The Immune Response Flashcards

1
Q

What is the first line of defence?

A

Natural barriers to infection

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2
Q

Why is the skin a natural barrier?

A

Forms a tough barrier (collagen) to prevent entry, vitamin C is required to maintain barrier

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3
Q

Why is the skin flora a natural barrier?

A

Compete with pathogenic bacteria preventing them from growing, the gut and other areas also have their own flora

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4
Q

Why is blood clotting a natural barrier?

A

Seals wound to prevent entry of pathogens

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5
Q

Why is inflammation a natural barrier?

A

Cells surround the site of infection to prevent the spread of disease

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6
Q

Why is phagocytosis a natural barrier?

A

Invading microbes are engulfed and destroyed

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7
Q

Why is the mucus membrane a natural barrier?

A

Mucus and ciliated cells trap microbes and help remove them

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8
Q

Why are acid and lysozyme natural barriers?

A

Stomach acid kills bacteria
Lysozyme in tears and saliva hydrolyses the peptidoglycan in bacterial cell wall

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9
Q

What is the second line of defence?

A

Once past the barriers, the immune system uses phagocytosis and inflammation to trap and destroy invaders

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10
Q

What are the signs of inflammation?

A
  • redness
  • heat
  • pain
  • swelling
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11
Q

What are the functions of inflammation?

A
  • increases blood flow to the area
  • destroy the cause of infection
  • repair/replace damaged tissue
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12
Q

What are the steps of phagocytosis?

A
  1. Pseudopodia surround pathogens
  2. Pathogens are engulfed by endocytosis
  3. Vacuole forms, enclosing pathogens
  4. Vacuole and lysosome fuse
  5. Toxic compounds and lysosomal enzymes destroy pathogens
  6. Debris from pathogens is released by exocytosis
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13
Q

What are phagocytes?

A

Cells which engulf and destroy microbes and dead cells e.g macrophages or neutrophils

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14
Q

What are lymphocytes?

A

Involved in the specific immune response and come in two main types - B lymphocytes and T lymphocytes

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15
Q

What are B lymphocytes?

A

Mature in the spleen and lymph nodes and produce antibodies

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16
Q

What are T lymphocytes?

A

Mature in the thymus and come in 2 main types - T helper or T killer

17
Q

What is the specific immune response?

A

This is a response to an antigen involving lymphocytes, an antigen is a molecule that elicits an immune response, usually parts of proteins

Can be humoral (B lymphocytes) or cell mediated (T lymphocytes)

18
Q

What is the humoral response?

A
  • each B lymphocyte has a different antigen receptor or binding site
  • each one will make antibodies similar to this receptor which will attach to this specific antigen
  • when a B lymphocyte is stimulated by their specific antigen on an antigen-presenting cell they develop into 2 types of cells:
    Plasma cells (produce antibodies and die shortly after)
    Memory cells (remain in the body for months or years in case the same antigen appears)
19
Q

What are antigens?

A
  • substances that are recognised as foreign by immune system
  • specific shape
  • stimulate an immune response
  • usually proteins - polysaccharide or glycoprotein

Can be:
- on surface of bacteria/virus
- on cell surface of foreign tissue
- free molecules

20
Q

What is the structure of antibodies?

A
  • Quaternary globular proteins
  • Y shape made of 4 polypeptide chains
  • Chains are held together by disulphide bonds
  • 2 antibody binding sites which are specific to antigen
  • Phagocytes can bind to the constant region (helps phagocytosis)
21
Q

What is opsonisation?

A
  • Antibodies bind to antigens on microbes
  • Phagocytes have receptors which enable them to bind to and engulf microbes coated with antigen
22
Q

What is agglutination?

A

Formation of antibody-antigen complexes the pathogens are held together in large clumps
- Prevents pathogens from moving and invading cells
- Macrophages and neutrophils more easily engulfed

23
Q

What is the cell mediated response?

A
  • Specific antigens on antigen processing cells stimulate the T lymphocytes to proliferate
  • T helper activate both B + T lymphocytes and phagocytes. Release cytokines
  • T killer cause lysis of infected cells or invading cells
  • Memory cells are produced for both types
24
Q

What is clonal selection and expansion?

A
  • Binding of antigen to the receptor will stimulate one or more cells (selection) to undergo mitosis producing clones (expansion)
  • most become antibody producing plasma cells
  • some remain as memory cells
  • similar process happens in T lymphocytes
  • cytokines activate both cell types
25
What is the primary immune response?
- When a pathogen enters the body there is a latent period when phagocytes - The body needs to produce: T lymphocytes which makes cytokines which then stimulate antibody producing plasma cells - Delay in antibody can result in person suffering the disease - Low level of antibody production, but disease is cleared
26
What is the secondary immune response?
If the same pathogen reinvades the antibodies will be produced rapidly due to the presence of B memory lymphocytes - latent period dramatically reduced - higher conc of antibodies - antibodies are produced over short period of time - antibody conc stay higher and for longer - vaccinations
27
What is natural immunity? What is artificial immunity?
Natural - gained in the normal course of living processes Artificial - gained by deliberate exposure to antigen
28
What is natural active immunity?
Lymphocytes are activated by antigens present on pathogens - Takes place during natural course of an infection - T and B lymphocytes produced
29
What is artificial active immunity?
Immune response is artificially triggered - A vaccination is given to raise an immune response - Contains antigens from the pathogen which initiates a response and production of memory cells
30
What are vaccines?
Live attenuated vaccines - can still be divided but not cause disease Dead microorganisms RNA vaccines RNA coding for a protein antigen
31
What makes a successful vaccine?
- Pathogens with very little antigenic variation - Vaccine against multiple targets - Must give strong immune response - Must be protective against infection
32
What are the ethics of vaccinations?
- Cost vs effectiveness - Not all people can be vaccinated - Right to refuse vaccine - Anti vaxers
33
What is passive immunity?
Individual becomes temporarily immune to an antigen by receiving antibodies from someone else
34
What is natural passive immunity?
Mother passes antibodies across the placenta to the foetus Breastfeeding Short term immunity
35
What is artificial passive immunity?
Used when a very rapid immune response is needed Only provides short term protection as antibodies are destroyed by phagocytes in speel and liver and no memory cells produced
36
What is a neutrophil?
- Engulf and destroy pathogens - Identified by multi-lobed nucleus - Number rise as a result of infection - Short lived = tend to die after engulfing bacteria
37
What is a macrophage?
- Engulf pathogens and then present antigen on their surface - Long lived = survive after engulfing bacteria - Settle in lymph nodes, spleen and kidney
38
Describe gram positive bacteria
- Blue or purple after gram staining (retain crystal violet stain) - Thick peptidoglycan cell wall - Staphylococcus aureus and epidermis
39
Describe gram negative bacteria
- Pink or red after gram staining (with safranin counterstain) - Thin peptidoglycan cell wall and lipopolysaccharide layer - Vibrio cholerae and Salmonella