Chapter 4: Altered Immunity Flashcards

1
Q

immunity

A

the process by which the body recognizes foreign substances and neutralizes them to prevent damage

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2
Q

specificity

A

the immune cells seek out and destroy targeted foreign invaders

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3
Q

memory

A

the immune cells produce substances that remember and more easily destroy return offenders

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4
Q

immunology

A

the study of the structure and function of the immune system, immunity, induced sensitivity, and allergy

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5
Q

adaptive immunity

A

immune response that is stimulated when specialized cells come in contact with an antigen

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6
Q

antigen

A

a substance that induces a state of sensitivity or immune response

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7
Q

lymphoid progenitor

A

precursor cell to natural killer cells, T lymphocytes, and B lymphocytes

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8
Q

myeloid progenitor

A

precursor to monocytes, dendritic cells, granulocytes, and mast cells

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9
Q

T lymphocytes

A

mature and fully differentiate in the thymus; require contact with antigen to proliferate and differentiate into cytotoxic, helper, or suppressor T cells

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10
Q

suppressor T lymphocytes

A

limit/inhibit humoral and cell-mediated immune responses

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11
Q

T cell receptor (TCR)

A

receptor unique to an antigen that is able to bind to that specific antigen and promote and specific immune response

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12
Q

B lymphocytes

A

develop in the bone marrow and migrate to peripherla lymphoid tissues when they are activated by an antigen to differentiate to plasma cells or become memory cells

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13
Q

B-cell receptor (BCR)

A

antigen-specific receptor on the plasma membrane of B cells

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14
Q

immunoglobulin (Ig)

A

globular proteins which are secreted antibodies that detect antigens

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15
Q

natural killer (NK) cells

A

large, granular lymphocytes that are active in innate immunity and kill infected or tumor cells

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16
Q

granulocytes

A

polymorphonuclear, phagocytic WBCs with granules

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17
Q

neutrophils

A

most common granulocyte that rapidly responds to bacterial infection and responds first in inflammatory response

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18
Q

eosinophils

A

protect against parasites

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19
Q

basophils

A

compliment mast cells and are important for allergic reactions

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20
Q

monocytes

A

large, mononuclear leukocytes that are immature until activated by an antigen

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21
Q

macrophage

A

mature monocyte that digest antigen-carrying cells and antigens

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22
Q

dendritic cells

A

mature dendritic cells take antigens to lymph nodes for B and T cell activation

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23
Q

langerhans cells

A

immature dendritic cells in the skin

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24
Q

lymph

A

liquid filtration product of extracellular fluid from tissues that is returned to blood

