Unit 7 Study Guide Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Viscosity of blood

A
  • blood is 4-5 more thick than water
  • depends upon the amount of dissolved substances in the blood relative to the amount of fluid.
  • increases if amount of substances increases or if amount of fluid decreases
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Temperature of blood

A
  • blood is about 1 degree celsius higher than measured body temperature
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

pH of blood

A
  • around 7.35-7.45

- plasma proteins have a three-dimensional shape that is dependent upon H+ concentration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

hemopoiesis

A
  • formation and development of formed elements (blood cells)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

erythropoiesis overview

A
  • erythrocytes form in red bone marrow in response to erythropoietin
  • circulate in blood for about 120 days
  • aged erythrocytes are phagocytized by macrophages in the liver in spleen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

erythropoiesis process

A
  • start with a hemocytoblast (blood stem cell)

- goes through myeloid line and becomes a reticulocyte

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

reticulocyte

A
  • have no organelles except some ribosomes
  • continues to produce hemoglobin through protein synthesis
  • mature while circulating in blood vessels
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

leukopoiesis

A
  • granulocyte, monocyte, and lymphocyte maturation
  • all three types of granulocytes are derived from a myeloid stem cell stimulated by multi-CSF and GM-CSF to form a progenitor cell
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

granulocyte line

A
  • develops when the progenitor cell forms a myeloblast under the influence of G-CSF.
  • differentiate into one of three types of granulocytes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

monocyte line

A
  • develops when the progenitor cell forms a mono blast under the influence of M-CSF>
  • forms a promonocyte that differentiates and matures into a monocyte
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

lymphocyte line

A
  • derived from lymphoid stem cells
  • differentiate into B-lymphoblasts and T-lymphoblasts
  • mature into lymphocytes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

thrombopoiesis

A
  • formation of platelets
  • from myeloid stem cell, committed cell becomes a megakaryoblast
  • matures under influence of thrombopoietin to form a megakaryocyte
  • produce long extensions called proplatelets
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

proplatelets

A

extend through blood vessel wall and are sliced into platelets

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

molecular structure of hemoglobin

A
  • consists of four molecules called globes
  • two are called alpha chains and the other two are beta chains
  • all contain a heme group composed of a porphyrin ring with an iron ion in its center
  • oxygen binds to Fe2+ in heme groups for transport in the blood
  • Has four Fe2+ and is capable of binding four molecules of oxygen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

recycling and elimination of erythrocyte components

A
  • phagocytized by macrophages in the liver and spleen

- three components of hemoglobin are separated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

fate of globulin proteins

A
  • broken down into amino acids and enter the blood

- some may be used to make new erythrocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

fate of iron

A
  • stored in liver and attached to ferritin and hemosiderin
  • transported by transferrin into red bone marrow as needed for erythrocyte production
  • small amounts are lost in feces, sweat, and urine as well as injury and menstruation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

fate of heme without iron

A
  • converted to biliverdin then bilirubin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

bilirubin

A
  • transported to liver and then released as a component of bile in small intestine
  • converted to urobilinogen in small intestine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

urobilinogen

A
  • some is absorbed back into the blood and converted to urobilin and excreted in the urine
  • most continues to the large intestines where it is modified and expelled in feces.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

ABO blood typing

A
  • ABO blood group consists of surface antigens called A and B
  • the presence or absence of A antigen or B antigen determines the ABO blood type.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Type A blood

A
  • erythrocytes with surface antigen A only.

- produces anti-B antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Type B blood

A
  • erythrocytes with surface antigen B only

- produces anti-A antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Type AB blood

A
  • has erythrocytes having both surface antigens A and B

- produces neither anti-A nor anti-B antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Type O blood

A
  • has erythrocytes with no surface antigen

- produces anti-A and anti-B antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Rh blood typing

