PBL 1 Flashcards

1
Q

what is tetanus toxoid?

A

the tetanus vaccine

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2
Q

what is tetanus caused by? what does this toxin do?

A

an infection with the bacterium clostridium tetani

the toxin interferes with muscle contractions

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3
Q

When a pathogen first enters the body, what recognises it and how?

A

dendritic cells, mast cells and macrophages recognise the pathogen-associated molecular patterns using their pattern recognition receptors.

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4
Q

what do mast cells release? what is the effect?

A

histamine- vasodilation
cytokines- chemotaxis of macrophages and neutrophils to infection site
heparin- anticoagulant

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5
Q

why do mast cells secrete heparin and histamine?

A

as these responses allow more blood into the infected area which brings more leukocytes and can dilute toxins

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6
Q

when is the complement system activated? what is the importance of it?

A

the complement proteins in the blood are activated in the presence of a pathogen. this can enhance inflammation, opsonise the pathogen and form membrane attack complexes.

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7
Q

why do neutrophils come to the site of infection?what is the function of neutrophils?

A

chemotaxis caused by cytokines released from mast cells
release cytokines to amplify the inflammatory response, phagocytosis, degranulation and release of neutrophil extracellular traps

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8
Q

what do dendritic cells do when they come into contact with a pathogen?

A

they engulf them, break them up into epitopes and present the antigens on MHC class 2 complexes on their surface. They then move into the lymph node

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9
Q

What happens when a T cell comes into contact with a pathogen?

A

it binds to the antigen on the MHC molecule with its antigen receptor, the CD80 or CD86 molecule binds to the CD28 on the T cell and cytokines are released from the antigen presenting cell and move into the T cell. the T cell is now activated and can divide and move into the site of infection

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10
Q

What can cause further activation of T cells?

A

cytokines released from mast cells, neutrophils and epithelial cells

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11
Q

How can immature B cells be activated?

A

by attaching to free-floating antigens or coming into contact with epitopes that are presented by T cells or dendritic cells

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12
Q

What happens when an immature B cell attaches to an antigen or an epitope?

A

the B cell receptor and antigen undergo endocytosis, the antigen it proteolytically broken down and the epitope is presented on the surface by MHC class 2 proteins.

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13
Q

what happens to B cells once they are activated?

A

they undergo clonal expansion and somatic hypermutation

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14
Q

what is somatic hypermutation?

A

AID introduced point mutations to the clones and the B cells with mutations that increase the affinity to the antigen keep differentiating into plasma and memory B cells.

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15
Q

what do plasma and memory B cells do?

A

plasma B cells release antibodies that match B cell receptors
memory B cells store antibodies for future infections

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16
Q

Which antibody appears first in the primary immune response? why?

A

IgM and then IgG. as IgM has 10 antigen binding sites so its super effective in activating the complement and it can be expressed without isotype switching.

17
Q

Describe differences between the primary and secondary immune responses?

A

primary has a longer lag time of 4-7 days than secondary (1-4 days), 100-1000 times more antibodies are produced in the secondary immune response, antibody level stays higher for longer in the secondary immune response, IgA and IgE also appear in the secondary immune response but not the first

18
Q

When is passive immunisation used?

A

when there is a high risk of infection and insufficient time for the body to develop its own immune response, or to reduce the symptoms of ongoing or immunosuppressive diseases

19
Q

what is passive immunisation?

A

the transferring of antibodies from one person who has had the disease to another who hasn’t through a plasma transfusion. these antibodies can then stop the infection

20
Q

what are some disadvantages of passive immunisation?

A

its temporary as no memory is produced, if antibodies are from animals then humans can have allergic responses, it is given as an intravenous injection

21
Q

why is passive immunisation better than active immunisation?

A

it can produce an immune response within a matter of hours

22
Q

where can we get antibodies from for passive immunisation?

A

human blood donors, blood of immune animals, produced in a lab