Introduction To Immunity (Aytona) Flashcards
This practice of deliberately exposing an individual to material from smallpox lesions was known as
variolation
method of scratching the skin and applying pulverized powder from a smallpox scab
Variolation (inoculation)
fresh material taken from a skin lesion of a person recovering from smallpox was
subcutaneously injected with a lancet in to the arm or leg of a nonimmune person
Variolation
Live attenuated vaccine was discovered by
Louis Pasteur
involves the use of bacteria or viruses that have been weakened through exposure to modifying conditions such as chemical treatment, hot or cold temperatures, aging, or repeated in vitro passage in cell culture.
Attenuation
is an antigen suspension derived from a pathogen. These are routinely administered to healthy individuals to stimulate an immune response to an infectious disease.
vaccine
Vaccination therefore is a form of ______ or the prevention of disease through immunization.
immunoprophylaxis
Vaccinia pertains to
cowpox
Variola major pertains to
Smallpox
Variola minor pertains to
Alastrim
CHARACTERISTICS OF CONVENTIONAL VACCINES
Live pathogens that have been weakened by growth under modified culture conditions
Attenuated
CHARACTERISTICS OF CONVENTIONAL VACCINES
Killed microorganisms
Inactivated
CHARACTERISTICS OF CONVENTIONAL VACCINES
Bacterial toxins that have been chemically inactivated so that they are not pathogenic
Toxoids
CHARACTERISTICS OF CONVENTIONAL VACCINES
Biochemically purified components of
a microorganism
Purified components
CHARACTERISTICS OF CONVENTIONAL VACCINES
Biochemically purified polysaccharide from bacterial capsule
Polysaccharides
CHARACTERISTICS OF CONVENTIONAL VACCINES
Protein produced by genetically modified nonpathogenic bacteria, yeast, or other cells
Recombinant antigen
CHARACTERISTICS OF CONVENTIONAL VACCINES
Protein produced by genetically modified nonpathogenic bacteria, yeast, or other cells
Recombinant antigen
Induce both humoral and cell- mediated immunity
Attenuated
Can safely be given to immunocompromised individuals
Inactivated
Induces an immune response to the Pathogenic component(s) of a microorganism
Toxoids
Safer than administration of an intact organism
Toxoids
Similar with toxoids.
Produces fewer side effects than whole bacteria
Purified components
Same with toxoids
Polysaccharides
Highly purified protein that is safer
than administration of intact organism
Recombinant antigen
Examples
BCG, TYPHOID FEVER, ORAL POLIO, MEASLES, MUMPS, GERMAN MEASLES, CHICKEN POX, ROTAVIRUS, YELLOW FEVER
Attenuated
Examples
Intramascularpolio(salk), Hepatitis A,
Influenza (Intramuscularor intradermal), rabies
Inactivated
Examples
Diphtheria
Tetanus
Toxoids
Examples
Pertussis (whooping cough)
Purified components
Examples
Streptococcal pneumonia,
Haemophilus influenza type b
Neisserial meningitis
Polysaccharides
Examples
Hepatitis B
Human papilloma virus (cervical, anal, genital cancers)
Recombinant antigen
factors that affect the quality of the immune response to a vaccine antigen
age of the recipient
individual’s immune status
nature of the vaccine
discovered a remarkable relationship between exposure to cowpox and immunity to smallpox.
