Phagocytosis, Complement & Oedema Flashcards

1
Q

The immune system can be categorised into which 2 categories?

A

Innate (non-specific)

Adaptive (highly specific)

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2
Q

What are 2 branches of the innate immune system?

A

Mechanical/chemical barriers

Cellular (e.g phagocytosis, complement)

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3
Q

What are two branches of the adaptive immune system?

A

Cell-mediated (b and t cells)

Humoral (antibody mediated)

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4
Q

In phagocytosis the ingested pathogen is packaged into a..?

A

Phagosome

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5
Q

A phagosome fuses with which organelle to aid in digestion? What is the resulting complex called?

A

Fuses with a lysosome - formation of a phagolysosome

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6
Q

Digestion of a pathogen in phagocytosis can be done in which two ways?

A

Oxygen-dependent

Oxygen-independent

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7
Q

What is a residual body? What two things can happen to a residual body once it is formed?

A

Indigestible material produced in phagocytosis.

Either secreted by exocytosis or remain as granules in the cytoplasm.

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8
Q

What is opsonization?

A

Process of identifying the invading particle to the phagocyte for destruction

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9
Q

What are two methods of opsonization?

A

Binding of antibodies e.g. IgG

Binding of C3B (complement protein)

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10
Q

Name 3 functions of complement

A

Destroys cells
Helps in opsonization
Results in inflammation

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11
Q

The complement cascade can be activated by which 2 pathways?

A

Classical Pathway

Alternative Pathway

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12
Q

What happens at the beginning of the classical pathway?

A

C1 is activated when it binds to an antibody-antigen complex

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13
Q

What happens at the beginning of the alternative pathway?

A

C3b is activated when it reacts with antigens (e.g the bacteria cell wall)

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14
Q

After initiation of either the classical or alternative pathways what is the common sequence of events that follows?

A

After C3 activation;

1) Inflammation
2) Opsonization
3) Membrane attack complex formed —> cytolysis

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15
Q

What is oedema?

A

An accumulation of an excessive amount of watery fluid, in cells, tissues or serous cavities.

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16
Q

What is lymphoedema?

A

Swelling as a result of obstruction of lymphatics or lymph nodes and an accumulation of excessive amounts of lymph in the region.

17
Q

Does oedema or lymphoedema pit?

A

Lymphoedema does NOT pit (oedema does)

18
Q

Why does lymphoedema not pit?

A

Many fibroblasts - secreting collagen fibres and general high protein content means the skin has little give

19
Q

What controls the blood flow into capillary beds?

A

Pre-capillary sphincters

20
Q

Where do lymph capillaries lie in capillary beds?

A

They lie amongst the capillaries in tissue spaces

21
Q

The starling forces refers to forces exerted by which two pressures? What do these pressures determine?

A

Blood colloid oncotic pressure and hydrostatic pressure

The movement of fluid across capillary membranes

22
Q

What is the blood colloid oncotic pressure?

A

25mmHg

23
Q

What is the hydrostatic pressure at the arterial end of capillaries?

A

35mmHg

24
Q

What is the hydrostatic pressure at the venous end of the capillaries?

A

15mmHg

25
Q

Where does oedema often appear first?

A

At the ankles (due to gravity)

26
Q

What is the result of venous hypertension?

A

RBCs pushed to the wrong places, oxygen dependent phagocytosis takes place —> ferric oxide produced —> rust coloured skin staining