Anatomy Exam II Flashcards
Innate Immunity
-nonspecific; blind
-protects against every type of invading agent
-anything that randomly targets pathogens
Adaptive immunity
-specific; the “eyes”
-depends on activity of lymphocytes
-develops after exposure to environmental hazards
Lymphocytes
B cells, T cells, NK cells
“extravasation”: can move at any time
Lymphocyte production
Bone marrow
Thymus
Peripheral lymphoid tissues
*Hemocytoblasts in bone marrow: divide into 2 types of lymphoid stem cells
Immune surveillance
NK cells attack: foreign cells, body cells infected by viruses + cancer cells
LYSE the plasma membrane (poke tiny holes)
Antibody-mediated Immunity
“humoral immunity”
B cells: differentiate into plasma cells, secreting antibodies + attaching to pathogens leading to the destruction of pathogen
Cell-mediated Immunity
T cells: “cytotoxic T cells” attack and destroy foreign cells or body cells infected by viruses
T and B cells
migrate throughout body to defend peripheral tissues
Innate defenses
physical barriers ie. skin
phagocytes
immune surveillance: NK cells go cell to cell to check if its infected or cancerous
interferons: chemical messengers (anti-viral: if cell is infected, cell produces antiviral protiens)
complement: poke holes and lyse pathogen
inflammation
fever
inflammation
mast cell: releases cytokines, histamines
1. increases blood flow
2. activates mast cells
3. increases capillary permeability
4.activates complement
5.stimulates regional clotting
6.increases regional temperature
7.activates adaptive defenses
Immune surveillience
NK cells
-identify and adhere to abnormal cells
-perforins form pores in abnormal cells plasma membranes, causing lysis
Tumor specific antigens
wants NK to kill cell developing into cancer cells
-on plasma membranes of cancer cells
-detected as abnormal by NK cells
-some cancer cells avoid detection (immunological escape)
Interferons (IFNs)
innate, type of cytokine
-trigger production of antiviral proteins
-small proteins released by activated lymphocytes and macrophages
-antiviral proteins don’t kill viruses but block viral replication in the cell
Cytokines
chemical messengers released by tissue cells; important to immune response
Complement system
more than 30 complement protiens in plasma
*assist antibodies in destruction of pathogens
MAC: Killing of a pathogen (Cell lysis)
complement protiens form membrane attack complex (MAC) in membrane that destroys target cell
*Pokes holes on bacteria -> dies
Enhanced phagocytosis (Opsonization)
macrophage membranes contain receptors that detect and bind to complement protiens and bound antibodies
*if complement binds pathogen, makes it easier to be phagocytozed
Inflammation (histamine release)
releases histamine by mast cells and basophils increase inflammation, attracting phagocytes and blood flow to the region
Cardinal signs of inflammation
redness
swelling
heat
pain
Necrosis
local tissue destruction in area of injury
*battlefront between immune cells and pathogens
Pus
immune cell liquify
debris, fluid, dead/dying cells and necrotic tissue
Abscess
accumulation of pus in enclosed space
-well sealed, walled off, cant get high enough conc of antibiotics to take care of it
-can be drained from skin via needles
Pathway of Tissue Damage
1) tissue damage (chemical change in interstitial fluid)
2) mast cell activation (release of histamine and heparin)
3) redness, swelling, heat, pain: histamine causes dilation of vessels or clot formation
OR
3) phagocyte attraction (attracts neutrophils)
4) release of cytokines
5) removes debris via neutrophils and macrophages
OR
5) specific defenses
FINAL STEP: TISSUE REPAIR
opsonization
tags site of destruction with antibodies so that a phagocyte will destroy it
cytotoxic T cells
kills bacteria
attacks antigens physically and chemically
helper T cells
stimulate responses of T and B cells
*removes the safety switch for B and cytotoxic T cells
Regulatory T cells
moderate immune response
ensure suppression, no wilding out
memory T cells
respond to antigens previously encountered
Cell- mediated immunity
cytotoxic T tells
-defends against abnormal cells and pathogens inside cell