A
  • determined by presence or absence of Rh surface antigen
  • when Rh factor is present, the individual is Rh positive
  • antibodies to Rh factor (anti-D antibodies) apear in blood only when an Rh negative person is exposed to Rh positive blood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

hemolytic disease of newborns

A
  • occurs due to Rh negative mother
  • during first pregnancy, if the mother has an Rh+ fetus, the D antigen is introduced to the mother’s blood
  • between pregnancies anti-D antibodies are produced in the mother
  • During the second pregnancy, anti-D antibodies attack Rh+ fetal erythrocytes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

prevention of hemolytic disease of newborns

A

give the pregnant Rh- woman special immunoglobulins called RhoGAM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

primary lymphatic structures

A
  • involved in formation and maturation of lymphocytes
  • thymus
  • red bone marrow
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

secondary lymphatic structures

A
  • house lymphocytes and other immune cells following their formation
  • where an immune response is initiated
  • Tonsils
  • lymph nodes
  • Spleen
  • MALT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Flow of lymph through body

A
  • driving force to move fluids into lymphatic capillaries is an increase in hydrostatic pressure within interstitial space
  • flows to larger lymphatic vessels, trunks, and ducts.
  • ultimately empties into the blood circulation through venous
  • anchoring filaments linking endothelial cells to surrounding structures prevent vessel collapse
  • pressure of lymph inside vessel forces intercellular opening of capillary wall to close with lymph inside
  • lymph flows toward the heart
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

right lymphatic duct

A
  • receives lymph from lymphatic trunks that drain
    • right side of head and neck
    • right upper limb
    • right side of the thorax
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

thoracic duct

A
  • larger of the two
  • drains lymph from remaining areas of the body
    • left side of head and neck
    • upper left limb
    • left thorax
    • all of abdomen
    • both lower limbs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

structure of lymph nodes

A
  • small, encapsulated organs located along pathways of lymph vessels
  • numerous afferent lymphatic vessels that bring lymph into a lymph node, but only one efferent lymphatic vessel
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

trabeculae

A
  • composed of dense irregular connective tissue that both encapsulates the node and sends internal extensions into it.
  • provides a pathway through which blood vessels and nerves may enter the lymph node
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

cortex

A
  • composed of multiple lymphatic nodules
  • contains multiple nodules (macrophages and dendritic cells)
    • germinal layer
    • mantle zone
  • both cortex and medulla contain tiny open channels called lymphatic sinuses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

germinal layer

A
  • houses both proliferating B-lymphocytes and some macrophages
  • surrounded by mantle zone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

mantle zone

A
  • contains T-lymphocytes, macrophages, and dendritic cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

medulla

A
  • has strands of connective tissue fibers that support the cells in the cortex - medullary cords
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

medullary sinuses

A
  • open channels lined by macrophages
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

function of lymph nodes

A
  • filter lymph

- where immune response is initiated against a substance in the lymph

42
Q

function of thymus

A
  • site of T-lymphocyte maturation and differentiation
43
Q

function of spleen

A
  • filters blood
  • where immune response is initiated against a substance in the blood
  • removes aged erythrocytes and platelets
  • serve as erythrocyte and platelet reservoirs
44
Q

white pulp

A
  • clusters of T-cells, B-cells, and macrophages surrounded by a central artery
45
Q

red pulp

A
  • contains erythrocytes, platelets, macrophages, and B-cells
46
Q

splenic cords

A
  • cells and reticular connective tissue in red pulp
47
Q

splenic sinusoids

A
  • very permeable capillaries
48
Q

function of tonsils

A
  • protect against inhaled and ingested substances

- contain lymphatic nodules

49
Q

tonsillar crypts

A
  • invaginations that trap material
50
Q

Function of MALT

A
  • protest mucosal membranes against foreign substances
  • located in GI, respiratory, genital, and urinary tracts
  • prominent in small intestines, especially ileum
51
Q

peyer patches

A
  • large collections of lymphatic nodules that form bulges in ileum wall
52
Q

innate immunity

A
  • immediate response to wide array of substances without previous exposure
  • we are born with this
  • includes barriers of skins and mucosal membranes that prevent entry, as well as nonspecific cellular and molecular internal defenses
53
Q

adaptive immunity

A
  • delayed, powerful responses to specific antigen
  • involves specific T-lymphocytes and B-lymphocytes, which respond to different foreign substances to which we are exposed during our lifetime
54
Q

