ImmunoPathology Flashcards
recognition or discrimination between the so-called “self” and “non-self” is the primary role of the;
Immune System
why recognition of non-self is important?
to protect against invading
microorganisms, chemical agents, or other foreign substances.
Elimination of foreign or non-self of the immune system involves a variety of mechanisms
such as:
1.
Inactivation of biologic agents
2.
Lysis of foreign cells
3.
Agglutination of molecules
4.
Precipitation of molecules or cells
5.
Phagocytosis of foreign materials
Immune reactions are divided into two broad categories:
✓ humoral immunity
✓ cellular immunity
mediated via production of antibody
B-cell lymphocyte
There are five immunoglobulin classes (isotypes) of antibody molecules found in serum:
- IgA (immunoglobulin A)
- IgD (immunoglobulin D)
- IgE (immunoglobulin E)
- IgG (immunoglobulin G)
- IgM (immunoglobulin M)
ACTION OF ANTIBODIES
✓ agglutinin
✓ anti-toxin
✓ lysin
✓ opsonin
✓ precipitins
antibodies that cause agglutination of cells
agglutinin
neutralizes toxins or poisons
anti-toxin
antibodies that cause lysis of cells
lysin
antibodies that present or enhance phagocytosis
opsonin
antibodies that cause precipitation
precipitins
help B cells make antibody and also help to generate cytotoxic T cells
CD4+helper lymphocytes
are cytotoxic; represent about
30% of circulating T lymphocytes
CD8+ suppressor lymphocytes
are genetically programmed to recognize specific antigens and can rearrange their alpha and beta genes to respond to antigenic stimuli
T-cell receptors (TCR)
process antigen and present it with class II HLA to the CD4+ cells
macrophages
elaborated by activated T cells to enhance cellular immune reactions
cytokines such as interleukin (IL) and
tumor necrosis factor (TNF)
The reaction of tissues to antigen (AG) is mediated by two cell types:
✓ B- Lymphocytes
✓ T- Lymphocytes
Secretes ANTIBODIES after conversion to PLASMA CELLS
B-lymphocytes
Responsible for cell-mediated immunity. It does not secrete antibodies. Rather, releases LYMPHOKINES.
T-lymphocytes
Mast cell and/or basophil degranulation releases the following pharmacologically and biologically active compounds:
- Histamine
- Leukotrienes
- Eosinophil chemotactic factor
- Platelet activating factor
- Kallikrein
- Platelet aggregating factor
- Kinins
- Serotonins
- Proteolytic substances
AGENTS THAT CAUSE ANAPHYLAXIS is numerous and include:
a.
venom or stings of biting insects
b.
vaccines
c.
variety of drugs
d.
food substances
e.
blood donors/blood products
Clinical signs can be localized or generalized. Symptoms include:
- restlessness and excitement
2.
facial edema
3.
pruritus on affected area
4.
salivation
5.
lacrimation
6.
vomiting
7.
diarrhea
8.
abdominal pains
9.
dyspnea
10.
cyanosis
11.
shock
12.
incoordination
13.
convulsions
14.
death