Chapter 8: The Immune System Flashcards

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1
Q

Structure of the Immune System

A

START

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2
Q

The immune system can be divided into

A
  1. innate
  2. adaptive immunity
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3
Q

Innate immunity is composed of

A

defenses that are always active, but that cannot target a specific invader and cannot maintain immunologic memory; also called nonspecific immunity.

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4
Q

____ is composed of defenses that are always active, but that cannot target a specific invader and cannot maintain immunologic memory; also called _____.

A

**Innate immunity

nonspecific immunity**

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5
Q

Adaptive immunity is composed of

A

defenses that take time to activate, but that target a specific invader and can maintain immunologic memory; also called specific immunity.

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6
Q

____ is composed of defenses that take time to activate, but that target a specific invader and can maintain immunologic memory; also called ____.

A

Adaptive immunity

specific immunity

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7
Q

The immune system is dispersed in the body.

A
  • Immune cells come from the bone marrow.
  • The spleen and lymph nodes are sites where immune responses can be mounted, and in which B-cells are activated.
  • The t_hymus_ is the site of T-cell maturation.
  • Gut-associated lymphoid tissue (GALT) includes the tonsils and adenoids.
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8
Q

____, or white blood cells, are involved in ____.

A

Leukocytes

immune defenses

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9
Q

Leukocytes aka what?

A

white blood cells

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10
Q

The Innate Immune System

A

START

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11
Q

Many of the nonspecific defenses are

A

noncellular

  • The skin acts as a physical barrier and secretes antimicrobial compounds, like defensins.
  • Mucus on mucous membranes traps pathogens; in the respiratory system, the mucus is propelled upward by cilia and can be swallowed or expelled.
  • Tears and saliva contain lysozyme, an antibacterial compound.
  • The stomach produces acid, killing most pathogens. Colonization of the gut helps prevent overgrowth by pathogenic bacteria through competition.
  • The complement system can punch holes in the cell walls of bacteria, making them osmotically unstable.
  • Interferons are given off by virally infected cells and help prevent viral replication and dispersion to nearby cells.
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12
Q

The skin acts as a

A

physical barrier and secretes antimicrobial compounds, like defensins.

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13
Q

Mucus on mucous membranes traps

A

pathogens; in the respiratory system, the mucus is propelled upward by cilia and can be swallowed or expelled.

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14
Q

Tears and saliva contain

A

lysozyme, an antibacterial compound.

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15
Q

The stomach produces acid doing what?

A

The stomach produces acid, killing most pathogens. Colonization of the gut helps prevent overgrowth by pathogenic bacteria through competition.

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16
Q

The complement system can

A

The complement system can punch holes in the cell walls of bacteria, making them osmotically unstable.

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17
Q

Interferons are given off by

A

virally infected cells and help prevent viral replication and dispersion to nearby cells.

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18
Q

Many of the nonspecific defenses are also

A

cellular

  • Macrophages ingest pathogens and present them on major histocompati-bility complex (MHC) molecules. They also secrete cytokines.
  • MHC class I (MHC-I) is present in all nucleated cells and displays endogenous antigen (proteins from within the cell) to cytotoxic T-cells (CD8+ cells).
  • MHC class II (MHC-II) is present in professional antigen-presenting cells (macrophages, dendritic cells, some B-cells, and certain activated epithelial cells) and displays exogenous antigen (proteins from outside the cell) to helper T-cells (CD4+ cells).
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19
Q

Macrophages do what ?

A

Macrophages ingest pathogens and present them on major histocompati-bility complex (MHC) molecules. They also secrete cytokines.

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20
Q

MHC class I (MHC-I) is present in all

A

nucleated cells and displays endogenous antigen (proteins from within the cell) to cytotoxic T-cells (CD8+ cells).

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21
Q

MHC class II (MHC-II) is present in

A

professional antigen-presenting cells (macrophages, dendritic cells, some B-cells, and certain activated epithelial cells) and displays exogenous antigen (proteins from outside the cell) to helper T-cells (CD4+ cells).

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22
Q

Dendritic cells are

A

antigen-presenting cells in the skin.

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23
Q

Natural killer cells attack

A

Natural killer cells attack cells not presenting MHC molecules, including virally infected cells and cancer cells.

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24
Q

Granulocytes include

A

Granulocytes include neutrophils, eosinophils, and basophils.

esosino

baso

neutro

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25
Q

Neutrophils ingest

A

bacteria, particularly opsonized bacteria (those marked with antibodies). They can follow bacteria using chemotaxis.

