Ch 8 - Immune Flashcards

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1
Q

Innate vs Adaptive Immunity

A
  • innate - aka nonspecific immunity
    • always active
    • does not attack specific pathogens
  • adaptive - aka specific immunity
    • target specific pathogens
    • slower, but more robust and long lasting
    • holds memory
    • B cells and T cells
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2
Q

Anatomy of Immune

A
  • bone marrow - hematopoiesis of leukocytes (WBC)
  • spleen - blood storage, activate B cells
    • B cells are mature but naive until they are exposed to an antigen
    • humoral immunity - B cells acting in the blood as part of active immune system
  • Thymus - T cells mature
    • cell mediated immunity
  • lymph nodes - can be location for activation of B cells
  • Gut-associated lymphoid tissue (GALT) - tonsils, adenoids, Peyer’s patches, appendix
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3
Q

Leukocytes

A
  • granulocytes - presence of granules (contain toxic enzymes and chemicals for exocytosis)
    • neutrophils
    • eosinophils
    • basophils
  • agranulocytes - no granules
    • lymphocytes - produce antibodies, modulation, targeted killing
    • monocytes - become macrophages, phagocytic
      • microglia, Langerhans cells, osteoclasts
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4
Q

physical barriers

A
  • skin (integument)
  • defensins - antibacterial enzymes, found on skin
  • lysozyme - bacterial enzyme, tears and saliva
  • respiratory system uses mucous membranes and cilia
  • GI tract - highly acidic
    • its own bacterial population out competes invaders
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5
Q

Complement System

A
  • proteins in the blood that punch holes in the bacterial cell walls to cause osmotic imbalance
  • activated via classical pathway (bind antibody to pathogen) or alternative pathway (no antibodies)
  • Nonspecific defense
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6
Q

Interferons

A
  • prevent viral replication and dispersion
  • produced by cells that are virally infected
  • decrease production of viral and cellular proteins
  • decrease permeability of cells
  • increase MHC I and II molecules to increase antigen presentation - better detection
  • cause viral like symptoms
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7
Q

Macrophages

A
  • agranulocyte
  • antigen presenting cell
  • come from monocytes
  • resident population - remain in a given tissue
    • microglia, Langerhans cells, osteoclasts
  • when bacteria in the tissue:
    • endocytosis, digest via enzymes, present bacterial antigen
  • major histocompatibility complex (MHC) - MHC II presents the antigen on the macrophage surface
  • release cytokines - cause inflammation and recruit immune cells
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8
Q

MHC

A
  • Major histocompatibility complex
  • binds antigens
  • MHC I - displays “self” antigen of all nucleated cells
    • endogenous pathway - binds antigens from inside the cell
    • cytotoxic T cells - kill cells that present non-self on MHC I
      • cells that have been invaded
  • MHC II - on antigen presenting cells (ex. macrophage, dendritic cells, some B-cells, )
    • exogenous pathway - antigens from outside the cell
    • may activate innate and adaptive immune system
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9
Q

Pattern recognition receptors

A
  • ex. toll like receptor
  • recognize category of invader (bacteria, virus, fungus, parasite)
  • on macrophages and dendritic cells
  • produce most effective cytokine
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10
Q

Natural Killer Cells

A
  • nonspecific lymphocyte
  • detect downregulation of MHC (a tactic used by viruses to avoid detection)
  • causes apoptosis of cell
  • cancer cells downregulate MHC - NK cells help slow cancer growth
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11
Q

Granulocytes

A
  • neutrophils - most populous leukocyte, short lived
    • phagocytic
    • chemotaxis to bacteria to find source
    • detect opsonized bacteria
  • eosinophils - contain granules
    • allergic reactions
    • invasive parasite infections
    • release histamine, causes inflammation
  • basophils - allergic responses
  • Mast cells - related to basophils
    • in tissues, mucosa, epithelium
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12
Q

dendritic cells

A
  • present antigens
  • induce active immune system
  • have pattern recognition receptors that recognize type of invader
  • phagocytic
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13
Q

Antibody-Antigen Cause and Effect

A
  • B cells - originate and mature in bone marrow
  • activated in spleen and lymph nodes
  • produce antibodies
  • when antibodies secreted into blood:
      1. bind specific antigen, opsonization and attracts other WBC
      1. Cause aggluination, insoluble and phagocytized
      1. Block pathogen from entering tissue
  • when a B cell surface antibody
    • antigen binds and activated immune cell
    • proliferate and make plasma and memory cells
  • antibody on surface of mast cell
    • antigen binds and causes degranulation (exocytose granule contents) - release histamine
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14
Q

