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immunity

front 1

what is the purpose of the immune system?

back 1

to keep infectious microorganisms such as bacteria, viruses and fungi out of the body and destroy them if they invade the body

front 2

what is immunocompetence

back 2

is the ability of individual cells to recognize a specific antigen by binding to it

front 3

phagocytes are

back 3

cells that eat

front 4

what are immunocompetent cells

back 4

distinguish self from nonself

front 5

what are the parts of immune system

back 5

1 nonspecific (innate)
2 specific (adaptive)

front 6

what is non specific or innate

back 6

routine protection, regardless of pathogens, always present. (from birth)

front 7

what are specific or adaptive

back 7

protection against particular pathogen. (develops throughout life)

front 8

what are antigen

back 8

foreign substance that causes an immune response to produce antibodies

front 9

what are antiboies

back 9

Y shape protein that bind to antigen for destruction
they are glyoproteins also known as immunogobulins

front 10

where is the immune system located

back 10

origin is bone marrow (hemapoietic stem cells) and transported throughtout body by blood.
lymphatic system controls it

front 11

parts of nonspecific (innate)

back 11

1st line and second line defense

front 12

what are 1st line defense

back 12

physical and chemical barriers ex: skin, mucous membrane and secretions

front 13

what are 2nd line defense

back 13

it is reactive ex: inflammation and fever
Involves : phagocytosis, complement activation, interferons and NK cells

front 14

explain more about 1st line defense

back 14

physical barriers which is the skin that covers majority of surface. Also mucous membrane barriers that line digestive tract, respiratory tract and GI tract. Mucous protects these surfaces from infections

front 15

How do skin protect the body?

back 15

1. it has epiermal layer with waterproofing protein keratin.
2. shedding (takes off anything that adheres to it)
3. dry -slougged off with flakes of dead skin
4. acidic fatty acids in sebum(sebaceous/oil gland)
and lysozyme(sweat gland)

front 16

How does mucous membrane protect our body?

back 16

1. Barrier is epithelial layer with moist sticky flowing mucous covering
2. cleaning/washing action removes microbes ex: tears, urination
3. mucociliary escalator in lower respiratory tract
4. chemicals control microbes.

front 17

Skin and mucous membranes are protected by variety of antimicrobial substances. Name them

back 17

1 .lysosome
2. peroxide
3. lactoferin
4. defensins

front 18

Lysosome

back 18

enzyme that degrades peptidoglycan(destroys cell walls of bacteria)
found in tears, saliva, blood and phagocytes

front 19

Peroxidase enzyme

back 19

breaks downs hydrogen perioxide to produce reactive oxygen.
found in saliva, body tissue and phagocytes

front 20

Lactoferin

back 20

iron building protein that witholds iron preventing microbial growth
found in saliva and some phagocytes
transferin- found in blood and tissue fluid

front 21

Denfensins

back 21

antimicrobial peptides inserted into microbial membrane forming pores that damage cells
found in mucous membraes and phagocytes

front 22

Secretions

back 22

stomach ---- gastric juice
skin ------ sebum (fatty acid)

front 23

conditions that foster entry of pathogens

back 23

1. In skin -- wounds, excess moisture
2. In mucous membranes -- reduced movement of cilia that can be caused by smoking, narcotics, viral infection, allergies, chilling
3. In GI -- by reduced stomach acid, ingestion of antacid
4. distruction of normal flora with antibiotics, hormonal change

front 24

hemotopoietic stem cells

back 24

blood cells that give rise to all other blood cells that are located in bone marrow

front 25

Hematopoiesis

back 25

production, formation and development of blood cells

front 26

What process are involved in the 2nd line of defense of the body?

back 26

Phagocytosis, complement, interferon and inflammation

front 27

process of phagocytosis

back 27

chemotaxis, adherence, ingestion, digestion, killing

front 28

what are Granuloccytes? give examples of granules

back 28

category of WBC that contains cytoplasmic granules
ex: neutrophil, basophil and eosinophil

front 29

What are monocytes? give example

back 29

WBC that doesnt contain granules
they differentiate into either macrophages or dendritic cells when they migarte into tissue

front 30

Role of Monocytes

back 30

1. replenish resident microphages and dendritic cells under normal state
2. can move quickly to site of infection in the tissue and divide the macrophages to elicit an immune response

front 31

Role of Granulocytes

back 31

they are phagocytes that ingest foreign cells such as bacteria, viruses and other parasites

front 32

Role of Neutrophils

back 32

they are most common type
they phagocytize and digest engulfed materials

front 33

Role of Eosinophils

back 33

they are involved in allergic reactions and attack multicellular parasites like worms. Also participates in INFLAMMATORY reactions and immunity to some parasites

front 34

Role of Basophils

back 34

they mature in mast cells, they release histamine which helps trigger inflammation and heparin which prevents blood from clotting.

