1/166
Looks like no tags are added yet.
Name | Mastery | Learn | Test | Matching | Spaced | Call with Kai | Chat |
|---|
No analytics yet
Send a link to your students to track their progress
Immune System
Cell population that inhabits all organs and defends body from agents of disease
Lymphatic System - Fluid Recovery
15% of water and half of the plasma proteins enter the lymphatic system and are then returned to the blood
Lymphatic System - Immunity
Excess filtered fluid picks up foreign cells and chemicals from tissues
Lymphatic System - Lipid Absorption
Lacteals, in the small intestine, absorb dietary lipids that aren't absorbed by blood capillaries
Lymphatic System - Lymph
The recovered fluid
Lymphatic System - Lymphatic Vessels
Transport the lymph
Lymphatic System - Lymphatic Tissues
Composed of aggregates of lymphocytes and macrophages that populate organs
Lymphatic System - Lymphatic Organs
- Where defense cells are mostly concentrated
-Separated from surrounding organs by CT capsules
Lymphatic Vessels - Right Lymphatic Duct
Receives lymph from right arm, right side of head and thorax; empties into right subclavian vein
Lymphatic Vessels - Thoracic Duct
Larger and longer, begins as a prominent sac in abdomen; receives lymph from below diaphragm, left arm, left side of head, neck, and thorax; empties into left subclavian vein
Lymphatic Vessels - Subclavian Veins
Collect from thoracic duct
Lymphatic Cells - Natural Killer (NK) Cells
Large cells that destroy bacteria, transplanted tissue, host cells infected with viruses or that have turned cancerous
Lymphatic Cells - T Lymphocytes (T cells)
Mature in thymus
Lymphatic Cells - B lymphocytes (B cells)
Activation causes proliferation & differentiation into plasma cells that produce antibodies
Lymphatic Cells - Dendritic cells
Alert immune system to pathogens that have breached body surface
Lymphatic Cells - Reticular cells
Branched stationary cells that contribute to the stroma of a lymphatic organ
Lymphatic Tissues - Lymphatic (lymphoid) tissue
Aggregations of lymphocytes in CT of mucous membranes and various organs
Lymphatic Tissues - Diffuse lymphatic tissue
Simplest form
- Not clustered
Lymphatic Tissues - Lymphatic nodules
Dense masses of lymphocytes and macrophasges that congregate in response to pathogens
Lymphatic Organs - Primary lymphatic organs
Red bone marrow and thymus
- Where T & B cells become immunocompetent
Lymphatic Organs - Secondary lymphatic organs
Lymph nodes, tonsils, and spleen
Lymph Nodes
- Most numerous lymphatic organs
- Cleanse the lymph
Metastasis
Cancerous cells break free from original tumor, travel to other sites of body & establish new tumors
Tonsils
Patches of lymphatic tissue located at the entrance to the pharynx
Spleen
Body's largest lymphatic organ
Spleen - Red pulp
Sinuses filled with erythrocytes
Spleen - White pulp
Lymphocytes, macrophages surrounding small branches of splenic artery
Spleen functions
Removal, storage, initiation
Pathogens
Agents capable of producing disease
First line of defense
Skin and mucous membranes
Second line of defense
Several innate defense mechanisms
- Leukocytes & macrophages, antimicrobial proteins, natural kilelr cells, inflammation, & fever
Third line of defense
Adaptive immunity | "memory"
Innate Immunity - Innate defenses
Guard equally against a broad range of pathogens
Innate Immunity - Adaptive immunity
Body must develop separate immunity to each pathogen
Innate Immunity - R0
For every infected person, how many new infections will they cause
External Barriers - Skin Acid mantle
Thin film of lactic and fatty acids from sweat & sebum that inhibits bacterial growth
External Barriers - Skin
Pathogens cannot infect dead cells
External Barriers - Mucous membranes Lysozyme
Enzyme destroys bacterial cell walls
Eosinophils
Guard against parasites, allergens, and other pathogens
Monocytes & Macrophages - Wandering macrophages
Actively seek pathogens
Monocytes & Macrophages - Fixed macrophages
Phagocytize only pathogens that come to them
Interferons
Secreted by certain cells infected by viruses
- No benefit to the cell that secretes them
Complement System - Inflammation
- C3a stimulates mast cells and basophils to secrete histamine and other inflammatory chemicals
- Activates and attracts neutrophils and macrophages
- Speeds pathogen destruction in inflammation
Complement System - Immune clearance
- C3b binds with antigen-antibody complexes to RBCs
- RBCs circulate through liver and spleen
- Macrophages of those organs strip off and destroy Ag-Ab complexes, RBCs unharmed
Complement System - Phagocytosis
Neutrophils and macrophages cannot phagocytize "naken" bacteria, viruses, or other pathogens
Complement System - Cytolysis
- C3b splits complement protein C5 into C5a & C5b
- C5b binds to enemy cell
-Attracts more complement proteins - membrane attack-complex forms
Inflammation - Cytokines
Small proteins that regulate inflammation and immunity
Inflammation - Heat
Results from hyperemia
Inflammation - Redness
Due to hyperemia, and extravasated RBCs in the tissue
Inflammation - Swelling (edema)
Due to increased fluid filtration from the capillaries
Inflammation - Pain
From direct injury to the nerves, pressure on nerves from edema
Inflammation - Neutrophile Behavior: Margination
Selectins cause leukocytes to adhere to blood vessel walls