Antibodies

A
  • aka Immunoglobulins [Ig]
  • Y shaped
    • 2 identical heavy chains
    • 2 identical light chains
    • held together by disulfide bonds
    • variable region - aka antigen binding region
      • polypeptide sequence that binds ONE specific antigen sequence
  • clonal selection - specific B cells with correct antibody are activated by antigen of pathogen and replicates only that B cell
  • hypermutation - B cells use this to find antigen binding region that has best match for antigen
  • constant region (domain) - remainder of antibody
    • used by neutrophil, macrophages, eosinophils to initiate complement cascade
  • 5 isotypes of antibodies
    • different isotypes used for different pathogens, locations in body, and different times
    • isotype switching
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15
Q

B Cells

A
  • naive B cells - not exposed to antigen, wait in lymph nodes
  • plasma cells - produce large amounts of antibodies
  • memory cells - stay in lymph node for future response
  • primary response - initial activation takes 7-10 days
  • secondary response - more rapid and robust response to same antigen
    • vaccinations
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16
Q

T cells

A
  • mature in thymus
  • positive selection - mature cells that respond to antigens on MHC
  • negative selection - apoptosis for cells that react to self antigens
  • thymosin - peptide hormone that causes maturation, comes from thymus
  • clonal selection once exposed to antigens
  • helper T cells - aka CD4+ T cells - secrete lyphokines which recruit other immune cells
    • Human Immunodeficiency virus (HIV) is caused by loss of helper T cells
    • Acquired immunodefiviency syndrome (AIDS) - advanced HIV, very weak immune system
    • CD4+ responds to antigens on MHC II (exogenous antigens) = effective against extracellular infections
  • Cytotoxic T cells - aka CD8+ T cells - kill virally infected cells by injecting toxins causing apoptosis
    • respond to MHC I antigens - endogenous antigens - intracellular infections
  • suppressor T cells - Treg - tone down immune response
    • self tolerance - turn off self reactive lyphocytes - prevent autoimmune disease
17
Q

How to fight bacterial infection

A
  • bacteria enters body via laceration
  • antigen presenting cell (ex. macrophage) engulf and present antigens on surface via MHC II
  • release cytokines - other immune cells attracted (neutrophils and more macrophages)
  • Mast cells activated - degranulate and release histamine, leaky capillaries and inflammation
  • dendritic cell from skin to lymph node to activate B cells and T cells
  • correct B cells proliferate (clonal selection) - plasma and memory cells
  • antibodies through bloodstream to opsonize, agglutinate, and prevent bacteria from reaching other cells
  • T cells - CD4+ activated - release interferons to activate macrophages. also activate B cells
18
Q

How to fight viral infection

A
  • infected cell produces interferons
    • reduce local cells permeability, reduce transcription and translation, systemic symptoms
  • present intracellular antigens on MHC I, some will be viral proteins
  • CD8+ recognize MHC I antigen complex - injects toxins to promote apoptosis
  • also NK cells will recognize absence of MHC I if virus downregulates MHC I
  • Memory T cells retained
19
Q

Self vs nonself

A
  • autoimmunity - immune system attacks cells that present self antigen
  • hypersensitivity reactions - allergies and autoimmunity
    • allergies - immune system identifies harmless nonself antigen (ex dust, pollen) as harmful
  • prevent - negative selection of T cells
  • only mature B cells leave bone
  • treat with Glucocorticoids
20
Q

Immunization

A
  • active immunity - immune system stimulated to produce antibodies
    • natural or artificial
  • passive immunity - transfer antibodies to individual
    • across placenta
    • injections
21
Q

Lymphatic System

A
  • one way circulation of lymph
  • thoracic duct in chest returns lymph to circulatory system via vein
  • lymph nodes - along system and house immune system and excess fluid
    • germinal centers - lymph nodes are location of B cell proliferation and maturation
  • equalizes fluid distribution
    • starling forces determine amount of fluid in tissues, lymphatics drains this away and back to circulatory system
    • overwelmed causes Edema
  • lacteals - lymphatic vessels that carry chylomicrons (packages of fat) to the bloodstream from intestines
    • chyle - lymphatic fluid with lots of chylomicrons