Immunology Flashcards

1
Q

What are leukocytes and erythrocytes and where do they originate from? How long
do they live for?

A

In your blood, there are three types of cells. They’re commonly known as red blood cells, white blood cells and platelets - and formally named erythrocytes, leukocytes and thrombocytes. These cells move throughout your body in your blood to carry oxygen, fight infections and stop bleeding if a blood vessel is damaged

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2
Q

Describe the characteristic features and functions of:

a) Neutrophils
b) Eosinophils
d) Mast cells

A

Neutrophil (also known as neutrocytes) are the most abundant type of granulocytes and the most abundant (40% to 75%) type of white blood cells in most mammals. They form an essential part of the innate immune system.

a white blood cell containing granules that are readily stained by eosin. Basophils are Basophilic and easily staines

A mast cell (also known as a mastocyte or a labrocyte) is a type of white blood cell. Specifically, it is a type of granulocyte derived from the myeloid stem cell that is a part of the immune and neuroimmune systems and contains many granules rich in histamine and heparin.

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3
Q

Describe the characteristic features and functions of:

) Monocytes

f) Macrophages
g) B lymphocytes
h) T lymphocytes
i) Natural Killer cells

A

a large phagocytic white blood cell with a simple oval nucleus and clear, greyish cytoplasm.

a large phagocytic cell found in stationary form in the tissues or as a mobile white blood cell, especially at sites of infection.

a lymphocyte not processed by the thymus gland, and responsible for producing antibodies

a lymphocyte of a type produced or processed by the thymus gland and actively participating in the immune response.

a lymphocyte able to bind to certain tumour cells and virus-infected cells without the stimulation of antigens, and kill them by the insertion of granules containing perforin.

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4
Q

What is an ESR and CRP in terms of laboratory tests? What do they
measure?

A

The erythrocyte sedimentation rate (ESR or sed rate) and C-reactive protein (CRP)
They measure inflammation

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5
Q

Describe the process of phagocytosis. Which leukocytes can be described as
phagocytes?

A

the ingestion of bacteria or other material by phagocytes and amoeboid protozoans

two types of white blood cells, neutrophilic leukocytes (microphages) and monocytes (macrophages)

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6
Q

What are the functions of:

i. Lysozyme
ii. Interferons
iii. Complement
iv. Antibodies

A

an enzyme which catalyses the destruction of the cell walls of certain bacteria, and occurs notably in tears and egg white

Interferons (IFNs) are a group of signaling proteins made and released by host cells in response to the presence of several pathogens, such as viruses, bacteria, parasites, and also tumor cells and boost the immune system

The complement system is a part of the immune system that enhances (complements) the ability of antibodies and phagocytic cells to clear microbes and damaged cells from an organism, promotes inflammation, and attacks the pathogen’s plasma membrane.

An antibody (Ab), also known as an immunoglobulin (Ig), is a large, Y-shaped protein produced mainly by plasma cells that is used by the immune system to neutralize pathogens such as bacteria and viruses.

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7
Q

What is the complement cascade and what triggers it?

A

The complement system is a part of the immune system that enhances (complements) the ability of antibodies and phagocytic cells to clear microbes and damaged cells from an organism, promotes inflammation, and attacks the pathogen’s plasma membrane. can be activated directly by pathogens or indirectly by pathogen-bound antibody

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8
Q

. Describe the process of phagocytosis.

A

The membrane of a phagocyte surrounds a cell to be engulfed and then pinches off to create a phagosome inside of itself that contains the engulfed material. The cell then breaks it down using enzymes.

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9
Q

What mechanisms do the following cells have for killing bacteria:

a. macrophages
b. neutrophils
c. natural killer cells

A

Macrophage/Neutrophil - Phagocytosis

Typically, immune cells detect major histocompatibility complex (MHC) presented on infected cell surfaces, triggering cytokine release, causing lysis or apoptosis.

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10
Q

Explain the following:
Opsonisation
Chemotaxis
Pavementing

A

. The process of opsonization is a means of identifying the invading particle to the phagocyte.

movement of a motile cell or organism, or part of one, in a direction corresponding to a gradient of increasing or decreasing concentration of a particular substance.

the margination of leucocytes on the endothelium near a site of damage.

