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Barriers to entry are the skin and mucous membranes. The skin is a passive barrier to infectious agents such as bacteria and viruses. The organisms living on the skin surface are unable to penetrate the layers of dead skin at the surface. Tears and saliva secrete enzymes that breakdown bacterial cell walls. Skin glands secrete chemicals that retard the growth of bacteria. Mucus membranes lining the respiratory, digestive, urinary, and reproductive tracts secrete mucus that forms another barrier. Physical barriers are the first line of defense.

When microorganisms penetrate skin or epithelium lining respiratory, digestive, or urinary tracts, inflammation results. Damaged cells release chemical signals such as histamine that increase capillary blood flow into the affected area (causing the areas to become heated and reddened). The heat makes the environment unfavorable for microbes, promotes healing, raises mobility of white blood cells, and increases the metabolic rate of nearby cells. Capillaries pass fluid into interstitial areas, causing the infected/injured area to swell. Clotting factors trigger formation of many small blood clots. Finally, monocytes (a type of white blood cell) clean up dead microbes, cells, and debris.

The inflammatory response is often strong enough to stop the spread of disease-causing agents such as viruses, bacteria, and fungi. The response begins with the release of chemical signals and ends with cleanup by monocytes. If this is not enough to stop the invaders, the complement system and immune response act.

Protective proteins that are produced in the liver include the complement system of proteins. The complement system proteins bind to a bacterium and open pores in its membrane through which fluids and salt move, swelling and bursting the cell.

The complement system directly kills microbes, supplements inflammatory response, and works with the immune response. It complements the actions of the immune system. Complement proteins are made in the liver and become active in a sequence (C1 activates C2, etc.). The final five proteins form a membrane-attack complex (MAC) that embeds itself into the plasma membrane of the attacker. Salts enter the invader, facilitating water to cross the membrane, swelling and bursting the microbe. Complement also functions in the immune response by tagging the outer surface of invaders for attack by phagocytes.

The complement system of proteins and their functioning. Image from Purves et al., Life: The Science of Biology, 4th Edition, by Sinauer Associates (www.sinauer.com) and WH Freeman (www.whfreeman.com), used with permission.

Interferon is a species-specific chemical produced by cells that are viral attack. It alerts nearby cells to prepare for a virus. The cells that have been contacted by interferon resist all viral attacks.


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