Unit 6 Immune System Flashcards

1
Q

what is the immune system and its roles

A
  • Big multicellular organisms provide lots of environments for other, smaller organisms to proliferate in
  • Ability of the body to fight off these invaders is called immunity (immunis = exempt)
  • Key features of the immune system
  • Lymphoid tissues and immune cells
  • Chemicals that coordinate and execute function
  • Three maior functions of the immune system
    1. Protecting the body
  • Microbes = bacteria, viruses, fungi, protozoa
  • Parasites = worms, etc.
  • Toxins produced by microbes
  • Other foreign proteins or substances (e.g. allergens)
    2. Removes dead/damaged tissue and cells
  • Immune cells scavenge extracellular compartments
    3. Tries to recognize and remove abnormal cells
  • Cells that are unable to control growth may be detected by the immune system
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2
Q

diseases in the immune system

A
  • When the immune system does not perform normally you can get a variety of pathologies
  • Examples:
    1. Incorrect responses
  • Autoimmunity
    2. Overactive responses
  • Allergies
    3. Lack of response
  • Immunodeficiency
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3
Q

what are pathogens

A
  • Pathogens are disease-causing agents
  • We will look at two different types of pathogens
    1. Bacteria
    2. Viruses
  • These require slightly different responses from the immune system
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4
Q

Bacteria

A
  • Can be intracellular and extracellular
  • Cells surrounded by a cell membrane & usually a cell wall
  • Can survive & reproduce outside host
  • Most can be killed by drugs –> antibiotics
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5
Q

Viruses

A
  • Intracellular pathogens
  • Not cells –> nucleic acid core with protein coat –> cannot reproduce alone
  • Some have envelope derived from host cell membrane
  • Cannot be killed by antibiotics
  • Some treated with antiviral drugs
  • Once inside host, virus nucleic acid takes over
  • New viral particles can either rupture host cell or bud off from host cell
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6
Q

lymphoid organs and lymph

A
  • Immune system organs are called lymphoid organs because lymphocytes are found there
  • The lymphoid organs are connected by blood vessels and the lymph vessels
  • Carry lymph –> clear fluid
  • Essentially extracellular fluid that has left capillaries & filter through tissue
  • Lymph is a conduit for immunologically active cells to travel through
  • Lymph nodes (bean-shaped) are located at strategic positions
  • Knee, groin, elbow, shoulder, neck
  • Regions of the body outside lymphoid organs –> periphery
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7
Q

types of lymphoid organs

A
  1. primary lymphoid organs
  2. Secondary lymphoid organs
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8
Q

primary lymphoid organs

A
  • Organs where lymphocytes develop
  • Bone marrow –> all blood cells originate here
  • B lymphocytes (cells) mature here
  • Thymus –> T lymphocytes (cells) mature here
  • not thyroid
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9
Q

secondary lymphoid organs

A
  • Organs where lymphocytes interact and initiate responses
  • Spleen, lymph nodes, tonsils, and Gut Associated Lymphoid Tissue (GALT)
  • Filter blood and lymph –> for pathogens & pathogen containing lymphocytes
  • Structure of secondary lymphoid organs reflects this function:
  • Afferent lymph vessel brings in lymphocytes from periphery
  • Efferent lymph vessel allows them to keep circulating
  • Pulp inside the lymph node allows mixing of lymphocytes and other leukocytes
  • Arteries and veins to supply nutrients & O2, plus non-lymphocytic leukocytes
  • Spleen and lymph nodes surrounded by a fibrous wall –> encapsulated
  • Tonsils and GALT are unencapsulated tissues –> diffuse
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10
Q

types of leukocytes

A
  • Main players in the immune system
  • Larger in size than RBC and less numerous (7000 per ml vs 5x10° RBC)
  • Able to leave the blood stream and function extravascularly (in the tissues)
  • They have a various lifespan –> some alive for a few hours and others for several months
  • Six main types of cells:
    1. Eosinophils
    2. Basophils (Mast cells)
    3. Neutrophils
    4. Monocytes (Macrophages)
    5. Lymphocytes
    6. Dendritic cells
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11
Q

