Exam 1 Flashcards
vaccination
severe disease is prevented by prior exposure to the infectious agent in a non-disease form
first vaccination
small pox in Asia a long time ago
Edward Jenner
cowpox as vaccination against smallpox in 1796
1979
smallpox officially eradicated
commensal organisms
500+ microbial species that live in a healthy human
flora
the community of microbial species that lives in a particular niche in the human body
Role of commensal organisms
digest food, vitamin synthesis, disease protection
colicin
antibacterial protein secreted by E. coli that help protect us from disease besides competition
Pathogenic Organisms
any organism with the potential to cause disease is a pathogen. can be common like influenza or opportunistic. evolve to invade host, replicate, transmit
Types of Pathogens
bacteria, viruses, fungi, parasites
First Line of Defense
skin and mucus secreted by epithelial which is continuous with the skin and the mucus connects it all
Mucus
contains proteins, peptidoglycans, and enzymes to protect from damage and infection
Epithelial Fatty Acids and Lactic Acids
inhibit cell growth
Epithelial Defensins
perturb membranes or bacteria, fungi, and bacteria
Epithelial Lysozyme
degrades cell walls of bacteria
Epithelial Acid
the lower pH of environment
pathogen recognition
involves soluble proteins and cell-surface receptors that bind to the pathogen or to human cells and serum proteins that are altered in the presence of pathogen
pathogen destruction
involves effector mechanisms that kill and eliminate the pathogen
effector mechanisms
provided by effector cells that engulf foreign entities and complement, which helps mark pathogens and can attack pathogens as well
Inducing Inflammation
1) cytokines induce local capillary dilation (warm red skin)
2) vasodilation introduces gaps in endothelium for increased plasma leakage (edema swelling pain)
3) cytokines change adhesive properties of vascular endothelium to recruit WBC
Adaptive Immunity
Highly specific lymphocytes that have unique receptors that are formed by genes being cut, spliced, and modified during lymphocyte development
Clonal Selection
during pathogen recognition, only the lymphocytes that recognize the pathogen are selected for to participate in the immune response
Clonal Expansion
the selected lymphocytes then proliferate to produce large numbers of effector cells
immunological memory
during clonal selection, some lymphocytes differentiate into memory cells to allow for eliciting of stronger faster immune responses upon subsequent exposure
pluripotent hematopoietic stem cells
cell that all blood cells differentiate from
hematopoiesis
process by which leukocytes are continuously generated
Lineage of Hematopoietic Stem Cells
self-renewal, erythroid, myeloid, lymphoid
Erythrocytes
red blood cells
Megakaryocytes
platelet producing cells
Myeloid Progenitors
granulocytes, monocytes, mast cells
granulocytes
polymonrphonuclear leukocytes which includes neutrophils, eosinophils, and basophils
monocytes
which are progenitors of dendritic cells and macrophages
mast cells
involved in inflammation
neutrophil
most abundant of all leukocytes and is phagocyte that can work under anaerobic conditions. short lived and die at infection making pus
phagocyte
specialized in capture, engulfment, and killing of microorganisms
eosinophil
granulocyte that defends against intestinal parasites
basophil
is implicated in regulating the immune response to parasites (because of low abundance, little is known about basophils)
macrophage
a scavenger and expert phagocyte, generally the first phagocyte to sense an invading microorganism that also makes cytokines
dendritic cells
act as cellular messengers to call up an adaptive response when necessary
Lymphoid Progenitors
gives rise to large granular lymphocytes and small lymphocytes
large granular lymphocytes
natural killer cells
small lymphocytes
B cells and T cells
Natural Killer Cells
important in viral infections as they kill virus-infected cells and secrete cytokines that block viral replication in infected cells
B Cells
utilize immunoglobulins as cell-surface receptors for pathogens. can further develop into plasma cells which secrete antibodies
antibodies
soluble immunoglobulins
T Cells
utilize T-Cell Receptors (TCR) as cell-surface receptors for pathogens. can further develop into cytotoxic t-cells or helper t-cells
Immunoglobulins
on B-cells and contain a heavy chain and light chain
T-Cell Receptors
have an alpha-chain and a beta-chain
antigen
any molecule recognized by immunoglobulin, antibody, or T-Cell receptor
variable region
specific for each antigen
constant region
binding sites for phagocytes, inflammatory cells, complement
Antibody Action
soluble proteins secreted by plasma cells that can either be neutralizing or opsonizing
Neutralizing Antibodies
