Respiratory tract defense Flashcards

1
Q

Describe some non-specific defence mechanisms of the respiratory system

A
  1. Physical and anatomical measures e.g. position of the head
  2. Lubricants e.g. mucus
  3. Reflexes e.g. coughing, sneezing
  4. Antimicrobials
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2
Q

Describe some specific defence mechanisms of the head

A
  1. Lymph nodes/tissue
  2. Innate and adaptive immunity
  3. Mucosal immunity- antibody and lymphocytes
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3
Q

What could be a consequence of horses not being able to have their head down to graze

A

Shipping fever, accumulation of pathogens during transport, head being up for extended periods of time

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4
Q

What can be a benefit of the air and food passages being clode together in the horses head regarding respiratory defence

A

Swallowing of foreign particles allows them to be destroyed by stomach acid

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5
Q

How is the pharynx involved in draining lymphoid tissue

A

Draining from the tonsils

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6
Q

What is the role of the arytenoid cartilages

A

Influence volume of air entering lower airways,

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7
Q

When does the glottis demonstrate reflex closure?

A

After swallowing, stimulation of larynx, prevents large particles entering lower respiratory tract

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8
Q

What lines the trachea

A

Lymphoid tissues, cillia, mucus and commensal organisms

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9
Q

What is the role of the cilia

A

move in a coordinated fashion toward the pharynx

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10
Q

What does the mucus consist of?

A

Mucoid gel layer, which touch the tips of the cilia.
The sol layer which covers the cilia.
Anti-bacterial lysozyme.

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11
Q

What do the Mucus and cilia form?

A

mucociliary escalator

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12
Q

Which cells produce mucus?

A

goblet cells

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13
Q

What do submucosal glands do?

A

contain serous secretions

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14
Q

What do myoepithelial cells do?

A

Aid the movement of secretions from the submucosal/subepithelial glands into the lumen

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15
Q

What are defensins

A

antimicrobial peptides produced by macrophages, neutrophils & epithelium

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16
Q

What are some non-specific defences of the lower respiratory tract

A

Branching airways, Bronchi surrounded by cartilagenous rings & smooth muscle

17
Q

How can the structure of the lower respiratory tract influence defence?

A
  1. multiple branching of bronchioles causes turbulence & deposition of particles on mucociliary escalator
  2. Irritant receptor and cough reflex
  3. Lymphoid cells & tissues
18
Q

What defence systems are in place in the bronchiole

A
  1. Ciliated cells
  2. Smooth muscle surrounding the bronchioles
  3. Lymphoid tissue beneath epithelium
  4. No goblet cells are present in the bronchioles
19
Q

Describe some adaptions to defence by alveoli

A
  1. Enterence is guarded by smooth muscle cells

2. There is a rapid migration of leucocytes from the blood into the alveoli

20
Q

What do Alveolar type II epithelial cells produce

A

Surfactant

21
Q

What are the caretaker functions of Alveolar type II cells?

A
  1. If type I cells are damaged, type II cells proliferate and can act as progenitors for I or II
  2. Synthesis, store and release surfactant into alveolar space where it prevents lung surface adhesion and optimises gas exchange
22
Q

Which lymphoid tissues are associated with the upper respiratory tract

A

Tonsils & lymphoid tissue in nasopharynx, Mucosal associated lymphoid tisse (MALT), Bronchus associated lymphoid tissue (BALT)

23
Q

What are the roles of the lymph nodes in upper respiratory tract defence

A
  • Detect foreign particles on mucosa
  • initiate inflammation
  • Antigen presenting cells process antigen for lecucocytes
  • Drain to local lymph nodes/lymphoid tissues
  • Leucocytes recruited to site of inflammation/antibody produce and foreign particle is eliminated
24
Q

What are the 3 main lymph nodes of the head (in horses), as well as another associated lymphoid tissue

A

Parotid, Mandibular, Retropharyngeal (tonsils)

25
What are the 2 main lymph nodes of the neck (in horses)
Superficial cervical, Deep cervical
26
What are the 4 main lymph nodes of the thorax (in horses)
Dorsal thoracic, Ventral thoracic, Mediastinal, Bronchial
27
What are MALT and BALT?
Mucosal/Bronchus associated lymphoid tissue. They are aggregations of lymphocytes beneath non-ciliated epithelium. Strategically located at bifurcations of bronchi
28
What might you see from a Bronchoalveolar lavage/Tracheal wash from a diseased lung/respiratory tract
Macrophages, lymphocytes, Frequent neutrophils, Hemosiderophages, excess mucus
29
Which antibody classes are found the mucosa of the respiratory tract
All except Immunglobulin M
30
What adaptive immune defences would you expect to find the the mucosa of the respiratory tract
Intraepithelial lymphocytes, Mucosal immunoglobulin, Serum immunoglobulin
31
What factors may affect respiratory defences
1. particle size 2. Pattern of breathing 3. Artificial manipulaiton bypassing defences 4. Increased size of nares, particularly in horses
32
Describe the development of bronchoconstriction
1. exposure to antigen/allergen 2. Inflammation 3. IgE present/synthesised 4. binds/crosslinks on mast cells & basophils 5. Results in degranulation 6. Granules contain inflammatory mediators and result in smooth muscle contraction, leading to bronchoconstriction
33
What is strangles
A Highly contagious, bacterial infection (Streptococcus equi) that causes inflammation of the mucous membranes of the respiratory tract, resulting in abscesses and a nasal discharge.
34
What role do agonist/antagonists drugs play in promoting bronchodilation
Stimulate/inhibit specific receptors to promote bonchodilation