Serodeck_14196840 Flashcards
Person makes ab, immunized/infection, memory
active immunity
ab transferred to, no memory
passive immunity
nonspecific, no memoryskin,acid,PMNs, NK
Natural, innate
specific, memoryT/B cells (cytokines,ab)
Adaptive, acquired
Kind of immunity…viral,fungalintracellulartcell/lymphokinestype 4 delayed
cellular
type of immunitybacteria,phagocytosis,extracellulartype 1(immediate)type 2(ADCC)type 3 immune complex
humoral
4 things that make antigens more immunogenic
largecomplexprotein/polysaccharideforeign
4 subclasses of IgG
IgG 1,2,3,4
Immunoglobulin with highest concentration
IgG
Concen immunoglobulins high to low
G>A>M>D>E
Largest antibody
IgM
Pentamer, Jchain, fixes complement the best,1st to appear in neonates
igM
Immunoglobulin on mature cells
IgD
Immunoglobulin type 1 hypersensitivity, histamines
IgE
Monoclonal ab made by
immunizing mousecombining spleen cells w/myeloma cells
Hybridoma
plasma cell fused w/myeloma cells,make monoclonal abs
Most circulating lymphoid cells are… and are…%
Tcells, 80%
5 T cell surface markers
CD…2,3,4, 8,25
CD4 surface markers are… and release…
T helper, cytokines
CD3 surface markers are
associated w/TCR
CD2 surface markers
rosette w/SRBCs
2 Tcell surface markers that are regulatory cells that suppress immune response
CD4,25
CD8 is
cytotoxic
3 surface markers on B cells
CD 19,20,21
2 markers for NK cells
CD 16,56
cells that kill virus infected and tumor cells
NK
Normal T:B cell ratio
8:1
Normal T helper:Tcyto ratio
2:1
AIDs T helper:Tcyto
1:2
which pathway initiated by immune complexes (IgG/IgM)
classical
What consists of 21 proteins that controls inflammation, activates phagocytosis, opsonizes
complement
In complement what is the major chemotatic agent
C5a
classical complement proteins and order of binding
C: 1,4,2,3
Most abundant complement protein in both pathways
C3
Alternative complement is activated by
lipopolysaccharides, polysaccharides
Proteins involved in alternative pathway
C3Factors B/D, H/I
complement proteins of MAC
C56789
Name of soluble ag+ab forms lattice and visibe precipitate forms
precipitation
Double diffusion(ouchterlony),Single diffusion (radial),Immunoelectrophoresis,Immunofixation All are what kinds of rxns
precipitation
antigen excess is called
postzone
antibody excess is called
prozone
IgE mediated, histamine(Bee sting,hay fever,asthma) all are what type of hypersensitivity rxns
Type 1, anaphylatic, immediate
Ab-ag, Transfusion rxn,AIHA, Hashimoto, Goodpasture all are what type of hypersensitivity rxn
Type 2, ab-dependent cytotoxicity
immune complexes, RA, SLE, serum sickness all are what type hypersensitivity
Type 3 immunie complex
Type 2 is
antibody dependent
Type 1 is
anaphylatic, immediate
Type 3 is
immune complex
Type 4 is
delayed
TB, contact dermatitis, GVHD all are what type of hypersensitivity
Type 4 delayed
Two skin tests for allergyq
RIST,RAST
What test for IgE
ELISA
Eos/IgE in what type of hypersensitivity
Type 1, anaphylatic, immediate
natural active immunity seen in
infection
natural passive immunity seen in
maternal ab
2 primary lymphoid organs
thymusbone marrow
What type of immunity with skin,mucous,BF
natural
what kind of immunity with vaccines
specific immunityartificial active
adaptive immunity w/ab is called
humoral immunity
immunity inside infected cells
cell mediated
Plasma protein that activates complement systme of innate
properdin
enzyme that catalyzes destruction of cell walls of bacteria
lysozyme
signal protein release by cells due to virus
interferon
Subtance that stimulates cell locomotion/migration
chemotactic factor
Cell that kills tumor cells nonspecifically
NK
Have receptors that are specific for a tumor/microbe
cytotoxic cells
Combines to larger carriers to elicit immune response but doesn’t elicit on its own
hapten
Enhances immune response
adjuvant
molecule that can elicit an immune response
immunogen
3 secondary lymphoid organs
spleen,tonsils,lymph nodes
Which 2nd lymph organs respond to antigens by making lymphocytes and plasma cells
lymph nodes contain WBCSspleen makes WBCs,ab
cell that specifically kills tumor cells/virally infectedneeds exposure
T cytotoxic
cell nonspecifically kills tumorinnate/no need exposure
NK
Phagocytosis is main function of what cell
PMNs
Genes that control expresson of HLA antigens are called
MHCmajor histocompatibility complex
3 Class I gene products
HLAA,B,C
5 Class II gene productspresent antigen outside of the cell of T lymphs
HLAD-M,O,P,Q,R
