Immunology Flashcards

1
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

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2
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

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3
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

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4
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

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5
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

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6
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

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7
Q

Thymus cortex

A

Darker staining

More T cells

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8
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
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9
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

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10
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

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11
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

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12
Q

Spleen

A

Blood filtration system

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13
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

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14
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

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15
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

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16
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
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17
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

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18
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

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19
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
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20
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

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21
Q

How does lymph move

A

Result of muscle contraction and one way valves

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22
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

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23
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

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24
Q

Integrins

A

Tight adhesions - superglue

Cell migration

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25
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

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26
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

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27
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

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28
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

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29
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

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30
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

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31
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

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32
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

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33
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

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34
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

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35
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
3D folded structure. 

Cells and antibodies can recognize

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36
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors
T cells only recognize this one when in certain length and presented by mhc.

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37
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

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38
Q

Polyclonal antiserum and B cells

A

Different epitome specificity.

B cells produce antibodies to different epitome but specific to 1 bacteria

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39
Q

Monoclonal antibodies and B cell

A

Important in pharmaceutical therapies

B. Cell and daughter cells produces antibodies that recognize same 1 epitome

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40
Q

Immunogens

A

Produce good immune response
Can bind AND induce an immune response.
Subsequent exposures result in increased responsiveness.
Proteins tend to be more immunogenicity than lipids carbohydrates and nucleic acids.

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41
Q

Why are proteins more immunogenicity

A

More specific to pathogen. Can tell difference.

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42
Q

Haptens

A

Don’t illicit immune response.
Need a carrier molecule
Small molecules that can bind to antibodies and receptors but cannot induce an immune response by themselves.
Can be immunogenicity when linked to carrier.

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43
Q

Tolerogens

A

Illicit little bit of immune response
Small but exposed over and over again for tolerance
Can bind and induce immune response.
Subsequent exposures or a different route of exposure results in decreased responsiveness

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44
Q

Explain how the new treatment for reversing a peanut allergy works, as well as drawbacks of this treatment

A

Using tolerogens.
Exposed to small doses of the peanut antigen over and over again can build a tolerance / decreased responsiveness.
Drawbacks are that if too much time elapses between doses or completely stop use can result in a worse reaction

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45
Q

Mitogens

A

Super immunogen
Strong nonspecific response.
T and B cell response
Polyclonal activators

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46
Q

Polyclonal activators

A

Mitogens
Induce nonspecific division and differentiation.
Response is not directed at specific antigen

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47
Q

T cell polyclonal activators

A

Produce nonspecific cytokines and nonspecific killing

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48
Q

B cell polyclonal activators

A

Nonspecific antibody production

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49
Q

Superantigens

A

Mitogens
Hold TCR:MHC together no matter what antigen is being presented and leads to unregulated cytokine production.
Cytokine storm
Produced by some pathogen.

Super activated >lots of clones > lots of cytokines> septic shock> immune cells to tissues> bp drops and edema

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50
Q

Adjuvants

A

Added to vaccines for boosted immune response

Patent protected so dont know exactly what it is

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51
Q

Factors that influence immunogenicity of proteins

A
Size
Dose
Route
Composition
Form 
Similarity to self protein
Adjuvants
Interaction with host MHC
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52
Q

Why does subcutaneous route increase immunogenicity. Why is intragastic the least?

A

Dendritic cells prevent it from gettin in. Dermatological response is the biggest part of the immune system
Gastric immune is the least amount. Don’t want to attack our healthy gut microbes, because inflammation is a huge problem there.

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53
Q

Why are large proteins more immunogenic

A

More surface area and epitopes

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54
Q

Why are less differences in similarity to self protein have decreased immunogenicity

A

Some bacteria make similar self antigens. The body’s respond to those antigens but then because they are so similar to self, they end up also attacking itself. >autoimmune

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55
Q

Antigen receptors adaptive and innate immune system

A

Innate immune system uses pattern recognition receptors (PRR)
B and T cells of the adaptive immune system have antigen specific receptors

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56
Q

Explain the pattern recognition receptors

A

Common component is recognized. Such as CPG repeats in pathogens since we do not have that.

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57
Q

Explain adaptive immune system antigen receptors

A

1 adaptive cell recognizes 1 epitope.

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58
Q

Innate antigen receptors

A

uses PRR to facilitate pathogen removal
Recognize PAMPs, pathogen associated molecular patterns
MAMPs microbe associated molecular patterns
DAMPs danger associated molecular patterns

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59
Q

PRR TLR

A

Toll like receptors
Membrane bound cell surface or in endosomes
Found predominantly on cells of immune system.
Have bunch of different ones specific to something/ component of pathogen
Flagella, parasite etc

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60
Q

Antigen receptors of adaptive immunity B cell receptors

A

B cell receptors recognize unprocessed antigen.
Recognize conformational and/or linear epitopes.
Can just bump into pathogen

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61
Q

Antigen receptors adaptive immunity T cell receptors

A

Recognize processed peptides presented by MHC molecules.
Peptides have to be linear and of a certain short length.
It is held for quite some time to recognize and then create antibodies for response. > why takes 8-10 days to have adaptive response and symptoms statutory to subside

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62
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

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63
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

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64
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

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65
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

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66
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

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67
Q

Thymus cortex

A

Darker staining

More T cells

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68
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
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69
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

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70
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

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71
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

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72
Q

Spleen

A

Blood filtration system

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73
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

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74
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

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75
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

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76
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
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77
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

