TY - CHAP M1 - Book, Section TI - Immune Dysfunction and Dysregulation A1 - Rozenfeld, Ranna A. PY - 2018 T2 - The PICU Handbook AB - Immune system components: balanced response by these components ensures elimination of threat with minimal damage to surrounding tissues (Table 73-1).Innate immunity:Pattern recognition receptors (PRRs) = present on most cells, recognize pathogen-associated molecular patterns (PAMPs) or damage-associated molecular patterns (DAMPs). Lead to the production of cytokines and chemokines to contain threat and recruit cellular components of the immune system. Include the toll-like receptors (Table 73-2), Toll-like and Nod-like receptors, RIG-like receptors, and C-type lectin receptors.Opsonins = mark pathogens or cells for clearance by phagocytes.Complement = opsonize or directly lyse pathogens via assembly of the membrane attack complex.Cells = including neutrophils, monocytes/macrophages, dendritic cells, and natural killer cells.Adaptive immunity:T cells.CD4+ helper T cells:Th1: Triggered by bacteria and viruses. Primary cytokines include IL-2, IFN-γ, TNF.Th2: Triggered by parasites and allergic reactions. Primary cytokines include IL-4, IL-5, IL-10.Th17: Very inflammatory. Primary cytokine is IL-17.CD8+ cytotoxic T cells: Kill infected cells.B cells.Plasma B cells: Antibody factories.Memory B cells: Provide long-term protection. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1152489247 ER -