Neonatal immunity Flashcards

1
Q

Describe the immune system of a neonate?

A

well developed, not 100% functional

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2
Q

Why is the immune system of a neonate not 100% functional?

A

Hasn’t seen any antigens yet = non-functional lymphocytes- complete development requires antigen stimulation

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3
Q

Describe foetal immune development

A
  • Thymus develops first followed by secondary lymphoid tissues
  • CMI develops at same time as Ab based immunity
  • foetus does not require a functional immune system
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4
Q

How does lymphocyte development change at birth?

A
  • Macrophage + neutrophil proportion increases, T + B cell proportion decreases
  • Neutrophil function is reduced but cell is fully functional- key parts of complement pathway missing
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5
Q

Name 2 common infections that could occur during pregnancy

A

Neospora caninum + BVDV

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6
Q

Explain the differences in the effect of Neospora caninum infection on the foetus at different stages of pregnancy

A
  • 1st trimester = foetal immune system not developed- causes absorption of mummified foetus
  • 2nd trimester = foetal immune system not developed + maternal inflammation- causes abortion
  • 3rd trimester = foetus immunocompetent- parasite invasion limited leading to congenital infection
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7
Q

What kind of immune response is neonatal immunity + where does it come from?

A

Always primary

  • maternally derived Abs from colostrum +/or placenta
  • some lymphocytes in colostrum
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8
Q

Describe how the transfer of immunity differs b/w species

A
  • Placental transfer = primates (IgG only)
  • 5% placental/ 95% colostral = cats + dogs
  • 100% colostral = ruminants, pigs + horses
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9
Q

When + where is colostrum produced?

A

produced in mammary glands in last few wks of pregnancy

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10
Q

Describe the process of colostral development

A

active transfer of Igs from blood to mammary gland under influence of oestrogen + progesterone

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11
Q

Name the main colostral Ab

A

IgG

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12
Q

Describe how the components of colostrum changes as it turns to milk

A

Reduced Ig content + proportionally more IgA

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13
Q

Apart from Abs what else does colostrum consist of?

A

cytokines, hormones, growth factors, other immune cells

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14
Q

Describe + explain the process of colostrum transfer

A
  • colostrum ingested + passes into GI tract where enzyme levels are low/ blocked = proteins can reach SI
  • Newborns have specialised Fc receptor (FcRn) on intestinal epithelia
  • In GI tract Igs are bound, actively pinocytosed + quickly reach lymphatics + circulation
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15
Q

Describe the species differences in colostrum transfer

A
  • Horse + pig = IgG + IgM selectively absorbed to blood, IgA stays in intestine
  • Ruminants = all Igs go into blood
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16
Q

Why does colostrum need to be given so soon?

A

Intestine is only permeable for short period- begins declining after 6hrs

17
Q

How much colostrum do calves + foals require (minimum) within 6hrs birth?

18
Q

How long do newborn cows have an oesophageal groove?

19
Q

What role does the oesophageal groove in calves have?

A

diverts colostrum + milk straight to abomasum, avoiding rumen + omasum = colostrum/ milk avoids souring in rumen + readily absorbed

20
Q

What can failure of passive transfer cause + why?

A

causes infections- IgG prevents septicaemia, IgA prevents enteric disease

21
Q

In what circumstance can failure of passive transfer occur?

A
  • failure of production- premature lactation/ dripping
  • failure of ingestion- multiple births/ damaged teats
  • failure of absorption- major cause in horses
22
Q

How is failure of passive transfer diagnosed?

A

measure serum IgG using a hydrometer/ colostrumeter

- measures specific gravity which correlates w/ protein + IgG content

23
Q

How can failure of passive transfer be treated in animals <15hrs old?

A

administration of additional colostrum using bottle/ nasogastric tube

24
Q

How can failure of passive transfer be treated in animals >15hrs old?

A

Use IV plasma- no oral absorption

25
Q

Explain the response of neonates to vaccines

A
  • GI lymphoid tissues respond well to ingested Ags

- passive immunisation inhibits development of immune response = non-suckled calves make Abs sooner than suckled calves

26
Q

Why does passive immunity inhibit development of immune response?

A

maternally derived antibodies inhibit Ab production