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physical, chemical or cellular aspect of the innate immune system
skin provide a thick barrier between microbes outside the body and deeper tissues
physical defenses
skin, mucus membranes, gastric intestinal fluids, urine, tears, cerumen and vaginal secretions
Antimicrobial peptides (AMPs) aka defense peptides
Dermicin, cathelicidin, defensins, histatins, bacteriocins
cellular defenses
RBCs, WBCs, platelets, granulocytes, agranulocytes: neuto, eosino, basophils, mast cells, NK cells, monocytes, macrophages, dendrite cells
Bradykinin
contributes to edema, fluid and leukocytes leak out of bloodstream
Chemokines or cytokines
are a large family of small, secreted proteins that signal through cell surface G-protein coupled heptahelical chemokine receptors. best known for its ability to stimulate the migration of cells, notably (leukocytes)
Histamine
Chemical stored in mast cells triggers dilation and increased permeability of capillaries. mast cells detect injury to nearby cells and release histamine initiating an inflammatory response
Interferons A/B
are cytokines released by a cell infected with a virus. Signal uninfected neighboring cells to inhibit mRNA synthesis, destroy RNA, and reduce protein synthesis. Promote apoptosis in cells infected with the virus.
Interferon A - produced in the leukocytes infected with virus
Interferon B - from fibroblasts infected with virus
Leukotrienes
produced in the cell membrane of leukocytes and tissue. Induce coughing, vomiting, and diarrhea - serve to expel pathogen
order of events of acute inflammation after tissue injury
vasoconstriction, vasodilation, increased vascular permeability, and release of histamines. (redness/erythema, swelling/edema, heat, pain, altered function)
Lysosome
An organelle containing an endomembrane system that contains digestive enzymes that breakdown engulfed material such as foodstuffs, infectious particles, or damaged cellular components
phagolysosome
compartment in a phagocytic cell that results when the phagosome is fused with the lysosome, leading to the destruction of the pathogens inside
which cells are agranulocytes and granulocytes?
agranulocytes - monocytes, dendritic cells, lymphocytes, NK cells, macrophages
granulocytes - neutrophils, eosinophils, basophils (distinguished by lobes within the cell)
Hematopoiesis
formation of blood cells in red bone marrow
acute phase protein, what organ produces them and function?
Liver
inflammation activates inflammation, cause vasodilation and increased permeability of blood vessels
Goblet cells
function - produce and secrete mucus
location - intestinal epithelium
Ciliated epithelial cells
lines the trachea, bronchi, parts of nasal cavities, uterus, oviduct, vas deferens, epididymis
function - pushes mucus away to be removed
endothelial cells
tightly packed provides protection against invaders. ex; blood-brain barrier, CNS
types of junctions
tight junctions - rivet 2 adjacent cells together
desmosomes - have intermediate fibers that act like shoelaces tying together
gap junctions - channels between 2 cells that permit their communication
types of vaccines?
live attenuated - inactivated, closely mimic an actual infection. ex; MMR, cowpox, influenza
inactivated (killed) vaccines
Safer than live vaccines
Require repeated booster doses
Induce mostly humoral immunity. ex: HEP A, polio, rabies
subunit vaccines
use antigenic fragments to stimulate an immune response. ex; flu, pneumococcal
Toxoids
inactivated exotoxins used in vaccines. ex; tetanus, diphtheria, antitoxins contain antibodies
conjugated vaccines
used for diseases in children with poor immune response to capsular polysaccharides. ex; Hemophilus influenza B, meningococcal group C
Nucleic DNA, mRNA vaccines
injected naked DNA produces the protein antigen encoded in the DNA. protein antigens carried to the red bone marrow stimulate humoral, cellular immunity. ex; West Nile (horses), COVID-19 mRNA
types of adaptive immunity
acquired - infection or vaccination (B cells, T cells)
primary response - immune system combats a particular foreign substance, program
secondary response - interactions with the same foreign substance, faster and more effective due to memory
humoral immunity - produces antibodies that combat foreign molecules known as antigens
cell-mediated immunity - aka cellular immunity. T lymphocytes are basis of cellular immunity. Recognize antigenic peptides processed by phagocytic cells, mature in the thymus, on T cell surface cause T cells to secrete cytokines instead of antibodies
Types of T cells and their functions
3 classes;
T helper CD4 - APC's presenting antigens associated with MHC II. Involved in the activation of macrophages and NK cells (Th1 cells)(Th2, Th17, memory cells)
Regulatory T cells
APC's presenting antigens associated with MHC II. involved in peripheral tolerance and prevention of autoimmune responses
Cytotoxic T cells
APC's or infected nucleated cells presenting antigens associated with MHC I. Destroy cells infected with intracellular pathogens
T helper cells (CD4)
T h17 - produce cytokines (such as IL-17), responsible for bodys defense against mucocutaneous infections
T h1 - stimulate cytotoxic
T h2 - orchestrate humoral immune response through cytokines secretion activate B cells to produce antibody, switch between IgM, IgA and IgE, activate eosinophils
MHC complex I and II
MHC I - all nucleated cells, recognizes cytotoxic CD8
MHC II - dendritic, macrophages, and B cells, helper T h
primary immune response vs secondary immune response
compared to the primary response, the secondary antibody response occurs more quickly, produces antibody levels that are higher and more sustained, and mostly involves IgG.
