Chapter 1: The Immune System Flashcards

1
Q

What is the definition of the immune system?

A

The immune system is a network of cells and proteins that protect the body from infection and promote healing by generating inflammation, removing pathogens, expanding immune cell populations, developing memory, controlling inflammation, and repairing tissues.

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2
Q

What are the main functions of immunity?

A

Immunity involves generating inflammation, removing and destroying pathogens, expanding immune cell populations, developing memory against antigens, controlling inflammation, and repairing tissues.

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3
Q

How do innate and adaptive immunity differ?

A

Innate immunity provides an immediate, nonspecific response against pathogens, while adaptive immunity requires priming with pathogens, is specific, and develops memory for faster responses upon re-exposure.

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4
Q

What are the central organs of the immune system and their functions?

A

The central organs include the bone marrow, where immune cells are produced and undergo initial development, and the thymus, where T cells complete their maturation.

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5
Q

What are the peripheral organs of the immune system and their functions?

A

Peripheral organs include lymph nodes, spleen, and mucosa-associated lymphoid tissues (MALT, BALT, GALT) where immune cells complete their development and become activated upon encountering antigens.

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6
Q

What role do epithelial barriers play in immunity?

A

Epithelial barriers, such as skin and mucosa, protect against pathogens and toxins. They are reinforced by secretions like lysozymes in saliva and tears and physiological clearance mechanisms like the mucociliary system.

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7
Q

What are physiological barriers in the immune system?

A

Physiological barriers include secretions (e.g., lysozymes, low stomach pH) and clearance mechanisms (e.g., mucociliary system) that add protection against pathogens.

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8
Q

How do immune cells migrate in the body?

A

Immune cells circulate through blood and lymph, migrating to tissues and lymphoid structures. They can become resident cells or constantly recirculate, searching for antigens or sites of inflammation.

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9
Q

What is diapedesis?

A

Diapedesis is the process where leukocytes move from the bloodstream into tissues to respond to infections or inflammation.

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10
Q

What are sentinel cells and their functions?

A

Sentinel cells, such as macrophages and mast cells, reside in tissues and detect pathogens or tissue destruction, triggering inflammatory responses by secreting cytokines.

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11
Q

What are inflammatory cytokines and their effects?

A

Inflammatory cytokines, such as TNF-alpha, IL-1, and IL-6, attract inflammatory cells, cause fever, vasodilation, and increase capillary permeability, leading to clinical signs of inflammation.

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12
Q

What are myeloid cells and their types?

A

Myeloid cells include neutrophils, monocytes, macrophages, dendritic cells, eosinophils, basophils, mast cells, red cells, and thrombocytes. They play roles in phagocytosis and pathogen removal.

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13
Q

What is phagocytosis?

A

Phagocytosis is the process of engulfing and digesting particles, such as pathogens, cells, and molecules, by immune cells like macrophages and neutrophils.

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14
Q

What are pattern-recognition receptors (PRRs) and their types?

A

PRRs are receptors on phagocytes that recognize pathogen-associated molecular patterns (PAMPs). Types include Toll-like receptors (TLRs), NOD-like receptors, and RIG-1-like receptors.

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15
Q

How are phagocytes activated?

A

Phagocytes are activated upon recognizing pathogens through their PRRs, leading to cytokine secretion and an expanded inflammatory response.

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16
Q

What is a phagolysosome?

A

A phagolysosome is formed when a phagosome fuses with a lysosome inside a phagocyte, leading to the degradation of engulfed pathogens.

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17
Q

What are neutrophils and their function?

A

Neutrophils are short-lived immune cells that arrive quickly at infection sites to phagocytose and kill pathogens, often requiring opsonization for efficient function.

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18
Q

What are macrophages and their types?

A

Macrophages are tissue-resident cells derived from monocytes. They include pro-inflammatory (M1) macrophages involved in inflammation and anti-inflammatory (M2) macrophages involved in tissue repair.

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19
Q

What are dendritic cells and their role in immunity?

A

Dendritic cells are phagocytes that process and present antigens to T lymphocytes, particularly CD4+ T cells, to initiate and guide adaptive immune responses.

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20
Q

How do dendritic cells present antigens to T cells?

A

Dendritic cells present processed antigens via MHC class II molecules to CD4+ T cells, leading to T cell activation through receptor binding and co-stimulation.

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21
Q

What are B lymphocytes and their development process?

A

B lymphocytes develop in the bone marrow, form B cell receptors (BCR), and differentiate into plasma cells or memory cells upon encountering antigens in peripheral tissues.

22
Q

What is the structure of immunoglobulins?

A

Immunoglobulins have two heavy chains and two light chains, forming a ‘Y’ shaped molecule. The variable regions bind antigens, while the constant regions determine the immunoglobulin isotype and function.

23
Q

What are T lymphocytes and their development process?

A

T lymphocytes develop in the thymus from lymphoid progenitors. They form T cell receptors (TCR) and differentiate into CD4+ helper T cells or CD8+ cytotoxic T cells based on MHC molecule recognition.

