Module 4: Communicable disease Flashcards

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1
Q

Name 4 groups of pathogen that can cause communicable disease.

A

The ones I need to know:
Bacteria - TB, ring rot in potatoes and tomatoes.
Fungi - Black sigatoka (bananas), athlete’s foot (human).
Protoctista - Malaria, potato blight.
Virus - HIV/AIDS (human), influenza (animal), Tobacco Mosaic Virus (plant).

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2
Q

What is a vector?

A

Carries pathogens from one organism to another.

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3
Q

What are protoctista?

A

Small eukaryotic organisms that are usually unicellular. Some are parasitic (feeds off a host cell), and some of those may need a vector to transfer them to hosts.

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4
Q

How do protoctista invade?

A

They take over cells and feed on cell contents and divide before breaking out of the cell.

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5
Q

What shapes can bacteria have?

A

Rod shaped, spherical (cocci), spiralled.

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6
Q

There are 2 types of bacteria cell …

A

Walls - gram positive bacteria look purple under light microscope after staining, gram negative look red. Distinguishing between these are important so we can see the effect of antibiotics.

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7
Q

How do bacteria cause disease?

A

Produce toxins that damage host cells. E.g. by breaking down their cell membranes, interfere with host cell’s genetic material so they can’t divide.

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8
Q

Describe the structure of a virus.

A

Genetic material (DNA/RNA) surrounded by a protein coat.

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9
Q

What is a bacteriophage?

A

Viruses that infect bacteria. The virus use the bacteria to replicate itself, destroying it at the same time.

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10
Q

What happens when a virus attacks a cell (like bacteria or human cell)?

A
  1. Virus attaches to host cell.
  2. Insertion of viral nucleic acid into host cell
  3. Replication of viral nucleic acid.
  4. Synthesis of viral protein.
  5. Assembly of virus particles.
  6. Lysis of host cell.
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11
Q

Why are viruses the ultimate parasite?

A

Only active inside host cell, have little structure and take over whole host cell.

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12
Q

What are fungi? How can some fungi cause death of plants?

A

Eukaryotic organisms that don’t photosynthesise. They digest food extracellularly and absorb nutrients after.
Fungal infections often effect leaves of plants so they can’t photosynthesise, quickly killing the plant.
Fungi digest living cells and destroy them.

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13
Q

Many fungi are …

A

Saprotrophs - feed on dead and decaying matter.

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14
Q

Give some ways pathogens can cause disease.

A

Viral genetic material inserted into host cell, completely digest living cells and destroy them (fungi),
Produce toxins which poison or damage host cells.

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15
Q

What is the difference between a virus and a bacterium?

A

Viruses are smaller and simpler than bacteria, they can only reproduce by invading host cells and using their cellular machinery. Bacteria are single-celled organisms that can reproduce on their own.

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16
Q

Give an adaptation of fungi.

A

When they reproduce, they produce millions of tiny spores that travel very far so they spread rapidly.

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17
Q

RINGROT in potatoes/tomatoes.

A

Bacterial disease caused by gram + bacteria. Damages leaves and fruit.
Spread by insects (vector), contaminated tools, planting infected seeds.
No cure. Once infects a field, it cannot be used to grow potatoes for at least 2 years.

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18
Q

TOBACCO MOSAIC VIRUS in plants.

A

Infects various plant species and damages leaves. Overcrowding, via infected sap in plants or contaminated tools.
It contains ssRNA, which is directly transcribed by host cell to assemble new virions. Virions enter other cells via plasmodesmata then enter xylem and phloem. This causes stunted growth too.
No cure, but there are resistant crops.

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19
Q

POTATO BLIGHT/TOMATO BLIGHT in plants.

A

Caused by a fungus-like protoctist. Mainly transmitted via spores through rain and wind. The hyphae penetrate host cells, destroying leaves and fruit. No cure but resistant strains and careful management can reduce the risk.

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20
Q

BLACK SIGATOKA in bananas.

A

Fungus destroys leaves - hyphae penetrate and digest cells, turning leaves black.
Spores transmitted via rain and wind. Resistant strains are being developed, good husbandry and fungicide kills fungi to control the spread of disease.

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21
Q

MYCOBACTERIUM TUBERCULOSIS.