Neutrophils and macrophages

A
  • phagocytic cells - engulf and destroy microbes

- function to destroy infectious agents through a process that involves a lysosome and a respiratory burst

55
Q

dendritic cells

A
  • degraded residues may be released from cell by exocytosis and/or displayed to other immune cells
56
Q

basophil and mast cell

A
  • pro inflammatory chemical-secreting cells
  • basophils circulate
  • mast cells reside in connective tissue, mucosal membranes, and some organs
  • release chemicals that enhance inflammation - heparin and histamine
57
Q

heparin

A
  • anticoagulant
58
Q

histamine

A
  • increases permeability and vasodilation
59
Q

NK cells

A
  • apoptosis-initiating cell
  • immune surveillance - patrol the body destroying wide variety of unhealthy, unwanted cells
  • initiates apoptosis through release of perforin and granzyme
60
Q

Eosinophils

A
  • parasite destroying cells
  • destroys multicellular organisms by targeting parasites
  • participates in immune response of allergy and asthma
  • phagocytosis of antigen-antibody complexes
61
Q

interferon

A
  • nonspecific defense mechanism against the spread of any infection
  • synthesize enzymes that interfere with viral replication protecting uninfected cells
  • stimulates NK cells
  • stimulates macrophages (phagocytosizes infected cell)
62
Q

complement

A
  • targets bacteria; composed of about 30 plasma proteins

- activated through enzyme cascade in response to pathogen

63
Q

classical pathway

A
  • complement protein binds to antibody-bound foreign substance
  • requires antibody complex. antigen binding site at the ends
  • binds to erythrocyte. complement constant region is where it binds to RBC
  • transported to liver and spleen where macrophages strip off complex
  • unbound erythrocyte continues to circulate
64
Q

alternative pathway

A
  • complement binds directly to surface of pathogen

- opsonization and cytolysis

65
Q

opsonization

A
  • the binding of complement to a portion of the bacteria that enhances phagocytosis.
  • makes it more likely that a substance is identified and engulfed by a phagocytic cell
66
Q

cytolysis

A
  • various complement proteins trigger direct killing of a target by forming a membrane attack complex
  • the MAC protein channel compromises the cell’s integrity, allowing an influx of fluid that causes lysis of the cell
67
Q

MHC I

A
  • basically shows what is inside of the cell

- all nucleated cells have MHC I on the surface

68
Q

MHC I of healthy cell

A
  • show self antigen

- ignored or tolerated by immune system under normal conditions

69
Q

MHC I of infected cell

A
  • combine with foreign antigen peptide fragments and is displayed.
  • communicates with CTLs and signals for destruction of cells.
70
Q

MHC II

A
  • phagocytize exogenous antigen,
  • combine with that foreign antigen
  • fuse with membrane and display foreign antigen
  • complex provides for communication with helper T cells which stimulate the immune response
71
Q

Formation of T lymphocytes

A
  • formed in red bone marrow
  • pre-T-lymphocytes travel to the thymus and mature in the thymus.
  • Possess a unique TCR receptor and initially both CD4 and CD8 proteins
72
Q

formation of B lymphocytes

A
  • formed in red bone marrow

- naive B-lymphocytes don’t have to mature

73
Q

selection of T-lymphocytes

A
  • positive selection
  • negative selection
  • 2% survive
74
Q

positive selection

A
  • selects for the ability of T-cells to bind MHC molecules
75
Q

negative selection

A
  • test ability of T-lymphocyte to NOT bind self-antigen (self-tolerance)
76
Q

Differentiation of T-cells

A
  • Helper T-cell - selective loss of CD8 protein
  • Cytotoxic T-cell - selective loss of CD4 protein
  • leave thymus as naive T-cells because they haven’t been exposed to foreign antigen yet
77
Q

