immune system chapter 52 Flashcards

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1
Q

Introduction

A
Body’s defenses are integrated
Innate Immunity—chemical and physical barriers
Recognition of invading pathogens
Rapid response but not very specific
Uses soluble antimicrobial proteins
Adaptive immunity
Characterized by genetic rearrangements that generate a diverse set of molecules to recognize any invader
Slower response but highly specific
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2
Q

Innate immunity

A

Skin—Largest organ of the body; first line of defense
A. Physical barrier
Provides a nearly impenetrable barrier
B. Chemical barrier
Reinforced with chemical weapons
Oil and sweat glands give skin a pH of 3–5
Lysozyme breaks bacterial cell walls
C. Contains normal flora
Nonpathogenic microorganisms that out-compete pathogenic ones

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3
Q

Tubules with openings to outside lined with mucus which traps microbes and contain macrophages

	Digestive tract 
Mouth—salivary lysozymes
acidic stomach
Nonpathogenic normal flora
Respiratory tract 
Ciliary action
Urogenital tract
Acidic urine, 
normal flora
A

Binding of a pathogen-associated molecule to any of the innate immune-type receptors activates signal transduction pathways that lead to a rapid response

Cytokines (signaling molecule)
Macrophage binds to PAMP or MAMPsecretes cytokinesbind to receptors on other cellstriggers a response
Interferon—protein secreted by a virus-infected cellmessenger that protects normal uninfected cells
Defensins—bind to pathogen membranedisrupts it
Lysozymes—enzymes in fluids that break down pathogens

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4
Q

3 kinds of defending
leukocytes
Macrophages
Kill microorganisms through phagocytosis
Monocytes mature into macrophages
Neutrophils
Most abundant circulating leukocyte—first to appear at site of damage or infection
Also use phagocytosis
Natural killer cells—virus-infected cells and tumor cells
Do not attack invading cells directly—attach to cell
Release perforins which make a poreother proteins enter and induce apoptosis in target cell

A

Inflammatory response
Inflammation involves several body systems
Injured cells release chemical alarms, including histamine and prostaglandins
Cause nearby blood vessels to dilate and increase in permeability—neutrophils and monocytes (macrophages)
Promote phagocyte accumulation
Hallmark signs – redness, warmth, swelling (edema), pain, and potential loss of function

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5
Q

Inflammation is accompanied by an acute phase response
One manifestation is fever
Macrophages release interleukin-1
Causes hypothalamus to raise body temperature
Promotes activity of phagocytes, while impeding microbial growth
Causes spleen and liver to sequester iron—bacteria need iron to reproduce and grow
However, very high fevers are hazardous as they may denature critical enzymes

A

Complement system—complement the immune system
Consists of about 30 different proteins that circulate in the blood in an inactive form
Becomes activated
Proteins aggregate to form a membrane attack complex (MAC) on surface of pathogen
Pathogen swells and bursts
C3b—coats pathogenmacrophage phagocytizes
Stimulates release of histamines inflammatory response

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6
Q

Adaptive immunity

A

The scientific study of immunity began with Edward Jenner in 1796
Observed that milkmaids who had cowpox rarely experienced smallpox
Inoculated individuals with fluid from cowpox vesicles to protect them from smallpox
Vaccination

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7
Q

An antigen is a molecule (protein) that provokes a specific immune response
May be components of microorganisms or proteins/glycoproteins found on surface of red blood cells or transplanted tissue cells
A single antigen may have many different antigenic determinants or epitopes that makes them specific
Each can stimulate a distinct immune response

A

Leukocytes are major players in adaptive immunity
Hematopoiesis
All blood cells are derived from hematopoietic stem cells in bone marrow
Lymphoid progenitor gives rise to B and T lymphocytes and natural killer cells
Myeloid progenitor gives rise to all other white blood cells, plus RBCs and platelets

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8
Q

Characterized by
Specificity of recognition of antigen—specific immune cells recognize specific antigens initiates specific immune response
2. Wide diversity of antigens can be specifically recognized
3. Provides immune “memory”, whereby the immune system responds more quickly to an antigen it encountered previously than one it is meeting for the first time
4. Ability to distinguish self-antigens from nonself antigens

A

Involves:
T and B lymphocytes (T cells and B cells)
MHC (Major Histocompatibility Complex)
Antigen Presenting Cells

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9
Q

Lymphocytes are leukocytes with surface receptors for specific epitopes (antigenic determinants) on an antigen
Direct a specific immune response against either the antigen or the cell that carries it
Although all the receptor proteins on any one lymphocyte have the same epitope specificity, it is rare that any two lymphocytes have identical specificities
When a naive lymphocyte binds a specific foreign antigen for the first time, it gets activated by a process called clonal selection
Produces a clone of cells: some respond immediately and initiate an immune response and others remain as memory cells

A

B lymphocytes or B cells
Respond to antigens by secreting antibodies or immunoglobulins (Ig)
Participate in humoral immunity
T lymphocytes or T cells
Regulate other immune cells or directly attack cells that carry specific antigens
Participate in cell-mediated immunity

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10
Q

Immunity can be acquired in two ways
Active immunity results from activation of an individual’s own lymphocytes
Pathogen infection or vaccination
Passive immunity results from obtaining another individual’s antibodies
Transfer of maternal antibodies across placenta

