Ch.16 Flashcards
What is the ability to ward off disease?
Immunity
define Susceptibility
Lack of resistance to a disease
Defenses against any pathogen; rapid, present at BIRTH (non-specific)
Innate immunity
T/F 1st and 2nd line of defenses are innate ( nonspecific)
Physical & chemical barriers, and genetic components are examples of what line of defense?
Inflammatory response, interferons, phagocytosis,, and complement are examples of what line of defense?
TRUE
1ST LINE
2ND LINE
BIGGER PICTURE IMMUNITY
- __________ (viruses, bacteria, fungi) —-> (1st line of defense) 2. ________, mucous membrane, antimicrobial substances —-> (2nd line of defense) Inflammation, fever, 3.__________ —–> (3rd line of defense) 4. __________ and __________ immunity
- pathogens
- skin
- phagocytes
- humoral and cellular immunity
T/F the 3rd line of defense is acquired & specific
give 2 examples of naturally acquired defense and determine whether they are active or passive
give 2 examples of artificially acquired defense and determine whether they are active or passive
TRUE
- infection (active)
- Maternal antibodies (passive)
- vaccination (active)
- immune serum (passive)
Which line of defense is the largest line of defense in immunity?
First line of defense
What are two physical barriers?
- skin (most visible)
- mucous membrane (lines tracts)
Both skin and mucous membranes are protected by a variety of chemical barriers (antimicrobial substances) including what four things?
- lysozyme
- sebum
- low pH (1.2 - 3.0) of gastric juices
- low pH (3 -5) of vaginal secretions
What are 3 examples of mucous membranes?
- Epithelial layer lines the gastrointestinal
- respiratory
- genitourinary tracts
Lysozymes degrade ______________ and are found in what 4 things?
peptidogylcan
tears
saliva
blood
phagocytes
- which structure in the first line of defense is not technically part of the immune system?
- what does this structure do?
- normal microbiota
- protects against pathogens through competitive exclusion
What is the function of sebum?
forms a protective film and lowers the pH (3–5) of skin
What is a better way to treat antibiotics instead of using antibiotics?
Florastor
what 2 things happen in competitive exclusion?
- Competes for space, covers binding sites, – Pathogens can’t bind
- Competes for nutrients
– Nutrients unavailable for pathogens
- Cells of immune system have
elaborate communication system, how is it achieved? - Proteins act as ________ _________, called cytokines
- through production of proteins
- chemical messengers
HUMAN BODY PICTURE
Lysozyme, peroxidase, and lactoferrin are the antimicrobial factors in __________
Remove inhaled particles: _______
Mucus, cilia: ________ _______
Physical barrier, fatty, acids, sweat, normal flora: ___________
Acid in stomach = low or high pH?
T/F pH does not change from stomach to upper intestine
Flushing of urinary tract: __________
saliva
nose
normal flora
skin
low
false, pH changes rapidly
uterus
what are the “eyes” and “ears” of the cell
Cell surface receptors
___________ are the “voice”
cytokines
which receptors allow cells to “see”
molecules signifying presence of microbes
outside the cell?
TLR Toll-Like receptors
Pattern recognition receptors (PRRs) are present on what?
What do PRRs do?
HOST (immune cells / “self”)
alerts the body when the first line barriers have been breached
and pathogens have entered the body
What do PRRs recognize?
pathogen- or damage-associated
molecular patterns (PAMPs and DAMPs)
Where are PAMPs and DAMPs found?
T/F PAMPS/DAMPS are found in the pathogen
bacteria, viruses, parasites or fungi
TRUE
Two major forms of innate immune sensors, which provide immediate responses
against pathogenic invasion or tissue injury.
^ what do these two things do?
Toll-like receptors (TLRs) & NOD-like receptors (NLRs)
Enable cells to sense invasion
T or F TLR found in very few cell types
T or F NLR do same as TLRs for inside
cell (cytoplasm)
False, found in a variety
True
Toll-like receptors (TLRs) on host cells attach to what?
TLRs bound to these patterns release what?
PAMPs
cytokines
Where are cells of the immune systems always found?
in normal blood
When is the second line of defense triggered?
sensor systems go off telling the body something has gotten passed the first line of defense
4 main components of the 2nd line of defense?
4 Main Components:
1. Complement
2. Interferon
3. Phagocytosis
4. Inflammation
T and B cells make up __________ in hematopoiesis?
Lymphocytes
Define hematopoiesis
blood cell formation
Where do blood cells and immune cells originate from?
hematopoietic stem cells in bone
marrow
What makes up WBC?