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25
lymph nodes
joined segments of lymphatic vessels
26
naive lymphocytes
lymphocytes that have not yet encountered the antigen
27
apoptosis
programmed cell death
28
innate immunity
first responder to injury that is rapid and nonspecific
29
antigen-presenting cells (APCs)
cells that present digested antigens on the outside
30
humoral immunity
adaptive immunity that involves antibodies
31
antibodies
immunoglobulins that react with an antigen in a specific way
32
effector cells
plasma cells that secrete antibodies
33
memory cells
activated, mature B cells that remain after the antigen is eliminated
34
immunologic memory
ability of the immune system to recognize antigens
35
clonal selection
clones of B cells carrying specific BCRs for specific antigens
36
clonal expansion
B cell clones differentiate into plasma cells
37
neutralization
binding of antigen to the antibody so that the antigen cannot infect cells
38
opsonization
promoting phagocytosis and destruction of the pathogen through the phagocyte's ability to recognize that constant region of the antibody
39
cell-mediated immunity
a component of the adaptive immune response that results in the recognition and destruction of cells with non-self antigens
40
epitope
the part of the antigen to which an antibody attaches
41
clusters of differentiation (CDs)
membrane surface molecules that determine functions and responses of T cells
42
cytotoxic T lymphocytes (CD8 T cells)
T cells that destroy infected or tumor cells
43
helper T lymphocytes (CD4 T cells)
T cells that enhance the cell-mediated response
44
TH1 cells
T helper cells that activate macrophages, secrete chemokines and cytokines to attract macrophages, promote fusion of lysosomes with vesicles containing bacteria, and stimulate phagocytosis
45
TH2 cells
T helper cells that activate B cells to produce antibodies
46
human leukocyte antigens (HLAs)
MHC molecules that display antigens
47
MHC class I molecule
found on nucleated body cells and is recognized by cytotoxic CD8 lymphocytes
48
MHC class II molecule
found on APCs and is recognized by helper CD4 T lymphocytes
49
host
person on which the pathogen lives
50
antigenic variation
when pathogens have multiple variations of antigens that trick T and B lymphocytes and make recognition difficult
51
latency
a period of inactivity for viruses where it is not being replicated and remains undetected
52
immunodeficiency
immunosuppression due to impaired immune responsiveness
53
hypersensitivity
excessive immune responses to allergens
54
allergens
antigens commonly considered to be harmless
55
immediate hypersensitivity reactions/type I reactions
immediate IgE-mediated reactions to soluble antigens that induce allergic response of inflammation or anaphylaxis
56
atopic
IgE responses are stimulated from exposure to typically benign substances
57
anaphylaxis
edema and vasodilation that leads to hypotension
58
type II antibody-mediated reactions
IgG or IgM mediated, tissue-specific response to normal antigens on cells or drugs
59
type III immune complex-mediated reactions
IgG and IgM mediated cellular and tissue damage caused by complement activation stimulated by antigen-antibody complexes that clog vessels and tissue
60
serum sickness
local signs and symptoms of rash and itching with systemic edema and fever due to antigen-antibody complexes clogging blood vessels and tissue
61
Arthus reaction
complex-mediated immune response results in localized tissue necrosis in the skin
62
type IV cell-mediated hypersensitivity reactions
T cell-mediated reactions that cause in inflammatory response that results in cell lysis
63
direct cell-mediated toxicity
damage to cells and tissues as a direct response to CD8 cytotoxic T cell destruction of cells with recognized antigens, which can be more harmful than the pathogen
64
delayed hypersensitivity reactions
CD4 helper T cells respond to antigens to stimulate response against unharmful molecules
65
sensitization phase
phase of delayed hypersensitivty that begins when the antigen crosses the skin and are presented to T helper cells to activate them and produce memory cells
66
elicitation phase
memory T cells in the dermis are stimulated by subsequent exposure to the antigen and cytokines and chemokines are released to attract macrophages and T cells, which produces local swelling and contact dermatitis
67
autoimmunity
immune response directed at one's own tissues
68
lymphocyte ignorance
converting lymphocytes from nonresponsive to self-reactive
69
molecular mimicry
close resemblance between foreign and self-antigen
70
familial tendency
propagation of autoimmunity among family members
71
regulatory T cells
suppressor T cells that are able to suppress autoreactive lymphocytes and regulate the immune response
72
alloimmunity
when an immune response is stimulated in response to the presence of cells from another individual of the same species
73
grafts
unattached tissues or organs used for implantations
74
polymorphic
occurring in more than one form
75
polygenic
containing several MHC class I and II genes
76
autograft
grafts from different sites on the same person
77
syngenic
grafts from genetically identical individuals/monozygotic twins
78
allograft
graft between unrelated individuals
79
alloantigens
proteins that vary between individuals
80
alloantibodies
antibodies produced against alloantigens
81
hyperacute graft rejection
rapid rejection of grafts due to alloantibodies
82
graft versus host disease (GVHD)
when the T cells of the donor recognize the recipient's body as being different or foreign and mount and attack
83
hematopoietic stem cells
cells that can differentiate into healthy blood cells
84
vaccines
stimulating immunity through exposure to antigen
85
attenuated
reduced ability to cause disease
86
conjugated vaccines
vaccines that promote activations of more than one cell type
87
acquired immunodeficiency syndrome (AIDS)
the loss of cell-mediated and humoral immunity due to the loss of CD4 Th1 lymphocytes caused by HIV
88
human immunodeficiency virus (HIV)
enveloped retrovirus that infects CD4 helper cells, dendritic cells, and macrophages and results in a loss of CD4 T cells
89
seroconversion
asymptomatic period when one develops antibodies to HIV
90
urticaria
itching
91
angioedema
sudden subcutaneous swelling
92
systemic lupus erythematosus (SLE)
autoimmune disease that is a result of persistent antibody-antigen complex deposition and inflammation
93
quiescence
decreased symptoms
94
Rh isoimmunization
direct antigen-antibody hypersensitivity reaction between a mother and her fetus that results in cell destruction of the fetal red blood cells
95
hemolytic disease of the newborn (HDN)
cell destruction of the fetal red blood cells that causes hemolytic anemia in the fetus or newborn
96
hydrops fetalis
swollen fetal tissues
97
kernicterus
brain damage caused by unconjugated bilirubin deposits in the basal ganglia and brainstem nuclei