Disorders of the immune system Flashcards
Immunity is from a latin term that means what?
Exemption from duty.
What are the 2 types of immune responses?
- Natural immunity (non-specific). 2. Acquired immunity (Specific).
What are the 3 proteins that work under the natural immunity response?
- Complement. 2. Properdin. 3. Lysozyme.
What is the general concept of acquired immunity?
Self vs. non-self.
What is the 1st, 2nd, and 3rd lines of defense in natural protection?
- Mechanical/ chemical barrier. 2. inflammatory/ Phagocytosis. 3. Specific immune responses.
What are the different kinds of T-Lymphocytes?
T-helper cells (CD4+), T-suppressor or cytotoxic cells (CD8+), and Natural killer cells.
B-lymphocytes will become what in tissues?
Plasma cells.
Where will T and B lymphocytes and Natural killer cells come from?
Bone marrow.
Basophils become what in tissues?
Mast cells.
Monocytes become what in tissues?
Macrophages.
All antibodies are composed of what?
Light and heavy chains.
Which chains of antibodies are changeable and which chain is the same?
Light- same. Heavy are specific for each Ig.
What is another name for light and heavy chains?
Light-Fc. Heavy-Fab.
What is the largest Ig?
IgM.
What is the function of the IgM?
To neutralize microorganisms.
The IgM has how many complement binding sites?
five.
What is the first Ig to appear?
IgM.
IgM is the natural antibody against what?
ABO blood group ag.
Which Ig has the smallest molecular weight?
IgG.
When will IgG be produced?
Small amounts produced on initial immunization and boosted on re-exposure.
IgG’s act as an opsonin which is what?
bacteria coating and phagocytosis.
IgA will be mainly found where?
In mucosal secretions; milk, tears, respiratory, GI tract.
What is the function of IgA?
Protective.
What Ig is secreted by sensitized plasma cells in tissues?
IgE.
IgE are attached locally to what?
Mast cells.
What is the function of IgE’s?
mediates allergic reactions in tissues, and to protect against parasites.
Where are IgD’s found at?
Cell membrane-bound found exclusively on B cells.
What is the function of the IgD?
participates in antigenic activation of B cells
Which of the Ig’s will not be released in the serum?
IgD.
What is the Major Histocompatiblity complex essential for?
presentation of antigens to T cells.
The major histocompatibility complex is AKA?
human leukocyte antigen (HLA).
What is an immunologic finger print unique to me?
my major histocopmatibility complex.
What are the 2 groups of the major histocompatibilty complex?
Type I and Type II.
The type I major histocompatibility complex has receptors for what?
CD8+ or the T suppressor or cytotoxic cells.
The type II major histocompatibility complex reacts with what?
CD4+ or the T-helper cells.
What are the antigen-presenting cells of the major histocompatibility complex?
Macrophages, and B cells if antigen is internalized.
What is the function of the Major histocompatibility complex (MHC)?
To present antigens to T cells.
T cells can only react to membrane-bound antigens and this means what?
Without Antigen presenting cells T cell will have no reaction to antigens.
MHC type I is a receptor for the CD8+ cells and are found where?
On all nucleated cells of the body.
MCH type I links what to what?
CD8+ or the T suppressor or cytotoxic cells to antigen presenting cells (APC).
MCH type II react with the CD4+ or T helper cells and this will lead to what?
antigen presenting cells to Helper T lymphocytes. This serves as a presentation of exogenous antigens that are first internalized and processed.
MHC is AKA?
HLA or human leukocyte antigen.
What chromosome are the HLA subtypes found on?
6 regions A,B, and DR.
HLA A3 is assoicated with what?
Hemochoromatosis, myathenia gravis, Multiple sclerosis.
HLA B27 is associated with what?
Psoriasis, Ankylosing spondylitis, Inflammatory bowel disease, Reiter’s syndrome.
HLA B8 is associated with what?
Grave’s disease, celiac sprue.
HLA DR2 is associated with what?