Response of helper T-cells

A
  • synthesis and release of various cytokines that regulate the cells of the immune system (both adaptive and innate)
78
Q

response of cytotoxic T-cells

A
  • release of cytotoxic chemicals induces apoptosis of abnormal cells
79
Q

Stimulation of helper T cells

A
  • CD4 binds with MHC II molecules of antigen presenting cells
  • TCR interacts with antigen within MHC II
  • Helper T cells release IL-2 which stimulates more helper T cells
  • activated helper T-cells proliferate and differentiate to form a clone of activated memory helper T-cells
80
Q

stimulation of Cytotoxic T cells

A
  • CD8 binds with MHC I of infected cell
  • TCR interacts with antigen within MHC I
  • IL-2 released from activated helper T-cell stimulates CTLs
  • activated CTLs proliferate and differentiate to form a clone of activated and memory CTLs
81
Q

structure of antibody

A
  • Y-shaped protein that includes two variable regions that bind antigen and one constant region that determines its biological activity
82
Q

variable region

A
  • located at the ends of the arms of the antibody and contain the antigen binding site
  • most antibodies have two antigen-binding sites
  • binds the antigen through weak intermolecular forces
83
Q

constant region

A
  • Fc region

- the same or nearly the same in structure for antibody molecules of a given class

84
Q

functions of antigen-binding site

A
  • neutralization
  • agglutination
  • precipitation
85
Q

neutralization

A
  • antibody covers biological active portion of microbe or toxin
86
Q

agglutination

A
  • antibody cross-links cells forming a clump
87
Q

precipitation

A
  • antibody cross-links circulating particles, forming an insoluble antigen-antibody complex.
  • precipitate out of bodily fluids
88
Q

functions of constant region

A
  • complement fixation
  • opsonization
  • activation of NK cells
89
Q

complement fixation

A
  • Fc region of antibody binds complement proteins to activate by the classical pathway
90
Q

opsonization

A
  • Fc region of antibody binds to receptors of phagocytic cells, triggering phagocytosis
91
Q

activation of NK cells

A
  • Fc region of antibody binds to an NK cell, triggering release of cytotoxic chemicals called antibody-dependent cell-mediated cytotoxicity (ADCC)
92
Q

Stimulation of B-lyphocytes

A
  • free antigen binds to B-cell receptor
  • B-cells engulf and present the antigen to the helper T-cell on MHC II
  • IL-4 is released from activated helper T-cells which stimulates B-cells
93
Q

response of activated B-cells

A
  • activated B-cells proliferate and differentiate to form a clone of plasma cells (that produce antibodies) and memory B-lymphocytes
  • recognize and respond to antigens outside of cells, such as antigens of viral particles, bacteria, bacterial toxins, or yeast spores
94
Q

immunologic memory

A
  • mediated by prolonged antibody levels
95
Q

primary response to antigen exposure

A
  • limited numbers of helper T-cells, CTLs, and B-cells recognize the antigen
  • generally, a lag time occurs between the body’s initial exposure to the antigen and the physical contact with lymphocytes required to develop an immune response
  • may extend 3 to 6 days
  • the amount of serum antibody levels is low and gradually decreases over time
96
Q

secondary response to antigen exposure

A
  • the memory cells make contact with the antigen more rapidly and produce a more powerful response.
  • a much shorter lag phase occurs
  • the pathogen is typically eliminated even before disease symptoms develop
  • antibody levels rise more rapidly, with a greater proportion of IgG antibodies. This higher level of IgG production may continue for longer periods
97
Q

active immunity

A
  • develops in response to direct encounter with a pathogen or foreign substance that results in production of memory cells
98
Q

naturally-acquired active immunity

A
  • develops after exposure to antigens of an infectious agent in the environment
99
Q

artificially-acquired active immunity

A
  • develops after administration of an antigen, usually through a vaccination
  • these activities stimulate an immune response and promote immunity to that particular antigen
100
Q

passive immunity

A
  • produced by transfer of antibodies from another source
101
Q

naturally-acquired passive immunity

A
  • conferred by transfer of maternal antibodies across placenta or in breast milk
102
Q

artificially-acquired passive immunity

A
  • conferred by transfer of serum containing antibodies against a specific pathogen
  • ex. antibodes to a poisonous snake venom (antivenin) is transferred to an individual who has been bitten by that species of snake.