Module 9 - Notes Flashcards

1
Q

What is immunology?

A

The study of the immune system and immunity

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2
Q

What is Immunity?

A

The ability of an organism to resist infections

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3
Q

What are the 2 main branches of immunity?

A

Innate immunity
and
Adaptive immunity

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4
Q

What is innate immunity?

A

a multifaceted system of defenses targeting invading pathogens in a non-specific manner.

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5
Q

What is adaptive immunity?

A

a multifaceted system of defenses that specifically targets invading pathogen and that develop memory to the invading pathogens.

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6
Q

What are the main features of the innate immunity system?

A

non-specific

quick response (within hours)

No previous exposure is required

Physical & chemical barriers

Phagocytes (neutrophils, macrophages, dendritic cells and eosinophiles)

Inflammation (mast cells & basophils)

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7
Q

What are the main features of the adaptive immunity system?

A

activated when the innate system fails

has specific recognition of pathogens

Slow process (multi steps to process antigens/epitopes)

Develops memory

T-Cell

B-cells and antibodies

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8
Q

The innate system is composed of:

A) Barrier defense, phagocytes, and the complement system
B) Both barrier defense and phagocytes
C) Several non-specific mechanisms that include barrier defenses, phagocytes, the complement system, inflammation, and fever.
D) Only phagocytes
E) Only barrier defenses

A

C) Several non-specific mechanisms that include barrier defenses, phagocytes, the complement system, inflammation, and fever.

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9
Q

What are the physical barriers in innate immunity?

A

Cellular barriers that deny entry
- skin
- mucous membrane
- endothelial cells

Mechanical defenses that remove potential threats
- shedding of skin cell
- mucociliary sweeping
- peristalsis
- flushing action of urine & tears

Microbiome
- complete with pathogens

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10
Q

What are the chemical barriers in innate immunity?

A

Body fluids
- chemicals that regulate pH & inhibit microbial growth
- enzymes (lysosymes)

Antimicrobial components
- antimicrobial peptides (AMPs)
- bile acids

Complement systems

Cytokines

Mediators of inflammation

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11
Q

Why would a fishmonger develop fish tank granuloma (ie. Skin infection caused by mycobacterium marinum)?

A) The bacteria used their flagellum to dig a hole in the skin
B) Cuts on the skin remove a layer of the innate protection and allow entry of bacterial pathogens
C) The slime layer of the skin was dissolved by salt water
D) Macrophages accumulated under the skin in response to traumatic shock from a fish bite

A

B) Cuts on the skin remove a layer of the innate protection and allow entry of bacterial pathogens.

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12
Q

What is the complement system of innate immunity?

A

Plasma proteins
- Sequential interaction (cascade)
- Enzymes
- Membrane attack complex (MAC)

C1, C2, C3…..C9

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13
Q

What is a membrane attack complex?

A

Plasma Proteins that creates a hole inside the membrane causing the cytoplasm content to leak out

C6/C7/C8/C9

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14
Q

How is the complement system activated

A

3 different triggers - all result in the activation of the C3 complement protein

Classial Pathway - C1

Lectin Pathway - Mannose-binding lectin

Alternate pathway

Ultimately the all cleave and result in C5b which activates the Membrane Attack Complex = C6/C7/C8/C9

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15
Q

How are the proteins of the complement system designated?

A

C = complement
# = order of discovery
a = anaphylatoxin = inflammation
b = opsonization

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16
Q

What happens with opsonization?

A

The bacteria is coated with proteins that signal a macrophage to eat it.

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17
Q

What is the role of Cytokines & Chemokines in innate immunity?

A

They act as molecular messengers of the immune system.

Cytokines bind to receptors
-signal a cascade leading to transcription activator

Chemokines are a subclass of cytokines
-recruit circulation immune cells to site of injury

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18
Q

What is an autocrine function?

A

The same cell that releases the cytokine is the recipient of the signal

self-stimulation

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19
Q

What is a paracrine function?

A

involves the release of cytokines from one cell to other nearby cells, stimulating some response from the recipient cells.

activates a community response

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20
Q

What is an endocrine function?

A

occurs when cells release cytokines into the bloodstream to be carried to target cells much farther away

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21
Q

What are interferons?

