20 | here, right? Determine what type T cell interacts with it. |
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12:27 | And we'll see the effects of that we move through chapter 24. But |
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12:33 | T cells have specific functions, some them, their role is to get |
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12:38 | of infected cells, right? Like of like a natural killer cell, |
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12:41 | in a different way, right? Other types of T cells bind to |
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12:48 | on a cell with the purpose of to activate that cell type. |
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12:52 | macrophages and cells and B cells become when another type of T cell interacts |
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12:59 | them through these MH C modules. . But it's all about the. |
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13:03 | remember that with these guys here, cells and B cells, it's all |
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13:10 | antigen antigen is what activates it. . So uh for that reason, |
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13:16 | adaptive immune system is a little bit because they have to detect antigen, |
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13:23 | antigen and then in effect results from . OK. So it's gonna |
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13:27 | it's a process. OK. Um right, kind of camp. So |
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13:34 | everything we talked about last time I is any questions about anything is |
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13:39 | OK. All right. So let's at pig cytosis a little more detail |
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13:45 | . So, um I put these up to kind of identify the four |
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13:50 | process here. So uh c for to get cells, uh chemicals that |
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13:58 | attract them to the site of OK. So primarily we're talking about |
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14:04 | , uh macro uh macrophages and dendritic in this function. That's their primary |
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14:10 | is to Vegas. OK. So here, this picture we saw |
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14:17 | So remember these cell types also have these TLR receptors, right? So |
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14:27 | gonna figure ties the cell, but also gonna as a result of the |
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14:32 | here, send out cytokines to attract cells to the area and other |
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14:38 | Um And so the a is for . So we're gonna bind for this |
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14:44 | of pathogen to the uh begay cell , then um ingestion. So a |
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14:52 | zone. So that phag always means feed, right? And so it's |
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14:57 | feeding vesicle if you will, that fuses with a lysosome, which is |
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15:01 | digestive organ that then crunches it up . OK. And so what's |
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15:08 | and that process of crossing it up my words is digestion, right? |
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15:13 | breaking it down. So can uh recycle some of those things uh |
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15:19 | others can get discharged like you see . And so the other thing not |
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15:23 | this diagram is that these cells will MH C molecules. OK. So |
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15:35 | , if this is what it is be a class two. OK. |
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15:40 | so in the process of producing let's say it looks like that and |
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15:47 | will bind with one of these parts the cell or virus, right? |
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15:55 | now it's gonna show that antigen. A G is short for antigen and |
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16:01 | complex will move to the surface. ? And now it can show that |
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16:09 | to the immune system. That's where T cell type would interact with |
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16:13 | OK? And so that T cell will bind OK to this complex and |
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16:22 | the T cell will send out chemicals activate the cell. Um with |
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16:29 | I'm getting way ahead of the game , but to activate a macrophage or |
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16:34 | neutrophil or a dendritic cell, what means is. So if you look |
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16:39 | the arms here, right? Pseudo , right? They got bunches of |
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16:46 | all over, right? And that's when those are dangling out there, |
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16:51 | what can encountering and come in, into contact with an organism, buy |
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16:57 | it, take it in, So contrast with, if the cell |
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17:02 | like this, OK, what we're when we activate it is to turn |
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17:06 | into something like this. Not very picture, but I think you get |
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17:13 | idea, right. So now all pseudopods are popping out, right. |
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17:18 | , now that, that, that's cell here that is activator, it's |
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17:24 | , it's a ploy cell that's now . All these arms now pop out |
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17:29 | enable it to take in stuff. . And so, um that's what |
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17:33 | want them to be like if if you have an infection going on |
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17:37 | that's how they'll best get rid of . OK. So um so with |
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17:42 | binding here you mentioned here, that , yeah, that can vary how |
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17:51 | bound it is. OK. So are certain types pathogens that have a |
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17:58 | , OK? That don't make that they don't bind that well, |
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18:04 | is kind of weak. OK? so cell types like that aren't sis |
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18:10 | easily, right? So that's, that's a virulence factor for the pathogen |
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18:14 | has a capsule. It makes it able to be fois, right? |
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18:20 | we have a way to counteract right? And that's what, that's |
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18:24 | um oh I did have a picture it, Jesus. OK. Hold |
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18:30 | . All right. Let's try again . So where in my drawing? |
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18:36 | there we go. There. You the MH C right here are where |
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18:41 | parts right here, the antigens and binds with MH C and, but |
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18:47 | , then a T cell comes and have some activity. So yeah, |
