intro to immune system Flashcards

1
Q

—- is a complex network of organs, cells & mediators that work together to maintain homeostasis & protect us against infection
- why do we need it:
- it helped us work on vacation and had key innovation in :
- increasing world wide issues as;

A

immune system
we need it for:
1. Defend against invading microbes & repair ourselves after injury
2. Identify & destroy cancer cells that arise in body
3. Remove worn-out cells & tissue debris
- key innovations as:
➢Safe organ transplantation
➢Identification of blood groups
➢Manipulation of the immune system to treat various diseases
➢Immunotherapy
- world wide issues as;
➢Viral outbreaks
➢339m suffer asthma
➢10% world’s population have allergies
➢50 million Americans with autoimmune conditions

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2
Q

—– prevents pathigens from getting into the body
—– helps trap and expel pathogens
—- blocks entry
— protects urigential tract

A
  • barrier immunity
  • mucous
  • skin
  • acidity
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3
Q

the 3 tiers of hist defence against infection is:

A
  • natural barriers
  • innate immunity
  • adaptive immunity
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4
Q

natural barriers can be:
1- physical as :
2- chemical as:
- acids as:
- anti-microbial enzymes as:
-anto micorbial peptides as:
3- mechanical as:

A

1- natural: - Skin
- Epithelial lining - gut, lungs, oral cavity
& genital tracts
- Commensal Bacteria competes for nutrients
2- chemical
- acids as:
- Salt & Low pH of sweat (pH 3-5)
- Low pH of stomach acid (pH 2)
- anti-microbial enzymes as:
- lysozyme
- in tears, saliva, gut & phagocytes
- enzyme breaks down bacterial cell walls
- anti-microbial peptides as:
- defensins, cathelicidins & histatins
- ancient defense against infection
- produced by epithelial cells & phagocytes
- disrupt membranes of bacteria, fungi & virus
3- mechanical as:
- Tears
- Mucus traps microbes & prevents
adherence
- Cilia aids flushing of mucus, cells &
microbes
- Rapid turnover of epithelial cells
- Peristalsis: continuous movement of
food & microbes

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5
Q

defensins , cathelicidns and histatins are all under —

A

antimirocbial peptides ( chemical)

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6
Q

— is the physical barrier to infection and it works by using —- which has high — and low —
- it also has the —- which outcompetes foreign bacteria for nutrients
- barrier failure can be due to – which is an opportunity for infection and if the —– is lost so dangerous bacteria,
such as Staphylococcus aureus and Escherichia coli can colonise

A
  • skin
  • sweat
  • high salts and low ph ( ph 3-5)
  • protective commensal bacteria as ( staphylococcus epidermdis)
  • cuts
  • commensal bacteira
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7
Q
  • respiratory tract use: —- and —- which they have —-
  • it has mechanical process through:
  • —- of epithelial cells flush mucus, bacteria and pathogens
  • it also has respiratory commensal microbiota protects
  • barrier failure includes:
A
  • asal hair and mucos ( which has lysosome aka anti microbial enzyme )
  • protective cough and sneeze reflex
  • cilia
  • smoking which damages cilia, epithelium & triggers inflammation
  • viral infection
  • bacteria infection which is often 2ndary to viral infection
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8
Q

eyes use : — and – to prevent particles and sweat from entering the eye
- tears contain —
- mechanical proces by:
- barrier failure by :

A
  • eyebrows and eyelash
  • lysosome ( antibacterial enzyme )
  • blink reflex ( wiper action )
  • infection either bacterial, fungal , viral
    -Can affect eyeball, cornea or eyelid
    -Poor antibiotic penetration of the eye
    -Bacterial eye infection can be difficult to treat
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9
Q

gastrointestinal has —-
mechanical process by – which moves pathogens along
- — and — to get rid of pathogens and toxins
- stomach has — with ph of – and it —- and – pathogens
- small and large commensal flora keep dangerous bacteria at bay
- has anti-microbial peptides as — are produced by — and —-
barrier failure includes:

A
  • physical epithelial barrier
  • peristalsis
  • vomittinf and diarrogeoa
  • gastric acid ph of 2
  • denurtrates proteins and kill pathogens
  • defensin
  • produced by epithelial ad immune cells
  • colonoscopy and antibiotics
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10
Q

in genitourinty tract:
- the mechanical flow of — cleanses
- bladder contains —
- vaginal liming has — which is hard for pathogens to survive
- vaginas natural commensal flora inhibits growth of dangerous pathogens such as yeast candida which prevents dangours microbe attachment , limits availability source and produce anti-microbial chemicals
- barrier failure are:

A

-urine
- lysosome ( anti microbial enzyme )
- low acidic of ph 4.4
- uti which is the most common infection in humans

