defense against disease Flashcards

1
Q

Pathogens as the cause of infectious diseases
- Students should understand that a broad range of disease-causing organisms can infect humans.
- What are pathogens?
- What ways are pathogens spread?

A
  • A disease-causing organism is known as a pathogen, although typically the term is reserved for viruses, bacteria, fungi and protists. Archaea are not known to cause any diseases in humans.
  • body fluids, ingestion, direct contact, etc.
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2
Q
  • Bacteria
  • Viruses
  • Fungi (think: mushrooms)
  • Protozoan parasites
  • Helminthic parasites
A
  • prokaryote, can cause food poisioning/strep throat/pneumonia
  • contains DNA/RNA, must attach to a host cell to reproduce, not considered cells, cause of flu, herpes, HIV
  • eukaryotes, reproduce by producing spores, can cause athlete’s foot, ring worms, skin rashes
  • Often parasitic or symbiotic organisms, Unicellular eukaryotes, making treatment difficult, can cause Malaria, Sleeping sickness, Lyme’s disease
  • multicellular & eukaryote parasitic diseases, can cause elephantiasis
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3
Q

Differences between the innate immune system and the adaptive immune system
- Include the idea that the innate system responds to broad categories of pathogen and does not change during an organism’s life whereas the adaptive system responds in a specific way to particular pathogens and builds up a memory of pathogens encountered, so the immune response becomes more effective.
- Students are not required to know any components of the innate immune system other than phagocytes.

A

Innate:
- responds to a broad category of pathogens and does not change during an organism’s life
- 1st Line: skin secretions, saliva, stomach acid, mucus membrane with cilia in respiratory tract
- 2nd: phagocytes

Adaptive: (3rd)
- responds to specific pathogens in a particular way.
- builds a memory of encountered pathogens to improve the immune response against infection diseases
- involves lymphocytes

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4
Q

Skin and mucous membranes as a primary defence
- The skin acts as both a physical and chemical barrier to pathogens. Students are not required to draw or label diagrams of skin.

sebaceous
sebaceous
sebaceous

A

Skin
- acts as a physical barrier of entry for pathogens
- sebaceous glands associated with hair follicles release a fluid (sebum) that keeps skin moisturized and lowers pH
- reduced pH levels inhibits growth of bacteria and fungi
- natural microgranisms in skin live in competition for nutrients with harmful microorganisms

Mucus:
- cilia within mucus membranes traps pathogens which are swallowed or expelled by coughing
- mucus is a watery solution of glycoproteins, that contain anti-bacterial enzymes that can destroy pathogens
- has lubricating and protective function

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5
Q

Sealing of cuts in skin by blood clotting
- Include release of clotting factors from platelets and the subsequent cascade pathway that results in rapid conversion of fibrinogen to fibrin by thrombin and trapping of erythrocytes to form a clot. No further details are required.
- what are clotting factors?

NOTE: clotting reduces blood lost, prevents fall in blood pressure, and pathogen invasion into blood stream

A
  • Clotting factors are proteins in the blood that control bleeding and which are released by platelets. On the surface of these activated platelets, many different clotting factors work together in a series of complex chemical reactions.
  • The action of thrombin enzyme is to convert another soluble blood protein, fibrinogen, to insoluble fibrin fibres at the site of the cut. Within this mass of fibres, red blood cells are trapped and the blood clot has formed.
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6
Q

Infection control by phagocytes
- Include amoeboid movement from blood to sites of infection, where phagocytes recognize pathogens, engulf them by endocytosis, and digest them using enzymes from lysosomes.

A
  • phagocytes recognize pathogens, engulf them by endocytosis, and digest them using enzymes from lysosomes.
  • Macrophages are specialized phagocytes that engulf foreign bodies, such as extracellular pathogens
  • Different phagocyte cells work in different locations: neutrophils circulate in the blood, while macrophages are found in lymph, tissue fluid, lungs and other spaces, where they kill microbes before they enter the blood.
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7
Q

Lymphocytes as cells in the adaptive immune system that cooperate to produce antibodies
- Students should understand that lymphocytes circulate in the blood and are contained in lymph nodes. They should appreciate that an individual has a very large number of B-lymphocytes that each make a specific type of antibody.

A
  • They circulate in the blood and are contained in lymph nodes, which are part of the lymphatic system.
  • T-cells are produced in bone marrow, processed in the thymus gland, often found in lymph nodes of the lymphatic system. Can differentiate into Helper T-cells or Cytotoxic T-cells.
  • B-cells are produced in bone marrow, synthesize antibodies and can differentiate into antibody releasing B-Plasma cells or B-memory cells, once activated by T-cells.
  • T-Lymphocytes communicate with other leucocytes, including B-lymphocytes, to signal the presence of a specific antigen. In response to this cooperation, B-cells mature into clones of plasma B-cells which secrete antibodies as well as long lived memory B-cells with antibody receptors specific to the antigen.
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8
Q

Antigens as recognition molecules that trigger antibody production

  • Students should appreciate that most antigens are glycoproteins or other proteins and that they are usually located on the outer surfaces of pathogens. Antigens on the surface of erythrocytes may stimulate antibody production if transfused into a person with a different blood group.
A
  • Antigens are proteins or glycoproteins on the cell membranes of pathogens which cells of the immune system recognize as foreign or “non-self”.
  • An antibody is a globular protein with specific binding sites to an antigen. They are produced by B-lymphocytes and plasma cells in response to antigen recognition.
  • The antigen binding site at the top of each arm gives each antibody its specifity, allowing it to bind to millions of different antigens.
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9
Q

NOTE: 5 actions of antibodies

A

Agglutination
Opsonization
Neutralization
Antibody-dependent cytotoxicity
Activation of complement

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10
Q

Activation of B-lymphocytes by helper T-lymphocytes
- Students should understand that there are antigen-specific B-cells and helper T-cells. B-cells produce antibodies and become memory cells only when they have been activated. Activation requires both direct interaction with the specific antigen and contact with a helper T-cell that has also become activated by the same type of antigen.

