Immunity Flashcards

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1
Q

Where do Phagocytes originate from

A

Bone marrow. Macrophages and neutrophils

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2
Q

Macrophages

A

When immature they are monocytes in blood, they are in the organs. They cut up antigens and display them for lymphocytes to recognise.

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3
Q

Neutrophils

A

Found in the blood, released in large numbers when there is an immune response

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4
Q

Phagocytosis

A

Attraction (chemotaxis). The bacterium attaches to the phagocytes membrane as they have receptor proteins which recognise antigens and can attach to them. Endocytosis, the phagocyte’s cell surface membrane engulfs the pathogen and traps it within a phagocytic vacuole. The lysosome fuses with the phagocytic vacuole, digestive enzymes are secreted with the phagocytic vacuole which destroys the pathogen.

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5
Q

Immune response

A

The complex series of responses of the body to the entry of foreign antigens, it involves the activity of lymphocytes and phagocytes. It involves the ability to distinguish between self and on-self cells and only attack non-self cells.

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6
Q

What do B lymphocytes do during a immune response

A

The B cell which has an antibody complimentary to the antigen divides by mitosis in a process called clonal selection. This small clone of cells divides repeatedly by mitosis during clonal expansion. Some become plasma cells which produce antibodies. Others become memory cells.

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7
Q

What is the significance of memory cells

A

They allow for a more rapid response and for more antibodies to be produced. The memory cells remain in the blood for a long time and if they encounter the same antigen again they divide rapidly to produce plasma cells and more memory cells. So that the infection can be destroyed before any symptoms are shown. They are the basis for immunological memory.

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8
Q

How are T cells activated

A

All T lymphocytes are activated when they in-counter an antigen displayed on a persons cell. This may be a macrophage who is doing antigen presentation. Or it could be a body cells which has been invaded by a pathogen and is displaying the antigens. They then go through clonal selection and expansion.

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9
Q

What do helper T cells do

A

They release cytokines which stimulates appropriate B cells to divide, develop into plasma cells and secrete antibodies. The cytokines may stimulate the macrophages to carry out phagocytosis more vigorously. Some helper T cells divide to form memory cells. Some secrete cytokines which stimulate killer cells to divide by mitosis and differentiate by producing vacuoles full of toxins.

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10
Q

What do killer T cells do

A

When they recognise the antigen on the infected body cell, they attach themselves and secrete toxic substances like hydrogen peroxide to kill the body cell and the pathogen inside. Some divide by mitosis to form memory cells.

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11
Q

What happens to the white blood cell count of people with infectious diseases

A

The number of neutrophils in the blood increases during bacterial infection. The number of lymphocytes in the blood increases during viral infection and TB. In HIV the number of T lymphocytes decreases as the virus kills T-cells.

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12
Q

What happens in leukaemia?

A

Leukaemia is the cancer of the stem cells. Myeloid stem cells give rise to neutrophils, monocytes and platelets. Lymphoid stem cells give rise to lymphocytes. In myeloid leukaemia the stem cells responsible for producing neutrophils divide uncontrollably and the number of immature cells increases. In lymphoblastic leukaemia the cancerous cells are those that give rise to lymphocytes.

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13
Q

What happens to the white blood cell count of people with Leukaemia?

A

The number of immature white blood cells are produced very quickly and disrupt the normal balance of components in the blood. The number of mature neutrophils and lymphocytes decrease. As well as the number of platelets and red blood cells.

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14
Q

What is the structure of antibodies

A

They are globular glycoproteins with a quaternary structure. They have 4 polypeptide chains, 2 short and 2 long. Each molecule has 2 identical antigen binding sites. The sequence of amino acids makes the specific 3 dimensional shape which binds to one type of antigen. The antigen binding site forms the variable region which is different for each antibody. The hinge region gives the antibody flexibility around the antigen

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15
Q

Function of antibody

A

Combines with viruses and bacterial toxins to prevent them entering and damaging the body. Attach to flagella of bacteria making them less active and easier for phagocytes to engulf. Clump bacteria together to stop them spreading through the body. Punch holes in the cell wall of bacteria to cause them to burst when water enters by osmosis.

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16
Q

Autoimmune diseases

A

When the immune system fails to differentiate between self and non-self cells and attacks self antigens.

