Immunology overview Flashcards

1
Q

Physical and chemical barriers to infection

A
Skin
Mucosa
Respiratory tract (with cilia)
Gastrointestinal tract
Genital tract and urinary system
Chemical barriers
Hydrochloric acid (stomach)
Lysozyme (sweat and tears)
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2
Q

draw out the initial response to pathogen invading tissue

A

Complement system activation by pathogen
Membrane Attack Complex destroys pathogen
C3b is an opsonin
C5a attracts cells (neutrophils, monocytes and eosinophils)
C3a, C4a and C5a activate mast cell degranulation.
C3a and C5a activate eosinophil degranulation.
Macrophages recognise pathogen and activate the innate immune system
Dendritic cells pick up antigens and head off to activate the specific immune system

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3
Q

innate immune system

A

Macrophages recognise pathogen and are activated
Start phagocytosis
Release cytokines
Release interferons
Interferons inhibit viral entry and replication within cells
Cytokines recruit help
Monocytes are recruited and become macrophages
More macrophages are activated
Neutrophils are recruited
Cytokines initiate an Inflammatory Response
Vasodilation
Increased vascular permeability
Localised endothelial cell activation
Cytokines activate other systems
Mast-cell degranulation
Clotting system activation
Kinin system
Inflammation leads to an acute phase response, which is where macrophages and neutrophils secrete more cytokines, notably interleukins
IL-1 causes fever, lethargy and anorexia
IL-6 simulates the liver to produce acute phase proteins (opsonins)
IL-8 recruits and activates neutrophils
IL-2 and IL-12 activate natural killer cells
Tumour necrosis factor alpha (TNF-α) also does all of the above
Natural Killer Cells are recruited to the tissues
Kill virally infected cells (and tumour cells)
Produce interferon-gamma (IFN-γ) that further stimulates macrophages

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4
Q

specific immune system

A

Dendritic cells present antigens to CD4 cells
CD4 cells become T helper cells
T helper cells
Activate CD8 cells to become cytotoxic T cells
Activate B cells
Activate macrophages
Cytotoxic T cells help destroy infected cells via
Cytokines
Activating Fas molecule
B cells when activated either:
Differentiate and multiply into plasma cells
Secrete antibodies
Become memory B cells
Wait to be activated during a subsequent infection

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5
Q

prefix/suffixes in immunology

A
Baso: foundation
Blasts: immature cells
Cyte: cell
Eosin: red coloured
Haemo: blood
Karyo: nucleus
Kine: motion
Lympho: lymphatic system
Lysis: broken down
Macro: large
Mega: large
Mono: single
Myelo: bone marrow
Neutro: neutral
Phage: eat
Phil: attraction
Pluri: multiple
Poietic: creative
Potent: potential
Pro: moving forward
Reticulo: net like
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6
Q

pluripotent haematopoietic stem cells

A

undifferentiated cells that have the potential to become a variety of blood cells:
myeloid stem cells
lymphoid stem cells
dendritic cells

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7
Q

myeloid cells

A
  1. Megakaryocytes = platelets
  2. Reticulocytes = Red Blood Cells (RBCs)
  3. Promyelocytes=
    Monocytes – Macrophages
    Neutrophils
    Eosinophils
    Mast Cells
    Basophils
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8
Q

lymphoid cells

A

travel to the thymus gland and differentiate into

  1. B lymphocytes (B cells) which mature in the bone marrow and differentiate into
    a) plasma cells
    b) memory b cells
  2. t lymphocytes (mature int eh thymus) and differentiate into
    a) cd4 cells (t helper)
    b) cd8 cells (cytotoxic cells)
    c) natural killer cells
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9
Q

megakaryocytes

A

Large cells
Big lobulated nucleus
Produce platelets
Platelets are essential for blood clotting

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10
Q

reticulocytes

A

Immature red blood cells
Remnant RNA material called reticulum in cytoplasm
Released from bone marrow
Normally 1% of red blood cells are reticulocytes
Higher percentage indicates rapid turnover of blood, such as in:
Acute blood loss
Haemolysis
Loose their reticulum after a few days – becoming RBC

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11
Q

what is bone marrow?

A

found inside long bones
the shaft of long bones have three layers- periosteum, compact bone and inner medullary cavity lined by endosteum and contains bone marrow

bone marrow is the ORIGIN of ALL immune cells. most cells also develop here (e.g. b lymphocytes)

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12
Q

what is the thymus?

A

this is an organ with two lobes which is located behind the sternum within the mediastinum

the lymphocytes develop into T cells

outer area is called the cortex, which is where T cells proliferate and start to develop into specialised cells

inner area is called the medulla, which is where the mature T cells are found before they enter the blood, and it also contains the waste products of defective T cells

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13
Q

lymphatic system

A

network of lymphatic vessels similar to blood vessels. no pump (e.g. heart) so circulation relieso n muscles and there are valves to direct flow

drains into circulation via:

1) thoracic duct
2) right lymphatic duct

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14
Q

what is lymph?

A

This is interstitial fluid that have drained from the intersitial space
High concentration of lymphocytes and dendritic cells
Low protein content
No red blood cells or other leukocytes

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15
Q

lymph nodes

A
  • structures which occur intermittently along the course of lymphatic vessels
  • shaped like a kidney
  • surrounded by a capsule
  • have their own blood supply

afferent (away into lymph nodes)
efferent (exist- lymph nodes)

roles:
hold cells of the immune systems (lymphocytes)
filter pathogens and abnormal cells

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16
Q
lymph nodes
cortex
paracortex
medulla
hilum
A

Cortex – contains B cells and follicles
Paracortex – contains T cells and dendritic cells
Medulla – contains plasma cells, T and B cells and macrophages
Hilum – leading to the efferent vessel and where the blood vessels enter

17
Q

what are follicles?

A

areas where B cells clump together, waiting to be activated.

Primary follicles contain unstimulated B cells and do not have germinal centres
Secondary follicles have germinal centres (that stain a lighter colour) and contain activated B cell that are generating plasma cells and memory B cells

18
Q

the spleen

A

an organ made up of

i) red pulp (old RBC are removed through a web of reticular fibres) and young ones squeeze without being destroyed
ii) white pulp (immune cells that wrap themselves around the arterioles)

located in LUQ of the abdomen and surrounded by capsule

PALS (peri-arteriolar lymphoid sheath) is immediately arround the arteriole and contains T cells and dendritic cells. marginal zone surrounds the PALS and contains b cells and macrophages.

At intervals along the arteriole there are follicles
Primary follicles contain unstimulated B cells
Germinal centres are areas within the primary follicles where B cells have been stimulated and are differentiating into plasma cells and secreting antibodies.

19
Q

mucosa associated lymphoid tissue

A

lymphoid tissue associated with the mucosa of GI, resp and urinary tracts

contains primary follicles and germinal centres similar to lymph and spleen

unstructued and appears random along tract

MALT tissue examples:
tonsils
Adenoids
Appendix
Peyer’s patches (in the ileum of the small intestine)
20
Q

Natural killer cells (NK)

A

arise from the same precursor cells as B and T cells

genetically programmed to recognise virus / malignant cells