Introduction to Immunology (Lecture 1) Flashcards

1
Q

Routes of infection for pathogens

whole bunch of pathogens enter via ____ surface - can inhale, eat, or via the reproductive tract

other pathogens can enter via ____ surfaces - embrasures in skin, insect type, burrowing through outer layers of the skin

different type of immune mechanisms are active at different sites [so the route the entry is ultimately important in targeting these pathogens]

A

mucosal

external

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2
Q

Stages of an Infection

different portals of entry: droplet, inhalation, eat, get bit by things, biological vectors

once a pathogen enters (or before) > ____: pathogen attaches to internal surface/external, or directly to a cell (i.e. a virus has to attach directly to a cell)

following colonization > ____ (multiply and bypass elements of immune system) > invade and disseminate (spreading at a local site, or getting inside a cell like viruses do and spread via infected cells) > pathogen may encounter element of immune system

Outcome
Pathogen \_\_\_\_ by host
Pathogen completes \_\_\_\_
Pathogen leaves \_\_\_\_
Pathogen enters \_\_\_\_
Pathogen destroys the \_\_\_\_
A
colonization
proliferate
eliminated
life cycle
host
latent state
host
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3
Q

Stages of an infection

stages of disease > signs/symptoms experienced by patients

____ is associated with incubation period - no ____ or ____ of infection occur here

____ > earliest signs/symptoms of an infectious process [highest level of ____]

as pathogen multiplies and spreads…

____ > exhibit all of classical characteristics of what infection is supposed to be; patien will be the sickest but will not be as ____s > number of viral particles may have peaked and immune system hopefully kicked in

decline > as immune system becomes more and more active > signs and symptoms of disease diminish > host fully recovers (____)
— during decline period: instead, ____ of host may be declining > lead to chronic infection/death

A
colonization
signs
symptoms
prodromal
contagious

clinical
contagious

convalescent
physiolology

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4
Q

Factors Affecting the Outcome of an Infection

____
virulence, infectivity, distribution, vector requirement

____
genetic, immune response, age

____
hygiene, social and nutritional contexts, climate, availability of health care, vector habitat

A

agent
host
environment

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5
Q

Are all microbes harmful?

NO

The human microbiome:
- the “normal flora”
- microbial cells outnumber human cells
by \_\_\_\_ to 1
- \_\_\_\_ in composition between and
within individuals
- many are \_\_\_\_; others potentially
\_\_\_\_
A

10
variability
beneficial
pathogenic

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6
Q

The Human Immune System

Two components:
____ immune system
____ immune system

____ is a component of the immune system > physical barrier that protects from infection

innate - mechanisms you are ____ wtih (skin, etc.)
adaptive - more complicated, not things you are necessarily born with; develop from your experience of your ____

A
innate
adaptive
skin
born
exposure
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7
Q

The Human Immune System

Distinct types of immune responses have evolved to eliminate or prevent infections by different classes of pathogens.

innate immune = ____ response
adaptive immune = ____ response

A

rapid

slow

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8
Q

The Human Immune System
The principal mechanisms of innate and adaptive immunity

all of the mechanisms of immunity (innate/adaptive) are all relevant in the ____ region

A

H+N

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9
Q

Cells of the Immune System

cells of immune system are complex; most are derived from common cell in ____: hematopoietic SC

**HSC > can differentiate into all differetn cells that are involved in ____ and ____ immunity (any of the cells that are active in immune cell)

stem cell therapy > looking to purify the ____, and transplant/regenerate

A

bone marrow
innate
adaptive
HSC

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10
Q

Molecules of the immune system

The normal (and aberrant) activity of the immune system involves a variety of molecules that are involved in:

  • recognition of potential ____
  • regulation of cell growth, differentiation and activation - communication between different cell types
  • ____ cells to where there are needed
  • elimination of ____
  • ____ of immune responses
  • ____ pathology
A
pathogens
directing
pathogens
down-regulation
immune-mediated
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11
Q