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78
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

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79
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
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80
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

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81
Q

How does lymph move

A

Result of muscle contraction and one way valves

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82
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

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83
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

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84
Q

Integrins

A

Tight adhesions - superglue

Cell migration

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85
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

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86
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

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87
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

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88
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

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89
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

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90
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

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91
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

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92
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

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93
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

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94
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

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95
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
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96
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

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97
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

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98
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

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99
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

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100
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

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101
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

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102
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

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103
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

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104
Q

Thymus cortex

A

Darker staining

More T cells

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105
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
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106
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

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107
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
108
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
109
Q

Spleen

A

Blood filtration system

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110
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

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111
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

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112
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
113
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
How well did you know this?
1
Not at all
2
3
4
5
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114
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

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115
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

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3
4
5
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116
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
How well did you know this?
1
Not at all
2
3
4
5
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117
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

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2
3
4
5
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118
Q

How does lymph move

A

Result of muscle contraction and one way valves

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2
3
4
5
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119
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

How well did you know this?
1
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2
3
4
5
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120
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

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121
Q

Integrins

A

Tight adhesions - superglue

Cell migration

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5
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122
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

How well did you know this?
1
Not at all
2
3
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5
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123
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

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124
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
125
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
126
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
127
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
128
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
129
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
130
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

How well did you know this?
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Not at all
2
3
4
5
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131
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

How well did you know this?
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2
3
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5
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132
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
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2
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133
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

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1
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2
3
4
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134
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

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3
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135
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
136
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

How well did you know this?
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2
3
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5
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137
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

How well did you know this?
1
Not at all
2
3
4
5
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138
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

How well did you know this?
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2
3
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5
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139
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

How well did you know this?
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2
3
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5
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140
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

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141
Q

Thymus cortex

A

Darker staining

More T cells

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142
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
How well did you know this?
1
Not at all
2
3
4
5
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143
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
144
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
145
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
146
Q

Spleen

A

Blood filtration system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
147
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
148
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
149
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
150
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
151
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
152
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
153
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
154
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
155
Q

How does lymph move

A

Result of muscle contraction and one way valves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
156
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
157
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

How well did you know this?
1
Not at all
2
3
4
5
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158
Q

Integrins

A

Tight adhesions - superglue

Cell migration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
159
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
160
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
161
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
162
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
163
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
164
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
165
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
166
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
167
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
168
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
169
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
170
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
171
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
172
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
173
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
174
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
175
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
176
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
177
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
178
Q

Thymus cortex

A

Darker staining

More T cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
179
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
180
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
181
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
182
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
183
Q

Spleen

A

Blood filtration system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
184
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
185
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
186
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
187
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
188
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
189
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
190
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
191
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
192
Q

How does lymph move

A

Result of muscle contraction and one way valves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
193
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
194
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
195
Q

Integrins

A

Tight adhesions - superglue

Cell migration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
196
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
197
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
198
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
199
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
200
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
201
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
202
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
203
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
204
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
205
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
206
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
207
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
208
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
209
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
210
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
211
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
212
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
213
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

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3
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214
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

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215
Q

Thymus cortex

A

Darker staining

More T cells

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216
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
How well did you know this?
1
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2
3
4
5
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217
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

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218
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
219
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

How well did you know this?
1
Not at all
2
3
4
5
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220
Q

Spleen

A

Blood filtration system

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221
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

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222
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

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223
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

How well did you know this?
1
Not at all
2
3
4
5
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224
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
How well did you know this?
1
Not at all
2
3
4
5
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225
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

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226
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

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3
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5
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227
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
How well did you know this?
1
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2
3
4
5
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228
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

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2
3
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5
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229
Q

How does lymph move

A

Result of muscle contraction and one way valves

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3
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5
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230
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

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1
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2
3
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5
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231
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

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232
Q

Integrins

A

Tight adhesions - superglue

Cell migration

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233
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

How well did you know this?
1
Not at all
2
3
4
5
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234
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

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2
3
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5
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235
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
236
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
237
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
238
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
239
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
240
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
241
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

How well did you know this?
1
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2
3
4
5
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242
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

How well did you know this?
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2
3
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5
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243
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
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2
3
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5
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244
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

How well did you know this?
1
Not at all
2
3
4
5
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245
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

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3
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246
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

How well did you know this?
1
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2
3
4
5
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247
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

How well did you know this?
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2
3
4
5
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248
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

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2
3
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5
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249
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

How well did you know this?
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Not at all
2
3
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5
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250
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
251
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
252
Q

Thymus cortex

A

Darker staining

More T cells

How well did you know this?
1
Not at all
2
3
4
5
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253
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
254
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
255
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
256
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
257
Q

Spleen

A

Blood filtration system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
258
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
259
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
260
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
261
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
262
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
263
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
264
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
265
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
266
Q

How does lymph move

A

Result of muscle contraction and one way valves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
267
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
268
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

How well did you know this?
1
Not at all
2
3
4
5
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269
Q

Integrins

A

Tight adhesions - superglue

Cell migration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
270
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
271
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
272
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
273
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
274
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
275
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
276
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
277
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
278
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
279
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
280
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
281
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
282
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
283
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
284
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
285
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
286
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
287
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
288
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
289
Q

Thymus cortex

A

Darker staining

More T cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
290
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
291
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
292
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
293
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
294
Q

Spleen

A

Blood filtration system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
295
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
296
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
297
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
298
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
299
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
300
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
301
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
302
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
303
Q

