Unit 1_The Immune System Flashcards

1
Q

What system’s primary function is to eliminate infectious agents without attacking the body’s tissues?

A

The immune system

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2
Q

Mutations that inactivate the receptors or signaling molecules involved in innate immune recognition and mutations that render them active all the time are two general types of genetic alterations that could lead to what?

A

immunologic abnormalities

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3
Q

The first type of mutation can result in various types of what?

A

immunodeficiencies

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4
Q

The second type of mutation can trigger aberrant immune responses and contribute to a variety of conditions with what (e.g., asthma, allergy, arthritis, autoimmune diseases)?

A

inflammatory components

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5
Q

Which phase of immune response is when innate immune receptors bind to common molecular motifs on pathogens or antibodies that are bound to the invader? Adaptive immune recognition involves highly specific antigen receptors.

A

Recognition phase

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6
Q

Which phase of immune response involves complement cascades, the production of soluble factors (e.g., acute phase proteins, cytokines), and the recruitment of an army of cells (e.g., neutrophils) in the case of innate immunity? Amplification of adaptive immunity requires the proliferation of lymphocytes (T or B cells) and the differentiation of these cells into effectors. One antigen-activated lymphocyte replicates into an army of clones that all express the same antigen receptor.

A

Amplification phase

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7
Q

Which phase of immune response results in the removal of antigens by several different mechanisms (e.g., neutralization, lysis, phagocytosis, direct killing by cytotoxic T cells)?

A

Effector phase

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8
Q

Which phase of immune response dampens the immune system after the antigen has been cleared. This phase is critical for the prevention of excessive responses that may harm the host (e.g., tissue damage)?

A

Termination phase

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9
Q

Which phase of immune response involves the generation of long-lived T and B lymphocytes? These types of cells have a lower threshold for activation and will react more quickly and in an amplified fashion. It should be appreciated that although memory is maintained by adaptive immunity, it functionally involves both innate and adaptive responses.

A

Memory phase

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10
Q

What subsystem organization of the immune system includes:
- Monocytes, neutrophils, eosinophils, basophils, mast cells, natural killer cells
- Granulocytes –> release enzymes to kill cells

A

Innate immune system

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11
Q

What subsystem organization of the immune system includes:
- Recognize antigens, produce antibodies, destroy cells
- B and T cells, or lymphocytes
- Agranulocytes –> adaptive immunity –> tag and kill cells

A

Adaptive immune system

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12
Q

What immune cells include the following:

Predominant leukocytes of blood originating from bone marrow

The number rises dramatically during times of infection/inflammation
- A decrease in the absolute number of these cells in the blood is the principal cause of susceptibility to infection

During phagocytosis, bacteria and debris are engulfed and digested

Neutrophils die after phagocytosis
- Accumulation of dead cells contributes to pus formation

Pathology example:
- Neutropenia: abnormally low level of neutrophils; can be caused by cancer treatments such as chemo/radiation therapy; Crohn’s disease; HIV; sepsis

A

Neutrophils

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13
Q

What immune cells are long living cells originating from bone marrow? In response to inflammation/infection, mature into macrophages.

A

Monocytes

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14
Q

What immune cells after phagocytosis, macrophages filter debris and kill any damaged but not dead bacteria (Clean up crew)? Also destroy aged red blood cells and dead neutrophils. After ingestion of bacteria, they create an antigen fragment (more on this later).

A

Macrophages

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15
Q

What pathology example of monocytes and macrophages is accumulation of fatty acids/cholesterol –> macrophage accumulation to retain plaques in endothelial walls –> can rupture and cause myocardial infarction /stroke?

A

Atherosclerosis

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16
Q

What immune cells include the following:

Leukocytes derived from bone marrow

Involved in allergic response and parasite infection

If invading organisms are too large for neutrophils/macrophages, eosinophils can engulf the pathogen and damage cell membrane

Contain:
- Histamines: vasodilator
- Heparin: anticoagulant
- Cytokines: see inflammation lecture

A

Eosinephila

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17
Q

What pathology example of Eosinopenia involves too much cortisol and too few eosinophils?
Eosinophilia (too many cells)
Increased inflammation –> colitis/ gastroenteritis; asthma, bronchitis

A

Cushing’s syndrome

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18
Q

What pathology example involves too many cells and increased inflammation –> colitis/ gastroenteritis; asthma, bronchitis?

A

Eosinophilia

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19
Q

What immune cells include the following:

Granulocytes

Involved in allergic response
- Granules contain histamines and other vasodilators (anti-histamines function here to reduce excessive response). Increased circulation leads to feelings of congestion with allergies
- Involved in wound healing/defense against invading pathogens. Increase blood supply where pathogens exists –> attract more phagocytes

A

Basophils and mast cells

20
Q

What pathology example of Basophilia includes brittle hair, weight gain, constipation?