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11
Q

Describe the mechanism of inflammation. Why does it result in the characteristic
symptoms?

A

The inflammatory response (inflammation) occurs when tissues are injured by bacteria, trauma, toxins, heat, or any other cause. The damaged cells release chemicals including histamine, bradykinin, and prostaglandins. These chemicals cause blood vessels to leak fluid into the tissues, causing swelling

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12
Q

What factors cause vasodilatation and increase the permeability of blood vessels?
From where do they originate?

A

One of the best-known chemical mediators released from cells during inflammation is histamine, which triggers vasodilation and increases vascular permeability.
Stored in granules of circulating basophils and mast cells, histamine is released immediately when these cells are injured.

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13
Q

What is a granuloma? How does it differ to granulation tissue?

A

Granulation tissue contains new small blood vessels, fibroblasts, and mononuclear cells in an edematous extracellular matrix; formation of granulation tissue is part of the repair response.

A granuloma is a form of chronic inflammation it is a collection of immune cells known as histiocytes (macrophages)

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14
Q
Explain the following terms:
Serous inflammation
Haemorrhagic inflammation
 Suppurative inflammation
Fistula 
Empyema
Cellulitis
A

Serous inflammation: Is a type of acute inflammation which is characterised by the copious effusion of non-viscous serous fluid, commonly produced by mesothelial cells of serous membranes, but may be derived from blood plasma

form of exudative inflammation in which the enzymes produced by white blood cells cause liquefaction of the affected tissues, resulting in the formation of pus

inflammation of kidney and renal pelvis.

an abnormal or surgically made passage between a hollow or tubular organ and the body surface, or between two hollow or tubular organs.

the collection of pus in a cavity in the body, especially in the pleural cavity.
.
inflammation of subcutaneous connective tissue.

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15
Q

Describe the process of healing in the following:

a) Damaged skin b) Fractured bone

A

While platelets play a crucial role in clot formation during hemostasis, inflammatory cells débride injured tissue during the inflammatory phase. Epithelialization, fibroplasia, and angiogenesis occur during the proliferative phase

1) the formation of hematoma at the break, 2) the formation of a fibrocartilaginous callus, 3) the formation of a bony callus, and 4) remodeling and addition of compact bone.

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16
Q

What is the difference between healing by First Intention and healing by Second
Intention?

A

First intention - surgery

Second - delayed

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17
Q

Explain the pathophysiology of fever. How may it be treated?

A

Fever results when something raises the hypothalamic set point, triggering vasoconstriction and shunting of blood from the periphery to decrease heat loss;

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18
Q

What is meant by the terms ‘antigen’ and ‘antibody’?

A

An antigen is any substance which can provoke an immune response in the body. This immune response results in the production of antibodies, which are immunoglobulin proteins, and which are usually made by immune cells known as plasma cells.

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19
Q

Describe the structure of an antibody. How is specificity achieved?

A

Each antibody consists of four polypeptides– two heavy chains and two light chains joined to form a “Y” shaped molecule.

20
Q

What are the five types of antibody? Where are they found and what are their
respective functions?

A

Antibodies are divided into five major classes, IgM, IgG, IgA, IgD, and IgE,

AEDMG
Immunoglobulin A (IgA), mucous membranes, particularly those lining the respiratory passages and gastrointestinal tract, as well as in saliva and tears.

mmunoglobulin G (IgG), the most abundant type of antibody, is found in all body fluids and protects against bacterial and viral infections.

Immunoglobulin M (IgM), which is found mainly in the blood and lymph fluid, is the first antibody to be made by the body to fight a new infection.

Immunoglobulin E (IgE), which is associated mainly with allergic reactions (when the immune system overreacts to environmental antigens such as pollen or pet dander). It is found in the lungs, skin, and mucous membranes.

21
Q

How are antibodies formed in response to a specific antigen? How is this process
triggered and controlled?

A

When an antigen enters the body, it stimulates the immune system to produce antibodies

The antibodies attach, or bind, themselves to the antigen and inactivate it.

22
Q

What is the difference in the primary response and secondary response to antigen
challenge?