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18:50 | might jump in ahead of the gun , but we'll see this again in |
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18:54 | 24. OK. So, back Opsonin. So this is the defense |
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18:58 | those cells that are kind of slippery can't be easily f OK. So |
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19:03 | have Opsonin think of this as enhanced , or maybe facilitated voc cytosis. |
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19:12 | so what these molecules do is basically the pathogen. OK. So here's |
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19:18 | example of a capsule. So this be uh streptococcus ammonia, which is |
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19:24 | here, but it's thick capsule is halo. You see here, |
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19:29 | So very thick and so it, , it's not easily f at |
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19:35 | But if you produce antibodies to you see here. So antibodies we |
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19:39 | on why shaped structures as A B short for antibody. OK. And |
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19:45 | there's binding sites here as we'll see at that end, two binding sites |
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19:52 | . So too, there's a binding there that we call the FC |
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19:58 | OK. So cells can have a for that, right? Little yellow |
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20:04 | things here. RFC receptors. To bind the FC region can, |
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20:16 | it'll bind that into the, into antibody and the other ends are bound |
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20:21 | the pathogen. And then the whole gets taken in, OK, in |
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20:26 | , right. So now you can a cell type that before wasn't easily |
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20:32 | by using opsonin. And so um as the example in the picture but |
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20:38 | as well, compliment are kind of protein substances floating around in the |
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20:45 | ok, that become active and when become active, one of the things |
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20:50 | do when they become active is to pathogen. And so a cell would |
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20:57 | uh also a compliment receptor. In other words, working very similarly |
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21:07 | to these, it's on the cell , it can bind compliment and complement |
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21:11 | bound to the pathogen and the whole gets taken in, right? So |
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21:15 | are the the two types of right? So this process is called |
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21:21 | . But again, think of it facilitated sycosis is maybe kind of the |
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21:26 | way to think about it. Um OK. Uh Any questions about |
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21:34 | ? Mhm All right. So So there's this other function of macrophages |
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21:41 | dendritic cells. OK. And that just showed that here in this diagram |
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21:48 | there. OK. That's antigen OK? You're showing anti antigen to |
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21:54 | immune system cells that they might not see. OK. And so here |
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22:02 | a T helper cell B into that and it recognizes the MHC class two |
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22:11 | and binds to it and then get of cytokines. OK? And |
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22:17 | this is the example of there's a macrophage, there's an active one. |
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22:22 | you can see all the, basically like a, a rose that blooms |
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22:28 | now, you see all the membranes , you see how the membranes are |
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22:31 | . And these are basically the pseudopods ruffled structure or much of the pseudopods |
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22:37 | out and, and engage in a of phagocytosis. OK. So an |
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22:43 | presentation is a big deal with dendritic cells. That's what you're doing |
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22:49 | your lymphatic system. You're sitting OK? And they will encounter antigen |
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22:56 | it and then t cells that are the area um will, will interact |
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23:03 | it. OK? Um And stimulate , your adaptive system. OK. |
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23:10 | you'll see these things in like I , consoles, armpits growing where you |
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23:17 | these dense collections of lymphatic tissue. see macrophages, indri cells, B |
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23:22 | and T cells all kind of working this way. OK. That's why |
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23:27 | your lymphatic tissues swell. OK. um it's because these things are growing |
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23:34 | growing. So here sore throat tonsils . It's because you have lots of |
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23:39 | immune system cells growing to fight the . OK. Um Any questions about |
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23:47 | ? Hm. So let's look at question. This is gonna take us |
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23:51 | inflammation. OK. Uh So basically looking at which one is going to |
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23:57 | number one, this one happens first everything falls. OK. So that's |
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24:03 | one you wanna pick. This is . So you're gonna pick the one |
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24:36 | happens first because then everything all the ones are gonna follow right after. |
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24:45 | . OK. Cutting down from eight . No good. Yeah, it's |
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24:59 | be cytokine release, right? Number . Number one, number two, |
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25:06 | guest for number two. Which Uh uh yes, it will |
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25:16 | this will be two and that of . Um What's next? Probably see |
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25:27 | then probably, yeah, four would that one then five and then that's |
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25:36 | . OK. So I had to inflammatory response in a couple of |
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25:44 | It's number one is a local right? So we're talking about what |
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25:50 | call the acute ac ute acute inflammatory . Ok. Acute versus chronic. |
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26:06 | . Time time frame, acute 10 days. Ok. Chronic |
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26:13 | months, weeks, months, OK. Um A chronic infection or |
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26:22 | , there's one that gets continually right? Oftentimes there are things like |
