Test 2 Flashcards
Immune surveillance
The destruction of abnormal cells by NK cells in peripheral tissues
Interferons
Chemical messengers that coordinate the defenses against viral infections
Complement
A system of circulating proteins that assist antibodies in the destruction of pathogens
Inflammation
Localized, tissue-level response that tends to limit the spread of an injury or infection
Fever
An elevation of body temperature that accelerates tissue metabolism and body defenses
Dominant inhibitory receptor
Prevents the activation of the NK cell. The MHC receptor is this
Protectin
Intrinsic molecule that protects NK cells from their own perforins
Interferon alpha
Signals neighboring uninfected cells to destroy RNA and reduce protein synthesis
Interferon beta
Signals neighboring infected to cells to undergo apoptosis
Interferon gamma
Activates immune cells
Complement proteins work together in…
cascades
Respiratory burst
Part of the Inflammation reaction. Neutrophils undergo this upon leaving the vasculature
Pyrogen
Substance that induces a fever
Hypothalamus orchestrates heat effector mechanisms through…
the autonomic nervous system
Innate immunity
Nonspecific defense mechanisms that come into play immediately or within hours of an antigen’s appearance in the body
Adaptive immunity
Antigen-specific immune response. Antigen first must be processed and recognized. Response is customized to antigen
Adaptive immunity may be…
- Humoral (antibodies)
- cell-mediated
Key to understanding immunity
The body must recognize self from non-self
Lymphocyte characteristics
- Account for 20-40% circulating leukocytes
- Do not phagocytose foreign bodies
- Each type has distinct biochemical functions
Self vs non-self recognition
MHC complex that recognizes surface antigens
CD markers (Cluster of differentiation markers)
Tells whether a T cell responds to a class I or II MHC
CD8 markers
Cytotoxic and suppressor T cells. Respond to MHC I proteins
CD4 markers
Helper T cells. Respond to MHC ii Proteins
CD25
Activated T cells. The receptor for interleukins
CD3 markers
All T cells
The T cell must be ____ to confirm activation
Costimulated
Cytotoxic T cells may destroy a cell through…
perforin, lymphotoxin, or induction of apoptosis
Time period for cytotoxic T cell accumulation
Two days
memory Tc cells
Produced by cell division. Awaits reappearance of the antigen
Suppressor T cells
Control or moderate immune response by T cells and B cells
Helper T cells
Stimulate immune response by T cells and B cells
Memory Th cells
Await reappearance of antigen
Five B cell produced heavy chains
- IgG
- IgE
- IgD
- IgM
- IgA
IgG antibodies
Account for 80% of antibodies. Responsible for resistance against many viruses, bacteria, and bacterial toxins
igE antibodies
Basophils and mast cells. Release histamine
IgD antibodies
on B cell surfaces.
IgA
Glandular secretions such as mucus, tears, saliva, and semen
IgM antibodies
first class of antibody secretyed after an antigen is encountered. IgM concentration declines as IgG production accelerates.
Epitopes
Triggers B cell stimulation. Most microorganisms can have multiples.
Partial antigens are too ___ to trigger B cell activation
small. They cannot bind to MHC.
Seven mechanisms of antibody action
- Neutralization
- Opsonization
- Precipitation/agglutination/aggregation
- Attraction of phagocytes
- Stimulation of inflammation
- prevention of bacterial adhesion
Part of innate immune system relies on…
proteases and cytokines
Neutralization
Prevents recognition of cell surface markers by blocking recognition sites
Agglutination/Aggregation
Antibodies link large numbers of antigens together
Attraction of phagocytes
Antibodies attached to antigens attract eosinophils, neutrophils, and macrophages
Opsonization
Enhances phagocytosis of smooth antigens/microbes by allowing for more efficient binding
Stimulation of inflammation
Stimulate basophils and mast cells (WBCs that release heparin and histamine)
Prevention of bacterial adhesion
Most notably in the saliva, mucus, and perspiration
Antibody titer
The amount of antibody in the plasma
Primary response to antigens
Titer remains high as long as exposure to an antigen is ongoing or suppressor T cells inhibit further immune response
Secondary response to antigens
Memory B cells respond right away - antibodies tend to be more effective and secreted in massive quantities
When is functional cell mediated immunity established?
three months
Humoral immunity establishes when?
four months
Fetal immune system is dominated by?