Primary response - The immune system combats a particular foreign substance programming.
secondary - interacts with the same foreign substance, faster and more effective due to memory
name of complement pathways and how they are activated
classic - triggered directly by a pathogen or indirectly by antibody binding to the pathogen surface.
MB-lectin and alternative - provide an amplification loop for the other 2 pathways
classic - a specific antibody must first bind to form an antibody-antigen complex C1
alternate - initiated by spontaneous activation of protein C3 + C3b recruit.
lectin - triggered by the binding of mannose-binding lectin, an acute phase protein, to carbohydrates on the microbial surface. Lectins are produced by the liver cells and are upregulated in response to inflammatory signals during infection
types of antibodies and main location
IgG - monomer, blood, lymph, intestine
IgM - pentamer, blood vessels
IgA - monomer dimer, mucous membranes, saliva, tears, breast milk
IgD - monomer, blood, lymph, B cells
IgE - monomer, on mast cells, basophils, blood
antibody parts and function
Y shaped which consists of 4 polypeptide, 2 heavy chains, 2 light chains
function - antigen binding and biological activity mediation, binds to pathogens, activates the immune system, directly attacks visual pathogens, assists in phagocytosis, antibody provides long-term protection against pathogens
Hapten
small molecule that has to bind to a larger molecule to form an antigen, attach to carrier molecules, initiates a immune response
cells of the adapted immunity vs innate immunity
adaptive immunity - involves the actions of 2 distinct cell types ( B lymphocytes and T lymphocytes). is the resistance to infection obtained during the life of the individual (ex: measles).
innate immunity - refers to the resistance of species or individuals to certain diseases that is not dependent on antigen-specific immunity (ex; cough reflex, tears)
antibody-mediated opsonization
a pathogen is marked for phagocytosis or destruction by macrophages, dendritic cells, and neutrophils. Phagocytic cells use Fc receptors to bind to IgG opsonized pathogens, the first step of attachment before phagocytosis.
B cell and T cell primary function and location where they mature
B cells - mature in red bone marrow, recognize antigens, viruses, bacteria, toxins, make antibodies
T cells - combat intracellular pathogens, differentiate in the bone marrow maturation in 3 steps ( develop functional TCL, eliminate immature T cells, positive selection of thymocytes that interact appropriately with MHC molecules
role of plasma cells
secrete large quantities of antibodies. after surface BCR's disappear and the plasma cell secretes pentameric IgM molecules that have the same antigen specificity as the BCR's
types of hypersensitivity and antibodies and cells involved
anaphylactic - (<30 min) IgE binds to mast cells, causing degranulation of mast cells releasing histamine.
cytotoxic - (5-12hrs) antigen causes the formation of IgM and IgG that bind to the target cell, and destroy target cell.
immune complex - (3-8hrs) antibodies and antigens form complexes that cause damaging inflammation
delayed cell-mediated - (24-48hrs) antigens activate Tc that kills target cell
Addison disease
destruction of the adrenal glands, causing impaired metabolic process. s/s: weakness, nausea, decreased appetite, hyperpigmentation
Multiple Sclerosis (MS)
destruction of the myelin sheath on neurons in the CNS and its replacement by plaques of sclerotic (hard) tissue. progressive inflammatory disease affecting nervous system
Psoriasis
chronic skin condition producing red lesions covered with silvery scales. autoimmune disorder of skin, s/s; swelling of joints due to RA
SLE (lupus)
An inflammatory disease is caused when the immune system attacks its own tissues. immune complexes form in the kidney, and glomeruli, mostly women, s/s butterfly rash on bridge of nose area
type 1 diabetes mellitus
insulin-dependent, T cell destruction of insulin-secreting cells
blood typing glycoprotein antigen, antibodies and hemolytic transfusion reaction
antibodies against certain carbohydrate antigens on RBCs:
A antigen - has anti-B
B antigen - has anti-A
AB - has both but no antibodies
O has no antigen
hemolytic disease of the newborn
This disease occurs in the fetus if the fetus is Rh+ while the mother is Rh-. second Rh+ fetus will receive anti-Rh antibodies, damaging fetal RBCs. Type II hypersensitivity hemolytic transfusion leads to anemia
Degranulation
the release of the contents of mast cell granules histamine, leukotrienes, and prostaglandins.
in delayed type hypersensitivities what is the role of activated macrophages?
production of proinflammatory cytokines, which result in recruitment of immune cells and activation of T c that kills target cells
Describe what happens in poison ivy reaction?
