Johnson Flashcards

1
Q

How does the body recognize a viral infection?

A
  • toll-like receptors recognize viral ds RNA and activate innate immunity
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2
Q

How does interferon induce a cell to an antiviral state?

A
  • INF alpha and beta release activates dendritic cells, macrophages, NK cells and T and B cells
  • protein kinase R production - blocks viral synthesis and causes apoptosis
  • 2’5’-oligoadenylate synthetase produciton - activates an RNA to degrade viral RNA
  • Mx protein blocks viral transcription
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3
Q

What are the actions of dendritic cells and macrophages?

A
  • phagocytosis
  • antigen presentation
  • release of cytokines
  • killing of virus infected cells
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4
Q

What are the actions of NK cells?

A
  • cytotoxic to virus infected cells

- release INF gamma to activate T cells

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5
Q

How does the adaptive immune system attack viral infections?

A
  • T cells resolve infection

- ABs contribute to recovery and memory

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6
Q

Why is immunologic memory needed?

A
  • ensures protection in times when immuncomprimised
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7
Q

What are some anti-host actions of a virus?

A
  • antigenic variation, shift or drift
  • molecular mimicry
  • latency or reducing expression on cells
  • impair host response
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8
Q

What is a pathologic consequence of immune response to a viral infeciton?

A
  • excessive cytokine production can lead to Acute Respiratory Distress Syndrome
  • antibodies can form immune complexes leading to glomerulonephritis
  • T cells cause host tissue damage (autoimmunity)
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9
Q

What are the four major categories of Fungi?

A
  • Superficial mycoses - jock rot, athletes foot
  • Subcutaneous mycoses - malssezia furfur
  • Respiratory mycoses - aspergillosis, histoplsmosis, blstomycosis
  • Candida albicans (yeast infection)
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10
Q

What is the major form of immunity against fungi?

A
  • innate reponse by neutrophils and macrophages
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11
Q

What is the bodies immunity against parasitic infections?

A
  • innate immunity (complement, macrophages, neutrophils, eosinophils, mast cells)
  • IgE AB activate eosinophils and mast cells
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12
Q

How does parasitic infections escape the immune system?

A
  • resist destruction by complement system
  • resistant to oxygen metabolites and lysozymes
  • antigen variation
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13
Q

What is the general concept of immunization?

A
  • generating specific immunological memory by use of a less virulent microbe/toxin
  • induce long lived pool of specific memory
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14
Q

What is meant by herd immunity?

A
  • vaccinated individuals will prevent the spread of infection
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15
Q

What are examples of passive immunization?

A
  • IgG and IgA in infants and fetus
  • specific Gamma Globulin
  • Monoclonal antibodies
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16
Q

What makes an effective vaccine?

A
  • safe
  • protective
  • gives sustained protection
  • induces neutralizing antibody
  • induces protective T cells
  • Practical
  • Need a good antigen (live, dead intact, fragments, toxoid)
17
Q

What are some examples of live (Attenuated) viral vaccines?

A
  • small pox
  • polio
  • measles
  • mumps
  • rubella
  • yellow fever
  • Varicella-zoster
  • Rotovirus
  • Influenza
18
Q

What are some examples of inactivated vaccines?

A
  • Polio (Salk)
  • Rabies
  • Influenza
  • Hep A
19
Q

What are some examples of fragmented or subunit vaccines?

A
  • Hep B (surface antigen)

- Human papilloma virus (recombinant capsid)

20
Q

What are some examples of bacterial vaccines?

A
  • BCG - tuberculosis (live)
  • Typhoid (live)
  • Pertusis (inactivated)
  • Cholera (inactivated)
  • Anthrax (Inactivated)
21
Q

What are some examples of bacterial subunit vaccines?

A
  • typhoid - polysaccharide
  • Hib
  • Meningococcus
  • Pneumococcal - capsular varients
  • Lyme disease
22
Q

What are some examples of toxoid vaccines?

A
  • diphtheria

- tetanus

23
Q

Why are there no vaccines at present for parasitic infections?

A
  • genome is similar to ours
  • immune response is poor
  • parasites will evade immunity
24
Q

What are some new approaches for vaccine development?

A
  • new adjuvants and delivery systems
  • DNA vaccines
  • using other viral vectors to integrate surface glycoprotein production
25
Q

What are the adverse effects associated with vaccines?

A
  • pain, fatigue, headache, egg allergy

- live vaccines cannot be given to immunocompromised