Inflammation - Neutrophile Behavior: Diapedesis
Leukocytes squeeze between endothelial cells into tissue space
Inflammation - Neutrophile Behavior: Chemotaxis
Attraction to chemicals such as bradykinin and leukotrienes that guide them to the injury site
Characteristics distinguishing immunity from innate immunity
- Systemic effect: Throughout the body
- Specificity: immunity directed against a particular pathogen
- Memory: when reexposed to same pathogen, body reacts quickly
Forms of Adaptive Immunity - Cellular (cell-mediated) immunity
Lymphocytes directly attack and destroy foreign cells or diseased host cells
Forms of Adaptive Immunity - Humoral (antibody-mediated) immunity
Mediated by antibodies that do not directly destroy a pathogen but tag it for destruction
Forms of Adaptive Immunity - Natural active immunity
Production of one's own antibodies or T cells as result of infection
Forms of Adaptive Immunity - Artificial active immunity
Production of one's own antibodies or T cells as result of vaccination against disease
Artificial active immunity - Vaccine
Consists of dead or weakened pathogens that stimulate immune response without disease
Artificial active immunity - Booster shots
Periodic immunizations to stimulate immune memory to maintain a high level or protection
Forms of Passive Immunity - Natural passive immunity
Temporary immunity that results from antibodies produces by another person
Forms of Passive Immunity - Artificial passive immunity
Temporary immunity that results from the injection of immune serum (antibodies) from another person or animal
Antigen
Any molecule that triggers and immune response
Antigens - Epitopes
Certain regions of an antigen molecule that stimulate immune responses
Antigens - Haptens
Too small to be antigenic in themselves
Antibodies - Immunoglobulin (Ig)
A defensive gamma globulin found in blood plasma, tissue fluids, body secretions, and some leukocyte membranes
Antibody Classes - IgG
Monomer; constitutes 80% of circulating antibodies
Antibody Classes - IgA
Monomer in plasma; dimer in mucus, saliva, tears, breast milk, and intestinal secretions
Antibody Classes - IgE
Monomer; transmembrane protein on basophils and mast cells
Antibody Classes - IgM
Pentamer in plasma and lymph
Antibody Classes - IgD
Monomer; B cell transmembrane antigen receptor
Recognition - Antigen presentation
- APC encounters and processes an antigen
- Migrates to nearest lymph node
- Displays it to the naive T-cells
T Cell Activation
Successful contemplation will trigger clonal selection
Attack - Perforin and granzymes
Kill cells in the same manner as NK cells
Attack - Interferons
Inhibit viral replication
Attack - Tumor necrosis factor (TNF)
Aids in macrophage activation and kills cancer cells
Memory
Following clonal selection, some Tc and Th cells become T memory cells
Humoral Immunity
A more indirect method of defense than cellular immunity
Recognition - Triggers clonal selection
- B cell mitosis gives rise to a battalion of identical B cells programmed against the same antigen
- Plasma cells secrete antibodies at a rate of 2,000 molecules per second during their life span of 4 to 5 days
Humoral Attack - Agglutination
Antibody has 2 to 10 binding sites; binds to multiple enemy cells, immobilizing them from spreading
Humoral Attack - Complement fixation
IgM or IgG bind to antigen, change shape and initiate complement binding which leads to inflammation, phagocytosis, immune clearance, or cytolysis
Humoral Attack - Precipitation
Antibody binds antigen molecules; creates antigen-antibody complex that precipitates
Humoral Attack - neutralization
Antibodies mask pathogenic region of antigen
Humoral Memory - Primary immune response
Immune reaction brought about by the first exposure to an antigen
Senescence of the Immune System - Lymphocytes fail to mature
Decline of Thymus
Nasal Fossae
Right and Left halves of nasal cavity
The Nose - Vestibule
Beginning of nasal cavity; small, dilated chamber just inside nostrils
The Nose - Nasal Conchae
Chamber behind vestibule is occupied by three folds of tissue
- Superior, middle, and inferior nasal conchae
The Nose - Meatus
Narrow air passage beneath each concha
The Nose - Olfactory epithelium
Detects odors
The Nose - Respiratory Epithelium
Line rest of the nasal cavity except vestibule
The Nose - Erectile tissue
- Extensive venous plexus in epithelium of inferior concha
- Swells with blood every 30-60 minutes
- Preponderant flow of air shifts between the right and left nostrils once or twice an hour
Pharynx
Muscular funnel extending about 5 inches from the choanae to the larynx
Pharynx regions
- Nasopharynx: Receives auditory tubes and contains pharyngeal tonsil
- Oropharynx: Space between soft palate and epiglottis, contains palatine tonsils
Laryngopharynx: Epiglottis to cricoid cartilage, esophagus begins here
Larynx
- Cartilaginous chamber about 4 cm long
- Keeps food and drink out of airway
The larynx - Epiglottis
- Flap of tissue that guards the superior opening of the larynx
- Closes airway and directs food to esophagus behind it
The Larynx - Epiglottic cartilage
Spoon-shaped supportive plate in epiglottis; most superior one
The Larynx - Thyroid cartilage
- Largest, laryngeal prominence (Adam's Apple); shield-shaped
- Testosterone stimulates growth; larger in males
The Larynx - Cricoid cartilage
Connects larynx to trachea, ring like