Week 11 Review Flashcards

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1
Q

What are the main differences between innate and adaptive/acquired immunity?

A

Innate:
Born with
Not specific
No memory
First and second-line defense

Adaptive:
After a breach of innate
Specific
Memory
Third line of defense

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2
Q

What are the first lines of defense? What are physical, and chemical barriers? What is the role of normal microbiota?

A

Physical barriers:
- Intact skin
- Mucous membranes
- Vomiting, diarrhea

Chemical barriers:
- Secretions (mucus, sebum, sweat, tears, earwax, saliva)

Normal microbiota: outcompete pathogens

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3
Q

Compare and contrast granulocytes and agranulocytes. Give examples.

A

Granulocytes:
Granular appearance under microscope
Neutrophils: granules have lytic enzymes, kill bacteria
Basophils: inflammation
Eosinophils: excrete toxic compounds, allergies

Agranulocytes:
Smooth appearance under the microscope
Monocytes (macrophages dendritic cells)
Lymphocytes (B/T cells) - role in adaptive

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4
Q

What are the second lines of defense? Describe each form.

A

Phagocytosis: ingestion of cells/particles by phagocytes (Leukocyte/WBC)
- Granulocytes and agranulocytes

Inflammation: redness, pain, heat, swelling

Fevers: induced by complement, a system of proteins that complement the immune system
- Cytolysis (cell lysis)
- Inflammation
- Phagocytosis

Antimicrobial substances
- Interferons (IFNs): antiviral proteins that disrupt viral replication
- Antimicrobial proteins (AMPs): inhibit cell wall synthesis; form pores in plasma membrane; destroy DNA and RNA

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5
Q

What is the dual nature of the third line of defense? What are the differences between humoral and cell-mediated immunity?

A

Adaptive (acquired) immunity
Humoral:
- Free antibodies made by B cells
- Controls circulating pathogens

Cellular:
- T cells
- Controls intracellular pathogens

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6
Q

What is the general structure of an antibody?

A

Y shaped
2 heavy chains, 2 light chains
2 antigen-binding sites

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7
Q

What are the different types of antibodies? How do they differ in terms of structure, function, and location? What is the most common Ig? Which can be cell-bound?

A

IgG (most common)
Structure: monomer
Function: enhance phagocytosis, neutralize toxins/viruses, protect fetus/newborn
Location: blood, lymph, intestine

IgM
Structure: pentamer
Function: effective against microorganisms/agglutinating antigens, first antibodies produced in response to infection
Location: blood, lymph, B cell surface (monomer)

IgA
Structure: dimer
Function: localized protection on mucosal surfaces
Location: secretions (tears, milk, blood)

IgD
Structure: monomer
Function: serum function not known, presence on B cells functions in initiation of immune response
Location: B cell surface, blood, lymph

IgE
Structure: monomer
Function: allergic reactions, possibly lysis of parasitic worms
Location: bound to mast and basophil cells

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8
Q

Describe the effects of antibody-binding antigens. Which cells produce antibodies?

A

Ig on the B cell surface recognizes and binds Ag (extracellular antigen).

Ag internalized and “processed.” Part of the antigen combines with MHC class II

MHC II-Ag fragment presented on the cell surface of B cell

TCR (T cell receptor) recognizes and binds MHC class II-Ag on B cell surface

B cells are activated by cytokines which induce clonal expansion. Some become antibody-secreting plasma cells

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9
Q

Which type of B cells secrete antibodies?

A

MHC class II

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10
Q

What are the other results of antigen-binding antibodies? How does each method work?

A

Agglutination: antigens clump together

Opsonization: coated antigen cause ingestion and lysis by phagocytes

Neutralization: IgG antibodies inactivate microbes by blocking attachment to the host

Activation of complement: causes inflammation and cell lysis

Antibody-dependent cell-mediated immunity:
- Ab binds parasite
- Eosinophil/macrophages recognize and bind Fc of Ab
- Eosinophil and macrophages secrete cytotoxic cytokines, lytic and perforin (pore-forming) enzymes

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11
Q

What are the two main types of TH and how are they classified? What different antigens/MHCs does each bind?

A

Classification based on clusters of differentiation (CD)
T helper cells (TH)
- CD4
- Bind MHC Class II on B cell and APC (antigen-presenting cell)

Cytotoxic T cells (TC)
- CD8
- Bind MHC Class I on APC

MHC I + CD8= intracellular MHC II+ CD4= extracellular

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12
Q

How are TC and TH activated?

A

TC:
APC presents MHC class I/Antigen complex
The complex binds TCR on CTL
TC releases perforin, a pore-forming protein
Target cell lysed

TH:
APC ingests microbe
Antigen processed/presented on MHC II
TCR binds to MHCII-antigen complex
APC secretes a costimulatory molecule
TH secretes cytokines and proliferates also making memory cells

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13
Q

What are the different types of TH cells? What cytokines do they produce and what is their method of action?

A

TH1: IFN-y; stimulate cell-mediated immunity, activate macrophages
TH2: IL-4; allergic reactions, parasitic reactions
TH17: IL_17, activate innate immunity; respond to extracellular bacteria

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14
Q

How is a primary response different from a secondary response?

