THE IMMUNE SYSTEM (Natural Immunity) Flashcards
memorization
The immune system consists of ___________ immunity and ___________ immunity.
Innate immunity and adaptive immunity
Protection from disease resulting from substances in the serum (e.g., antibodies, IFN, TNF)
Humoral immunity
A type of immunity in which T cells produce cytokines that help to regulate both the innate and adaptive immune response.
Cell-mediated immunity
Known as innate or inborn/genetic immunity; characterized as a nonadaptive/nonspecific’ no memory cells formed:
Natural immunity
The first line of defense in natural immunity consists of;
- Anatomical barriers
- Humoral factors
Examples of anatomical barriers of the 1st line of defense:
- Skin and mucous membranes
- Skin pH = 5.6 (lactic acid produced by the normal flora on skin)
- Vaginal pH = 5
- Urination - flushing action - Ciliary action (respiratory tract)
Humoral factors;
- Lysozymes
- Stomach acidity
- Pepsin
- Lactoferrin
- Complement proteins
It cleaves the cell wall of a class of bacteria:
Lysozyme
Digests bacterial surface proteins:
Pepsin
Binds iron which is essential for microbial growth:
Lactoferrin
Leads to the destruction of extracellular bacteria:
Complement proteins
The second line of defense consists of:
Cellular factors
Examples of phagocytes:
- Neutrophils (most efficient/best)
- Macrophage
- Monocytes (second best)
Presents antigenic fragments to T cells:
Antigen Presenting Cells (APCs)
Most effective APC:
Dendritic cells
Examples of dendritic cells:
- Langerhans cells
- Interstitial cells
- Interdigitatingcells
These are specialized APCs found on the epidermis;
Langerhans cells
APCs that are found in all the major organs:
Interstitial cells
These are APCs that are found in secondary lymphoid organs and thymus:
Interdigitating cells
Brain macrophages:
Microglial cells
Kidney macrophages:
Mesangial cells
Liver macrophages:
Kupffer cells
Lung macrophages:
Alveolar macrophage
Bone macrophages:
Osteoclast
These are cells that originated in the mesenchymal cells; tissue basophils; mediate HSR by releasing histamine.
Mast cells
CD Markers of NK cells:
CD 16
CD 56
NK cells are known as lymphokine-activated killer cell when exposed to:
IL-2 and IFN-y
Receptors that recognize the presence of MHC I (normal cell)
Inhibitory receptors
True or False:
Infected and cancerous cells lack MHC II (2), which leads to lack of inhibition of killing
False
Infected and cancerous cells lack MHC I (1), which leads to lack of inhibition of killing.
NK cell killing through:
Perforins - pore-forming proteins that polymerize in the presence of Ca
Granzymes - Serine esterase; degrading enzymes/degrades the tumor cells
Physical damage to tissues, either by trauma or microbial multiplication, releases substances such as activated complement and products of infection to initiate _________.
Phagocytosis
Cells are guided to the site of injury by chemoattractant substances (ex. C5a)
Chemotaxis
Receptors of the innate immune system recognize ___________________ through ______________________.
Receptors of the innate immune system recognize Pathogen Associated Molecular Patterns (PAMPs) through Pattern Recognition Receptors (PRRs/PPRRs)
a protein originally discovered in the fruit fly Drosophila; very similar molecules are found in human leukocytes:
Toll/Toll-like receptors (TLRs)
TLR1 recognizes:
TLR1 recognizes lipoprotein found in mycobacteria
TLR2 recognizes:
TLR2 binds to peptidoglycan in gram-positive bacteria
TLR4 recognizes:
TLR4 recognizes lipopolysaccharide in gram-negative bacteria
These are macrophage mannose receptors:
C (calcium) dependent lectin
Scavenger receptors recognize:
Anionic polymers
Phagocytes engulf and destroy foreign matter through:
active membrane invagination
A bacteria that can inhibit phagocytosis because its capsule is hydrophilic:
Diplococcus (Streptococcus) pneumoniae
Coating of organisms by molecules that speed up phagocytosis:
Opsonization
Granules in the phagocyte which contain _______________ fuse with the phagosome forming phagolysosome.
hydrolytic enzymes (lysosome)
The activity if the enzyme _____________ leads to the formation of Reactive Oxide Species (ROS)
NADPH oxidase
Enumerate examples of ROS:
- Superoxide anion
- Hydroxyl radical
- H2O2
- Singlet oxygen
Hydrogen peroxide kills the bacteria in the vacuole; production of hypochlorite which is toxic to the bacteria:
Myeloperoxidase mediated system
Enumerate oxygen-independent mechanism granules:
- Defensins (degrade bacterial cell membrane)
- Lysozyme (attacks cell wall)
- Lactoferrin (binds iron essential for microbial growth)
A result of tissue damage; facilitates phagocytosis:
Inflammation
Signs of inflammation (enumerate)
- Rubor - redness
- Dolor - pain
- Calor - heat
- Tumor - swelling
- Funtio leasa - loss of function
1st leukocyte to arrive at the site of injury, most effective phagocytes, short-lived, present in acute inflammation:
Neutrophils
Movement/ squeezing of WBCs through blood vessel walls;
Diapedesis
2nd to arrive, long-lived, present in chronic inflammation:
Monocytes
Monocytes produce _____ which leads to:
Monocytes produce IL-1 which leads to
- Fever
- Increase APRs
- Stimulates IL-2 production for lymphocyte proliferation
IL-1 stimulates what cell to produce IL-2?
IL-1 stimulates T helper cell to produce IL-2 for lymphocyte proliferation
Which APRs that can reach 1000x ULN?
- C-Reactive Protein
- Serum amyloid A
A group of cytokines discovered in virally infected cultured cells. They interfere with viral replication; virus non-specific but host-specific.
Interferon
Type 1 IFN include:
IFN-a (alpha)
IFN-B (beta)
Type 2 IFN include:
IFN-y
IFN-a was discovered in what culture?
Virus-induced leukocyte culture
IFN-B was discovered in what culture?
dsRNA-induced fibroblasts
IFN-y was discovered in what culture?
Immunologically stimulated lymphocyte cultures
Producer cells of IFN-a:
Null lymphocytes (Natural killer cells)
Producer cells of IFN-B:
Fibroblast, epithelial cells, macrophages
Producer cells of IFN-y:
Th1 cells (T helper subset 1)
IFN-a is also known as:
Leukocyte IFN
IFN-B is also known as:
Epithelial fibroblast IFN
IFN-y is also known as:
Immune IFN
Function of IFN-a:
- Activates NK cells
- Enhances MHC I expression
- Active against certain malignancies and other inflammatory process
Function of INF-B:
- Active against certain malignancies and other inflammatory process
Function of IFN-y:
- Affects RNA expression
- Increases MHC I and II expressions of APCs
- Activates macrophages, Cytotoxic T lymphocytes, NK cells, Th1
Clinical application of INF-a:
Treatment for Kaposi’s Sarcoma and Hepatitis C
Clinical application of INF-B:
Multiple sclerosis
TNF-a is produced by:
- Macrophages
- NK cells
Other name of TNF-a:
CAHECTIN
TNF-B is produced by:
Lymphocytes
Other name of TNF-B:
Lymphotoxin
A heat-labile series of 18 plasma proteins, many of which are enzymes of proteinases:
Complement
An APR that has been found to increase significantly more in bacterial infections than in viral infections:
Serum amyloid A