Immune defences functions and challenges Flashcards

1
Q

What is the primary function of immunological defence?

A

To eliminate pathogens, minimise body damage

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2
Q

What cells defend against intracellular pathogens eg. viruses?

A

Cytotoxic T cells

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3
Q

What cells defend against extracellular pathogens eg. bacteria, small parasites, fungi?

A

Phagocytes

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4
Q

What cells defend against large parasites?

A

Mast cells, eosinophils

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5
Q

What are immune privileged areas?

A

Anatomical areas where there is naturally no immune response, as they can tolerate antigens introduced without immediately triggering immune response

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6
Q

Why is there no immune response in immune priviledged areas?

A

less risk of being potentially damaged by inflammatory response to pathogens

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7
Q

Give 4 examples of immune priviledged areas

A

Eyes, CNS, placenta, testes

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8
Q

What are commensals?

A

Microbes that reside in body or on mucous surfaces without harming human health, so they are tolerated

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9
Q

What are 3 functions of commensal bacteria in the stomach?

A

Provide essential nutrients, aid metabolism of indigestible compounds, defend against colonisation of opportunistic pathogens

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10
Q

What is the primary response?

A

Immune response to first exposure of a specific pathogen

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11
Q

How long does it take for the primary response to become active?

A

Days to weeks

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12
Q

What occurs in the time taken for the primary response to activate?

A

Symptoms of disease, production of antibodies and memory B cells

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13
Q

What is the secondary response?

A

Immune response to subsequent exposure of a previous pathogen

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14
Q

Why is the secondary response quicker to activate?

A

Memory B cells produced from primary response can respond very fast

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15
Q

Does secondary response activation time cause disease symptoms?

A

No, because antibodies are produced before symptoms develop

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16
Q

What is immune dysregulation?

A

non-balance between immune response activation and suppression

17
Q

What is hypersensitivity and what are the classes?

A

Overreaction to benign antigens with classes from type I-IV

18
Q

What is autoimmunity?

A

Immune response against self-proteins or tissues, caused by tolerance breakdown

19
Q

What is tolerance?

A

Mechanisms used to distinguish between ‘self’ and ‘non-self’ cells

20
Q

Why is multiple sclerosis an autoimmune disease?

A

Immune response against myelin sheaths of neurons in CNS which causes neurological dysfunction

21
Q

Why is Crohn’s disease an autoimmune disease?

A

Immune response against gut epithelium and microbiota, causing poor nutrient absorption from food

22
Q

What is immunodeficiency?

A

Failure to protect against foreign antigens

23
Q

How can innate or adaptive immunity cause immunodeficiency?

A

One of their components is absent or defective

24
Q

What is the difference between primary and secondary immunodeficiency?

A

Primary is inherited but secondary is caused by an external agent

25
What is Severe Combined Immunodeficiency (SCID)?
No functional adaptive immunity
26
What causes Acquired Immunodeficiency Syndrome (AIDS)?
Initial infection of HIV causes destruction of T helper cells
27
What can exacerbate AIDS?
Opportunistic infection
28
How can transplantation trigger an immune response?
Body doesn't recognise the transplanted organ as 'self', so will reject the transplant
29
What is given to the transplant patient to reduce chances of transplant rejection?
Immunosuppressants
30
How do cancer cells evade immune response?
Rapid mutation and active inhibition of immune response by producing inhibitory cytokines
31
How is the damage caused by cancer cells reduced with immunotherapies?
Teaches body how to recognise cancer cells and initiate immune response
32
What drugs are used in chemotherapy?
anticancer/cytotoxic drugs that kill cancer cells
33
What is used in radiotherapy?
high-energy rays that kill cancer cells
34
What autoantibodies are used as diagnostic markers for cancer?
p53 Abs