How does lymph move

A

Result of muscle contraction and one way valves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
304
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
305
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
306
Q

Integrins

A

Tight adhesions - superglue

Cell migration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
307
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
308
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
309
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
310
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
311
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
312
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
313
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
314
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
315
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
316
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
317
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
318
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
319
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
320
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

How well did you know this?
1
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2
3
4
5
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321
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

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322
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

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323
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

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3
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324
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

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3
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325
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

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326
Q

Thymus cortex

A

Darker staining

More T cells

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327
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
How well did you know this?
1
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2
3
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5
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328
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

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2
3
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5
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329
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
330
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

How well did you know this?
1
Not at all
2
3
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5
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331
Q

Spleen

A

Blood filtration system

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332
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

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2
3
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333
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

How well did you know this?
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2
3
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5
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334
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

How well did you know this?
1
Not at all
2
3
4
5
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335
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
How well did you know this?
1
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2
3
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5
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336
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

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337
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

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338
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
How well did you know this?
1
Not at all
2
3
4
5
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339
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

How well did you know this?
1
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2
3
4
5
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340
Q

How does lymph move

A

Result of muscle contraction and one way valves

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1
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2
3
4
5
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341
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

How well did you know this?
1
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2
3
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5
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342
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

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343
Q

Integrins

A

Tight adhesions - superglue

Cell migration

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344
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

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1
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3
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345
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

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346
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

How well did you know this?
1
Not at all
2
3
4
5
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347
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

How well did you know this?
1
Not at all
2
3
4
5
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348
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
349
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

How well did you know this?
1
Not at all
2
3
4
5
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350
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

How well did you know this?
1
Not at all
2
3
4
5
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351
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

How well did you know this?
1
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2
3
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5
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352
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

How well did you know this?
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2
3
4
5
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353
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

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2
3
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354
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
355
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

356
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

357
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

358
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

359
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

360
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

361
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

362
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

363
Q

Thymus cortex

A

Darker staining

More T cells

364
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
365
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

366
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

367
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

368
Q

Spleen

A

Blood filtration system

369
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

370
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

371
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

372
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
373
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

374
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

375
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
376
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

377
Q

How does lymph move

A

Result of muscle contraction and one way valves

378
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

379
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

380
Q

Integrins

A

Tight adhesions - superglue

Cell migration

381
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

382
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

383
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

384
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

385
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

386
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

387
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

388
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

389
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

390
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

391
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
392
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

393
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

394
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

395
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

396
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

397
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

398
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

399
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

400
Q

Thymus cortex

A

Darker staining

More T cells

401
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
402
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

403
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

404
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

405
Q

Spleen

A

Blood filtration system

406
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

407
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

408
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

409
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
410
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

411
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

412
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
413
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

414
Q

How does lymph move

A

Result of muscle contraction and one way valves

415
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

416
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

417
Q

Integrins

A

Tight adhesions - superglue

Cell migration

418
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

419
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

420
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

421
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

422
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

423
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

424
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

425
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

426
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

427
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

428
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
429
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

430
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

431
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

432
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

433
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

434
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

435
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

436
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

437
Q

Thymus cortex

A

Darker staining

More T cells

438
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
439
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

440
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

441
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

442
Q

Spleen

A

Blood filtration system

443
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

444
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

445
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

446
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
447
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

448
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

449
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
450
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

451
Q

How does lymph move

A

Result of muscle contraction and one way valves

452
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

453
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

454
Q

Integrins

A

Tight adhesions - superglue

Cell migration

455
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

456
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

457
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

458
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

459
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

460
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

461
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

462
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

463
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

464
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

465
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
466
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

467
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

468
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

469
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

470
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

471
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

472
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

473
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

474
Q

Thymus cortex

A

Darker staining

More T cells

475
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
476
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

477
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

478
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

479
Q

Spleen

A

Blood filtration system

480
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

481
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

482
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

483
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
484
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

485
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

486
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
487
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

488
Q

How does lymph move

A

Result of muscle contraction and one way valves

489
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

490
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

491
Q

Integrins

A

Tight adhesions - superglue

Cell migration

492
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

493
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

494
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

495
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

496
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

497
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

498
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

499
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

500
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

501
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

502
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
503
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

504
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

505
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

506
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

507
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

508
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

509
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

510
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

511
Q

Thymus cortex

A

Darker staining

More T cells

512
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
513
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

514
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

515
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

516
Q

Spleen

A

Blood filtration system

517
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

518
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

519
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

520
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
521
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

522
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

523
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
524
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

525
Q

How does lymph move

A

Result of muscle contraction and one way valves

526
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

527
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

528
Q

Integrins

A

Tight adhesions - superglue

Cell migration

529
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

530
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

531
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

532
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

533
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

534
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

535
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

536
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

537
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

538
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

539
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
540
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

541
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

542
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

543
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

544
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

545
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

546
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

547
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

548
Q

Thymus cortex

A

Darker staining

More T cells

549
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
550
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

551
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

552
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

553
Q

Spleen

A

Blood filtration system

554
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

555
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

556
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

557
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
558
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

559
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

560
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
561
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

562
Q

How does lymph move

A

Result of muscle contraction and one way valves

563
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

564
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

565
Q

Integrins

A

Tight adhesions - superglue

Cell migration

566
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

567
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

568
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

569
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

570
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

571
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

572
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

573
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

574
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

575
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

576
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
577
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