Antibody-mediated immunity
B cells
-defend against antigens and pathogens in body fluid
Cell-mediated immunity route
phagocytes and T cells activated -> activated T cells attack pathogens via phagocytosis or the release of chemical toxins -> destruction of antigens
Antibody- mediated immunity route
activated B cells give rise to cells that produce antibodies -> attack by circulating antibodies -> destruction of antigens
Clonal selection
antigen “selecting” lymphocytes for cloning and now has to multiply
Innate immunity
present at birth
Adaptive immunity
acquired after birth
Active immunity
develops after exposure to antigen
Passive immunity
produced by transferring antibodies from another source
adaptive immunity
not present at birth
acquire immunity when you’ve been exposed -> active immunity develops in response to antigen exposure -> naturally acquired active immunity OR artificially acquired active immunity
naturally acquired active immunity
develops after exposure to antigens in the environment
artificially acquired active immunity
develops after administration of an antigen to prevent disease
ex. vaccination
passive immunity (adaptive)
transfer of antibodies from another source
active immunity
develops in response to antigen exposure - creates its own antibodies
bacterial infections
B cells
naturally acquired passive immunity
transfer of maternal antibodies across placenta or in breast milk
artificially acquired passive immunity
administration of antibodies to combat infection
innate (nonspecific) immunity
genetically determined or no prior exposure
memory (immunity)
some inactive lymphocytes (memory cells)
-stay in circulation
-provide immunity against new exposure
tolerance
immune system ignores normal antigens
ability of immune system to kill you
everytime a T cell divides
one fights
other becomes a memory T cell
MHC cells
cell gets infected by bacteria
bacteria sheds proteins
cell has to flag down B or T cell
takes a piece of bacteria and sticks it onto MHC
MHC sticks it on a surface and reaches plasma membrane within transport vesicles
red
piece of an antigen
CD8 markers
cytotoxic T cells and regulatory T cells
1 MHC protiens
CD8 markers
helper T cells
II MHC protiens
CD8 and CD4
bind to CD3 complex (on all T cells)
prepare cell for activation
CD8 T cells
needs MHC protein with an antigen to get activated
-only T cells that are going to destroy that bacteria are going to be activated by the MHC protein with the antigen in it
-one produces cytotoxic T cells and memory T cells, other produces regulatory T cells
CD8 T cells encounter
appropriate antigen bound to class I MHC protien
Antigen recognition and costimulation
T cell activation and cell division producing active cytotoxic T cells and memory Tc cells
Costimulation
T cell must be stimulated by the abnormal target cell
Active Tc cell destroys
antigen-bearing cell
perforin release
destruction of plasma membranes by creating perforations in plasma membrane / release cytokines to start apoptosis
Cytokine release
stimulation of apoptosis
Lymphotoxin release
disruption of cell metabolism
Memory Cytotoxic T cells
-produced with cytotoxic T cells
-stay in circulation
-form cytotoxic T cells if same antigen appears again
Helper T cells secrete
cytokines that stimulate B and T cells
-cell-mediated and antibody-mediated immunity
activated B cells divide into
plasma cells to synthesize and secrete antibodies into the fluid
B cell divides into memory B cells
like memory T cells, remain in reserve to respond to next infection
Immunoglobins
constant segments of heavy chains that determine classes of antibodies
-IgG
-IgE
-IgD
-IgM
-IgA
IgG
resistance against everything
crosses placenta
maternal IgG provides passive immunity to the fetus
IgE
basophils, mast cells
if antigen bounds -> cell releases histamine -> accelerated inflammation
allergic response
IgD
on surfaces of B cells where it binds antigens to activate in extracellular fluid
IgM
similar to IgG (both secreted by plasma cells, released in blood, binds to targets) but not as potent, but gives immediate response
-released before IgG
IgA
