Immunity Flashcards

1
Q

What are the two arms of the immune system?

A

The innate and adaptive arms.

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2
Q

What distinguishes the innate defense system from the adaptive defense system?

A

The innate defenses are always armed and ready to go, but they aren’t specific. They are simply ‘fighting’ anything that isn’t identified as ‘self’ by antigens on the cell surface. The adaptive arm is very specific, forming a defense against the exact thing that has invaded, but this takes some time to mount.

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3
Q

Which is the first line of defense?

A

Innate.

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4
Q

There are two main types of innate defenses. What are they?

A

Surface barriers (skin and mucous membranes) and internal defenses, which inhibit the invaders spread throughout the body.

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5
Q

How are the skin and epithelial linings mechanical barriers to microorganisms?

A

There are demosomes that connect cells of the skin, creating very tight borders between cells. Mucous membranes have mucous that trap debris and foreign bodies (viruses, bacteria, parasites) and then cilia which sweep them back out of the system.

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6
Q

Describe what tissues are acidic and how this helps as a defense mechanism.

A

The skin has an acid mantle. This is made from the mixture of sweat and sebum (oil). The low pH of this mixture kills foreign bodies. Other tissues that are acidic are the vagina and stomach.

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7
Q

Describe where the enzyme lysozyme is found and how that helps protect the body.

A

Lysozyme is found in the saliva, respiratory mucus and lacrimal fluid in the eye. This enzyme can destroy foreign bacteria.

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8
Q

Describe where mucin is found and how it acts as a chemical barrier.

A

Mixed with water, mucin forms mucous. Mucous lines the digestive and respiratory tracts and traps microorganisms and then washes them either back out or into the stomach where they are digested.

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9
Q

Describe what defensins are, where they can be found, and how they act as a chemical barrier.

A

Definsins are antimicrobial proteins made by the skin and mucous membranes. These increase in number during an inflammatory response. They break or disrupt the cell membrane of microbes, killing them.

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10
Q

Describe how cilia that line the respiratory tract and hair in the nose act as a barrier.

A

They move with coordinated motion and sweep things out of the tract, once they have been trapped in mucous.

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11
Q

What types of cells act as phagocytes? How do they defend the body?

A

Macrophages and neutrophils act as phagocytes. They engulf foreign bodies like bacteria, viruses and other microorganisms.

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12
Q

Describe the difference between free and fixed macrophages.

A

Free macrophages circulate through the body looking for foreign bodies. Fixed macrophages remain in one location/organ.

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13
Q

What are opsonins? Why are they a benefit? What happens without them?

A

Opsonins can coat a microbe, making it sticky, so that a phagocytic cell like a macrophage or neutrophil can attach to it. These are important because some foreign microorganisms can for a capsule, hiding their antigens. The capsule isn’t ‘sticky’ enough for a phagocytic cell to grab onto. The opsonins allow these cells to function.

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14
Q

Describe what natural killer cells are and how they work.

A

These circulate through the blood and lymph, looking for foreign bodies. They can kill cancer and virus infected cells even before the adaptive side of our immune system has a chance to mount a response. These are lymphcytes, non-specific (targeting anything foreign), and are not phagocytic. Instead of using phagocytosis, they cause a cell to undergo apoptosis (programmed cell death). They also secrete chemicals that increases the inflammatory response.

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15
Q

Describe the benefits of inflammation as a defense mechanism.

A

Inflammation prevents the spread of damaging agents to other tissues, disposes of cell debris and pathogens (microorganisms), and turns on the adaptive immune system.

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16
Q

What are the causes of inflammation? What are the beneficial effects for the body? What are the signs you can look for on someone experiencing inflammation?

A

The causes could be trauma, intense heat, chemicals or infection. The benefits are in question #15. The symptoms are redness, heat, swelling, pain and impaired function.

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17
Q

Describe the chemicals that cause an inflammatory response. Where do they come from? What do they result in?