front 35

What are lymphocytes

back 35

they are small wbc that help regulate the bodys immune system (agranules)

front 36

what are mononuclear phagocytes

back 36

monnocytes, macrophages, dendritic cells
they are either stationary or wandering macrophages.

front 37

types of lymphocytes

back 37

B cells, T cells, NK cells

front 38

location of lymphocytes

back 38

in lymph organs, lymph nodes, spleen, thymus, appendix, tonsils

front 39

What do B cells do

back 39

they release antibodies Y-shaped that bind to infected microbes to mark them for attack by T cells

front 40

What are dendritic cells

back 40

they are initialy in tissues but migrate to secondary lymphoid organs such as lymph nodes, spleen, tonsils
Role- collect antigen from the tissues and then bring it to lymphocytes that gather in the lymph organs

front 41

Mononuclear phogcytic system

back 41

wandering and stationary macrophages

front 42

difference between monocyte and macrophage

back 42

monocyte--circulate in blood
macrophages-- when monocyte leaves bloodstream and migrate to tissues it becomes macrophages.

front 43

How do macrophages protect us against invasion of microbes?

back 43

they engulf microbes, then mark them as antigen so antibodies can be produced and also help stop inflammation process by removing dead cells from tissues and repairing wounds

front 44

Steps of phagocytosis

back 44

1. chemotaxis (movement)
2. Adherence (stick-macrophages stick to microbes)
3. Ingestion (surround by cell membrane/take in microbe)
4. Digestion (break down/kills-involves lysosomes/peroxide
5. Absorption

front 45

What is chemotaxis

back 45

movement towards chemical signals
ex; lymphokines and complements

front 46

what is adherence

back 46

attachment of macrophage to microbe

front 47

what is ingestion/endocytosis

back 47

surround microbe with cell membrane forming phagosome

front 48

what is digestion

back 48

by fusion w/ lysosome
digestion is carried out by lysosomal enzymes, killing from acids and toxic compounds such as hydrogen perioxide, nitric acid and hypocloride

front 49

which step of phagocytosis is affected by the presence of a capsule in bacteria

back 49

Aherence -- microbes adheres to capsule or else will escape

front 50

what are complement system

back 50

they are like "bombs" they aim in destroying pathogens

front 51

steps of inflammation

back 51

injury--mast cells release histamines---causes vasodialation and increase permeability---phagocyte migration/wall off---phaygocytosis--tissue repair

front 52

where is the complement system

back 52

they are proteins that circulate in blood and fluid that bathes the tissues

front 53

complement is composed of

back 53

1. family of proteins in blood
2. has enzymatic activity
3. activates in cascade fashion
4. kill foreign microbes
5. act as signal to the immune system

front 54

what triggers complement

back 54

antibodies and other carbohydrates

front 55

what are 3 pathways of complement for activation

back 55

alterative pathway, classical pathway and lectin pathway

front 56

alternative pathway of complement

back 56

- quickly and easily initiated
- is triggered when C3b binds to foreign cell surface
- initiates activation of other compliment proteins
- allows formation of complement complex
(c3b always circulates in blood)

front 57

Lectin pathway

back 57

- activation requires MBL (mannose binding lectin)
- pattern recognition molecules that detect mannose
- MBL attachs to surface
- activates complement proteins

front 58

Classical pathways

back 58

- activation requires antibodies
- antibodies interact complement C1
- activates protein
- leads to activation of all complex proteins

front 59

What is the job of complement

back 59

1. kills bacteria directly
2. Opsonization - enhance phagocytosis
3. Provide signals to recruit microphages to the area.