A

. Following the first exposure to a foreign antigen, a lag phase occurs in which no antibody is produced, but activated B cells are differentiating into plasma cells. … The first antibody produced is manily IgM (although small amounts of IgG are usually also produced).

in a secondary response to the same antigen, memory cells are rapidly activated. This process is quicker and more effective than the primary response.

23
Q

. What is MHC? Where are MHC Class I and II found, respectively and what is the
significance of this distribution?

A

MHC class I molecules are one of two primary classes of major histocompatibility complex (MHC) molecules (the other being MHC class II) and are found on the cell surface of all nucleated cells in the bodies of vertebrates.

class II molecules are a class of major histocompatibility complex (MHC) molecules normally found only on antigen-presenting cells such as dendritic cells, mononuclear phagocytes, some endothelial cells, thymic epithelial cells, and B cells.

24
Q

How are T lymphocytes activated by antigen-presenting cells? What are the functions
of cytokines?

A

cells must be activated by interacting with a professional Anaphase promoting Complex presenting an antigen which their T cell receptor recognizes before they can divide and perform their function. The APC involved in activating T cells is usually a dendritic cell.

Cytokines are a category of signaling molecules that mediate and regulate immunity, inflammation and hematopoiesis.

25
Q

What are the principal types of T lymphocytes and what are their functions?

A

naive, effector (helper and cytotoxic), memory and regulatory T cells

26
Q

What is the relationship between B lymphocytes, plasma cells and immunoglobulin?

A

Plasma cell from B lymphocyte then Immunoglobin from plasma cells

Once released into the blood and lymph, these antibody molecules bind to the target antigen (foreign substance) and initiate its neutralization or destruction.

27
Q

Explain the following terms:

i. Clonal selection;
ii. Antigen-binding site;
iii. Antigen-antibody complex.

A

Clonal selection theory is a scientific theory in immunology that explains the functions of cells (lymphocytes) of the immune system in response to specific antigens invading the body

The fragment antigen-binding (Fab) fragment is a region on an antibody that binds to antigens.

antigen-antibody complex, is a molecule formed from the integral binding of an antibody to a soluble antigen.

28
Q

1 What are the respective roles of the following:

i) Cytotoxic T cells;
ii) Helper T cells;
iii) Suppressor T cells;
iv) Memory T cells.

A

is a T lymphocyte (a type of white blood cell) that kills cancer cells, cells that are infected (particularly with viruses), or cells that are damaged in other ways.

required for almost all adaptive immune responses. They not only help activate B cells to secrete antibodies and macrophages to destroy ingested microbes, but they also help activate cytotoxic T cells to kill infected target cells.

a lymphocyte which can suppress antibody production by other lymphoid cells.

Memory T cells are a subset of infection- as well as potentially cancer-fighting T cells (also known as a T lymphocyte) that have previously encountered and responded to their cognate antigen

29
Q

Describe the process of antigen presentation, to lymphocytes

A

a cell that displays antigen complexed with major histocompatibility complexes (MHCs) on their surfaces; this process is known as antigen presentation. T cells may recognize these complexes using their T cell receptors (TCRs).

30
Q

What is the function of lymph? How is it formed? How is movement of lymph through
the lymphatic system effected?

A

to transport lymph, a fluid containing infection-fighting white blood cells, throughout the body

31
Q

How do lymphatic capillaries and blood capillaries differ in structure?

A

Lymphatic capillaries are slightly larger in diameter than blood capillaries, and have closed ends (unlike the loop structure of blood capillaries). Their unique structure permits interstitial fluid to flow into them but not out. The ends of the endothelial cells that make up the wall of a lymphatic capillary overlap.

32
Q

Explain the following terms:

Atopy,
Anaphylaxis

A

Atopy refers to the genetic tendency to develop allergic diseases such as allergic rhinitis, asthma and atopic dermatitis (eczema). Atopy is typically associated with heightened immune responses to common allergens, especially inhaled allergens and food allergens.

Anaphylaxis (an-a-fi-LAK-sis) is a serious, life-threatening allergic reaction.

33
Q

Discuss the pathogenesis of Type I local reactions and the role of IgE.

A

Type I hypersensitivity (or immediate hypersensitivity) is an allergic reaction provoked by reexposure to a specific type of antigen referred to as an allergen

the antibody is IgE instead of IgA, IgG, or IgM

34
Q

What are features of the 4 types of Hypersensitivity, i.e. how do they differ?

