immunity & infection Flashcards

1
Q

infection & toxins

A
  • infection = invasion of the body by microorganisms
  • toxins = poisonous substances
  • systemic infection invasion by microorganism that spreads through blood or lymphatic system to large portions of body
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2
Q

chain of infection - pathogen

A
  • a microorganism that causes disease
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3
Q

chain of infection - reservoir

A
  • person, animal, or environmental component (ex; soil or water) where pathogen lives
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4
Q

chain of infection - portal of exit

A
  • to transmit infection, pathogen must leave reservoir (ex; saliva, mucous membranes, blood, faces, nose & throat discharges
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5
Q

chain of infection - means of transmission

A
  • in direct transmission, pathogen is passed to another without an intermediary
  • usually requires fairly close association with infected host but not necessarily physical contact (ex; sneezing, coughing)
  • most common respiratory/intestinal infections are passed directly
  • transmission can also occur indirectly (animals & insects can serve as vectors = organisms that carry & transmit pathogen from one host to another)
  • can also be transmitted via contaminated soil, food, water, inanimate objects
  • some float in air for long periods & can travel long distances before they are inhaled
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6
Q

chain of infection - portal of entry

A
  • pathogens can enter one of three ways;
  • direct contact or penetration of skin
  • inhalation through mouth or nose
  • ingestion of contaminated food or water
  • agents that cause STIs enter through mucous membranes lining urethra (males) or cervix (females)
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7
Q

chain of infection - new host

A
  • variety of factors determine whether pathogen will be able to establish itself & cause infection (number of pathogens is also important)
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8
Q

immune system

A
  • body’s collective physical & chemical defences against foreign organisms & pathogens
  • physical & chemical barriers = skin (body’s largest organ) prevents many microorganisms from entering body, few organisms can penetrate through skin without cut or break
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9
Q

examples of physical & chemical barriers

A
  • mouth is lined with mucous membranes which contain cells to prevent passage of unwanted organisms & particles
  • body openings & fluids that cover them (tears, saliva, vaginal secretions) are rich in antibodies & enzymes which break down & destroy microorganism
  • respiratory tract is lined with mucous membranes & cells with hair-like protrusions called cilia (sweep foreign matter up & out of respiratory tract)
  • particles not caught by cilia are expelled by cough (this is why smokers have chronic cough usually)
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10
Q

white blood cells

A
  • neutrophils = engulfs foreign organisms & infected, damaged, or aged cells (particularly prevalent during inflammatory response)
  • macrophages = large phagocytic (cell-eating) cells that devour foreign particles
  • natural killer cells = directly destroys virus-infected cells & cancer cells
  • dendritic cells = specialized to active T & B cells
  • lymphocytes = works in both bloodstream & lymphatic system
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11
Q

two main lymphocyte cells

A
  • T cells = arises in bone marrow & matures in thymus
  • B cells = matures in bone marrow & produced antibodies
  • helper T cells = help activate other T cells & may help B cells produce antibodies
  • killer T cells = kill body cells that have been invaded by foreign organisms; also kill cells that have turned cancerous
  • suppressor/regulatory T cells = inhibit growth of other lymphocytes
  • memory T & B cells = generated during initial infection that circulate body for years, remembering specific antigens that caused infection & quickly destroy them if they appear again
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12
Q

antibodies

A
  • specialized proteins produced by white blood cells that recognize & neutralize specific microbes
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13
Q

antigens

A
  • markers on surface of foreign substance that immune system cells recognize as non-self & that trigger immune response
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14
Q

inflammatory response

A
  • special cells in area of invasion or injury release histamine & other substances that cause blood vessels to dilate & fluid to flow out of capillaries into injured tissue
  • this produces heat, swelling, & redness in affected area
  • histamine = chemical responsible for dilation & increased permeability of blood vessels in allergic reactions
  • white blood cells drawn to area & attack invaders
  • pus = collection of dead white blood cells & debris resulting from encounter
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15
Q

immune response

A
  • two responses to invading pathogens; natural (innate) & acquired (adaptive)
  • neutrophils, macrophages, dendritic cells, & natural killer cells part of natural response
  • recognize pathogen as ‘foreign’ but have no memory of past infections → respond same way no matter how many times pathogen invades
  • essentially eat invaders & destroy them internally, also destroy infected body cells
  • T & B cells part of acquired response
  • change after one contact with pathogen, developing memory for antigen
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16
Q

