Lecture 15 &16- Intro To Human Immunity Flashcards

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1
Q

What is Immunity?

A

The body’s ability to defend itself against

  • Infectious agents
  • foreign cells
  • Abnormal body cells eg cancer
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2
Q

What are the two broad types of immune defenses?

A
  • Innate immunity (nonspecific)
  • adaptive/acquired immunity (specific)
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3
Q

Which type of immunity retains memory?

A

Adaptive immunity

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4
Q

Give examples of External defenses? (Barriers to entry)

A
  • Intact skin- cannot be penetrated except if tiny cuts are present
  • Mucous membranes lining digestive, respiratory, and genitourinary tracts - some of these cells produce mucus
  • washing action of saliva, tears, urine constantly bathe surfaces of exposed tissue
  • Secretions of skin and mucous membranes chemicals kill or weaken bacteria

​Sebaceous glands and sweat glands PH 3-5, acidic enough to prevent colonization

  • Ciliated cells in upper respiratory tract, sweep mucus and trapped particles, to be swallowed or coughed out
  • Acidic pH of stomach destroys most pathogens before entry to intestine
  • Flora (harmless bacteria) in intestine and other areas prevents colonization of pathogens
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5
Q

Describe the process of inflammatory reaction, and under which circumstance does it occur?

A

When tissue are damaged

  • Damaged tissue and Mast cells(tissue equivalent to Basophils) release inflammatory chemicals (histamine kinin) that dilate capillaries bringing blood to injures site causing redness & heat
  • ↑ permeability allows proteins, fluids, and phagocytes(Macrophages) to enter swelling site
  • Swollen area and kinins stimulate free nerve endings –> pain
  • Phagocytes kill microbes
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6
Q

Describe mechanism of phagocytosis

A
  • Phagocytes attach to microbes and engulf them by Endocytosis , forming a vacuole
  • vacuole ​fuses​ with lysosome
  • lysosome kills microbes by producing toxic compounds (nitric oxide & free radicals)
  • ​lysozyme degrades them to small fragments
  • Degraded products secreted by exocytosis
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7
Q

Describe how Natural Killer cells work and where they derive from?

A

Derive from Lymphoid stem cells

  • NK cells patrol the body and attack virus infected cells and cancer cells
  • when a cell is infected ​or becomes ​cancerous various stress-induced molecules are produced and are put on the surface of the cell
  • NK cell receptor, called killer activating receptor, recognizes these stress induced molecules
  • This interaction creates a + signal, enables NK cell to kill the cell bound to it
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8
Q

Give examples of protective proteins (internal innate defense) and their function

A
  • Lysozymes present in (saliva, tears, mucous secretions) can destroy bacteria as they enter the upper respiratory tracts or openings of the eyes
  • Interferons (α &β) produced by cells infected with viruses and protect non infected cells present in antiviral drugs such as Hepatitis C
  • Complement proteins- present in plasma ≈30 and activated by bacterial infections

​C5a- participate in inflammatory response by attracting phagocytes to the site of inflammation

C3b- bind to the surface of pathogens and help in phagocytosisby macrophages and neutrophils

C5-C9- form a membrane attack complex that make holes in cell walls & plasma membrane of bacteria

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9
Q

Which type of cells activate NK killer cells?

A

viral infected or cancer cells

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10
Q

Which type of cells send α& β interferons?

A

Viral infected cells

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11
Q

What type of WBC’s are responsible for acquired immunity?

A

Lymphocytes

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12
Q

What are antigens and what type of molecules are they?

A

a foreign molecule recognized by ​lymphocytes that elicit a response

thsy are large molecules (mainly ​proteins & polysaccharides)

helps to differenciate between ‘self’ and ‘non-self

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13
Q

Explain humoral immunity

A

it is a type of acquired immunity

B lymphocytes with the antigen receptor recognize antigen, and are activated undergo proliferation, differenciate to either memory cells or plasma cells

plasma cells (short lived)secrete antibodies, protect against extracellular pathogens

Memory cells(long lived) differenciate to plasma cells and other memory cells when antigen is recognized in future

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14
Q

What are antibodies?

A
  • glycoproteins that have a complimentary shape to antigen , bind by non covalent factors
  • Are also known as immunoglobulin (Igs)
  • Y shaped with 2 arms- each with heavy & light chains and constant and variable regions
  • bind in a lock and key manner to form antigen antibody complexes
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15
Q

How are antigens recognized by lymphocytes?

A

lock and key mechanism

Lymphocytes in general (not a single one) have millions of different receptors

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16
Q

State the different ways that antibodies can function

A
  • neutralize viruses and bacteria
  • Agllutinate (clump) bacteria
  • Inactivate toxins and soluble antigens , neutralizing the effect
  • Facilitate uptake of the pathogen and soluble antigens by phagocytic cells
  • Activate protein compliment system to kill pathogen
17
Q

State and explain the different types of Ig’s

A
  • IgM- is present in surface of plasma cells and secreted by plasma cells
  • IgG- secreted by plasma cells, antigen can cross placenta, and is in surface of plasma cells

​IgG&M highest conc in blood*

IgA- secreted by plasma cell, secreted in body fluids (breast milk, tears, saliva, etc)

  • IgE- secreted by plasma cells, responsible for Allergies
  • IgD- not secreted by plasma cells, antigen receptors on surface of plasma cells
18
Q

What is Cell Mediated immunity and how does it work?

A

A type of specific defense involving T lymphocytes:

Helper T cells, cytotoxic T cells, memory T cells

  • T cells recognize antigen in surface of APC’s (antigen presenting cells eg; Macrophages) through T receptors in association with self proteins (major histocompatibility complex) molecules
  • helper T cells activated and secrete cytokines. Stimulating …
  • [proliferation of B cells to plasma cells–> secrete antibodies, and memory cells
  • cytotoxic T cells to proliferate and kill virus infected cells & cancer cells
  • macrophages and neutrophils to kill intracellularly pathogens]
19
Q

What are vaccines?

A

substances that do not cause diesease, but contain pathogen specific antigen or antibodies

can be active or passive

20
Q

What is active immunization?

A

giving someone vaccine which contains pathogen specific antigens making the immune system respond by

  • Activating T cells
  • producing antibodies (from plasma cells)
  • producing memory cells ∴ long term immunity (strong secondary response to specific antigen)
21
Q

Give examples of diseases treated by active immunity and its method of intake

A
  • Diphtheria,Pertussis, and Tetanus intramuscular
  • BCG(treats TB) intradermal

↑bacterial

​​viral are

  • Hepatitis B intramuscular
  • Polio oral
  • Measles,Mumps,Rubella -subcutaneous
  • Vitamin A oral (not actual antigen or pathogen- helps immunity)
    *
22
Q

What is passive immunity, give examples

A
  • the use of vaccines with pre formed antibodies
  • immediate protection, but short lived (no memory cells)
  • lasts a few weeks to few months
  • IgG antibodies cross placenta to fetus
  • igA antibodies passed to infant during breastfeeding
  • anti RH antibodies to RH- mothers
  • snake venom antibodies
    *
23
Q

What are some of the side effects of immunity?

A
  • Allergies - reaction can occur within seconds of contact eg; asthma and allergies mediated by IgE antibodies

Delayed reaction causes tissue damage & is mediated by T cells and cytokines

  • Tissue transplant rejection
  • Autoimmune diseases (cytotoxic T cells and antibodies attack body’s own cells in disease. Eg (rheumatoid arthiritis, chronic inflammation
  • Blood transfusion reaction
  • Hemolytic disease of fetus and newborn