front 60

what is opsonization

back 60

a process where a pathogen coats with opsonins which enhances phagocytosis

front 61

what are NK cells

back 61

they are in blood and lymph cells that can lyse and kill cancer cells and viruses infected body cells before adaptive immune system is activated

front 62

What are the outcomes of Complement activation

back 62

1. Opsonization
2. Inflammation
3. Lysis of foreign cells

front 63

what is inflammation

back 63

complement components C3a and C5a induce changes to endothelial cells
it effect vascular permeabilty associated with inflammation
a localized physical condition in which part of the body becomes reddened, swollen, hot, and often painful, especially as a reaction to injury or infection.

front 64

how does opsonization work

back 64

C3b binds foreign material, allowing phagocytes to easily grab particles

front 65

Lysis of foreign cell through complement activation

back 65

- c5b combine with ,C6,C7,C8,C9 to form Mac
- spontaneously assemble
- forms donut shaped structure called MAC
- creates pores in membranes
- most effective on G-

front 66

What is alternative pathway (antibody independent)

back 66

-activated by bacteria and some fungi
- binding to certain proteins or carbohydrates on microbe by factors activate cascade sequences

front 67

How is the complement system activated?

back 67

The complement system can be activated in two main ways. The first means of activation is part of the innate (natural) immune response. (i.e.; neither antibodies nor T cell receptors are involved.) For example, certain polysaccharides found on the surface of bacteria can activate the system. This can occur immediately and does not require prior exposure to the molecules.

The second and most potent means occurs in a adaptive immune response when antibodies (IgG or IgM) binds to antigen at the surface of a cell. This exposes the Fc region of the antibody in a way that allows the first complement protein (C1) to bind.

What happens as a result of the activation

front 68

Name a molecule that activates the complement system as part of a specific immune response.

back 68

antibody

front 69

Name a component of the activated complement system that serves as a good opsonin.

back 69

C3b

front 70

how complement deals with inflammation

back 70

opsonization
chemotaxis
inflammation
lysis, apoptosis

front 71

Which type of immunity triggers the complement system via polysaccharides without any prior exposure

back 71

innate

front 72

which complement components is formed that results in killing of target cells

back 72

membrane attack complex (MAC) c56789

front 73

how are target cells killed by complement activation

back 73

by lysis

front 74

what is opsonization? what does it achieve?

back 74

it coats the outer surface of pathogen, achieves enhanced phagocytosis

front 75

function of compliment

back 75

1. cell lysis with MAC (kills tagged cells)
2. Opsonization of pathogesns (enhance phagocytosi)
3. recruitment of inflammatory cells (chemotaxis factor, activation of mast cells signaling phagocytes)

front 76

function of the inflammatory response?

back 76

- prevents the spread of the injurious agent to nearby tissue
- disposes of cellular debris and pathogens
- sets the stage for repair processes

front 77

7) The antibody molecule is held together by ________ bonds.

back 77

disulfide bond

front 78

what is the purpose of inflammation

back 78

1. destroy injurious agents
2. confine or wall off infectious agents and its by products
3. repair or replace damaged tissues

front 79

symptoms of inflammation

back 79

1. redness - increase blood flow to area
2. pain - tissue damage
3. heat- accumulation of blood
4 swelling - accumulation of fluid and mast cells

front 80

how is inflammation achieved

back 80

though vasodilation-- widening of blood vessels
When more blood comes to area, more pressure is build, that widens the blood vessels. When vessels vasodialate, pores get wider and bacteria leak out and are surrounded by phagocytes

front 81

what helps reduce inflammation

back 81

aspirin and epinepherine

front 82

sequence of events in inflammation

back 82

1. damage/tissue injury
2. mast cells signal-- release histamins
3. vasodialation
4 phagocyte migration and wall off (neutrophils /monocyte migrate to tissues)
5. phagocyte migration and phagocytosis (microbes englulfed and destroyed by wbc)
6 tissue repair

front 83

what is a pus

back 83

abscess from collection of dead tissues/cells , fluids, microbes in a cavity

front 84

why should you remove pus

back 84

to heel quicker and improve circulation

front 85

In clonal selection of B cells, which substance is responsible for determining which cells will eventually become cloned?

back 85

antigen

front 86

the redness and heat of an inflamed area are due to a local hyperemia caused by ________.

