3A Flashcards

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1
Q

What are the two types of hemocytoblasts?

A

-Myeloid line
- Lymphoid line

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2
Q

What is a hemocytoblast?

A

-multipotent stem cell
- all cells start here

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3
Q

What are the types of Blood parts in the Myeloid line?

A

-erythrocytes/ RBCs
- platelet cells
- granulocytes/ monocytes

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4
Q

How do erythrocytes form?

A

form in red bone marrow in erythropoiesis

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5
Q

How do platelets form?

A

Fragments form in red bone marrow from megakaryocytes in thrombosis

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6
Q

What are the types of granulocytes and monocytes?

A
  • neutrophil
  • basophil
  • eosinophil
  • monocyte
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7
Q

How do granulocytes/ monocytes form?

A

through leukopoiesis

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8
Q

What blood cells are part of the Lymphoid line?

A
  • B-lymphocytes
  • T-lymphocytes
  • Natural killer cells
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9
Q

Where do lymphocytes mature?

A

In red bone marrow

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10
Q

Where do t-lymphocytes and pre-t-lymphocytes form?

A

-develop in the red bone marrow and then migrate to the thymus where they mature

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11
Q

What are t-lymphocytes comparable to?

A

special forces

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12
Q

Where do Natural Killer Cells form?

A
  • this special type of lymphocyte matures in the red bone marrow
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13
Q

What are NK cells comparable to?

A

hit men

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14
Q

What part of immunity are natural killer cells?

A

innate immunity

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15
Q

What is innate immunity?

A
  • immediate response to a wide array of substances?
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16
Q

What are the type of innate immunity?

A

1st defense
- physical and chemical barriers
2nd line of defense
- non -specific internal defense
- physiological response

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17
Q

What are the components of the 1st line of defense?

A
  • physical and chemical barriers like skin, membranes, and secretions
  • surface barriers and their secretions
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18
Q

What does the first line of defense do?

A

prevents entry of pathogens into the body

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19
Q

What is the second line of defense composed of?

A
  • non-specific target cells and compounds that fight pathogens that have entered the body
  • non-specific internal defense including cells and antimicrobial compounds
  • physiological responses such as inflammation or fever.
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20
Q

Is the microbe identified in the first or second line of defense/ innate immunity?

A

NO
- just a broad defense against the bacteria but it doesn’t know what bacteria

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21
Q

What is adaptive immunity?

A

a delayed response to specific antigens with memory

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22
Q

What is included in adaptive immunity

A

cell-mediated and humoral branches

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23
Q

Why is adaptive immunity important

A
  • it allows for a stronger secondary response due to memory cells produced against a specific antigen
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24
Q

What directs the cell-mediated branch of adaptive immunity?

A

t-lymphocytes

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25
Q

What directs the humoral branch of adaptive immunity?

A

-b-lymphocytes

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26
Q

What do first line of defense physical barriers include and do?

A

-includes mucous membranes and skin that protect our outer body (skin) and inner body surfaces (mucous membrane) these both prevent pathogens from entering the body
- the normal flora is on some surfaces that have commensal microbiota that helps prevent invading pathogens
- secretions from mucous membranes trap microbes allowing time for antimicrobial actions
- secretions are acidic interfering with bacteria growth
- lysosomes defensins, and dermcidin are secreting by skin and mucous membranes

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27
Q

Where are normal flora found?

A

on skin with commensal microbiota

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28
Q

What does skin and mucous do?

A

prevents pathogens from entering

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29
Q

What do secretions do?

A

-trap microbes allowing for antimicrobial actions
- secrete lysosomes, defensins, dermcidin
- have an acidic ph to deter bacteria growth

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30
Q

Do secretions kill bacteria?

A

No, just deter it

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31
Q

What cells form the second line of defense?

A
  • phagocytic cells
  • proinflammatory secreting cells
  • apoptosis-initiating cells
  • parasite-destroying cells
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32
Q

What do phagocytic cells do?