subdivisions by function/ morphology

A
  1. Granulocyte
    - Have prominent cytoplasmic granules
    - Eosinophils, basophils & neutrophils + mast cells
  2. Phagocytes
    - Can engulf and ingest pathogens
    - Neutrophils, macrophages, dendritic cells
  3. Cytotoxic Cells
    - Kill other cells, even self-cells
    - Eosinophils & some lymphocytes
  4. Antigen presenting cells (APCS)
    - Display fragments of pathogens on cell surface (antigen)
    - Some lymphocytes, dendritic cells & macrophages
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12
Q

what are antigens and antibodies

A
  • Antigen (Ag - antibody generator) –> substances that are recognized by an antibody and induces an immune
    response
  • Antibodies (Ab) –> proteins that bind specifically to Ag’s and target pathogens for destruction
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13
Q

Eosinophils

A
  • cytotoxic granulocytes with bright pink staining granules
  • Role in defence against parasites & function in allergic response
  • Few in peripheral circulation, only live for 6-12 hours
  • Found in digestive tract, lungs, genital tract, and skin
  • Respond by binding to an antibody-coated parasite and degranulate –> spew granule contents
  • Granule contents (toxic enzymes & oxidative chemicals) damage and kill parasites –> cytotoxic
  • Eosinophils also degranulate in allergic responses
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14
Q

Basophils

A
  • granulocytes involved in allergic responses
  • Have large dark blue staining granules (granulocyte)
  • Basophils in blood (rare in numbers), mast cells in tissue –> found in digestive tract, lungs & skin
  • Granules contain histamine, heparin, cytokines
  • In allergic responses cells also degranulate
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15
Q

neutrophils

A
  • granulocytes that are phagocytic
  • Most abundant leukocyte (50-70% of total leukocytes)
  • Live 1-2 days & can ingest 5-20 bacteria
  • Can leave circulatory system to attack pathogens in tissues
  • Granules contain cytokines that cause fever and start other inflammatory responses
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16
Q

monocytes

A
  • Monocytes are precursor cells of tissue macrophages and are uncommon in blood (1-6% of leukocytes)
  • Estimated in the blood for 8 hours –> move into tissues to become macrophages
  • Macrophages are large ameboid cells and function as scavengers by phagocytosing old red blood cells and dead neutrophils
  • Can phagocytose up to 100 bacteria
  • Have a role in adaptive immune response –> phagocytosed pathogens are digested, and fragments are placed on the cell surface (APCs)
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17
Q

lymphocytes

A
  • Key players in the adaptive immune response
  • Make up 20-30% of all leukocytes
  • Only 5% of them are in the circulation –> most are found in lymphoid tissues
  • 10^12 per individual at any given time
  • They all look alike under a microscope, but have fundamental differences in function
  • NK Cell in innate immunity
    -T and B lymphocytes in adaptive immunity
    -when B lymphocytes are activated they become plasma cells
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18
Q

dendritic cells

A
  • Phagocytic antigen presenting cells (APCs)
  • Have long thin processes (like dendrites on a neuron)
  • Found in skin and other organs
  • They recognize and engulf pathogens
  • Pathogens are digested and placed on cell surface
  • “Activated” cells then migrate to secondary lymphoid organs to present the antigens to lymphocytes
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19
Q

haematopoiesis

A
  • All blood cells are produced in the bone marrow
  • Derived from pluripotent hematopoietic stem cells
  • Give rise to uncommitted stem cells
  • These give rise to committed progenitor cells –> develop into each cell type
  • The path taken is guided by cytokines
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20
Q

types of lymphocytes

A
  1. B lymphocytes (B cells)
  2. T lymphocytes (T cells)
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21
Q

B lymphocytes

A
  • Produced in the bone marrow (easy to remember their name –> but NOT why they are called B Cells)
  • Letter “B” derived from research in chickens
  • The B cells leave the bone marrow and mature/develop in the Bursa of Fabricius –> an invagination of the colon
  • Mammals do not have a bursa –> “B” is often translated as the “bursa equivalent”
    Produce antibodies –> can be found on the cell surface as receptors or free Ab’s in the plasma
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22
Q