A

sub-class of cytokines

there to stimulate the immune system to mount a proper defense against viruses

activate anti-viral response of nearby cells

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22
Q

Which organs of the body are involved with the innate immune system?

A

Blood & lymphatic systems
- allow circulation and distribution of immune cells
-lymph dumps antibodies and immune cells in the blood

Secondary lymphoid organs
- lymph nodes - leukocytes to detect antigens or pathogens circulation in the lymphatic system
- mucosa-associated lymphoid tissue (MALT)
- spleen

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23
Q

What are the key cellular players in innate immunity?

A

Derived from pluripotent hematopoietic stem cells
- Erythrocytes (red blood cells)
- Leukocytes (white blood cells)
- Platelets

Monocytes - immature
- mature/differentiate

Granulocytes
- granules that can be stained
- toxins and enzymes
- destroys their targets

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24
Q

What is the role of Dendric Cells?

A

antigenic-presenting cells (APCs) residing in the skin and mucous membranes

Process and ID antigens then present those antigens to other cells

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25
Q

What is the role of Macrophages?

A

APCs residing in the tissues and organs (Spleen, lymph nodes, MALT)

Process and ID antigens then present those antigens to other cells

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26
Q

What is the role of Neutrophiles?

A

elimination and destruction of extracellular bacteria

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27
Q

What is the role of Eosinophiles?

A

Protection against protozoa and helminths (parasites) and they play a role in allergies

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28
Q

What is the role of Basophiles?

A

role in inflammation and allergic reactions, found in the blood.

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29
Q

What is the role of Mast Cells?

A

role in inflammation and allergic reactions; found in the tissues

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30
Q

What is the role of Natural Killer Cells?

A

Kill virus-infected cells and cancerous cells

(lymphocyte)

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31
Q

What kind of lymphocytes would you expect to be over-represented at the site of a viral infection?

A) Basophils
B) Macrophages
C) Neutrophiles
D) Natural Killer Cells
E) Eosinophiles

A

D) Natural Killer Cells

They are the only one on the list that are lymphocytes

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32
Q

what is MHC1?

A

a molecule on the surface of cells that IDs them as part of the natural host

They are the secret handshakes

Major Histocompatibility Cell

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33
Q

How does a natural killer cell act on intracellular pathogens?

A

If it does not recognize the MHC1 on the cell then it will kill it.

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34
Q

What happens when your body is subjected to a microbial invasion at a cut?

A

Tissue damage will activate phagocytes (macrophages)

Release of cytokines and chemokines

recruits neutrophil and T-Cells

Neutrophils enter tissue by sticking to capillary wall (Margination), rolling and squeezing in the cellular junctions (diapedesis)

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35
Q

How does your body recognize pathogens?

A

Pathogen-Associated Molecular Pattern (PAMS)
-unique microbe structures

Pattern Recognition Receptors (PRRs)
- toll-like receptors (TLRs) External
- NOD-like receptors (NDRs) Internal

Signal transduction

Phagocytosis
-engulfment of pathogen

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36
Q

How can the immune response recognize pathogens during their first encounter?

A

Pathogen-associated molecular patterns - recognized by pattern recognition receptors.

37
Q

What is phagocytoisis?

A

The uptake of extracellular pathogens (phagosome) by a macrophage.

The purpose is to destroy the pathogen

Macrophage has membrane-bound inclusions (Lysosomes) which have bactericidal substances & enzymes

The lysosome fuses with the phagosome to become a phagolysosome

38
Q

Why would a fishmonger develop granuloma in response to mycobacterium marinum infection?

A

Aggregation of macrophages and other immune cells formed in response to chronic inflammation

39
Q

What is acute inflammation?

A

Normal biological response
-promotes healing

Characterized by redness, swelling, pain, and heat

Production of activators
- Pro-inflammatory molecules (histamine)
- Phagocytes & Lymphocytes
- Induce vasodilationn
- Increase vascular permeability

Influx of phagocytes
- increase inflammation

40
Q

What happens when you get a fever?

A

Fever is not an inflammatory response
(not localized) if you increase the temperature, bacteria will start to die. Same with viruses

Cytokines will induce fever
- endogenous pyrogens

LPS will induce fever
- exogenous pyrogen

Act on prostaglandins
- act on hypothalamus

Limit growth of pathogen

Uncontrolled inflammation
- toxic/septic shock

41
Q

Why would treating a fever with antibiotics be contradicted?

