Theme 1: Immunity Flashcards

1
Q

What are the four main groups of microorganisms?

A

Virus
Bacteria
Fungi
Parasites

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2
Q

What are bacteria?

A

Bacteria are single-celled organisms that do not have a nucleus - referred to as prokaryotic cells. Instead of having a nucleus they have free strands of DNA.

Bacterial cells have the ability to rapidly multiply when given the right conditions to do so, through a process called binary fission.

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3
Q

What are viruses?

A

Viruses are not living organisms, as they do not demonstrate all seven characteristics of life. Viruses are protein coated strains that contain lengths of DNA.

Unlike bacteria which can replicate themselves in any suitable environment, viruses replicate themselves within human cells. This is why viruses are much more difficult to combat than bacteria. Viruses cannot be treated with antibiotics, unlike bacteria.

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4
Q

What are fungi?

A

Fungi do have a nucleus and they come in all shapes and sizes. Some a multicellular such as mushrooms. Fungi can cause problems that relates to thrush in areas that have moisture, warmth and food sources. Examples include athletes foot, genital thrush and oral thrush. Fungi can be treated with anti-fungal medication which eliminates the growth of fungi

Not all are dangerous (i.e yeast)

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5
Q

What is a parasite?

A

A parasite is an organism that relies on another organism to survive. They can live either externally on the skin, such as fleas and ticks, or internally such as tapeworms.

Parasites take advantage of nutrition from the organism (called the host), wherever it is feeding on blood, or directly absorbing nutrients from the gastrointestinal tract.

Parasites don’t want to kill the host as they rely on them, but parasites can carry diseases or cause changes such as weight loss that can be life-threatening.

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6
Q

What are the 4 things that create the right environment for microorganisms to grow, multiply and thrive?

A

** food. Moisture. Warmth. Time. **

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7
Q

What will recede the risk of developing the risk if illness from microoorganisms?

A

Hand washing

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8
Q

What are good microorganisms found?

A

They do not cause an immune response, called colonisation
> this includes microorganisms that live on skin, mouth and airways

colonel microorganisms

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9
Q

What are the 4 modes of transmission?

A

Direct contact: contact with lesions, touching an infected host or sexual intercourse

** Indirect contact: ** environmental contamination, touching contaminated surfaces/objects, needle stick injuries.

** Air-borne (inhaled): ** Droplets are spread through the air

** Faecal-oral transmission ** - usually from contaminated food or water sources.

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10
Q

What is the chain of infection?

A

Microbe/organism > reservoir > portal of exit > mode of transmission > portal of entry > susceptible host

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11
Q

What are the three ways to prevent the spread of microorganisms?

A

Cleaning - Physically cleaning a surface with soap and water to remove visible organic matter.

Disinfection - Process of killing or removing pathogenic microorganisms. Use of alcohol or bleach based products are used achieving 99.9% eradication of microorganisms.

Sterilisation - Complete removal of all living microorganisms.

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12
Q

What are the two toes of immunity?

A

Innate immunity - these are structures that have been present since birth, providing us with the first line of defence to all invading pathogens, making this type of immunity non-specific.

Acquired or specific immunity - this type of immunity is acquired across our lifespan when we encounter different types of pathogens. This allows the immune system to trigger a specific response that will combat a pathogen quickly.

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13
Q

What are the 4 structures and cells that are involved in innate immunity?

A

** Physical barriers

Mechanical barriers

Chemical barriers

Leukocytes (white blood cells) **

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14
Q

What is the physical Barrie’s in innate immunity?

A

Parts of the body such as the skin and areas that have a mucous lining provide physical protection against pathogens.

The skin covers and protects our internal structures, as well as producing sebum from the sebaceous glands which has antimicrobial properties.

Mucous membranes in the nose, mouth, urethra, vagina and anus provide additional protection by trapping pathogens with mucous.

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15
Q

What are the mechanical barriers in innate immunity?

A

these are areas that contain cilia or has the ability to produce tears.

Cilia line the respiratory tract to help move mucous and particles away from the lungs.

Coughing and sneezing is another mechanical mechanism that expels pathogens and foreign particles entering the respiratory tract. Tears help to wash away pathogens and dirt away from the eyes. Tears contain lysosomes which can help degenerate microorganisms.

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16
Q

What are chemical barriers in innate immunity?

A

Tears are also chemical barriers, but also saliva, sweat and breast milk provide chemical barriers because they contain enzymes or antibodies that help protect against pathogens.

Gastric juice, vaginal secretions and semen are also considered chemical barriers due to being either more acidic or alkalotic that can help degenerate microorganisms.

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17
Q

What are leukocytes and platelets in innate immunity?

A

These are white blood cells and platelets that are present in the bloodstream which circulate round to provide a first line defence against pathogens.

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18
Q

How many types of white blood cell are there?

A

5

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19
Q

Where are white blood cells produced?

A

All blood cells are produced by the bone marrow from blood stem cells.

