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blood cell count from largest to smallest
plasma
RBC
WBC
hematopoiesis
all cells in our blood come from a hematopoietic stem cell
what type of blood are leukocytes
white blood cells
white blood cells
granulocytes
mononuclear phagocytes
lymphocytes
types of granulocytes
neutrophils
basophils
eosinophils
neutrophils
granule contains the enzyme MPO that directly breaks down microbe structure
basophils
granule contains histamine which activates inflammation and allergic reactions
eosinophils
granule has major basic protein that binds to helminth cell walls and break them down
types of mononuclear phagocytes
monocytes
macrophages
dendritic cells
monocytes
circulate in the blood
are precursors to macrophages and dendritic cells
macrophages
in tissues to eliminate pathogens via phagocytosis
secrete cytokines by PRR
dendritic cells
in tissues as sentinel cells
initiate adaptive immune response by traveling to lymph nodes upon activation
types of lymphoid cells
T cells
B cells
T cells
release cytokines
B cells
secrete antibodies to promote other cells to kill microbe
a sample tissue is processed and stained for immune cell infiltration. it is found that a granulocyte is present that stains positive for an MPO signal. what type of immune cell is this?
neutrophil
what lymphocytes are found in the blood?
T cells
B cells
Innate immunity
immunity youre born with
adaptive immunity
immunity that develops over lifetime
what does the first line of defense consist of
physical barriers
chemical barriers
microbiomes
physical barriers: skin
layers of skin keeps the microbe out
dead skin at the top to create wall
sheds every 28 days
physical barriers: mucous membranes
barrier of epithelial cells coated in thick mucous layer
mucus is made of thick glycoproteins
trab microbes
prevent tracts from drying out
physical barriers: microbiomes
produce antimicrobial products
nutrient and area competition
chemical barriers: enzymes
lysozyme (tears/saliva)
degrades bacteria cell walls
peroxidase (saliva)
kill bacteria via hydrogen peroxide
chemical barriers: antimicrobial peptides
short peptides by host cells to kill bacteria
Which of the following represents a physical barrier for the body against
pathogens?
A. sweat secreted from ducts in the skin
B. lysozyme found in saliva of mouth
C. cilia movement in respiratory epithelial cells
D. decreased pH in vaginal fluid
C. cilia movement in respiratory epithelial cells
The skin microbiome can prevent pathogens from binding to the surface of
the gut epithelium. How might the skin microbiome do this?
A. promotes increased gut mucus production
B. competes for nutrients on the gut membrane surface
C. secretes excess sebum to prevent microbe growth
D. use microbial cilia to push other pathogenic microbes away
B. competes for nutrients on the gut membrane surface
what happens when the first line of defense is breached?
sensory systems are activated
steps for cytokine activation
host cells recognizes Pathogen Associated Molecular Pattern (PAMP) via pattern recognition receptors (PRR)
production and secretion of cytokines
alarm for all out immune response
sensory: complement system activation
C1 - C9 (complement proteins) and antibodies (made by B cells) are circulating in blood in an inactive state
antibodies recognize foreign pathogen and bind onto it
complement proteins bind to antibody
C3 is split into Ca and Cb to become activated
= effector
effector: cytolysis
C9 embeds itself onto pathogen
Membrane attack complex
creates a pore (hole)
water rushes out of pathogenic cell
= death of cell
effector: opsonization
C3b binds around pathogen to make it “tastier” for macrophage
macrophage sees tasty pathogen
PRR on macrophage bind onto pathogen
pathogen enters via endocytosis
phagosome is formed inside macrophage
lysosome fuses with phagosome to make phagolysosome
pathogen gets broken apart by enzymes
effector: inflammation
increase vasodilation
more immune cell in blood
more immune cell activity
cytokines gather in one place
chemotaxis (signal where cytokines are grouped together alert the body)
neutrophils are recruited out of the blood (increased immune cell recruitment)
effector: fever
caused by the release of specific cytokines
interleukin 1
tumor necrosis factor alpha
triggers the hypothalamus to increase body temperature
metabolic activity increases for immune cells to work more efficiently
prevent microbial growth/spread
A complementary protein is activated in infected tissues followed by pathogens breaking open due to formation of small holes (MAC) in their membranes upon further complement effector functions. Which complement effector pathway is responsible for this?
A. opsonization
B. cytolysis
C. increased inflammation
D. neutralization
B. cytolysis
A macrophage successfully engulfed and endocytosed a bacteria into a
phagosome. What would happen next in this pathway?
A. The pathogen would be opsonized by C3 proteins.
B. The phagosome would fuse with a lysosome for degradation.
C. The pathogen would being to breakdown in the acidic phagosome.
D. The pathogen would further stimulate a pattern recognition receptor for
cytokine release.
B. The phagosome would fuse with a lysosome for degrada