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26:27 | basically digestive issues and certain foods cause for people. They can induce inflammation |
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26:36 | your gut uh and then that can . So certain diseases do that |
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26:42 | They can trigger inflammation. Um I , it takes a toll on your |
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26:47 | obviously. And so acute inflammatory response one we've all experienced multiple times |
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26:56 | Um It's meant to be a local . OK. So where the site |
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27:03 | infection occurs, that's where inflammation OK. Uh The goal of information |
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27:10 | to really what that question says. , it's focused on neutrophils, |
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27:16 | It's about getting neutrophils out of your into the surrounding environment to fight the |
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27:23 | because neutrophils are the primary infection fighters this process that then switches to macrophages |
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27:35 | of mop up after them. So, since neutrophils are in your |
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27:40 | , you gotta get them out. so this process of getting them out |
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27:43 | the nucleating blood vessels, ok? um getting them out, right? |
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27:50 | you have to, you have to the cells that make up a blood |
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27:53 | , make it more leaky and they out, but also not just cells |
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27:58 | out, fluid comes out of your too. That, that, that |
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28:02 | into swelling, right? That's where swelling comes, comes from. Um |
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28:07 | , uh but it's all about the of keeping that infection in check right |
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28:12 | in that area. OK. of course, it's gonna involve a |
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28:16 | of these, OK, cytokines of types and, and not even providing |
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28:25 | you all that are involved because it quite complicated. Ok. So just |
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28:29 | pointing out most of the major OK? And so these processes of |
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28:35 | process of getting the cells out of blood is extravasation. OK? Um |
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28:41 | so here's a simple scenario, we introduction of a uh through a wound |
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28:48 | some sort of uh pathogen. Uh in the area, you're gonna have |
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28:53 | like macrophages, um capillaries, of , carrying blood near the skin and |
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29:00 | know, the initial puncture wound in example will damage cells and those damaged |
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29:06 | can really be cytokines. OK? so um that will then um lead |
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29:15 | other cells becoming involved in causing them release chemicals. Ok. So uh |
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29:22 | among them chemo Truss get cells to site of infection. Ok. |
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29:28 | um and so then what happens is of a cascade effect? So one |
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29:33 | these is baso active factors. So is your skin surface, right? |
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29:39 | a blood capillary, you're gonna dilate chemicals, dilate, right? Which |
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29:45 | make bigger, right? Blood vessel bigger and there's two effects of |
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29:50 | ok? And one of those is make the blood vessel bigger. |
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29:57 | So we make it bigger and that's to do what? Slow blood flow |
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30:05 | or increase blood flow. You have garden hose and you put your thumb |
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30:11 | top of it, you get a tight spray on it, right? |
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30:15 | going to increase flow because you're constricting , make it bigger. You're going |
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30:20 | slow it down, ok? You're slow down blood flow in and remember |
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30:24 | is local, it's not happening all your body in the area that this |
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30:29 | is occurring. That's where this will in those capillaries. So I'm gonna |
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30:35 | that. So, um, uh, capillary then dilates, it |
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30:42 | closer to your skin surface and now skin becomes red and splotchy in that |
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30:48 | . Ok? And so, that leads to the redness, it's |
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30:53 | in the area, uh, warm to the touch, of |
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30:57 | Right? And so, um, we slow blood flow down in the |
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31:03 | . OK. Um Remember neutrophils, wanna get those guys out, so |
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31:07 | want to slow it down so you latch on to them and get them |
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31:10 | of the, out of the OK. So we slow blood |
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31:15 | but also we've increased bloodline. So increased bloodline in the area and slowed |
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31:20 | down and that facilitates getting the cells of there. Uh Neutrophils, I |
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31:26 | to um uh fight infection. And so you see one such cell |
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31:34 | in the capillary, OK. And gonna grab onto them. Uh I'm |
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31:39 | show you animation about this but the here you see it, neutrophils are |
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31:44 | pliable. They can give an they can squeeze through like you see |
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31:51 | and get out the other side. ? And now they're out there in |
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31:56 | , in the outside the capillaries and can proceed to biggest of ties cells |
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32:02 | the area. OK. So there's a different set of kinds that |
|
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32:06 | media in all these things. And so you see a number of |
|
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32:10 | here, right? Brady Kinon, , prostaglandins, uh et cetera. |
|
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32:18 | . And so, um this is here, Brady Kinon that helps to |
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32:24 | separate the cells in the blood vessel make an opening for the cells to |
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32:29 | through. OK. They also work other cells to make them uh uh |
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32:36 | chemicals like histamine to work on the vessels too, to intensify the vasodilation |