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20
Q

What are the two different stem cells that create different white blood cells

A
  1. Lymphoid stem cell > T cells, B cell lymphocytes and natural killer cells
  2. Myeloid stem cells > macrophages, neutrophils, eosinophils and basophils (the last three grouped together are called granulocytes).
21
Q

Different white blood cells belong to different types of immunity, what are the white blood cells for innate immunity?

A

first line of defence

  • neutrophil
  • macrophage
  • dendritic cell
  • NK cell
  • innate lymphoid cell
22
Q

What are granulocytes

A

neutrophils, eosinophils and basophils are called this because they contain granules in their cytoplasm

> have antimicrobial properties that destroy microbes if they come into contact with them

Neutrophils are the most common white blood cells, making up around 60% of the total white blood cell count. They are considered phagocytic, meaning they engulf microbes, a process called phagocytosis. They have a short life span of 1-2 days, which is why they are often one of the first white blood cells on the scene of infections.

23
Q

What are monocytes?

A

which mature into macrophages when triggered by a immune response, are also phagocytic white blood cells, but they are much more robust than neutrophils.

Monocytes can also mature into dendritic cells which are a key part of the inflammatory response. Once they are ingested, enzymes within quickly work to denature the microbes.

24
Q

What are natural killer cells?

A

Natural Killer Cells are responsible for destroying any cells that have been invaded by viruses, as well as detect early signs of cancer by destroying tumour cells. These lymphocytes do not have macrophagic properties, instead they release powerful pockets of enzymes to destroy tumour cells or virus infected cells by interrupting the cell membrane and destroying it.

25
Q

What is the inflammatory response?

A

Inflammation or the inflammatory response is a key mechanism necessary to draw reinforcements from the immune system to assist with tackling microorganisms that have entered the body.

26
Q

What are the four classic signs of inflammation?

A

** Pain ** - caused by increasing nociceptor sensitivity trigger by inflammatory mediators released by mast cells

** Swelling ** - caused by increasing fluid and cells entering interstitial fluid spaces.

** Redness ** - caused by increased blood flow to the site where an injury has occurred.

**Heat ** - caused by increased blood flow as blood is warm.

27
Q

Why does blood rush to an area of damaged tissue?

A

Think of white blood cells as the troops, the red blood cells being the ones that carry food for the troops to keep fighting, and the platelets being the medics repairing damaged cells caused by microorganisms or a penetrative injury.

28
Q

What is releases when tissue is damaged

A

The affected cells release a substance called chemokines, which act like messengers to say that a site has been injured.

This triggers the mast cells which are usually found right underneath the skin layers to release another chemical called histamine, along with other inflammatory mediators such as prostaglandin.

These inflammatory mediators then go to the capillaries, where they triggered the endothelial walls of the capillaries to vasodilate, making the endothelial cells more leaky and spaced out.

This encourages increased blood flow as there is more space for blood to fill, and with that comes white blood cells, red blood cells and platelets ready for action.

29
Q

What do neutrophils do?

A

Neutrophils being the most abundant of white blood cells arrive first, attracted by the inflammatory mediators, and squeeze through the capillary walls which has become more leaky, and enters the interstitial fluid space where the mast cells and invading microorganisms or toxins released by microorganisms are found.

The neutrophils work as part of the first line of defence, while platelets start to repair damaged cells.

30
Q

What is acquired immune system?

A

Along with our direct, first line of defence that provides non-specific protection against pathogens, our bodies have another defensive line that can target specific pathogens depending if the body has been exposed to the pathogen before.

This is what we can our Acquired Immune System, which can also been called adaptive or specific immunity as immunity is acquired from birth (from the mother) right through the death (often by vaccinations or exposure to infections).

31
Q

What are the lymphocytes two roles in acquired immunity?

A

T-cell lymphocytes > produced in bone marrow, mature in thymus gland > in thymus they learn to differentiate to combine specific antigens > travel through lymph nodes and spleen

**B-cell lymphocytes ** > produced in bone marrow > mature in bone marrow > only respond to forgein antigens > done by negative selection, only B cells that do not react to own body leave > have specific surface antigens

32
Q

What are antigens?

A

A substance that is found on surfaces of mainly protein based molecules, but can be also carbohydrate and lipid base molecules too.

Imagine antigens are like a barcode that allows the immune system to recognise whether it is a foreign substance

33
Q

Where can you find antigens on the surface of?

A

Pathogenic organisms like bacteria and viruses
Cancer cells
Toxins
Foods
Pollen
Transplanted blood cells and tissue

34
Q

What are antibodies?

A

Antibodies are produced by plasma cells, a type of B-cell lymphocytes that are often called immunoglobulins.

They are protein based substances that are generated to target specific antigens, like a lock and key mechanism.

They attach to antigens by attaching to special receptors on the antigen called epitopes, which helps disable the antigen, such as prevent it from multiplying.

Also, antibodies act like a flag for other white blood cells such as T-cells or phagocytic white blood cells to aid the destruction of the foreign particle.

35
Q

What are the cells involved in cell mediated immunity?