Multiple sclerosis, hay fever, SLE, Goodpasture.
HLA DR3 is associated with what?
Diabetes Mellitus type I.
HLA DR4 is accoicated with what?
Rheumatoid arthritis, DM type I.
HLA DR5 is associated with what?
Pernicious anemia, hasimoto’s throiditis.
HLA DR7 is assoicated with what?
Steroid-responive nephrotic syndrome.
Pernicious anemia is caused by what?
A B12 deficinecy.
What is an epitope?
An antigenic site.
How many epitopes can be on an antigen?
Many.
Antibodies to soluable antigens form what?
Soluable complexes that may be found in circulation.
What do antibodies that are bound to fixed antigens on cells do?
Coat the cell surface.
What happens when antigen-antibody complexes bind?
This activates the complement system.
The complement system does what?
Lysis of cells, agglutination or recruitment of inflammatory cells.
What is immune hemolysis?
The immune system breaking down RBC.
Immune hemolysis is what type of reaction?
A hypersensitive one.
How many types of immune hemolysis are there?
types I-IV.
Which types of immune hemolysis are caused by antibodies?
I,II, III.
Type I hypersensitive reaction is due to what?
Anaphylactic.
Type II hypersensitive reaction is due to what?
Cytotoxic antibody mediated.
Type III hypersensitive reaction is due to what?
Immune complex mediated.
Type IV hypersensitive reaction is due to what?
Cell mediated, delayed type.
Type I hypersensitivity is mediated by what?
IgE, mast or basophils.
Type I hypersensitivity takes how long to respond?
4-6 hours.
Is hay fever always seasonal?
No.
What are the treatments for Type I hypersensitivity?
anti-histamines, Vitamin C, Desensitization.
Asthma is what type of hypersensitivity?
Type I.
Type I hypersensitivty associated with asthma affects what?
Bronchi.
Will asthma always be a hypersensitivty disease?
No there are many types.
Hypersensitive asthma is due to an inhaled antigen mediated by what?
SRS-As a slow release.
What supplement can relax the airways?
Magnesium.
What is a side effect of magnesium?
It relaxes the smooth muscle and can lead to a warm feeling.
Atopic dermatitis is a type I hypersensivity and it is typically a _____ disease.
Childhood.
Atopic dermatitis is aka?
Eczema.
what % of children get atopic dermatitis?
10%.
OF the 10% of children that get atopic dermatitis how many of them have family history of atopic dermatitis?
50%.
How will allergen that causes atopic dermatitis enter the body?
inhaled, ingested in food, or skin contact.
Atopic deramtitis is sometimes treated with corticosteroids and this can cause what?
Asthma/hay fever later in life.
What is a severe sytemic response to an allergen called?
Anaphylactic shock.
Anaphylactic shock is what type of hypersensitve reaction?
Type I.
What happens with anaphylactic shock?
A massive release of histamine/other vasoactive substances.
What are the signs of anaphylactic shock?
chocking, wheezing, shortness of breath.
What is the treatment of anaphylactic shock?
epinephrine STAT, high flow O2 non-rebreather.
What type of hypersensitivity is associated with autoimmune diseases?
Type II.
What causes Type II hypersensitivity?
Cytotoxic antibody that reacts to antigen in cells or tissue components.
With type II hypersensitivity the antigen can be where?
Extrinsic or intrinsic.
Type II hypersensitivity is mediated by what Ig’s?
IgG or IgM.
Type II hypersensitivity activates the complement system which will do what?
Lysis of cell.
Give an example of a type II hypersensitive reaction?
Blood transfusion mismatch.
What type of hypersensitive reaction is hemolytic anemia?
Type II.
What is hemolytic anemia?
A systemic autoimmune disorder can be caused by foreign chemicals.
Goodpasture’s syndrome involves what pathologies?
renal and pulmonary.
What causes goodpastures syndrome?
autoimmune to component of Type IV collagen.
What type of hypersensitivity is goodpasture’s syndrome?
Type II.