A

Bacterial disease in humans, cows, badgers. TB damages and destroys lung tissue and suppresses immune system, so body is less able to fight off other diseases. TB bacteria target epithelial cells.
Droplet inhalation and touching surfaces.
In people TB is curable with antibiotics and vaccination.
TB bacteria have a waxy, thick cell wall. This helps protect against destruction by lysozymes.
They can lie dormant inside macrophages. Although they may be phagocytosed by macrophages, they are usually not completely destroyed due to their thick cell walls. This means that they can survive and lie dormant inside macrophages for a long period of time, and activate and reinfect the body at times when the host immune system is weak.

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22
Q

How does tuberculosis cause disease?

A
  1. Triggers inflammatory response by infecting phagocytes in lungs.
  2. Infected phagocytes are sealed in coated tubercles so bacteria remain dormant.
  3. If another factor weakens immune system, bacteria become active and destroy lung tissue.
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23
Q

HIV - Human immunodeficiency virus.
AIDS - Acquired immunodeficiency virus.

A

HIV targets T helper cells in the immune system, so the infected person develops acquired immunodeficiency syndrome (AIDS), where the immune system becomes progressively weaker due to depletion of immune cells. This exposes the person to other infections and cancers that may ultimately become fatal.
HIV targets and replicates inside helper T cells first at the beginning of its replication cycle, meaning the body’s normal immune response is disrupted and further spread of the virus cannot be stopped.
HIV can lie dormant in the body for many years.
HIV is a retrovirus (has RNA as its genetic material) and it contains reverse transcriptase that transcribes RNA to a single strand of DNA in the host cell, which interacts with the genetic material of the host cell.
HIV is transmitted through certain body fluids such as blood, semen. Unprotected sex, sharing needles, breastfeeding. Direct injection into the bloodstream.
No vaccine or cure, but anti-retro viral drugs slow the progression of the disease.

HIV has a high mutation rate. The antigens on HIV viruses can change rapidly, meaning that memory cells cannot recognise them and the body’s humoral immunity is ineffective.

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24
Q

How does HIV result in symptoms of AIDS?

A
  1. Attachment proteins bind to complementary CD4 receptor on T helper cells.
  2. HIV particles replicate inside T helper cells, killing them.
  3. AIDS develops when there are too few T helper cells for the immune system to function, so can’t destroy other pathogens.
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25
Q

MALARIA.

A

Caused by protoctista Plasmodium and spread through bites of infected female anopheles mosquito. They act as a vector by transferring Plasmodium parasite to another organism during feeding. The parasite reproduces asexually inside the female mosquito. The female needs to take two blood meals to provide protein to lay her eggs, this is when plasmodium parasite is passed to people. It invades red blood cells, liver, brain.
Malaria is usually only common in tropical regions which have the hot and humid climates necessary for mosquitoes to breed. Thus, malaria is considered to be endemic to this region.
Currently two vaccines and preventative measures can be effective. Anopheles mosquito can be destroyed by insecticides. Mosquito nets and door screens can prevent them biting people. 虫よけスプレー
Anti malarial drugs.

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26
Q

BACTERIAL MENINGITIS.

A

Bacterial infection of the meninges of the brain and spinal cord (protective membranes) that can spread to rest of body and cause septicaemia (blood poisoning) and rapid death. Spread through droplets by coughing and direct contact with saliva.
Cure - antibiotics if given early, vaccine can protect us from some forms of meningitis.

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27
Q

How do you know if you have septicaemia?

A

Red rash that doesn’t disappear when you press a glass against it.

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28
Q

Communicable pathogens transmitted directly and indirectly?

A

Directly - skin-to-skin contact like athletes foot or exchange of bodily fluids through STI, consuming contaminated food/drink, animal bite (rabies), sharing needles (septicaemia).

Indirectly - droplet infection (influenza/TB), vectors (rat fleas transmit bubonic plague).

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29
Q

What are exotoxins and endotoxins?

A

Exotoxins are soluble proteins produced by bacteria, as part of their metabolism or during reproduction. They can be highly toxic to the host, disrupting host cell structures or cell metabolism.
Salmonella produce endotoxins. They are part of the outer cell membrane in gram-negative bacteria. They can trigger inflammation and other immune responses, such as fever, in humans.

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30
Q

How do antibiotics work?