A
  1. ) Immediate (type I) hypersensitivity
  2. ) Antibody-mediated (type II) hypersensitivity
  3. ) Immune complex-mediated (type III) hypersensitivity
  4. ) Cell-mediated (type IV) hypersensitivity
35
Q

How does tolerance arise?

A

Reduced cellular response

36
Q
Explain the terms:
 autoantigen
 autoantibody, 
molecular mimicry, 
immunologically privileged site
A

an antigen that is a normal bodily constituent and against which the immune system produces autoantibodies.

an antibody produced by an organism in response to a constituent of its own tissues.

Molecular mimicry is structural, functional or immunological similarities shared between macromolecules found on infectious pathogens and in host tissues

They are able to tolerate the introduction of antigens without eliciting an inflammatory immune response. Tissue grafts are normally recognised as foreign antigen by the body and attacked by the immune system.

37
Q

Outline the possible causes of autoimmunity.

A

Genetics/ Environment

38
Q
Outline the autoimmune basis of the following: Hashimoto’s thyroiditis,
 Graves’ disease, 
Type I diabetes, 
Addison’s disease, 
Multiple Sclerosis
A

autoimmune disease in which the thyroid gland is gradually destroyed. … Over time the thyroid may enlarge forming a painless goitre

a swelling of the neck and protrusion of the eyes resulting from an overactive thyroid gland.

insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin

Addison’s disease, also known as primary adrenal insufficiency and hypocortisolism, is a long-term endocrine disorder in which the adrenal glands do not produce enough steroid hormones. Symptoms generally come on slowly and may include abdominal pain, weakness, and weight loss.

a chronic, typically progressive disease involving damage to the sheaths of nerve cells in the brain and spinal cord, whose symptoms may include numbness, impairment of speech and of muscular coordination, blurred vision, and severe fatigue.

39
Q

Outline the autoimmune basis of the following: pernicious anaemia,
myaesthenia gravis,
Sjogren’s syndrome

A

Vitamin B12 deficiency anemia, of which pernicious anemia is a type, is a disease in which not enough red blood cells are present due to a lack of vitamin B12. … Lack of intrinsic factor is most commonly due to an autoimmune attack on the cells that make it in the stomach.

a rare chronic autoimmune disease marked by muscular weakness without atrophy, and caused by a defect in the action of acetylcholine at neuromuscular junctions.

a chronic autoimmune condition characterized by degeneration of the salivary and lachrymal glands, causing dryness of the mouth and eyes.

40
Q

Outline the autoimmune basis of the following:
systemic lupus
erythematosus

A

Also known simply as lupus, is an autoimmune disease in which the body’s immune system mistakenly attacks healthy tissue in many parts of the body. … The mechanism involves an immune response by autoantibodies against a person’s own tissues.

41
Q

What is the difference between primary immunodeficiency and secondary
immunodeficiency? Give examples of each.

A

Primary immunodeficiencies are hereditary; secondary immunodeficiencies are acquired

42
Q

What are the clinical features that might indicate immunodeficiency?

A

One of the most common signs of primary immunodeficiency is an increased susceptibility to infections

43
Q

Describe the HIV virus and explain why it causes the clinical effects that it does

A

HIV (human immunodeficiency virus) is a virus that attacks the immune system, the body’s natural defense system

44
Q

. Why is the virus so difficult to eliminate ?

A

What makes HIV so sneaky is that it infects the very cells that are supposed to rub out viral infections. HIV replicates in CD4 cells when they are activated – that is, when they are triggered by an infection

45
Q

What is the relationship between the HIV virus and AIDS ?

A

HIV is a virus that may cause an infection, but AIDS is a condition or a syndrome. Being infected with HIV can lead to the development of AIDS, which stands for acquired immunodeficiency syndrome. AIDS develops when HIV has caused serious damage to the immune system.

46
Q

What are the clinical features of AIDS ?

A
Fever.
Fatigue.
Swollen lymph nodes — often one of the first signs of HIV infection.
Diarrhea.
Weight loss.
Oral yeast infection (thrush)
Shingles (herpes zoster)