|
|
32:42 | . Ok. Um, prostate So these things work on nerves, |
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32:49 | endings in the area uh to really the pain, right? Because you |
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32:54 | be aware that you have something going there and a way to do that |
|
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32:58 | to increase the sensation of pain as result. Ok. That's actually how |
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33:05 | works is to counteract that is to that. So you don't feel the |
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|
33:10 | . Um, but obviously you want be aware of what's going on. |
|
|
33:14 | . Uh Histamine again is works on vessels. TNF tumor necrosis factor is |
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|
33:20 | , is a very common one, by many of your immune system cells |
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33:26 | a number of effects, everything from fever in some cases to, to |
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|
33:33 | uh causing other cells to release various kinds. So it's a very um |
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33:39 | one. I mean, you, , you'll get a blood test and |
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|
33:43 | look at TNF levels and that will you, are you having an |
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33:47 | inflammatory response of some sort? um so very, very uh |
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|
33:52 | These other ones c reactive protein in . These are all different types of |
|
|
33:57 | involved in this process. OK. not gonna go into specifics on. |
|
|
34:02 | let's um let's look at animation real and you kind of see the action |
|
|
34:07 | how the um how this works. let's look at, let's look at |
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34:14 | one real quick. This is uh of going back to macrophages. And |
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34:18 | function. OK. So here is macrophage, for example, here's a |
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34:24 | that will be engulfed and there we figure zone forms. Then lysosome fuses |
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34:34 | it. We digest here and then mean c molecule is formed here |
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|
34:47 | OK. Um In China it up little bit there we go. So |
|
|
34:54 | you see the formation of a MH molecule, right? And that will |
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35:00 | with some of these antigens you see , OK? And then that will |
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35:09 | to the surface and A T for example, can respond to |
|
|
35:15 | OK. So that's the antigen presenting . OK. So let's go back |
|
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35:21 | here and look at this one inflammatory . There we are. OK. |
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35:34 | . Blow it up. OK? here is our capillary in our right |
|
|
35:42 | this area of the skin. And we'll get a puncture wound. |
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|
35:48 | OK. Here comes the pathogens and nearby macrophages here in interact, |
|
|
35:56 | So you can get the toll like response, right? Um Like so |
|
|
36:05 | engine, that kind of thing, chemicals, right? These cytokines and |
|
|
36:12 | we go and they'll have their various , vasodilation and then we're gonna close |
|
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36:20 | here. So these are endothelial cells make up the blood vessel, |
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36:26 | And these things are kind of gonna think of this velcro it's gonna latch |
|
|
36:32 | these neutrophils to slow it down, ? But we've helped helped this by |
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36:38 | blood volume and slowing blood down. makes this an easier process to do |
|
|
36:44 | than other types. Uh Ingrains are kind of, they bind to the |
|
|
36:50 | . And uh so do so do , don't worry about the names |
|
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36:54 | but this is a way to latch to the neutrophil and slow it |
|
|
36:58 | OK. Then you'll loosen these That's what uh the Brady Ken |
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37:05 | OK. Like so, and then squeeze through. OK. So this |
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|
37:13 | of, of uh slowing down the is they call margination and this is |
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37:22 | uh diapedesis. You see those terms the the squeezing through of the |
|
|
37:28 | OK. And now they've come out they can begin to figure the |
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37:32 | But obviously, if you're make loosening connections, not only will the cells |
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37:37 | out, but you know, any of fluid will come out as |
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37:41 | OK. Here, the mass cells produce histamine that further it interacts with |
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37:47 | blood vessels. But here you see of the fluid now coming out and |
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37:51 | causes the swelling. OK. um but the healing process is |
|
|
37:57 | So what happens in there is you dead dead cells, both neutrophils that |
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38:02 | died, but obviously, the cells killed and it can form kind of |
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38:07 | layer of, of, of pus some cases. And so you may |
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|
38:11 | that to complete the healing process. the action of prostate gland is to |
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38:17 | pain. So, uh all part the normal inflammatory response. Ok. |
|
|
38:24 | can, you know, obviously can in severity. You know, if |
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38:27 | have like a splinter in your finger you know, you get a little |
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38:30 | of pain there from inflammation versus something serious. But the same kind of |
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38:35 | are occurring. These of these different cells coming into play, et |
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38:40 | . Ok. Um And then of , it could also repair, could |
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38:43 | involve, you know, a right scab forms part of the healing |
|
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38:48 | if we're talking about skin damage, . Um Clotting factors may come into |
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38:54 | too to clot blood if there's So all these are of the |
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|
38:59 | OK? Any questions? OK. with compliment, yeah, these are |
|
|
39:10 | protein factors. OK? They're floating in the blood. Now, if |
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|
39:13 | look at this, you're gonna see um uh there's about 20 of |
|
|
39:21 | So you guys, if you look it in a book, there's like |
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39:24 | , there's one arrow after another, another, after another uh one activation |
|
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39:29 | the next activation and so on and forth. OK. And so you |
|
|
39:35 | need to memorize all that stuff. . So, um the ones to |
|
|
39:42 | are C three and C five. . And C three is one that |
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39:49 | uh activated. Uh These are particularly prote proteolysis clea proteins. OK. |
|
|
39:57 | so, uh the C three is into these two parts and the C |
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|
