Modifiers of the Immune System Flashcards

1
Q

undernourished

A
  • insufficient energy to generate effective immunity

- more prone to microbial infections

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2
Q

overnourished

A
  • impaired or overactive immunity

- more prone to microbial infections, excess inflammation

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3
Q

malnutrition

A
  • general term for lack of some or all elements necessary for human health
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4
Q

kwashiorkor

A
  • insufficient protein leads to edema and bloating
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5
Q

marasmus

A
  • energy deficiency
  • generally acute
  • wasting
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6
Q

most common micronutrient deficiencies

A
  • iodine
  • iron
  • vitamin A
  • zinc
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7
Q

iron deficiency affects function of

A
  • neutrophils

- macrophages

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8
Q

which cytokines are decreased in iron deficiency

A
  • pro inflammatory
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9
Q

which cells impacted in iron deficiency

A
  • T cells

- B cells to lesser extent

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10
Q

which function diminished in iron deficiency?

A
  • thymus function
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11
Q

hepcidin

A
  • decreases serum iron and dietary iron absorption
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12
Q

iron supplements favor

A
  • pathogens
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13
Q

vitamin A deficiency results in

A
  • skews immune system toward TH1 response

- reduces TH2 driven antibody responses to vaccines

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14
Q

vitamin A reduced mortality from

A
  • measles

- diarrhea

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15
Q

obesity and inflammation

A
  • associated with low grade chronic inflammation
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16
Q

obesity and T cells

A
  • alterations in T cell subsets

- linked to increases in TNF-alpha and other pro-inflammatory cytokines

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17
Q

obesity and thymus

A
  • enhances thymic aging

- reduce T cell repertoire diversity

18
Q

cytokine levels and inflammatory markers

A
  • much less in obese patients compared to others
19
Q

why are innate immune responses not normal in neonates?

A
  • do not produce IL-12 at all
20
Q

why is cell-mediated immunity impaired in neonates

A
  • decreased levels of receptors of dendritic cells
21
Q

maternal antibody positive impact

A
  • facilitates better opsonization
  • better uptake by phagocytes
  • improved presentation of T cells and priming of B cells
22
Q

maternal antibody negative impact

A
  • decreases efficacy of live organisms including vaccines

- IgG bound epitopes can hinder B cell priming

23
Q

breastmilk source of

A
  • IgA
  • IgM
  • IgG
24
Q

deficiency of surface/costimulatory molecules leads to

A
  • impairment of antiviral CD8 CTLs
25
Q

which antibody is slower to rise?

A
  • IgA
26
Q

effects of aging on immune system

A
  • reduced production of B and T cells in bone marrow and thymus
  • diminished function of mature lymphocytes in secondary lymphoid tissues
27
Q

elderly individuals don’t respond well to

A
  • novel or previously encountered antigens
28
Q

primary cause of T cell dysfunction in the elderly

A
  • thymic involution
29
Q

naive T cells in the elderly compared to younger people

A
  • less functional in response to antigen than those in younger people
30
Q

representation of memory T cells versus naive T cells in elderly

A
  • more memory than naive
31
Q

aging and B cell lymphopoiesis

A
  • dampening of lymphopoiesis
32
Q

aging and CD4+ T cells

A
  • reduced function and IL-2 production

- dampened costimulation

33
Q

elderly people and B cells

A
  • reduced function

- blunted vaccine response

34
Q

elderly people and Ig heavy chains

A
  • accumulate mutations in heavy chains in peripheral B cells
35
Q

aging and CD8 T cells

A
  • narrowing of repertoire

- more memory cells

36
Q

aging and T cell cells

A
  • retain some suppressive activity

- altered repertoire

37
Q

advanced age and dendritic cells

A
  • change in differentiation and phenotype of dendritic cells
38
Q

aging and macrophages

A
  • macrophages have reduced expression of MHC Class II
39
Q

aging and co-stimulation

A
  • costimulation of dendritic cells

- impairs function of neutrophils

40
Q

aging and TLRs

A
  • altered TLR 7,8,9
41
Q

aging and inflammation

A
  • chronic low grade inflammation occurs with age