Of the multiple things a mold-sensitive person should understand, 2 items stand out.
Notable quotes  [from Wikipedia]  concerning the immune system, and how it can be compromised (like
This will be a brief review of our immune system process, trying to keep a practical perspective.
Those who want a more complete and more technical explanation will need to look elsewhere. It is
worth noting that Dr. Ritchie Shoemaker, author of
and other mold-related books,
implies that one must understand how the mold biotoxin pathway works, including learning the names
and rudimentary functions of the different entities involved, if one is to succeed in restoring one's health.
It is a complex system, and there are quite a few entities.
The normal person's immune system has 2 components; our innate system (we're born with it),
and our acquired/adaptive system (keeps being modified throughout our life). Both are important to our
understanding and to our health. They work together to attempt to keep us free of various diseases and maladies. The
following is a brief explanation of our innate immune system. A similar explanation of our
The innate immune system, also known as the nonspecific immune system and the first line of defense,
is a subsystem of the overall immune system that comprises the cells and mechanisms that defend the host from
infection by other organisms. This means that the cells of the innate system recognize and respond to
pathogens in a generic way, but, unlike the adaptive immune system (which is found only in
vertebrates), it does not confer long-lasting or protective immunity to the host. Innate immune
systems provide immediate defense against infection, and are found in all classes of plant and animal
life. They include both humoral immunity components (innate) and cell-mediated immunity components (adaptive).
The innate immune system is an evolutionarily older defense strategy, and is the dominant immune system
found in plants, fungi, insects, and primitive multicellular organisms.
The major functions of the vertebrate innate immune system include:
- Recruiting immune cells to sites of infection, through the production of chemical factors,
including specialized chemical mediators, called cytokines
- Activation of the complement cascade to identify bacteria, activate cells, and promote
clearance of antibody complexes or dead cells
- The identification and removal of foreign substances present in organs, tissues, the
blood and lymph, by specialised white blood cells
- Activation of the adaptive immune system through a process known as antigen presentation
- Acting as a physical and chemical barrier to infectious agents
[Additional detailed explanation from Wikipedia covers the following:]
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- Anatomical barriers
- Inflammation
- Complement system
- Cells of the innate immune response
- Mast cells
- Phagocytes
- Macrophages
- Neutrophils
- Dendritic cells
- Basophils and eosinophils
- Natural killer cells
- γδ T cells
- Other vertebrate mechanisms
- Neural regulation of innate immunity
- Pathogen-specificity
Anatomical barriers
Anatomical barriers include physical, chemical, and biological barriers. The epithelial surfaces
form a physical barrier that is impermeable to most infectious agents, acting as the first line of defense
against invading organisms. Desquamation of skin epithelium also helps remove bacteria and other infectious
agents that have adhered to the epithelial surfaces. Lack of blood vessels and inability of the epidermis
to retain moisture, presence of sebaceous glands in the dermis provides an environment unsuitable for the
survival of microbes. In the gastrointestinal and respiratory tract, movement due to peristalsis or
cilia, respectively, helps remove infectious agents. Also, mucus traps infectious agents.
The gut flora can prevent the colonization of pathogenic bacteria by secreting toxic substances or by competing
with pathogenic bacteria for nutrients or attachment to cell surfaces. The flushing action of tears and
saliva helps prevent infection of the eyes and mouth.
Inflammation
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Inflammation is one of the first responses of the immune system to infection or irritation. Inflammation
is stimulated by chemical factors released by injured cells and serves to establish a physical barrier against the
spread of infection, and to promote healing of any damaged tissue following the clearance of pathogens.
The process of acute inflammation is initiated by cells already present in all tissues, mainly resident
macrophages, dendritic cells, histiocytes, Kupffer cells, and mastocytes. These cells
present receptors, contained on the surface or within the cell, named pattern recognition receptors
(PRRs), which recognise molecules that are broadly shared by pathogens but distinguishable from host molecules,
collectively referred to as pathogen-associated molecular patterns (PAMPs). At the onset of an infection,
burn, or other injuries, these cells undergo activation (one of their PRR recognize a PAMP) and
release inflammatory mediators responsible for the clinical signs of inflammation.
Chemical factors produced during inflammation (histamine, bradykinin, serotonin,
leukotrienes, and prostaglandins) sensitize pain receptors, cause vasodilation of the blood vessels
at the scene, and attract phagocytes, especially neutrophils. Neutrophils then trigger other parts
of the immune system by releasing factors that summon other leukocytes and lymphocytes. Cytokines produced by
macrophages and other cells of the innate immune system mediate the inflammatory response. These cytokines include
TNF, HMGB1, and IL-1.