40:03 | A is what activates the next And so if you look at all |
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40:06 | of these, you'll have multiple of reactions. One activates the next |
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40:10 | the next one, next one cascade . So, um, the, |
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|
40:16 | are the two major ones here. . C three and C five. |
|
|
40:20 | . When those things are activated, of the effects occur that we're gonna |
|
|
40:25 | about. Ok. So, the, uh, v uh, |
|
|
40:33 | try it again here. So what gonna do then is we're gonna see |
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|
40:37 | same three effects occur. OK? of how it's activated, right? |
|
|
40:43 | , while in the blood, they're in the inactivated state, we |
|
|
40:46 | to activate them and different processes do . One of them being antibodies, |
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|
40:51 | probably the major, the major uh . OK? And so um what |
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|
40:59 | call a classical, so antibodies activate compliments and create the three |
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|
41:06 | So, ization, inflammation and cytolysis the same three effects no matter how |
|
|
41:12 | activate. OK. In the ultimate , it's really binding. So pick |
|
|
41:19 | bacteria have lots of sugar, protein on the surface. OK? And |
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|
41:26 | compliment can interact with many of these when it does, it can, |
|
|
41:31 | can become activated. OK. And the last one is called lectin. |
|
|
41:36 | are, are molecules produced in the , OK? That enter the |
|
|
41:41 | And they can also bacteria very commonly uh nanos and similar sugars on their |
|
|
41:50 | . OK? And NANOS in particular one that lectin looks out for, |
|
|
41:55 | . Your cells don't really have OK? But bacterial cells can, |
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42:00 | they can be bound by, by lectin to activate co OK? And |
|
|
42:07 | , uh so again, no matter way you activate it, the outcomes |
|
|
42:12 | the same. OK. So you're have optimization. OK. What you |
|
|
42:17 | about that before active compliment coats the cell takes it in. OK. |
|
|
42:24 | can have uh cytolysis uh where activated um comes together to form a basically |
|
|
42:33 | tunnel in the cell membrane. And that serves to cause license of |
|
|
42:39 | . OK. The um that's what call that in a membrane attack |
|
|
42:45 | OK. Now, gram negatives are susceptible because they have that outer |
|
|
42:52 | right? So these things are built insert themselves in a lipid bilayer. |
|
|
42:59 | ? And of course, the gram has that outer membrane, right? |
|
|
43:03 | positive doesn't they have a thick cell ? So they're not really susceptible to |
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43:09 | particular effect. The gram negatives are . Inflammation. Uh they can assist |
|
|
43:15 | inflammation as well by active active compliment on cells that can cause release of |
|
|
43:23 | cytokines and the inflammatory response. you know it it sort of can |
|
|
43:27 | a combination of these, it doesn't to be just one. but once |
|
|
43:31 | activate, compliment, all these are possible. OK. So um any |
|
|
43:40 | about that, right? So remember itself. Uh these aren't cells, |
|
|
43:44 | are just activated proteins that can produce various effects. Um interferons. |
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|
43:55 | So, interferons, uh the one of the main functions is anti |
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|
44:00 | activity. OK. We talked about in the context of, of viral |
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|
44:05 | against viruses back in chapter six, think. So the type one is |
|
|
44:09 | one we were looking at there. . And so this has the effect |
|
|
44:14 | um a virus infected cell releases this . OK. And so um so |
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|
44:23 | virus infected cell will likely be killed the process, but it's releasing the |
|
|
44:31 | interferon that can act on other cells the area. OK. So the |
|
|
44:37 | infection itself induces expression of the um . Any cells with a receptor for |
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|
44:44 | that are in the area will bind that triggers production of transcription factors. |
|
|
44:49 | talk about that in chapter 10. . And so that means the expression |
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44:53 | antiviral proteins that can either either uh degrade the viral genome or, and |
|
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45:00 | interfere with translation of it. Um that case, the cells protected. |
|
|
45:06 | any any non infected cells can potentially protected by this type one interferon. |
|
|
45:14 | . Um And so the type one your firm was one of the first |
|
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45:19 | products to be mass produced um using genetic engineering techniques. And with the |
|
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45:28 | that, you know, it's any activity would be, you know, |
|
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45:30 | be great and we could put it the pill or whatever market, it |
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|
45:35 | lots of money or didn't work out well. It's, it's effective in |
|
|
45:40 | , you know, those who have a bad viral infection can get the |
|
|
45:45 | of interference in the hospital. And it can be effective in that |
|
|
45:49 | , but not as like a widespread that you would take as a pill |
|
|
45:53 | because it turns out to be kind toxic and high doses, it doesn't |
|
|
45:57 | a good long shelf life. Uh there's certain restrictions on it, but |
|
|
46:01 | know, in certain scenarios like uh as a as a shot uh |
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46:07 | to counteract an infection, it is , but um not in a |
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46:12 | Uh it was, it was hopefully to be where you can make lots |
|
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46:16 | money selling pills and stuff in your , just didn't work out. But |
|
|
46:19 | , um uh if you're hospitalized with viral infection, you might get a |
|
|
46:24 | of this uh to help. And the type two is one |
|
|
46:29 | you know, we talked about activating fake acidic cell type, right? |
|
|
46:32 | more of those pseudopods, right? so that's kind of uh what it |
|
|
46:36 | do. It can also increase MH antigens, right? So if you're |
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|
46:40 | this, if you're doing that, , you're causing it to make more |
|
|
46:45 | these MH C molecules, right? make more of these and made C |
|
|
46:52 | , for example. And if you're that, then you're increasing the potential |
|
|
46:56 | them to bring engine to the right? So now these can travel |
|
|
47:04 | show antigens. So if you're telling cell make more of them, then |
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|
47:09 | cell will do more of that. then now that, that will enable |
|
|
47:12 | to detect, you know, antigens may be in your body and do |
|
|
47:17 | about it, right? So that's of what that, what that effect |
|
|
47:20 | . Ok. Um Any questions about if you OK. So fever, |
|
|
47:30 | think this is the last one of innate immune system. Uh So fever |
|
|
47:35 | all about manipulating the body's thermostat. . So the hypothalamus which is, |
|
|
47:44 | course, uh your brain, It will, you know, you |
|
|
47:49 | a core body temp you maintain 37 plus or minus half a degree |
|
|
47:54 | Um And uh there are substances like , it says pyrogens, right? |
|
|
47:59 | name pyro means fire, right? , creating fire in the body. |
|
|
48:03 | so you can have uh what are exogenous pyrogens which are uh bacteria, |
|
|
