The Immune System: Immunization and Human Disease Flashcards

1
Q

What is the first main, important characteristic of the adaptive immune system?

A

IMMENSE DIVERSITY of receptors of B and T lymphocytes

  • Variability in the shapes of the proteins, different combinations/sequence variations in the VARIABLE REGIONS => Determines which shape epitope corresponds.
  • We have 1M different B cell receptors, 10M T cell receptors
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2
Q

What is the second main, important characteristic of the adaptive immune system?

A

SELF-TOLERANCE: Lack of reactivity against one’s own molecules.
Ability to recognize our own host cells apart from the pathogens.

In a healthy immune system, SELF-REACTIVE combinations are identified and rapidly DESTROYED, RENDERED NONFUNCTIONAL

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3
Q

What is the third main, important characteristic of the adaptive immune system?

A

PROLIFERATION (duplication): Once activated, a B or T cell undergoes multiple cell divisions to produce a clone of identical, appropriate cells

The one that gets woken up by binding to an antigen that binds to its receptor –> the cells proliferate.

Many different versions of the defender, whichever one gets woken up clones themselves.

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4
Q

What is the fourth main, important characteristic of the adaptive immune system?

A

IMMUNOLOGICAL MEMORY: Post-proliferation, there are two different cells that are generated from the process…

(a) Short-lived activated EFFECTOR (plasma) CELLS, that act immediately against the antigen = Active duty!
* *Die upon being used

(b) Long-lived MEMORY CELLS that can give rise to effector cells if the same antigen is encountered again = Inactive
* *Put into storage, in case the proliferation process is needed

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5
Q

Why is immunological memory so important?

A

It is key to long-term protection against diseases. It is generated by a PRIOR INFECTION or VACCINATION.

-Prior exposure to antigen A results in STRONGER secondary responses

  1. Exposure to Antigen A
    After exposure, the production of antibodies to A ramps up and fights off the infection.
    Eventually, the plasma cells meet the natural end of their lives.
2. Exposure to Antigens A and B
The response (concentration of antibodies) is much higher in responding to antigen A than to antigen B = Ability to mobilize the antibodies A really quickly and massively. 

NOTE: This is antigen-specific!
The response to Antigen B almost looks like the initial exposure response to antigen A.

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6
Q

What is active immunity?

A

Develops naturally when a pathogen invades the body and elicits a primary or secondary immune response.

Example: Natural infection; Immunization

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7
Q

What is passive immunity?

A

Provides immediate, short-term protection.

Example: Antibodies transferred from mama bear’s breast milk to baby’s bloodstream

**Not built-in/learned, came from someone else.

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8
Q

How are vaccines made?

A

Conventional vaccines: Introduce the host defense system to a small piece of the protein coat (antigen) of DESTROYED/DE-ACTIVATED VIRUSES = Dead viruses

RNA vaccines: DON’T inject the antigen, just the instructions for host cells to build the antigens themselves = Messenger RNA; we generate the correct epitope ourselves!

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9
Q

How can infection rates be so low?

A

VACCINATION!

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10
Q

What is an antigenic variation?

A

The human influenza virus mutates rapidly, meaning new flu vaccines must be made each year.

Some viruses have warped versions of epitopes, unrecognizable to the existing vaccine.

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11
Q

What is immune rejection?

A

Cells transferred from one person to another can be attacked by immune defenses.

This complicates blood transfusions, transplants of tissues/organs.

= Need to find a ‘match’!

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12
Q

Blood types are related to…

A

Antigens!

The antigens on red blood cells determine whether a person has blood type A (A antigen), B (B antigen), AB (both A and B antigens), or O (neither antigen).

Antibodies to non-self blood types can exist in the body!

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13
Q

How do allergies work?

A

Allergies are exaggerated (hypersensitive) responses to antigens called ALLERGENS.

Mast cells release histamine and other mediators, causing vascular changes –> Typical allergy symptoms

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14
Q

What is anaphylactic shock?

A

An extreme allergic response which can be life-threatening

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15
Q

___________ reactions tend to be worst than ____________ reactions.

A

Secondary; initial

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16
Q

What are autoimmune diseases?

A

Breakdown or loss of self-tolerance, resulting in the immune system failing to recognize normal cells of the host as ‘self’.

Examples:

  • Rheumatoid arthritis: Often affects joints, but can involve any host tissues
  • Multiple sclerosis: Lymphocytes attack myelin sheath of neurons
  • Lupus
17
Q

What is the Human immunodeficiency virus (HIV)?

A

HIV infects helper T cells.
It persists in the host - despite an immune response - because it has a high mutation rate that promotes antigen variation.

Over time, an untreated HIV infection not only avoids the adaptive immune response but abolishes it!

18
Q

What is AIDS?

A

Acquired immune deficiency syndrome, coming about through untreated HIV.

19
Q

How are cancer and the immune system linked?

A

For example, human papillomavirus (HPV), is a virus associated with cervical cancer, and throat cancer in males.

The vaccines are over 85% effective –> These cancers are avoidable!