A

Antibiotics work by targeting specific processes in bacteria, such as their ability to produce cell walls or proteins. This leads to the death of the bacteria or stops their growth and spread. Different antibiotics target different parts of bacteria and work in different ways, making it important to choose the right antibiotic for a particular infection.
Bacteriostatic antibiotics disrupt the bacteria’s protein production, DNA replication, or metabolism, thus stopping the bacteria from growing or reproducing any further. Tetracycline is an example of bacteriostatic antibiotics.
Bactericidal antibiotics kill the bacteria. Usually by destroying bacterial cell wall, bactericidal antibiotics cause a lethal disruption of the bacteria’s cell structure. Penicillin is an example of this type of antibiotics.

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31
Q

Widespread use of antibiotics has led to …

A

Antibiotic resistance. Genetic mutations may occur in a bacteria. When the antibiotic is used, it leads to natural selection of the bacteria with the mutation (as all other bacteria without the mutation are affected), resulting in this resistant bacteria being able to reproduce greatly and pass on the mutation.

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32
Q

What are personalised medicines and synthetic biology?

A

Personalised medicines are individualised to the patients DNA. As genes play a role in how a person responds to a drug, different people may have different reactions to the same type of drug.
Synthetic biology can be used to create artificial biological compounds. It uses genetic engineering and other types of advanced technology. For example:
New types of T cell receptors has been created which can specifically bind to antigens found on cancer cells.
Bacteria can be reprogrammed to sense and target cancer cells at various stages of their life cycle.

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33
Q

What are the alternatives for treating bacterial infections?

A

Bacteriophages are viruses that specifically target and kill bacteria, prebiotics and probiotics support the growth of beneficial bacteria in the gut, helping to prevent infections.

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34
Q

What are vaccines?

A

Vaccines are dead or weakened viruses that can be injected into an individual, in order to stimulate the immune system to develop immunological memory against the pathogen. This way, when an individual comes into contact with the live virus, the body already has an efficient mechanism in place to rapidly detect and eliminate it.
Vaccines are currently only against viruses. It should be noted that currently vaccines are only designed against viruses.

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35
Q

Mass vaccination contributes to …

A

Herd immunity. When majority of population is vaccinated against a pathogen, it breaks the pathogen’s chain of infection. This means that the virus essentially disappears because it is unable to pass from person to person. This means that members of the population, such as infants, who have not received vaccinations, are protected against the pathogen.

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36
Q

Vaccinations rely on the antigen structure staying the …

A

Same. A vaccine stimulates the primary immune response, and produces memory cells against a specific antigen. It assumes that if there is a second infection, then the same antigen will be present on the pathogen.

37
Q
A

Cancer treatment – cancer cells often have antigens called tumour markers. We can design monoclonal antibodies specific to these antigens, so that they can neutralise cancer cells, as well as to attract TC cells. We can also attach anti-cancer drugs to the monoclonal antibodies.
Medical diagnosis – monoclonal antibodies can be used to detect particular antigens in patient samples of blood or tissue. For example, pregnancy testing uses monoclonal antibodies to detect for human chorionic gonadotrophin (hCG). If a woman is pregnant, hCG will be found in urine, so we can do urine tests using monoclonal antibodies.

38
Q

Explain the process of making monoclonal antibodies.

A

A mouse (or another mammal) is injected with an antigen. The antigen may be a vaccine, and it may be injected several times. This causes an immune response in the mouse i.e. corresponding antibodies are produced by B cells.
Spleen cells which are responsible for producing the lymphocytes are removed from the animal. The spleen produces B cells which are responsible for the antibody production. These spleen cells are removed from the mouse via a small operation.
The spleen cells are fused with tumour cells to form hybridoma cells.
The hybridoma cells continuously produce monoclonal antibodies. These hybridoma cells have both the properties of the lymphocytes and tumour cells i.e. they are able to divide indefinitely and produce many monoclonal antibodies. These cells are checked and grown in culture in the lab.
The monoclonal antibodies are harvested. The monoclonal antibodies produced by the hybridoma cells can be separated and harvested for further use.

39
Q

What is the difference between passive and active immunity?

