Immunodeficiency disease Flashcards

1
Q

Immunodeficiency is defined as

A

Absent or impaired immune function resulting in increased susceptibility to infection or neoplasia
May be a problem with the innate or adaptive immune system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is immunodeficiency caused by

A

Usually because of problems with the numbers or function of neutrophils or lymphocytes
Genetic
Acquired
Nutritional
Toxic
Infection
Affected animals are more susceptible to infections and parasitic disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Severe Combined Immunodeficiency (SCID) is and affects

A

A congenital immunodeficiency of the adaptive immune system
A genetic disease of Arabian horses
Affects about 2-3% of arabian foals
Autosomal recessive
The most important congenital immunodeficiency syndrome in horses
But NOT the most important immunodeficiency in foals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Severe combined immunodeficiency is caused by

A

No lymphocytes or Ig
Foals cannot produce functional B or T lymphocytes: hence ‘combined’

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What would you see in diagnostics for SCID

A

Persistently low numbers of lymphocytes
<1.0 x 109/L (1.2-4.9 x 109/L)
Absence of circulating IgM after 25 days of life
Failure to mount an immune response
Death by 5-6 months of age
-often due to pneumonia caused by unusual pathogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why does SCID show later in life

A

Takes time for colostral antibody to clear
First clinical signs often appear between 2-8 weeks of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Signs of SCID in necropsy

A

Lymph nodes – lack lymphoid follicles and germinal centers, few cells present
Spleen – absence of germinal centers and lymphoid sheaths around arterioles
Thymus – small

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Thymic Aplasia in Nude Animals is caused by what and affects what

A

A congenital immunodeficiency
Mice, calves, cats and others
Born hairless AND no (or limited number of ) T cells
Thymus – aplasia or non-functional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the thymic aplasia effects on the immune system

A

B Cells and Ig present
Less Ig produced
Why?
No stimulation to respond to
T cells help to stimulate Ig production
Die of viral disease
Autosomal recessive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Canine Cyclical Neutropenia is and effects who

A

Congenital immunodeficiency of the innate immune system
“Gray Collie Syndrome”
Autosomal recessive genetic condition that affects stem cells of smooth and rough collies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Canine Cyclical Neutropenia is physically presented as and how to test

A

Recognize by light coat and persistently gray or brown nose
Collies should always have black noses
Genetic test available

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Canine Cyclical Neutropenia cycles what

A

Cyclic problem with production of
Neutrophils
Platelets
Other WBC
Drastic drop of neutrophils every 11-12 days then come back up

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Canine Cyclical Neutropenia can cause what in dogs

A

Prone to infection
Usually die as puppies, rarely live beyond 2-3 years of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Immunodeficiencies can include

A

Common variable Ig deficiency
-Variable decrease in Ig, more susceptible to infections
Functional deficiencies
-Cell appearance and numbers normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Seconday immunodeficiencies can be caused by

A

Toxins
- Enviro
-complex organic molecules
Nutrition
- Starvation depresses immune function
-Obesity promotes inflmmation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Viral infections of immunodeficiencies may cause

A

Have no adverse effect on immune system
Transiently suppress the immune system
Short term lymphopenia is common in many viral infections
Specifically target immune organs with severe or long-lasting consequences
Targeting the immune system favours survival of the virus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Canine distemper effects what parts of the body

A

Virus has a predilection for:
Epithelial tissue
Nervous Tissue
Lymphocytes
Secondary lymphoid organs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Canine distemper affects what of the immune system

A

Destruction of lymphocytes
Profound immunosuppression
Secondary infections- major contributing factor to clinical signs

19
Q

FeLV is what type of virus

A

A type of retrovirus infection

20
Q

How many cats are affected with FeLV

A

About 70% of cats exposed to FeLV become infected
About 40% of the infected become viremic
About 90% of the viremic cats become persistently infected
If 100 cats exposed, 70 will become infected, 28 will become viremic, and 25 will become persistently infected

21
Q

How does FeLV work

A

Virus become inserted in cats DNA
Causes tumors and immunosuppression

22
Q

How is FeLV spread

A

Infected cats shed virus in saliva, nasal and all other secretions
In-utero infection of fetus

23
Q

Who is most at risk for FeLV

A

Free ranging cats most at risk of becoming infected
Especially young animals
About 30% of cats are resistant to infection
Initially invades lymphoid tissue of URT
Become viremic
Infects other lymphoid organs and granulocyte precursors

24
Q

Following infection of FeLV, the immune response may:

A

Completely clear the infection
Suppress infection but virus remains latent in bone marrow
Activated by steroids/stress
Viremia
Allow active infection with viremia
But produce antibodies that prevent tumor development
Still susceptible to FeLV immunosuppressive disease
Or susceptible to both tumors and other diseases

25
Disease effects of FeLV
Immunosuppression Suppression of bone marrow stem cells Lymphosarcoma Leukemia
26
How does FeLV cause immunosupression
Following infection virus mutates into variants that kill T Cells Lymphopenia Depressed cell mediated immunity More susceptible to infections B cells and antibody production intact Immune complex disease Highly immunosuppressive variant may develop Fatal T cell immunodeficiency
27
Suppression of bone marrow stem cells of FeLV does what
Nonregenerative anemia
28
Lymphosarcoma in FeLV is
Generalized LN enlargement Organ involvement: small intestine, kidneys, CNS, mediastinal
29
FeLV types o vaccination
Canarypox vector Inactivated (killed) FeLV virus Vaccination does not help cat if already affected
30
Canarypox vaccination of FeLV is
Contains FeLV DNA coding for parts of the virus Called PureVax FeLV (Boehringer Ingelheim) No adjuvant so decreased risk of injection site reactions and sarcomas Not as effective as some killed vaccines
31
Inactivated (killed) FeLV virus types
Nobivac Feline 2-FeLV (Merck) – 2-year vaccine Leukocell 2 (Zoetis)
32
Feline Immunodeficiency Virus (FIV) is caused by and spread by
An infection An RNA lentivirus (also a retrovirus) Related to HIV Spread by deep bites- territorial, free roaming toms Also, through mating and in-utero infection
33
FIV is most common in
Most common in old male cats that live outdoor
34
Pathogenesis of FIV
Localized lymph node infection Virema
35
Viremia of FIV
Fever Lymphopenia and neutropenia (Diarrhea, respiratory signs) Usually recover but persistently infected
36
Reactivation in some cats of FIV
Gradual depletion of lymphoid tissue and macrophages Gradually increasing risk of infections
37
Prevention of FIV
Vaccination Test
38
Vaccination of FIV effectiveness
Not completely effective Interferes with testing Discontinued in North America
39
Why to test for FIV
e.g. feral cat health program Isolate Euthanasia
40
How did Severe Combined Immunodeficiency Disease (SCID) get its name?
Both T and B lymphocytes are affected
41
What is the life expectancy of a gray collie pup, why, how is this prevented?
Short, die as puppies Cyclic problem with production of neutrophils and other WBC prone to infections. Genetic test – don't breed carriers
42
How can you protect against FIV?
Don't let your cat roam Test new cats that are brought into the home
43
genetic immunodeficiencies can affect
Any part of the immune system
44
Acquired immunodeficiencies are
Viruses are most important Often temporary Some are lifelong/progressive