A

The chemicals that cause an inflammatory response come from the cells that have been damaged and the immune system cells in that area. The chemicals can include histamine, kinins, prostaglandins and cytokines. They result in vasodilation of the nearby arterioles, an increase in the permeability of the capillaries in that area, and an attraction of phagocytes to that area.

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18
Q

What are the benefits of vasodilation at the site of inflammation?

A

This causes an increase in blood flow to the area (hyperemia). This aids more cells of the immune system to migrate to that specific area. The benefit of an increase of permeability is that fluid from the blood, carrying immune system cells and nutrients are more easily accessed at the injury site.

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19
Q

Describe the steps of phagocyte mobilization.

A

The first cells attracted to the area are neutrophils. After that, macrophages show up.

20
Q

What role do monocytes play in the inflammatory response?

A

They follow neutrophils to the site and replace them. They are the ultimate phagocytic cells. They engulf debris, bacteria, and anything else that is foreign, basically cleaning up the site, which in the end, decreases inflammation.

21
Q

How do interferons work?

A

Interferons act against viruses. They are secreted by cells that are infected with a virus. They can’t save that initial cell, but they can diffuse to nearby cells and stimulate them to break down any viral RNA that they have. In other words, they ‘interfere’ with the replication of viruses.

22
Q

What stimulates a fever in the body? What is fever? Do we know what the benefits of a fever are?

A

Fever is stimulated by microbes invading the body. Fever is an increase in body temperature. The benefits are assumed, but not know as scientific fact at this time. They are to increase body temp beyond which microbes can survive and to speed up the metabolic rate of tissues, to speed up the healing process.

23
Q

Which arm of the immune system innate or adaptive takes time to develop a response?

A

Adaptive.

24
Q

What are the four characteristics of adaptive immunity?

A

It involves lymphocytes (both B and T), it is specific, it is systemic (occurring over the entire body instead of in just one location), and it has memory.

25
Q

What is an antigen? Where is it found?

A

An antigen is a large, complex molecule that is not ‘self’. It comes from or is a part of something foreign, usually a microorganism. They are usually proteins, lipids, polysaccharides or a nucleic acid. Only certain parts of the antigen cause an immune system reaction by our body. These parts are called antigenic determinants. Antigens are found on the cell surface of foreign things (blood cells, bacteria, viruses, some cancer cells….).

26
Q

What are MHC proteins? What is their function?

A

One group of proteins that identifies your cells as ‘self’ are the MHC proteins. They are glycoproteins (carbs attached to a protein). They are very diverse and the assumption is that everyone has different MHC proteins. T lymphocytes can only bind to MHC proteins from a foreign organism.

27
Q

What are the three types of cells involved with adaptive immunity?

A

B lymphocytes, T lymphocytes and antigen presenting cells.

28
Q

Describe what immunocompetence is.

A

The ability of a lymphocyte to recognize one specific antigen. The ability is evidenced when the lymphocyte binds to that antigen. Once this is complete, the lymphocyte displays a specific type of receptor on its surface. Now, that lymphocyte is committed to recognizing only that one antigen. The presence of that receptor on the surface enables the lymphocyte to recognize and bind to that antigen.
ells.

29
Q

Describe what self tolerance is.-

A

This is the ability of the lymphocyte to recognize your own cells as ‘self’, so it doesn’t mount an immune response against them.

30
Q

What does it mean to ‘seed’ a secondary lymphatic organ?

A

Cells that are immunocompetent and self tolerant, but haven’t yet been exposed to antigens are called naive. These naive, but prepared cells, disperse to secondary lymphoid organs like the lymph nodes, MALT tissues, spleen and so on, where they can encounter an antigen. They also circulate throughout the blood and lymph.

31
Q

Contact with a naïve lymphocyte and an antigen creates what?

A

When a naive lymphocyte and an antigen have their first encounter, they bind. This binding is called clonal selection.

32
Q

What is a clone?

A

The lymphocyte then multiplies quickly to develop many cells with the same antigen specificity. These cells are called a clone.

33
Q

What is a memory cell?