A

Passive immunity occurs when a person is given pre-made antibodies, either through injection or transfer of maternal antibodies through the placenta or breast milk. This provides temporary protection against antigens, but does not stimulate the production of new antibodies by the person’s immune system. Active immunity occurs when a person’s own immune system produces antibodies in response to an antigen, usually through vaccination or natural exposure to the disease. This provides long-lasting protection and memory for future responses to the same antigen.
Vaccination provides active immunity. During vaccination, the immune system is actively geared to recognise and eliminate the particular pathogen. Active immunity is due to memory B cells and antibodies which are typically long lasting.

40
Q

RINGWORM.

A

Fungal disease affecting cattle, dogs, humans. Different fungi affect different species. Causes grey-white infectious circular areas of skin. May be itchy.
Anti fungal creams are effective cure.

41
Q

INFLUENZA.

A

Virus of the ciliated epithelial cells in gas exchange system. It kills them, leaving airways open to secondary infections like pneumonia.
Affects humans, pigs, chickens.
Strain A is the most virulent.
There are vaccines, but no cure.

42
Q

Define zoonosis.

A

Diseases humans catch from animals. Like flu attacks birds and pigs.

43
Q

ATHLETE’S FOOT.

A

Human fungal disease (form of human ringworm) that grows and digests on warm, most skin between the toes. Causes cracking and itchy. Anti-fungal creams are effective cure.

44
Q

Factors affecting the transmission of communicable diseases.

A

Overcrowded conditions, compromised immune system perhaps due to HIV, not keeping clean, climate change introduces new vectors like malaria.

45
Q

Transmission of pathogens between plants.

A

Through plant pollen and seed.
Direct contact of healthy plant with any part of diseased plant.
Indirect - pathogens may be carried on wind. Animals and birds carry pathogens and spores to other plants as they feed. Or transmitted by human hands and clothes.

46
Q

Factors affecting the transmission of communicable diseases in plants.

A

Overcrowding increases likelihood of contact, poor mineral nutrition reduces resistance of plants. Climate change - increased wind promote spread of disease.

47
Q

Preventing spread of communicable diseases in humans.

A

Regular handwashing, reduce overcrowding. Disposal of body fluids and household waste effectively.

48
Q

Preventing spread of communicable diseases in plants.

A

Leave plenty of room to minimise spread of pathogens, washing hands and boots. Control insect vectors.

49
Q

Why should you rotate crops to fight off pathogens?

A

The spores and bacteria will eventually die off if they don’t have access to host plant.

50
Q

Physical defences in plants.

A

Within minutes of an initial attack, callose is deposited between cell walls and cell membrane of cells that are next to the infected cell. Callose act as barriers, preventing the pathogens entering plant cells around site of infection.
Lignin is also added to provide mechanical barrier against invasion of pathogen.
Callose blocks sieve plates in phloem, sealing off the infected part and prevent spread of pathogen.
Waxy cuticle on plant leaves, cellulose cell wall.

51
Q

What are spores?

A

Produced by asexual reproduction and they grow into a new organism.

52
Q

Chemical defences in plants?

A
  1. Insect repellents like pine resin.
  2. Hydrolytic enzymes such as chitinase are
    released to break down pathogen cell wall.
53
Q

Explain how plants recognise and respond to an attack.

A

Receptors respond to molecules from pathogens. These attach to receptors, stimulating the release of signalling molecules to switch on genes in the nucleus, triggering cellular responses. This includes producing defensive chemicals, sending alarm signals to unaffected cells to trigger their defences, and physically strengthening cell walls.

54
Q

Describe some physical barriers in animals.

A
  1. Tough keratin skin prevents their entry. The skin also produces oily sebum that inhibits growth of pathogens. Skin has harmless microorganisms that compete with pathogens.
  2. Trachea is lined with mucous membranes that secrete mucus. This traps microorganisms and contains lysozymes, which destroy bacteria and fungal cell walls. Mucus also contains phagocytes.
  3. HCL acid in stomach kill bacteria.
55
Q

Name 6 non-specific responses in humans.

A

Inflammation, phagocytosis, interferons, blood clotting, lysozyme action, fever.

56
Q

How is blood clotting beneficial?

A

Platelets that have come in contact with damaged skin/collagen release substances that, via a cascade of events, produces fibrin. This forms a network, trapping platelets
and forming a clot (preventing entry of pathogens). Cytokines produce:
Thromboplastin - enzyme that triggers the cascade of reactions.
Serotonin - makes smooth muscle in walls of blood vessels contract, so lower supply of blood to the area.

