INTRO & NATURAL IMMUNITY Flashcards
In 1500, Chinese developed a practice of inhaling powdered made from smallpox scabs
Variolation
In 1706, He developed a vaccine against smallpox
Edward Jenner
A phenomenon that occurs when an antibody reacts with antigen
Cross reactivity
Eradicated infectious organism :
smallpox and rinderpest
He developed the first attenuated vaccine
Louis Pasteur
Involves the use of bacteria or viruses that have been weakened through exposure to modifying conditions such as as chemical treatment, elevated or cold temperature or repeated in vitro passage in cell structure
Attenuated
Example of attenuated vaccines
Chicken cholera vaccine (pasteurella multocida) ; rabies vaccine
Discovered phagocytosis in 1800
Elie Metchnikoff
Demonstrated diphtheria and tetanus toxins could be neutralized by the noncellular portion of the blood of animals previously exposed to the microorganisms
Emil Von Behring
Linked the two theories by showing that the immune response involved both cellular and humoral elements ; he observed that certain humoral or circulating factors called ____ acted to coat bacteria so that they become more susceptible to ingestion by phagocytic cells
Almroth Wright ; opsonins
In 1917, He immunized rabbits with HAPTENS attached to a carrier molecule and then tested the serum to measure how the antibodies produced reacted with different HAPTENS ; he discovered that antibodies not only recognize chemical features such as polarity, hydrophobicity, and ionic charge but the overall three-dimensional configuration is also important
Karl Landsteiner
Innate and nonspecific immunity
Natural immunity
Ability of the individual to resist infection by means of NORMALLY body function
Natural immunity
Acquired specific immunity ; ability to REMEMBER a prior exposure ; results in an INCREASE response upon repeated exposure
Adaptive immunity
Smallest WBC that act in adaptive immunity
LYMPHOCYTES
Part of external defense system designed to keep microorganisms from entering the body
Anatomical barriers
Biochemical external defense system
Lactic acid in sweat
lysozymes
Acidity of GIT in vagina
1 enemies of pathogen in terms of nutrients ; found in external defense system
Normal flora
Recognize specific molecular components of pathogens
Internal defense system
Kill extracellular organisms
Phagocytes
Large granular lymphocyte that kill intracellular organisms
NK cells
Cells in the internal defense system that lack memory and recall
Phagocytes and NK cells
These are soluble factors of internal defense system
Humoral
Humoral components
Acute phase reactants
Interferons (A&B)
Defensins
Complement proteins
1st line of defense (natural)
Skin, mucous membrane, lysozyme
2nd line of defense (natural)
Phagocytes, NK cells, complement proteins, APR
3RD LINE OF DEFENSE ; ADAPTIVE
ANTIBODY , LYMPHOCYTES
These are plasma proteins that increase rapidly by at least ____% due to infection, trauma, or injury
Acute phase reactants ; 25%
APRs are primarily produced by the _____
Hepatocytes (liver)
The only protein that is not synthesized by the liver but the plasma cells
Antibody
Marker for acute inflammation and cardiovascular disease ; non specific antibody
CRP
CPR is discovered by ___ and ____ in 1930
Tillet and Francis
CRP is originally thought to be an ___ to the C-polysaccharide of ____
Antibody ; pneumococci
CRP structure consists of ____ identical subunits held together by noncovalent bonds
5 identidical subunits
Main substrate of CRP
Phosphocholine
Risk Cardiovascular disease ;
CRP concentration : <1mg/dL
Low
Risk Cardiovascular disease ;
CRP concentration : 1-3 mg/dL
Average
Risk Cardiovascular disease ;
CRP concentration : >3mg/dL
High
Has high affinity for HDL cholesterol
Serum amyloid A
Response time of CRP
4-6 hours
CRP increases how many folds
1000x
Opsonization and complement activation are functions of what protein
CRP
Protease inhibitor are functions of what protein
Alpha 1 antitrypsin
Opsonization and lysis are functions of what protein
Complement C3
Most abundant WBC in cellular defense mechanism
Neutrophils
Neutrophil is ___ to ___ % of the total peripheral WBC
50-70%
of lobes of neutrophil
2-5