immune response phase 1

A
  • dendritic cells drawn to site of injury, consume foreign cells, & provide info about pathogen by displaying its antigens on their surface
  • helper T cells read this info & rush to respond
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17
Q

immune response phase 2

A
  • helper T cells multiple rapidly & trigger production of killer T cells & B cells in spleen & lymph nodes
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18
Q

immune response phase 3

A
  • killer T cells & natural killer cells destroy infected body cells + B cells produce antibodies that bind to viruses & mark them for destruction by macrophages
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19
Q

immune response phase 4

A
  • when danger is over, suppressor T cells halt immune response + memory B & T cells are reserved so that quick response can be mounted for future invasions by the virus
20
Q

immunity

A
  • mechanisms that defend the body against infection; involves specific defences against specific pathogens (infected person will never get same illness again)
21
Q

acquired immunity

A

memory lymphocyte’s ability to remember past infections & mobilize quicker, stronger response during subsequent encounters with same pathogen

22
Q

incubation

A
  • pathogens multiply in body, usually no symptoms are present (but person can be contagious)
23
Q

prodromal period

A
  • follows incubation, initial mild symptoms appear, “feeling a cold coming on”
  • if immune system is strong or has acquired immunity, may eliminate pathogen before full-blown illness develops
24
Q

illness period

A
  • full-blown symptoms manifest as immune system actively fights off infection
25
Q

contagion

A
  • contagious before symptoms appear as pathogens multiply, symptoms may persist after pathogen is mostly destroyed, meaning one might still feel ill even when no longer infectious
26
Q

immunization

A
  • process of conferring immunity to a pathogen by administering a vaccine
  • vaccine = preparation of killed/weakened microorganisms, inactivated toxins, or components of microorganisms that stimulate immune response without causing disease
  • active immunity = vaccinated person produces their own antibodies to microorganism
  • passive immunity = involves injecting antibodies produced by other humans or animals to provide temporary protection
27
Q

types of vaccines

A
  • live attenuated vaccines = contain weakened forms of pathogen (ex; measles, mumps, rubella)
  • inactivated vaccines = contain killed pathogens that still stimulate immune response (ex; influenza)
28
Q

allergies

A
  • most allergic reactions due to production of special antibody called immunoglobulin E (IgE)
  • initial exposure = sensitizes immune system by producing allergen-specific IgE, which binds to mast cells
  • subsequent exposure = allergen binds to IgE on mast cells, releasing histamine & causing symptoms
  • histamine = increases inflammation & mucus production, leading to symptoms like sneezing, congestion, itching, & swelling
29
Q

anaphylaxis

A
  • severe, systemic allergic reaction
  • symptoms include swelling of throat, low blood pressure, heart arrhythmia, seizures, & can be life-threatening
  • requires immediate injection of epinephrine
  • people at risk should carry self-administrable epinephrine & wear MedicAlert identification
30
Q

immunotherapy

A
  • allergy shots to desensitize to specific allergens through gradually increasing doses over time
31
Q

bacteria

A
  • most abundant living organisms on Earth; microscopic single-celled organisms (bacterium, singular); about 100 bacterial species can cause disease in humans
  • roles in ecosystems;
  • decomposers = many bacteria feed on dead organic matter, recycling nutrients for other organisms
  • pathogens = some bacteria feed on living hosts & can cause diseases
32
Q

bacteria in human health

A
  • friendly bacteria keep harmful bacteria in check by competing for food & resources & secreting substances toxic to pathogenic bacteria
  • not all bacteria found in body are beneficial, however
  • pathogenic bacteria in food or drink can disrupt normal harmony in intestines by invading cells or producing damaging toxins
33
Q

pneumonia bacterial infection

A
  • inflammation of lungs caused by bacteria, viruses, fungi, or chemical irritants
  • symptoms; fever, chills, shortness of breath, increased mucus production, cough
  • risk groups; infants under 2, elderly over 75, individuals with chronic health issues (heart disease, asthma, HIV)
  • common cause is pneumococcus bacteria (vaccine available)
  • can be treated with antibiotics
34
Q