A

Clone cells become one of two things; either an effector cell or a memory cell. The memory cells remain in the system forever and then can respond very quickly if the antigen they are specific for even enters the body again.

34
Q

What’s an effector cell?

A

An effector cell works to fight the current infection.

35
Q

What is an antigen presenting cell? What types of cells act as an APC?

A

Antigen presenting cells or APG’s are cells (dendritic cells, macrophages) that engulf something foreign by phagocytosis and then display parts of that foreign cell on their cell surface. They are presenting foreign bodies to cells of the immune system. T cells recognize the antigens being displayed, bind to them and become activated to divide and develop a clone.

36
Q

Describe how a dendritic cell acts as an APC. How does this process link the innate and adaptive immune systems?

A

Dendritic cells are present in the epidermis of the skin. If anything foreign breaks through the skin and tries to enter the body, they must first encounter a dendritic cell (in the stratum spinosum of the epidermis). The dendritic cell engulfs the foreign body and displays its antigens on its cell surface. Then, it enters the nearby lymph, travels to a lymph node and displays its antigen to T cells are waiting.

37
Q

What are the two arms of the adaptive immune system?

A

Humoral immunity (cells in the fluids - blood and lymph), and cellular immunity.

38
Q

How is an immunocompetent, but naïve B lymphocyte activated?

A

It is activated by an antigen presenting cell. When the B lymphocyte encounters an antigen on an APC, it is stimulated to make antibodies. Antibodies are specific for that particular antigen AND, they don’t kill the cell with the antigen outright, but mark it for destruction by other cells of the immune system (neutrophils and macrophages).

39
Q

What are the effector cells activated by B lymphocytes? What do they do?

A

THe effector cells are called plasma cells and they secrete antibodies, at a very fast rate. They can produce about 2000 antibodies per second for 4-5 days before they die.

40
Q

What’s the difference between the primary and secondary immune response?

A

A primary immune response involves the immune system seeing an antigen for the first time. The B cells are activated and form a clone. Some clonal cells becomes plasma cells and others become memory cells. Secondary immune response is when your body is ‘seeing’ an antigen not for the first time, so there are already memory cells in the body. These memory cells begin to divide and form a plasma cells that secrete antibodies. This response occurs within hours, so fast that you might not even feel sick. A primary immune response has a lag time of 3-6 days.

41
Q

Define active humoral and passive humoral immunity.

A

Active humoral immunity is developed by exposure to antigens and the creation of clones including memory cells. Passive humoral immunity is when a person acquires activated B cells, but doesn’t have to make them on their own. A baby can acquire these from the mother either in utero or through breast milk. You can be given injections of activated B cells in response to things like a snake bite, where your body doesn’t have the time to develop its own.

42
Q

What is the difference between naturally acquired and artificially acquired humoral immunity?

A

Naturally acquired humoral immunity occurs when you introduce a new antigen to the body and allow the body time to mount a response and develop memory cells. artificially acquired is when you are given a vaccine you are given the memory cells, so that if you ever are exposed, the body will respond very quickly.

43
Q

Do antibodies act inside or outside of cells?

A

Outside of cells. They attach or bind to antigens, marking them for destruction by other immune system cells.

44
Q

What kind of immune cell kills infected body cells? What kinds of infections are targeted by these cells?

A

T cells. Cancer, transplanted organs, cells with viruses and some bacteria.

45
Q

Describe how a T cell is activated?

A

By an APC.

46
Q

What does a T cell do after its activated?

A

They enlarge and start dividing. A clone forms. The clone cells differentiate into either an effector cell or a memory cell.

47
Q

Once a clone is formed, effector cells differentiate into one of three types of cells. What are these three types? What is the main function of each?

A

Helper T cells, cytotoxic T cells and regulatory T cells. Helper T cells help activate B cells, other T cells and macrophages by displaying antigens on their cell surface. Cytotoxic T cells are the cells that destroy cells in the body that have anything foreign in them. Regulatory T cells guide this process, making sure, for one thing, that cytotoxic T cells are recognizing cells correctly and not attacking ‘s cells