Immunology Flashcards

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1
Q

What are the primary lymphoid tissues and what are their roles?

A

Thymus and red bone marrow

Sites where lymphocytes form and mature

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2
Q

What are the secondary lymphoid tissues and what are their roles?

A

Spleen, tonsils, appendix, adenoids, lymph noes, peyers patches (small intestine)
Monitor EC fluids

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3
Q

What is lymph?

A

A plasma like fluid, but with less suspended proteins

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4
Q

What is the difference between acquired and innate immunity?

A

Innate immunity is a non-specific first line of defence, while acquired immunity is specific

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5
Q

Which innate immunity cells are the first line of defence?

A

Phagocytes (macrophages, eosinophils, neutrophils, monocytes)

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6
Q

Which lymphocyte performs immunological surveillance and what do they do?

A

Natural Killer Cells - screen normal tissue for abnormalities - release perforins into target cell which cause pores and leads to lysis

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7
Q

What are interferons?

A

Chemical messengers which indicate viral infection and bind to neighbouring cells to activate immune cells.

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8
Q

What is the classical pathway of the complement system?

A
C1 enzyme interacts with an antigen-antibody complex
C1-C2-C4-C3 forms
C3 is cleaved
C5-C9 forms membrane attack complex
Membrane pores form, leading to lysis
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9
Q

What is the non-classical pathway of the complement system?

A

When C3 is directly activated by microbe contact

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10
Q

Outline three aspects of the inflammatory response

A

Phagocytes and other WBCs brought to site
Vasodilation
Chemical messengenrs activated (e.g. prostoglandins, histamine, complement)

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11
Q

What is the human leukocyte complex?

A

The name of the gene complex which encodes for the MHC (majot histocompatibility protein) which displays antigens on the surfaces of cells.

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12
Q

What do cytotoxic T cells do?

A

Destroy abnormal/foreign/infected cells

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13
Q

What do helper T cells do?

A

Release cytokines which stimulate the maturation/division of Tc cells, recruit macrophages and promote B cell activity

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14
Q

Suppressor T cells

A

Limit immune response

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15
Q

Memory T cells

A

Provide a rapid effective response to a second immune reaction

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16
Q

What is humoral immunity?

A

Antibody mediated immunity

17
Q

What do B cells do?

A

Carry specific antibodies sensitised by antigens; TH cells bind to B cell antigens at MHC, recognise the antigen and secrete cytokines; B cells divide to plasma cells which secrete antibodies and memory B cells

18
Q

How do antibodies eliminate cells?

A

Neutralise them (attach to binding sites to prevent other compounds from attaching)
Exist in fluids which coat tissues to prevent toxic cell entry into tissues
Attract phagocytic cells
Activate complement cascades
Stimulate basophils and mast cells
Link antigens together to form immune complexes

19
Q

Which region of an antibody induces specificity?

A

The variable (top of Y) region

20
Q

Which region of an antibody determines type?

A

The constant (bottom of Y) heavy chain region

21
Q

What is the name of the sites on antigens to which antibodies may bind?

A

Epitopes

22
Q

Describe IgG

A

Accounts for 80% of all antibodies

Can penetrate the placenta

23
Q

Describe IgE

A

Attaches to basophils and mast cells (histamine)

24
Q

Describe IgD

A

Located on B cell surface for antigen detection

25
Q

Describe IgM

A

First antibody class to be secreted after an antigen encounter

26
Q

Describe IgA

A

Found in secretions to attack pathogens before they can enter tissues

27
Q

Name 3 autoimmune disorders

A

Rheumatoid arthritis (immune complexes form around joints)
Thyroiditis (antibodies against thyroglobulin)
Type 1 diabetes (antibodies attack pancreatic islets)

28
Q

What is SCID?

A

An immunodificiency disease due to a problem with the development of lymphoid tissue

29
Q

What is HIV?

A

Virus destroys CD4 TH cells, macrophages and monocytes

30
Q

When is cyclosporine administered?

A

Immune system supression

31
Q

What is it called when there is an inappropriate or excessive response to antigens?

A

An allergy

32
Q

What is a Type I allergy?

A

Immediate hypersensitivity e.g. pollen, food

33
Q

What is a Type II allergy?

A

Cytotoxic reaction

34
Q

What is a Type III allergy?

A

Immune complex disorder

35
Q

What is a Type IV allergy?

A

Delayed hypersensitivity e.g. graft rejection, TB skin test