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26
Q

Eosinophils are used in

A

allergic reactions and invasive parasitic infections.

They release histamine, causing an inflammatory response.

27
Q

Basophils are used in

A

allergic reactions.

Mast cells are related cells found in the skin.

28
Q

The Adaptive Immune System

A

START

29
Q

Humoral immunity is

A

centered on antibody production by plasma cells, which are activated B-cells.

30
Q

Antibodies target a

A

antigen.

  • Antibodies target a particular antigen. They contain two heavy chains and two light chains. They have a constant region and a variable region; the tip of the variable region is the antigen-binding region.
  • When activated, the antigen-binding region undergoes hypermutation to improve the specificity of the antibody produced. Cells may be given signals to switch isotypes of antibody (IgM, IgD, IgG, IgE, IgA).
  • Circulating antibodies can opsonize pathogens (mark them for destruction), cause agglutination (clumping) into insoluble complexes that are ingested by phagocytes, or neutralize pathogens.
  • Cell-surface antibodies can activate immune cells or mediate allergic reactions.
  • Memory B-cells lie in wait for a second exposure to a pathogen and can then mount a more rapid and vigorous immune response (secondary response).
31
Q

Antibodies target a particular

A

antigen.

Antigen: a toxin or other foreign substance which induces an immune response in the body, especially the production of antibodies.

They contain two heavy chains and two light chains.

They have a constant region and a variable region; the tip of the variable region is the antigen-binding region.

32
Q

When activated, the antigen-binding region undergoes

A

hypermutation to improve the specificity of the antibody produced. Cells may be given signals to switch isotypes of antibody (IgM, IgD, IgG, IgE, IgA).

A, E, M, D, G

33
Q

Circulating antibodies can

A

opsonize pathogens (mark them for destruction), cause agglutination (clumping) into insoluble complexes that are ingested by phagocytes, or neutralize pathogens.

34
Q

Cell-surface antibodies can

A

activate immune cells or mediate allergic reactions.

35
Q

Memory B-cells lie in wait for a

A

second exposure to a pathogen and can then mount a more rapid and vigorous immune response (secondary response).

36
Q

Cell-mediated (cytotoxic) immunity is centered on the functions of

A

T-cells

37
Q

T-cells undergo maturation in the thymus through

A

positive selection (only selecting for T-cells that can react to antigen presented on MHC) and negative selection (causing apoptosis in self-reactive T-cells).

The peptide hormone: thymosin promotes T-cell development.

38
Q

Helper T-cells (Th or CD4+) respond to antigen on

A

MHC-II and coordinate the rest of the immune system, secreting lymphokines to activate various arms of immune defense.

Th1 cells secrete interferon gamma, which activates macrophages.

Th2 cells activate B-cells, primarily in parasitic infections.

39
Q

Cytotoxic T-cells (Tc, CTL, or CD8+) respond to antigen on

A

MHC-I and kill virally infected cells.

40
Q

Suppressor (regulatory) T-cells (Treg) tone down the

A

immune response after an infection and promote self-tolerance.

41
Q

Memory T-cells serve a similar function to _____.

A

Memory B-cells.

42
Q

In autoimmune conditions, a self-antigen is identified as

A

foreign, and the immune system attacks the body’s own cells.

43
Q

In allergic reactions,

A

nonthreatening exposures incite an inflammatory response.

44
Q

Immunization is a method of inducing

A

active immunity (activation of B-cells that produce antibodies to an antigen) prior to exposure to a particular pathogen.

*there is active immunity and passive immunity

45
Q

Passive immunity is the transfer of

A

antibodies to an individual.

*there is active immunity and passive immunity

46
Q

The Lymphatic System

A

START

The immune system and the lymphatic system are intimately related.

Structure:

The lymphatic system, along with the cardiovascular system, is a type of circulatory system. It is made up of one-way vessels that become larger as they move toward the center of the body. These vessels carry lymphatic fluid (lymph) and most join to form a large thoracic duct in the posterior chest, which then delivers the fluid into the left subclavian vein (near the heart).

Lymph nodes are small, bean-shaped structures along the lymphatic vessels. Lymph nodes contain a lymphatic channel, as well as an artery and a vein. The lymph nodes provide a space for the cells of the immune system to be exposed to possible pathogens.

