Immunity

Ability to resist attack or overcome infection by invading microbes or larger parasites. Immunity is based on the proper functioning of the body's immune system. In natural or innate immunity, immune mechanisms present at birth work against a wide variety of microbes whether or not they have been encountered before. Acquired immune responses, tailored to act against a specific microbe or its products, are stimulated by the prior presence of that microbe. Previous infection with a particular pathogen, as well as vaccines, produce this type of immunity. The mechanisms of innate immunity include physical barriers (including the skin) and chemical barriers (such as bactericidal enzymes present in saliva).

Microbes that penetrate the body's natural barriers encounter substances (such as interferon) that inhibit their growth or reproduction. Phagocytes (particle-engulfing cells) surround and destroy invading microbes, and natural killer cells pierce the microbe's outer membrane. Innate immunity does not confer lasting resistance, or immunity, to the body. Acquired immunity is based on the recognition of antigen by B cells and T cells and is activated when innate mechanisms are insufficient to stem further invasion by pathogens. Killer or cytotoxic T cells destroy infected and foreign cells. Helper T cells induce B cells stimulated by the presence of antigen to proliferate into antibody-secreting cells, or plasma cells. Antibodies produced by plasma cells bind to antigen-bearing cells, marking them for destruction. Acquired immunity relies on the long-term survival of sensitized T and B memory cells, which can proliferate quickly upon reinfection by the same pathogen. &Seealso; immunodeficiency; immunology; leukocyte; reticuloendothelial system.

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