A

Cytotoxic T-cells

Helper T-cells

Regulatory T-cells

Memory T-cells

36
Q

What is the cell mediated response

A
  1. Killer T cells (Cytotoxic T-cells) target cells with lls with specific antigens, Once bound, they release enzymes into the foreign particle to destroy it from the inside out They can also produce substances that re-program foreign cells to self-destruct (apoptosis).
  2. helper T-cells release a substance called cytokines, which stimulate B-cell lymphocytes and Cytotoxic T-cells, as well as draw in additional neutrophils and phagocytic white blood cells.
  3. Regulatory T-cells: These white blood cells help to suppress the activity of T and B-cells, which results in a reduction in the immune response once the antigens are destroyed. This prevents overactivity of the immune system which could be dangerous to the body.
  4. Memory T-cells: These white blood cells when exposed to specific antigens will remain alive, whilst most other T-cells would have died in the conflict. By surviving, that can reactivate if the same antigen was to enter again, allowing a quicker and more focused response to the antigens. This is a characteristic of the secondary immune response.
37
Q

What is humoral immunity?

A

Way the immune system remembers specific antigens, just as Memory T-cells do. However, as stated earlier B-cell lymphocytes are developed to not target any body cells, only foreign antigens. On the surface of B-cells, they have receptors to specific antigens, which if triggered causes the B-cell to rapidly multiply, this is called cloning.

Two types of mature cells are created, plasma cells and memory B-cells. The plasma cells secrete antibodies which as discussed before, help to disable or/and destroy specific pathogens depending on it’s antigens. The memory-B cells will not immediately produce antibodies, so it will circulate around in the blood until they meet the antigen again. If it meets the same antigen again, it can rapidly divide into mature plasma cells with antibodies.

38
Q

What are the primary and secondary responses

A

The primary response is the first time the immune systems meets a specific antigen. The innate immune system will react as it usually does because it has a non-specific response. However, the acquired immune system needs time to produce the correct antibodies to disable the antigens.

the second time the same antigen comes along, the immune system will have the antibodies ready, meaning it can respond faster and more effectively. Thus, providing us with a secondary immune response.

39
Q

What is the lymphatic system?

A

The lymphatic system is a connection of organs and tissues that connect to the circulatory system, as well as providing it’s own circulatory pathway via lymph vessels and lymph nodes. Lymphocytes circulate around using the lymphatic system, moving between blood, body tissue and lymphatic structures such as organs and lymph nodes.

40
Q

What is the role of the lymphatic system?

A

Plays a vital part in the immune response as it helps transport lymphocytes.

Helps recycle interstitial fluid back into venous circulation to prevent oedema and maintain fluid balance.

Absorption of digested fats via lacteals in the intestines.

41
Q

What is the fluid that circulates around the lymphatic system?

A

specialised fluid called lymph that is formed by plasma that has leaked from blood capillaries

42
Q

What are lymph capillaries

A

Widespread network of lymph vessels that cover the whole body, and like blood capillaries they are only single endothelial cell layer thick so that any leaked plasma and nutrients can move into the lymph capillaries within the interstitial fluid spaces

Lymph capillaries also allow proteins and pathogens through, which is why the lymphatic system is also a vital part of the body’s immunity.

43
Q

What are lymph nodes?

A

Bean shaped structures that filter out foreign substances that might have enter the lymph fluid.

There are high concentrations of lymphocytes within the lymph nodes which contribute to destroying or disabling any substances that could cause harm to the body, such as pathogens. They help distribute lymph fluid through-out the lymphatic system, which is why there are hundreds of lymph nodes in our bodies

44
Q

Why do lymph nodes swell?

A

Response to infections, this is because the lymph nodes are working harder to filter out pathogens. More common areas of swelling include in the neck, groin and under the arms. They can provide clues to what type of infection we are dealing with, for example swelling near your ears can indicate an ear infection, especially if there is ear pain and fever.

45
Q

What are the two ducts that lymp can be returned to venous circulation?

A

The right thoracic duct - recycles lymph from the right side of the body.

The main thoracic duct - recycles lymph from the rest of the body.

46
Q

What are the secondary lymphoid organs?

A

The Spleen.
The Lymph nodes.
Lymphoid tissue that line the gastrointestinal, respiratory and urogenital tracts.

> > because during development they are the primary lymphoid

47
Q

What are the two ways immunisations work?

A

This can be achieved by either activating the body’s immune system (active immunity),

via transfer of antibodies to an individual who does not have the specific antibodies (passive immunity).

48
Q

How do vaccines give active immunity?

A

Vaccines are designed to contain a small amount of infectious organisms or particles that have either been inactivated (killed) or attenuated (weakened). By infecting weakened or inactivated pathogens, we can trigger a primary immune response. Whilst this response happens, the immune system will produce antibodies designed to specifically target and neutralise the antigens on the pathogens. This means, the body will develop a secondary immune response if the same antigens were to come back.

> > some don’t last forever as immunity is not forever

49
Q

What is passive immunity acquired in vaccines

A

Artificially acquired passive immunity can be given via immunoglobulin injections, designed to target a large concentration of pathogens.