T lymphocytes

A
  • Produced in the bone marrow but mature/develop in the thymus (easy to remember their name –> and it IS why they are called T cells)
  • Use contact-dependent signalling (cell-to-cell communication) via the T-cell receptor expressed on the T cell membrane –> can only bind to MHC-antigen complexes
  • T-cell receptor cannot bind to free Ag
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23
Q

what is an MHC

A

MHC stands for Major Histocompatibility Complex

24
Q

function of MHC

A
  • These are proteins expressed on the surface of cells that display
    “self-antigens” and “non-self-antigens” to T cells
  • The MHC name is derived from the role of MHCs in transplant rejection
  • There are many alleles in the population - only identical twins have same set
  • There are two classes of MHC that interact with T cells –> class I (on all nucleated cells) and class II (on APCs)
25
Q

subtypes of T cells

A

a. Cytotoxic T cells (Tc) or killer T cells
- Recognizes Ag presented on Class I MHC
- Kills cell that expresses appropriate Ag
b. Helper T cells (TH)
- Recognize Ag presented on Class II MHC
- Promote differentiation of B cells & Tc cells and can activate macrophages
c.Regulatory T cells (Tregs)
- Recognize Ag presented on Class II MHC
- Suppress other immune cells to prevent excessive immune responses

26
Q

steps of the immune response

A
  • Immune response takes over when pathogens overcome the defence system of the body
  • Same basic steps regardless of the foreign substance:
    1. Detection and identification of foreign substance
    2. Communication with other immune cells
    3. Recruitment of help and co-ordination of the response
    4. Destruction or suppression of the invader
  • Immune system uses chemical signalling
    a. Antibodies (Ab) –> bind to antigen (Ag) as a signal
    b. Cytokines –> affect growth or activity of other cells
27
Q

what are the two main categories of immunity

A

-innate immunity
-adaptive (specific/acquired)
- Response time is different for innate and adaptive immunity
- Innate is a more rapid, less specific response –> can lead to adaptive responses
- Adaptive response is slower, more specific

28
Q

innate immunity

A
  • present before pathogen is encountered and is non-specific
  • Response begins within minutes to hours, and it does not remember past infections
  • Some non-specific cell types and proteins
  • Inflammation is distinctive in innate immune response
  • All organisms have this
29
Q

adaptive immunity

A
  • directed at specific invaders
  • Develops after the pathogen is encountered and the response takes days to weeks
  • Remembers past infections
  • Divided into:
    1. Cell-mediated immunity
    2. Antibody-mediated immunity (humoral immunity)
  • Only found in vertebrates
30
Q

what are the roles and cells in innate immunity

A
  • Physical and chemical barriers provide the first line of defence
  • Second line of defence are patrolling or stationary leukocytes & blood proteins
  • These react the same way to every infection
  • Provide clearance of pathogens or containment of the pathogen until adaptive response kicks in
  • First Line of Defence
  • Includes physical barriers (e.g. skin, mucous linings of the gut and genital tract and ciliated epithelium of respiratory system) and chemical barriers (e.g. stomach acids)
  • These are most vulnerable because the epithelium is thin & exposed to outside environment

Innate Immune System Cells
- Majority are phagocytes which destroy or suppress the invader by ingesting it
- Attract other cells by secreting cytokines > chemicals that attract other immune cells are called chemotaxins
a. Cytokines (chemokines) & other immune blood proteins
b. Products of tissue injury (internal proteins that are outside, e.g. fibrin)
c. Bacterial products

31
Q

phagocytosis

A
  • Phagocytes leave the circulation and enter tissue through capillary walls –> extravasion
  • They identify the invader by chemical cues which interacts with receptors on the phagocyte membrane
  • Many receptors bind sequentially to allow the phagocyte to engulf the invader
  • Movement of the pseudopodia is aided by actin filaments to push the cell around the invader
  • Both organic and inorganic materials can be ingested by the phagocyte
  • Some pathogens do not have surface features that can be recognised directly by the phagocyte
  • Blood proteins bind to and coat the pathogen to “tag” it
  • Phagocytes have receptors for these blood proteins
  • “Tagging” a pathogen is called opsonization
  • A protein that can do it is an –> opsonin
  • Once ingested, the particle is in a vesicle called a phagosome
  • These fuse with lysosomes which contain digestive enzymes and chemicals that kill the pathogen
  • Form a phagolysosome
  • Dead phagocytes, tissue fluids and debris collect at the site of injury as pus
32
Q

