Study Guides for Week 3 and 4 (complete - looked up unsure ones) Flashcards
What is atrophy?
-Cells revert to a smaller size in response to changes in metabolic requirements or their environment
What is the difference between the MHC classes (I, II, III)?
II. cell surface receptors that help the immune system identify and eliminate abnormal cells. They are found on the surface of most nucleated cells, as well as platelets. (from online)
I: expressed on APC (From Khan Academy: Bind to bad proteins found INSIDE the cell and present them so cytotoxic T cells can kill them)
III: complement system
What are the effects on the cells/tissues when exposed to extremes in temperature?
-Shivering becomes ineffective
-When body temp is less than 87.8 degrees (Confusion, stupor, lethargy, and Arrhythmias (J waves, A-Fib))
What are antibodies? Describe production, (immunoglobulins)
- are complex (Y-shaped) glycoproteins
- produced by mature B lymphocytes
- specifically recognize and bind to a foreign antigen
Types of of Antibodies
GAMED
5 types:
- IgG
- IgM
- IgA
- IgE
- IgD
Functions of antibodies
Functions:
- directly impede the function of the pathogen
- neutralize secreted toxins and enzymes
- facilitate the removal of antigens by phagocytic cells
- participate in cell-mediated immunity
- activation of opsonization (tagging)
- activation of inflammation
What cells indicate a transition from innate to adaptive immunity?
Antigen-presenting cells (APCs)
- these begin the transition from innate to adaptive immunity (change from non-specific to specific)
APCs include:
- macrophages
- B lymphocytes
- dendritic cells
What is special about neutrophils?
In acute inflammation
- account for about 60-70% of WBCs
- non-specific
- phagocytosis
- very mobile, get to the injury site in 90 minutes
- short life span (24-48 hours)
What are Peyers Patches?
- lymphoid tissues in the GI, respiratory, and urogenital tracts (small intestines)
- only contain B cells
- not encapsulated
What does the term “intracellular accumulations” refer to?
- Buildup of substances that cells cannot immediately use or eliminate
- May be abnormal or stored products from other parts of the body
- Substances may accumulate transiently or permanently
– Normal body substances (i.e. Lipids)
– Abnormal exogenous Products, from errors in metabolism
– Exogenous products that cannot be broken down by the cell
What are lymph nodes?
- vessels provide lymph: protein-rich fluid
Function:
- filter foreign material from the lymph before it enters the blood
- centers for the growth and response of immune cells
- located throughout the body
Plasma derived mediators (coagulation system); what do they do?
- the main role is the formation of the fibrin clot
- traps exudate, microorganisms, and foreign bodies
- send chemotactic signals to neutrophils
- triggers kinins (and kinin triggers this)
What is herd immunity?
think COVID vaccine
- a bunch of people getting vaccine and collectively get herd immunity to a disease (just writing in my own words)
What is the role of dendritic cells in innate immunity?
- found in nose, lungs, mucosal lining of the GI tract and skin
- migrate through the lymphatic system
- provide major link between innate and adaptive immunity
– takes the organism to the B and T lymphocytes (antigen-presenting cell)
– some can produce interferon to suppress viral replications - also involved in cell-mediated immune reactions (e.g. allergic type IE contact dermatitis)
What types of cells are included in innate immunity?
- neutrophils
- monocytes/macrophages
- natural killer cells
- Dendritic
What is inflammation?
Reaction to injury to the cells or the actual death of a cell
Production and release of the inflammatory mediators
An innate, natural immune response to cell injury or invading microorganisms by:
- neutralizing harmful agents
- removes damaged and dead tissue
- generates new tissue
- promotes healing
How is body temperature regulated in the brain?
-Hypothalamus
-Involves: Sweating, Vasodialation, Erector muscles constrict, shivering, vasoconstriction
How does acetaminophen/ibuprofen lower fever?
The synthesis of prostaglandin E2 (PGE2) depends upon the enzyme cyclooxygenase (pathway for prostaglandins).
- The basis for cyclooxygenase is arachidonic acid released from the cell membrane
- This release is the rate-limiting step in the synthesis of PGE2
- Inhibitors of cyclooxygenases (either COX-1 or COX-2) are potent antipyretics
How does the body generate heat?
Derived from metabolic activity in the muscles and liver
SNS neurotransmitters play a role (I.e. epinephrine and norepinephrine)
Released when an increase in body temp needed—so heat production rather than energy generation
What are the primary organs associated with the immune system? What do these organs do (split between cards for each) (5)
- spleen
- thymus
- tonsils
- peyers patches
- appendix
- lymph nodes
(5)
Identify types of barriers of the first line of defense
(Physical, Mechanical, Chemical)
Physical barriers
- skin
- mucous membranes
Mechanical barriers
- coughing
- sneezing
Chemical barriers
- tears
- sweat
- stomach acid
Activation of complement system
What role do leukotrienes play in the inflammatory response?
- slower and last longer than histamine
- permeability, adhesion of endothelial cells, chemotaxis of neutrophils, eosinophils, monocytes
- LTD4: causes slow and sustained constriction of bronchioles - asthma
Where are cell-derived mediators produced?
produced by the cells
i think produced by these:
- macrophages (monocytes)
- mast cells (basophils)
- endothelial cells
- leukocytes
- platelets
at the site of inflammation or tissue injury, by various immune cells
Special NSAIDs (Ketorolac and Indomethacin)
Ketorolac (Toradol):
- GIVE PO, IV, AND IM
- CAN BE USED AS AN ALTERNATIVE TO OPIOID THERAPY
- SHOULD NOT BE USED FOR MORE THAN 5 DAYS
- USUALLY WEANED TO ORAL
- NO PEDIATRIC USE
Indomethacin:
- USED FOR PERICARDITIS AND GOUT
- VERY IRRITATING TO THE GI TRACT