578
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

579
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

580
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

581
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

582
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

583
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

584
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

585
Q

Thymus cortex

A

Darker staining

More T cells

586
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
587
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

588
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

589
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

590
Q

Spleen

A

Blood filtration system

591
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

592
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

593
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

594
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
595
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

596
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

597
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
598
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

599
Q

How does lymph move

A

Result of muscle contraction and one way valves

600
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

601
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

602
Q

Integrins

A

Tight adhesions - superglue

Cell migration

603
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

604
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

605
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

606
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

607
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

608
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

609
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

610
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

611
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

612
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

613
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
614
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

615
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

616
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

617
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

618
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

619
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

620
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

621
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

622
Q

Thymus cortex

A

Darker staining

More T cells

623
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
624
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

625
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

626
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

627
Q

Spleen

A

Blood filtration system

628
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

629
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

630
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

631
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
632
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

633
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

634
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
635
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

636
Q

How does lymph move

A

Result of muscle contraction and one way valves

637
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

638
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

639
Q

Integrins

A

Tight adhesions - superglue

Cell migration

640
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

641
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

642
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

643
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

644
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

645
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

646
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

647
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

648
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

649
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

650
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
651
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

652
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

653
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

654
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

655
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

656
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

657
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

658
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

659
Q

Thymus cortex

A

Darker staining

More T cells

660
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
661
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

662
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

663
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

664
Q

Spleen

A

Blood filtration system

665
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

666
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

667
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

668
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
669
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

670
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

671
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
672
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

673
Q

How does lymph move

A

Result of muscle contraction and one way valves

674
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

675
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

676
Q

Integrins

A

Tight adhesions - superglue

Cell migration

677
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

678
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

679
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

680
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

681
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

682
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

683
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

684
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

685
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

686
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

687
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
688
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

689
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

690
Q

Primary (central) lymphoid organs

A

Site of lymphocyte production and maturation

Bone marrow, thymus, fetal liver

691
Q

Secondary / peripheral lymphoid organs

A

Site of lymphocyte activation

Lymph nodes, spleen, mucosal associated lymphoid tissues (MALT)

692
Q

Bone marrow

A

Responsible for formation of all postnatal blood cells.

B and NK cells continue to develop in bone marrow.

693
Q

Red marrow

A

Highly vascularized spongy reticular framework filled with hematopoietic tissues
All lymphocytes begin development here

694
Q

Thymus

A

Blooped gland above the heart
Encapsulated organ - 2 lobules cortex and medulla
Site of T cell maturation

695
Q

Thymocytes

A

Progenitor T cells that enter thymus via small blood vessels

Embed in mesh work of stromatolites cells

696
Q

Thymus cortex

A

Darker staining

More T cells

697
Q

Thymus medulla

A
Lighter staining. 
Fewer T cells
Dendritic cells
Epithelial cells
Macrophages
Hassan’s corpuscles (but dont know what they do yet)
698
Q

Thymus involution

A

Volume of active tissue decreases over time

Does not completely lose function

699
Q

Lymph nodes

A

“Grand central station” of immune responses
Cells bring pathogens here to activate immune system
Antigens diffuse in via afferent lymphatic vessels
Dc migrate via afferent lymphatic vessels
Follow chemokine signals

700
Q

What do lymph nodes swell

A

Commonly due to viral or bacterial infections
Can swell several times their normal size
May feel firm and look misshapen
Surrounding skin may be warm
Return to normal with resolution of infection

701
Q

Spleen

A

Blood filtration system

702
Q

Red pulp spleen

A

Phagocytosis of old or damaged RBC and antigens/microbes from blood

703
Q

White pulp

A

Areas of lymphocytes around arterioles

Some separation of b and T cell areas

704
Q

What happens if you don’t have a spleen

A

Life long risk of serious infection.
Most instances of serious infection are due to infections with encapsulated bacteria (just slip away)
Vaccination to minimize/prevent
Daily therapy commonly includes low doses of prophylactic antibiotics.

705
Q

Mucosal immune system

A
Secondary lymphoid organ/tissue 
Encounters antigen/pathogens in great number and frequency compared to systemic 
GI tract
Respiratory
Urogenital
Salivary
706
Q

Peyer’s patches

A

Almost like lymph nodes without encapsulation

Mucosal layer of the gut

707
Q

Lymphatic vessels system

A

Not closed loop - meets circulatory system

708
Q

Where are lymphatic vessels found?

A
Everywhere except:
Cartilage
CNS
Cornea 
Epidermis
709
Q

Lymphatic vessels

A

Network of capillaries that transport cells and anything foreign from tissues to lymph nodes

710
Q

How does lymph move

A

Result of muscle contraction and one way valves

711
Q

Extravasation

A

Cell migration
Movement of blood cells through an unruptured vessel wall into surrounding tissue
Mediated by two groups of cell adhesion molecules (CAM)
Selectins and integrins.