57
Q

What happens once the blood clot forms?

A

The clot dries out, forming a hard tough scab that prevent pathogen entry.
Then, epidermal cells below the scab start to grow, sealing the wound permanently, while damaged blood vessels regrow.

58
Q

What are expulsive reflexes?

A

Automatic responses that forces foreign substances from body through coughing or sneezing. As a result of an irritant.

59
Q

What is the inflammatory response?

A

The immune systems response to an irritant, resulting in inflammation. Pain, redness, swelling.

60
Q

Outline the process of inflammation.

A

Histamines and cytokines released by mast cells in injured tissue cause vasodilation (causing localised heat and redness). This increases flow of blood to infected area and the raised temp prevent pathogen reproducing.
Histamines increases permeability of blood vessels so antibodies, white blood cells and plasma leak out into the infected tissue and destroy the pathogen.
Cytokines attract white blood cells (phagocytes) to the site. Carry out phagocytosis. Accumulation of dead phagocytes and pathogens forms visible pus layer.

61
Q

Normal body temperature is …

A

37 degrees C and is maintained by the hypothalamus in the brain.

62
Q

What is a fever and why do we get fevers when we are ill?

A

A temporary increase in body temp. When a pathogen invades the body, cytokines stimulate your hypothalamus to increase body temp. It makes it harder for bacteria and virus to reproduce and survive.
Also, the specific immune system works faster at higher temps.

63
Q

What are interferons?

A

Type of cytokine/protein produced by white blood cell. They let the immune system know there are pathogens in body. They also inhibit protein synthesis in viruses.

64
Q

What is a phagocyte?

A

Type of white blood cell that engulfs and destroys pathogens and dead material. Two types: macrophage and neutrophil.

65
Q

Difference between macrophage and neutrophil?

A

Macrophage are long-lived and found in tissues. Macrophage can become antigen presenting cells. Neutrophils are short-lived and found in bloodstream.

66
Q

Outline the process of phagocytosis.

A
  1. Pathogens produce chemicals that attract phagocytes.
  2. Phagocytes recognises pathogen as non-self and binds to it.
  3. Phagocyte engulfs pathogen via endocytosis to form a phagosome.
  4. Phagosome fuses with lysosome to form a phagolysosome.
  5. Lysozymes break down and destroy pathogen.
  6. Phagocyte absorbs the products from pathogen hydrolysis.
67
Q

What are opsonins?

A

Chemicals that bind to pathogens and ‘tag’ them so they can be more easily recognised by phagocytes. Phagocytes have receptors on their cell membrane that bind to common opsonins, and then it engulfs the pathogen.

68
Q

How else is a phagocyte adapted for efficient function?

A

Those that have engulfed a pathogen produce cytokines - they inform other phagocytes that the body is under attack and stimulate them to move to site of infection.
Cytokines also increase body temp and stimulate specific immune system.

69
Q

What happens when a macrophage has engulfed and digested a pathogen?

A

After the pathogen is engulfed and destroyed, its chemical markers called antigens are then presented on the surface of the phagocyte with the help of MGC complex. The phagocyte then becomes an antigen-presenting cell which activates other types of immune cells.

70
Q

Difference between specific and non-specific immunity?

A

Non-specific - what humans are born with, including barriers, like skin and stomach acid, macrophages.
Specific immunity - only responds to an antigen. This relies on lymphocytes produced in bone marrow. Learned by the body based on previous exposure to pathogens.

71
Q

Lymphocytes are a type of …
B lymphocytes mature in …
T lymphocytes mature in …

A

White blood cell.
Bone marrow.
Thymus gland.

72
Q

What are T cells? What are the 4 types of T cells?

A

Type of lymphocyte that move from the bone marrow to the thymus gland where they mature and are
involved in CELL MEDIATED response.

T helper cells, T killer cells, T memory cells, T regulator cells.

73
Q

What are B lymphocyte? What are the 2 types of B lymphocyte?

A

Type of white blood cell that makes antibodies. They develop from stem cells in bone marrow. They are involved in HUMORAL immunity.

B effector/plasma cells, B memory.

74
Q

Functions of the 4 types of T cells.

