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

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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

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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

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4
Q

Severe combined immunodeficiency is caused by

A

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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15
Q

Seconday immunodeficiencies can be caused by

A

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

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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

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17
Q

Canine distemper effects what parts of the body

A

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

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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
Q

Disease effects of FeLV

A

Immunosuppression
Suppression of bone marrow stem cells
Lymphosarcoma
Leukemia

26
Q

How does FeLV cause immunosupression

A

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
Q

Suppression of bone marrow stem cells of FeLV does what

A

Nonregenerative anemia

28
Q

Lymphosarcoma in FeLV is

A

Generalized LN enlargement
Organ involvement: small intestine, kidneys, CNS, mediastinal

29
Q

FeLV types o vaccination

A

Canarypox vector
Inactivated (killed) FeLV virus
Vaccination does not help cat if already affected

30
Q

Canarypox vaccination of FeLV is

A

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
Q

Inactivated (killed) FeLV virus types

A

Nobivac Feline 2-FeLV (Merck) – 2-year vaccine
Leukocell 2 (Zoetis)

32
Q

Feline Immunodeficiency Virus (FIV) is caused by and spread by

A

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
Q

FIV is most common in

A

Most common in old male cats that live outdoor

34
Q

Pathogenesis of FIV

A

Localized lymph node infection
Virema

35
Q

Viremia of FIV

A

Fever
Lymphopenia and neutropenia
(Diarrhea, respiratory signs)
Usually recover but persistently infected

36
Q

Reactivation in some cats of FIV

A

Gradual depletion of lymphoid tissue and macrophages
Gradually increasing risk of infections

37
Q

Prevention of FIV

A

Vaccination
Test

38
Q

Vaccination of FIV effectiveness

A

Not completely effective
Interferes with testing
Discontinued in North America

39
Q

Why to test for FIV

A

e.g. feral cat health program
Isolate
Euthanasia

40
Q

How did Severe Combined Immunodeficiency Disease (SCID) get its name?

A

Both T and B lymphocytes are affected

41
Q

What is the life expectancy of a gray collie pup, why, how is this prevented?

A

Short, die as puppies
Cyclic problem with production of neutrophils and other WBC
prone to infections.
Genetic test – don’t breed carriers

42
Q

How can you protect against FIV?

A

Don’t let your cat roam
Test new cats that are brought into the home

43
Q

genetic immunodeficiencies can affect

A

Any part of the immune system

44
Q

Acquired immunodeficiencies are

A

Viruses are most important
Often temporary
Some are lifelong/progressive