Module 12 - Immune System Flashcards

1
Q

What is immunity? What are the two types of immunity?

A

Immunity is the ability to ward off damage or disease caused by disease producing organisms (pathogens) and tumor cells

  1. innate immunity: in-born (hereditary) non-specific
  2. adaptive immunity: acquired during life, very specific to particular antigens
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2
Q

Which 2 lines of defense does innate immunity comprise of?

A
  1. first line of defense: physical barriers
    - skin and mucous membranes, vomiting, tears, gastric juice
  2. second line of defense
    - natural killer cells, phagocytes
    - fever
    - antimicrobial substances
    - the inflammatory response
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3
Q

In the second line of defense Natural killer cells and phagocytes…

A

natural killer cells (type of lymphocyte)

  • kill infected body cells and tumour cells
  • release toxic chemicals that perforate the cell membranes of target cells > lysis

Phagocytes:

  • major types are macrophages, neutrophils, and dendritic cells
  • perform phagocytosis (eat cells) = ingestion of microbes and other particles
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4
Q

Innate immunity fever refers to

A

an abnormally high body temperature due to resetting of the hypothalamic thermostat

it is a non-specific response that:

  • speeds up body reactions
  • increases the effects of endogenous antimicrobials (e.g., compliment, interferon)
  • sequesters (holds back) nutrients from microbes
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5
Q

In innate immunity, antimicrobial substances refer to

A

chemicals and proteins produced by the body that discourage microbial growth

Interferons:

  • chemical early warning system
  • released by virus infected cells
  • detected by neighbouring body cells that “arm” against virus replication

Compliment system:
-enhances other immune reactions e.g. phagocytosis, inflammation, cell lysis

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6
Q

In innate immunity, an inflammatory response refers to ____

what are the 4 characteristics and signs and symptoms of inflammation?

A

a non-specific defence response to tissue damage, e.g. pathogens, abrasions, chemical irritants, burns, freezing…

4 characteristics and signs and symptoms of inflammation include:

  • redness
  • pain
  • heat
  • swelling
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7
Q

What are the 3 stages of inflammatory response?

A

3 stages: vasodilation, increased capillary permeability, emigration of phagocytes

  1. VASODILATION - allows more blood to flow to the damaged area which helps remove bacterial toxins and debris, produces the redness and heat at the site of inflammation
  2. INCREASED PERMEABILITY of capillaries permits movement of fluids, antibodies and clotting factors into tissues at site of injury, produces swelling (also called edema)
  3. EMIGRATION
    - of phagocytes, depends on chemotaxis (chemical attraction) of released chemicals
    - neutrophils predominate in early stages but die off quickly
    - macrophages dominate in later stages and initate new tissue growth and repair
    - pus is a mass of dead phagocytes, damaged tissue and dead microbes, the end result of inflammation that also includes infection
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8
Q

What is edema? What is pain?

A

Edema (swelling) results from increased permeability of blood vessels and accumulation of fluid in the tissues

Pain is a symptom of inflammation which results from sensitization of nerve endings by the inflammatory chemicals as well as pressure from the swelling

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9
Q

What is ADAPTIVE immunity? What are the 2 key properties of adaptive immunity?

A

=defense against SPECIFIC bacteria, viruses, toxins that invade the body

  1. specificity for foreign molecules called antigens
  2. memory for previously encountered antigens so that a second exposure provokes a strong immune response
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10
Q

Adaptive immunity involves two types of immune cells called lymphocytes, what are they?

A
  1. B lymphocytes (B cells)
    - produce antibodies when activated as plasma cells
    - called humoral immunity
  2. T lymphocytes (T cells)
    - attack invading antigens directly
    - called cell-mediated immunity
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11
Q

What are antigen presenting cells?