Properties of Innate Immunity

  • ____
  • Relatively non-specific
  • ____ recognition
  • Invariant [no matter how often it is ____]
  • ____ line of defense
  • Necessary for proper function of adaptive
    immunity
A

primitive
pattern
triggered
first

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12
Q

Properties of Innate Immunity

Mechanisms of Innate Immunity

  • Mechanical ____ (skin, cilia)
  • ____ Barriers (low pH of the gut, normal microbial flora)
  • ____ Barriers (complement, interferon, lysozyme, defensins)
  • ____ Barriers (neutrophils, NK cells, eosinophils, mast cells)
  • ____ Barriers
A
barrier
physiologic
humoral
cellular
inflammatory
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13
Q

Adaptive Immunity

humoral - activity of ____ molecules > produced ultimately from B cells (you need cells for humoral as well)

cell-mediated immunity - ____ Cells> a cell is responsible for the inactivation/elimination of a potential pathogen

B/T cells (lymphocytes) have receptors on cell surfaces that render them specific in the context of what they’ll react against; B/T can distinguish bacterial cells, virus v. bacterial, fungus v. bacteria, etc.; in CONTRAST to the innate immune system (which is relatively ____)

A

antibody
T
non-specific

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14
Q

Adaptive Immunity

Different types of cells are
involved in reactions against
different types of pathogens.
IMPORTANT, KNOW THIS:
HumoraI responses are very
important in dealing with
\_\_\_\_ pathogens but
not very potent in dealing with \_\_\_\_ pathogens. 
Why
not? How do you think living
inside a cell is a good idea if
the pathogen is trying to
avoid antibody detection?
Answer: the antibodies can't
get inside the cells and can't
interact with pathogens, so
living inside a cell is a very
sophisticated approach to
avoid \_\_\_\_ by elements
of humoral immunity.
On the flip side cell-mediated immunity responses are extremely
important in eliminating
intracellular types of
pathogens. Cytotoxic T
cells (someimtes called
killer T cells) are very
important in elimination of
\_\_\_\_ infections. Helper T
cells involved in variety of
immune responses are
also important in
elimination of intracellular
bacterial infections. This
is where human immune
system has become very
sophisticated compared
to a sponge. Evolution
has led to development of
different types of immune
reactions that target
distinct classes of
microbial pathogens.
A

extracellular
intracellular

detection

viral

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15
Q

Lymphocyte Differentiation

Primary (or Central) Lymphoid Organs – generative tissues in which lymphocytes first express ____ and become phenotypically and functionally ____.

Secondary (or Peripheral) Lymphoid Organs – tissues where lymphocyte responses to foreign ____ are initiated and develop.

two types of lymphoid organs > primary (central) > these are responsible for the generation of lymphocytes, tissue in which lumphocyte will express receptor that will allow it to interact with antigen > will be MATURE T/B cells
–____ + ____

secondary (peripheral) > these represent where lymphocyte interacts for whatever it is specific for, and then differentiates B cells into ____, in case of T cell into helper/cytotoxic T cell > enter ciruclation and be led to area where infectious agent is located

A

antigen receptor
“mature”

“entities”

thymus
bone marrow

plasma cells

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16
Q

Lymphocyte Differentiation

HSC > bone marrow; some will differentiate into common ____; within bone marrow, some will dvelop into B cell differentiation pathway > and can eventually be activated and differentiated into plasma

differentiates into precursor that will be T - cell pathway > travel to ____ via BS > developing into cells that are helper/killer T cells

A

lymphoid progenitor cell

thymus

17
Q

Lymphocyte Recirculation

cells recirculate through lymphatics and circulatory systems > in one of the ____ lymphoid tissues they’ll experience what they were created for

most of immune rxns for something like a dog bite occurs in the ____ nodes

A

secondary

axillary

18
Q

Lymphocyte Recirculation

Many innate immune cells including neutrophils, basophils, eosinophils and monocytes circulate through the blood stream.

Molecules derived from pathogens are carried through the lymphatic system in either a ____ form or within ____ cells and delivered to local peripheral lymphoid tissues where they can be recognized by lymphocytes.

Unstimulated lymphocytes are not sequestered in a particular peripheral lymphoid organ; they continuously ____ through the lymphatics and peripheral lymphoid tissues “looking” for a pathogenic molecule to react against.

