3 - Immunity Overview Flashcards

1
Q

What is adaptive immunity?

What is innate immunity?

A

Adaptive immunity: protection results from specific immune components changing or adapting to unique features of the pathogen or agent

Innate immunity: inherent protection against organisms that are permanent from birth

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2
Q

How does passive immunity differ from active immunity?

A

Passive immunity: receiving preformed antibody for rapid protection. Short duration (T1/2 for Ab = 3weeks) - maternal Ab, IVIg

Active Immunity: Exposure to a foreign antigen for slow protection. Long duration due to memory lymphocytes.

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3
Q

Define immunogen, antigen, and tolerogen?

A

Immunogen: molecule that induces an immune response

Antigen: molecule that binds to adaptive immune mediators; recognized by a lymphocyte

Tolerogen: molecule that induces immune unresponsiveness to subsequent doses of the molecule

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4
Q

What makes something an immunogen (ie what increases the immunogenicity of something)?

A

Increased immunogenicity: large, intermediate dose, complex composition, bacteria, effectiev interaction with MHC complex.

Decreased immunogenicity: small size (<2kD), high or low dose, simple composition, no or few bacteria, and ineffective interaction with MHC complex.

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5
Q

Describe locations in the body based on the highest immunogenicity to the lowest immunogenicity?

A

Highest to lowest:

SubQ > Intraperitoneal > IV > Intragastric

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6
Q

What doees the body do when it decides whether something is self or forein/non-self?

A

Self: tolerogenic immune response against self antigens

Foreign/non-self: mount an innate or adaptive immune response to the antigen or microbe

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7
Q

Describe innate and adaptive types of specificity and memory?

A

Specificity:

  • Innate: PRRs with limited diversity
  • Adaptive: antigen receptors such as TCRs (recognize peptides antigens) and BCRs (complexes of proteins, lipids, carbs in native state)

Memory:

  • Innate: none
  • Adaptive: memory T and B cells (specific)
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8
Q

Describe intracellular vs. extracellular pathogens?

A

Intracellular: located within a cells cytoplasm of within a cell vacuole

Extracellular: outside cells, either soluble or associated with the external surface of cells

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9
Q

What is the timing of exposure to the foreign substance or microbe?

A

Primary immune response: response to the initial exposure to the substance - slower

Secondary immune response: more rapid and stronger response to subsequent exposure to substance

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10
Q

What is a live attenuated vaccine? What is the response and what are the pros and cons?

A

Modified organism to decrease pathogenicity; limited growth after injection

Induces mainly cellular response (T cells)

PROs: strong, life-long immunity

CONs: may revert to virulent form

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11
Q

What is an inactivated vaccine? What is the response and what are the pros and cons?

A

Pathogen inactivated but retains epitope (antigen) on surface.

Mainly induces a humoral response (B cells)

PROs: stable and safer than live

CONs: weaker immunity, requires booster vaccines

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12
Q

Where in the body are immunologic decisions made?

A

Generative immune organs: bone marrow and thymus

Peropheral immune organs: lymph nodes and spleen

At the site of infection

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13
Q

What is innate immunity comprised of?

A
  1. Phagocytic cells: Macrophages, neutrophils
  2. Dendritic cells
  3. Natural killer cells
  4. PAlternative and Lectin complement pathways
  • Always present and responds immediately
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14
Q

What is adaptive immunity comprised of?

A

T cells: cell mediated immunity

B cells: humoral immunity

Normally silent (must be activited), responds slowly to first exsposure, memory for faster response to subsequent exposure.

Antigen-specific defense

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15
Q

How is the innate immune system activated?

A

PRRs recognize PAMPs on bacteria, virus, fungal, or parasitic pathogens.

-Exp Toll-like receptors

Activate pro-inflamm or antiviral signaling

No memory

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16
Q

How is the adaptive immune system activated?

A
  1. Antigen: molecule binds to antibody or TCR
  2. Epitope: specific portion of antigen recognized by receptors on lymphocytes
  • Antibody (BCR): recognizes epitopes on proteins and lipid antigens
  • TCR: recognizes epitopes on peptide fragments complexed with MHC class I or MHC class II
17
Q

What is a T cell response and what does it respond to? What are the components?

A

Antigen-specific response to intracellular pathogens. (cytoplasm of vacuole)

  1. Cytotoxic = CD8+ - MHC class I restricted
    • goal: KILL
  2. Helper - CD4+ - MHC class II restricted
    • goal: RECRUIT/ACTIVATE
    • cytokine secretion
    • CD40/CD40L
18
Q

What is a B cell response and what does it respond to? What are the components?

A

Antigen-specific response to extracellular pathogens/antigens and immune surveillance

Plasma cells:

  • differentiated B cell that secretes soluble antibodies
  • Isotypes of antibodies: IgM, IgG, IgA, IgE
19
Q

What are the phagocytes and granulocytes involved in the innate immune system? What links the innate and adaptive immune systems? What are the cells of the adaptive immune system?

A

Innate:

  • Phagocytes: PMNs, MØ
  • Granulocytes: eosinophils, basophils, mast cells

Linking Innate and Adaptive:

  • Dendritic cells - APCs in peripheral lymphoid tissues
  • NK cells

Adaptive:

  • Lymphocytes
20
Q

What is the value for a normal WBC count?

A

4.0 - 10.0 ^3 /microL

21
Q

What are the percentages of WBC types in a CBC with differential?

A

Neutrophil: 34-71%

Lymphocyte: 19-53%

Monocyte: 5-12%

Eosinophil: 0-7%

Basophil: 0-1%

22
Q

What is the function of CD4+ T cells? What are the key markers? What about CD8+ T cells?

A

CD4+ T cells: B cell differentiation and mø activation; markers are CD3+ and CD4+

CD8+ T cells: kill microbe-infected cells, tumor cells; markers CD3+ and CD8+

23
Q

What is the function of regulatory T cells? What are the key markers? What about gammadelta Tcells?

A

Regulatory T cells: suppress T cell functions; markers CD3+, CD4+, CD25+

Gammadelta T cells: helper and cytotoxic

24
Q

What is the function of B cells? What are the key markers? What about NK cells?

A

B cells: produce Ab; markers FcR, CD19, CD21

NK cells: kill virus-infected cells, damages cells, and tumors; marker FcRgamma

25
Q

What are the two primary (generative) lymphoid tissues? What is the function of each?

A

Bone marrow: hematopoietic progenitors, lymphocyte developement

  • naive lymphocytes (small)
  • mature lymphocytes (larger, more cytoplasm)

Thymus: development and maturation of T lymphocytes

26
Q

What are the secondary (peripheral) lymphoid tissues?

A

Lymph nodes

Spleen

Mucosal or skin-associated lymphatic tissues (MALT/SALT): peyer’s patches, tonsils.