Immunity Flashcards

1
Q

Lag phase

A

individual bacteria are maturing and not yet able to divide

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2
Q

Adaptive Immunity: Natural: Passive & Active

A

Maternal & Infection

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3
Q

Adaptive Immunity: Artificial: Passive & Active

A

Antibody Transfer & Immunization

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4
Q

Steps in Inflammatory response

A
  1. Damaged tissues release histamine
  2. Histamines cause capillaries to leak phagocytes and clotting factors into the wound
  3. Phagocytes engulf bacteria, dead cells and debris
  4. Platelets move out of capillary to seal wound
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5
Q

Traits of inflammation

A
Heat
Redness
Swelling
Pain
Loss of function
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6
Q

What are the 3 immediate responses to injury?

A
  1. Binding of neutrophils and macrophages to area capillaries
  2. Release of vasoactive chemicals
  3. Cytokines and Chemokines
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7
Q

What is the Complement System

A

consists of a series of about 25 proteins that work to “complement” the work of antibodies in destroying bacteria. Complement also helps rid the body of antigen-antibody complexes. Complement proteins are the culprits that cause blood vessels to become dilated and leaky, causing redness and swelling during an inflammatory response.

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8
Q

What is the “Complement Cascade”?

A

set off when the first complement molecule, C1, encounters antibody bound to antigen in an antigen-antibody complex. Each of the complement proteins performs its specialized job, acting, in turn, on the molecule next in line. The end product is a cylinder that punctures the cell membrane and, by allowing fluids and molecules to flow in and out, dooms the target cell.

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9
Q

Key players in the Inflammatory response

A

Complement System
Phagocytes and Their Relatives
Phagocytes in the Body
Killer Cells: Cytotoxic T cells (Tc) and NKs

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10
Q

Kupfer cells

A

mature macrophages reside in connective tissue, along the digestive tract, in the lungs, in the spleen, and even along certain blood vessels in the liver,

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11
Q

Neutrophils remain circulating in the _________ and are __________ lived.

A

blood

short

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12
Q

two types of lymphocytes are killer cells

A

cytotoxic T cells and natural killer cells

Both types contain granules filled with potent chemicals. Both types kill on contact. They bind their targets, aim their weapons, and deliver bursts of lethal chemicals.

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13
Q

What is the difference b/tween Cytotoxic T cells and NK Cells?

A

cytotoxic T cells need to recognize a specific antigen bound to self-MHC markers, whereas natural killer (NK) cells will recognize and attack cells lacking these. This gives NK cells the potential to attack many types of foreign cells. NK cells primarily attack viruses and cancer cells.

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14
Q

Macrophages are versatile cells; besides acting as phagocytic scavengers, they secrete a wide variety of ___________ _________ (called monokines) that are vital to the immune response.

A

signaling cytokines

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15
Q

What are cytokines? 3 Examples

A

cell signalling molecules that aid cell to cell communication in immune responses and stimulate the movement of cells towards sites of inflammation, infection and trauma.

interleukins, growth factors, and interferons

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16
Q

What are Interferons?

A

naturally occurring cytokines that may boost the immune system’s ability to recognize cancer as a foreign invader

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17
Q

Briefly describe what these Immunoglobulins do…

IgG
IgM
IgA 
IgE 
IgD
A

(G) most abundant type of antibody, is found in all body fluids and protects against bacterial and viral infections

(M) which is found mainly in the blood and lymph fluid, is the first to be made by the body to fight a new infection.

(A) concentrates in body fluids—tears, saliva, and the secretions of the respiratory and digestive tracts—guarding the entrances to the body.

(E) whose natural job probably is to protect against parasitic infections, is responsible for the symptoms of allergy.

(D) remains attached to B cells and plays a key role in initiating early B cell responses.

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18
Q

CD4 is found on _________ cells and reacts specifically with ___________ molecules.
CD8 is found on __________ cells and reacts specifically with ___________ molecules.

A

T-helper cells, MHC class II

T-cytotoxic, MHC class I

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19
Q

All immunogens are ________ but not all antigens are __________.

A

antigens, immunogens

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20
Q

What is an Immunogen?

A

antigens that can induce an immune response

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21
Q

NK Cell

A

has some characteristics of the T-cytotoxic cells and is important for killing target cells in which viral infection or malignancy has resulted in the loss of cellular MHC molecules.

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22
Q

Primary response against T-dependent antigens

A

usually dominated by IgM, with lesser amounts of IgG.

*Remember: IgM during the first part of the response is when the person is MISERABLE and IgG comes in when the person is feeling GOOD

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23
Q

Secondary response against T-dependent antigens

A

more rapid production of a larger amount of antibody, predominantly IgG

*When the person is exposed to the antigen a second time…IgG is already in reserve and appears quickly to mount an attack.