712
Q

Selectins

A

Rolling / weak adhesion. Post it note

Cell migration

713
Q

Integrins

A

Tight adhesions - superglue

Cell migration

714
Q

Chemotaxis

A

Receptor mediated movement of cells through tissues. Elicited by chemokines
Neutrophil migration to infection site
T/b cell migration to areas within secondary lymphoid tissues

715
Q

Extravasation general process

A

Rolling adhesion,

Stable / tight adhesion

716
Q

Rolling adhesion

A

A weak interaction between WBC and endothelial cell via selectins binding to ligand
Expression is constitutive, allowing all wbc to slow down in capillaries

717
Q

Stable / tight adhesions

A

Strong interaction between wbc and endothelial cell via integrins binding to ligands
Expression is unregulated by inflammatory mediators, allowing wbc to adhere tightly and extravasated

718
Q

Leukocyte adhesion deficiency

A

Genetic disorder characterized by deficiency of integrins
Marked by recurrent bacterial infections and severe neutrophilia (can get out of blood)
Lack of pus at infection sites.
Can’t exit vasculature to get to tissues

719
Q

Chemokine directed migration

A

Cells follow concentration gradient of chemokine
Cellular movement depends on the chemokine and chemokine receptor
Homing of lymphocytes to specific areas of lymphoid tissue is mediated by chemokines.

720
Q

Lymphocyte recirculating

A

Naive lymphocytes recirculate between blood and lymph until antigen encounter or death.
If antigen is encountered then activation, proliferation and differentiation
If antigen is not encountered then re enter blood/lymph after 1 day.
Enter lymph nodes via high endothelial venules, re enter blood via lymphatics and thoracic duct.
Enter and exit spleen through blood vessels

721
Q

Functions of immune response

A

Recognition
Removal/restraint
Regulation
Memory

722
Q

Antigens

A

Any molecule that can bind specifically to an antibody or antigen receptors on cells of immune system.

723
Q

Epitomes

A

Smallest unit of an antigen that are recognized by antibodies and antigen receptors.
Can have 1 or more epitopes.

724
Q

Conformational epitope

A
Found in native structure
Type of epitope recognized by 
Antibodies
B cell receptors 
Innate receptors
725
Q

Linear (continuous) epitope

A

Found in denatured structure
Only type of epitope presented by MHC and recognized by T cell receptors
Can also be recognized by antibodies / B cell receptors/ innate receptors

726
Q

4 types of antigens

A

Immunogens
Haptens
Tolerogens
Mitogens

727
Q

antibodies/ immunoglobulins

A

proteins used by mmune system to neutralize pathogens

secreted by b cell receptor

728
Q

what are the two major functions of antibodies

A

specifically bind to a pathogen or its proguces

recruit cells/ molecules to destroy or get rid of pathogen

729
Q

serology

A

identification of antibodies against a specific antigen in serum

730
Q

what can serology tell you

A

if vaccinated
distinguish between 2 closely related pathogens
id specific pathogen
id noninfectious diseases

731
Q

fators affecting strength of ab response

A

t cell help
locations
protein or nonprotein

732
Q

how do cells have ab dversity

A

combinatorial diversity via rag

junctional diversity

733
Q

combinatorial diversity

A

vdj segments can comvine in different ways mediated by rag - recombinant activatiing gene

734
Q

junctional diversity

A

additions and deletions of nucleotides at juncions beteen segments during recombination

735
Q

valence

A

number of binding sites

736
Q

affinity

A

strength of binding at single site

737
Q

avidity

A

total strength when all binding sites are included

738
Q

omenn syndrome

A

defect in rag
partial enzyme activaty
have b cells but can’t make diverse ab
lack / have few b and t cells

739
Q

SCID

A

no rag activity
fatal
total lack of b and t cells
no adaptive immune system

740
Q

variable region

A

vinds noncovalently to conformatonal epitopes

741
Q

what do mature naiive b cells express

A

igm and igd

742
Q

memory b cells can express

A

any 1 isotype as bcr

743
Q

functions of bcr

A

recognize and bind antigen via variable region
after antigen is bound signal is transmitted - b cell activation
activation- ab production, clonal expansion

744
Q

functons of secreted antibodies

A
function is dependent in isotype class
neutralization
complement ativation
opsonization
ab dependent cell mediated cytotoxicity
mast cell degranulation
745
Q

neutralization

A

igg subtypes in blood / tissues
dimeric iga at mucosal surface
ab blocks penetration of microbe and infection of cells
ab blocks binding of toxin to cellular receptor

746
Q

opsonization

A

ab on pathogen surfaces are recognized by fc receptors on phagocytes - enhanced phagocytosis
igg
abs attach to pathogen coating it and making it look more attractive

747
Q

adcc

ab dependent cell mediated cytotoxicity

A

virally infected cells often express viral proteins on their surface and can be recognized by other abs
infected cells coated with ab are recognized by binding fc receptor on nk cells
nk cell then kill infected

748
Q

degranulation - eosinophile

A

ige opsonizes parasite
eosin binds to ige coated parasite using fc receptors, stimulating to degranulate
toxic effect of granule contents on parasite is to cause fragmentation then can phagocytose

749
Q

degranulation - mast cells

A

allergies

ige can bind to fc on mast cell then is cross linked by ag leading to massive histamine release

750
Q

what determine ab function

A

different heavy chain constant regions determne ab class which determines ab function

751
Q

igm

A

secreted as pentamer and membrane bound as monomer
can activate complement through classical pathway
has variable regions with variable affinity but high avidit
can be transported across epithelum b/c j chain

752
Q

igg

A

secreted as monomer
most abundant in serum
can pass through placenta

753
Q

ige

A

secreted as monomer
<1% serum ab
role in allergies and important to parasites

754
Q

iga

A

secreted monomer in blood dimer in secretions and mucus
predominant class in secretions / mucosal surfaces
binds to polymeric ig receptor for easy transport through epithelial cells

755
Q

antibody tter

A

measure how much ab a person has to a specific antigen

756
Q

characteristic infections associated with ab deficiencies

A

recurrent pyogenic nfections with extracellular pathogens
encapusulated bacteria
recurrent respiratory infection
enteritis