secretions: mucus, tears, saliva, semen
Actions of antibodies
-neutralization of antigen-binding site
-precipitation/ agglutination - formation of immune complexes
-activation of complement system
-attractions of phagocytes
-stimulation of inflammation
-prevention of bacterial and viral adhesion
first exposure
produces primary response
next exposure
triggers secondary response
more extensive and prolonged
primary response of B cells
takes time to develop
antigens activate B cells -> run it to geminal center, antibodies increase
plasma cells differentiate
antibody titer- level of antibodies in plasma slowly rises
primary response
IgM and IgG antibodies do not remain elevated
secondary response
very rapid increase in IgG, levels rise much higher than primary response
-antibody levels remain elevated for an extended period after the second exposure to the antigen
Immunocompetence
produce immune response after exposure to antigen
Respiratory system gases
oxygen (ATP synthesis)
carbon dioxide (product of cellular respiration metabolism; gets rid of hydrogen, acids)
blood carries oxygen
O2 from lungs -> peripheral tissues
CO2 from peripheral tissues -> lungs
functions of respiratory system
gas exhange
protects respiratory surfaces: dehydration, temperature changes, pathogens
produce sounds
detect odors
larynx
establishes boundary between upper and lower respiratory systems
conducting portion
conducts air but no exchanging it
-nasal cavity -> larger bronchioles
respiratory portion
smallest respiratory bronchioles and alveoli (gas exhange)
*part of air exchanged with blood
Ciliated columnar epithilieum
movement of mucus to pharynx
ciliary movement propels mucus across epithelial surface
functions of mucos
respiratory defense system - removes particles and pathogens from inhaled air
Alveolar epithileum
lines exchange surfaces of alveoli
delicate, simple squamous epithelium
1 layer so it can exchange oxygen
Respiratory defense system
-filtration in nasal cavity removes large particles
-mucous cells and mucous glands
-cilia
-alveolar macrophages: phagocytic immune cells + destroy cells innate
function of nasal hairs
trap large particles in air
meatuse
narrow passageways that produce air turbelence to:
1) trap particles in mucous
2) warm and humidify incoming air
3)bring olfactory stimuli to olfactory receptors
Epiglottis
flap that covers glottis when swallowing
prevents food and liquids from entering respiratory tract when swallowing
Phonation
sound production at larynx
just any sound that you make
Articulation
sound modification with lips, tongue and teeth
*words
Capillaries wrapped around alveoli results in
-interaction between blood and air
-results in gas exchange
bronchodilation
-sympathetic activation
-more air goes in
-enlarges diameter of airway
-reduces resistance to airflow
bronchioconstriction
parasympathetic activation
histamine release
reduces luminal diameter of airway
Pneumocytes
Type 1: thin/ delicate alveolar cells that line the alveolar surface
Type 2: alveolar cells that secrete surfactant proteins to reduce surface tension
Surfactant
protien liquid that coats alveoli and allows it to expand so that lungs do not collapse
*reduces surface tension
Gas exchange occurs across Blood air barrier (alveoli -> blood)
3 layers:
alveolar cell
capillary endothelial
fused basement membrane btw them
*after going across 3 layers, it reaches blood
gas exhange
quick and efficient since the distance for diffusion is short and O2 and CO2 are small and lipid-soluble
Lobes of lungs
right: 3 lobes (superior, middle, inferior)
left: 2 lobes (superior, inferior)
Pulmonary embolism
blockage in pulmonary artery that stops blood flow to the alveoli
Parietal Pleura
lines inner surface of thoracic wall
Visceral pleura
covers outer surfaces of lungs
pleural fluid
lubricates space between the 2 layers
external respiration
macrolevel: exchanging gases w external environment
Oxygen comes in, CO2 goes out
internal respiration
cellular level
O2 goes into cells, CO2 goes out of cell
result of cellular respiration
integrated steps in external respiration
pulmonary ventilation (breathing)
gas diffusion
transport of O2 and CO2