Natural killer cells

A
  • Natural Killer (NK) cells are lymphocytes associated with innate immunity; however, lymphocytes are generally associated with adaptive responses
  • NK cells act within minutes, and they do not have specific receptors as seen in B cells & T cells
  • They bring about apoptosis (programmed cell death) in pathogen-infected cells
  • Can also attack tumour cells
  • Produce important cytokines
  • Interferons –> interfere with viral replication
  • IFN alpha and beta –> induces an “antiviral state” in nearby cells that prevents viral replication
  • IFN gamma –> activates macrophages & other immune cells
33
Q

role of chemical mediators

A
  • Chemical mediators play a role in the innate response
  • Create the inflammatory response –> red warm swelling in skin is hallmark of innate response
  • Serves as a signal to attract other cells and chemical agents to the site
  • Increase capillary permeability & causes fever
  • A physical barrier is produced > prevent the spread of pathogen
  • Tissue repair is promoted
  • Caused by cytokines that are released by macrophages
  • Interleukin-1 (IL-1) mediates most of the above effects
  • Effects are mainly local, but can be systemic
  • IL-1 functions to:
    1. Act on endothelial cells lining the blood vessels > loosens junctions between cells
    2. Act on liver cells to produce blood proteins involved in damage control
    3. Induce fever
    4. Stimulate cytokine production
34
Q

MAC attack

A
  • Complement proteins also take part in innate response
  • Complement is a collective term for over 25 blood proteins
  • Activated by sequential proteolysis
  • Some are opsonins, some are chemotaxins
  • Some form the Membrane Attack Complex & make holes in pathogen membranes
    -Allows ions to enter –> where ions go, water follows, pathogen swells and lyses
  • Results in the “MAC Attack”
35
Q

adaptive immunity and its cells

A
  • Also called acquired or specific immunity
  • Products of innate immune responses start the acquire responses
  • These are antigen-specific responses directed to a specific foreign invader

Adaptive Immune System Cells
- Lymphocytes and lymphocyte products are involved in adaptive immunity
- Recall there are three types of lymphocytes found in the body (only 2 involved in adaptive immunity):
1. Natural Killer (NK) cells - remember that NK cells act in innate immune reactions
2. B cells
- Activated form = plasma cell
3. T cells
- Tc and Th and Tregs

  • All lymphocytes produce cytokines
  • Morphologically they look the same
  • T cells & B cells can be expanded clonally
  • Each individual cell recognises a different specific pathogen –> known as specificity
  • We have millions of different B and T cells
  • Have a few naive cells
  • Once they recognize a pathogen –> expand clonally –> many effector cells
  • These effector cells attack the pathogen
  • Some cells become memory cells –> respond faster than naive cells
36
Q

what is antibody mediated immunity

A
  • B cells produce antibodies that take part in antibody-mediated immunity (soluble Ab’s in the plasma) –> aka humoral immunity
  • Recall B cells develop in the bone marrow –> circulate through the lymphatic & blood system
  • Antibodies are proteins that bind specifically and target pathogens for destruction
  • The term “antibody” refers to function
  • AKA immunaglobulins
  • Can be either a cell membrane protein of B lymphocytes or secreted
  • Membrane Ab’s can be used as markers to identify each different clone of B cells
  • When stimulated B cells mature into plasma cells
  • Essentially antibody factories
  • Plasma cells produce ~2000 antibody molecules per second
  • Plasma cells are short lived and die after response is over
  • A few memory cells survive –> these remember the past infection
37
Q

