Re: Immunodeficiency?On Aug 14, 6:39 pm, Bryan Heit <bjh...@NOSPAMucalgary.ca> wrote:
> Kumar wrote:
> > On Aug 13, 10:44 pm, Bryan Heit <bjh...@NOSPAMucalgary.ca> wrote:
> >> Kumar wrote:
>
> >> <snip>
>
> >>> Thanks but why disorders in first line defence, inherited or acquired,
> >>> are not commoly considered as defects in immune system? Though these
> >>> are considered as non-adaptive but don't we see chronic and inherited
> >>> instabilities or imbalances in these first line defecnce?
> >> Generally speaking, defects in barrier structures (i.e. skin) are not
> >> considered to be immunological, as these structures are not considered
> >> to be immune organs. The reason for this is simple - the primary
> >> function of most of these structures is not immunity; rather, their
> >> immune function is simply a product of their primary function. For
> >> example, the skin protects the underlying tissues from mechanical
> >> damage, UV radiation, dehydration, chemical exposure, etc. It's ability
> >> to minimize pathogen entry is simply a product of the underlying
> >> structure that allows the skin to do all of these same things.
>
> >> The same things can be said of the other tissues which act via barrier
> >> function - the lungs (main role = O2/CO2 exchange), the digestive tract
> >> (main role = nutrient absorption), etc.
>
> >> Also, because of the important functions these tissues have, the number
> >> of genetic defects in them are very small. Even small changes in lung
> >> morphology, or skin structure, etc, can profoundly - and usually fatally
> >> - effect the patient. In the diseases where we do see defects in the
> >> function of these barriers, defects in immunity are often only a "side
> >> effect" compared to the main problems which arise.
>
> >> Bryan
>
> > Thanks, well told. Can't a person inherit or acuire defects in gastric
> > and other parts pH, mucus consistency and production, thin or thick
> > skin resulting variations in getting normal immune defence?
>
> Not that I'm aware of, although that is outside of my area of expertise.
> As for "skin thickness", aside from a few diseases where the skin gets
> "extra thick" due to growth defects, I am unaware of any diseases like
> you describe. It's also worth mentioning that those diseases where the
> skin does get extra thick, no immune benifit is seen. Rather, skin
> infections (ulcerations, mostly) occur, due to the "extra" dead skin
> tissue laying about.
Can't there be a possibility of getting comparatively thin skin?
As far as I feel, any disorder in these first line defence can
aggravate getting diseases and disorders.
> > Btw, appx.
> > what percentage of immune defence can be related to these first line
> > defence?
>
> Few, if any. I cannot think of any disease which would qualify for
> this. IBD might fit the bill, but in all honesty I don't think we know
> if IBD is caused by the immune system, or if it is a product of GI
> barrier breakdown.
>
> Most immunologically-based diseases we see these days are caused by one
> of two things:
>
> 1) Errors in the formation of the cells which comprise our immune system.
> 2) "Overactive" immune cells that cause autoimmunity.
Btw, can swelled or srinked circulating cells (esp. swelled) or
variations in normal structure of cells encourage immune response
against them resulting autoimmunity?
> Bryan- Hide quoted text -
>
> - Show quoted text -