Exam 4 PPT Notes - Ch. 21 Flashcards
…: resistance to disease
immunity
immune system:
two intrinsic systems
… (…) defense system
… (…) defense system
innate; nonspecific;
adaptive; specific
(immune system) … system rather than organ system
innate and adaptive defenses …
functional;
intertwined
(immune system) innate and adaptive release and recognize many of the same … molecules
innate defenses do have … pathways for certain substances
innate responses release … that alert cells of adaptive system to foreign molecules
defensive;
specific;
proteins
(immunity ) innate defense system has two lines of defense:
A. First - … (… and …)
external body membranes;
skin; mucosae
(immunity ) innate defense system has two lines of defense:
B. Second - … proteins, ..,. and other cells –>
inhibit spread of …
… most important mechanism
antimicrobial;
phagocytes;
invaders;
inflammation
(immunity ) adaptive defense system:
third line of defense attacks … foreign substances
… than innate system
particular;
takes longer to react
innate defenses - surface barriers:
…
…
skin;
mucous membranes
innate defenses - internal defenses: ... ... cells ... ... proteins ...
phagocytes; natural killer; inflammation; antimicrobial; fever
adaptive defenses:
… immunity – … cells
… immunity – … cells
humoral; B;
cellular; T
(innate defenses) surface barriers ward off …
invading pathogens
(innate defenses) surface barriers ward off invading pathogens:
skin, mucous membranes, and their …
physical barrier to most microorganisms
keratin is resistant to … and …, …, and …
… provide similar mechanical barriers
secretions; weak acids; bases; bacterial enzymes; toxins; mucosae
(surface barriers) protective chemicals inhibit/destroy microorganisms:
A. … of skin and secretions – … – inhibits …
acidity; acid mantle; growth
(surface barriers) B. Enzymes - … of saliva, …, and … fluid- kill many microorganisms
lysozyme;
respiratory mucus;
lacrimal
(surface barriers) C. … - antimicrobial peptides - inhibit …
defensins;
growth
(surface barriers) D. other chemicals - … in sebum, … in sweat - toxic
lipids;
dermcidin
(surface barriers) respiratory system modifications:
… in nose
… of upper respiratory tract sweep … and …-laden mucus toward mouth
mucus-coated hairs;
cilia; dust; bacteria
(surface barriers) surface barriers breached by … or … - second line of defense must protect deeper tissues
nicks; cuts
(internal defenses- cells and chemicals) necessary if microorganisms invade deeper tissues: ... ... cells ... proteins (.. and ... proteins) ... ... response
phagocytes; natural killer; antimicrobial; interferons; complement; fever; inflammatory
(internal defenses- cells and chemicals) inflammatory response consists of: ... ... cells ... ... chemicals
macrophages;
mast;
WBCs;
inflammatory
(phagocytes) … most abundant but .. fighting –> become … on exposure to infectious material
neutrophils;
die;
phagocytic
(phagocytes) … develop from … - chief phagocytic cells - robust cells
macrophages; monocytes
(phagocytes) macrophages:
free macrophages wander through … (e.g. … macrophages)
fixed macrophages … of some organs (e.g. …. cells (liver) and … (brain))
tissue spaces;
alveolar;
permanent residents;
Kupffer; microglia
(mechanism of phagocytosis) phagocyte must … to particle:
some microorganisms evade this with …
…marks pathogens- coating by … proteins or …
adhere;
capsule;
opsonization; complement; antibodies
(mechanism of phagocytosis) cytoplasmic extensions bind to and engulf particle in vesicle called …
phagosome
(mechanism of phagocytosis) phagosome fuses with … –> …
lysosome; phagolysosome
innate defenses –> … defenses
a macrophage uses its … to pull bacteria toward it
internal;
cytoplasmic extensions
Events of phagocytosis:
- phagocyte adheres to pathogens or debris
- phagocyte forms … that eventually engulf the particles, forming a …
- … fuses with the phagocytic vesicle, forming a …
- … digest the particles, leaving a residual body
- … of the vesicle removes indigestible and residual material
pseudopods; phagosome; lysosome; phagolysosome; lysosomal enzymes; exocytosis
(mechanism of phagocytosis) pathogens killed by … and … with lysosomal enzymes
acidifying; digesting
(mechanism of phagocytosis) several innate cells cause release of enzymes of …, which kill pathogens resistant to lysosomal enzymes by:
A. releasing cell-killing …
B. producing … chemicals (e.g. H2O2) and …
C. increasing … and … of phagolysosome
respiratory burst;
free radicals;
oxidizing; hypochlorite (ClO-) bleach;
pH; osmolarity
(mechanism of phagocytosis) … (in neutrophils) pierce membrane
defensins
(natural killer cells) … large … lymphocytes
attack cells that lack “…” cell-surface receptors –> induce … in cancer cells and virus-infected cells
nonphagocytic; granular;
self;
apoptosis;
(natural killer cells) secrete potent chemicals that
enhance inflammatory response
(inflammatory response) 1. triggered whenever …
- prevents spread of damaging agents
- disposes of … and …
- alerts …
- sets the stage for repair
body tissues injured;
cell debris; pathogens;
adaptive immune system;
(inflammatory response) cardinal signs of acute inflammation: 1. ... (...) 2. ... (...) 3. ... (...) 4. ... (...) sometimes 5. ... of function
redness; rubor; heat; calor; swelling; tumor; pain; dolar; impairment
(inflammatory response) begins with chemicals released into ECF by …, …, …
injured tissues; immune cells; blood proteins
(inflammatory response) macrophages and epithelial cells of boundary tissues bear …
toll-like receptors (TLRs)
(inflammatory response) … types of TLRs recognize specific classes of infecting microbes
activated TLRs trigger release of … that promote inflammation
11;
cytokines
(inflammatory response) inflmmatory mediators:
…, …, and …
kinins; prostaglandins (PGs); complement
(inflammatory response) inflammatory mediators:
A. … local arterioles (….) –> cause redness and heat of inflamed region
B. make capillaries …
C. many attract … to area
D. some have … roles
dilate; hyperemia;
leaky;
leukocytes;
inflammatory
(inflammatory Response: Edema) increased capillary permeability –> … to tissues
fluid containing … and …
causes local swelling (…)
exudate;
clotting factors; antibodies;
edema
(inflammatory response: Edema)
swelling pushes on …–> pain
pain also from …, …, and …
nerve endings;
bacterial toxins; prostaglandins; kinins
(inflammatory response: edema) exudate to tissues:
moves foreign material into …
delivers … and …
lymphatic vessels;
clotting proteins; complement
(inflammatory response) clotting factors form … –> scaffold for repair,
… injured area so invaders cannot spread
fibrin mesh;
isolates
(phagocyte mobilization) … lead; … follow
neutrophils; macrophages
(phagocyte mobilization) as attack continues, … arrive
12 hours after leaving bloodstream –> …
these “late arrivers” replace … and remain for clean up prior to repair
monocytes;
macrophages;
dying neutrophils
(phagocyte mobilization) if inflammation due to pathogens, … activated; … elements arrive
complement;
adaptive immunity
(phagocyte mobilization) steps for phagocyte mobilization:
1. …: release of neutrophils from … in response to … factors from injured cells
leukocytosis;
bone marrow;
leukocytosis-inducing
(phagocyte mobilization) steps for phagocyte mobilization:
- …: neutrophils cling to walls of capillaries in inflamed area in response to …
- … (…) of neutrophils
margination;
CAMs;
extravasation; diapedesis
(phagocyte mobilization) steps for phagocyte mobilization:
4. …: inflammatory chemicals (… agent) promote … of neutrophils
chemotaxis;
chemotactic;
positive chemotaxis
(phagocyte mobilization) steps for phagocyte mobilization:
diapedesis: neutrophils … and … of capillaries
flatten; squeeze out
(antimicrobial proteins) … and … proteins:
attack microorganisms directly
hinder microorganisms’ ability to …
interferons; complement;
reproduce
(antimicrobial proteins) interferons:
family of … proteins –> have slightly different physiological effects
immune modulating
(antimicrobial proteins) interferons:
… cells secrete IFNs (e.g. IFN alpha and beta) to … neighboring cells
viral-infected;
warn
(antimicrobial proteins) interferons:
IFNs enter neighboring cells –> produce proteins that … .and degrade …
IFN alpha and beta also activate … cells
block viral reproduction;
viral RNA;
NK
(antimicrobial proteins) interferons: IFN gamma (immune interferon): secreted by ... widespread ... effects activates ...
lymphocytes;
immune mobilizing;
macrophages
(antimicrobial proteins) interferons:
since IFNs activate NK cells and macrophages, indirectly …
fight cancer
(antimicrobial proteins) interferons:
artificial IFNs used to treat …, …, …, …
hepatitis C;
genital warts;
multiple sclerosis;
hairy cell leukemia
(complement system) about … blood proteins that circulate in … form
20; inactive
(complement system) include …-…, factors …, …, and …, and … proteins
C1-C9;
B, D, P;
regulatory
(complement system) major mechanism for destroying foreign substances
our cells contain …
complement activation inhibitors
(complement system) unleashes … chemicals that amplify all aspects of … response
kills bacteria and certain other cell types by …
enhances both innate and adaptive defenses
inflammatory;
inflammatory;
cell lysis;
(complement activation) three pathways to activation:
classical pathway:
… bind to invading organisms and to complement components
called …
first step in activation
antibodies;
complement fixation
(complement) lectin pathway:
… - produced by innate system to recognize foreign invaders
when bound to foreign invaders can also … and … complement
lectins;
bind; activate
(complement) alternative pathway:
triggered when activated …, …, …, and … interact on surface of microorganisms
C3;
B;
D;
P
(complement) each pathway involves activation of proteins in an … sequence
each step … the next
orderly;
catalyzes
(complement) each pathway converges on …, which cleaves into … and …
C3;
C3a;
C3b
(complement) common terminal pathway initiated that:
enhances …, promotes .., causes …
inflammation;
phagocytosis;
cell lysis
(complement activation) cell lysis begins when:
… binds to target cell –> insertion of complement proteins called … into cell’s membrane
C3b; membrane attack complex (MAC)
(complement activation) MAC form and stabilizes … in membrane –> influx of … –> … of cell
hole;
water;
lysis
(complement activation) C3b also causes …
C3a and other cleavage products amplify …:
opsonization;
inflammation
(complement activation)
C3a and other cleavage products amplify inflammation:
stimulate … and … to release …
attract … and other inflammatory cells
mast cells; basophils; histamine;
neutrophils
classical pathway: activated by … coating target cell
lectin pathway: activated by lectins binding to … on microorganism’s surface
antibodies;
specifice sugars
alternative pathway:
activated …
lack of … on microorganism’s surface allows process to proceed
spontaneously;
inhibitors
classical, lectin, and alternative pathways, together with other complement proteins and factors converge on C3:
C3b leads to …
C3a and C5a enhance …
opsonization;
inflammation
…: coats pathogen surfaces, which enhances phagocytosis
opsonization
C5a and C3b enhance inflammation by stimulating … release, increasing blood vessel …, attracting phagocytes by …
histamine;
permeability;
chemotaxis
MACs form from activated … components (… and …-…) that insert into the target cell membrane, creating pores that can lyse the target cell
complement;
C5b;’
C6-C9