Systems Flashcards
What is essential to immunity?
The capacity to recognize foreign invaders (non-self)
What problems arise with recognizing foreign invaders?
When the bodies response to a foreign invader is to excessive or when your own healthy tissue is perceived as foreign or dangerous
When the bodies response to a foreign invader is to excessive its usually due to?
Allergies
Hypersensitivity
when your own healthy tissue is perceived as foreign or dangerous it can be due to an?
Autoimmunity
What is a microbe?
Bacteria, Viruses
What is an antimicrobial substance?
It tends to kill or damage microbes - eg lysosomal enzymes released by immune cells
What is an antigen?
Large molecules (usually proteins or polysaccharides that elicit specific responses from hosts)
What is an epitope?
A specific discrete component of an antigen that attract immune response
What are the two responses of the immune system?
Innate and Adaptive
Define an innate immune response?
A general response. It is the first line of defense. We are born with it.
What are some examples of innate immune response?
Skin/ Mucous Membrane
Inflammation/ Fever
Stimulates adaptive responses
What is an example of first line defense?
Skin Mucous membrane
What is an example of a second line of defense?
Antimicrobial substances, and natural killer cells and phagocytes,
What are the primary cells for adaptive immunity?
B lymphocytes
T Lymphocytes
What are accessory cells?
They are phagocytes (macrophages, neutrophils, eosinophils) that kill or break apart an invader.
What do dendritic cells do?
Presents antigens/ epitopes to killers
What humoral immunity?
In blood and lymph there are a high number of immune cells and other immune materials.
How are B Cells a key player in humoral immunity?
Great at recognizing microbes and antigens
What happens when a b cell is activated?
It selects the type of clone needed.
What is a b cell called when it reaches full maturation?
Plasma cell
What do antibodies bind to and what happens when this happens?
Bind to epitopes and either kill/neutralize the invader, or present them to t cells or macrophages
Can some B cells become memory cells?
Yes
What are memory cells and what do they do?
They stay in the body to respond quickly if a secondary exposure to the same antigen occurs
What are the five types of antibodies?
IgG IgA IgM IgD IgE
What antibody makes up 70 to 80% of all antibodies in the body?
IgG
What is the only type of antibody that crosses the placenta?
IgG
Where does IgG diffuse from in the body?
Diffuses readily out of the vascular zone into the tissues
What are the actions of IgG?
Antiviral, antitoxin, antibacterial actions
What antibody activates killer cells?
IgG
What antibody activates the compliment system?
IgG
Which antibody is predominantly found in saliva, tears, nasal and respiratory secretions?
IgA
What antibody is found in breast milk?
IgA
What does the antibody IgA block entry to?
Blocks entry of organisms to the eyes, gut, respiratory and urinary tracts
What antibody remains within blood and lymph?
IgM
What antibody is considered an early responder?
IgM
What is the first Ig formed after immunization?
IgM
What antibody forms natural ABO blood antibodies?
IgM
What antibody is needed for t cell maturation?
IgD
What antibody is found in tiny amounts in plasma?
IgE
What antibody binds to mast cells and liberates histamine and other inflammatory responses?
IgE
Which Antibody attracts eosinophils?
IgE
Antibody is related to the allergic/ hypersensivity reaction connected with asthma?
IgE
Can you have a genectic predisposition to producing excess IgE?
Yes
What are antigen presenting cells?
These are cells that bind to and/or breakdown antigens. They present epitopes on their surfaces, or alter the antigen to make it more recognizable.
What are some examples of an antigen presenting cell?
B Cells, Macrophages, and dendritic cells all act as presenting cells.
What cells do antigen presenting cells present to?
T cells and sometimes phagocytizing cells
What are t cells responsible for?
cell mediated or cellular immunity
The secretion compounds of a t cell that communicate with immune system cells do what?
- attract cells
- prevent cells from leaving the area
- amplify effectiveness of cells
- increase or decrease cell reactions
- activate and regulate b cells
- signal natural killer cells
- increase local blood flow to facilitate immune cell movement
- determine if humoral or cellular immunity is needed
What cells help kill tumor cells?
T cells
What cells responsible for the control of intracellular (viral) infections and rejecting of foreign tissue grafts?
T cells
What activates a allergen response in an IgE antibody?
T cELL
What cell is involved in deciphering what is self vs non self?
T cELL
What are the three types of T cells?
T Helpers
Regulatory T Cells
T-Cytotoxic
What is the key regulatory cell of the immune system?
T Helpers
What cells suppress/ modify immune responses?
Regulatory T Cells
What cell helps ensure the responses matches the situation and that healthy self cells are not killed?
Regulatory T Cells
What T cell destroys and identifies / presented antigens?
T-Cytotoxic
What T cell is involved in attacking cellular problems that antibodies cannot influence?
T-Cytotoxic
What is the Major Histocompatibility complex?
Group of genes on chromosome 6 that determine tissue and blood compatibility
What is the Major Histocompatibility complex known as in humans?
Human Leukocyte antigens
What are the two classes of Human Leukocyte antigens?
Class 1 are on all cell surfaces
Class 2 are on immune system cells
How does Human Leukocyte antigen effect t cells?
They lead T Cells to attacking or ignoring an antigen.
What are some causes of autoimmunity?
- Some HLA activate autoimmune disease such as rheumatoid arthritis or can be triggered by an implant
- Over response of immune activities
- reduced t-cell suppressor response
- the body tissue being attacked may have similar characteristics to a microbe the body has just battled
How does the auto immunity response develop into things such as Rheumatoid arthritis or lupus?