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24
Q

Which WBC’s initiate the immune response (step 1)?

A

Basophils & Mast Cells

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25
Q

Which WBC’s initiate the secondary immune response (step 2)?

A

Neutrophil’s & Macrophages

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26
Q

Which WBC’s initiate the 3rd immune response?

A

Lymphocytes

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27
Q

Briefly describe neonate immunity up to the 1st 6 months

A

Maternal immunoglobulin antibodies are transported across the placenta into the fetal blood and protect the neonate for the first 6 months, after which they are replaced by the child’s own antibodies.

T cell–independent immune response is adequate in the fetus and neonate, but the T cell–dependent immune response develops slowly during the first 6 months of life.

Fetus has sufficient IgM but deficient IgG and IgA responses

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28
Q

Briefly describe immunity in the elderly person

A

T cell function and antibody production are somewhat deficient in elderly persons. Elderly individuals also tend to have increased levels of circulating autoantibodies (antibodies against self-antigens).

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29
Q

Chronic Inflammation

A

can be a continuation of acute inflammation that lasts 2 weeks or longer. It also can occur as a distinct process without much preceding acute inflammation.

Often related to an unsuccessful acute inflammatory response

30
Q

Exudative fluids

A

mild inflammation = watery with a few plasma proteins or leukocytes=serous (ex. Fluid in a blister)

advanced inflammation = thick, clotted exudate=fibrinous (ex. In the lungs with pneumonia)

If pus = purulent (ex. In cysts)
If RBCs = hemorrhagic

31
Q

What are the principles systemic effects of inflammation?

A

fever and increases in levels of circulating leukocytes (releasing interleukin-1) and plasma proteins.

32
Q

What is Leukocytosis?

A

WBC count > 11,000/mL3 in adults.

33
Q

Plasma proteins are made by the ___________.

A

Liver

34
Q

Types of Wound Healing:

  1. Primary intention
  2. Secondary intention
A

PI: Wounds that heal under conditions of minimal tissue loss. Collagen Synthesis.

SI: Wounds that require a great deal more tissue replacement, Open wound. Heal from bottom to top. granulation tissue forms to fill in for missing tissues.

35
Q

Phases of Wound Healing

A

Inflammation-growth factors are released to start healing (1-2 days)

Proliferation and new tissue formation (3-4 days) and can last up to 2 weeks—wound seals, clot is replaced by normal tissue or scar tissue-epithelization, contraction and cell differentiation occurs.

Remodeling and maturation begins several weeks after the injury and lasts up to 2 years—continued cell differentiation, scar remodeling, finally capillaries in the scar tissue disappear leaving it avascular.

36
Q

What is dehiscence?

A

Wound disruption-opening up of a wound after it has closed over

37
Q

Aids epidemiology

A
  • Blood-borne pathogen
  • Heterosexual activity is most common route worldwide
  • Increasing faster in women than men especially in adolescents
38
Q

HIV Pathogenesis

A

Summary: The virus enters the CD4 cells and use their reproductive machinery to replicate HIV. Finally enough copies fill the cell and it ruptures allowing many viral copies into the blood stream where they seek out new CD4 cells to invade.

  1. HIV binds to CD4 receptor on T lymphocyte
  2. Viral RNA uncoats
  3. Viral reverse transcriptase enzyme makes viral DNA from viral RNA
  4. Viral integrase enzyme allows viral DNA to integrate into host DNA
  5. Translation of viral information is initiated
  6. Viral protease processes proteins needed for the virus’s structure
  7. Formation of new virons
  8. Lysis and death of infected CD4 cell
39
Q

The four major types of allergy or hypersensitivity reactions (hyper-sensi-CITI)

A
  1. Cell-mediated reactions
  2. IgE-mediated reactions
  3. Tissue-specific reactions
  4. Iimmune-complex-mediated reactions
40
Q

Cell-Mediated Rxns (Type IV)

A

(ex. contact dermatitis) delayed hypersensitivity or cell-mediated hypersensitivity, is the harmful destruction of tissue by T lymphocytes and macrophages.

41
Q

IgE Mediated Rxns

A

(ex. anaphylaxis) occurs after antigen reacts with IgE on mast cells, leading to mast cell degranulation and the release of histamine and other inflammatory substances. This reaction occurs within minutes (sometimes called immediate hypersensitivity).

42
Q

Tissue Specific Hypersensitivity

A

(ex. Erythroblastosis fetalis) called cytotoxic-type hypersensitivity. This type of hypersensitivity involves destruction of host cells either by agglutination and phagocytosis or by lysis of the cell membrane as a consequence of complement fixation.