Primary and Secondary Ab responses

A
  • Antibody response after the first and second exposure to an antigen
  • Primary response happens on the first exposure to an antigen
  • Slower response and less antibody
    concentration
  • Delayed response
  • Secondary response happens much faster –> 24-48 hrs to match primary response level
  • Because mediated by memory cells
  • More antibodies produced
  • This principle is why vaccination works
  • Patient is given an inactivated or partial pathogen
  • They generate memory cells that
    recognize the natural pathogen
38
Q

antibody classes

A
  • In humans, there are 5 classes of immunoglobulins (Ig)
  • IgM - produced during 1° responses –> activates complement
  • IgA - found in secretions –> neutralizes pathogens before entry
  • IgD - found on surface of B cells with IgM –> function unknown
  • IgG - 75% of plasma Ab, 2° response Ab –> activates complement, opsonizes
  • IgE - allergic responses –> recognized by mast cells
  • Easy to remember –> MADGE
39
Q

antibody structure

A
  • Four polypeptides linked into a Y shape with 2 light chains and 2 heavy chains
  • Each side of the Y is identical - one light chain linked to one heavy chain
  • The arms (Fab/ fragment antigen binding) contain the antigen binding sites
  • The stem (Fc/ fragment crystalizable) determines which of the five classes an antibody belongs to (i.e. IgM, IgA, IgD, IgG or IgE)
  • There is a hinge between the Fab and Fc portions
40
Q

anti body function

A
  • Antibodies make up 20% of proteins found in plasma
  • They are most effective against extracellular pathogens
  • Before they invade a cell
  • Also effective against macromolecules
  • They do not damage the pathogens themselves
  • Instead, they make pathogens more visible to immune defences or activate defences
41
Q

the 7 antibody functions

A
  1. Act as opsonins to tag Ag’s for phagocytosis
  2. Cause antigen/pathogen clumping
  3. Neutralize bacterial toxins
  4. Activate complement
  5. Activate B cells
  6. Activate Ab-dependent cellular activity (e.g. activate NK cells or eosinophils)
  7. Activates mast cells to degranulate
42
Q

antibodies and B cells

A

-B cells have antibodies on their surface as receptors (up to 100,000) than can bind to the antigen directly
-other cells use Fc receptors which interact and bind with the Fc region of the Ab

43
Q

cell mediated adaptive immunity

A
  • T cells originate in the bone marrow, but migrate to the thymus to mature
  • Learn to recognise “self” MHC proteins in the thymus
  • T cells need to be in contact directly with the target cell expressing an antigen
  • T cell receptor (antigen specific molecule) is expressed only as a cell-surface protein
  • Detects Ag presented on the surface of a target cell via the Major Histocompatibility Complex (MHC) receptor
  • T cell receptor cannot bind free antigen
  • Must bind antigen displayed on Class I or II MHC
44
Q

T cell mediated response

A
  • Need to be in contact directly with the target cell
  • There are two types of MHC proteins
    1. Class I MHC
    2. Class II MHC
45
Q

Class I MHC

A
  • is present on the surface of every nucleated cell in the body
  • Defend against pathogens that get inside cells
  • Peptides are presented in MHC class I to Cytotoxic T (Tc) cells
  • Tc cells kill the cells that express the peptides
  • Release perforin
  • Forms pores in target cell
  • Release granzymes
  • Enter through the pores –> trigger apoptosis
  • Tc cells can also express the Fas ligand to kill target cell
  • Via apoptosis in target cell
46
Q

Class II MHC

A
  • is present on the surface of specialized immune system cells –> antigen presenting cells (APCs)
  • Cells respond to extracellular pathogens
  • Phagocytose pathogens > present peptides in MEIC class Il to Helper T (TH) cells or Regulatory T (Treg) cells
  • TH cells respond by secreting cytokines that activate other immune system cells
  • Treg cells respond by secreting cytokines that suppress other immune system cells
47
Q

pathway of the immune response

A
  • Different pathogens involve different responses from the immune system
  • Innate response starts first –> then adaptive response
  • However, the two response pathways are interconnected
  • We will look at four different responses
    a. Extracellular bacteria
    b. Intracellular viruses
    c. Allergic responses
    d. Foreign tissue
48
Q

bacterial invasion

A
  • Bacterial invasion often results in an inflammatory response
  • Includes redness, swelling, tenderness
49
Q

