Pathophysiology · MU Plovdiv

2. Reactivity and resistance. Factors, influencing reactivity and resistance. Types of reactivity and resistance.

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Topic 2 of 63 in the MU Plovdiv syllabus for Pathophysiology (Medicine, Year 3). The free AceMed note covers it in 1 section, about 374 words (3 min of reading).

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  1. REACTIVITY AND RESISTANCE. FACTORS INFLUENCING THEM. TYPES

REACTIVITY AND RESISTANCE. FACTORS INFLUENCING THEM. TYPES

  • ⭐ Reactivity - the ability of an organism to alter the functional capacity of its system + organs in order to adapt to the new conditions for survival
  • ❏ It can be divided into:
  1. Biological
  • ❏ Morphological and physiological changes that occur within an entire species
  • ❏ This is primary reactivity and is genetically coded for each individual
  1. Group
  • ❏ Reactivity that is specific to certain groups e.g. gender groups and age groups
  1. Individual
  • ❏ Reactivity of each individual and is deformed by age, sex, genetics, constitution, functional conditions of an organisms’ regulatory system, external environmental influences
  • ❏ It can also be divided into:
  1. Specific - controlled by the immune system
  2. a) Physiological
  • ❏ Form specific resistance against certain antigens such as bacteria, viruses, fungi, tumour cells
  1. b) Pathological
  • ❏ Include allergic reactions, diseases, and development of immunodeficiencies or immunosuppressive conditions
  1. Nonspecific - controlled by nervous system reactions such as CNS, vegetative NS, endocrine system reactions, barrier systems, cell reactions, and humoural reactions
  2. a) Physiological
  • ❏ Nonspecific mechanisms are the vital reactions of a healthy organism in normal life conditions
  1. b) Pathological
  • ❏ Abnormal life conditions → as a result of decrease in the adaptive potential of organisms (shock, collapse)

Classification

  • ❏ Based on degree of sensitivity towards antigens:
  1. Normoergic - having the degree of reactivity toward an allergen typical of age group and community
  2. Hypoergic - having decreased sensitivity to an allergen
  3. Hyperergic - having increased sensitivity to an allergen
  4. Anergic - lack of reaction to specific antigens → usually self-antigens + prevent body from developing an autoimmune reaction → positive = effective defense mechanism → negative = due to undeveloped or exhausted defense mechanism

Influencing factors

  • Environmental factors - chemical, biological, physical, societal
  • Constitutional - gender, age, neural system

Resistance

  • ❏ State of insusceptibility of an organism to the influence of pathogenic factors (or ability of a living system to oppose irritants)
  • ❏ Can be natural or acquired in postnatal period
  • ❏ Acquired as:
  • Artificial - active (vaccination), passive (serotherapy, blood transfusion)
  • Natural - active (overcoming disease), passive (Abs via placenta or breast milk)

Immunological resistance

  • ❏ Compex mechanism of defensive and adaptive reactions
  • ❏ Highly specific response, aimed against external threats (bacteria, viruses) + internal threats (functionally ineffective and mutated cells)

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