The inflammatory response is characterized by the following symptoms:
- redness
- heat
- swelling
- pain
- possible dysfunction of the organs or tissues involved
Complement system
The complement system is a biochemical cascade of the immune system that helps, or “complements”, the ability of
antibodies to clear pathogens or mark them for destruction by other cells. The cascade is composed of many plasma proteins,
synthesised in the liver, primarily by hepatocytes. The proteins work together to:
- trigger the recruitment of inflammatory cells
- "tag" pathogens for destruction by other cells by opsonizing, or coating, the surface of the pathogen
- form holes in the plasma membrane of the pathogen, resulting in cytolysis of the pathogen cell, causing the
death of the pathogen
- rid the body of neutralised antigen-antibody complexes
Elements of the complement cascade can be found in many nonmammalian species including plants, birds, fish,
and some species of invertebrates
Cells of the innate immune response:
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Leukocyte
The innate leukocytes include: Natural killer cells, mast cells, eosinophils, basophils; and the
phagocytic cells including macrophages, neutrophils, and dendritic cells, and function within the immune system by identifying
and eliminating pathogens that might cause infection
Mast cells
Mast cells are a type of innate immune cell that reside in connective tissue and in the mucous membranes. They are
intimately associated with wound healing and defense against pathogens, but are also often associated with allergy and
anaphylaxis. When activated, mast cells rapidly release characteristic granules, rich in histamine and
heparin, along with various hormonal mediators, and chemokines, or chemotactic cytokines into the
environment. Histamine dilates blood vessels, causing the characteristic signs of inflammation, and recruits
neutrophils and macrophages
Phagocytes
The word 'phagocyte' literally means 'eating cell'. These are immune cells that engulf, i.e. phagocytose,
pathogens or particles. To engulf a particle or pathogen, a phagocyte extends portions of its plasma membrane,
wrapping the membrane around the particle until it is enveloped (i.e., the particle is now inside the cell). Once
inside the cell, the invading pathogen is contained inside an endosome, which merges with a lysosome. The lysosome
contains enzymes and acids that kill and digest the particle or organism. In general, phagocytes patrol the body
searching for pathogens, but are also able to react to a group of highly specialized molecular signals produced by other
cells, called cytokines. The phagocytic cells of the immune system include macrophages, neutrophils,
and dendritic cells.
Phagocytosis of the hosts’ own cells is common as part of regular tissue development and maintenance. When host cells die,
either internally induced by processes involving programmed cell death (also called apoptosis) or caused by cell
injury due to a bacterial or viral infection, phagocytic cells are responsible for their removal from the affected site.
By helping to remove dead cells preceding growth and development of new healthy cells, phagocytosis is an important part of
the healing process following tissue injury.
Macrophages
Macrophages, from the Greek, meaning "large eaters," are large phagocytic leukocytes, which are able to move
outside of the vascular system by moving across the walls of capillary vessels and entering the areas between cells in pursuit of
invading pathogens. In tissues, organ-specific macrophages are differentiated from phagocytic cells present in the blood
called monocytes. Macrophages are the most efficient phagocytes, and can phagocytose substantial numbers of bacteria or
other cells or microbes. The binding of bacterial molecules to receptors on the surface of a macrophage triggers it to engulf
and destroy the bacteria through the generation of a “respiratory burst”, causing the release of reactive oxygen species.
Pathogens also stimulate the macrophage to produce chemokines, which summons other cells to the site of infection.
Neutrophils
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Neutrophils, along with two other cell types; eosinophils and basophils (see below), are known as granulocytes
due to the presence of granules in their cytoplasm, or as polymorphonuclear cells (PMNs) due to their distinctive
lobed nuclei. Neutrophil granules contain a variety of toxic substances that kill or inhibit growth of bacteria and fungi.
Similar to macrophages, neutrophils attack pathogens by activating a respiratory burst. The main products of the neutrophil
respiratory burst are strong oxidizing agents including hydrogen peroxide, free oxygen radicals and hypochlorite. Neutrophils
are the most abundant type of phagocyte, normally representing 50 to 60% of the total circulating leukocytes, and are usually
the first cells to arrive at the site of an infection. The bone marrow of a normal healthy adult produces more than 100 billion
neutrophils per day, and more than 10 times that many per day during acute inflammation.
Dendritic cells
Dendritic cells (DC) are phagocytic cells present in tissues that are in contact with the external environment, mainly
the skin (where they are often called Langerhans cells), and the inner mucosal lining of the nose, lungs,
stomach, and intestines. They are named for their resemblance to neuronal dendrites, but dendritic cells are not
connected to the nervous system. Dendritic cells are very important in the process of antigen presentation, and serve as
a link between the innate and adaptive immune systems.