Once stimulated in a peripheral lymphoid tissue lymphocytes differentiate into either ____ or ____ cells that have the capacity to enter the blood stream and home to sites of infection.

A

soluble
dendritic

recirculate

effector
memory

19
Q

Lymphocyte Recirculation

The injury stimulates an ____ immune response in the form of an inflammatory reaction that leads to the accumulation of innate immune cells and molecules at the site that serve as an initial barrier to infection.

Pathogen-associated molecules are delivered to ____ lymphoid tissues where they can stimulate specific lymphocytes that once activated can home to the site of infection and assist in elimination of the pathogen if necessary.

Collectively, these events ____ the elements of the immune system necessary to prevent or eliminate an infection at the portal of entry or site of infection.

A

innate
local peripheral
mobilize

20
Q

Properties of Adaptive Immune Responses

rabbit has never been exposed to pathogen A

first thing to achieve > get baseline antibody (assuming it to be 0, because it is adaptive)

first find a characteristic curve leading up to day 28; not instantaneous; takes ____ days for the appearance of antibody in the serum; by day 10 the level of antibody has ____ itself (inducible)

4 weeks > can measure a ____ level of antibody in the rabbit

second exposure you see an ____ in the amount of antibody in the serum of the rabbit; dramatic difference between the two responses; eventually falls off, but not anywhere near the level it falls off after ____ (come back years later and you will still have high levels) (memory: ____ immune response remembers it has been exposed to a pathogen respond, and the second response is much more efficient)

primary exposure for B is identical to A; prior exposure to A doesn’t induce any form of memory for pathogen B (specificity)

A

3
maximized

low

increase
primary
adaptive

21
Q

Properties of Adaptive Immunity

  • Evolutionarily ____
  • Extremely ____
  • Defined epitope target
  • Variable (“custom-made”) [____ upon repeated infection]
  • Helps but not essential for innate immunity
  • Second line of defense
A

recent
specific
improves

22
Q

Immune Responses

In many situations, innate and acquired mechanisms of immunity work in ____!

A

synergy

23
Q

Stages of an Infection

First types of immune reactions initiated: immediate types of ____ immune responses >

____period: induction of ____ innate immune responses (4-96 hr), associated with not feeling well and the recognition of micro-dissociated molecular patterns

enter the illness phase: ____ immune response is kick in; there is a ____ period during which the period is induced to react against the pathogen; as number of pathogenic cells begin to decrease, you go through decline and then follow through the ____ period

A

innate

prodromal
early 
adaptive
lag
convalescent
24
Q

Immunotherapy
“Treatment (or prevention) of disease by inducing, enhancing, or suppressing an immune response. Immunotherapies designed to elicit or enhance an immune responses are classified as ____ immunotherapies, while those that reduce or suppress are classified as ____ immunotherapies.”

Activation Immunotherapy:

  • ____
  • ____ Immunotherapy
  • Immune ____ Therapy
  • Immune ____

Suppression Immunotherapy:

  • ____ Drugs
  • Induction of ____ Tolerance
  • ____ Immunotherapy
A

activation
suppression

vaccination
cancer
enhancement
recovery

immunosuppressive
immunologic
allergen

25
Q

Concept of Vaccination

vaccine initiates a primary response to whatever it is you’re being vaccinated against

shot for vaccine; seeking an ____ response; after a week the levels fall off to a low level (____ throughout your blood); secondary response: active toxin and antibodies are produced in response to the toxin

secondary/tertiary response is more ____ against battling the infection

A

antibody
detectable

effective

26
Q

Immunity

natural forms of adaptive > results via ____ or exposure to infection; or via passage of ____ from mother to a developing fetus; certain types of Ab in maternal blood stream can cross the placental barrier and get into the fetal circulation and provide immunity for a new born baby for the first ____ months after birth

artificial immunity > induce an immune response; or give someone a ____ population of antibody/T cells > one form is active immunization

certain things we cannot vaccinate against venomous bites > these toxins very rapidly affect the nervous system; cannot wait long, so you inject a preformed population of Ab molecules (aka a snake, a large animals inject with toxin) > anti-venom; very actively the ____ transfered Ab can act against the transmitted toxin

A

infection
antibody
six

preformed

passively

27
Q

What do B and T cells actually “see”?

adaptive immune response > molecule is called an ____; on surface, inside, or secreted by pathogens

A

antigen

28
Q

Antigens

Any substance that can interact with an immune recognition molecule (____ or the ____ antigen receptor)*.

