Immunology Exam 1 Flashcards
What is the #1 cause of overpopulation?
Vaccines
Definition:
Injecting an antigen to cause immunity by inducing a protective immune response against a specific organism or its associated toxin prior to the encounter with the pathogen
Immunization/Vaccination
Definition:
The study of host reactions when foreign substances are introduced
Immunology
The “Founder of Immunology”
Edward Jenner
When was the first recorded theory of acquired immunity? By who?
Recorded between 865-932
By Rhazes.
When was the human papillomavirus (HPV) vaccine developed? Who developed it?
Developed in 2005
By Ian Frazer.
What is immunity?
- *The ability of an organism to resist a particular infection or toxin by the action of specific antibodies or sensitized white blood cells
- Oxford dictionary**
Definition:
Study of non-cellular components in the blood (antigen & antibody)
Serology
Also known as an immunogen
Antigen
A “foreign” substance that induces an immune response
Antigen (immunogen)
Also known as an immunoglobulin
Antibody
A glycoprotein that is made in response to an antigen
Antibody (immunoglobulin)
- Antibody binding site
- Single antigen site
- Signals antigen for destruction
Epitope
All of the following are examples of what?
- Pneumonia
- Tetanus
- Amoebas
- Candida
Extracellular bacteria, parasites, and fungi
All of the following are examples of what?
- Leprosy
- Malaria
- Leishmaniasis
Intracellular bacteria and parasites
Smallpox, varicella (chickenpox), and influenza are all examples of what?
Viruses
What are some examples of parasitic worms the immune system may have to fight off?
- Ascaris lumbricoides
- Schistosomiasis
All of the following are main concepts of immunology EXCEPT:
- Distinguish between self and non-self
- Three overlapping systems
- Specificty
- Diversity
- Clonal Selection
- Memory
- Regulation
2. Three overlapping systems
There are TWO overlapping systems
What does immunological homeostasis confer?
Immunological homeostasis confers health by responding and controlling infection with moderation
Hyporeactivity with immunological homestasis could result in which of the following:
- Systemic autoimmunity
- Allergies
- Asthma
- T-cell dysfunction
4. T-cell dysfunction
Hypereactivity with immunological homeostasis could result in all of the following EXCEPT:
- Systemic autoimmunity
- Organ-specific autoimmunity
- Pathogen-induced pathology
- Antibody deficiency
- Allergies and asthma
4. Antibody deficiency
When does hyporeactivity occur with immunological homeostasis?
When a particular immune response or function is ABSENT from the host.
SCID- Severe combined immunodeficieny is an example of what type of immmunological homeostasis reaction?
Hyporeactivity
HIV/AIDS causes the destruction of which type of cell?
CD4+ T helper cells
What are some examples of an immunological homeostasis hypereactive response? (Specifically given in powerpoint)
- Rheumatoid arthritis
- Allergies
- Multiple myeloma
What are the 2 overlapping systems for immunology?
- Innate/Natural
- Adaptive/Acquired
Name the system:
- “Non-specific”
- Always present in healthy individual
- First line of defense
Innate/Natural
Name the system:
- “Specific”
- Stimulated by microbes that invade tissue
- Involves lymphocytes and their products
Adaptive/Acquired
Also known as Natural immune system
Innate immune system
Also known as the Acquired immune system
Adaptive immune system
- Very primitive
- Found in most multicellular animals
- Rapid response
- Does not exhibit memory
- Same response every time
Natural/Innate immune system
- Found only in vertebrates (fish, amphibians, birds, and mammals)
- Must be induced
- Induces immunological memory
- Has 2 types: humoral and cell-mediated
- Two ways of getting it: active and passive
Acquired/Adaptive immune system
What type of Acquired Immunity is the following:
- B-lymphocytes are involved
- Produces antibodies
- Neutralized and eliminates extracellular microbes/microbial toxins
Humoral Immunity
What type of Acquired immunity is the following:
- Involves T-lymphocytes
- Produces cytokines and other substances
- Activates phagocytes to destroy intracellular microbes
Cell-mediated immunity
Acquired immunity that is developed due to infection or vaccination
Active immunity
This acquired immunity is transferred from a source to an individual in need of products - such as from mom to baby
Passive immunity
These cells have immunoglobulins attached to their membranes allowing cross-linking of antibody and antigen
B-lymphocytes
T-lymphocytes have what on them allowing interaction of many surface proteins?