757
Q

how pathogens evade ab

A

antigenic variation - mutate surface antigens

encapsulation

758
Q

cytokines

A

intercellular regulatory proteins produced in response to microbes and other antigens
communication between immunce cells
not stored as preformed molecules

759
Q

types of cytokines

A
interferons
chemokines
interleukins
tnf alpha
growth factors
760
Q

interferons

A

innate antiviral response

761
Q

chemokines

A

chemotaxis

proinflammation

762
Q

interleukins

A

leukocyte development

763
Q

tnf alpha

A

acute phase response

coagulation

764
Q

growth factors

A

growth differentiation

765
Q

general properties of cytokines

A
function is to stimulate, regulate, inhibit and/or modfy innate and adaptive responses
can regulate growth and diffrentiation of hemopoietic cells
766
Q

cytokine mechanism of action

activation of JAK STAT pathway

A
cytokine signal to nucleus to turn on transcription
binding of cytokine to receptor= JAKs activation
function of activated JAKs phosphorylate receptor to provide binding sites for stat protein 
stat proteins dmerize, translocate into nucleus and activate/inhibit transcription of specific genes
767
Q

pleiotropism

A

1 cytokine - different receptors

768
Q

redundancy

A

many cytokines for same receptor

769
Q

synergy

A

2 cytokines work together fo ran effect

770
Q

antagonism

A

1 upregulates 1 downregulates

771
Q

type 1 interferons

A

binding of viral components to certan TLRs also stimulates the release of IFN alpha and beta from macrophages and other virally infected cells

772
Q

functons of type 1 interferons

A
activate antiviral mechanisms n neighboring cells
increase class 1 MHC expression to present antigens to CD8 t cells
stimulate nk cell activity
773
Q

antiviral state

A

type 1 interferons from neighboring cells land on surface receptors
signal activation of rnase
rnase chops up viral rna before can be translated
viral replication is halted b/c no viral proteins willbe translated

774
Q

most important cytokines that induce inflammation

A

il1
il6
tnf alpha

775
Q

acute phase response

A

inflammation
subset of innate immune response
results in dramatic hcanges n metabolism, vasculature and plasm protein composition

776
Q

interferon gamma

A

not type 1 ifn
naturally ireleased by t cells and nk cells to stimulate activity of many cells
increases microbicidal activity of macrophage
increases cytotoxic activity of nk cells
stimulates b cells to produce ab

777
Q

Inflammation

A

Localized, protective response elicited by injury, infection, toxin, allergy or autoimmune disease.
Serve to destroy, dilute, or wall off both the injurious agent and injured tissue.

778
Q

Acute inflammation

A

Rapid and short lived
Release of vascular components into extra vasculature
5 cardinal signs; influx of neutrophils (PMNs)

779
Q

Chronic inflammation

A

Longer duration, slow progression
Influx of macrophages and lymphocytes
Can result in granuloma formation

780
Q

5 cardinal signs of acute inflammation

A
Fever
Erythema
Edema
Pain 
Loss of function
781
Q

Erythema

A

Result of increased blood flow and permeability

782
Q

Edema

A

Result of increased vascular permeability, allowing serum components and cells into tissue spaces

783
Q

Hallmark of acute inflammation

A

Influx of PMNs (1st leukocyte on scene) into tissues

784
Q

Activation of innate immune mechanisms in acute inflammation result in

A

Vasodilation
Increased expression of cell adhesion molecules
Influx of PMNs

785
Q

Most important cytokines that induce inflammation

A

IL1
IL6
TNF alpha

786
Q

Acute phase response

A

Results in dramatic changes in metabolism, vasculature and plasma protein composition.
Serve as red flag to rest of body
Effects occur within hours and assist in protecting before and during adaptive process

787
Q

Acute phase is prolonged

A

Adverse effects may arise

788
Q

Haptoglobin

A

Binds hemoglobin and protects the iron from being used by iron utilizing bacti

789
Q

Increase in acute phase proteins

A

Causes RBCs to sediment faster than usual

790
Q

ESR

A

Simple measure of inflammation

791
Q

Complement proteins

A

Anaphylatoxins
Opsonins
Chemotaxins

792
Q

Anaphylatoxins

A

C5a, c3a

Complement products that mediate mast cell degranulation

793
Q

Opsonins

A

C3b

Assist in phagocytosis

794
Q

Chemotaxins

A

Attract WBC and macrophages to sites of injury

795
Q

C Reactive Protein CRP

A

Most sensitive of acute phase proteins.

Rise 1000x.

796
Q

CRP as useful marker

A

Assesses and monitors presence, severity and course of inflammation response.