A
Organs of the immune system
Primary lymphoid organs 
Bone marrow and thymus
Secondary lymphoid organs 
Lymph nodes, spleen, and mucosal-associated lymphoid tissue (MALT)
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11
Q

Primary Lymphoid Organs—Bone marrow and thymus

Bone marrow is site of B cell maturation
Each B cell has about 105 Ig (B cell receptors) molecules on its surface
All with the same specificity
All different from cell to cell

A

Primary Lymphoid Organs

Thymus is the site of T cell maturation
Each T cell has about 105 identical T-cell receptors, or TCRs on its surface
Recognize epitopes only if they are combined with major histocompatibility complex (MHC) peptides
T cells mature before birth and a few months after birth—if thymus removed—no cell-mediated immunity

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12
Q

Secondary Lymphoid Organs—lymph nodes, spleen, MALT, tonsils
Locations of these organs promote the filtering of antigens that enter any part of an individual’s body
Mature but naive B and T cells become activated in the lymph nodes
Spleen is site of immune responses to antigens found mainly in the blood
Mucosal-associated lymphoid tissue (MALT) include the tonsils and appendix

A

All body cells display self-antigens on the surface—called self-major histocompatibility complex (MHC). This is how cells recognize each other as self rather than a foreign antigen. Your MHC self antigens are different from everyone eWhen macrophages and dendritic cells come into contact with a pathogen, they engulf it and break it down. Peptides of the foreign antigen are displayed with the self-MHC of the macrophage or dendritic cell . The cell then becomes an antigen presenting cell (APC) with a foreign antigen-MHC.

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13
Q

When macrophages and dendritic cells come into contact with a pathogen, they engulf it and break it down. Peptides of the foreign antigen are displayed with the self-MHC of the macrophage or dendritic cell . The cell then becomes an antigen presenting cell (APC) with a foreign antigen-MHC.

When a B cell comes into contact with a pathogen, the pathogen’s (bacteria) epitope binds to the receptor (immunoglobulin) on the B cell membrane. The B cell becomes an APC. The immune system recognizes this foreign antigen-MHC and initiates an immune response.

A

Cells that can become antigen presenting cells:
Macrophages cell-mediated immunity
Dendritic cells cell-mediated immunity
B cells humoral immunity

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14
Q

Cell-mediated immunity

A
T lymphocytes are of two types
Cytotoxic T cells (Tc)  
CD8 proteins on cell surface—CD8+ cells
Helper T cells (TH)  
CD4 proteins on cell surface—CD4+ cells

Both are activated by an APC

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15
Q

Cytotoxic T cells
Macrophages and dendritic cells engulf viral-infected cells or tumor cellsbecome APC
Cytotoxic T cells—recognize foreign peptides bound to self-MHC class I proteins on APC
APC activates cytotoxic T cellsClonal expansion and differentiation into activated TC cells and memory cells
Activated T cells induce apoptosis in cells with same specificity as first cell

A

Helper T cells
Secrete cytokines that promote activation or differentiation of immune system cells—regulatory cells
Naïve TH cell encounters APC in secondary lymphoid organs that has phagocytized a virus-infected cell or cancer cell
TH cell binds to APC and is activated
Activated TH cells give rise to more TH cells and memory cells
Activated TH stimulate macrophages to better phagocytize pathogens and also stimulate TC cells
It is the TH cells and the cytokines they secrete that determine whether an immune response will be cell-mediated or humoral

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16
Q

Humoral immunity

A

Begins when naive B cells in secondary lymph organs meet antigens
B cells are activated when their surface Igs bind to a specific epitope on an antigen and they encounter a TH that has been activated by the same antigen
TH cytokines may also be required
Activation results in clonal expansion and differentiation into plasma and memory cells
Plasma cells produce soluble antibodies against the same epitope

17
Q

Immunoglobulin consists of
Two identical short polypeptides – light chains
Two identical longer polypeptides – heavy chains
Four chains are held by disulfide bonds, forming a Y-shaped molecule
Fab regions = Two “arms”
Fc region = “Stem”

A
Each chain has
Variable region
Amino acid sequence differs between Igs
Form antigen binding site
Can bind 2 identical epitopes – form antigen–antibody complexes
Constant region
5 heavy-chain constant regions
5 classes of immunoglobulins – IgM, IgD, IgG, IgA, and IgE
18
Q

Immune Responses

A

The first encounter with a foreign antigen is called the primary immune response
Only few B or T cells can recognize antigen and mount response
Clonal expansion occurs – memory cells
Second encounter is called the secondary immune response
This time there is a large clone of memory cells that can recognize the antigen
Immune response is faster and more effective

19
Q

Autoimmunity

A

Immunological tolerance
Acceptance of self cells
Autoimmune diseases are caused by the failure of immune tolerance
Result in activation of autoreactive T cells, and production of autoantibodies by B cells
Cause inflammation and organ damage
Alleviated by corticosteroids and NSAIDs, including aspirin

20
Q

Allergy

A

Refers to a greatly heightened response to a foreign antigen, or allergen
Most common type is known as immediate hypersensitivity
Results from excessive IgE production (stimulates mast cells and basophils to release histamines)
Seasonal hay fever
Systemic anaphylaxis – severe and life-threatening