Neutrophils (60%-70%)
lymphocytes (20%-25%)
Monocytes (3-8%)
Eosinophils (2-4%)
Basophils (0.5-1%)
What is the normal WBC
normal: 4000–11,000/ ul
Where do monocytes circulate?
What 2 things can macrophages differentiate into?
in blood
Macrophages or Dendritic
High WBC counts may indicate what?
bacterial infections, autoimmune diseases, or side effects of medication
Which type of cells function as “scouts” in tissue?
What are present in most tissues (liver, spleen, nodes,etc.)?
Dendritic cells
Macrophages
viral infections, pneumonia, autoimmune diseases, extremely severe bacterial infections, side effects of medications, or
cancers all indication of what?
Low WBC counts
What is an important concept in immunity?
Differentiating self vs. nonself
What are the primary organs in the lymphatic system?
Bone marrow and Thymus
Lymph is basically a filtration system in the _____________ system that removes __________?
lymphoid system
removes pathogens
Lymph nodes, spleen, tonsils,
etc. are part of which type of organs in the lymphatic system?
Secondary organs
Carry lymph to body tissues
Lymphatic vessels
Where does lymph carry microbes to?
What 3 things encounter and destroy the pathogen?
lymph nodes
- B and T lymphocytes,
- macrophages
- dendritic cells
The pathways of the complement system?
Alternative pathway, Lectin pathway, and classical pathway
How many proteins are in the complement system?
Where are these proteins secreted?
What does the complement system do?
30 serum proteins
liver
enhances the immune system in destroying microbes
T/F The complement system is a part of the innate immune system but can be recruited by the
adaptive immune system
T/F The complement system acts in response to stimuli
TRUE
TRUE
How does the complement system destroy microbes?
cytolysis, opsonization, and inflammation
PHAGOCYTES:
predominate early in initial phase of a
bacterial infection (“first responders”)
dominate later (“clean-up crew”)
Neutrophils
Macrophages
In _____________ activated complement proteins create a membrane
attack complex (MAC)
Cytolysis
What does opsonization promote?
attachment of a phagocyte to a microbe
In inflammation Activated complement proteins bind to mast cells, causing them to release ___________ and other
_______________ _______
histamine
inflammatory cytokines
What is phagocytosis?
the ingestion of a microorganism or other substance by a cell
Professional” phagocytes include what 2 things?
- Neutrophils
- Macrophages
T/F Fixed macrophages (histiocytes) are residents in only
tissues
__________ __________roam tissues and gather at sites of infection
FALSE, tissues AND organs
Free (wandering) macrophages
The 4 mechanisms of phagocytosis are?
- chemotaxis
- Adherence
- Ingestion
- Digestion
PUT THE STEPS OF PHAGOCYTOSIS IN ORDER:
A. Fusion of the phagosome with a lysosome to form a phagolysosome
B. Digestion of ingested microbe by enzymes
C. Formation of a phagosome
D. Chemotaxis and adherence of microbe to phagocyte
E. Ingestion of microbe by phagocyte
F. Discharge of waste materials
G. Formation of residual body containing indigestible material
- D
- E
- C
- A
- B
- G
- F
What are the 3 types of interferons?
T/F IFN- a and IFN-b are produced by viral-infected host cells
IFN- alpha, beta, and lambda
TRUE
what are Interferon (IFN) involved against?
- viruses,
- other microbes
- intercommunication
When does inflammation occur?
in response to tissue damage or microbial invasion
- T or F Interferons bind to cell surfaces
and induce changes in genetic expression - IFNs ________ the expression of cancer
genes and have tumor suppressor effects?
True
inhibit
What are the four cardinal signs of inflammation?
– Heat
– Pain
– Redness
– Swelling
T/F Clotting after abrasion is to prevent further infection
TRUE
Neutrophils and Macrophages are both __________
phagocytic
What is margination?
phagocytes stick to the endothelium
OUTCOMES OF INFLAMMATION
T/F Intent is to limit damage and restore function
T/F If inflammation is limited to area of injury, damage
is usually large
T/F If inflammation results in delicate systems,
consequences are more severe
TRUE
FALSE, damage is nominal (small)
TRUE
phagocytes squeeze between endothelial cells
Diapedesis
- what are pyrogens?
- Fever-inducing cytokines
- Microbial products
- fever-inducing substances
- endogenous pyrogens
- exogenous pyrogens
Resulting fever inhibits growth of pathogens by elevating?
temperature above maximum growth
temperature
Define genetic resistance
T/F sickle cell trait and Plasmodium falciparum (malaria) are examples of genetic resistance
T/F Very young and elderly are more resistant to disease
Confers a selective survival advantage
TRUE
FALSE, they are more SUSCEPTIBLE