A

engulf pathogens to destroy them

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33
Q

What do proinflammatory secreting cells do?

A

secrete histamine, heparin, eicosanoids

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34
Q

What are eicosanoids?

A

local hormones

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35
Q

What is heparin?

A

an anticoagulant

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36
Q

What do histamines do?

A

stimulate vasodilation and increase permeability

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37
Q

What do apoptosis-initiating cells do?

A

trigger apoptosis in tells through the release of perforin which initates response and granzyme

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38
Q

What does perforin do?

A

-pokes holes in cell

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39
Q

What does granzyme do?

A

self-destruct button

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40
Q

What do parasite destroying cells do?

A

secrete a variety of substances that attack the surface of multicellular paracytes

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41
Q

What do parasite destroying cells do?

A
  • secrete a variety of substances that attack the surface of multicellular parasites
    -death by 1000 papercuts
    -eosinophils go in like vultures
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42
Q

What is an example of a parasite destroying cells?

A

eosinophils

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43
Q

What is an example of an apoptosis-initiation cell?

A

NK (t-lymphocyte)

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44
Q

What are examples of proinflammatory secreting cells?

A

-basophils in circulation
-mast cells in tissues

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45
Q

What is the second line of defense?

A

antimicrobial components, physiological responses

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46
Q

What is an interferon?

A

a class of cytokines that nonspecifically impede viral spread

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47
Q

What are the components of the second line of defense?

A

Interferons like
-IFn alpha and beta
-IFN gamma
Complements

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48
Q

What do ifn alpha and beta do?

A
  • bind to neighboring cells and prevent their infection by triggering the synthesis of enzymes that destroy viral nucleic acids and inhibit the synthesis of viral nucleic acids and proteins
  • stimulate NK cells to destroy the virus-infected cells (basically call NK cells
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49
Q

Where is IFN alpha and beta produced?

A

produced by virus infected cells

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50
Q

What does IFN gamma do?

A

-stimulates the macrophages to destroy virus-infected cells
-serves as backup and cleans cell debris

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51
Q

What is a complement antimicrobial component?

A
  • a group of plasma proteins that play a role in eliminating immune complex, cytolysis of pathogen cells, and opsonization
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52
Q

What is the difference between classical pathways and alternative pathways?

A
  • alternative pathways do not require or involve antibodies and classical pathways do
53
Q

What is a classical pathway?

A

when the plasma proteins bind directly to the antibody

54
Q

What does the classical pathway do?

A

eliminates immune complexes

55
Q

How does the classical pathway work?

A

the complement (C) cross-links (connects) immune (antigen-antibody) complexes to the erythrocyte, which transports to the liver and spleen
(acts like velcro that helps collect immune complexes and bring them to liver and spleen)

56
Q

What does the alternative pathway do?

A
  • the plasma proteins that bind directly to pathogen
  • preforms cytolysis or opsonization
57
Q

How does opsonization work?

A
  • complement (C) binds to pathogen and acts as an opsonin
  • enhances phagocytosis by flagging cells and enhancing inflammation
    -enhances inflammation by activating mast cells and basophils attracting neutrophils and macrophages to site
58
Q

How does cytolysis work?

A

-complement proteins create membrane attack complexes to lyse cell
- big holes allow in water leading to lysis.

59
Q

What is inflammation?

A

an immediate, localized sequence of events that occurs in reaction to injury or immune stimulation

60
Q

How does inflammation occur?

A
  • pro-inflammatory compounds (histamine) is released by injured tissue, basophils, mast cells, and infectious organisms
  • vascular changes triggered including vasodilation, increased capillary permeability, and increased cell adhesion molecules that support diapedesis of leukocytes
    -(cams act as speed bumps in margination)
  • leukocytes are recruited by margination (bind to cams) and undergo diapedesis and chemotaxis
    -plasma proteins exit the capillary decreasing capillary osmotic pressure and associated reabsorption
  • increased fluid and associated materials/cells picked up by lymphatic capillaries and delivered to lymph nodes for cleansing
61
Q

What is chemotaxis?

