Uploaded March 2019 | Updated September 2026, 1 week ago
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This video is part 2 of Innate immunity - Cellular Factors (Toll-like Receptors, Phagocytosis and Inflammation)
Content:
0:00 Introduction
0:20 Toll-Like Receptors
4:45 Phagocytosis
12:40 Immune System's Role in Inflammation
--------------------------------------------------------------------------------
All information in my immunology videos are from:
- Book: Immunology, Eighth Edition by David Male, Jonathan Brostoff, David Roth and Ivan Roitt
- Additional research in PubMed
- University lecture materials
--------------------------------------------------------------------------------
TLR dimerization: ncbi.nlm.nih.gov/pmc/articles/PMC3075535
Toll Like Receptors:
Location:
- Epithelial Cells of mucous membrane
- Endothelial Cells
- Macrophages
- Dendritic cells
- Neutrophils
Membrane bound TLR:
TLR 1/2 and TLR2/6:
- Peptidoglycan/Lipotechoic acid
- Lipoproteins
TLR 4:
- Lipopolysaccharides
- Fungal Mannan
- Viral Envelope Protein
TLR 5:
- Bacterial flagellin
Intracellular receptors:
TLR 3:
- Double Stranded RNA from virus
TLR 7:
- Single Stranded RNA
TLR 8:
- Double stranded RNA from virus
TLR 9:
- Unmethylated CpG islands
Toll Like Receptors trigger:
1. Release of cytokines (TNF, IL1 and IL12)
2. Chemokines (IL8)
3. Antiviral Cytokines (IFN a/b)
Phagocytosis:
Professional Phagocytes:
- Neutrophils
- Macrophages/Monocytes
- Mast Cells
- Dendritic Cells
Steps in Phagocytosis:
Step 1: Binding
- Non specific surface receptors (Mannose Receptor, Toll Like receptor, CD14)
- Indirect Opsonization (C3b)
- Direct Opsonization: Fc receptor to antibody
Step 2: Engulfment
- Pseudopods around bacteria
Step 3: Phagosome
- Formation of phagosome
Step 4: Digestion
- Oxygen Dependent digestion (Reactive Oxygen Species)
- Oxygen independent digestion
- Lysosome (Cell wall breakdown)
- Enzymes (Proteolytic, Hydrolytic)
- Antimicrobial Peptides (Defensins)
- Acidic Reactions (Low pH)
- Lactoferrin (Neutrophils)
Step 5: Antigen Presentation
- Present on MHC class 1 or class 2
- Or release digested bacteria to Interstitial fluid. Itβs then absorbed by the lymph vessels to the lymph node
Active macrophage release cytokines:
- Interleukin 8: Chemotaxis for Leukocytes
- Interleukin 1: Activate T-Ly and Macrophages
- Interleukin 6: Activate T- and B-Ly
- TNF-a: Activate Endothelium
- Interleukin 12: Activate Natural Killer cell
Interleukin 1, 6 and Tumor necrotic factor alpha: Endogenic Pyrogens (Cause Fever)
- Goes to Hypothalamus to release Prostaglandins E2
- Interleukin 6 goes to the liver to release acute phase proteins
Incomplete Phagocytosis:
Phagocytes canβt breakdown bacteria
- Listeria: release Listeriolysin
- Mycobacteria tuberculosis: catalase
Immune system in Inflammation:
- Swelling (Due to increase permeability of blood vessel)
- Pain (Due to diapedesis and edema pressing on pain receptors)
- Heat
- Redness
π Website: taimtalksmed.com
π« Help keep this content free: youtube.com/channel/UCEr7pkSXVsHcBLLBcJAGV-Q/join
π¬ Get 10% off anatomy lab models (affiliate link): https://anatomywarehouse.com?aff=34
π² Other Links:
Instagram: instagram.com/taimtalksmed
Discord: discord.com/invite/DENMUpS8ey
This video is part 2 of Innate immunity - Cellular Factors (Toll-like Receptors, Phagocytosis and Inflammation)
Content:
0:00 Introduction
0:20 Toll-Like Receptors
4:45 Phagocytosis
12:40 Immune System's Role in Inflammation
--------------------------------------------------------------------------------
All information in my immunology videos are from:
- Book: Immunology, Eighth Edition by David Male, Jonathan Brostoff, David Roth and Ivan Roitt
- Additional research in PubMed
- University lecture materials
--------------------------------------------------------------------------------
TLR dimerization: ncbi.nlm.nih.gov/pmc/articles/PMC3075535
Toll Like Receptors:
Location:
- Epithelial Cells of mucous membrane
- Endothelial Cells
- Macrophages
- Dendritic cells
- Neutrophils
Membrane bound TLR:
TLR 1/2 and TLR2/6:
- Peptidoglycan/Lipotechoic acid
- Lipoproteins
TLR 4:
- Lipopolysaccharides
- Fungal Mannan
- Viral Envelope Protein
TLR 5:
- Bacterial flagellin
Intracellular receptors:
TLR 3:
- Double Stranded RNA from virus
TLR 7:
- Single Stranded RNA
TLR 8:
- Double stranded RNA from virus
TLR 9:
- Unmethylated CpG islands
Toll Like Receptors trigger:
1. Release of cytokines (TNF, IL1 and IL12)
2. Chemokines (IL8)
3. Antiviral Cytokines (IFN a/b)
Phagocytosis:
Professional Phagocytes:
- Neutrophils
- Macrophages/Monocytes
- Mast Cells
- Dendritic Cells
Steps in Phagocytosis:
Step 1: Binding
- Non specific surface receptors (Mannose Receptor, Toll Like receptor, CD14)
- Indirect Opsonization (C3b)
- Direct Opsonization: Fc receptor to antibody
Step 2: Engulfment
- Pseudopods around bacteria
Step 3: Phagosome
- Formation of phagosome
Step 4: Digestion
- Oxygen Dependent digestion (Reactive Oxygen Species)
- Oxygen independent digestion
- Lysosome (Cell wall breakdown)
- Enzymes (Proteolytic, Hydrolytic)
- Antimicrobial Peptides (Defensins)
- Acidic Reactions (Low pH)
- Lactoferrin (Neutrophils)
Step 5: Antigen Presentation
- Present on MHC class 1 or class 2
- Or release digested bacteria to Interstitial fluid. Itβs then absorbed by the lymph vessels to the lymph node
Active macrophage release cytokines:
- Interleukin 8: Chemotaxis for Leukocytes
- Interleukin 1: Activate T-Ly and Macrophages
- Interleukin 6: Activate T- and B-Ly
- TNF-a: Activate Endothelium
- Interleukin 12: Activate Natural Killer cell
Interleukin 1, 6 and Tumor necrotic factor alpha: Endogenic Pyrogens (Cause Fever)
- Goes to Hypothalamus to release Prostaglandins E2
- Interleukin 6 goes to the liver to release acute phase proteins
Incomplete Phagocytosis:
Phagocytes canβt breakdown bacteria
- Listeria: release Listeriolysin
- Mycobacteria tuberculosis: catalase
Immune system in Inflammation:
- Swelling (Due to increase permeability of blood vessel)
- Pain (Due to diapedesis and edema pressing on pain receptors)
- Heat
- Redness






![CN 4: Trochlear Nerve (Scheme, Pathway, Clinical Relevance) | Neuroanatomy
π Website: https://taimtalksmed.com/
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Discord: https://discord.com/invite/DENMUpS8ey
Content:
0:00 Introduction
00:52 Trochlear Nerve Scheme
02:08 Course of the Trochlear Nerve
06:07 Functions of the Superior Oblique
07:55 Trochlear Nerve Palsy
09:32 Recap
Trochlear Nerve Scheme / Overview:
- Trochlea is Latin for Pulley, due to the function of the superior oblique muscle
- Nucleus of the trochlear nerve located in the midbrain, at the level of inferior colliculi
- Emerges from the posterior surface of the midbrain, and turns anteriorly
- Enter and run on the lateral wall of the cavernous sinus
- Enters the orbit via the superior orbital fissure, to innervate the superior oblique
- Exclusively a somatomotor nerve.
Course of the Trochlear Nerve:
- Nucleus of the Trochlear nerve (nuclei nervi trochlearis) is located in the midbrain, at the level of the inferior colliculus (coliculi inferiores)
- Nucleus is located at the same area as the oculomotor nerve nuclei, just a level lower.
- The trochlear nerve crosses to the contralateral side, leaves from the posterior surface of the midbrain, and turns anteriorly.
- Pierces the dura mater, and then runs through the lateral wall of the cavernous sinus.
- Goes through the superior orbital fissure, to innervate the superior oblique.
Functions of the Superior Oblique Muscle:
- Origin: Body of the sphenoid bone medial to the common tendinous ring.
- Runs anteriorly, muscle tendon hooks around the trochlea of the superior oblique
- Then takes a sharp posterior lateral turn
- Insertion; Posterior Superolateral aspect of eyeball (deep to rectus superior, via trochlea orbitae)
- Causes: Abduction, depression, internally rotation of the eyeball
Clinical Relevance:
- Damage to the trochlear nerve can be caused by either congenital or acquired causes.
- When the nerve is damaged, it causes the eye to naturally shift upwards and externally rotate leading to diplopia (double vision)
- To compensate and reduce the diplopia, patients usually get a head tilt and chin tuck.
- Congenital: Malformations of nucleus or nerve
- Acquired: Trauma, or stroke in the midbrain.
Sources:
- Singh, I. (2017). Human neuroanatomy (10th ed.). Helwany M, Bordoni B. Neuroanatomy, Cranial Nerve 1 (Olfactory) [Updated 2022 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-
- Kozlowski, T. (2017). Memorix Anatomy: The Complete Study Guide. 2nd ed. Thieme Medical Publishers.
Pictures and visuals:
- Complete Anatomy
- Biorender
- Powerpoint
- Camtasia 2021 CN 4: Trochlear Nerve (Scheme, Pathway, Clinical Relevance) | Neuroanatomy](https://i.ytimg.com/vi/WLdIkJlvakQ/mqdefault.jpg)