TCR - T cell receptor
B-lymphocytes differentiate into what cell(s)?
-Plasma cells
-B memory cells
T-lymphocytes differentiate in to what cell(s)?
-Activated T cells
-T memory cells
When lymphocytes undergo clonal selection, what are the steps? (3)
-Activation
-Proliferation
-Differentiation
Plasma cells are also known as?
Effector cells
Secondary immune response is also known as?
Anamnestic response
1st exposure to an antigen is known as _______ _________
Primary response
This immune response is mediated by memory lymphocytes
Anamnestic/Secondary response
Elimination, permanent inactivation, and inhibition are all a part of the __________ of the immune system. This controls and inhibits self-reactive or over-reactive lymphocytes
Regulation
TRUE or FALSE:
The immune response that causes immunity is associated with natural immunity
FALSE: Acquired immunity
TRUE or FALSE:
A key characteristic of acquired immunity is being antigen specific
TRUE
Defends againt intracellular microbes through lymphocytes and their products
Cell-mediated
Immediately protects the newborn
Passive immunity
Occurs as a response to 1st exposure to antigen
Primary response
Activation, proliferation, differentiation
Clonal Selection
Born with, non-specific
Natural immunity
Mediated by memory lymphocytes
Secondary response
Must be induced, specific, adapts to defend
Acquired immunity
Defends against extracellular microbes, mainly through antibodies
Humoral immunity
Can be induced by a vaccine
Active immunity
What is the T-helper cells typical pathogen?
Phaagocytized microbes
What is the typical pathogen that T-cytolytic cells fight against in adaptive immunity?
Intracellular microbes
What is the typical pathogen for B cells with regards to adaptive immunity?
Extracellular microbes
What is the function of T-helper cells in adaptive immunity?
T-helper cells activate macrophages
What is the function of T-cytoloytic cells in adaptive immunity?
T-cytolytic cells kill infected cells
What is the function of B cells in humoral immunity?
The antibodies produced by B cells block infections and eliminate organisms
How does “non-specific” immunity directly recognize and protect the host?
Innate/Natural immunity
Name the 2 main types of T cells
-T helper cell (Th)
-T cytolytic cell (Tc)
What is the external defense mechanism function? Examples?
Designed to keep microorganisms at bay and impedes entry into the body.
-Benign/normal flora
-Skin
-Lysozyme
-Acid pH in stomach
What is the internal defense mechanism function? Examples?
Deals with breach of any barrier through different mechanisms.
-Inflammatory response
-Phagocytic/endocytic
-Cells (PMNs, Macrophages, Lymphocytes, etc)
Normal microbial flora competes for nutrients and space in and on the body. This is an example of what defense mechanism?
External defense mechanism
This defense mechanism provides physical and chemical barriers to protect common portals of microbial entry through the skin and mucous membranes
External defense mechanism
External defense:
When this increases is causes the break down of protein in bacteria impairing their ability to multiply.
Temperature
External Defense:
-This is found in the stomach, urine, vagina, and skin and inhibits microbes.
Low (acidic) pH
Tears from the eyes come from what glands? What substances are in tears?
-Lacrimal glands
-Contain: lysozyme, IgA, IgG, and antimicrobial peptides
Ears have what type of glands? What substances come from these?
-Sebaceous glands
-Oily waxy secretion, fatty acids
The mouth contains what type of glands? What substances are secreted from the salivary glands?
Salivary glands
- *-Digestive enzymes
- Lysozyme
- IgA
- IgG
- Lactoferrin**
The skin has was type of glands?
What do these glands secrete?
- *Sweat glands
- Lysozyme
- high NaCl
- Short-chain fatty acids**
What is in the gastric juice in our stomachs that aids in immune defense?
Gastric juices contain digestive enzymes (pepsin and renin) and acid (low pH between 1-2).
TRUE or FALSE:
The stomach contains sebaceous glands that secrete fatty acids (sebum)
TRUE
Cardinal signs of inflammatin (4)
-Rubor (redness)
-Tumor (swelling)
-Dolore (pain)
-Calore (heat)
What is Rubor?
