2. Immunity Flashcards
Ability of the body to protect itself from invasion of pathogens agents and provide a defense against their harmful effect
Can be classified as non specific or specific
Immunity
Natural/innate that is already present at birth
Functions in a standardized manner when subjected to challenge regardless of the nature of pathogen
Does not distinguish on pathogen from another
Non-specific immunity
(Innate immunity)
NOTE:
Components of non specific immunity:
Physical (Flushing mechanisms such as sweats etc)
Skin
Adaptive/Acquired that has the components of immune system that adapts
This leads to formation of antibodies and / or sensitized T cells
HALLMARK: Antibody production
Specific immunity
What are the properties of specific immunity?
Specificity and memory
ability to act on specific antigen
Specificity
Factors affecting protection by specific immunity
- Infectious dose (Depending the dosage of this microorganisms, it will activate the specific immunity)
- Route of administration
- Type of agent (Not all agent [Antigen] triggers immune response)
Lowest infectious dosage (Bacteria)
Shigella spp.
Type of specific immunity?
Active and Passive spcific immunity
Advantage: Long-term immunity
Disadvantage: Takes time to be established
Active specific immunity
Infection is occured due to exposure to immunogens creating antibodies
Natural active specific immunity
Vaccination is used for exposure to create antibodies
Artificial active specific immunity
Hallmark of active specific immunity?
End product: creates Antibodies
Advantage: Easily established
Disadvantage: Short term protection
Passive specific immunity
Breastfeeding gives antibodies
Natural passive specific immunity
Immunization is given to give antibodies
Artificial passive specific immunity
What is the hallmark of passive specific immunity?
Given Antibodies
What cell retains the memory in active specific immunity
Memory cells
LIne of immune defenses
- Non Specific immunity
- Specific immunity
First line of immune defense
Anatomical barriers and body functions
Genetic susceptibility and non susceptibility
Provision of unfavorable environment for pathogens
Normal flora
Flushing mechanism
Factors that influence the first line of defense
- Age
- Nutrition
- Comorbidities
Provides physical barrier and has active mechanisms for killing pathogens
Self sterilization by desiccation, desquamation, pH and fatty acid secretion
S. aureus can survive in fatty acid environmment
Skin and mucous membranes
NOTE: The acidity / Alkalinity of the stomach, intestinal tract and vagina inhibits microbial growth (Such as H. pylori)
L. acidophilus
Non-pathogenic microorganisms that prevents colonization of pathogenic microorganisms
Normal flora
Example of flushing mechanisms
Lacrimation
micturition
Cilia
Defacation
NOTE: Negative in Duffy antigens prevents malaria
What are the second line of immune defense
Inflammation
Leukocytes
Non-specific humoral factors
Tissues reaction to injury or infection
Inflammation
Cardinal signs of Inflammation
- Rubor
- Calor
- Tumor
- Dolor
- Functio Laesa
What is the cardinal signs for Redness
Rubor
What is the cardinal signs for Heat
Calor
What is the cardinal signs for Swelling
Tumor
What happens in the vessel when inflammation occurs due to redness?
Vasodilation
What is the cardinal signs for Pain
Dolor
Diminished function
Functio Laesa
Why heat is caused in inflammation?
Due to blood since they produce heat (For Thermoregulation, and maintains for metabolism)
What causes the tumor in inflammation?
Increased vascular permeability (Opening of endothelial cells in the vessels causing leakage of plasma = Increased in WBC)
What causes the pain in inflammation?
Naiipit ung nerves due to swelling (Alerts to Functio Laesa for easy repair)
Phases of inflammation?
- Vascular
- Cellular
- Resolution and repair
Localized vasodilation resulting to?
Hyperemia
This response for vasodilation and temporary stasis
Vascular response
Neutrophil is also known as?
Polymorphonuclear leukocytes
Most prominet WBC in children’s?
Lymphocytes
1/3 Primary Azurophilic granules?
Myeloperoxidase > HOCl
Lysozymes
Part of Specific granules that sequesters Iron
Lactoferrin
What are the secondary / specific granules
Lactoferrin
Respiratory/Oxidative burst components
- NADPH oxidase > ROS
This WBC increase in acute bacterial infection and the first to come
Neutrophil
Capable of phagocytosis can neutrolize basophil and mast cells
functions fo allergic reactions, Parasitic infection and tissue invasive parasites
Eosinophils
Largest cells in the peripheral blood
Kidney bean shape or Horseshoe shaped
Monocyte
This contains in granulocytes where agranulocyte none
Peroxidase granules
Arise form monocytes and serve as antigen presenting cells
Macrophage
Liver macrophage
Kupffer cells
Lungs macrophage
Alveolar cells
Resemble basophils but is located in tissue
Involved in inflammation and allergic reactions
Mast cells
Cells that are covered with long membranous extensions that resemble nerve cell dendrites
MOST EFFECTIVE Antigen Presenting Cells and most potent phagocytic cell
Capture antigen through phagocytosis to deliver it to T cells
Dendritic cell
Cells that are covered with long membranous extensions that resemble nerve cell dendrites
MOST EFFECTIVE Antigen Presenting Cells and most potent phagocytic cell
Capture antigen through phagocytosis to deliver it to T cells
Dendritic cell
Predominant in Chronic inflammation
Macrophage
4 phases of Phagocytosis
- Initiation
- Chemotaxis
- Engulfment
- Digestion / Degradation
ICED
2 types of phagocytosis?
Direct and indirect
Direct recognition of microbial antigens through pathogen recognition receptors
Direct phagocytosis
Recognition of opsonin-coated microbes through FcyR or CR3
Can recognize more
Indirect phagocytosis
Pathogen recognition receptors that allow direct recognition?
Toll like receptors
Toll protein came from what animal?
Drosophila spp.
Serum proteins that attach to a foreign cell or pathogen and help speed up phagocytosis
Opsonins
Movement of phagocytes towards the source of chemoattractants
Chemotaxis
Movement of phagocytes from the circulating pool to the peripheral tissues through the vessel wall
Diapedesis
Induce directional cell migration
Chemoattractants