Function:

The lymphatic system serves many different purposes for the body by providing a secondary system for circulation.

Equalization of Fluid Distribution:

At the capillaries, fluid leaves the bloodstream and goes into the tissues. The quantity of fluid that leaves the tissues at the arterial end of the capillary bed depends on both hydrostatic and oncotic pressures (Starling forces). Remember that the oncotic pressure of the blood draws water back into the vessel at the venule end, once hydrostatic pressure has decreased. Because the net pressure drawing fluid in at the venule end is slightly less than the net pressure pushing fluid out at the arterial end, a small amount of fluid remains in the tissues. Lymphatic vessels drain these tissues and subsequently return the fluid to the bloodstream.

The lymphatics offer some protection against pathology. For example, if the blood has a low concentration of albumin (a key plasma protein), the oncotic pressure of the blood is decreased, and less water is driven back into the bloodstream at the venule end. Thus, this fluid will collect in the tissues. Provided that the lymphatic channels are not blocked, much of this fluid may eventually return to the blood-stream via the lymphatics. Only when the lymphatics are overwhelmed does edema occurswelling due to fluid collecting in tissue.

Transportation of Biomolecules:
The lymphatic system also transports fats from the digestive system into the blood-stream. Lacteals, small lymphatic vessels, are located at the center of each villus in the small intestine. Fats, packaged into chylomicrons by intestinal mucosal cells, enter the lacteal for transport. Lymphatic fluid carrying many chylomicrons takes on a milky white appearance and is called chyle.

Immunity:
As stated previously in this chapter, lymph nodes are a place for antigen-presenting cells and lymphocytes to interact. B-cells proliferate and mature in the lymph nodes in collections called germinal centers.

47
Q

The lymphatic system is a

A

circulatory system that consists of one-way vessels with intermittent lymph nodes.

48
Q

The lymphatic system connects to the cardiovascular system via the

A

thoracic duct in the posterior chest.

49
Q

The lymphatic system equalizes

A

fluid distribution, transports fats and fat-soluble compounds in chylomicrons, and provides sites for mounting immune responses.

50
Q

1� What are the differences between innate and adaptive immunity?

  • Innate immunity:
  • Adaptive immunity:
A
  1. Innate immunity consists of defenses that are always active against pathogens, but that are not capable of targeting specific invaders.

It takes longer to mount a response with adaptive immunity, but the response targets a specific pathogen and maintains immunologic memory of the infection to mount a faster response during subsequent infections.

51
Q
  1. Compare and contrast B-and T-cells:
A

CHART:

  1. Both B-cells and T-cells develop in the bone marrow
  2. B-cells mature in :bone marrow (but are activated in spleen or lymph bodes)

T-cells mature in: Thymus

  1. B-cells major function: produce antibodies

T-cells major fuction: Coordinate immune system and directly kill infectted cells

  1. B-cells and T-cells: are both specific (NOT non-specific)
  2. B-cell: Humoral

T-cell: Cell-mediated

52
Q

3� Which cells are considered granulocytes? Which are considered agranulocytes?

• Granulocytes:
• Agranulocytes:
Site

A
  1. Granulocytes include neutrophils, eosinophils, and basophils.

Agranulocytes include _B-_and T-cells (lymphocytes) and monocytes (macrophages).

53
Q

1� For each of the noncellular nonspecific immune defenses listed below, provide a brief description of its immunologic function:

  • Skin:
  • Defensins:
  • Lysozyme:
  • Mucus:
  • Stomach acid:
  • Normal gastrointestinal flora:
  • Complement:
A

Skin provides a physical barrier and s_ecretes antimicrobial enzymes._

Defensins are examples of antibacterial enzymes on the skin.

Lysozyme is antimicrobial and is present in tears and saliva.

Mucus is present on mucous membranes and traps incoming pathogens; in the respiratory system, cilia propel the mucus upward so it can be swallowed or expelled.

Stomach acid is an antimicrobial substance in the digestive system.

The normal gastrointestinal flora provides competition, making it hard for pathogenic bacteria to grow in the gut.

Complement is a set of proteins in the blood that can create holes in bacteria.

54
Q

2� Which cells are professional antigen-presenting cells?

A
  1. Professional antigen-presenting cells include:
  2. macrophages
  3. dendritic cells in the skin
  4. some B-cells
  5. certain activated epithelial cells
55
Q

3� What are the differences between MHC-I and MHC-II?

