Immune Function Learning Objectives (L32) Flashcards

1
Q

What is the role of phagocytes in the non-specific immune response?

A

Phagocytosing and destroying foreign particles, such as bacteria, viruses, and cellular debris. They are the first line of defence against pathogens in the body

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2
Q

What are the immune cells that make up the specific (or adaptive) immune system?

A

T-Cells and B-Cells

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3
Q

When a new foreign pathogen enters the body, what is the first response? What cells are involved?

A

a) Recognition: Immune cells recognize common features of pathogens on their surface. These receptors are like general alarms that trigger a response when they detect potential threats.
b) Activation of innate immune cells + phagocytosis: Upon recognition of pathogens, immune cells such as macrophages, neutrophils, dendritic cells, and natural killer (NK) cells become activated.

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4
Q

When a new foreign pathogen enters the body, innate immune cells react. What do they do to help overcome and neutralise the pathogen?

A

a) Activated immune cells release chemical signals called cytokines (such as IL1, IL10, TNF-a) which cause chemotaxis, signalling neighbouring immune cells to become more alert and active in their defences (chain reaction).
b) Inflammation (via inflammatory cytokines) cause vasodilation and increased permeability of blood vessels, allowing more immune cells to be recruited to the site of infection.

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5
Q

How are antibodies created after initial exposure to pathogen?

A
  • Antigen presenting cells (dendritic cells and macrophages) detect and engulf pathogens
  • They process the pathogen and present them on their cell membrane (MHC molecule)\
  • APCs present to T-cells which activate them
  • Activated T-cells interact with B-cells which activate them
  • Activated B-cells proliferate into plasma cells
  • Plasma cells are specialised factories for producing antibodiesW
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6
Q

What do antibodies do to fight an infection (cause by pathogen)?

A

Specificity:
- Antibodies are specific to the antigen encountered by the B cell in the non-specific immune response.
- Antibodies are released into the bloodstream and tissues to combat the infection.

Pathogen interaction mechanism:
- Antibodies can bind to the surface of pathogens, such as viruses or bacteria, and neutralize their ability to infect host cells.
- Antibodies can mark pathogens for destruction by phagocytes
- They can activate the complement system

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7
Q

What is the cell that is associated with long-term immunity and remembering the initial antigen. Explain this mechanism.

A

Memory B-Cells. Upon re-exposure to the same antigen, memory B cells quickly respond by proliferating and differentiating into plasma cells, producing a rapid and robust production of antibodies.

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8
Q

What %age of total blood volume is made up of white blood cells?

A

1%

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9
Q

Where do WBCs typically originate?

A

Bone marrow

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10
Q

The immune system is like a specialised military team, operating on a ‘seek and destroy’ strategy. Which cells would be synonymous with;
a) the reconnaissance team (provide general surveillance and quick elimination)
b) the intelligence agents (seeking threats based on identifying markers)
c) the specialized operatives (trained and equipped to directly engage and eliminate specific threats)

A

a) NK cells provide general surveillance and quick elimination of abnormal or infected cells
b) B-cells seek out threats based on identifying markers and produce antibodies to neutralize specific pathogens
c) T-cells directly engage and eliminate specific threats, including infected or abnormal cells

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11
Q

Where are T-cells derived?

A

Thalmus

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12
Q

Where a B-cells derived?

A

Bone

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13
Q

What are the %ages of NK, B, and T cells in circulation?

A

~ 80% T cells
~ 10-15% B cells
~ 5-10% NK cells

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14
Q

What is the configuration of the IgA antibody?

A

Dimer

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15
Q

Where are IgA antibodies normally found?

A

Mucous membranes:
– GIT
– Respiratory tract
– Genito-urinary tracts
– Milk & tears

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16
Q

What natural stressors affect the immune system

A
  • Illness (pathogen)
  • Exercise
  • Psychological distress
  • Lack of sleep
  • Lack of food
17
Q

How might infection cause the release of cortisol?

A
  • Infection causes an immune response
  • pro-inflammatory cytokines (TNF-a, IL1) cause inflammation
  • work on the HPA
  • facilitate/stimulate the release of ACTH
  • stimulates the release of cortisol
18
Q

What is the mechanism by which exercise can help improve autoimmune diseases or intolerances?

A

In situations where the immune system is overactive, like in autoimmune diseases or intolerances, the release of immunosuppressive hormones via exercise (like cortisol) can help regulate immune responses and help prevent excessive inflammation and tissue damage.

19
Q

What types of illness are associated with exercise?

A
  • URS, UTRI
  • GI upsets
20
Q

How does immune function change depending on the exercise intensity?

A

Dose dependent - inverse parabolic:
- Low/Moderate function @ sedentary
- High function @ moderate intensity
- Low function @ very high intensity

21
Q

How does a) moderate aerobic exercise, and b) intense or prolonged aerobic exercise modulate IgA secretion?

A

a) Moderate aerobic exercise increases IgA secretion & NK cell activity. Protects against infection.
b) Intense or prolonged aerobic exercise decreases IgA secretion. Increased susceptibility to infection.

22
Q

An individual training for a marathon (prolonged aerobic training) would likely see what illness after repeated bouts of exercise? Why?

A

URS/URTI. Lower level of IgA in respiratory mucosa, increasing risk of infection.

23
Q

Is it a good idea to share drink bottles right after a soccer game? Why not?

A

The open-window hypothesis: which is post-exercise immuno-suppression.
Provides ‘window of opportunity’ for infection if exposed.

24
Q

What are the general guidelines to training if you are feeling unwell?

A

If symptoms above neck, it’s OK to train
If symptoms below neck (aches, chills), it’s best not to train (compete if essential)
If fever, don’t exercise

25
Q

How could you reduces age-related T-cell decline?

A

Engage in regular aerobic training

26
Q

In an individual who regularly engages in moderate-vigorous physical activity, which immune cell would you expect to see an increase in count?

A

Helper T-cells

27
Q

An active individual who regularly engages in moderate-vigorous physical activity gets vaccinated. A non-active individual who does not engage in physical activity also gets vaccinated. Which immune cell would you expect to see higher counts of in the trained vs. the untrained individual?

A

Antibodies

28
Q

Can physical inactivity increase the risk of COVID-19?

A

Yes.
─ Higher risk of hospitalisation with COVID-19 (x 2.3)
─ Higher risk of admission to ICU due to COVID-19 (x 1.7)
─ Higher risk of death from COVID-19 (x 2.5)

29
Q

What are the 3 strongest risk factors for severe COVID-19?

A
  1. Age
  2. Hx of organ transplant
  3. Physical inactivity
30
Q

How is maximal exercise capacity related to COVID-19 hospitalisations?

A

Inversely related

31
Q

How is BMI correlated with testing +ve to COVID-19 and risk of death related to COVID-19?

A

Strongly positive

32
Q

During COVID-19 in 2020, what %age of adults were hypothesised to not meet a) the aerobic exercise guidelines, and b) the strength exercise guidelines?

A

70% did not meet the aerobic exercise guidelines
60% did not meet the strength exercise guidelines