*Immunogens – an antigen that ____ an immune response.
Although many antigens can function as immunogens, some do not. These tend to be ____ molecular weight compounds that must be linked to ____ macromolecules in order to induce an immune response.

A
antibody
T cell
induces
small
larger
29
Q

What do B and T cells Actually “See”?

immune receptors recognize the ____ (a substructural component of it) (also called an ____)

A

epitope

antigenic determinant

30
Q

Antigens
An antigen can be thought of as being composed of a group of ____ each of which can individually interact with an immune recognition molecule.

each antigen interacts with different types of antibodies

each diffferent epitope determines the amount of antigenic determinant specifity

REWATCH

A

epitopes

31
Q

What Do B and T Cells Actually “See”?

Lymphocytes exhibit extremely specific cell surface receptors that interact with unique ____ components of organic molecules.

A

“substructural”

32
Q

What goes into making an antigen immunogenic?
1. Chemical Nature
• Organic vs. Inorganic
• ____>Carbohydrates>Nucleic Acids, Lipids
2. Molecular ____
3. Structural ____

molecules can be divided into organic vs. inorganic

inorganic: ____ molecules
organic: are antigenic; there is a hierarchy to how ____ an antigen is based upon the type

proteins are the most potent form of organic molecules; followed by carbs, nucleic acids and lipids

difference between the four categories is molecular size; the ____ it is, the more potent of an antigen it becomes

most important: ____ of a molecule; the more complex, the more ____ the molecule is

A

proteins
size
complexity

antigenic
potent

larger
structural complexity
potent

33
Q

What goes into making an antigen immunogenic?

Molecules with highly complex structures have a more ____ array of epitopes each of which has the capacity to induce a specific response

proteins and nucleic acids are both large molecules; but the difference between the two: but the protein is more ____, it has a large number of ____

A

diverse
complex
substructural determinants

34
Q

Antigens

conformation dependent epitopes: the antibody will bind to its epitope when the protein is in its ____ form (will not bind upon ____ of the protein)

linear epitope: can bind to ____ protein, cannot bind to protein when it’s in its ____ conformation

which is most important in immediating immunity: ____ mediated epitope

____ can have antibodies that recognize linear or conformational epitopes

**receptor on surface of Tcells only recognizes ____ epitopes; Tcell surface antigen receptors are not capable of recognizing protein in its native state

A

native
denaturation

denatured
native

conformation

B cells

linear

35
Q

What goes into making an antigen immunogenic?
1. Chemical Nature • Organic vs. Inorganic
• Proteins>Complex Carbohydrates>Nucleic Acids, Lipids
2. Molecular Size
3. Structural Complexity
4. ____
5. ____
6. Mode of ____
7. ____ Constitution of Challenged Subject

albumin; all mammals have it, if you inject with another humans albumin you won’t have an immune response; albumin with a bat you will react, a chimpanzee you won’t necessarily have an immune response (closer ____ you will probably not have an immune response)

7: vaccinated against hepB, some people will have a vigorous response, some a weak; why? ____ regulation of immune responses

the two properties that are most important are the ____ and ____

A

charge
foreignness
administration
genetic

evolutionarily

genetic

molecular size
structural complexity

36
Q

Antigens
Virtually any molecule, including those derived from ____ entities, can function as an antigen and/or immunogen.

What are the consequences of the responses induced by different types of antigens?

  • Protective
  • ____
  • Pathogenic

most don’t respond to allergens, but if you do you get an ____ reaction

protective against a ____ stimulus

harmless against the epitopes that aren’t important in the ____ of the molecule

____ if against an allergenic or our own tissues

A

non-pathogenic

harmless

allergic

microbial

bioactivity

pathogenic

37
Q

Properties of Adaptive Immune Responses

  1. ____
  2. ____
  3. ____
  4. non-reactivity to ____
  5. ____
A
inducibility
memory
specificity
self
diversity