Also known as redness or erythema. Inflamed tissue appears red due to dilation of small blood vessels within damaged area.
What is Calore?
Also known as heat. Vascular dilation and increased blood flow (hyperemia) chemical mediators lead to systemic fever.
What is Tumor (inflammation process)?
Also known as swelling or edema. Extravascular fluid accumulation as part of fluid exudate and physical mass of cells migrating to the area.
What is Dolore?
Also known as pain. The stretching/distortion of tissues by edema, pus pressure and also due to chemical mediators (such as serotonin).
What is the most common cell associated with Acute inflammation?
Neutrophil (PMN, Poly, Seg)
This type of inflammatory response is typically a quick reaction and short-lived
Acute inflammation
This type of inflammatory response is typically prolonged and may adversely affect function.
Chronic inflammation
What cell type(s) is associated with chronic inflammation?
Macrophages and lymphocytes
What are the steps in the inflammation sequence of events? (4)
- *1. Increased blood supply
2. Increased vascular permeability
3. Influx of phagocytes**
What causes the first step in the sequence of events for inflammation? (Increased blood supply)
- *Increased blood supply is due to dilation of blood vessels (vasodilation)
- chemical mediators (such as histamine) from injured cells
- Causes redness and heat (Rubor & Calore)**
What causes increased vascular permeability in the inflammation sequence of events?
- *Caused by retraction of endothelial cells lining blood vessels
- Allows fluid in plasma to leak to tissues
- Causes swelling and pain (Tumor and Dolore)**
Why is there an influx of phagocytes in the final sequence of events for inflammation?
- *As endothelial cells retract, PMNs move from the vessels in to tissues via diapedesis. They are attracted to the site of injury/infection by chemotaxins.
- PMNs mobilize first (within 30-60 minutes)
- Several hours later, macrophages will arrive to “clean up”**
What are acute phase reactants?
- *-Normal serum constituents
- MOST ARE MADE IN THE LIVER
- Nonspecific response
- Increase rapidly with infection, surgery, or other trauma
- Ex. Complement and C-Reactive Protein**
This is the most widely used indicator of acute inflammation.
Opsonizes by coating foreign particles and activates complement. Increases rapidly within 4-6 hours after stimulus.
Peak within 24-72 hours
High-sensitivity test is useful for predicting a healthy person’s risk of cadiovascular disease.
C-Reactive Protein
What does it mean to opsonize?
Enhance phagocytosis
What is complement?
A group of ~25 serum proteins that is typically inactive under normal circumstances.
At activation, each component acts on the next in a specific sequence. (Complement Cascade)
This is a very powerful Innate Mechanism
Complement
What are the functions of complement? (3)
- *-Direct cytolysis of foreign organisms
- Opsonization
- Directs phagocytes**
Functions of CRP? (2)
- *-Opsonization
- Complement activation**
What are cytokines?
Secreted proteins that act as chemical messengers
TRUE or FALSE
Cytokines are plieotropic (multiple functions)
TRUE
What are the 3 functions of cytokines in the Natural Immune System?
1. Stimulates inflammation
2. Activate cells - Natural Killer cells & macrophages
3. Prevent viral infections (interferon)
What are different names for cytokines? (5)
-Chemokines
-Interleukins (IL)
-Interferon (INF)
-Tumor Necrosis Factor (TNF)
-Colony stimulating factors (CSF)
What are the most important phagocytic cells? (4)
Neutrophils
Monocytes
Macrophages
Dendritic
Phagocytes come into contact with pathogens through what process?
Chemotaxis
What are the 2 most important chemotactic factors?
1. Proteins from bacteria
2. Compement components (C3a & C3b)
Two major opsonins dealing with phagocytic pathogen recognition
1. C3b (PMNs and macrophages have receptors)
2. Immunoglobulin G (IgG)
Sequence of events for phagocytes to be successful
1. Physical contact
2. Phagosome formation
3. Phagolysosome formation
4. Exocytosis
Definition:
Structure formed by the fusion of cytoplasmic granules and phagosome
Phagolysosome
Phagosome sequence of events:
This is due to chemotaxis and opsonins
Physical contact