Immunity Flashcards

1
Q

The discrimination between ‘self’ and ‘nonself’ and the subsequent destruction and removal of foreign material is accomplished by?

A

Innate immune system

Adaptive immune system

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2
Q

What are some components involved in innate immunity?

A
  • Macrophages
  • Granulocytes
  • Natural Killer Cells
  • Complement
  • Other chemicals e.g HCl and Lysozyme
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3
Q

What are the two types of adapted immunity?

A

Cell mediated

Humoral

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4
Q

What components are involved in cell mediates adaptive immunity?

A

Antigen presenting cells

T-cells

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5
Q

What components are involved in the humoral adaptive immunity?

A

T cells
B cells
Antibodies
Complement

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6
Q

Outline the characteristics of innate and adaptive immunity

A
Innate:
- immediate action
- non-specific response
- response not enhanced on repeated exposure to pathogen
Adaptive:
- delayed action
- specific response
- response enhanced by repeated exposure to pathogen
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7
Q

What are the first line defence for innate immunity?

A

1) Mechanical Barrier
2) Chemical and biochemical inhibitors
3) Normal flora

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8
Q

What are the second line defence for innate immunity?

A
  • Cells: Natural killer cells, Phagocytes
  • Soluble factors
  • Inflammatory barriers
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9
Q

Some mechanical barriers for first line innate immunity include:

A
  • Intact skin
  • Mucous coat
  • Mucous secretion
  • Blinking reflex and tears
  • The hair at the nares
  • Coughing and sneezing reflex
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10
Q

Some chemical and biochemical inhibitors for first line innate immunity include:

A
  • sweat and sebaceous secretions
  • hydrolytic enzymes in saliva
  • HCl of stomach
  • Proteolytic enzyme in small intestine
  • lysozyme in teas
  • acidic pH in the adult vagina
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11
Q

Examples of how normal flora help with first line innate immunity

A
  • provide competition for essential nutrients

- production of inhibitory substances

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12
Q

The immune system is…

A

the body’s defence mechanism. It comprises of an interacting set of specialised cells AND proteins designed to identify and destroy foreign invaders

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13
Q

The immune system must be able to differentiate between material that is:

A
  • a normal component of the body (self) and material that is not native to the body (non-self)
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14
Q

Cells involved in specific immune mechanisms are:
i)
ii)

A

i) heamatopoietic leucocytes

ii) non-hematopoietic cells

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15
Q

Heamatopoietic cells include:

  • lymphoid cells such as
  • monocytic myeloid cells such as
A
  • T-lymphocytes, B-lymphocytes, NK cells

- macrophages, neutrophils, eosinophils, basophils + mast cells

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16
Q

What are the characteristics of the lymphoid heamatopoietic cells?

A

a) T-lymphocytes:
- antigen specific cells carrying CD3 complex; CD4, CD8.
- dominant lymphocyte (70%)
- cytokine production
- activates other cells (T-help CD4)
- suppressors other cells (T-supp CD8)

b) B-lymphocytes:
- antigen specific cells
- antibody production
- less common lymphocyte (20%)

c) NK cells
- not antigen specific
- carries Fc receptors

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17
Q

What are the characteristics of monocytic myeloid haemotopoietic cells?

A

a) macrophages
- non specific
- APC (+ antigen processing cells)
- carry Fc receptors
- phagocytic
- produce cytokines

b) neutrophils
- non specific
- carry Fc receptors

c) Eosinophils
- non specific
- carry Fc receptor
- produce allergic mediators

d) Basophils and mast cells
- non specific
- carry Fc receptor
- produce allergic mediators

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18
Q

What are the non-haemotopoietic cells and what is their function?

A
  • Dendritic cells
  • Astrocytes
  • Endothelial cells
    INVOLVED IN ANTIGEN PRESENTATION
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19
Q

What are all the antigen presenting cells. State if they’re heamotopoietic or non-haemotopoietic.