<1 lobe indicates what condition
Pelger-Huet anomaly (hyposegmentation)
> 5 lobes indicate what condition
Megaloblastic anemia (hypersegmentation)
WBC that neutralizes basophils and mast cell products like histamine
Eosinophil
Homeostatic regulator of inflammation
Eosinophil
Basophil and mast cell product
Histamine
Granule contents of eosinophil
Major basic protein and peroxidase
Smallest of the granulocytes ; together with Basophil, it has high affinity to IgE
Basophil
Largest in the peripheral blood ; with ground glass appearance (granules)
Monocytes
Type 1 granules of monocytes
Peroxidase , ACP , arylsulfatase
Monocyte found in tissues
Macrophage
Primary defense mechanism against M. Tuberculosis
Lipase
Alveolar macrophage
Lungs
Liver macrophage
Kuppfer cells
Brain macrophage
Microglial cells
Connective tissues macrophage
Histiocytes
Skin macrophage
Langerhans
Bone macrophage
Osteoclast
Kidney macrophage
Mesengial cells
Resemble basophils but different linage ; larger than basophil with small round nucleus ; long life span 9-18 months
Mast cell
Covered with long membranous extensions that make them resemble nerve cell dendrites
Dendritic cells
Major functions is phagocyte-antigen and present it to the T-helper cells
Dendritic cells
Most potent phagocyte ; best antigen presenting cell
Dendritic cells
Acts as sensors for extracellular function
Pathogen recognition receptors
Detects pathogen associated molecular pathogens
Pathogen recognition receptors
Recognize molecules that are commonly found in microbial pathogens but not as host cellls
Toll-like receptor
Toll-like receptors have Highest concentration on
Monocytes
Macrophages
Neutrophils
Steps involved in phagocytosis
Adherence
Engulfment
Formation of phagosome
Granule contact
Formation of phagolysosome
Digestion of the microorganism
Excretion
Make the organism more susceptible to phagocytosis
Opsonins
Central killing
NADPH oxidase
Oxidative burst ; most common elimination of organism via phagocytosis
Oxygen dependent process
Defensins and cathepsin G are example of what type of phagocytosis
Oxygen dependent process
The process by which degraded peptides within cells are transported to the plasma membrane where T cells can then recognize them
Antigen presentation
Bring out antigen from the cytoplasm to the surface
Major histocompatibility complex
Impaired NAPDH oxidase production
Chronic granulomatous disease
Test for CGD
NITRO BLUE TETRAZOLIUM TEST
Nitro blue tetrazolium test positive result
Absence of blue precipitate
Gold standard for testing CGD
Flow cytometric assay
FLOW CYTOMETRY :
Neutrophils are labeled with
Dihydrorhodamine
FLOW CYTOMETRY :
Neutrophils activation
Phorbol myristate acetate (PMA)
POSITIVE CGD in flow cytometry
Less fluorescence
This condition is associated with wit McLeod phenotype
CGD
Large granular lymphocytes (kiss of death)
NK cells / natural killer cells
First line of defense against intracellular organisms and tumor cells ; non specific killing
Natural killer cells
A receptor for the specific end of antibodies
CD16
Important cytokine in NK development
Interleukin 15
Interleukin 15 releases
Granzymes and perforins
Induces programmed cell death in the target cell
Granzyme
Membrane disrupting protein
Perforins
Performs specific killing
T-cytotoxic
Performs nonspecific killing
NK cells
CD markers of NK CELLS
CD 16 & CD 56
Able to kill target cells without prior exposure to them
NK cells
Both chemotaxis and random movements are abnormal
Lazy leukocyte syndrome
Abnormal chemotaxis and normal random movements
Jobs syndrome
10-15% of WBC population
NK cells
Bridge to natural and acquired immunity
NK cell
Overall reaction of the body to tissue injury or invasion by an infectious agent
Inflammation
Stages of inflammation
Vascular response
Cellular response
Resolution and repair
An inflammation response Initiated by mast cells release of histamine (vasodilator) - basophil
Vascular response
An inflammation response in which small and faster neutrophils and macrophages produce IL-1 causing fever and increase acute phase reactants)
Cellular response
An inflammation response initiated by fibroblast proliferation
Resolution and repair