Page 692 - Veterinary Immunology, 10th Edition
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                               FIG. 22.2  Some of the innate mechanisms involved in the
                           protection of the respiratory tract against infection and the influence
                              of particle size on the site of deposition of particles within the
                           respiratory tract. Note that only the smallest particles can penetrate
                                          deeply and gain access to the alveoli.


                  A blanket of mucus gel produced by goblet cells lines the upper

               respiratory tract. The mucus contains soluble host defense
               molecules such as lysozyme, lactoferrin, surfactant proteins, and
               cationic peptides such as the defensins and cathelicidins. Most
               microorganisms that enter the mucus layer are likely to be killed

               rapidly. There are four major surfactant proteins in lung fluid (SP-
               A, -B, -C, -D) produced by alveolar type II cells. SP-B and -C are
               extremely hydrophobic. Their function is to reduce surface tension
               at the alveolar surface so that a thin film of fluid forms on the

               surface and prevents lung collapse. SP-A and -D, in contrast, are C-
               type lectins that bind to microbial surface carbohydrates and act as
               opsonins. SP-A and -D also activate macrophages, promote
               chemotaxis, enhance the respiratory burst, and the production of

               inflammatory cytokines. These surfactant proteins also enhance the
               clearance of apoptotic cells from the lung. This is especially
               important in the resolution of inflammation, since apoptotic
               neutrophils should be removed by macrophages as promptly as

               possible. Surfactant proteins can also modulate the functions of
               dendritic cells and T cells. SP-A inhibits the maturation of dendritic





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