A

following of chemical cues to the injury site

62
Q

What is diapedesis?

A

exit capillary through endothelia

63
Q

What is histamine?

A

a pro inflammatory compound

64
Q

What do injured tissues release?

A

histamine

65
Q

What is histamine released by?

A

-injured tissue,
-basophils
-mast cells
-infections organisms

66
Q

What vascular changes occur during inflammation?

A
  • vasodilation
    -increased capillary permeability
    -increased CAMS
67
Q

What is a fever?

A

increase in body temp equal to or higher than 1 degree celsius from normal (37)

68
Q

What are signs of inflammation?

A

-redness due to increased blood flow
- heat due to increased blood flow and metabolic activity
- swelling due to increased volume in interstitial fluid
- pain due to the stimulation of pain receptors in area (bc swelling pushes on them)

69
Q

What first stimulates a fever?

A

pyrogens from immune cells and or infectious agents that circulate in the blood and trigger the hypothalamus to increase body temp

70
Q

Hoe is a controlled fever beneficial?

A

-must be low grade
- inhibits bacterial and viral growth, promoting immune activity, accelerating tissue repair

71
Q

What are the phases of fevers?

A
  1. onset: temps begin to rise
  2. stadium: elevated temp maintained
    3: defervescence : temp returns to normal
72
Q

What are the grades of fevers?

A
  • low grade: 100-101
  • intermidiate:102
  • high grade: 103-104
  • dangerous: over 104
73
Q

What is an antigen?

A
  • a molecule normally a protein or polysaccharide that is recognizable to immune cells through one or more of its epitopes
74
Q

What is an epitope?

A

antigenic determinant

75
Q

What does a self-antigen do?

A

recognizes the body’s tissues as self, allowing healthy tissue to be ignored by body’s immune system so no immune response is triggered
- also called immunotolerance

76
Q

What does a foreign antigen do?

A
  • stimulates an immune response (immunogenicity) by binding to either an antibody and or t-cell receptor located on t-lymphocytes
77
Q

What is an antibody?

A
  • immunoglobulin
  • a protein produced y specialized immune cells capable of recognizing, and binding to one or more epitopes on an antigen
78
Q

What is a major histocompatibility complex?

A

-MHC
- a group of genes responsible for forming MHC molecules
- genetically deteremined so they are unique to each person

79
Q

What are the MHC groups?

A

Class one and two

80
Q

What do class one MHC’s do?

A

-display endogenous proteins located inside the cell membrane of all nucleated cells
- in healthy cells these are self-antigens which should be ignored by the immune system
- in an infected cell these include foreign antigens which stimulates an immune response
-healthy cells have self-antigens on MHC1
- infected cells have foreign antigens on MHC1

81
Q

What do class two MHCs do?

A
  • produced in antigen-presenting cells only
  • phagocytic
  • APCs display exogenous proteins that originated outside the cell on MHC class two molecules
  • these exogenous proteins (antigenic) come from processed phagocytic molecules engulfed by APCs
  • essential in t-lymphocyte activation
    -basically rallies all the troops, shows and tells antigens it finds, but doesn’t kill it (don’t shoot the messenger)
82
Q

How do proteins get displayed on MHC cells?