Auto immunity involves the production of auto antibodies that bind with self molecules to create immune complexes.
These immune complexes subject them to intense tissue destruction from immune system responses and their sequelae.
How is that self cells can be marked as dangerous?
Since some cells get infected and targeted for destruction sometimes the body can misidentify self cell for being dangerous
What does immune complexes attract?
inflammatory and cytotoxic reactions ie rheumatoid arthritis
What does hypersensitivity disorders involve?
refers to excessive or inappropriate activation of the immune of exogenous and endogenous antigens that produce inflammation and cause tissue damage.
What antigen activates a type 1 hypersensitivity disorder or immediate hypersensitivity?
IgE
Type 1 hypersensitivity disorder is often referred to as?
Allergic reactions
When an allergic response is life threatening it is known as?
anaphylaxis
If the allergic reaction is local what is it known as?
Atopic
What are the 5 Atopic reactions?
- Allergic Rhinitis
- Asthma
- Urticaria (hives)
- Angioedema
- Gastrointestinal food allergies
What is allergic rhinitis?
Itchy runny inflamed nose
What is angioedema?
Generalized edema of the skin, lips, face, tongue or pharynx
What antigens mediate Type 2- Antibody mediated hypersensitivity?
IgM or IgG
How can type two hypersensitivity disorder be characterized?
formation of antibodies directed against blood cells, and their destruction.
What are four reactions of type 2 Antibody mediated hypersensitivity?
- Erythroblastosis fetalis
- Blood transfusion reactions
- Autoimmune hemolytic anemia
- Autoimmune thrombocytopenia
Which type 2 mediated hypersensitivity response occurs when the mothers Rh- and fetus is RH+?
Erythrolblastosis fetalis
What is Autoimmune Hemolytic Anemia?
When antibodies produced by patients own body are responsible for the hemolysis of erythrocytes
What Type 2 responses can be treated with corticosteroids and splenectomy? autoimmune hemolytic anemia treated?
autoimmune hemolytic anemia/ Autoimmune thrombocytopenia
What happens in an autoimmune thrombocytopenia?
Antibodies directed against killing platelets are developed. some signs: small hemorrhages, purpora (bruising), and mucosal bleeding
Type 3 Immune complex mediated hypersensitivity involve what antigens?
IgM / IgG
What are three response of type 3 immune complex hypersensitivity?
- Serum sickness
- Glomerulonephritis
- Polyarteritis nodosa
What is Glomerulonephritis?
an acute streptococcal infection responsible for the formation of antibodies
What is Polyarteritis nodosa?
a disease characterized by the inflammation and necrosis of medium sized arteries with secondary ischemia of the tissues supplied by the affected blood vessels
What mediates type 4 delayed or cell mediated hypersensitivity?
T lymphocytes
What are the 2 types of type 4 delayed or cell mediated hypersensitivity?
- Contact Dermatitis
2. Graft rejection
Define what a microbe or microorganism is?
Organism so small they are invisible to the eye and can only be seem with a microscope. Can be pathogens or non-pathogens
What does Virulence mean?
The disease producing potential of an invading organism
What is microflora?
a Multitude of non harmful bacteria inhabiting the internal and external exposed surfaces of the human body
What is a Saprophyte?
Free living organisms that obtain nutrition from dead or decaying organic materials in the environment
What is Commensalism?
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bacteria that lives in the intestines and feeds off of undigested food also produce vitamins beneficial to humans this sort of relationship is known as?
Mutualism
What does parastitic mean?
Bacteria have a great time but host remains sick
What are prions?
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Which organisms combine the characteristics of viruses and bacteria?
Ricksettsia, Chlamydia, coxiella, mycoplasma
What is Ricksettsia, Chlamydia, coxiella, mycoplasma
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What fungi is known as being opportunistic in immunosuppressed patients, can cause infection in the oral cavity/ vagina and can harmlessly on skin?
Candida
What are the two types of fungi?
Yeasts and Molds
Describe yeast and mold?
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How do yeasts and molds protect themselves from anti biotics?
Rigid cell wall that is chemically unrelated to the peptidoglycan of bacteria
What are some types of parasites?
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What are some sources of infection?
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What are different stages of the course of a disease?
Incubation Period Prodromal stage Acute stage convalescent stage resolution stage
What is happening during incubation period?
pathogen begins active replication without producing symptoms
What is happening during the prodromal stage?
Initial appearance of symptoms
Which stage of disease is the infection at its maximum?
Acute Stage
What happens during the convalescent stage?
containment of infection, and progressing toward elmination
How are bacteria classified?
single cell organism that is classified by species and with in a species maybe different types called strains. Whether they need oxygen to live
Staining
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what colour do gram positive bacteria turn and what colour do gram negative bacteria turn into?
Positive: Purple
Negative: Pink
Bacteria that needs oxygen is known as what?
Aerobes
Bacteria that does not need oxygen?
anaerobes
Bacteria that can live with and without oxygen are known as?
Facultative
What are the two types of toxins?
Exotoxins
Endotoxins
What toxin does gram positive bacteria secrete?
Exotoxins
What toxin does gram negative bacteria secrete?
endotoxins
What is dental plaque an example of?
Biofilm
How can bacteria become antibiotic resistant?
can develop resistance to drugs because their genes may mutate
What is Staphylococcal (staph) infections and Streptococcal (strep) infections?
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What is necrotizing fasciitis?
skin eating disease
What is impetigo?
A skin infection
What are some common diseases caused by bacteria?
Rheumatic fever Bacterial meningitis Respiratory tract infections Enteric bacterial infections Bacterial infections of the urinary tract Lymes disease