A

see slide!!!

  1. Antigen-presenting cell ingests antigen, which breaks into fragments and binds to MHC molecules forming a complex
  2. T helper cell receptor binds to complex, stimulating release of interleukin-1
  3. interleukin-1 stimulates T-helper cells to release interleukin-2, causing clones of the T-helper cells to be formed
    4.in turn, these clones produce cytokines, thereby stimulate both immune systems
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11
Q

Multiplication of activated B-lymphocytes to form clones of antibody-secreting plasma cells
- There are relatively small numbers of B-cells that respond to a specific antigen. To produce sufficient quantities of antibody, activated B-cells first divide by mitosis to produce large numbers of plasma B-cells that are capable of producing the same type of antibody.

A

Each B cell is programmed to make one specific antibody. When a B cell encounters its specific or eliciting antigen it first changes into clones of plasma cells all carrying the same antigen receptor, which then further produce antibodies.

4 steps

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12
Q

Immunity as a consequence of retaining memory cells
- Students should understand that immunity is the ability to eliminate an infectious disease from the body. It is due to the long-term survival of lymphocytes that are capable of making the specific antibodies needed to fight the infection. These are memory cells.

A
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13
Q

Transmission of HIV in body fluids
- Include examples of the means and implications of HIV (human immunodeficiency virus) transmission.

A
  • unprotected intercourse, contaminated blood transfusions, passed from mom to baby
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14
Q

Infection of lymphocytes by HIV with AIDS as a consequence
- Students should understand that only certain types of lymphocyte are infected and killed, but that a reduction in these lymphocytes limits the ability to produce antibodies and fight opportunistic infections.

A
  • HIV is a retrovirus, which means that it uses an enzyme called reverse transcriptase to convert its RNA genome into DNA, which is subsequently integrated into the host DNA.
  • causing the synthesis of HIV proteins

HIV attacks T – helper cells (CD4+ cells), causing their numbers to drop.

As a result, the immune system is weakened and fewer antibodies can be produced and diseases develop.

Once CD4+ cells drop below a critical level, the immune system is ineffective, and the patient has AIDS - Acquired Immune deficiency Syndrome.

Patients with AIDS are very susceptible to opportunistic infections, which may prove lethal.

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15
Q

Antibiotics as chemicals that block processes occurring in bacteria but not in eukaryotic cells
- what is an antibiotic?
- Include reasons that antibiotics fail to control infection with viruses.

A
  • An antibiotic is a chemical that inhibits the growth of microorganisms.
  • Most antibiotics disrupt the metabolism of prokaryotic cells (e.g. cell wall synthesis or proteins synthesis) – whole populations of bacteria may be quickly suppressed.
  • Viruses have different metabolic pathways to bacteria – so the antibiotic drugs have nothing to target. Viruses use the host cell metabolism to reproduce and spread.
  • nonliving
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16
Q

Evolution of resistance to several antibiotics in strains of pathogenic bacteria
- Students should understand that careful use of antibiotics is necessary to slow the emergence of multiresistant bacteria.

A

The development of antibiotic resistance is an example for evolution by natural selection. Genetic variation from a mutation (e.g. an antibiotic resistance gene) is selected for in the environment giving the cell a selective advantage. This cell will survive when the antibiotic is around and give rise to future populations.

(MRSA) which is responsible for infections of the blood or surgical wounds of hospital patients shows multiple resistances and is occurring more and more frequently (amongst other resistant bacterial strains).

17
Q

Avoidable measures can be taken by…

A

Doctors prescribing antibiotics only for serious bacterial infections
Patients completing courses of antibiotics (b/c not all the bacteria has been killed off)
Hospital staff maintaining high standards of hygiene to prevent cross-infection
Farmers not using antibiotics in animal feeds to stimulate growth
New types of antibiotics need to be introduced

18
Q

Zoonoses as infectious diseases that can transfer from other species to humans
- Illustrate the prevalence of zoonoses as infectious diseases in humans and their varied modes of infection with several examples including tuberculosis, rabies and Japanese encephalitis.
- Include COVID-19 infection as a disease that has recently transferred from another species, with profound consequences for humans.

A

Zoonosis is when a pathogen can be transmitted to humans from other animals.

19
Q

Vaccines and immunization
- Students should understand that vaccines contain antigens, or nucleic acids (DNA or RNA) with sequences that code for antigens, and that they stimulate the development of immunity to a specific pathogen without causing the disease.

A

Vaccines which contain attenuated versions or antigens of a pathogen are introduced into the body by injection (e.g. flu vaccination) or orally (e.g. polio). The aim of the vaccination is to cause a primary immune response

It stimulates an immune response – if the actual microorganism enters the body as a result of infection, it will be destroyed by the antibodies in a secondary immune response.

20
Q

primary and secondary responses

active and passive immunity

A
  • primary: first encounter w/ antigen; the immune system has to learn to identify these antigens and what specific antibodies to produce, in order to develop memory cells
  • secondary: antigens are recognized by b-memory cells which quickly release antibodies
  • active: organism produces its own antibodies when in presence of antigen
  • passive: the acquisition of antibodies from another organsim
21
Q

Herd immunity and the prevention of epidemics
- Students should understand how members of a population are interdependent in building herd immunity. If a sufficient percentage of a population is immune to a disease, transmission is greatly impeded.

A

Herd immunity is when the majority of the population is covered by the vaccine. When herd imunity exists, even those few who are unvaccinated are protected from infection.

22
Q

Evaluation of data related to the COVID-19 pandemic

A