Immunity Overview 2 (Test 1) Flashcards

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1
Q

What is Innate immunity?

A
  • One of our 2 major defense systems that act in a way that does not require specific recognition of each pathogen.
  • *WORKS THE SAME NO MATTER what the problem is and works the SAME NO MATTER how many times it has encountered the problem, but is FAST!
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2
Q

Compare and contrast innate vs adaptive

A

Innate:
Specificity= broad
Speed of action = Fast (always on)
Development of memory= No

Adaptive:
Specificity= Very
Speed of action = Slow
Development of memory= yes

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3
Q

What are some examples of the innate defenses in our body ?

A

1) Continually replenishing outside barrier epithelium
2) Water flush (tears, saliva, etc)
3) Secreted antimicrobial molecules
4) Competitive flora of friendly microbes (normal flora)

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4
Q

What are stem cells?

A

Found in large numbers in the bone marrow. All the blood cells and platelets arise form these stem cells.

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5
Q

What are example of adaptive immunity?

A

1) B lymphocytes–> Plasma cell (new lymphocytes emerge daily)
2) T lymphocytes-
3) Macrophage- kuppfer cell, dendritic cell, glial cell, alveolar cell.

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6
Q

The mechanism and actions of the inflammatory response are considered?

A

Part of the innate system but also interact with adaptive.

1) Inflammation can start a sequence of events that initiate the adaptive immune response to a particular problem
2) The adaptive immune response, if specifically activated by an insult will produce products that can help the inflammatory process remove the problem

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7
Q

Tissue injury/and or infection result in the immediate release and production of response molecules called?

A

HISTAMINES (from sentinel cells– mast cells)

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8
Q

What do these responses to injury or infection alter the body to ?

A

A problem and initiate the inflammatory response by actin to:
1) increase the local capillary flow bu relaxing pre-capillary sphincters (= heat and redness)

2) Cause the capillary endothelia cells to gap, causing blood fluid and any soluble molecules it contains to flood into the affected tissues( = swelling = edema)

3) Cause the capillary endothelial cells to show “stop signs” (CELL ADHESION MOLECULES, or CAMs) that cause certain inflammatory responses cells to exit the capillaries and move to the site of injury.
- These include recruited phagocytic cells (e.g PMNs or Macrophages) that work to clear foreign materials and dead cells.

Note: These precesses allow healing and repair to proceed.

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9
Q

What is the difference between acute and chronic inflammation?

A

Acute= Plasma proteins, mast cells, and Neutrophils

Chronic= Cell proteins, lymphocytes, macrophages, mononuclear

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10
Q

What is acquired immunity (specific immunity, adaptive immunity) ?

A

Uses specific lymphocytes B and T that are selected during infection because they recognize (bind specifically) a particular microbe, but are useless against most other microbes (do not bind)

Note: They act cooperatively with the innate sys tio fight foreign invading microbes

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11
Q

What kind of bacteria is Streptococcus pneumonia? Who does it affect?

A

GRAM +, causes pneumonia in weakened individuals (old and very young)

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12
Q

What does pneumonia result from?

A
  • From an inflammatory response to a unique molecule in the cell wall of this bacterium.
  • This inflammation can produce PNEUMONIA and MENINGITIS- both sometimes FATAL.
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13
Q

Are antibiotics resistant to S. pneumonia?

-What virulence factor does it have?

A

-Increasing precent of S. pneumonia strains are resistant
-Has an outer capsule
(it is a GOOD example of what antigens are, and how T and B cells work together)

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14
Q

What does the recovery of S. pneumonia provide?

A

A good model of how the adaptive immune system works, and also shows one of many mechanisms whereby antibodies PROTECT the host.

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15
Q

What does the outer capsule of many pathogens like S. pneumonia do?

A

Blocks phagocytosis by PMNs and macrophages

Note: A bacterial capsule is a polysaccharide that is immunogenic (induces an adaptive response)

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16
Q

What is Opsonization?

A

When antibody is made to this antigen it binds to capsule, thus coating bacteria w/ an outer layer of antibodies. The bound antibodies then act as “suitcase handles” that help the phagocytes pickup & engulf these “slippery” pathogens. This process of coating antigens w/ antibodies to enhance phagocytosis is opsonization

17
Q

what are Fc receptors?