Ab increases during convalescence phase(symptoms disappear, return to normal)
IgG
Ig…best precipitinsoluble ag/specific ab
IgG
Ig..best agglutinin
IgM
has 4 subclasses
IgG
Ig…dimer
IgA
2 Ig…monomer
IgG, E
Ig…pentamer
IgM
2 Ig have Jchain
IgM, A
complement are heat…
labile
complement acts as an…and end result of complement is…
opsonincell lysis
Which ab bind complement
IgG/M
First component to bind to immunoglobulin in recognition phase of complementcan bind bacteria,ab,CRP
C1q
Proteases of complement that don’t bind/aren’t active
Clr/s
Complement component that is chemotactic and anaphylatoxicis released to recruit phagocytes
C5a
Factor B,D and properdin is in what pathway
alternate
IgG ab binds to rbc and is reversible is called
sensitization
clumping ag w/ab after sensitization is called
agglutination (IgM best)
Antigen in agglutination inhibition is…which is bound to
Pt serumab reagent
Positive test for aggulutination inhibition
no aggglutionationPT has antigen(in serum) and reagent ab is bound to serum/antigen so it can’t react with indicator
Negative test for agglutination inhibition
agglutinationPT doesn’t have antigen in serum, and reagent ab isn’t bound thus reacting w/indicator
Two examples of agglutionation inhibition tests
hemaggutination inhibition (rubella)latex agglutination inhibition (viruses)
complement fixation positive test is
no hemolysisno C available, complement is fixed, not available to combine w/indicator (SRBC coated w/antiSRBC)
complement fixation negative test
hemolysiscomplement not bound, reacts w/indicator(SRBC/antiSRBC)
What type of rxn/test is ab-ag combined in presence of complement to see if hemolysis occursdetects IgM ab w/sheep RBC/antiSRBC/hemolysin
complement fixation (CF)
single immunodiffusion also called
radial immunodiffusion (RID)
Rxn where diffusion occures and a ring of precipitate forms on an agar plate with ab where serum/standards are added
Radial immunodiffusion(RID)Single immunodiffusion
Fahey(kinetic) and Mancini(end pt) are what kind of tests
RID/immunodiffusion/precipitaition
Another name for double diffusion
Ouchterlony
Test used to determine relationship between ag-ab Ab is added around ab well and diffussion occurs with precipitation bandsConcentration and rate of diffusion dictates location of bandsUsed to id ab w/autoimmune disorders
doulbe diffusion/ouchterlony
Double diffusion pattern that fuse together is
identity
double diffusion patter than intersect are
nonidentity
double diffusion patterns that parially intersect are
partial identity
Test where ab-ag diffuse thru agar after serum proteins are electrophoresed on agar
immunoelectrophoresis (IEP)
Serum IEP can detect
monoclonal gammopathies
urine IEP can dectect
Bence Jones protein or free light chains
protein electrophoresis plus immunoprecipitation is called
immunofixation
Immunofixation is used to classify
monoclonal gammoopathies/determine heavy and light chains
name of test where ab-ag migrate toward each other and forms precipitate
countercurrent immunoelectrophoresisCIE
Two examples of RIA, radioimmunoassay
RIST, RAST
Which RIA measures total IgE
RISTradioimmunosorbent test
which RIA measures IgE to specific allergens
RASTradioallergosorbent test
Which test is a sanwhich tecnique with ab on solidPT serum addedenzyme labeled abenzyme substrate
EIA/ELISA enzyme immunoassay
HIV/Serum HcG/hepatitis mreausred by
EIA/ELISA
EMIT measuresenzyme multiplied immunoassay
small molecules like drugs, hormones
Positive EMIT is
color
Negative EMIT is
no color
Test where insoluble complexes reflects scattered light
nephleometry
ANA and FTA-Abs can be tested with
immunofluorescencefluorescein labeled ab
Positive FPIA
reduction of polarized light
negative FPIA
increased polarized light
FPIA stands for
Fluorescence polarization immunoassay
Time frame to test for infectious disease
acute and convalescent specimens 2weeks apart
Clinically sig titer for infectious disease is
4-fold or 2 tube rise
Ability of test to detect very small amount of a substancwe
sensitivity
ability of test to give positive result if PT has the disease-less false neg
sensitivity
ability of test to detect substance without interference from cross reacting substances
specificity
ability of test to give neg result if PT does not have disease-less false pos
speficity
Name of principle where if person has ab to virus, the virus on the RBCs added will be neutralized and inhibit agglutination
hemaaglutination inhibition