A

-MHC1 cells are found on all nucleated cells
- self-antigens displayed on MHC1 are ignored/tolerated by the immune system
- MCH1 molecules are synthesized in the rER
-Self-antigen (peptide fragments of the cell) randomly bind to MHC1
- MHCI/self-antigen complex displayed at the membrane signaling to the immune system “all is well” and cell is ignored
- Infectious agents (viral particles or other microbes) enter the cell and are digested into fragments
-MHC1 molecules and processed foreign antigens combine and are transported to the plasma membrane
- MHC1 molecules are synthesized in the rER
-Processed foreign antigens bind to MHC 1
- MHC1/self-antigen complex is displayed at the cell membrane signaling to the immune system that “I’m sick” resulting in the apoptosis of the infected cell
-Only APCs synthesize MHCII molecules
APCs phagocytize an exogenous antigen (from an engulfed pathogen)
- secretory vesicles containing MHCII complex forms
- the complex is embedded in the cell membrane and communicates to the immune system that “this is what we should be looking for

83
Q

What does the APC and MHCII complex say?

A

this is what we should be looking for

84
Q

What synthesizes MHCII molecules?

A

APCs

85
Q

What do self antigen-mhc1 complexes say before an infectious agent is ingested?

A

I’m ok

86
Q

What do self antigen-mhc1 complexes say after an infectious agent is ingested?

A

I’m sick

87
Q

How many t-cell receptors are on a single cell?

A

multiple, identical antigenic t-cell receptors on a single cell

88
Q

How are t-lymphocyte classes shown?

A

-specific cell docking proteins are associated with the t-lymphocytes
- each lymphocyte has a specific CD

89
Q

How do Helper t-lymphocytes work?

A
  • display CD4 along the t-cell receptor
  • foreign antigens are processed by APCs and displayed on MHC2
  • TCR had specific genetically determined antigen binding sites
  • Helper t-cells are activated with binding
90
Q

What is CD4 on?

A

only helper t0lymphocytes and interacting with MHC2

91
Q

What are the types of t-lymphocytes

A

helper t-lymphocytes
cytotoxic t-lymphocytes

92
Q

How do cytotoxic t-lymphocytes work?

A

-displays CD8 along the side
-endogenous antigens are displayed on MHC1 of all nucleated cells
- TCR has specific genetically determined antigen binding sites as well
CD8 interacts with MHC1
- CTC activated with binding

93
Q

What is CD8 associated with

A

-MHC1
-Cytotoxic T-cells

94
Q

What are the two types of adaptive immunity?

A
  • cell-mediated
    -humoral immunity
95
Q

What is cell mediated immunity directed by?

A

-t-lymphocytes

96
Q

What is cell-mediated immunity effective against?

A

antigens within the cell

97
Q

How do Cytotoxic t-lymphocytes help with cell-mediated adaptive immunity

A
  • become activated by binding to foreign Antigens displayed on the infected cell
  • effector response is to trigger apoptosis of the infected cell through the release of perforin and granzyme y activated cytotoxic t-lymphocytes
  • activated cytotoxic t-cells CD8 target infected/ unhealthy cells stimulating them to undergo apoptosis
98
Q

How do helper t-cells help with cell-mediated adaptive immunity?

A
  • activated helper t-lymphocytes stimulate the proliferation of activated t-lymphocytes (cytotoxic and helper) and lymphocytes through the release of interleukins (IL2 + IL4)
  • basically helps humoral and cell mediated
99
Q

What is humoral immunity directed by?

A

b-lymphocytes

100
Q

What is humoral immunity effective against?

A

antigens outside of the cell

101
Q

How does humoral immunity work?

A
  • b-lymphocytes are activated when antigens bind to its b-cell receptors and the antigen BCR complex is engulfed, processed, and displayed
  • helper t-lymphocytes interact with this complex stimulating the proliferation of activated lymphocytes resulting in the formation of memory cells and plasma cells
  • effector response is the release of antibodies into the body fluids by newly produced plasma cells
  • activated b-cells release antibodies which act in a variety of ways to support the immune system
102
Q

What response does humoral immunity have?

A
  • the release of antibodies into the body fluids by newly produced plasma cells
  • activated B-cells release antibodies that act in a variety of ways to support the immune system
103
Q

How does co-stimulation of helper t-lymphocytes work?

