microbiology, body defences and lymphatic system Flashcards
what is the difference between humoral and cell mediated immunity?
humoral immunity = b cells make antibodies cell mediated immunity = t cells do the killing directly
what are the different classes of antibodies?
IgM - first one made
IgG - ‘memory’ antibody, can cross placenta
IgA - on mucosal surfaces
IgE - allergy/parasites
IgD - found on B-cell surfaces
what are the cardinal signs of inflammation?
redness
warmth
swelling
pain
loss of function
what’s the difference between exudate and transudate?
transudate has no/low proteins in it
which cells produce antibodies?
plasma cells
what is inflammation?
a localised tissue response to injury that stimulates immune response and enables healing
what kind of immune defence is inflammation?
second line, non-specific defence
what is the purpose of inflammation?
destroys/neutralises the injurious agent (limits the extent of injury)
stimulates immune response
cleans up dead tissue and debris
enables healing
what are the stimuli for inflammation?
infections
trauma
physical agents (radiation or temps)
chemical agents
ischemia/tissue necrosis
foreign bodies
immune reactions
genetic defects
describe the vascular phase of inflammation
- vasoconstriction
- vasodilation - increased blood flow - redness and warmth
- increased vascular permeability - ‘leaky capillaries’ - - plasma -> interstitial fluid -> oedema
describe the cellular phase of inflammation
leukocytes are recruited from the blood
they migrate to the site of injury via chemotaxis
leukocytes are activated to perform phagocytosis
what’s the difference between acute and chronic inflammation?
chronic inflammation -
persistent -
two weeks + -
associated with tissue destruction -
macrophages and lymphocytes main WBCs instead of neutrophils
what are the systemic effects of inflammation?
fever (due to increased prostoglandins)
malaise
anorexia
degradation of skeletal muscle proteins
increased hepatic protein synthesis
leukocytosis (increased WBCs)
what are the six links in the chain of infection?
infectious agent
reservoir
portal of exit
means of transmission
portal of entry
susceptible host
what are the modes of transmission?
contact - direct or indirect (fomites)
droplets
via vehicle - non living agents such as air, water or food
via vectors (living agents):
mechanical vectors such as flies
biological vectors such as mosquitos
what is first line defence?
non specific -
prevents entry of antigens into cells
eg skin, tears, mucus, saliva, sweat, stomach acid beneficial bacteria, urine flow (flushes bacteria from bladder)
can also include neutrophils
what is the fluid that exits capillaries during inflammation due to leaky capillaries called?
exudate (protein rich)
what are mediators of inflammation?
chemicals released from cells (eg histamine, prostoglandin, thromboxanes) and/or chemicals in the bloodstream (eg in the complement cascade)
awhat are the phases of inflammation?
vascular phase and cellular phase
vascular phase - changes in vascular calibre and flow
cellular phase - emigration of white blood cells
how do antibodies cause elimination of antigens?
- activation of the complement cascade
- attraction of phagocytes
- stimulation of inflammation
- prevention of viral/bacterial adhesion
- precipitation and agglutination
- neutralisation
- opsenisation
what are the ‘pathogenic properties’ of a microorganism?
AITEA
adherence
invasiveness
toxins
evasiveness
antibiotic resistance
list the chemical agents of disinfection
soaps/ detergents
acids/alkalis
alcohols
chlorine (bleach)
what’s the difference betweeen sterilisation, disinfection and cleaning?
sterilsation is the complete destruction of all living material, including spores (steam under pressure, chemical, radiation)
disinfection destroys most agents, reducing them to a safe level (chemical, heat)
cleaning removes surface material (only clean things can be disinfected)
what are the types of adaptive or specific immunity?
active - make your own antibody
passive - ready made antibodies given
naturally acquired - come into contact in the natural course of life
artificially acquired - needs outside intervention
*naturally acquired passive: ie through breast milk or the placenta
types of vaccines?
live attenuated
inactivated
subunit
toxoid
what is an antibody?
a protein secreted by plasma cells
it binds with a specific antigen and promotes its removal or destuction
also known as an immunoglobulin
give an example of mechanical vector transmission. contrast with biological vector transmission.
mechanical
- fly lands on poo, then on food
- passively spreading disease
biological vector involves a bite from a mozzie, tick etc
at any moment, where are most of the body’s lymphocytes to be found?
in connective tissue and the organs of the lymphatic system ( and a small percentage are circulating in the blood)
what are the three types of lymphocytes?
t cells, b cells and NK cells
explain the difference between specific and non-specific immunity
non-specific defences are innate (you’re born with them) and they don’t distinguish between potential threats
they respond the same way every time
specific defences have to be activated, and provide an adaptive defence against that particular antigen/pathogen
what are the lymphoid organs and tissues?
red bone marrow, thymus, spleen, tonsils, appendix and MALT tissue
where is MALT tissue found?
the digestive, urinary, respiratory and reproductive tracts
what does MALT stand for?
mucosa-associated lymphoid tissue
in what ways do lymphatic capillaries differ from blood capillaries?
they originate as pockets rather than forming continuous tubes
larger diameters
thinner walls
typically have a flattened or irregular outline in sectional view
which areas of the body lack lymphatic capillaries?
those without a blood supply, such as the cornea of the eye, as well as the red bone marrow and the CNS
what are the four main types of t cells?
cytotoxic t cells,
helper t cells,
suppressor t cells,
memory t cells
what can b cells differentiate into when stimulated?
plasma cells, which produce and secrete antibodies
what are the main cells involved in antibody-mediated immunity?
b cells