back 86

vasodialation

front 87

why does your skin turn red and swell when it becomes infammed

back 87

red-blood flow on surface
swell - more mast cells

front 88

can inflammation be harmful

back 88

yes if there is swelling of airways, swelling of tissues, internal swelling because it can cut off circulation

front 89

what types of inflammation are harmful

back 89

over inflammation and systemic inflammation (anaphalyxsis)

front 90

how is inflammation beneficial

back 90

1 prevents the spread of damaging agents to nearby tissues
2. disposes of cell debris and pathogens
3. alerts the adaptive immune system
4. set the stage for repair

front 91

what is systemic inflammation/anaphylaxis

back 91

1. bronchioles constrict
2. vasodialation
3. fluid loss
4. BP drops
5. death

front 92

how is fever triggered

back 92

---in response to foreign invasion such as endotoxin production of interleuking by macrogphages (systemic response to invading microphages)
-- stimulation of hypothalamus
--- higher metabolic activity

front 93

can fever be beneficial

back 93

if it is within limits, can enhance reaction
increase rate of chemical reactions , more rapid repair
-inhibits growth of some microbes

front 94

what are interferons

back 94

(natural substance produced by all)
1. calls of antiviral protein
2. produced by different viral infected animal cells
3. binds to uninfected cells to make them resistant to infection by virus "anti-viral state"
4. stimulation of other cells of immune system
Interferons are named for their ability to "interfere" with viral replication by protecting cells from virus infection.
IFNs also have other functions: they activate immune cells, such as natural killer cells and macrophages; they increase host defenses by up-regulating antigen presentation by virtue of increasing the expression of major histocompatibility complex (MHC) antigens.

front 95

what are te main types of interferon

back 95

1. alpha interferon - produced by microphages and monocytes
2. Beta interferon - produced by fibroblasts and other cells
3. gamma interferon- macrophage activation, promotes certain adatptive immune response like inflamatory response.

front 96

Alpha Interferon does what

back 96

induces fever , contributes to inflammation

front 97

what is the role of NK cells

back 97

1 kills cell with reduction or absense of selfmarker (MHC)
2. kills infected/tumor cells triggered wit antibodies (ADCC)
They directly attach cancer or virus cells without having to activate by attaching to antibodies and secreting perforin that causes apoptosis. Also produce cytokines that regulate n direct immune responses.

front 98

how does compliment and antibodies work together

back 98

compliment bind wit antibodies to kill microorganism
antibody when bind to antigen changes shape

front 99

membrane attack complex MAC

back 99

the complex of terminal complement components that forms a pore in the membrane of the target cell, damaging the membrane and leading to cell lysis

front 100

how does complement system ddestroy cells

back 100

lysis

front 101

types of antimicrobial proteins

back 101

interferon and complement

front 102

what do antimicrobial proteins do

back 102

they attack microbes directly or limit their ability to reproduce

front 103

form of complement protein

back 103

group of plasma protein that circulate through blood in an inactive state and are activated by immune system signal of presence of microbes

front 104

why is high fever dangerous

back 104

becoz it denatures enzymes

front 105

types of specific immune responses

back 105

humoral and cellular

front 106

humoral repsonse is

back 106

cells derived from B cells secrete antibodies that bind to microbes to target them for distruction

front 107

cellular reponse

back 107

cytotoxic lymphocytes directly destroy infected body cells, cancer cells, and foreign tissues

front 108

advantage and disadvantage of specific immune repsonse

back 108

adv: more vigorous and effectivve against particular foreign invader
disadv: takes time

front 109

what is adv of nonspecific response

back 109

always present and defesne is immediate

front 110

hallmark of specific response

back 110

recognition, memory and regulation

front 111

what is recognnitized by specific response

back 111

speicific shapes and antibody generator

front 112

what are antibodies

back 112

glycoproteins known as immunoglobulins

front 113

what is antigen

back 113

substance that can trigger an immune response and sepcifically directed against it

front 114

what are antigens made of

back 114

proteins n carbohydrates , molecules weigh less then 10,000 molecular weight

front 115

what are haptens

back 115

small molecule that become antigenic only when combining wiht larger molecule
antibody once generated will bind hapten

front 116

what is recognized by antibody

back 116

specific part of antigen called antigenic determinant epitopes

front 117

what produces antibodies

back 117

plasma cells (b cells)

front 118

structure of antibody

back 118

2 identical heavy chains and 2 light chains
heavy chains identify antibody class (GAMED)
Each chain has a constant region (C) and a variable region (V)

front 119

variable region

back 119

can change in response to antigen
antigens react to variable regio
marcropages introduce antigens to variable region

