ch8: hypersensitivity and immunodeficiency Flashcards

1
Q

hypersensitivity

A

hyperactive/overactive immune system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

immunodeficiency

A

under-reactive immune system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

primary immunodeficiency

A

congenital, born with defect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

hypogammaglobulinemia

where is the defect

A

not making enough antibodies, defect in THYMUS –> ineffective maturation of T cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

severe combined immunodeficiencies (SCIDS)

A

ALL lymphocytes affected by a dysfunction

–> reticular dysgenesis: don’t make ANY type of WBCs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

secondary (acquired) immunodeficiency

A

contracted AFTER birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

examples of secondary immunodeficiency?

A
  • nutritional
  • iatrogenic
  • trauma induced
  • stress induced
  • result of infectious disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

nutritional immunodeficiency

A

ex. scurvy: vitamin c deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

iatrogenic immunodeficiency

A

treatment for one disease → leads to immunodeficiency (chemotherapy, antimitotic drugs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

trauma induced immunodeficiency

A

physical trauma is the cause of decreased immunity

ex. Getting severe burns = more susceptible to infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

stress induced immunodeficiency

A

physical stress to the body (emotional trauma/eating disorders) more susceptible to infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

result of infectious disease

A

ex: HIV (knocks out helper t cells, more prone to viral infections = since t cells work harder in viral infections) → AIDS
ex. epstein barr virus - infectious mononucleosis (goes for b cells → more prone to bacterial infection) → can lead to Strep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are some treatments of immunodeficiency

A
  • IVIg: artificially acquired passive immunity; get antibodies from lab; can be given prophylactically (monoclonal antibodies)
  • Stem cell and/or bone marrow grafts
  • gene therapy (CRISPR)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

hypersensitivity

A

exaggerated response to injury (or to a foreign and/or bening substance)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

anaphylaxis

A

body releases a severe amount of histamine that causes systemic effects, severe drop in BP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

cutaneous anaphylaxis

A

rapid skin reaction/allergen, much less serious (hives, rash), can progress into systemic form…

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

systemic anaphylaxis

A

systemic reaction involving multiple organ systems

18
Q

anaphylactic shock

A

over-vasodilation → decrease in blood pressure → severe drop in BP = SHOCK

19
Q

histamine is a _______ while epinephrine is a ______

A

vasodilator, vasoconstrictor

20
Q

allergy

A

something that isn’t harmful but for some reason the body interprets as a threat

21
Q

neoantigens

ex.?

A

foreign substances/allergens can combine with tissues …

- poison ivy –> antibody antigen complex deposit into tissue

22
Q

autoimmunity

A

own tissues are being attached by immune system

- clonal deletion didn’t happen properly

23
Q

alloimmunity

A

response to grafted tissue

24
Q

autograft

A

no alloimmune response; tissue grafted from one part of body to another party of your body

25
isograft
no alloimmune response; graft for identical twin (genetically and immunologically identical)
26
allograft
graft from another person of the same species | - possible secondary immunodeficiency
27
xenograft
graft from different species
28
what kind of tissue is easier for body to accept and why?
connective tissue -- fewer cells = less likely to have alloimmune response
29
acute rejection
graft rejected quickly
30
chronic rejection
graft rejection after months, years
31
hyperacute rejection | what nickname?
"white graft" - really quick rejection within hours, white graft because tissue will look like it was bleached
32
type i hypersensitivity | ex.?
IgE → mast cell degranulation → release of histamine - urticaria - desensitization
33
urticaria
(wheel and flare reaction): hives → red rings with bumps
34
atopic
genetic predisposition, genetically prone to have allergic reaction to something
35
how does desensitization work?
(by repeated exposure OR allergy shots) Blocking antibodies: usually IgG class (stick to allergen before it has time to cross link IgE and cause degranulation)
36
type ii hypersensitivity
antibodies bind to tissue-specific antigens → trigger phagocytosis (macrophage go to eat) ADCC (Antibody Dependent Cellular Cytotoxicity) = NK cells gives the touch of death
37
type iii hypersensitivity
Ab-Ag complexes deposit in certain tissues “Serum sickness”: formation of large big complexes of Ab-Ag got stuck in certain tissues → body tries to go after it = damage to tissues - neutrophils can't break it down + lyse themselves - arthus reaction, raynaud's phenomenon
38
arthus reaction
constant exposure, low grade, to a particular antigen
39
raynaud's phenomenon | what protein is associated with this
decreased blood flow to extremities due to a reaction → white fingertips cryoglobulins: body in cold, lower temperatures → triggers cryoglobulins = these abnormal proteins may clump together at body temps below 98.6 F
40
type iv hypersensitivity
STRICTLY T CELL MEDIATED, NO B CELLS (no antibodies) Graft/tumor rejection, contact dermatitis, poison ivy, jewelry (nickel) etc “Delayed type” → won’t react right away