6.3 Defense Flashcards

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1
Q

Is fibrinogen or fibrin in blood?

A

Fibrinogen is soluble in blood because it is a globular protein. Fibrin is a fibrous protein and no soluble.

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2
Q

What is a pathogen?

A

A pathogen is an organism or a virus/microbes that causes diseases

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3
Q

What is the first line of defence for the body?

A

The skin and mucous membranes form a primary defence against pathogens that cause infectious disease.

Skin:

  • physical barrier (against damage)
  • hair follicles secrete sebum (chemical) that maintains skin moist and low pH. low pH inhibits growth of bacteria and fungi

Mucous:

  • thinner and softer “skin” found in nasal passages, head of penis and foreskin and vagina
  • secrete a sticky solutiom of glycoproteins
  • pathogens and harmful particles trapped in it (swallowed/expelled)
  • also has antiseptic properties
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4
Q

What is the second line of defence?

A

When the skin is cut, it is sealed through blood clotting.

The liquid released will turn into semi-solid gel which seals up the wound and prevents further loss of blood and blood pressure.

Clotting is also important for:

  • prevent entry of pathogens until new tissue has grown
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5
Q

How does blood clotting occur?

A
  • cells/tissue is damaged/cut/bruised;

Temporary Plug

  • damaged cells/platelets release clotting factors;

Reenforced placelets

  • (clotting factors cause the) production of thrombin;
  • thrombin is an enzyme

Glue

  • blood plasma contains soluble fibrinogen;
  • fibrinogen converted into fibrin;
  • by thrombin;
  • fibrin is insoluble

Other cells

  • forms a net of fibres trapping more placelets and blood cells;
  • forming a clot / prevents blood loss / entry of bacteria/pathogens;
  • cascade of reactions/series of stages prevent accidental clotting/speed up clotting;
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6
Q

How is fibrin produced?

A

The cascade results in the rapid conversion of fibrinogen to fibrin by thrombin

Thrombin - enzume that converts soluble (globular)protein fibrinogen into the insoluble firbin (fibrous).

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7
Q

What are the causes and consequences of blood clot formation in coronary arteries?

A
  • genetic – some people predisposed for high cholesterol levels / high blood pressure;
  • age – older people greater risk / less elasticity in arteries;
  • sex – males at great risk than females;
  • smoking – constricts blood vessels / increases blood pressure/heart-rate / decreases
  • oxygenation of heart muscle;
  • diet – increases fat/cholesterol/LDL in blood / leads to plaque formation in arteries;
  • exercise – lack of exercise increases risk;
  • obesity – increase in blood pressure / leads to plaque formation in arteries; [4 max]
  • Accept any other factor correctly explained e.g. diabetes, atherosclerosis
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8
Q

Discuss factors which affect the occurrence of coronary heart disease

A
  • hypertension / high blood pressure;
  • having parents who have experienced heart attacks indicates a genetic precondition;
  • old age leads to less flexible blood vessels;
  • risk in females increases post-menopause because of fall in estrogen level;
  • being male (more risk than being female) because of less estrogen;
  • smoking raises blood pressure because nicotine causes vasoconstriction;
  • obesity strains heart;
  • eating too much saturated fat and cholesterol promotes plaque formation /
  • atherosclerosis;
  • sedentary life style / lack of exercise;
  • but excessive exercise can be dangerous;
  • high salt diet / excessive amounts of alcohol / stress can also affect coronary heart
  • disease;
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9
Q

What is a phagocyte?

A

pathocytes is a type of white blood cell. Ingestion of pathogens by pathocytic white blood cells gives non-specific immunity to dieseases.

  • engulf pathogens by endocytosis and digest them with enzymes from lysomes
  • pathocytes increase when wound becomes infected (white liquid called plus)
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10
Q

What is the third line of defence?

A

Production of antibodies by lymphocytes in repsonse to partcular pathogens gives specific immunity.

  • proteins and other molecules on pathogens are recognized as foreign by body, where upon specific immunity reponse is stimulated
  • The specific immune response is the production of antibodies in reponse to a particular pathogen.
  • The antibodies bind to an antigen on that pathogen
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11
Q

What happens when pathogens overcome the first line of defence?

A

Pathogens start to multiply resulting in infection which relaeases histamines.

Histamines cause:

  • increased blood flow to the site of infection (causes redness, swelling, pain/ throbbing, hot feeling)
  • blood capillaries become leaky, which enables blood plasma and blood cells to escape from the capillaries into the site of infection

Phatocytes escape from leaking blood capillaries and travel to infection where they destroy invading pathogens (by phatocytosis)

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12
Q

What is a lymphocyte?

A

This is a type of white blood cell which gives specific immunity.

  • produces antibody
  • each lymphocyte produces only one type of antibody
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13
Q

What is an antigen?

A

Any chemical that stimulates an immune repsonse is referrd to as an antigen.