antibodies that bind to molecules and prevent them from functioning (typical targets are toxins and pathogen surfaces molecules needed for binding to target cells)
Opsonizing Antibodies
antibodies that bind to molecules to tag them for destruction by phagocytosis or attack using the complement system
Major Lymphoid Tissues
bone marrow, thymus, spleen, adenoids, tonsils, appendix, lymph nodes, Peyer’s patches
Primary/Central Lymphoid Tissue
where lymphocytes develop and mature (bone marrow and thymus - B cells develop and fully mature in bone marrow, T cells begin development in bone marrow but fully mature in Thymus)
Secondary/Peripheral Lymphoid Tissue
where mature lymphocytes become stimulated to respond to pathogens (all other lymphoid tissues)
Lymph Nodes
lie at the junction of the lymphatics, which collect plasma (fluid that leaks from blood vessels)
Lymph return
lymph is returned to the blood chiefly through the thoracic duct into the left subclavian vein in the neck
Mature B and T Cell Movement
through the body by both blood and lymph. once in capilaries close to node or 2nd tissue, lymphocytes can exit into node
B and T Cells in Lymph Nodes
1) lymphocyte encounters pathogen and remains in lymph node
2) lymphocyte can exit via the efferent lymph and eventually return to blood
Lymph Circulation with Infection
pathogens, pathogen components, and pathogen-infected dedritic cells are carried by the lymphatics to the lymph node (draining) leading to swollen glads
Lymph Node Filter
The lymph node filters pathogens and other foreign material so that it doesn’t reach the blood and can stay for activating lymphocytes
Draining Lymph Node
pathogens and pathogen-carrying dendritic cells enter the draining lymph node through the afferent lymphatics
Effector Cell genesis
in draining lymph node, pathogens are phagocytosed by MO or pathogens and their products are sensed by B and T cell receptors which causes the b cells and t cells to divide and differentiate into effector cells
Pathogens in blood
either blood-born or if not removed from draining nodes. the spleen can then filter and splenic MO and dendritic cells can take them up and stimulate b and t that arrive in spleen from blood
Spleen
removes damaged and senescent red blood cells and serves as a peripheral lymphoid tissue for blood-borne pathogens
Spleen Red Pulp
where red blood cells are monitored and removed
Spleen White Pulp
where white blood cells provide adaptive immunity
Asplenia
rare genetic disorder where there is no spleen - susceptible to infections with encapsulated bacteria but can be treated through vaccination with capsule
Respiratory and GI environments
harbor the largest and most diverse populations of microorganisms, making them vulnerable to infection and heavily invested with 2nd lymphoid tissue (mucosa-associated lymphoid tissue)
Gut-Associated Lymphoid Tissue
GALT - tonsils, adnoids, appendix, Peyer’s patches
Bronchial-Associated Lymphoid Tissue
BALT - line respiratory epithelium
M-Cells
specialized cells that directly deliver pathogens that arrive at the mucosa-associated lymphoid tissue across the mucosa
Movement of Lymphocytes in GALT and BALT
lymphocytes enter mucosa-associated lymphoid tissue from the blood and exit from the lymphatics
Pathogen Location
can be intracellular or extracellular and divided into more sub-groups which makes how the immune system responds different (extracellular needs soluble)
Complement
one of the first lines of defense in innate is a system of soluble proteins that are constitutionally made by the liver and transported in blood, lymph, and extracellular fluids. many components are proteases that circulate as zymogens. 30+ proteins
zymogens
inactive precursors
complement activation
series of protease cleavages triggered by infection
Complement component 3 (c3)
cleaves into C3a and C3b by C3 Convertase (protease). is a zymogen - happens because of exposure of high-energy thioester which can attach to proteins and carbohydrates on pathogen
C3a
chemoattractant for effector cells
C3b
attaches to pathogen - complement fixation for tagging pathogen for destruction
Complement Activation Pathways
Alternative Pathway, Lectin Pathway, Classical Pathway
Alternative Pathway
activated at the start of infection
Lectin Pathway
induced by infection and requires time to gain strength
Classical Pathway
part of both innate and adaptive immunity and requires binding of either antibody or C-reactive protein
Steps of Alternative Pathway
1) C3 secreted into plasma, confrontational change makes thioester bond available for hydrolysis
2) hydrolysis of this bond on a subset of C3 forms iC3
3) iC3 can bind factor B making it susceptible to cleavage by factor d releasing small factor Ba while some stays bound forming iC3Bb
4) iC3Bb cleaves C3 into C3a and C3b
5) C3b can bind factor b, get cleaved by factor d, form C3bBb complex
iC3Bb
C3 convertase that cleaves C3 into C3a and C3b