Tag: Common questions

How Can the Immune System Go Awry?

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This post is part of a miniseries on the immune system. Be sure to check out the other posts in this series that you may have missed.

The immune system is designed to closely monitor the body for signs of intruders that may cause infection. But what happens if it malfunctions? Overactive and underactive immune systems can both have negative effects on your health.

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What Is the Immune System?

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This post is the first in our miniseries on the immune system. Be sure to check out the other posts in this series!
A sphere with evenly spaced blue projections and a pink core.
A computer-generated image of the rotavirus, a virus that commonly causes illness in children through inflammation of the stomach and intestines. Credit: Bridget Carragher, The Scripps Research Institute, La Jolla, California.

What do antibodies, mucus, and stomach acid have in common? They’re all parts of the immune system!

The immune system is a trained army of cells, tissues, and organs that work together to block, detect, and eliminate harmful insults to your body. It can protect you from invaders like bacteria, viruses, fungi, and parasites.

Innate and Adaptive

The immune system is often thought of as two separate platoons: the innate immune system and the adaptive immune system. Although these two platoons have different jobs and are made up of soldiers with different specialties, they work together to prevent infections.

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What Is Antibiotic Resistance?

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Large clumps of blue, spherical bacteria on a rough, green surface.
Antibiotic resistance is a risk for patients undergoing joint replacement surgery, for example, when the bacteria Staphylococcus aureus group together (blue) and attach to the surface of the implant (green). Credit: Tripti Thapa Gupta, Khushi Patel, and Paul Stoodley, The Ohio State University; Alex Horswill, University of Colorado School of Medicine.

Bacteria can cause many common illnesses, including strep throat and ear infections. If you’ve ever gone to the doctor for one of these infections, they likely prescribed an antibiotic—a medicine designed to fight bacteria. Because bacteria can also cause life-threatening infections, antibiotics have saved many lives. However, the widespread use of antibiotics has fueled a growing problem: antibiotic resistance.

Antibiotic-resistant bacteria can survive some or even all antibiotics. Other microorganisms, including fungi, can similarly become resistant to the medicines that are used to treat them. Infections from these microorganisms affect many people and are difficult to treat. According to the Centers for Disease Control and Prevention, in the U.S. alone, resistant bacteria and fungi infect 2.8 million people each year, and more than 35,000 die as a result.

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Quiz: Do You Know Pharmacology Facts?

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This is the final post in our miniseries on pharmacology. Check out the others: “What Is Pharmacology?“, “What Happens to Medicine In Your Body?“, and “How Do Medicines Work?
Various pills spilling out of an orange bottle onto a blue background. A quiz question reads: What is pharmacology? Three blank answer options are below.
Credit: NIGMS.

Pharmacologists research how the body acts on medicines (e.g., absorption, excretion) and how medicines act in the body, as well as how these effects vary from person to person. NIGMS-funded pharmacology researchers are:

  • Conducting research to design medicines with fewer side effects
  • Exploring how genes cause people to respond differently to medicines
  • Developing new methods and molecular targets for drug discovery
  • Discovering medicines based on natural products
  • Understanding how medicines act using computers
  • Monitoring brain function under anesthesia to develop safer anesthetic medicines that reduce side effects
  • Creating artificial tissue to heal muscles after traumatic injuries
  • Investigating how to treat patients with sepsis
  • Measuring tissue damage from burns to help improve treatment options
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Why Do Cells Die?

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You might know that tiny individual units called cells make up your body. But did you know some of your cells die every day as a part of their normal life cycle? These deaths are balanced by other cells splitting into two identical cells, a process called mitosis.

Two purple- and orange-speckled ovals (cells). The bottom left cell shrinks and becomes several bright yellow circles. The top right cell morphs into thick, bright yellow strands that align along the center of the cell and then pull apart into two new cells.
A confocal microscope films two cells: The cell on the left undergoes a type of cell death called apoptosis, and the one on the right undergoes mitosis. Credit: Dr. Dylan Burnette, Vanderbilt University School of Medicine.
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How Do Medicines Work?

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A person in a white lab coat and blue gloves touching a screen with a holographic human body and data readouts.
Credit: iStock.

What we put into our bodies can affect how they function and what they do. For example, a sugary snack will probably make you feel differently than a high-protein meal. Similarly, different medicines elicit different responses in your body, and pharmacologists try to fine-tune each medicine to balance the desired (on-target) with the undesired (off-target) effects—a branch of pharmacology called pharmacodynamics.

Most medicines work by binding to a molecular target, usually proteins like receptors or enzymes, and either blocking or supporting its activity, which results in their therapeutic effects.

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What Happens to Medicine in Your Body?

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Cutaway diagram of the human body (head, arms, and torso) showing the blood (arteries in red and veins in blue) and internal organs. Drug delivery is shown by intravenous drip with a blue arrow into the arm, medicine tablet with a black arrow into the mouth, and inhaler with a blue arrow through the mouth into both lungs. The life of the drug in the body is shown by black arrows from mouth to stomach, from stomach to liver, from liver to heart, from blood to kidney, and from liver to intestines.
Medicines administered orally, by inhaler, and intravenously enter the stomach, lungs, and veins, respectively. They’re absorbed, then circulate throughout the body in the blood, are processed by the liver, and excreted by the kidneys and intestines. Credit: NIGMS.

Have you ever wondered what happens inside your body when you take a medicine? An area of pharmacology called pharmacokinetics is the study of precisely that. Here, we follow a medicine as it enters the body, finds its therapeutic target (also called the active site), and then eventually leaves the body.

To begin, a person takes or is given a dose of medicine by a particular route of administration, such as by mouth (oral); through the skin (topical), mucous membranes
(nasal), or lungs (inhaled); or through a needle into a muscle (intramuscular) or into a vein (intravenous). Sometimes medicines can be administered right where they’re needed, like a topical antibiotic ointment on a scrape, but most medicines need to enter the blood to reach their therapeutic target and be effective. Those are the ones we’ll continue following, using the common pharmacokinetic acronym ADME:

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What Is Pharmacology?

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A collage of different cartoon images showing scientists working across a spectrum of basic science, chemistry, biology, research, genetics, and medicine, illustrated by images of an EKG readout, test tubes and a pipette, a syringe and medicine bottle, a chemical structure, a microscope, a pill bottle and pill, a data chart, a hospital, a DNA strand, and a human silhouette.
Credit: iStock.

Pharmacology is the study of how molecules, such as medicines, interact with the body. Scientists who study pharmacology are called pharmacologists, and they explore the chemical properties, biological effects, and therapeutic uses of medicines and other molecules. Their work can be broken down into two main areas:

  • Pharmacokinetics is the study of how the body acts on a medicine, including its processes of absorption, distribution, metabolism, and excretion (ADME).
  • Pharmacodynamics is the study of how a medicine acts in the body—both on its intended target and throughout all the organs and tissues in the body.
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Why Am I So Tired?

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An alarm clock rests on top of a model of the human brain. In the background, gold stars against a dark blue backdrop represents nighttime (left), and white and light blue clouds against a light blue backdrop represents daytime (right).
Circadian rhythms control the timing of many daily changes in your body. Credit: iStock.

If you struggle to wake up in time for school or work or feel drowsy during a trip abroad, your circadian rhythms may be out of sync with your environment. Circadian rhythms are your internal timekeepers, and almost all organisms, from bacteria to plants and animals, have them. You can’t see them, but you can feel their effects—they control when you get sleepy, when you wake up in the morning, and when you feel hungry. Among other signals, the brain uses sunlight to keep time.

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