43
Q

Immune Complex or Complement-mediated rxn (type III)

A

also known as a complement-mediated reaction to precipitates of antigen and antibody (antigen-antibody complexes). The complexes lodge in vessel walls, and the activation of certain inflammation-components of complement results in release of vasoactive substances from mast cells and attraction of leukocytes to the site

44
Q

Systemic lupus erythematosus (SLE)

A
  1. Chronic multisystem inflammatory disease
  2. Production of a large variety of antibodies to self-antigens.
  3. Many antibody/antigen complexes form that get stuck in capillaries and cause damage (kidneys, brain, heart, spleen, really any organ).
  4. More common in females.
45
Q

Autograft

A

A patient’s own tissue

46
Q

Allograft

A

taken from another person, takes longer to incorporate into the recpient’sr body

47
Q

Xenograft

A

graft of tissue taken from a donor of one species and grafted into a recipient of another species

48
Q

Isograft

A

graft from a genetically identical sibling (twin) or clone.

49
Q

Blood Typing

A

Group A – A antigen on red cells (and B antibody in the plasma)

Group B – B antigen on red cells (and A antibody in the plasma)

Group AB – A and B antigens on red cells (but neither A nor B antibody in the plasma)

Group O – NEITHER A nor B antigens on red cells (but both A and B antibody are in the plasma)

50
Q

Graft-Versus-Host Disease (GVHD)

A

Immunocompromised individuals are at risk for GVHD

T cells in the graft are mature and capable of cell-mediated destruction tissues within the recipient

Not a problem if patient is immunocompetent

51
Q

The C5b-C9 complex

A

causes pores to form in the bacterial membrane through which water may enter the cell and cause cell lysis and destruction.

52
Q

An acidic, sulfur-containing lipid that produces effects similar to histamine is a(n):

A

leukotriene

53
Q

Biochemical messengers produced by macrophages and lymphocytes in response to a pathogen are called:

A

interleukins

54
Q

Which cytokine is secreted by macrophages and mast cells and acts to induce fever?

A

tumor necrosis factor

55
Q

Normal flora protects us from diease by:

A
  1. competing with invaders for space and nutrients
  2. producing compounds (bacteriocins) which kill other bacteria
  3. lowering the ph so that other bacteria wont grow.
56
Q

the inflammation process can only occur in _____.

A

vascularized tissue

57
Q

leukocytes are_____.

A

granulocytes, monocytes and lymphocytes

58
Q

are mature cells and sensitive to acidic enviroment so they are short lived and become component of pus.

A

neutrophils

59
Q

respond to chemotaxis and their job is phagocytosis at infection site.

A

granulocytes
3 types of granulocytes
1.neutrophils 2. basophils 3. eosinphils

60
Q

serous exudate

A

clear and watery found in skin blisters, pericardtis-mild inflammation

61
Q

fibrinous exudate

A

thick &clotted found in adhensions after surgery, lungs during pneumonia, severe/advanced inflammation

62
Q

catarrhal exudate

A

cloudy mucous found in runny nose with common cold

63
Q

purulent exudate

A

pus- yellow,green, opaque found in cysts,absess, and boil

64
Q

hemorrhagic exudate

A

rbc- fulminating infection

65
Q

systemic manifestatons to acute inflammation involves

A

a fever and increased level of WBC(circulating luekcytes and plasma proteins)
luekocytosis is WBC count >11,000 ml in adults

66
Q

increased plasma protein synthesis..test can be done …

A
  1. fibrinogen- associated with blood clotting
  2. c-reactive protein- if increased, imflammatory response is occuring
  3. sedimentation rate-time takes for RBC to settle in tube. increased means inflammatory response is occuring.
67
Q

dysfunctions during reconstructive phase in wound healing…

A
  1. impaired collagen matrix assembly
  2. impaired epitheliazation
  3. wound disruption
68
Q

humoral immunity

A

means by which body protects itself by producing antibodies that target invaders in the bloodstream. b-cells are reponsible for humoral immunity bc they work to secrete antibodies into body fluids

69
Q

cell-mediated immunity

A

cells release toxins to kill invaders , or attack them directly wthout the involvement of antibodies.

70
Q

toxins or foreign substances that induces immune response in the body, and antibody production

A

antigen

71
Q

an immunoglobin , a specialized immune y shaped protein, produced when antigen is introduced to body. produced by b cells, they identify and neutralze foreign antigens.

A

antibody

72
Q

CD4+ ___ 200 cells/mm diagnostic for AIDS

A

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