A

A fever is a non-specific symptom that could be triggered by an array of microbial pathogens

42
Q

What are the 2 components of adaptive immunity?

A

Humoral immunity

Cell-Mediated Immunity

43
Q

What is adaptive immunity?

A

adaptive & specific response

Discriminate - distinguish between specific foreign molecules

Diversify - recognize many possible foreign molecules

Memorize - remember foreign molecules after the first exposure

44
Q

What is humoral immunity?

A

antibodies produced by B-cells (Bone marrow lymphocytes) in response to antigens

45
Q

What is cell-mediated immunity?

A

Activation of T-Cells (thymus lymphocytes) to control intracellular microbes (virus, bacteria, parasites)

46
Q

What is the difference between the antibody production in an immune response vs an adaptive response?

A

This graph illustrates the primary and secondary immune responses related to antibody production after an initial and secondary exposure to an antigen. Notice that the secondary response is faster and provides a much higher concentration of antibody.

47
Q

What is an antigen?

A

a molecule/substance that interacts with antibodies or a T cell receptor (TCR)

  • Not all antigens induce an immune response
48
Q

What is an Immunogen?

A

It activates an immune response

49
Q

What is a hapten?

A

a small molecule that binds to an antibody

-does not induce an immune response
- needs a carrier to be an immunogen

50
Q

What is immunogenicity dependent on?

A
  • Complexity
  • Physical form and structural form
  • Dose
51
Q

What are epitopes?

A

Sections of specific regions of an antigen that are recognized by an antibody

52
Q

What is the relationship between antibody/antigen recognition?

A

1 epitope is recognized by 1 antibody

an antigen can be recognized by multiple antibodies because 1 antigen can have multiple different epitopes.

53
Q

What are antibodies?

A

Immunoglobulin
- glycoproteins

Monomer
- 4 protein chains held by disulfide bond

Y-Shaped
- 2 heavy chains + 2 light chains

Fragment of antigen binding - FAB region
- variable: diversity & specificity
- Provide function (binds to the antigen)

Fragment crystallization - FC region
- binds to complement and phagocytes

54
Q

What are the 5 different functions of antibodies?

A
  1. Opsonins (opsonization)
  2. Neutralization
  3. Agglutination
  4. Immune Activation
  5. Cell-Mediated Cytotoxicity
55
Q

How does opsonization work?

A

It coats the bacteria with antibodies
The FC region will recognized by the macrophage

56
Q

How does neutralization work?

A

neutralizes the function

prevents the spike protein from attaching to target cells

57
Q

How does agglutination work?

A

Binds epitopes simultaneously forming little balls

58
Q

How does cell-mediated cytotoxicity work?

A

antibodies bind to a large pathogenic cell that is too big for phagocytosis and then bind to Fc receptors on the membrane of a natural killer cell. This interaction brings the NK cell into close proximity, where it can kill the pathogen through release of lethal extracellular cytotoxins.

59
Q

What are the immunoglobulin classes?

A

IgA
IgD
IgE
IgG
IgM

60
Q

What is IgA?

A

Major secretory antibody

Function using Neutralization

The dimer is found in secretions
The Monomer is found in blood

61
Q

What is IgD?

A

Acitvate B-Cells

functions as a B-Cell Receptor

found in B-cells

62
Q

What is IgE?

A

Parasite Immunity

FC binds and activates mast cells and basophils (play a role in allergies)

Found in blood and lymph

63
Q

What is IgG?

A

Major circulating antibody
Fc binds phagocytes
Crosses placenta

Function using neutralization, agglutination, complement activation, opsonization, cell-mediated cytotoxicity

Found in blood, lymph and extracellular fluid

64
Q

What is IgM?

A

First antibody to appear

Functions using Neutralization, agglutination, complement activation.

Found in blood and lymph

65
Q

What is the role of antibodies against the spike proteins of SARS-C0V-2 if the antibodies block viral attachment?

  • Opsonization
  • Neutralization
  • Agglutination
  • Immune Activation
  • Cell-Mediated Toxicity
A

Neutralization

66
Q

What is the difference between MHCI and MHCII?