A

The cell surface receptors for antibodies ( the hands which grab the suitcase handles ) pre-exist on the surface of all phagocytes (and some other cells)

18
Q

How are cytokines released?

A

During the same immune responses T- cells bind to pieces of S. pneumonia protein antigens on presenter molecules and are activated to release cytokines.

19
Q

How do cytokines get activated ?

A

Many actions via CELL-SURFACE receptors for these cytokines

20
Q

When are cytokines required?

A
  • For a full and effective adaptive immune response.

- Such actions include macrophage stimulation, and B-cell and T-cell division.

21
Q

What are the Defense Molecules for S. Pneumoniae ?

A

1) Immunoglobulin (Antibody)
2) T-cell receptor
3) Histocompatibility Ag (Presenter mol.)
4) Cytokines (lymphokines monokines etc)
5) Fc Receptors
6) Cytokine receptors

22
Q

Strep. pneumoniae is a fairly common pathogen that can cause what?

A

Serious ear, lung, and brain infections.

23
Q

Strep. pneumoniae has a CHO-capsule that is its major ____________?

A

Virulence factor as it protects the bacterium from innate phagocytic activity.

24
Q

What will bind to the bacteria by its CHO capsule?

A
  • B cells with the correct immunoglobulin receptor on their surface will bind.
  • The B cell when internalizes the bacteria and CHOPS it up, and presents some bacterial protein but on a presenter molecule (HLA)
25
Q

A T-cell with the correct TCR will ________?

  • What will it release?
  • what will it divide into?
  • What will B cells secrete?
  • What will the antibody bind to?
A

Recognize as foreign the bacterial protein on the presenter molecule.

  • It will then release cytokines that activate other nearby cells (e.g macrophages) as well as causing itself and the B cell to divide into a large clone of identical ‘daughter’ lymphocitic cells
  • B cells will secrete a copy of their immunoglobulin receptor, which we now call antibody.
  • The antibody will bind to the CHO-capsule of S. pneumonia.
  • Phagocytic cells can now bind (via Fc receptors) the antibody coated (“marked” or opsonized) bacteria and destroy it.
26
Q

Infectious agents can be broken down into 5 major categories:

A

1) Prions
2) viruses
3) archaea
4) bacteria
5) Eucaryotes (fungi, protozona, and helminthes)

27
Q

What are Hypersensitivity Reactions?

A

Adaptive immunity may act inappropriately or over-aggressively and do what cause damage to the body.

-Antimicrobials and Vaccines aid out body’s immunity in defending against pathogenic infections.

28
Q

What are the kind of mutations that can occur with our bodies defense?

A

1) Transformation
2) Transduction
3) Conjugation
4) Point mutation
5) selection ?

29
Q

What are prevention mechanisms that can occur with our bodies defense?

A

1) Vaccines:
- inactivated
- attenuated
- conjugated carrier (i.e N. meningitis, H. Influenzae)
- adjuvants (increase the ability to cause an immune response which causes localized immunization)

30
Q

What do exotoxins posses?

A

“SUPER Ag”

  • Cytolytic
  • A-B toxin
  • Neurotoxins
  • INCREASE cAMP
31
Q

What are the treatments for pathogens/opportunistic disease?

A

1) Chemo-agents
- Acyclovir
- AZT
- Protease inhibition

2) Antibiotics:
- PEN
- ERYTH
- AZOLES

32
Q

What are the Host defense acquired Ag-specific defenses?

A

1) Th- cytokines, eg. INF-gamma , IL-2 (MHC class II)
2) Tc- kills host cells (MHC Class I)
3) IgM- First made PENTAMER
4) Ig G- Tissue/ Blood/Fetus
5) sIgA- Secretions/mucosal surface
6) Ig D- activates B cell
7) Ig E- Mast cells/Basophils/ Eosinophils

33
Q

What are the Hypersensitivity types?

A

Type I- Ig E
Type II- Ig G ( IgM)
Type III Ab-Ag-C’ Complexes
Type IV- Th1, Tc, Macrophages