17
Q

Myasthenia Gravis

A

People with MG have helper T cells which are specific to the receptors of acetylcholine. The T cells cause a clone of B cells to differentiate into plasma cells which secrete antibodies that bind to the receptor on the CSM of muscle fibres, thus stopping acetylcholine from binding. Muscle fibres absorb the receptor antibody complex and destroys them. The muscle cells do not receive any stimulation and start to break down.

18
Q

Active immunity

A

Immunity gained when an antigen enters the body and an immune response occurs. Antibodies and plasma cells are produced.

19
Q

Passive immunity

A

Immunity gained without an immune response, antibodies are injected (artificial) or pass from mother to child across the placenta or in breast milk (natural)

20
Q

Natural immunity

A

Immunity gained from being infected (active) or by receiving antibodies from the mother across the placenta or in breast milk (passive)

21
Q

Artificial immunity

A

Immunity gained either by vaccination (active) or by injected antibodies (passive)

22
Q

Vaccination

A

A vaccine is a preparation containing antigens which is used to stimulate an immune response artificially. The immune system is able to develop an effective response when it is infected for real as it has memory cells which are able to quickly differentiate into B lymphocytes. They can last an entire lifetime but sometimes boosters are needed.

23
Q

Problems with vaccinations = poor response

A

Some people do not respond at all or very well to vaccines as they may have a defective immune system. Possibly due to malnutrition and not having enough proteins to make the necessary antibodies

24
Q

Problems with vaccinations = live viruses and herd immunity

A

People who have been vaccinated may pass out the live virus in their faeces and infect others. This is why it is better to vaccinate a lot of people at a time and give herd immunity.

25
Q

Problems with vaccinations = Antigenic variation

A

Minor changes in surface antigens are called antigenic drift but memory cells can recognise them. Antigenic shift is when there is more serious changes. There is no vaccine against protoctis such as malaria as they have many hundreds of antigens on their cells surface. The malaria protoctis goes through 3 life stages in the body with each stage having its own specific antigen. An effective vaccine would have to have an antigen for each stage.

26
Q

Problems with vaccines = Antigenic concealment

A

Some pathogens evade attack by the immune system by living inside cells. Plasmodium enters liver and red blood cells and evade antibodies in the plasma. It is hard to get a vaccine as there is a short time for an immune response before the pathogen hides. Vibrio cholerae remains in the intestine where it is beyond the reach of the antibodies.

27
Q

Why did the smallpox eradication program succeed

A

The variola virus did not mutate and change its surface antigens meaning that the same vaccine could be used which made it cheap. Was effective because the vaccine was made from a live virus. It was freeze dried so could be kept at high temperatures making it suitable for the tropics. Infected people were easy to identify. Easy to administer. The virus did not infect animals making it easier to break the transmission cycle.

28
Q

Why was measles not eradicated?

A

There was a poor response to the vaccine and some children needed boosters which was difficult to administer in cities with shifting populations. Migrants can spread the disease to different communities. Measles is highly infectious and a herd immunity of 93-95% is needed to eradicate it, the current vaccine has a success rate of 95% meaning that everyone in the community needs to get vaccinated.

29
Q

How are monoclonal antibiotics produced

A

They are created by injecting antigens into a mouse, the mouse then produces plasma cells which are taken from the spleen and fused with cancer cells. This forms hypridoma cells which develop in a culture. The plasma cells secrete only one type of antibody.

30
Q

How are MABs used in diagnosis

A

For detecting DVT. You inject a mouse with human fibrin which is the main protein found in blood clots. You make a MAB out of the plasma cells collected and add a radioactive chemical which produces gamma radiation. The MAB attaches to the fibrin on the clot and a gamma ray camera can detect where the antibody and therefore clot is.

31
Q

What can MABs be used to identify

A

Cancer cells because the proteins on their cell surface is different. Also to identify the exact strain of bacteria or virus.

32
Q

How can MABs be altered so that they can be used in treatment?

A

As they are drawn from mice they will be regarded as foreign and rejected by the immune system. To overcome this you alter the genes which code for the polypeptide chains of the antibodies so that they code for the human sequence of amino acids. You can also change the type and position of the sugar molecule.