Edward Jenner
The phenomenon in which exposure to one agent produces protection against another agent is known as
cross-immunity
Present at birth
NATURAL/INNATE IMMUNITY
Not present at birth
ADAPTIVE/ ACQUIRED IMMUNITY
Standardized response for all Antigen
NATURAL/INNATE IMMUNITY
Diverse response for each antigen
ADAPTIVE/ ACQUIRED IMMUNITY
Lacks memory
NATURAL/INNATE IMMUNITY
Capable of recalling previous antigen thus with memory
ADAPTIVE/ ACQUIRED IMMUNITY
Responsible for the first and second line of defense in the body
NATURAL/INNATE IMMUNITY
Responsible for the Third line of defense in the body
ADAPTIVE/ ACQUIRED IMMUNITY
Pathogen recognized by receptors encoded in the germline
NATURAL/INNATE IMMUNITY
Pathogen recognized by receptors generated randomly
ADAPTIVE/ ACQUIRED IMMUNITY
Receptors have broad specificity
NATURAL/INNATE IMMUNITY
Receptors have very narrow specificity; i.e., recognize a specific epitope
ADAPTIVE/ ACQUIRED IMMUNITY
Immediate response
NATURAL/INNATE IMMUNITY
Slow (3-5days) response
ADAPTIVE/ ACQUIRED IMMUNITY
Little or no memory of prior antigenic exposure
Innate immunity
Memory of prior antigenic exposure
Adaptive immunity
CELLULAR COMPONENT of Second Line of Defense
Mast cells, Basophils, Eosinophil, Neutrophils, Macrophages, Dendritic cell, and NK cells
HUMORAL COMPONENT of Second Line of Defense
Complement, Lysozyme, Interferon alpha and beta
CELLULAR COMPONENT of Third Line of Defense
T lymphocytes, B lymphocytes, Plasma cells
HUMORAL COMPONENT of Third Line of Defense
Antibodies, and cytokines
They are produced primarily by hepatocytes (liver parenchymal cells) within 12 to 24 hours in response to an increase in certain intercellular signaling polypeptides called cytokines (e.g IL-6, IL1, and TNF-alpha)
ACUTE PHASE REACTANTS
They are indicator of inflammation
ACUTE PHASE REACTANTS
Opsonization, complement activation
CRP
Removal of cholesterol
Serum amyloid A
Protease inhibitor
Alpha1- antitrypsin
Clot formation
Fibrinogen
Binds hemoglobin
Haptoglobin
Binds copper, oxidizes iron
Ceruloplasmin
Opsonization, lysis
C3
Complement activation
Mannose-binding protein
a trace constituent of serum originally thought to be an antibody to the c-polysacharide of the pneumococci
C-REACTIVE PROTEIN
Elevated levels of CRP are found in conditions such as
bacterial infections, rheumatic fever, viral infections, malignant diseases, tuberculosis and after a heart attack
acts somewhat like an antibody because it is capable of opsonization (the coating of foreign particles), agglutination, precipitation, and activation of complement by the classical pathway
C-REACTIVE PROTEIN
Main substrate of CRP, a common constituent of microbial membranes. It also binds to small ribonuclear proteins; phospholipids; peptidoglycan; and other constituents of bacteria, fungi, and parasites
phosphocholine
binds to specific receptors found on monocytes, macrophages, and neutrophils, which promotes phagocytosi
C-REACTIVE PROTEIN
the most widely monitored of the acute-phase reactants and is the best indicator of acute inflammation
C-REACTIVE PROTEIN
significant risk factor for myocardial infarction and ischemic stroke
Hs- CRP
Test for CRP
Reverse passive agglutination, Precipitation, RIA, Complement fixation
Serum half-life of CRP
19 hours
CDC criteria for CRP value associated with Heart disease
Low risk: <1mg/dl
Average risk: 1 to 3 mg/dl
High risk: >3mg/dl
It is associated with HDL cholesterol, and it is thought to play a role in metabolism of cholesterol (removing cholesterol filled macrophages at the site of tissue injury)
SERUM AMYLOID A
appears to act as a chemical messenger, similar to a cytokine, and it activates monocytes and macrophages to then produce products that increase inflammation
SERUM AMYLOID A
It has been found to increase significantly more in bacterial infections than in viral infections
SERUM AMYLOID A
can also be increased because of chronic inflammation, atherosclerosis, and cancer
SERUM AMYLOID A
It is thought to contribute to localized inflammation in coronary artery disease
SERUM AMYLOID A
A trimer that acts as an opsonin, which is calcium-dependent.
MANNOSE-BINDING PROTEIN
It is widely distributed on mucosal surfaces throughout the body. It has many similarities to the complement component C1q, as binding activates the complement cascade and helps to promote phagocytosis
MANNOSE-BINDING PROTEIN
Lack of MBP has been associated with
recurrent yeast infections
A general plasma inhibitor of proteases released from leukocytes, especially elastase.
ALPHA1- ANTITRYPSIN
It also regulates expression of proinflammatory cytokines such as TNF, Interleukin-1, and IL-6
ALPHA1- ANTITRYPSIN
Deficiency of ALPHA1- ANTITRYPSIN can lead to
emphysema and juvenile cirrhosis
It is the principal copper-transporting protein in human plasma
CERULOPLASMIN
It acts as a ferroxidase, oxidizing iron from Fe2+ to Fe3+. This may serve as a means of releasing iron from ferritin for binding to transferrin.
CERULOPLASMIN
A depletion of ceruloplasmin is found in
Wilson’s disease
It binds irreversibly to free hemoglobin released
HAPTOGLOBIN
Acts as an antioxidant to provide protection against oxidative damage mediated by free hemoglobin
HAPTOGLOBIN