797
Q

Plasma derived inflammatory mediators

A

Kinins/ bradykinin
Coagulation factors
Acute phase proteins
Ferritin

798
Q

Kinins/ bradykinin

A

Group of plasma proteins that form potent vasodilator

Contribute to pain associated with inflammation

799
Q

Ferritin

A

Reduces amount of iron present in locale, inhibits select microbial growth

800
Q

Inflammatory mediators

Cell derived

A

Histamine and serotonin
Nitric oxide/ RNS
Arachidonic acid metabolites
Inflammatory cytokines

801
Q

Histamine and serotonin

A

Released from mast cells

Vasodilator

802
Q

Nitric oxide/ reactive nitrogen species

A

Produced by endothelial cells and macrophages

Vasodilator

803
Q

Arachidonic acid metaobolites

A
Prostaglandin 
Leukotrienes
Thromboxane
Produced mainly by WBC and injured cells
Vasodilators that funciton in fever and pain
Can act as chemotactic agents
804
Q

Inflammatory cytokines

A
IL1
IL6
Tnf alpha
Il12
Il18
Gm csf
805
Q

Inflammasome

A

Multiprotein complex that functions in regulation of cytokine release following infections
Promotes the maturation of inflammatory cytokines IL1 and IL18
Novel target for anti inflammatory therapy

806
Q

Vasodilation goals

A

Increase permeability of endothelium to allow proteins and cells to move from blood into tissue spaces to fight infection
As vessels increase in diameter, intercellular spaces increase in vessel walls to allow movement of cells out of vessel

807
Q

Extravasation

A

Mediated by cell adhesion molecules CAMs

WBC adhere to endothelium and squeeze through pores between endothelial cells

808
Q

Rolling adhesion

A

Weak interaction

Selectins

809
Q

Stable/tight adhesion

A

Strong interaction

Integrins

810
Q

Expression of selectins

A

Constitutive

Slow down

811
Q

Expression of integrins

A

Unregulated by inflammatory mediators

Adhere tight and exit

812
Q

Leukocyte Adhesion Deficiency

A

Genetic disorder
Deficiency of integrins CD18 deficiency
Marked by recurrent bacterial infections and severe neutrophilia

813
Q

Resolution of inflammation

Stimulus removed/eradicated

A

Often occurs with no tissue injury
Rate of arrival of new cells decreases rapidly
Leukocytes present at site undergo apoptosis and are removed by macrophages
Fibroblasts repair CT
Epithelium heals

814
Q

Acute inflammation link to adaptive immune system

A

Enhances Ag presentation

APC at site take up antigen and become activated and migrate to regional lymph nodes

815
Q

Resolution of inflammation

A

Removal of microbes, dead cells and debris
Restoration of vascular integrity and perfusion
Regeneration of tissue
Remission of fever
Relief of pain

816
Q

Resolution of inflammation

Monocytes steps

A

Phagocytosis of leftovers
Release collagenases and elastase to soften tissue matrix
Release cytokines to stimulate fibroblasts to produce collagen and repair damaged tissue
Produce angiogenic factors to promote new cap growth

817
Q

Chronic inflammation

A

Prolonged duration

Associated with impaired function

818
Q

Chronic inflammation can be due to

A

Persistence of antigen
Autoimmune disease
Cancer

819
Q

Chronic inflammation hallmark

A

Infiltration of tissue with monocytes/macrophages and lymphocytes (t and B cells)

820
Q

Granulomatous inflammation

A

Specific type of chronic inflammation that is associated with macrophage activation driven by IFN gamma producing T cells

821
Q

Granulomatous inflammation characterized by

A

Macrophages that have been transformed into epithelioid cells

822
Q

Granulomatous inflammation surrounded by

A

Lymphocytes fibroblasts and local parenchymal cells

823
Q

Granuloma

A

Lesion that develops as result of prolonged chemotactic stimulation
Can become necrotic in center

824
Q

Granuloma consists of

A

Epithelioid cells and/or multinucleated giant cells surrounded by fribroblasts and T cells

825
Q

Epithelioid cells

A

Enlarged macrophages

826
Q

Multinucleated giant cells

A

2+ macrophages that have fused together

827
Q

Function of granuloma

A

Wall off the offending pathogen or injury if it cannot be eliminated.

828
Q

Chronic granulomatous disease

A

Phagocytes lack ROI and have defect in killing intracellular microbes.
Immune system responds by granuloma.
Granuloma replaces healthy tissue to point of organ dysfunction.
Patients present with recurrent infection and multiple granuloma.

829
Q

Chronic granulomatous disease treated with IFN-g

A

IFN g further activates macrophages

830
Q

Ulceration

A

Another manifestation of chronic inflammation

Local defect/excavation in surface of tissue/organ which is produced by shedding of inflammatory necrotic tissue.

831
Q

Anti-inflammatory agents

Corticosteroids

A

Prednisone, prednisolone
Inhibit phospholipase A - decreases production of arachidonic acid metabolites
Inhibits T cell activation and cytokine production (IL2)
Decreases phagocytic and killing ability of macrophages nad PMNs
Decreases chemotaxis.
Decreases IL1 secretion by macrophages

832
Q

Anti inflammatory Agents

NSAIDS

A

Aspirin, naproxen, ibuprofen
Inhibit cyclooxygenase pathway
Decrease production of prostaglandin
Help limit increase in vascular permeability and neutrophil chemotaxis.

833
Q

Alternative targets for treatment of inflammation

TNF neutralizing agents

A

Monoclonal antibodies
Block action of proinflammatory cytokines like TNF-alpha
Decreases WBC inflammation.