48:09 | types, viruses uh can cause this others. And so when they're in |
|
|
48:14 | body, they actually trigger endogenous right? And so things like tuber |
|
|
48:21 | factor, for example, interlooping one another one. And so what they |
|
|
48:27 | when active is to go to the , basically crank thermostat up. |
|
|
48:34 | So here's a basic scenario here. we have a regular set point. |
|
|
48:39 | is what you're tuned to most of time. Ok. And pyrogens can |
|
|
48:46 | that. Ok. So much uh, we had this cold |
|
|
48:51 | what week or two ago, that you're cold, you know, |
|
|
48:56 | go inside the house. My dorm cranked the heat up. Right. |
|
|
49:01 | didn't, in your room didn't instantaneously to the 78 degrees or whatever you |
|
|
49:07 | . Right. You have to, still felt cold until that room warmed |
|
|
49:12 | enough, right? So you have catch up to it. And so |
|
|
49:16 | , once, when your thermostat and body is cranked up, you're gonna |
|
|
49:21 | cold until you get there right? you, until you, until uh |
|
|
49:25 | , your body, uh until you that temperature of the new set |
|
|
49:30 | OK, you're gonna feel chilly and all experienced this, right? And |
|
|
49:35 | when you're finally at that new high , you're not really wanting to do |
|
|
49:42 | . All right, because you don't that well. But even though you've |
|
|
49:45 | that temperature, uh but it is a function by being at this elevated |
|
|
49:51 | for a while. Ok. um typically what happens is you kind |
|
|
49:56 | oscillate back and forth. So remember , if you're at, if you're |
|
|
50:00 | the new set point now and it a little bit, you're gonna feel |
|
|
50:05 | until you catch up with that new set point, do you typically go |
|
|
50:09 | up and down? Because you feel , chills, hot chills. And |
|
|
50:14 | until finally you've overcome the infection, is, represents the ebb and flow |
|
|
50:20 | these pyrogens as you're fighting the Ok. And so uh once the |
|
|
50:26 | breaks, we call it, then get back finally to your regular set |
|
|
50:36 | body. Well, pathogens um like bacteria in your body. Um they |
|
|
50:44 | at 37 ft right, 98.6 Um And so, if you elevate |
|
|
50:52 | , it's gonna slow the growth OK? As well. It lowers |
|
|
50:58 | of iron. Ok. So it out uh iron, of course, |
|
|
51:03 | a vital nutrient. OK. Iron a lot in a lot of enzymes |
|
|
51:08 | in these redox reactions we've learned And so it's a vital component to |
|
|
51:15 | growth. Ok. So we hold to it, of course, |
|
|
51:18 | we have a hemoglobin in our red cells, right to bind oxygen, |
|
|
51:22 | we have a bunch of other molecules well, right? Because it's important |
|
|
51:25 | us obviously too. So if we get, keep it away from it |
|
|
51:30 | too slows their growth. OK? elevated temp seems to do that. |
|
|
51:36 | . Um Of course, they also chemicals that they release that buy an |
|
|
51:41 | . So it's like we're fighting a of war there. But um but |
|
|
51:45 | increases t selective, right? So cells as we'll learn, um one |
|
|
51:51 | of them really controls the whole adaptive response. And so when you're, |
|
|
51:57 | you're increasing their overall activity, then really mobilizing your adaptive immune system. |
|
|
52:03 | ? So the other thing this does by slowing growth down, but through |
|
|
52:08 | temp, keeping iron away, um buys us time. So time, |
|
|
52:14 | using time is a, is a of both what we do and what |
|
|
52:20 | pathogen does. So, think of , a pattern can, can, |
|
|
52:26 | increase time by hiding out from the system, right? So being inside |
|
|
52:30 | a cell hidden from the immune system a way to for it to buy |
|
|
52:34 | , right? Um it can do things to hide from the immune |
|
|
52:38 | And so if it's hidden, it grow, right? We know how |
|
|
52:42 | bacteria can grow, right? So give them time before they become found |
|
|
52:49 | . By that time, they may proliferated quite substantially. OK? But |
|
|
52:53 | the other hand, if you slow down, that buys you time because |
|
|
52:59 | your adaptive immune system doesn't work right? It's gotta detect androgen, |
|
|
53:06 | to it and create an effect and takes time. So this is one |
|
|
53:10 | for your body to buy time to their growth down. You can find |
|
|
53:14 | out, produce immune response. So time, time and it works |
|
|
53:20 | both sides here. OK. Um . Any super elevated temperature like 100 |
|
|
53:33 | four for several hours, that's not either. So there is a |
|
|
53:39 | right? But within reason fever does helps you. Ok. So let's |
|
|
53:45 | kind of recaps the stuff we, , we talk about, uh, |
|
|
53:53 | . So let's see here. looking for the true correct answer |
|
|
53:58 | That's true. Mhm. Ok. , uh, count down from |
|
|
54:51 | uh, 82. Ok. Let's here. Yeah. None, none |
|
|
55:00 | these are right. Ok. pyrogens induced fever. Remember the attack |
|
|
55:06 | ? That's a compliment that does, , um, doesn't involve MHC |
|
|
55:11 | If you're on type one, that's opsonin facilitate trig csis complement is in |
|
|
55:18 | cells of protein. OK. Um right. So let's uh uh |
|
|
55:29 | So any questions before we move on 25 a little bit to get into |
|
|
55:33 | little bit of antibody or, or immune system? OK. Um |
|
|
55:43 | So third line defense is where we're . OK. Um to sing first |
|
|
55:52 | engines in general and then B cells T cells. OK. So looking |
|
|
55:59 | at the system, OK. kind of division of labor here. |
|
|
56:04 | one half is about uh dealing with pathogens. The other half intracellular |
|
|
56:13 | OK. So human immunity is B . So immediate immunity T cells. |
|
|
56:20 | . So your B cell types when active when uh in response to |
|
|
56:27 | Remember this is what controls the whole here. All of it is presence |
|
|
56:31 | an OK. So your plasma cells form the antibodies but you also form |
|
|
56:37 | the same time. Memory cells So you got memory to your adaptive |
|
|
56:43 | system um based on having been stimulated some point through an infection or through |
|
|
56:59 | . Remember an an an antibody can't inside of a cell and bind to |
|
|
57:05 | virus, let's say right? It does their work outside the cell. |
|
|
57:09 | . So, hence extracellular car, . Uh T cell types um and |
|
|
57:18 | into cytotoxic T cells. OK. these guys kind of kind of but |
|
|
57:24 | in the same way similar to any killer cells looking for infected cells. |
|
|
57:32 | Remember natural killer cells look for changes the inmate c molecules on the |
|
|
57:37 | This looks for cells presenting antigen to . OK? And the other types |
|
|
57:44 | T cells are called helper cells to ourselves. And there's two types, |
|
|
57:49 | type uh and both I should say of these the cytotoxic T cells, |
|
|
57:55 | helper cells, they do their work on the types of MH C molecules |
|
|
58:01 | recognize, right. So cytotoxic T , mh C ones. So remember |
|
|
58:06 | these are, right? Your body , skin cells, liver cells, |
|
|
58:10 | , et cetera, right? So of those cells in your body gets |
|
|
58:14 | , potentially these can find them out deal with them. OK. So |
|
|
58:21 | your inmates see two types B dendritic cells, macrophages. So uh |
|
|
58:27 | type ones, this is what interacts those macrophages. Dendritic cells. B |
|
|
58:33 | interact with T helper type two, ? So, it's gonna be a |
|
|
58:36 | of labor with these different types of cells. OK. And so um |
|
|
58:42 | so it does for many B it requires this interaction, then activate |
|
|
58:52 | to do to do that. They plasma cells and memory B cells, |
|
|
58:57 | requires the help of a of A cell with them to get them to |
|
|
59:01 | that. OK. Um And so , in terms of, you |
|
|
59:07 | plasma cells hang around your body once made for maybe two months and then |
|
|
59:14 | kind of go away. OK. cells last for decades. OK. |
|
|
59:20 | 3040 years. OK. Um You have to kind of spruce them up |
|
|
59:28 | you will by getting a booster OK. Every 10 years or |
|
|
59:33 | like for tennis, I think it's 10 years. So that because they |
|
|
59:37 | kind of over time kind of dwindle in terms of their effectiveness, the |
