The immune system: basis of so much health and disease: 2. innate immunity

From Volume 44, Issue 3, March 2017 | Pages 246-252

Authors

Crispian Scully

CBE, DSc, DChD, DMed (HC), Dhc(multi), MD, PhD, PhD (HC), FMedSci, MDS, MRCS, BSc, FDS RCS, FDS RCPS, FFD RCSI, FDS RCSEd, FRCPath, FHEA

Bristol Dental Hospital, Lower Maudlin Street, Bristol BS1 2LY, UK

Articles by Crispian Scully

Eleni A Georgakopoulou

PhD, MD, MSc, DDS

Research Fellow, University of Athens and Dental Practitioner, 4 Fokaias Str, 14232 N Ionia, Greece

Articles by Eleni A Georgakopoulou

Yazan Hassona

BDS, FFD RCSI, PhD

Assistant Professor and Consultant in Oral Medicine and Special Needs Dentistry, The University of Jordan, Amman

Articles by Yazan Hassona

Abstract

The immune system is the body's primary defence mechanism against infections, and disturbances in the system can cause disease if the system fails in defence functions (in immunocompromised people), or if the activity is detrimental to the host (as in auto-immune and auto-inflammatory states). A healthy immune system is also essential to normal health of dental and oral tissues. This series presents the basics for the understanding of the immune system, this article covering innate immunity.

Clinical Relevance: Modern dental clinicians need a basic understanding of the immune system as it underlies health and disease.

Article

Innate immunity is:

The characteristics of innate immunity are that the response:

Innate immunity includes the fundamental mechanisms that facilitate resistance to infection, which include:

Innate immunity can be divided into:

Innate defences include basic mechanisms resisting infections; predominantly including:

Anatomical barriers include the epithelia of skin and mucous membranes, and also in the respiratory tract, cilia (Figure 1).

Skin has the following properties:

Mucoase have the following properties:

Physiological barriers include pH (eg stomach acidity), oxygen tension, temperature and various soluble factors.

Protective reflexes include:

Hence, anatomical and physiological barriers together with the protective reflexes try to block all the entrance gates for microbes: such as ingestion, inhalation, skin contact, sexual contact and exchange of body fluids.

Cells of the innate immune system are either present in the connective tissue of epithelia, for example tissue macrophages which are also known as histiocytes (histo=ιστός=tissue in Greek), including hepatic Kupffer cells, alveolar macrophages, giant cells of granulomas, osteoclasts and dermal Langerhans cells) or migrate to the epithelia to fight invaders (eg polymorphonuclear neutrophils (PMNs).

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