A
  • during first stimulation CD4 on helper t-lymphocyte binds with MHC2 molecule on APC and TCR on helper t-lymphocytes interacts with antigen within the MHC2 molecule
    -during the second stimulation interleukin 2 (IL2) self-stimulates cloning of helper t-lymphocytes
  • this creates the effector response of activated t-lymphocytes releasing interleukin that acts to regulate immune cells
104
Q

How does the co-stimulation of B-lymphocytes work?

A

-1st stimulation the free antigen binds to BCR and B-lymphocyte engulfs (phagocytosis) complex and presents antigen to helper t-cell
- 2nd the stimulation the b cells act as an antigen-presenting cells and the helper t-lymphocytes bind to these cells and release IL-4 which triggers b-cell proliferation forming memory and plasma cells
-this has the effector response of antibodies being capable of recognizing the initial antigens and are secreted from plasma cells and circulating through the lymph and blood

105
Q

What happens when Antigens bond to the FAB site (f antigen binding site)

A
  • neutralization
    -aggulation
    =precipitation
106
Q

What is neutralization?

A

when the antibody binds to the fab site and covers the biologically active portion of the microbe or toxin
-binds to and blocks antigen to prevent it from becoming active
-

107
Q

What is aggulation?

A

when the antibody binds to the FAB site and cross-links cells like bacteria to form a clump

108
Q

What is precipitation?

A
  • when an antibody binds to the FAB site and cross-links circulating particles like toxins forming an insoluble antigen-antibody complex
  • particles are harder to identify when soluble so this makes them easier to identify
109
Q

What happens when a bacteria enters the body?

A

aggulation

110
Q

What is the F(C) site

A

constant region

111
Q

What happens when an antigen binds to the F(c) site

A

-complement fixation
- opsonization
- activation of NK cells

112
Q

What is complement fixation?

A

when an antibody binds to the FC region and complement proteins so that the complement is then activated

113
Q

What is opsonization

A

when the FC region of an antibody binds to receptors of phagocytic cells triggering and enhancing phagocytosis

114
Q

What is the activation of NK cells?

A
  • when the FC region of the antibody binds to an NK cell triggering the release of cytotoxic chemicals
  • antigens bind to antibodies, NK Cell binds to the constant region
115
Q

What is primary response?

A

the immunologic response to a first exposure

116
Q

What is a lag phase?

A

the initial period of no detectable antibodies

117
Q

What does exposure lead to in immunity?

A

the production of antibodies

118
Q

How soon does the production of antibodies happen?

A
  • within 1-2 weeks before antibodies peak and then it declines over time
119
Q

How does the production of antibodies start?

A

with plasma cells producing IGM and IGG

120
Q

What are the two types of acquired immunity?

A

passive and acive

121
Q

How is passive immunity acquired?

A
  • the transfer/ receiving of antibodies from another source
  • naturally acquired or artificially acquired
121
Q

How is natural passive immunity acquired?

A
  • transfer of maternal antibodies across the placenta or breast milk
  • short term protection
122
Q

How is artificial passive immunity acquired?

A
  • transfer of direct administration of collected antibodies
  • not quick or efficient
  • typically antitoxins or antivenoms
    -used when body doesn’t stand a chance of making it on its own
  • most people won’t ever need
122
Q

How is active immunity acquired?

A

-develops in response to antigen exposure
- we make antibodies

123
Q

How does naturally acquired active immunity happen?

A
  • develops after exposure to antigens in environment
124
Q

How does artificially acquired active immunity happen?

A
  • develops after administration of an antigen (usually through vaccination)
    -this stimulates an active immune response and promotes immunity to that particular antigen
125
Q

How do vaccines work?

A

vaccines stimulate the first exposure to build memory cells so the first real exposure looks like the second exposure would

126
Q

What is the difference between first and second exposure?

A
  • in first exposure igm is produced first than igg and the levels slowly rise
  • in second exposure antibody levels rise rapidly to a higher titer and last longer, predominantly igg, igg is now produced at the same time as IGM