|
|
59:41 | of antibodies they produce. Uh, you kinda have to give him a |
|
|
59:46 | every now and again. OK. OK. So that's a good question |
|
|
59:53 | . It has to do with antibody . OK? I mean, not |
|
|
60:02 | . Your best shot. So And OK, let's count down from |
|
|
61:03 | . Bye. Let's see. Uh read it for myself here. A |
|
|
61:12 | true. Oops A is true. That's true. That's true. Uh |
|
|
61:25 | mean, if that's true, that's . They're all true. Yeah. |
|
|
61:32 | . All right. So we'll go these here. OK? Um So |
|
|
61:39 | and foremost B cell types B T cells, it's all about |
|
|
61:44 | OK? So the, and the epitope thing is really just scope, |
|
|
61:50 | engine is a bigger entity. And the engine you have a specific binding |
|
|
61:55 | that's the epitope. OK? So epitope you see here, colored in |
|
|
62:01 | , right? So the, the entity, the whole thing, it's |
|
|
62:06 | engine but it binds specifically an area the engine, what we call the |
|
|
62:13 | . OK. And so what's an ? Well, it can be lots |
|
|
62:17 | things, right? It can be we're talking about pathogens, it can |
|
|
62:20 | , you know, outer membrane molecules the outer membrane of a gram negative |
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62:26 | uh molecules on the popping out of you know, of a grand pos |
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62:31 | could be a flagellum for feri it be a capsule, it could be |
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62:37 | uh a pylas, it could be , you know, the proteins that |
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62:42 | out of a virus, right? be any of those things. Um |
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62:45 | could be pollen, mold spores, ? These are things we're allergic |
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62:48 | those are antigens your your cells are to. Ok. So um generally |
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62:56 | can have um again, it goes to binding, right? Tight |
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63:02 | makes good antibodies. OK. And um protein engines tend to be the |
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63:11 | the ones that produced, the more response in terms of antibodies. So |
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63:16 | call immunogenicity is kind of your ability form an immune response. And proteins |
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63:24 | do that the best because there's lots variety of proteins and protein sequences can |
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63:29 | in different shapes. And these are features that enhance the immune response. |
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63:35 | , certainly sugars, carbohydrates can be antigen. Uh but there, there's |
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63:40 | the, the same variety of forms carbohydrates or fats that proteins have. |
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63:46 | so it's proteins one typically than sugars . Pretty way below. And then |
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63:55 | are nucleic acids can be an but uh we'll learn next week with |
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64:02 | that aren't so good. Um as A as an antigen like for |
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64:07 | right? A vaccine against the That was what the meningitis vaccine is |
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64:11 | you got is, is was used the capsule, right? With the |
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64:17 | , which is carbohydrate, but we enhance it by adding a protein to |
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64:22 | . And so, so we call conjugated vaccine. We're conjugating the sugar |
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64:26 | the protein because that makes it a produces a better immune response. |
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64:32 | So there's things you can do like . OK. So my mind here |
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64:36 | protein engines tend to give the best . OK. So um so just |
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64:43 | at basic structure of antibody, I drew A Y which is kind |
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64:48 | uh simplistic, but we have to a little bit more to it, |
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64:51 | ? We have uh there's actually two here. OK. Anyway, we |
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64:57 | see it over here. So you a variable that the V OK. |
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65:00 | so this is all protein rightly peptide , right? So the minimize sequences |
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65:06 | in their variable sections. OK. that's where the engine binding occurs. |
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65:13 | . And it's gonna be through an within the larger. OK. So |
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65:21 | have two binding sites per antibody. . And we have a region |
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65:27 | The C stands for constant. So it has the same the mio |
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65:34 | a sequence in those sea regions. . And so the antibody classes. |
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65:42 | IG is short for immunoglobins of And we call these isotype, |
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65:52 | That's on our next slide. We them isotype A GVM uh A GDE |
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66:00 | . OK. And um the other is as we saw before is that |
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66:06 | portion, right? That's what this that combined. This can be a |
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66:14 | , for example, OK. uh dendritic cell, right? These |
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66:22 | all um big acidic types and they have these f circles on the |
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66:30 | And that's how they, this is optimization thing. OK. Um So |
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66:35 | we look at the different isotype, do we define that? How do |
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66:39 | define an isotype? Well, if have um uh here are three |
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66:46 | two IGAS and an IgG. So we identify uh the IGAS from |
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66:55 | IgG by the sequence in that constant . OK. So they differ in |
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67:04 | A, all IGAS will have the amino acid sequence in the constant |
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67:10 | All IgGs will have their own specific . OK. It's how you can |
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67:16 | one from the other A, from G from A, the what have |
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67:21 | . OK. So that's what we isotype. OK. So in |
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67:26 | OK. Within an IG A um sorry, uh they possess the um |
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67:39 | differ in the uh um and binding , of course. OK. So |
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67:48 | can have an IG A that responds X an engine here and this one |
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67:55 | to a different one. OK? just generically calling these things and this |
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68:01 | antigen X. This one can respond antigen Y. OK. Just means |
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68:07 | they can respond to different ans, ? You can have, you have |