24
Q

What are alpha-beta T cells and their role?

A

Alpha-beta T cells recognize peptides presented by MHC molecules, leading to activation and differentiation into either CD4+ or CD8+ T cells.

25
Q

What are gamma-delta T cells and their function?

A

Gamma-delta T cells bind to whole molecules without MHC restriction, offering early infection detection and signaling inflammation through cytokine secretion.

26
Q

What are regulatory T cells (Tregs) and their role?

A

Tregs suppress effector T cells to prevent tissue damage and autoimmunity, providing peripheral immunotolerance through mechanisms involving cytokines like IL-10 and TGF-beta.

27
Q

What are MHC class I and II molecules and their functions?

A

MHC class I molecules present endogenous peptides to CD8+ T cells, while MHC class II molecules present exogenous peptides to CD4+ T cells, both crucial for adaptive immunity and transplantation compatibility.

28
Q

What are natural killer (NK) cells and their function?

A

NK cells are innate immune cells that kill target cells lacking MHC class I by releasing granzymes and perforins. They also participate in antibody-dependent cell-mediated cytotoxicity (ADCC).

29
Q

What is the complement system and its components?

A

The complement system consists of proteins (C1 to C9) that activate sequentially in response to inflammation, leading to the formation of the membrane attack complex (MAC) and pathogen clearance.

30
Q

What triggers the classical complement pathway?

A

The classical pathway is triggered by antibodies (IgG or IgM) binding to antigens, activating the C1 complex.

31
Q

What triggers the lectin complement pathway?

A

The lectin pathway is activated by mannose-binding lectin binding to antigens, triggering the activation of C4.

32
Q

What triggers the alternative complement pathway?

A

The alternative pathway is initiated by spontaneous activation of complement component C3.

33
Q

What is the membrane attack complex (MAC)?

A

The MAC creates pores on target cell surfaces, causing cell lysis and contributing to pathogen clearance.

34
Q

How are B cells activated in lymphoid tissues?

A

B cells are activated by binding antigens through BCR and receiving co-stimulatory signals from CD4+ T cells, leading to proliferation and differentiation.

35
Q

What is the primary immune response?

A

The primary immune response occurs upon first exposure to an antigen, primarily producing IgM and leading to the development of memory cells.

36
Q

What is the secondary immune response?

A

The secondary immune response occurs upon re-exposure to an antigen, characterized by a faster and more robust production of IgG due to memory cells.

37
Q

What are the different immunoglobulin isotypes and their functions?

A

IgM, IgG, IgA, IgE, and IgD each have distinct functions, including neutralization, opsonization, complement activation, and mucosal protection

38
Q

What are the functions of IgG?

A

IgG neutralizes pathogens, opsonizes antigens for phagocytosis, activates complement, and participates in antibody-dependent cell-mediated cytotoxicity (ADCC).

39
Q

What are the functions of IgA?

A

IgA provides mucosal protection by neutralizing pathogens and toxins in secretions such as saliva and tears.

40
Q

What are the functions of IgE?

A

IgE mediates allergic reactions and defense against parasitic infections by binding to mast cells and basophils.

41
Q

What are the functions of IgM?

A

IgM is the predominant immunoglobulin in primary responses, efficient in activating the complement system.

42
Q

What is immune tolerance and its importance?

A

Immune tolerance prevents immune responses against self-antigens through central and peripheral mechanisms, crucial for preventing autoimmunity.

43
Q

What is autoimmunity and its causes?

A

Autoimmunity is an immune response against self-antigens, caused by genetic defects, environmental factors, and immune dysfunction, leading to tissue damage and disease.

44
Q

What is Type I hypersensitivity and examples?

A

Type I hypersensitivity is an immediate reaction mediated by IgE, mast cells, and basophils, examples include anaphylaxis and insect hypersensitivity.

45
Q

What is Type II hypersensitivity and examples?

A

Type II hypersensitivity involves IgG or IgM antibodies against cell surface antigens, leading to tissue destruction, examples include immune-mediated hemolytic anemia.

46
Q

What is Type III hypersensitivity and examples?

A

Type III hypersensitivity is caused by immune complexes depositing in tissues, leading to inflammation and damage, examples include serum sickness and purpura hemorrhagica.

47
Q

What is Type IV hypersensitivity and examples?

A

Type IV hypersensitivity is a delayed reaction mediated by T cells and macrophages, examples include contact dermatitis and the tuberculin test.

48
Q

What are immunodeficiencies and their impact?

A

Immunodeficiencies are conditions where the immune system fails to protect against infections, leading to recurrent illnesses. They can be primary (genetic) or secondary (acquired).

49
Q

What are primary immunodeficiencies?

A

Primary immunodeficiencies are genetic or inherited disorders affecting immune function, leading to increased susceptibility to infections.

50
Q

What are secondary immunodeficiencies?

A

Secondary immunodeficiencies are acquired conditions caused by factors such as infections, immunosuppressive therapy, or malnutrition, impairing immune function.