Maternal IgG antibodies (passive immunity)
Maternal immunity
Antibodies pass from mother to baby across placenta (IgG) or in mother’s milk
Cellular elements of the immunologic properties of human milk
- Macrophages
- T and B cell lymphocytes
Noncellular elements of the immunologic properties of human milk
- immunoglobins (Secretory IgA prodominant; also contains IgG, IgM, and IgE)
Immune tolerance
The degree of responsiveness of the immune system
Central tolerance
The way the immune system learns to discriminate self from non-self. Deletes autoreactive lymphocyte
Peripheral tolerance
Way of preventing hyper-reactivity of the immune system
Autoimmune disease
Loss of tolerance can lead to this
Positive selection of B and T cells
Must have correct compliment of CD markers to enter a functional state
Location of peripheral tolerance
Lymphoid organs
Autoimmunity
Occurs when there is the ability of self to recognize self
While a high level of autoimmunity is unhealthy;
a low level of autoimmunity may be beneficial
Autoimmune disorcers
Production of excessive antibodies
Activated B cells
Make autoantibodies against body cells
Different effects of autoimmune diseases
- Damage to or destruction of tissues
- Altered organ growth
- Altered organ function
Lupus
Most distinctive sign of lupus is a facial rash that resembles wings of a butterfly
Multiple sclerosis
A progressive disorder. Diagnosed based on tingling, numbness, uncontrolled tremors, among other symptoms
Celiac disease
Autoimmune disorder where ingestion of gluten leads to damage in the small intestine
Immunodeficiency disease
Occurs when the immune system fails to develop normally during embryology or the immune response is blocked/surpressed
Primary immunodeficiency (congenital immunodeficiencies)
Many of these disorders are hereditary and are autosomal recessive or X-linked.
Secondary immunodeficiencies
Also called acquired immunodeficiencies. Can result from various immunosuppressive agents.
Examples of secondary immunodeficiencies
Malnutricion, aging and particular medications
Zoonoses
A jump of disease or virus from an animal from human. Ex is HIV
AIDS
stage of infection that occurs when the immune system is so badly damaged that the body becomes vulnerable to opportunistic infections
Malignant tumors
DO NOT mutate more frequently than normal cells. It is the evolutionary context that matters
Monoclonal antibodies
Lab-made versions of immune system proteins. Antibodies are designed to attack a very specific part of a cancer cell
Immune checkpoint inhibitors
Inhibit the checkpoint to upregulate the immune response
Cancer vaccines
Some vaccines can help prevent or treat cancer
Costimulation acts as a
negative regulator of T cell activity
Vaccines protect
individuals
Herd immunity
mechanism that protects populations. Leads to reduction and eventual removal of a disease from the population.
Herd immunity threshold
Diseases exhibit this based on their mechanisms of transmissions
For airborn diseases, herd immunity breaks down at vaccination rates below
80-95%
For diseases requiring exchange of bodily fluids herd immunity breaks down at vaccination rates
below 30-50%
Infected people can spread measles from
four days before through four days after the rash appears
Logical fallacies
Tricks or illusions of thought often wrapped in technical language meant to decieve people or elicit an emotional response (fear)
Burden of proof
The burden of proof lies with someone who is making a claim, and is not upon anyone else to disprove
methylmercury
type of mercury found in certain kinds of fist. At high exposures it can be toxic to people
ethylmercury
cleared from the human body more quickly and therefore less likely to cause any harm
Side effect of thimerosal in vaccines
Most common are minor reactions, the redness and swelling at the injection
Thimerosal was taken out of childhood vaccines in the US in
2001
Four of the most successful vaccinations in medical history
- smallpox
- polio
- measels
- tetanus
Measels facts
- fever over 104 degrees, blindness, swelling of brain, pneumonia, and extreme discomfort
Tetanus facts
- caused by bacteria usually found in soil, duct, and manure and enter the body through breaks in the skin - usually cuts or puncture wounds caused by contaminated objects
General rule for vaccines
The more similar a vaccine is to the disease-causing form of the organism, the better the immune response to the vaccine
Live, attenuated vaccines
Vaccines produced by growing the virus in tissue cultures that will select for less virulent strains, or by mutagenesis or targeted deletions in genes required for virulence
Upsides of Live, attenuated vaccines
Contain a weakened version of the living microbe. Elicit strong cellular and antibody responses and often confer lifelong immunity with only one or two doses. Easy to produce