  • MHC-I:
  • MHC-II:
A
  1. MHC-I is found in all nucleated cells and presents pieces of proteins (peptides) created within the cell (endogenous antigens); this can allow for detection of cells infected with intracellular pathogens (especially viruses).

MHC-II is only found in antigen-presenting cells and presents proteins that result from the digestion of extracellular pat4. Natural killer cells are activated by cells that do not present MHC (such as virally infected cells and cancer cells).

Neutrophils are activated by bacteria, especially those that have been opsonized (tagged with an antibody on their surface).

Eosinophils are activated by invasive parasites and allergens.

Basophils and mast cells are activated by allergens.

56
Q

4� What stimulus activates each of the following types of cells?

  • Natural killer cells:
  • Neutrophils:
  • Eosinophils:
  • Basophils and mast cells:
A
  1. Natural killer cells are activated by cells that do not present MHC (such as virally infected cells and cancer cells).

Neutrophils are activated by bacteria, especially those that have been opsonized (tagged with an antibody on their surface).

Eosinophils are activated by invasive parasites and allergens.

Basophils and mast cells are activated by allergens.

57
Q

1� For each of the lymphocytes listed below, what are its main functions?

  • Plasma cell:
  • Memory B-cell:
  • Helper T-cell:
  • Cytotoxic T-cell:
  • Suppressor (regulatory) T-cell:
  • Memory T-cell:
A
  1. Plasma cells form from B-cells exposed to antigen and produce antibodies.

Memory B-cells also form from B-cells exposed to antigen and lie in wait for a second exposure to a given antigen to mount a rapid, robust response.

Helper T-cells coordinate the immune system through lymphokines and respond to antigen bound to MHC-II.

Cytotoxic T-cells directly kill virally infected cells and respond to antigen bound to MHC-I.

Suppressor (regulatory) T-cells quell the immune response after a pathogen has been cleared and promote self-tolerance.

Memory T-cells, like memory B-cells, lie in wait until a second exposure to a pathogen to mount a rapid, robust response.

58
Q

2� What are the three main effects circulating antibodies can have on a pathogen?



A
  1. Circulating antibodies can mark a pathogen for destruction by phagocytic cells (opsonization), cause agglutination of the pathogen into insoluble complexes that can be taken up by phagocytic cells, or neutralize the pathogen by prevent-ing it from invading tissues.
59
Q

3� How do antibodies become specific for a given antigen?

A
  1. B-cells originally mature in the bone marrow and have some specificity at that point; however, antibodies that can respond to a given antigen undergo hyper-mutation, or rapid mutation of their antigen-binding sites. Only those B-cells that have the highest affinity for the antigen survive and proliferate, increasing the specificity for the antigen over time.
60
Q

4� A T-cell appropriately passes through positive selection, but then inappropri-ately passes through negative selection. What will this T-cell be reactive toward?

A
  1. Positive selection occurs when T-cells in the thymus that are able to respond to antigen presented on MHC are allowed to survive (those that do not respond undergo apoptosis). Negative selection occurs when T-cells that respond to self-antigens undergo apoptosis before leaving the thymus. A T-cell that appropriately passes through positive selection, but then inappropriately passes through negative selection will be reactive to self-antigens.
61
Q

5� Which cells account for the fact that the secondary response to a pathogen is much more rapid and robust than the primary response?

A
  1. Memory cells allow the immune system to carry out a much more rapid and robust secondary response.
62
Q

6� What is the difference between active and passive immunity?

  • Active immunity:
  • Passive immunity:
A
  1. Active immunity refers to the stimulation of the immune system to produce antibodies against a pathogen. Passive immunity refers to the transfer of anti-bodies to prevent infection, without stimulation of the plasma cells that produce these antibodies.
63
Q

1� Filariasis is the name for an infection with a member of a certain group of parasites, most notably Wuchereria bancrofti� This parasite resides in lymph nodes and causes blockage of flow. If an individual had a W. bancrofti infection in the lymph nodes of his or her thigh, what would likely happen?

A
  1. Fluid would be unable to return from the lower leg, and edema would result. This infection leads to elephantiasis, severe swelling of the limb with thickening of the skin.
64
Q

2� What structure is primarily responsible for returning materials from lymphatic circulation to the cardiovascular system?

A
  1. The thoracic duct carries lymphatic fluid into the left subclavian vein.