stages of response of bacterial invasion

A
  • The stages of the response are interrelated reactions:
    1. Complement proteins are activated by bacterial cell wall components
    a. Some act as chemotaxins & attract leukocytes from circulation
    b. Some form “MAC’ attack & lyse bacteria
    c. Some opsonize bacteria, helping phagocytes digest encapsulated ones
    2. Haemostasis occurs if a blood vessel is broken
    3. Phagocytes produce cytokines and the activated lymphocytes present antigens
    4. Cytokines secreted by Tr cells activate B cells
    5. B cells clonally expand, becoming plasma cells that produce antibodies that
    a. Act as opsonins
    b. Activate complement
    6. End of response most lymphocytes die but some become memory cells
50
Q

viral infection

A
  • Both T-cell mediated and humoral immunity work together to destroy the virus and virus-infected cells
  • Viruses first go through an extracellular phase prior to infecting a host
  • Phagocytes & Ab’s can help here –> opsonize + neutralize
51
Q

stages of response to viral infection

A
  • Once the virus is intracellular, most immune cells and antibodies can’t get at them
    Infected host cell produces IFN beta and macrophages produce IFN alpha
  • Induces an antiviral state in nearby cells
  • Cytokines are secreted from host cells and macrophages activate NK & Tc cells
  • Tc cells recognize viral peptides in MHC class I of infected cell and kill it
  • Perforin & granzymes induce apoptosis in target cell
  • Fas ligand also induces apoptosis in target cell
  • Some viruses turn off MHC class I expression on infected host cell
  • NK cells kill any cell with no MEC class I on its surface
  • End of response most Tc cells die but some become memory cells
52
Q

allergic reactions

A
  • Allergies are an inflammatory immune response to a non-pathogenic antigen
  • Inflammatory responses triggered by specific antigens that cause allergies (allergens), which are not harmful by themselves
  • Sensitive (atopic) individuals develop inflammatory responses to these antigens
  • The resulting response is worse and causes more damage than the antigen
  • Can range from mild to fatal
    Allergic responses are hypersensitivities –> two types:
    a. Immediate hypersensitivity –> happens in minutes
  • Ab mediated
    b. Delayed type hypersensitivity (DTH) –> takes hours to days
  • Mediated by T cells and macrophages
  • Allergens can be inhaled, ingested, or touched
  • Can be practically any foreign substance > organic, non-organic, synthetic, or natural
  • Generally low molecular weight, low concentration
53
Q

stages of the response to allergic reactions

A
  • Steps in an immediate hypersensitivity response (happens in minutes, Ab mediated)
    1. Sensitization phase:
  • Equivalent to primary immune response
  • Antigen is ingested by APC –> activates TH cell
  • TH cell activates B cell to make IgE antibody class
  • TH cell and B cell become memory cells
    2. Re-exposure:
  • Equivalent to secondary response
  • Body reacts strongly and rapidly
  • Generally, IgE on mast cells detects allergen
  • Mast cells degranulate releasing cytokines and histamines
  • Result is an inflammatory reaction
  • The severity of allergic responses varies:
  • Localized –> rashes or hay fever
  • Systemic –> anaphylactic shock
  • Widespread vasodilation, circulatory collapse
  • Bronchoconstriction
54
Q

foreign tissue

A
  • Able to transplant foreign tissues but must not be rejected by recipient’s immune system
  • MHC proteins are primary tissue antigens that must be recognized as foreign
  • MHC proteins are also called Human Leukocyte Antigens (HLA)
  • If the recipient and donor share the same HLA –> tissue is often transplanted successfully
  • Two possible outcomes of the transplant:
    i. Rejection of the host by the donor tissue –> graft versus host
    ii. Rejection of the donor tissue by the recipient’s immune system –> host versus graft
55
Q

blood transfusion

A
  • Common example of tissue donation is the blood transfusion
  • RBCs do not contain MHC proteins found on nucleated cells
  • Have group of antigens that make up four blood types
  • A
  • B
  • AB
  • O
  • People express antibodies to RBCs that they do not possess in their plasma
  • e.g., Type A blood has –> anti-B Abs
  • If wrong blood type is introduced into the recipient, the antibodies react and the cells clump (agglutinate)
  • Antibody binding also activates complement
  • MAC attack –> cells lyse –> Hb released
  • Free Hb causes acute renal failure because kidneys try to filter blood with large molecules