834
Q

Disease control

A

Disease currently present
Reduce frequency of infection
Reduce effects of the disease

835
Q

Disease prevention

A

Disease not yet present
Prevent disease intro to area/pop
Prevent infection of uninflected ind
Prevent disease development

836
Q

Disease elimination

A

Zero incidence in defined geographic location w/ continued intervention required

837
Q

Disease eradication

A

Zero incidence globally

No continued intervention required

838
Q

Disease extinction

A

Not present in nature or lab

839
Q

Threshold susceptible size

A

Related to basic reproduction number of pathogen

840
Q

Susceptible population reduced below threshold size

A

Pathogen cannot continue to be transmitted

But can be reintroduced

841
Q

R0=1

A

Each case generates a replacement> disease stable in population

842
Q

R0> 1

A

Each case generates >1 new case

Disease increases in population

843
Q

R0<1

A

Each case generates new case

Disease decreases in population

844
Q

R0

A

Average number of secondary cases produced by one primary case in a completely susceptible population

845
Q

Threshold

A

Percentage of population that needs to be immune for strong herd immunity
1-1/R0

846
Q

As R0 increases what does threshold have to do

A

Increase as well

847
Q

Cancer preventation vaccines

A

Prevents infection associated with cancer

848
Q

Approved cancer preventative vaccines

A

HPV vaccine - genitourinary cancer

Hep B- liver cancer

849
Q

Passive immunity pro

A

Immediate protection

850
Q

Passive immunity cons

A

Short lived protection

No immunological memory

851
Q

Passive immunity conferred by

A

Preformed antibodies

852
Q

Passive immunity

Clinical examples

A
Tetanus
Botulinum 
Rabies
HPV
Varicella
Diphtheria
Post venomous bites
853
Q

Active immunity

A

Long lasting protection with development of immunological memory.
Adaptive immune response

854
Q

Immunological memory

A

Bcell activated - starts proliferating and secreting specific ab. Some differentiate into B memory cells
B memory cells - long lived and carry same specificity as parent. Come into contact with same pathogen, respond more rapidly and robustly
Same applies to T cells

855
Q

Vaccine modes of delivery

A
I trader all 
SubQ
Intramuscular
Oral 
Aerosol 
Ocular
Transdermal 
In ovo
856
Q

Non infectious vaccines

A

Low risk
Most need boosters
Cannot replicate in host

857
Q

Infectious vaccines

A
Can replicate in host
Have ability to actively infect the host without causing the disease or harsh symptoms
Most effective vaccine type 
Higher risk 
Most single dose
858
Q

Infectious types of vaccines

A

Live attenuated

Viral vectors

859
Q

Noninfectious types of vaccines

A
I activated
Recombinant DNA
Ab fusions
Toxoids
Polysaccharides
Purified protein
Synthetic
Virus like particles
860
Q

Live attenuated vaccines critical component

A

Loss of virulence

861
Q

Virulence

A

Capacity of a pathogen to cause disease

862
Q

Live attenuated vaccines

Risks

A
Reversion to virulent - rare
Recombination to virulent - rare
Disease in immunocopromised pt’s
Temperature sensitivity 
Contaminating viruses - rare
Abortigenic / teratogenic
863
Q

Live attenuated vaccines

Pros

A

Elicit some of the strongest immunity of all vaccination types
Protection can last lifetime/ decades

864
Q

Examples of live attenuated vaccines

A
MMR
Influenza
Varicella
Rotavirus 
Yellow fever
Smallpox
865
Q

Viral vectors

A
Can replicate in the host
Infectious 
Vector virus is nonpathogenic
Carries in genes from other pathogen
Immune response to pathogenic proteins
One and done though
866
Q

Inactivated/ killed vaccines

Critical component

A

Loss of infectivity/ unable to replicate

867
Q

How inactivate vaccine

A

Chemical
Temperature
Irradiation

868
Q

Inactivated vaccines cons

A

Not as effected as live vaccines
DIVA problem
Incomplete inactivation - rare
Contamination - rare

869
Q

DIVA

A

Distinguishing infected from vaccinated

870
Q

Inactivated vaccines

Pros

A

Typically much safer than live vaccinated

871
Q

Toxoids

A

Inactivated pathogenic toxins that retain their ability to induce host antitoxins

872
Q

Genetically engineered vaccines

Recombinant DNA

A
Genetically modified DNA
2 or more species DNA stuck together
Gene segments/fragments
Plasmids
Naked DNA
873
Q

Virus like particles

A

Used in HPV vaccine

874
Q

Virus like particles

Pros

A

Safety

Looks like the pathogen but is empty inside

875
Q

Virus like particles

Cons

A
High production costs
Lower immunogenicity
Low yields
Stability
DIVA
876
Q

Polysaccharides

A

Haptens

Need protein carrier to induce immune response

877
Q

Adjuvants

A

Enhance host immune response to antigen

Enhance Ag presentation, improve ag stability or immunomodulation

878
Q

Problem with adjuvants

A

Safety is inversely proportional to efficacy

879
Q

Adjuvants

Alum

A
Promotes aggregates for phagocytosis
Targets inflammasome activity
Th2 skew
Holds it in place so Ag can’t diffuse through body. Why arm aches. 
Allergies and granulomas possible
880
Q

Adjuvants

Other emulsions

A

Squalene based
MF 59 and AddaVax
Approved in Europe, but not US yet.

881
Q

Vaccine responsiveness

Genetic predisposition

A

Hypersensitivities to adjuvants or other vaccine components

MHC alleles

882
Q

Size of person and vaccine doses

A

Average same number of immune response cells

883
Q

Adverse events

Hypersensitivities

A

Injection site problems/scarring
Inadequate inactivation, recombination, disease in immunocompromised pt’s, loss of effectiveness due to temp variations in transport or storage.

884
Q

Dengvaxia

A

Early 2016 promising dengue vaccine.
Live recombinant tetravalent vaccine
Up to 80% effective
Exposed after vaccination got horrific disease
Vaccination after infection eliminated response