front 120

which antibodies are always on B cell receptors

back 120

IgD and IgM

front 121

IgM

back 121

primary antibody response. first to appear ater exposure to antigen
short lived

front 122

IgG

back 122

secondary response
main class/most common

front 123

IgA

back 123

found in body secretions like saliva, milk, tear
monomer in serum

front 124

IgD

back 124

part of antigen receptor on Bcells
unknown functio

front 125

IgE

back 125

bind to receptors on mast cells n basophils in allergic response and parasitic infection

front 126

outcomes of antibody

back 126

opsonization, complement activation (antibody binding triggers classical pathway)
, antibody dependet cellular cytotoxicity

front 127

opsonization

back 127

caoating of bacteria with antibody to enhance phagocytosis

front 128

do we have enough Dna to encode all the antigen receptors

back 128

antigen receptor genes
and mutations

front 129

are all B cells genetically identical?

back 129

No
after DNA rearangement each B cell is different
B cells cloned after antigen exposure is identical

front 130

what is MHC

back 130

major histocompatibility complex
on the surface of all cells

front 131

how does antibody kills microbes

back 131

attaching to complement, enhanced phagocytosis, killer cells

front 132

parts of cellular response

back 132

T cells
virus infected cells
tumor cells

front 133

antigen presentation by APC by macrophage

back 133

1 macrophage digest microbes
2. associates with MHC
3 .antigens present on surface of APC
4. bind wit t cell
5. bind releases cytokines turn on t effector cells to activate t helper cell

front 134

how are helperT cells activated

back 134

when they are presented with antigens by MHC class II molecules, which are expressed on the surface of antigen-presenting cells (APCs). Once activated, they divide rapidly and secrete small proteins called cytokines that regulate or assist in the active immune response

front 135

how do cytotoxic (killer t) cell kill microbes

back 135

once they bind with the specific antigen, killer cells release cytokines and perforin .Perforin first makes a pore, or hole, in membrane of the infected cell. Cytotoxins go directly inside the cell through this pore, destroying it and any viruses inside.

front 136

difference between NK cells and killer cells (cytotoxic)

back 136

NK are part of innate that kills viurs and tumor cells
cytotoxic cells are released by t cells to directly kill the microbes

front 137

which type of T cell lyses cells that have been infected with viruses?

back 137

cytotoxic t cells

front 138

Your body has millions of different antibodies for detecting millions of different antigens because

back 138

antibody genes undergo somatic rearrangement and somatic mutation

front 139

Which type of surface marker is present on every nucleated cell in your body?

back 139

MHC1

front 140

Activated helper T cells release regulatory molecules called

back 140

lymphokines

front 141

what do memory B cells do

back 141

provide an accelerated immune response upon second exposure to a particular antigen

front 142

Complement and antibody are similar in that both

back 142

may make bacteria more attractive to phagocytes

front 143

How do macrophages kill bacteria cells

back 143

by engulfing the one presenting appropriate antigen

front 144

how does the complement system work

back 144

the complement system is composed of a series of about 20 freely-circulating proteins in the blood. When they encounter an infected cell, they assemble an "attack complex" that creates a pore in the membrane of the infected cell. Water can then enter the cell, ultimately causing it to burst

front 145

MHC1 MHC2

back 145

MHC I proteins are found on all nucleated cells in the body, identifying it to the body as "self," so that when an immunological attack is in progress, the body does not destroy its own cells along with the pathological invaders. MHC II proteins are found only on macrophages, B-cells, and CD4+ T cells; they function in identifying each other.

front 146

How do macrophages activate helper T cells?

back 146

Macrophages activate helper T cells by engulfing the invading pathogen and presenting the pathogen's antigens on its surface for the helper T cells to recognize. Macrophages also secrete interleukin-1 that stimulates the helper T cells. Once activated, helper T cells secrete lymphokines that mobilize cytotoxic T cells to fight off the pathogen

front 147

how do B cells mature?

back 147

When a B lymphocyte responds to an antigen, it is stimulated to replicate, producing a clone of cells that provides an initial, weak immune response. Some of the cells become memory B cells. The next time the body is invaded by the same pathogen, it is ready to provide a rapid, strong secondary immune response.

front 148

complement protein works by

back 148

forming pores in the membrane of the target cells

front 149

how is complement triggered

back 149

1 classical pathway - involves antibodies
2. alternate pathway - involves bacterial chemicals

front 150

what is antegenic determinant

back 150

3D shape of a region of an antigen that is recognized by the immune system.