A

MHCI
- found on all nucleated cells
- present self antigens
- present non-self antigens
(secret handshake)

MHCII
- found on macrophages, dendritic cells, and b cells
- Present non-self antigens

67
Q

What are Antigen presenting cells (APCs)?

A

Antigen-presenting cells
- cells that process and present antigen
- macrophages, dendritic cells, and b cells
- recognize and progress antigens differently

MHCII Processing and Presentation
-B cells vs Phagocytes
-Antigen processing occurs in the phagolysosome
- not all antigen presented
- immunogenic and/or dominant

68
Q

Explain T cell selection

A

Differentiate between host antigens self and danger anitgens non-self

Each T cell receptor (TCR) binds a different antigen

Selection occurs in the thymus

Positive Selection TCR with weak interaction = does not lead to an immune response. The T cell continues to interact and grow

Negative Selection TCR with strong interaction = cell death

69
Q

What are the classes of T cells?

A

Helper T Cells

Regulatory T Cells

Cytotoxic T Cells

70
Q

Helper T cells are divided into which subclasses?

A

Th1
Th2
Th17
Memory

71
Q

What is the function of Th1?

A

Activation of cytotoxic T-Cells, neutrophile, NK and macrophage

activated by APC with antigens + MHCII

Surface CD Molecules = CD4

The outcome is cell-mediated immunity

72
Q

What is the function of Th2?

A

Activation of B cells

Activated by APC with antigens + MHCII

Surface CD Molecules = CD4

The outcome is antibody-mediated immunity

73
Q

What is the function of memory T cells?

A

Remember specific pathogens

Activated by APC with antigens + MHCII

Surface CD Molecules = CD4

The outcome is a strong secondary response.

74
Q

What is the function of Regulatory T Cells?

A

Tolerance and prevention of an autoimmune response

Activated by APC with antigens + MHCII

Surface CD Molecules = CD4

75
Q

What is the function of Cytotoxic T Cells?

A

Destroy cells with intracellular pathogen

Activated by APC or infected cells with antigen + MHCI

Surface CD Molecules = CD8

The outcome is cell-mediated immunity

Leads to memory cytotoxic t cells

76
Q

Explain T Cell Receptors.

A

Bind Antigens

Initiate activation

T-Cell co-receptors
-strenghten the interaction between TCR & MHC

CD4 binds MHCII
CD8 bind MHCI

77
Q

What are CD molecules?

A

Cell differentiation molecules

cell surface glycoproteins that can be used to identify and distinguish between the various types of white blood cells

78
Q

If you are designing a vaccine and want a strong antibody response, what type of T cells would you target to ensure strong B Cell activation?

Th1 Cells
Th2 Cells
Th17 Cells
Treg cells
Cytotoxic T Cells

A

Th2 Cells

79
Q

What are the different vaccine classes?

A

Live Attenuated
Whole Inactivated
Toxoid
Conjugated
Viral-Like Particle
Viral Vector
RNA
DNA

80
Q

what are live attenuated vaccines?

A

non-pathogenic viable microbe

mimics a “real” infection and provides balanced immunity

Not safe for immunocompromised people & there is a risk of reversion

81
Q

What are Whole inactivated Vaccines?

A

Pathogen is dead

You are injected with the entire microbe without risk of infection

Provides a weaker immunity and you often need a stronger dose plus boosters

82
Q

What are toxoid vaccines?

A

Immunogenic pieces of the microbe with inactivated toxins.

Produce limited side effects

Booster shots are required and they don’t last long

examples = tetanus, diphtheria, pertussis

83
Q

What are conjugated vaccines?

A

low immunogenic antigen attached to an immunogen

Effective in younger kids

Costly to produce and they may interfere with other vaccines

84
Q

What are viral-like particle vaccines?

A

Proteins that assemble as a capsid

Mimic the virus

They have low immunogenicity and they are complicated to manufacture

85
Q

What are viral vector vaccines?

A

a virus expressing an antigen

They mimic a natural infection

Risk of genomic integration and there could be a natural immunity to the vector

Example is the HPV Vaccine

86
Q

What are RNA vaccines?

A

RNA Strand that can be translated

Highly adaptable and provide strong cell-mediated immunity

Costly to store and they provide weak humoral immunity

87
Q

What are DNA vaccines?

A

DNA strand that can be transcribed

Highly adaptable vaccines

But there is a risk of genomic integration

88
Q
A