Immunity & Disease Flashcards

1
Q

What kind of things does our immunity protect against?

A
  • bacteria
  • virus
  • fungi
  • toxins
  • cancer
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2
Q

Our immune system distinguishes self from non-self. what are the two main pathways used to do this?

A
  • innate

- adaptive

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3
Q

What is innate immunity?

A
  • defence mechanisms present even before infection or activated
  • works in non-specific way
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4
Q

What are examples of defences in innate immunity?

A
  • skin and mucous membranes
  • phagocytic cells (neutrophils, macrophages)
  • inflammation
  • fever
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5
Q

What are examples of defences in adaptive immunity?

A
  • cell-mediated immunity ( activation of phagocytes, antigen specific cytotoxic T-lymphocytes)
  • humoral immunity
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6
Q

How soon is innate immunity?

A

0-12 hours after infection

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7
Q

how soon is adaptive immunity?

A

12 hours to 7 days

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8
Q

Give 2 examples of non-specific defences.

A
  • intact skin

- mucus and cilia

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9
Q

How does skin act in immunity?

A
  • outer layer of keratin acts as mechanical barrier
  • Dead skin cells constantly slough off - hard for invading bacteria to colonize
  • sweat and oils contain anti-microbial chemicals
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10
Q

How does the mucous membrane act in immunity?

A
  • normal flow of mucus washes bacteria and virus off mucus membrane
  • cilia move bacteria (in respiratory tract)
  • acid in the stomach and vagina
  • enzymes in saliva and eye
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11
Q

How do chemical barriers such as proteins work in immunity?

A

proteins

  • complement - works with other defence mechanisms of the body
  • interferons - inhibit the replication of many viruses
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12
Q

Granulocytes such as neutrophils, eosinophils and basophils help with immunity how?

A
  • remove dead cells and micro-organisms

- attracted by an inflammatory response of damaged cells

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13
Q

Monocytes such as macrophages help with immunity, how?

A
  • in tissue which serves as filters for trapping microbes
  • stimulate specific immune response (antigen - presenting)
  • release protein signals (interleukin 1 and 6 )
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14
Q

what is the difference between the times and macrophages compared to granulocytes?

A
  • macrophages live longer

- normally arrive later than granulocytes

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15
Q

What are the non-specific responses to infection?

A

fever
pain, swelling and redness
acute-phase proteins released from liver

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16
Q

Why do we get fever with infection?

A
  • because most bacteria grow optimally at temp below body temp
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17
Q

why do we get pain, swelling and redness with infection?

A

increasing capillary permeability
promoting blood flow
bring more phagocytic cells

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18
Q

Why is their an acute-phase of proteins released from the liver?

A
  • to bind to bacteria and activate complement proteins
19
Q

specific immunity relies on antigens, what are these?

A

specific substances found in foreign microbes

20
Q

Where are lymphocytes produced?

A

in bone marrow

21
Q

Where do B-cells mature?

A

in bone marrow and then concentrate in lymph nodes and spleen

22
Q

Where do T-cells mature?

23
Q

B and T- cells mature and then circulate in the blood and lymph, why is this important?

A

circulation ensures they come into contact with pathogens and each other

24
Q

What are the functions of B-cells ?

A
  • secrete antibodies (humoral immunity)

- recognise pathogens outside cells

25
What are the functions of T-cells ?
- recognise antigen presented by major histocompatibility comples (class 1 and 2 ) - directly attack invaders (cytotoxic, CD8, MHC I ) - recognise pathogens that have entered cells - also help B-cells (helper cells, CD4, MHC II)
26
What do cytotoxic T-cells do?
- seek out and destroy any antigens in the system and destroy microbes 'tagged' by antibodies - some can recognise and destroy cancel cells
27
What do helper T-cells do?
- stimulate B-cells | - Activate cytotoxic cells and macrophages to attack infected cells
28
How do T-cells recognise an invader?
by protein marker on cell surface - will bring to helper T-cell for ID - if helper T-cells recognises as 'not-self' it will launch immune response
29
What happens to helper T-cells in HIV?
destroys helper T cells
30
How do helper T-cells signal an immune response?
Helper T-cells (CD4) stimulated by antigen | - cytokines to stimulate B cell division
31
What do B-cells produce?
- antibodies - glycoproteins - igG, IgM, IgA, IgE, IgD
32
How do B-cells act in immune response?
- opsonisation, bind and block (agglutinate), stimulate complement - bind to antigen - plasma cells- more antibody - or become memory cells
33
B-cells can become memory cells, what are these?
cells that remain ready to divide rapidly if an invasion occurs again
34
What may make a person have immune deficiencies?
- chemotheraphy/drugs - HIV - splenectomy - bone marrow dysfunction
35
What may occur if a persona immune system is hyperactive ?
- allergy (hypersensitivity) - auto-immune - overreaction to pathogen
36
What does HIV infect?
CD4 and T cells
37
what are the stages of progression in HIV ?
- infection - latency - AIDS
38
What are examples of causes of secondary immunodeficiency?
- malnutrition - burns - uremia - diabetes mellitus - immunotoxic meds - self-medication of recreational drugs and alcohol - AIDS
39
Hypersensitivity is excessive immune reaction against harmless antigens. What are examples of these?
asthma rhinitis (hay fever) allergies ( peanut)
40
What is a conditional example of over reaction to pathogen ?
Systemic Inflammatory Response Syndrome
41
What happens in autoimmunity?
failure of an organism in recognising its own parts as 'self' leading to an immune response against its own cells and tissues
42
What are examples of autoimmune diseases?
type 1 diabetes mellitus coeliac disease multiple sclerosis Hashimotos thyroiditis
43
How can we manipulate our immune system ?
suppress immune system - organ transplant (increased susceptibility to infection) Immunotheraphy for cancer vaccination
44
vaccinations is to stimulate own immune system to elicit adaptive immune response, prevent further infection...what does this rely on ?
success depends on herd immunity