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11
Q

-All immune cells come from
hematopoietic stem cells in the —
-Some immune cells stay in the blood (‘circulating’) for example:
- Some of them live in the peripheral
tissues and patrol them for example:
-Some of them need special organs to maturate as:
- t and b cells await to be activated in —

A
  • bone marrow
  • neutrophils
  • macrophages and dendritic cells
  • primary lymphoid organs and t and b cells which are also called lymphocytes
  • 2ndary lymphoid organs
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12
Q
  • primary lymphoid organs are:
  • 2ndary lymphoid organs are:
A
  • bone marrow and thymus for lymphoid maturation
  • 2ndary:
  • Lymph nodes
  • Spleen
  • Appendix
  • Tonsils
  • Adenoids
  • Peyer’s patches
    all of these are for lymphocyte storage/reservoir
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13
Q

in innate system it responds — to microbes
- granulocytes:
- agrnaulacytes:
- destroy threat by:
1- englulfing and destroying pathogens by :
2- secreting toxins by
3- sending signals for recruitment by
4- triggering inflammation by
5- commutation w adaptive immune cells by

A
  • rapidly
  • neutrophils basophils estinophils and mast cells
  • monocytes , dendtritic cells and macrophages
    -phagocytosis
  • degruulation
  • chemokine
  • cytokines and inflammatory mediators
  • antigen presentation
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14
Q

-Key to a healthy immune system – the ability to distinguish between :
- self is:
- non self as:

A
  • self and non self
  • me
  • bacteria virus fungi parasite and cancer cells which can activate immune response ( antigen )
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15
Q

-proteins, RNA, DNA, lipids,
carbohydrates that make up our own cells, tissues & organs are known as:
-As our immune system
matures it learns to recognise our self molecules & not react to them this is known as:
-protein, DNA, RNA, lipid & sugars of bacteria, viruses, fungi, parasites or cancer cells that are recognised as
‘non-self’ by the innate immune cells this is known as : —
- receptors on the surface of innate immune cells that recognise the PAMPs this is known as:

A
  • self molecules
  • tolerance to self molecules
  • PAMPS
  • PRR patterns recognition receptors
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16
Q

cellular locations where PRR are found
1- — : detect extracellular micorbes
2- — : detect intracellular micorbes
2- —: detect microbial products that are ingested

A

-cell surface
- cytosol
- endosome
( process: PAMPs on microbes—>
PRRs on or in the innate
immune cells—>
Intracellular Signalling—.
Cytokines & inflammation—>
Communication to
direct appropriate response)

17
Q
  • adaptive immune system :
  • it has high —
  • — the innate immunity which takes — days for the first adaptive immune response
  • has — via — cells so its — upon re-infection can confer — protection
  • cells are: — and —- which are found in —- and they have —-
  • mediators are:
A
  • antigen specific
  • slower
    -4-7 days
  • immunological memory via memory cells
  • faster
  • lifelong
  • t and b lymphocytes ( we have 2 trillions which are about 20-40-% of WBC )
  • found in blood tissue and lymphatics
  • t and b cells receptors have almost infinite diversity
  • cytokines , perforin ( T cells )
  • antibodies ( b cells )
17
Q
  • Pattern Recognition Receptors
  • Phagocytosis
  • Inflammation
  • No immunological memory
    are all under —–
  • Antigen-specific receptors (TCR, BCR)
  • Tailored pathogen-specific response
  • Antibody production
  • Immunological memory
    are all under —-
A
  • innate
  • adaptive.
18
Q

Soluble proteins that regulate immune responses, cell growth,
differentiation, development and repair, migration….etc
culminating in the restoration of homoeostasis is known as —

A

cytokines

18
Q

cytokines have — molecular wight proteins
- secreted by —
- in response to — such as —
- function is to :

A
  • low ( 5-25kDa)
  • cells (varying amounts )
  • stimuli as infection
  • pass msgs between cells causing response and more fucntions as:
  • Regulate nature, intensity & duration of innate & adaptive
    immune responses
  • “Master co-ordinators” of immunity
19
Q

main cytokine groups are:
1- interlukines produced by :
2- interferons involved in :
3- colony stimulating factors :
4- chemockines which promotes:

A

Interleukins - produced by leukocytes (IL-6, IL-1)
Interferons - involved in anti-viral & pro-inflammatory responses (IFN-α/b)
Colony Stimulating Factors – support growth (GM-CSF)
Chemokines - promote chemotaxis (IL-8 [CXCL8])

20
Q

cytokines pass their msgs in 2 district manners:
1- —Act on same cell that releases the cytokine
2- —Act on nearby cells
3- —-Act on distant cells

A

1- autocine which use IL-2 for T cell activation
2- paracrine uses IL-1 for nearby endothelial cells promoting extraversion
3- endocrine which use TNF stimulating the liver cells to produce acute phase proteins