Examples include chemicals on the outer surface or a bacterium or virus, toxic chemicals released by a bacteria, pollen and other substances that cause an allergic reaction

Antibodies attach themselves to antigens.

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14
Q

How are antibodies produced?

A
  • produced by lymphocytes
  • There are intially very few lymphocytes to produce enough antibodiesto control a pathogen never infected before
  • antigens on pathogen stimulate cell division of lymphocytes that produce appropriate antibody
  • large clone of lymphocytes called plasma cells are produced that secrete antibodies to control pathogen (clear infection)
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15
Q

What are antibodies?

A

large proteins that have two functional regions:

  • hypervariable region that binds to a specific antigen
  • region that helps the body to fight the pathogen in one of a number ways:
    • making a pathogen more recognizable to phagocytes so they are more readily engolfed
    • preventing viruses from docking to host cells so that they cannot enter the cells
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16
Q

How does the immunity to an infectious disease evolve?

A

Involves either:

  • having antibodies agains the pathogen
  • memory cells that allow rapid production of the antibody

These are bases for vaccines

17
Q

Can antibodies last long enough to clear pathogens if they infect the body again?

A
  • Antibodies only persit in the body for a few weeks/months
  • Plasma cells that produce them are also gradually lost after infection
  • antigens associated with it are no longer present

However, some of the lymphocutes produced become memory cells (are long-lived)

18
Q

What are memory cells?

A
  • remain inactive unless the same pathogen infects the body again
  • when the body becomes infected again, the cells become active and produce plasma cells rapidly
19
Q

Explain the role of antibody production and the principle of vaccination in immunity

A

antibody production:

  • exposure to antigen
  • leads to activation of (helper) T-cells
  • leads to clonal selection / activation of specific type of B-cell
  • production of plasma cells
  • specific antibody produced
  • memory cells produced which provide long lasting immunity

principle of vaccination:

  • artificial exposure to antigen / artificial active immunity
  • use dead / attenuated pathogen / protein material
  • first vaccination produces lymphocytes specific to antigen
  • booster shot causes more intense response / graph to show this
  • immunity to disease before actually contracting the disease
20
Q

How is HIV caused?

A
  • production of antibodies is a complex process and includes different lymphocytes, including helper T-cells
  • HIV invades and destroys helper T-cells
  • causes progressive loss of capacity to produce antibodies

(early stages the body still produces antibodies against HIV)

  • HIV has genes to make DNA copies of its genes once it has entered a host cell
21
Q

How is HIV transmitted?

A
  • transmission through body fluids/ does not live long outside the body
  • through sexual intercourse
  • sharing of infected needles
  • mother to fetus/ across placenta
  • blood transfusions
  • blood products/ factor VIII used to treat hemophiliacs
22
Q

How is AIDS caused?

A
  • acquired immunodeficiency syndrome
  • caused by HIV/ human immunodeficiency virus
  • retrovirus/ RNA to DNA
  • enters (and lowers number of) T-helper cells
  • less antibodies produced/ immune system disabled/ weakened
  • body vulnerable to pathogens (opportunistic infections)
23
Q

What are antibiotics?

A

Antibiotics block processes that occur in prokaryotic cells but not in eukaryotic cells.

  • is a chemical that inhibits the growht of microorganisms
  • most are antibacterial
  • can be used to kill bacteria inside the body without causing harm to human cells
24
Q

Where were antibiotics discover?

A

They were discovered in saprotrophic fungi. By secreting antibiotics, fungi inhibit the growth of their competitors.

Example: Penicillin

  • produced by fungus (only when nutrients are scarce)
25
Q

Why would Florey and Chain’s experiment not be accepted today?

A

They tested penicillin on bacterial infection in mice.

  • very short period for animal testing (could show side effects later)
  • immidiately tested on sick patient (moral conflicts)
26
Q

Why can viral diseases not be treated with antibiotics?

A

Viral diseases cannot be treated using antibiotics because they lack metabolism.

  • viruses are non-living
  • can only reproduce inside living cells
  • use chemical processes of host cell (no metabolism)
  • rely on host cell’s enzymes

These processes cannot be targeted by drugs (host cell would be damaged)

Antrivirals can be used to control viruses.

27
Q

Can our antibiotics be ineffective to bacteria?

A

Yes. Some strains of bacteria have evolved with genes which confer resistance to antibiotics and some strains of bacteria have multiple resistance.

  • resistance to antibiotics can occur through natural selection
28
Q

How can the the growth of antibiotic resitance be slowed?

A
  • doctors prescribing antibiotics only for serious bacterial infections
  • patients completing courses of antibiotics to eliminate infections completely
  • hospital staff mainting high standards of hygiene to prevent cross-infection
  • farmers not using antibiotics in animal feeds to stimulate growth
  • pharmaceutical companies developing new types of antibiotics