Lecture Test 4 Part Two Flashcards
what are the four immunities?
natural active immunity
natural passive immunity
artificial active immunity
artificial passive immunity
what is natural active immunity?
getting the infection
describe natural active immunity
acquiring the disease and having the immune system actively produce antibodies and killer t cells against the microorganism and produce memory B and T cells for long lived protection
Natural active immunity is:
permanent with some diseases
what are some examples of natural active immunity
chickenpox, measles, rosela
what is natural passive immunity?
mother to child
describe natural passive immunity
a special bond between a mother and baby. Mom may provide antibodies to protect her infant.
what are the two ways a mother may provide temporary protection for her baby?
in utero
breastfeeding
how does a mother protect her baby while in utero?
IgG antibodies can cross the placenta
how does a mother protect her baby while breastfeeding?
IgA antibodies from clostrum and breast milk
what is artificial passive immunity?
immunotherapy
describe artificial passive immunity?
pooled antibodies contain immunoglobon extracted from pooled blood
artificial passive immunity is treatment of choice for
prevention of measles and hepatitis A and in replacing antibodies in immunodeficient patients
what is an example of artificial passive immunity?
sera from horses are available for diphtheria, botulism, and spider and snake bites
what is artificial active immunity?
vaccination
what is a vaccination?
deliberately exposing a person to material that is antigenic but not pathogenic
Artificial PASSIVE immunity acts:
immediately and protection lasts 2-3 months
describe artificial active immunity
principle is to stimulate a strong enough response by the immune system to produce memory B and T cells for protection to any future exposure
with artificial active immunity response to a future exposure
will be immediate, powerful and sustained
what are most vaccines prepared from?
- killed whole cells or inactivated viruses
- live, attenuated cells or viruses
- antigenic molecules derived from bacterial cells or viruses
- genetically engineered microbes or microbial agents
killed or inactivated viruses:
cultivate the desired strain, treat it with formalin or some other agent that kills the agent but does not destroy its antigenisity
killed or inactivated viruses often require
a larger dose and more boosters to be effective
live attenuated cells or viruses:
eliminates virulence factors
What are some advantages of live preparations?
- organisms can multiply and produce infection but not disease
- long lasting protection
- requires fewer doses and boosters
what are some disadvantages of live attenuated cells or viruses?
- require special storage
- can be transited to other people
- can mutate back to virulent strain
what are the subunits of a virus?
capsule
surface protein
exotoxin
what diseases contain capsules
pneumococcus
meningococcus
what diseases contain surface proteins?
anthrax and hepatitis b
what diseases have exotoxin?
diptheria and tetanus
live antigen can be taken from
cultures
genetic engineering
synthesized
what are genetically engineered vaccines?
insert genes for pathogen’s antigen into plasma vector and clone them in an appropriate host
what is an adjuvant?
product added to all vaccines that provide an initial response from the immune system. localized reaction
since the 1930s the only adjuvant approved by the FDA is
alum
the FDA recently approved a new adjuvant called
Lipid A
what is Lipid A?
the outer membrane of endotoxin which is the outer membrane of gram negative cells
what does HIV need to produce its RNA from DNA?
reverse transcriptase
what is the lytic phase?
actively reproducing in the host cell
what are the five parts of the lytic phase?>
absorption penetration/uncoating duplication assembly release
what is absorption?
virus binds to specific host cells with either viral spikes (enveloped) or knobs (naked virus)
what is penetration and uncoating?
the DNA enters
what is duplication?
virus reproduces his genes and proteins
what is assembly?
virus puts himself together
what is release?
virus is released from host cell
how does an enveloped virus release from the host cell?
buds out
how does a naked virus release from a host cell?
lysis
why do most people day that viruses aren’t alive?
- because they have no kingdom or domain
- unable to exist independently from host
- cannot multiply w/o host
- contain only parts needed to invade and control the host
what is the size of a virus?
nanometers
you must have an electron microscope to see them
what is the two sections of a virus?
covering
central core
what is in the covering of a virus?
capsid
envelope
what is a capsid?
composed of protein
all viruses have one
surrounds the nucleic acid
what is the envelope?
surrounds the capsid
composed of host cell’s membrane
not all viruses have one
what is in the central core?
nucleic acid molecule
various proteins
what is the nucleic acid molecule?
generic info for the virus
either DNA or RNA
single or double stranded
what are various proteins
contain enzymes for specific operations within the host cell such as copying nucleic acid
what is the lysogenic phase?
dormant phase where the virus inserts its genes into the host’s genes. This step occurs after penetration
DNA viruses:
multiply in the nucleus
are double stranded except for parvoviruses
RNA viruses:
multiply in the cytoplasm
single stranded except for dsRNA reoviruses
viruses are limited to
a particular host or cell type
what are some common manifestations of viruses?
rashes, fever, muscle ache, swollen lymph nodes
what are the body’s defenses?
interferon, natural killer cells, antibodies and cytotoxic t cells
what are two types of persistent infection?
chronic infection
latent infection
what is chronic infection?
virus is detectable in tissue samples, multiplying at a slow rate; symptoms are mild or absent
what is a latent infection?
after a lytic cycle, virus enters a dormant phase; generally not detectable, can reactivate
what are pox viruses?
produce skin pustules that leave scars
what is the first disease to be eradicated?
smallpox
what is small pox also known as?
variola
how is smallpox acquired?
inhalation or skin contact
what are the symptoms of smallpox?
rash, fever, mailase, prostration
what is variola major?
highly virulent, causes toxemia, shock and intravascular coagulation
what is variola minor?
less virulent
who discovered the vaccine for smallpox?
Edward jenner
how was the vaccine for smallpox discovered?
work with vaccina
what is vaccine?
cowpox
what other pox diseases are humans susceptible to?
monkeypox
cowpox
what is monkey pox?
skin pox
fever
swollen lymphnodes
what is cowpox?
rare, usually confined to hands; other cutaneous sites
what is the treatment for pox viruses?
there is none
what are herpes viruses?
there are eight
all members cause recurrent infections
common among AIDS patents
what is herpes simplex?
HSV-1
HSV-2
what is HSV-1?
lesions in oral area
occurs in early childhood
what is HSV-2?
lesions in the genital area
occurs in ages 14-29
can HSV-2 be spread when no lesions are visible?
yes
How is herpes simplex acquired?
direct exposure to secretions containing the virus
where does HSV-1 enter the body?
the 5th cranial nerve (trigeminal)
where does HSV-2 enter the body?
lumbosacral spinal nerve trunk ganglia
what can trigger a herpes simplex outbreak?
stress, fever, uv radiation and mechanical injury
what is type 1 herpes?
herpes labialis
what is herpes labialis?
fever blisters and cold sores
most common HSV-1 virus
what is type 2 herpes?
genital herpes
what triggers genital herpes?
menstration
stress
concurrent bacterial infection
what are the symptoms of genital herpes?
blistering and swelling of the groin
painful urination
ulcerated vesicles
itching
what happens in recurrent bouts of genital herpes?
they are less severe
what is herpes of the newborn?
HSV-1 and HSV-2
can be fatal in the neonate and fetus
what does a patent need if pregnant with herpes?
neonatal screening and potential c section
what is HSV-1 encephalitis?
rare complication that results in disseminated herpes
what is the treatment for herpes simplex?
acyclovir
what is the vaccine for herpes simplex?
none
what is varicella?
chickenpox