A

T helper - have CD4 receptors in cell surface membrane. Produce interleukins (type of cytokine) that stimulate activity of B-lymphocytes (increasing antibody production), stimulates macrophages to ingest pathogens, produces memory cells. T helper cells stimulate B cells and T killer cells to divide.

T killer - destroy pathogen infected cells. They attach to foreign antigens on cell surface membrane of infected cells. They produce perforin, killing the pathogen.

T memory - replicate themselves when exposed to invading pathogen and remain in lymph nodes. It is part of immunological memory. If it meets antigen for the 2nds time, they divide rapidly and destroy the pathogen.

T regulator -prevents the immune system from overreacting to harmful substances and preventing autoimmune conditions.

75
Q

Functions of the 2 types of B lymphocyte.

A

B memory - live for very long time and are programmed to remember a specific antigen and enable the body to have a quicker response when pathogen is encountered again.

B effector/plasma - antibody producing cells.

76
Q

Difference between antigen and antibody.

A

Antigen is a foreign substance that triggers the body’s immune system to produce antibodies, while an antibody is a protein produced by the immune system to fight off antigens.

77
Q

What happens in the cell mediated response?

A

T lymphocytes respond (particularly important against virus and early cancer). Look at revision sheet for detail.

78
Q

What is humoral immunity and what is the response?

A

Primarily driven by B cells and produces antigen-specific antibodies. It responds to antigens found outside cells.

79
Q

What happens to the B lymphocyte before humoral immunity?

A

B lymphocytes have antibodies on their cell surface membrane. Antibodies are Y-shaped glycoproteins called immunoglobulins, which bind to a specific antigen on the pathogen that triggered an immune response. The B cell engulfs and processes the antigen to become an APC.

80
Q

What do antigens trigger?

A

An immune response, involving the production of polypeptides called antibodies.

81
Q

Describe the structure of an antibody.

A

Consists of four polypeptide chains: 2 long heavy chains and 2 short light chains. They are connected by disulphide bridges.
Every antibody has the same constant region. Antibody uses this to bind to phagocytes.
Antibodies have a variable region. The variable region has a unique structure that is different for each and every antibody molecule. This variable region is the antigen binding site of the antibody - it’s like the active site of an enzyme.
Antibodies have flexible hinge regions to create flexibility , so two or more separate antigens can bind.

82
Q

When an antigen binds to an antibody …

A

An antigen-antibody complex forms.

83
Q

How do antibodies defend the body?

A
  1. The antibody of the antigen-antibody complex acts as an opsonin so the complex is easily engulfed by phagocyte.
  2. Antibodies prevent pathogens from invading host cells.
  3. Antibodies act as agglutinins so pathogens clump together. Prevent them spreading and more easy for phagocytes to engulf many at the same time.
  4. Antibodies can act as anti-toxins, so they bind to toxins and make them less harmful.
84
Q

The body recognises the difference between …

A

Self antigens on your own cells and non-self antigens on pathogens.

85
Q

What is an autoimmune disease? Give some examples of these.

A

When the immune system mistakenly attacks the ‘self’ cells in the healthy body tissue. The T regulator cells may not be working properly, or genetic history.

Type 1 diabetes, Rheumatoid arthritis.

86
Q

Define immunity.

A

The body’s ability to recognize and defend against pathogens. It can either be active or passive.

87
Q

What is natural immunity?

A

Results from the body’s response to an antigen. When an organism is infected by a pathogen with a particular antigen for the first time, the body mounts a primary immune response which leads to the development of immunological memory.
Results from the introduction of antibodies from another person or animal.
Memory cells are developed in the primary infection. During a secondary infection by the same pathogen with the same antigen, memory B cells and antibodies can quickly and effectively launch a secondary immune response to rapidly eliminate the pathogen
Mothers can pass on natural immunity. Natural immunity can also be obtained by an infant from its mother. When babies breastfeed, antibodies can pass from the mother to the child through the breast milk.
* Natural active immunity arises from being exposed to an antigen/getting the disease
whereas natural passive immunity is the result of crossing of mother’s antibodies
through the placenta and their presence in breast milk.
* Active artificial immunity is acquired through vaccinations which stimulate the
immune system and lead to production of antibodies whereas passive artificial
immunity is where antibodies are injected into the body.

88
Q

What is active immunity?

A

Results from the production of
antibodies by the immune system in response to the presence of an antigen