A

a) macrophages: haemotopoietic
b) dendritic cells: non-haemotopoietic
c) astrocytes: non-haemotopoietic
d) endothelial cells: non-haemotopoietic

20
Q

State the source for:

  • NK cells
  • phagocytes (macrophages, neutrophils, eosinophils etc)
A
  • bone marrow precursors

- stem cells

21
Q

NK cells are responsible for? (ADCC)

A

Antibody dependent cell-mediated cytotoxicity

22
Q

NK cells are cytotoxic for:

A
  • tumour cells
  • viral infected cells
  • bacterial, fungal and parasitic infected cells
23
Q

Name some soluble factors and their function or where they are found.

A
  • complement (proteins in serum, body fluids)
  • interferons (protects against viral infections)
  • lysozyme (hydrolyses cell wall)
  • lactoperoxidase (saliva + milk)
  • lactoferrin, transferrin (iron binding protein)
24
Q

What are the different types of interferon?

A
  • alpha
  • beta
  • gamma
25
What cell is alpha interferon secreted by?
alpha
26
What cell is beta interferon secreted by?
fibroblasts
27
What cell is gamma interferon secreted by?
t-lymphocytes
28
What cell is alpha interferon induced by?
viruses
29
What cell is beta interferon induced by?
viruses
30
What cell is gamma interferon induced by?
specific antigens
31
What are the actions of interferons?
- activate T cells - activate macrophages - activate NK cells
32
Define phagocytosis
The engulfment, digestion and subsequent processing of microorganisms by macrophages and neutrophils
33
What are the three steps to phagocytosis?
1 - Chemotaxis and attachment 2- Ingestion 3 - Killing (2 routes; O2 dep, O2 indep)
34
Chemotaxis and attachment stage of phagocytosis involves:
Attraction by chemotactic substances (microbes, damaged tissues) Attachment by phagocyte surface receptor
35
Ingestion stage of phagocytosis involves:
Phagocyte pseudopodia surround organism forming phagosome. Attachment enzymes and co-factors enhance phagocytosis. Fusion with phagocyte granules, and release of digestive toxic contents.
36
What are the inflammatory barriers?
Inflammatory response a) release of chemical mediators e.g histamine, fibrin, kinin, cytokine b) vasodilation of capillaries
37
Vasodilation of capillaries causes:
- redness of tissue - increase tissue temperature - increase capillary permeability - influx of fluids - influx of phagocytes into tissues
38
Process by with acquired immune response is initiated:
- recognition of antigen by specific lymphocytes - activation of these specific lymphocytes - proliferation and differentiation in effector (B) cells - Effector (B) cells eliminate antigen - Return of homeostasis and memory cell development - Memory cells produce a more rapid and long response on re-exposure to same antigen
39
Explain how vaccinations can be a) prophylactic b) therapeutic
a) to prevent the effects of a future infection by any natural or 'wild' pathogen b) vaccines against certain cancers
40
Vaccinations work by:
producing immunity against pathogens, by introducing live or killed antigens that stimulate the body to produce antibodies against more dangerous forms
41
Tolerance is a specific...
immunologic unresponsiveness
42
Unresponsiveness to ___- ______ is known as ___-______ and is the normal homeostatic state
self-antigens | auto-tolerance
43
What are the two mechanisms by which B cells become tolerant to self cells?
1 - clonal deletion (central; when B-cell precursors are in bone marrow) 2 - clonal anergy i.e. lack of reaction (peripheral)
44
What occurs in T-cell clonal deletion (central tolerance)
T-cells acquire ability to distinguish self from non self in fetal thymus. This involves killing T-cells that react AGAINST the antigens that are present in the foetus at that time
45
What occurs in T-cell clonal anergy (peripheral tolerance)
Some self-reactive cells are not killed in thymus. Functional inactivation of surviving self-reactive T cells takes place.