A

Primary response:
- Innate
- first contact of the immune system with an infectious agent
- slow and weak

Secondary response:
- Adaptive
- responding to a previously encountered antigen
- quicker and more robust

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15
Q

What are the different types of adaptive immunity? Naturally acquired and artificially acquired? Passive and active?

A

Naturally acquired:
- Active: antigens enter the body naturally; body induces antibodies and specialized lymphocytes
- Passive: antibodies pass from mother to fetus via placenta or to infant via the mother’s milk

Artificially acquired
- Active: antigens are introduced in vaccines; body produces antibodies and specialized lymphocytes
- Passive: preformed antibodies in immune serum are introduced by injection

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16
Q

History of vaccination (immunization).

A

Edward Jenner: inoculated boy w/ scrapings of cowpox blister

Variolation: early method of vaccination, 1% mortality rate

17
Q

What are the principles behind how vaccinations work?

A

The vaccine provides a primary response

Pathogen encountered: provides secondary response (quicker/more robust)

18
Q

How does herd immunity protect an individual and a community? What happens when herd immunity is compromised?

A

Herd immunity: immunity in most of a population

When most of the community is immune, the virus is more difficult to spread
When herd immunity is compromised, the virus will spread easier

19
Q

What are the different types of vaccines? What are their pros and cons?

A

Live attenuated (weakened): cultured for extended period
- Closely mimic infection; lifelong immunity; no boosters
- Measles, mumps, rubella, chickenpox

Inactivated killed: w/ formalin or phenol
- Safer than live; repeated boosters
- Rabies, polio

Subunit vaccines: use antigen fragments
- Safer than attenuated or killed; recombinant vaccines
- Hepatitis B, covid19

Conjugated: polysaccharide antigen + pathogen protein

Nucleic Acid (DNA) vaccines: “naked” DNA/RNA
- West Nile virus, covid19

20
Q

How are monoclonal antibodies made?

A

Take antigen and inject mouse

Remove the spleen from the mouse (where antibodies are made)

Make suspension of spleen cells (break up tissue to get individual cells)

Combine suspension of myeloma cells (cancerous B cells) with spleen cells to make hybrid cells

Put in media that selects only hybrid cells

Hybrid cells proliferate into clones called hybridomas

Hybridomas produce large quantities of antibodies

21
Q

What applications can monoclonal antibodies be used for?

A

Precipitation tests
- Antigens top, antibodies, bottom
- Zone of equivalence: visible precipitate in the middle (precipitation band)
Pros: easy to read, con: very low sensitivity
Uses: fungal infections, pyogenic meningitis

Agglutination Reactions
- Direct: Antibodies in antisera (blood serum w/ antibodies)
Bacterial cells agglutinate after binding (Cells clump)
Ex: measure antibody titers, pos= coats bottom, neg= slides to the bottom

  • Indirect: Ag or Ab attached to latex beads
    Beads agglutinate after binding (beads clump)
    Ex: coat latex beads that have antigens or antibodies on the surface, pos = binding
    Pros: particulate Ag (whole cells), cons: low sensitivity

Complement Fixation
- Stage 1: complement fixation, complement proteins bind antibodies
- Stage 2: indicator (sheep RBC): if the complement is fixed, no lysis of RBC
Pros: detects small amounts of antibody, con: requires care and good controls

22
Q

Who was Rebecca Lancefield?

A

Identified streptococcal species

Used different antisera to detect M protein (virulence factor of strep throat)

Noticed the same species express different M proteins

Called serovars/serotypes because differentiated species based on antisera

23
Q

How are the different diagnostic and treatment techniques performed? What would a negative and positive test look like?

A

Immunofluorescence
Direct: detects Ag
sample + fluorescent dye -> fluorescent streptococci

Indirect: detects Ab
Lab. stock + antibody -> binding + fluorescent dye -> fluorescent spirochetes

ELISA
Direct: detects Ag
- Primary antibody binds to well
- Blocking agent is added
- Sample added, if antigen is present, it binds to the antibody
- Unbound sample is washed away
- Antibody-enzyme conjugate is added
- Unbound secondary antibody-enzyme conjugate is washed away
- Substrate is added; if present, an enzyme converts the substrate to a colored product

Indirect: detects Ab
- Antigen is bound to well
- Blocking agent added
- Sample added; if the antibody is present, it binds to the antigen
- Unbound samples washed away
- Antihuman enzyme-link antibody is added
- Unbound antihuman antibody is washed away
- Substrate added; if present, an enzyme converts the substrate to a colored product

Other
PCR (polymerase chain reaction)
- Denature DNA
- Anneal primer
- Extension

24
Q

How is PCR used as a diagnostic tool? How is it used for diagnosis of SARS-CoV- 2/COVID-19?

A

Polymerase Chain Reaction (PCR): small samples of DNA amplified for analysis
Diagnostic tool for COVID-19 by:
- Sampling collection: swab from patient’s nose/throat to collect respiratory material
- RNA extraction: genetic material (RNA) of the virus is extracted from a sample
- Reverse transcription: viral RNA converted into DNA using a special enzyme
- PCR amplification: specific regions of the viral DNA copied multiple times for easier detection
- Detection: if the virus is present in the sample, the amplified DNA will be detected