meningitis bacterial infection

A
  • infection of meninges, (protective membranes covering the brain & spinal cord)
  • symptoms; fever, severe headache, stiff neck, sensitivity to light, confusion
  • viral meningitis; typically mild, self-resolving
  • bacterial meningitis; life-threatening, requires immediate antibiotic treatment
  • about 1000 cases annually in Canada, 11% fatality rate
  • vaccination available but not effective against all strains
35
Q

streptococcus (strep) bacterial infection

A
  • red, sore throat with white patches on tonsils, swollen lymph nodes, fever, & headache
  • spread through close contact with an infected person via respiratory droplets (sneezing or coughing)
36
Q

tuberculosis (TB) bacterial infection

A
  • chronic infection primarily affecting the lungs
  • about 1600 cases annually in Canada, with higher prevalence among Indigenous peoples & immigrants from endemic regions
  • many strains respond to antibiotics but course of treatment lasts 6-12 months
37
Q

ulcers

A
  • 10% have ulcer at some point in their life (sore in lining of stomach or small intestine)
  • caused by Helicobacter pylori or long-term NSAID use
  • symptoms; abdominal pain, nausea, loss of appetite
  • treatment; antibiotics for H. pylori infections
38
Q

other bacterial infections

A
  • tetanus = caused by Clostridium tetani, leading to muscle stiffness & spasms (preventable by vaccination)
  • C. diff (Clostridium difficile) = causes diarrhea to life-threatening colitis, often in healthcare settings (NAP1 strain is highly virulent & antibiotic-resistant)
  • pertussis (whooping cough) = caused by Bordetella pertussis, characterized by severe coughing fits (preventable by vaccination)
  • Urinary Tract Infections (UTIs) = mostly caused by Escherichia coli, common in sexually active women
39
Q

epidemic vs endemic

A
  • epidemic = occurrence in a particular community or region of more than the expected number of cases of a particular disease
  • endemic = persistent & widespread presence of a disease in a population
40
Q

antibiotics

A
  • synthetic or naturally occurring substances used as drugs to target & kill bacteria
  • most work by interrupting production of new bacteria, either by damaging part of their reproductive cycle or causing production of faulty parts in new bacteria
  • penicillin inhibits formation of cell wall during bacterial cell division
  • other antibiotics inhibit protein production or interfere with genetic material (DNA) during bacterial reproduction
  • also kill good bacteria as they eliminate harmful ones
41
Q

types of antibiotics

A
  • penicillin & its derivatives
  • protein synthesis inhibitors
  • DNA synthesis inhibitors
42
Q

antibiotic resistance

A
  • caused by misuse or overuse of antibiotics
  • resistance can also develop due to genetic mutations or the transfer of resistance genes between bacteria
  • consequences;
  • resistant bacteria can grow & flourish when exposed to antibiotics, while sensitive bacteria die off
  • entire colonies of bacteria can become resistant to one or more antibiotics, making infections difficult to treat
43
Q

examples of resistant bacteria

A
  • resistant strains of gonorrhea
  • resistant strains of salmonellosis (food-borne illness)
  • one strain of tuberculosis is resistant to seven different antibiotics
44
Q

factors promoting resistance

A
  • frequent exposure to antibiotics
  • not completing the full course of an antibiotic
  • using antibiotics for viral infections
  • extensive use of antibiotics in agriculture, leading to transmission of resistant bacteria from animals to humans
45
Q

infectious disease

A
  • caused by infection, when a microorganism (bacteria, virus, fungi, protozoan) invades body of a host; typically accompanied by damage to cells
  • exposer to pathogen is followed by latent period → time between infections & development of symptoms/signs (can vary from few hours to many years, typically several days long
46
Q

how an infection is caught

A
  • people = direct (kissing, hugging) & indirect contact (surfaces)
  • food = ex; Salmonella from raw or undercooked food
  • water = contaminated water can carry pathogens
  • animals & insects (vector transmission) = mosquitoes, rats/fleas
47
Q

lines of defence

A
  • first line of defence = skin, cilia, mucus, elevated body temperature, cough, tears, saliva
  • second line of defence = immune cells recognize pathogens as foreign because pathogens have antigens ‘chemical structures’ (ex; proteins/sugars) on their surface that are different from your own
  • specialized cells including macrophages, T cells, & B cells launch immune response to eliminate the pathogen