Immunology Flashcards

1
Q

Cytokine

A

Hormones used for signalling w/in immune system

Affect local vasodilation, capillary permeability, prostaglandins

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2
Q

Types of lymphocytes

A

Helper T
Killer T
Regulator T
B

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3
Q

Types of myeloid cells

A
Monocyte/macrophage
Neutrophils
Eosinophils
Basophils
Mast cells
Natural killers
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4
Q

Common cytokines

A

Interleukin
Interferon
Tissue necrosis factor
Granulocyte colony stimulation factor (GCSF)
Granulocyte macrophage colony stimulating factor (GM-CSF)

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5
Q

Monocyte

A
Innate system
Phagocytize bacteria
Become macrophages once they move from blood to tissue; more in places prone to invasion (lungs vs skin, etc.)
Release lots of cytokines - alert system
Antigen presenting cells
Include microglia, Kupffer cells
Release inflammation mediating cytokines
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6
Q

Neutrophil

A
aka polymorphonuclearcytes
Innate system
Phagocytes
70% of serum WBC
Segmented are old, banded are new
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7
Q

Shift to the left

A

High number of banded vs segmented neutrophils (normal is 1-2%)
Indicates immune system is ramping up in response to something

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8
Q

Natural killer cells

A

Resemble both innate and adaptive
Bacteria, viruses
Make antibodies
Two key mechanism (don’t kill and kill signals)

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9
Q

Pattern-recognition receptors

A

Inherited receptors found in the innate immune system

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10
Q

Complement system

A

Innate system
Proteins that attach to invaders
Either destroy invader opsonizate it
Large complement clumps can cause things to precipitate out - can cause problems in glomerulus

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11
Q

Opsonization

A

“preparing to eat”
Process of marking a pathogen and preparing it for destruction by immune cells
Can involve binding antigens or complement proteins to pathogen

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12
Q

C3 and C5

A

Major complement proteins

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13
Q

Innate system

A

Deals w/ majority of invaders

Fast and non-specific

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14
Q

Adaptive system

A

Slow response to specific problems

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15
Q

CD4 cells

A

Helper T cells

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16
Q

CD8 cells

A

Killer T cells

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17
Q

T Lymphocytes

A

Helper (CD4) - Trigger killer T cells, tell B cells to make antibodies (have two key system)
Killer (CD8) -
Regulatory - poorly understood

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18
Q

B Lymphocytes

A

Produce antibodies

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19
Q

Humoral vs cellular components of immune system

A
Humoral = antibodies/antigens and complement
Cellular = white blood cells
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20
Q

MHC

A

Major Histocompatability Complexes are markers on cells that help them identify themselves. Only found on nucleated cells.
MHC-I - found on all cells, show what’s happening inside cell; lack of MHC-I causes Complement reaction
MHC-II - only on antigen presenting cells; presented to Helper T’s that then activate Killer T’s; shows what’s happening outside cells

21
Q

Plasma cells

A

Active B cells that are making antibodies

22
Q

Memory cells

A

B cells left after an infection; capable of a faster response to later infection

23
Q

Immunoglobin

A

An antibody
Constant region
Variable parts - variable part contains that antigen binding site

24
Q

IgG

A

Most common antibody in serum.

Able to cross placenta

25
Passive immunity
Newborns receive immunity from mother via IgG cells. Last approximately six months.
26
IgM
Antibody produced during primary infection | Activates complement cascade
27
IgA
Most abundant antibody Found in mucus (GI, nose, etc.) Found in milk - infant protection IgA deficiency is most common immune deficiency; s/s = chronic sinus infections
28
IgE
Allergies and anaphylaxis antibody
29
IgD
Poorly understood antibody, involved w/ B cells
30
Graft vs Host disease
In immunocompromised patients, graft/transplant contains active WBC (primarily Killer T) that attack host cells. 90% fatality. Irradiation kills nucleated cells and doesn't damage RBC.
31
B cells
Adaptive, lymphocytes | Produce antibodies
32
Titer
Draw blood and look for specific antibodies
33
Areas on an antibody
Variable region - antigen binding site Constant region - immune cell binding site Heavy chain - defines type of antibody Light chain
34
HLA B27
HLA associated with some autoimmune diseases
35
HLA
Human Leukocyte Antigen | Found by looking at someone's WBC's MHC
36
Antigen producing cells (APC)
Cells that have an MHC-II Tell Helper T cells what antigens are on an invader Includes macrophages
37
Signs of inflammatory response
Rubor, dolor, calor, tumor (red, painful, warmth, swelling) Indicative of infection
38
Basophils and mast cells
Innate Have IgE antigens Lots of granulations Involved in allergies
39
Eosinophils
Innate Lots of granulations Fight parasites Involved in allergies
40
Type I hypersensitivity
IgE mediated (basophil/mast cells) Fast rxn Requires primary and secondary exposure Anaphylaxis
41
Type II hypersensitivity
``` Anitbody mediated (IgM or IgG) Transfusion reactions, rheumatic fever, grave's disease ```
42
Type III hypersensitivity
Caused by circulating immune complexes that activate complement Lupus, polyarteritis
43
Type IV hypersensitivity
T cell mediated Slow TB, poison oak
44
Allograft
Transplant w/in the same species
45
Autograft
Graft w/in an individual
46
Granulocytes
Neutrophils Basophils/Mast cells Eosinophils
47
Agranulocytes
Lymphocytes | Monocytes
48
Primary immunodeficiency
Iatrogenic common cause, may also be congenital or spontaneous Abnormality in development or function of B and/or T cells
49
Secondary immunodeficiency
Immune system is present but isn't working - not an abnormality in development/function of T/B cells HIV, Kwashiorkor