Basophils and eosinophils
Basophils and eosinophils are cells related to the neutrophil (see above). When activated by a pathogen encounter,
basophils releasing histamine are important in defense against parasites, and play a role in allergic reactions (such as
asthma). Upon activation, eosinophils secrete a range of highly toxic proteins and free radicals that are highly effective
in killing bacteria and parasites, but are also responsible for tissue damage occurring during allergic reactions. Activation
and toxin release by eosinophils is, therefore, tightly regulated to prevent any inappropriate tissue destruction.
Natural killer cells
Natural killer cells, or NK cells, are a component of the innate immune system that does not directly attack invading
microbes. Rather, NK cells destroy compromised host cells, such as tumor cells or virus-infected cells,
recognizing such cells by a condition known as "missing self." This term describes cells with abnormally low levels of a
cell-surface marker called MHC I (major histocompatibility complex) - a situation that can arise in viral infections of
host cells. They were named "natural killer" because of the initial notion that they do not require activation
in order to kill cells that are "missing self." For many years, it was unclear how NK cell recognize tumor cells
and infected cells. It is now known that the MHC makeup on the surface of those cells is altered and the NK cells become
activated through recognition of "missing self". Normal body cells are not recognized and attacked by NK cells because
they express intact self MHC antigens. Those MHC antigens are recognized by killer cell immunoglobulin receptors (KIR)
that, in essence, put the brakes on NK cells. The NK-92 cell line does not express KIR and is developed for tumor
therapy.
γδ T cells (gamma/delta T cells)
Like other 'unconventional' T cell subsets bearing invariant T cell receptors (TCRs), such as CD1d-restricted
Natural Killer T cells, γδ T cells exhibit characteristics that place them at the border between innate and adaptive immunity.
On one hand, γδ T cells may be considered a component of adaptive immunity in that they rearrange TCR genes to produce junctional
diversity and develop a memory phenotype. However, the various subsets may also be considered part of the innate immune
system where a restricted TCR or NK receptors may be used as a pattern recognition receptor. For example, according to this
paradigm, large numbers of Vγ9/Vδ2 T cells respond within hours to common molecules produced by microbes, and highly
restricted intraepithelial Vδ1 T cells will respond to stressed epithelial cells.
Other vertebrate mechanisms
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The coagulation system overlaps with the immune system. Some products of the coagulation system can contribute to the non-specific
defenses by their ability to increase vascular permeability and act as chemotactic agents for phagocytic cells. In addition,
some of the products of the coagulation system are directly antimicrobial. For example, beta-lysine, a protein produced
by platelets during coagulation, can cause lysis of many Gram-positive bacteria by acting as a cationic detergent. Many
acute-phase proteins of inflammation are involved in the coagulation system. Also increased levels of lactoferrin and transferrin
inhibit bacterial growth by binding iron, an essential nutrient for bacteria.
Neural regulation of innate immunity
The innate immune response to infectious and sterile injury is modulated by neural circuits that control cytokine production period.
The Inflammatory Reflex is a prototypical neural circuit that controls cytokine production in spleen. Action potentials transmitted
via the vagus nerve to spleen mediate the release of acetylcholine, the neurotransmitter that inhibits cytokine release by
interacting with alpha7 nicotinic acetylcholine receptors (CHRNA7) expressed on cytokine-producing cells. The motor
arc of the inflammatory reflex is termed the cholinergic anti-inflammatory pathway.
Pathogen-specificity
[A chart included by Wikipedia ws omitted here for brevity]
The parts of the innate immune system have different specificity for different pathogens. Complement has a specificity for
extracellular fungi, such as Candida, Histoplasma, and Cryptococcus.
Innate immune evasion
Cells of the innate immune system, in effect, prevent free growth of bacteria within the body; however, many
pathogens have evolved mechanisms allowing them to evade the innate immune system.
Evasion strategies that circumvent the innate immune system include intracellular replication, such as in
Mycobacterium tuberculosis, or a protective capsule that prevents lysis by complement and by phagocytes, as in salmonella.
Bacteroides species are normally mutualistic bacteria, making up a substantial portion of the mammalian gastrointestinal flora.
Some species (B. fragilis, for example) are opportunistic pathogens, causing infections of the peritoneal cavity.
These species evade the immune system through inhibition of phagocytosis by affecting the receptors that phagocytes use to engulf
bacteria or by mimicking host cells so that the immune system does not recognize them as foreign. Staphylococcus aureus inhibits
the ability of the phagocyte to respond to chemokine signals. Other organisms such as M. tuberculosis, Streptococcus pyogenes,
and Bacillus anthracis utilize mechanisms that directly kill the phagocyte.
Bacteria and fungi may also form complex biofilms, providing protection from the cells and proteins of the immune system;
recent studies indicate that such biofilms are present in many successful infections, including the chronic Pseudomonas aeruginosa
and Burkholderia cenocepacia infections characteristic of cystic fibrosis.
[End of Wikipedia section]
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