Immune Dysfunction Flashcards

1
Q

What aspect of our immune system is rapid, non-specific, and does not provide long-lasting protection?

A

Innate Immunity

has no memory, but the response is always identical

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2
Q

What are the 4 cellular components of the innate immunity system?

A
  • Neutrophils
  • Macrophages
  • Monocytes
  • NK cells (Natural Killer Cells)

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3
Q

What cell (of the innate immunity response) responds the fastest to infection?

A

Neutrophils

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4
Q

What cell (of the innate immunity response) provides a slower but more prolonged response to infection?

A

Macrophages

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5
Q

What are the characteristics and actions of neutrophils?

A
  • Migrate rapidly to bacterial infections
  • Release cytokines to phagocytize
  • ½ life is 6 hours
  • Sensitive to acidic infection environments
  • Become purulent exudate

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6
Q

What type of immune cell is the largest blood cell and what is their role?

A
  • Monocytes (largest blood cell)
  • Circulates to specific tissue areas to differentiate into macrophages

not mentioned in lecture - but the chart also shows them turning into dendritic cells - and we know how tricky they like to be

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7
Q

What are the pertinent characteristics of monocytes/macrophages?

A
  • Mobilize just after neutrophils
  • Phagocytic destruction via NO & cytokines
  • Persist at site in chronic infections (fight infection long term)

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8
Q

What cells play a major role in allergies, asthma, and eczema?

A

Basophils and Mast cells

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9
Q

What characteristics does Adaptive Immunity possess?

A
  • Present only in Vertebrates
  • Delayed onset of action
  • Capable of memory and specific antigen response

Vaccinations are also a form of adaptive memory

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10
Q

What are the cellular components of the adaptive immunity system?

A

Helper T-cells
Cytotoxic T-cells

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11
Q

Where do T-cells originate? Where do they mature?

A

T-cells originate in the bone marrow and mature in the Thymus.

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12
Q

What is hypersensitivity?

A

Foreign antigen reaction which causes altered T-cell and antibody response

Response varies from uncomfortable rash to fatal anaphylaxis

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13
Q

What occurs during a Type I Allergic Response?

A
  • 1st exposure: T-Cells stimulate B cells to produce IgE immediately
  • 2ⁿᵈ exposure: Antigen releases Ca⁺⁺ → histamine, inflammatory mediators, heparin are released.

(Histamine triggers: bronchostriction, Vascular permeability, vasodilation, gastric acid)

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14
Q

What are common drugs used to prevent the histamine effects of Type I allergic responses?

A
  • Antihistamines
  • Cromolyn Na⁺
  • Bronchodilators
  • COX Inhibitors
  • Diagnostic allergen tests
    • small doses of allergen to desensitize

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15
Q

What is another name for Type II Allergic Responses?
What mediates these types of responses?
What is the reaction severity and time?

A
  • Cytotoxic Hypersensitivity
  • Mediated by IgG, IgM, and Complement system → activate B-cells → produce antibodies.
  • Severity will vary - reaction time in minutes or hours

mediated by GMC

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16
Q

What are examples of Type II Allergic Responses?

A
  • Hemolytic Anemia
  • Myasthenia Gravis
  • Transfusion Reactions

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17
Q

What is the treatment for Type II Allergic Responses?

A
  • Anti-inflammatories
  • Immunosuppressants
  • IVIG up and coming

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18
Q

What is another name for Type III Allergic Response?

A

Immune Complex Hypersensitivity

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19
Q

What occurs with Type III Allergic Response?

A

Failure of immune system to eliminate antibody-antigen complex.
- Build up in the joints, kidneys, skin and eyes

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20
Q

What are examples of Type III Allergic Responses?

A

Systemic Lupus Erythematosus and Rheumatoid arthritis

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21
Q

Treatment for type III allergic response?

A
  • Anti-inflammatories
  • might need immunisuppressives

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22
Q

What is a Type IV Allergic Response?

A

T-lymphocyte and monocyte/macrophage mediated response that does not involve antibodies.

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23
Q

What are examples of Type IV Allergic Responses?

A
  • Contact Dermatitis
  • Tuberculosis
  • Stevens-Johnson Syndrome

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24
Q

Treatment for type IV allergic reaction?

A
  • anti-inflammatories
  • immunosuppressives

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25
Q

What is Biphasic anaphylaxis?

A
  • Occurs following an asymptomatic period without second exposure
  • Secondary anaphylactic episode occurring 8 - 72 hours later.

occurs is 4-5% of the pts that experience anaphylaxis

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26
Q

What are risk factors for a secondary anaphylactic episode?

A
  • Severe initial response
  • Initial response required multiple epi doses

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27
Q

What is the epinephrine dose for adult anaphylaxis?

A

10 mcg - 1000mcg IVP q 1-2 min

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28
Q

What is the crystalloid dosage for anaphylaxis?

A

NS: 10 - 25 mL/kg over 20 min
repeat PRN

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29
Q

What is the colloid dosage for anaphylaxis?

A

10 mL/kg over 20 min
repeat PRN

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30
Q

Why is epinephrine the drug of choice for anaphylaxis?

A
  • ↓ degranulation of mast cells & basophils → reduced vasodilation
  • α1 = Increased blood pressure
  • β1 = positive Inotropy & chronotropy
  • β2 = Bronchodilation

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31
Q

What drug classes are secondary treatments for anaphylaxis?

A
  • Bronchodilators
  • Antihistamines
  • Corticosteroids

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