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68:09 | bunch of igas that respond to and and you can have a bunch that |
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68:15 | to what? Right. So just they vary that way because you can |
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68:19 | that variable region. OK? Um isotype and idiotype, right? So |
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68:27 | looking at different different molecules of the isotype that bind different engines within that |
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68:35 | . Those are different idiotype. So idiotype. This a idiotype that |
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68:42 | Is that makes sense. Yeah. again, within an isotype class, |
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68:47 | have different idiotype because those antibodies can to different antigens. OK? Um |
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68:56 | what kind of effect do you get binding and antibody? Well, one |
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69:01 | the main ones is this. So that uh everybody says each one has |
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69:07 | binding sites, you can kind of cells together. OK? And that's |
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69:13 | glutin nation. OK? And so you're doing is you, you have |
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69:23 | two infectious units, right? By them, you're reducing the number, |
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69:29 | when we see these types that can the what's called the PTER form? |
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69:39 | , right? IgM can do OK. So you see you have |
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69:49 | , 10 binding sites. So you have 10 individual pathogens in the |
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70:00 | right? And now we can bind all up. So you've taken them |
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70:06 | the individual units to um one because bound them all up by this 10 |
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70:17 | monster, so to speak, That's what IgM can do. |
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70:21 | So I mean optimization, we saw before. OK. So we're familiar |
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70:26 | that. The other feature is um antibodies. OK. Um So that's |
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70:35 | a feature of um IG A and the COVID vaccine promoted to pathogens like |
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70:50 | stick to your uh mucus mucus membranes your lungs, uh trachea, et |
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70:57 | . Uh So if you can keep from adhering, uh then you basically |
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71:02 | it, they can't stick and get of them uh toxins as well. |
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71:06 | remember that two can be bound by . That's a tetanus vaccine works that |
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71:18 | . OK. Then uh activating compliment talked about that before. And then |
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71:23 | one here is, so we talked it in the context of eosinophils. |
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71:30 | right there dealing with large passages, . That's a collective effort. |
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71:37 | You can't focus at times this thing one cell. It won't happen. |
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71:44 | too big, right. So you attract cells to the site, |
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71:50 | That can release toxins, chemicals to it. And the way to do |
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71:54 | is to attract them through, have buy into antibodies that are bound to |
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72:02 | pathogen. So that antibodies bind, make antibodies to the pathogen, that |
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72:07 | cells can bind to those antibodies and they sit there and then they can |
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72:11 | their chemicals. And so you see release of these because you have so |
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72:16 | of the, of your, of cells, they are stuck to |
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72:20 | They all the chemicals and that collectively kill the pathogen. And this can |
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72:24 | something like these literally can be a . How am I, how he |
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72:30 | have a worm in my body? , they're tiny but you, you |
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72:34 | , you know, different types of parasites and, and, um, |
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72:39 | you know, and you get them puncture wounds. They, in |
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72:50 | but, uh, you know, not as common in most parts of |
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72:53 | world as others, but you you can certainly get these things. |
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72:59 | , if, uh, if you livestock, you know, you worm |
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73:03 | animals, right, cows, uh, to protect against things like |
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73:07 | . Ok. But you know, you can get those as gross as |
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73:11 | may seem. Um Anyway, so the name for this, it's a |
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73:15 | of syllables there, right? So always use a DC C but antibody |
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73:21 | , you can see that right? are part of it, cell |
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73:24 | So you bring different cells, the and then cytotoxicity killing, killing the |
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73:30 | . OK. Um I think that it for today. Uh Let's take |
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73:37 | look. Yes, stop, OK. Yeah. Uh please. |
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73:48 | . See you. Uh Hi So this is from the unit |
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73:56 | And so this question, I was little bit confused about as to why |
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74:00 | not transcriptional control. OK. So . So this is where we're having |
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74:07 | try the fan. OK. So the trip opera and we're gonna |
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74:15 | of course, the RN A, ? And then we're gonna form the |
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74:19 | enzymes. And so the pathway that tryptophan, right? OK. So |
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74:25 | we've made it so this can so this is uh this enzyme one |
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74:31 | , this enzyme two and so So this can actually interact with the |
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74:37 | here. And in doing so you're blocking and making any more tryptophan because |
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74:44 | inhibiting this enzyme. And so so that's what we're doing here. |
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74:48 | so if you're doing that, you're dealing, you're manipulating a protein here |
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74:54 | , to affect expression. That's why post translation because from my understanding, |
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74:58 | thought it was part one I thought was, |
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