A

Hypothyroidism

21
Q

What pathology example of Low basophil levels includes increased heart rate, blood pressure, weight loss?

A

Hyperthyroidism

22
Q

What immune cells include movement and removal of antigens, antibodies, and are involved in the complement system?

A

Erythrocytes (red blood cells or RBCs)

23
Q

What pathology example of Erythrocytes involves morphing of RBCs –> anemia; blockage of vessels d/t malformed RBCs?

A

Sickle cell disease

24
Q

What immune cells are also known as platelets –> clotting?

A

Thrombocytes

25
What pathology example of Thrombocytes includes risk for excessive bleeding and patient case scenario: IV?
Thrombocytopenia
26
What immune cells involve: - Adaptive immunity roles - B cells produce antibodies in reaction to antigens. Neutralize invading pathogens - T cells produced in bone marrow but mature in the thymus to become either helper T cells or cytotoxic T cells (more on this later too)
B-Lymphocytes and T-Lymphocytes
27
What immune cells kill cells infected with viruses, other intracellular microbe-infected cells, and tumor cells? These cells respond by releasing cytotoxic granules and by secreting cytokines.
Natural Killer (NK) Cells
28
What immune cells capture protein antigens and present them to T cells? Found in areas exposed to the external environment. “Ring” between innate and adaptive immunity (more on that later).
Dendritic
29
What are substances/toxins/bacteria/viruses that threaten your body?
Antigens
30
What identify and neutralize foreign objects?
Antibodies
31
What antibody/immunoglobin type is produced and expressed on the surface of a B cell? First secreted antibody and is predominant in primary/initial immune response. Most efficient at activating the complement system.
IgM
32
What antibody/immunoglobin type is the major antibacterial and antiviral antibody in the blood? Secondary immune response (after IgM initially responds) conferring long-term immunity. Can activate the complement system, promote phagocytosis of pathogens, and neutralize them.
IgG
33
What directly attack antigens, activate the complement system, activate anaphylaxis by releasing histamine in tissue and blood, and stimulate antibody-mediated hypersensitivity?
Immunoglobins
34
What are membrane proteins that function to present cell surface proteins for recognition by T cells and sense foreign molecules versus self molecules? These proteins in humans are known as human leukocyte antigens (HLAs).
Major histocompatibility complex (MHC)
35
What MHC class includes molecules that are present on most nucleated cells (excluding RBCs)? Endogenous antigens are broken down in the cytoplasm (inside the cell) by the proteasome. Example: From a viral protein already in the cell.
Major histocompatibility Class I
36
What MHC class includes bind fragments of proteins that have been phagocytized from outside the cell (exogenous)? Example: Bacteria outside of the cell
Major histocompatibility Class II
37
What type of immunity is at location of “attack”?
Innate
38
What type of immunity is a systemic response?
Adaptive
39
What first line of immunity defense is capable of resolving most threats and comprised of early host defense mechanisms?
Innate immunity
40
What first line of immunity defense is physical, chemical, and mechanical barriers that protect against invaders? It involves skin, mucus, peristalsis, coughing, sneezing, stomach acid, cerumen, tears, saliva.
External Defenses
41
What first line of immunity defense is soluble factors and cellular components? It involves phagocytes, NK cells.
Internal defenses
42
What second line of immunity defense is initiated by bacteria or antibody-antigen connection? - Triggers chain of chemical reactions - When activated, these proteins interact in a cascade-like process and aggregate to damage the membranes of microbial cells, resulting in death by lysis. Opsonization: “harpoon”/mark for destruction Cell lysis: Permeate the antigen cell membrane Chemotaxis: Attract more macrophages/neutrophil “teammates” Activation of mast cells/basophils for inflammation
Complement System
43
What kind of immune responses are Cell-mediated (AKA T-cell immunity) and Humoral (AKA B-cell immunity)?
Adaptive Immune Responses
44
What do the following factors affect? Aging Hormonal influences Nutrition/malnutrition Environmental pollution and exposure to chemicals Trauma or illnesses Sleep disturbances Concurrent illness - Renal failure - HIV infection Medications Hospitalization, surgery, and anesthesia Splenectomy Stress/psychological well being Socioeconomic status
Immunity
45
When hospitalization, surgery and anesthesia occurs, what factors should we be aware of that can affect immunity?
Suppression of T and B-cell function for up to 1 month post-operatively - Surgical patients are immunocompromised, in an environment where there are sick people Breaking the “first line of defense” intentionally
46
What is enhanced or suppressed during exercise, depending on intensity?
The immune system
47
What has a positive effect on the immune system?
Moderate exercise