A

adaptive immunity requires an antigen presenting cell (APC) to “kick-start” the process

these are phagocytic cells of the innate immune response, e.g., macrophages, dendritic cells

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12
Q

APCs activate ______ cells

A

APC’s activate helper T cells
activated helper T cells activate other lymphocytes:
-T CYTOTOXIC CELLS which directly kill foreign invaders
-B CELLS which turn into PLASMA CELLS and make ANTIBODIES that kill or help kill foreign invaders

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13
Q

What is clonal selection?

A

a clone is a population of identical cells, all recognizing the same antigen as the original cell

-activated lymphocytes undergo rapid clonal selection to produce:

EFFECTOR CELLS: active helper T cells, active cytotoxic T cells and plasma cells
MEMORY CELLS: do not participate in the initial immune response but respond rapidly on subsequent exposure

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14
Q

What are antibodies?

A

antibodies are specialized proteins that bind to specific portions of an antigen called EPITOPES

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15
Q

What is the role of the lymphatic system?

A

Thymus: site where T-cells mature after migrating from red bone marrow, T-cells develop immunological tolerance in the thymus = do not (usually) react to and attack the body’s own proteins and tissues

Lymph nodes: rich in lymphocytes (T cells and B cells), function in immunity –> filter lymph and remove foreign substances, B-cells develop immunological tolerance in lymphatic tissues such as lymph nodes

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16
Q

What is an autoimmune disease? What are the 2 mechanisms?

A

=failure of the immunological tolerance and the immune system attacks your own tissues

  1. Production of autoantibodies e.g., myasthenia gravis, Graves disease
  2. Activation of cytotoxic T cells e.g., diabetes mellitus type 1, multiple sclerosis, rheumatoid arthritis
17
Q

What is acquired immune deficiency syndrome?

A

Prevalence: 33 million worldwide, 70,000 in canada

Mechanism: the HIV infects and kills helper T cells, severely limits the adaptive immune response, after a prolonged incubation period, opportunistic infections (e.g., pneumocystis) and unusual types of cancer (e.g. Kaposi sarcoma) follow

18
Q

Innate defenses (non-specific)

A

SURFACE BARRIERS:

  • skin
  • mucous membranes

INTERNAL DEFENSES:

  • phagocytes
  • natural killer cells
  • inflammation
  • antimicrobial proteins
  • fever
19
Q

Adaptive defenses (acquired immunity)

A

HUMORAL IMMUNITY:
-B cells

CELLULAR IMMUNITY:
-T cells

20
Q

What do phagocytes do? What are some examples?

A

remove debris and pathogens

e.g., fixed macrophage, neutrophil, free macrophage, eosinophil, monocyte

21
Q

What is extracellular killing?

A

Destroys abnormal cells

Natural killer cells –> abnormal cell –> lysed abnormal cell

22
Q

How does phagocytosis work?

A
  1. chemotaxis
  2. adherence
  3. ingestion
  4. digestion
  5. killing
23
Q

What are interferons? What are compliment system?

A

Interferons increase resistance of cells to infection, slow the spread of disease, released by activated lymphocytes and macrophages by virus-infected cells

Complement system attacks and breaks down cell walls, attracts phagocytes, stimulates inflammation

24
Q

What is the cycle of adaptive immunity?

A
  1. antigen presentation triggers specific defenses or an immune response
  2. cell mediated = phagocytes activated then T cells are activated
  3. direct physical and chemical attack = activated T cells find the pathogens and attack them through phagocytosis or the release of chemical toxins
  4. destruction of antigens

OR

  1. antigen presentation triggers specific defenses or an immune response
  2. humoral antibody-mediated = activated B cells give rise to cells that produce antibodies
  3. attack by circulating antibodies
  4. destruction of antigens
25
Q

What is the cycle of the role of the macrophage as an APC in acquired immunity?

A

infection (antigen) specific immunity

  1. skin or other tissues become infected
  2. macrophages migrate to the site of infection
  3. macrophages engulf and display antigen to helper T cells
  4. helper T cells are activated
  5. T cells are cell-mediated immune response and B cells are antibody-mediated immune response