allergic response, haptens combine with proteins in the skin producing a response. first exposure does not result in a reaction. However, sensitization stimulates helper T cells, leading to the production of memory T cells that can become reactivated on future exposures. Upon secondary exposure, the memory T helper cell becomes reactivated, producing inflammatory cytokines that stimulate macrophages and cytotoxic T cells to induce inflammatory lesion at the exposed site. lesion, which will persist until the allergen is removed
Types of transplants
Autograft: use of one's own tissue (no rejection)
Isograft: use of identical twins tissue (no rejection)
Allograft: use of tissue from another person (rejection possible)
Xenograft: use of nonhuman tissue (rejection possible)
must overcome hyperacute rejection - response to nonhuman antigens
Graft vs. Host Disease (GVHD)
can result from transplanted bone marrow that contains immunocompetent cells
what is immune tolerance
ability to discriminate self from nonself
What is antiserum?
Serum obtained from an animal containing antibodies against a particular antigen that was artificially introduced to the animal
how are monoclonal and polyclonal antibodies made?
monoclonal - mAbs produced by using tissue culture techniques produced by introducing an antigen to a mouse and then fusing polyclonal B cells from the mouse's spleen to myeloma cells.
Polyclonal - binds to multiple epitopes on an antigen, leading to lattice formation that results in a visible precipitin.
what are hybridomas?
producing the desired mAb are then grown in large numbers on a selective medium that is periodically harvested to obtain the desired mAbs
Clinical use of polyclonal antisera (antibodies)?
used in many clinical test, to determine if pt is producing antibodies in response to a particular pathogen
Clinical use of monoclonal antibodies?
chimeric monoclonal: mouse variable region, human constant region. ex; Rituximab-targets protein on surface of CA cells leukemia
complement fixation test
A diagnostic test that determines the presence of a particular antibody in blood or serum.
Agglutination direct
detect antibodies against large cellular antigens, measure concentration of serum antibody known as titer
agglutination indirect
antibody reacts with the soluble antigen adhering to the particles or vice versa
Hemagglutination
Agglutination of RBC surface antigens and complementary antibodies; used in blood typing
ELISA indirect test
is used to detect antibodies in a sample
ELISA
used to capture an antigen with the primary antibody. A secondary antibody conjugated to an enzyme that also recognizes epitopes on the antigen is added. Show dilutions from antibodies (left) and antigens (bottom)
Immunohistochemistry (IHC)
a technique in which labeled antibodies are used to visualize the histological distribution of specific proteins. Used to examine whole tissue. Permeabilized cells, to allow antibodies entry to cell
Which of the following best describes the innate
nonspecific immune system?
a generalized and nonspecific set of defenses
against a class or group of pathogens
Which of the following uses a particularly dense
suite of tight junctions to prevent microbes from
entering the underlying tissue?
the blood-brain barrier
Bacteriocins and defensins are types of which of
the following?
antimicrobial peptides
Which of the following chemical mediators is
secreted onto the surface of the skin?
sebum
Identify the complement activation pathway that
is triggered by the binding of an acute-phase
protein to a pathogen.
lectin
.Histamine, leukotrienes, prostaglandins, and
bradykinin are examples of which of the
following?
chemical mediators that promote
inflammation
Hematopoiesis occurs in which of the following?
bone marrow
Granulocytes are which type of cell?
leukocyte
Which of the following best characterizes the
mode of pathogen recognition for opson-independent phagocytosis?
A pathogen is first coated with a molecule
such as a complement protein, which
allows it to be recognized by phagocytes.
Which type of inflammation occurs at the site of
an injury or infection?
acute
Antibodies are produced by
plasma cells
Cellular adaptive immunity is carried out by ________.
T cells
A single antigen molecule may be composed of
many individual ________.
epitopes
MHC I molecules present
processed foreign antigens from proteasomes.
MHC II molecules present
processed foreign antigens from phagolysosomes.
What is a superantigen?
a protein that activates T cells in a nonspecific and uncontrolled manner
To what does the TCR of a helper T cell bind?
antigens presented with MHC II molecules
Cytotoxic T cells will bind with their TCR to
which of the following?
antigens presented with MHC I molecules
A ________ molecule is a glycoprotein used to
identify and distinguish white blood cells.
cluster of differentiation
A patient is bitten by a dog with confirmed
rabies infection. After treating the bite wound,
the physician injects the patient with antibodies
that are specific for the rabies virus to prevent
the development of an active infection. This is
an example of:
artificial passive immunity
A patient gets a cold, and recovers a few days
later. The patient's classmates come down with
the same cold roughly a week later, but the
original patient does not get the same cold
again. This is an example of:
natural active immunity
Which of the following is the type of cell largely
responsible for type I hypersensitivity
responses?
mast cell
Type I hypersensitivities require which of the
following initial priming events to occur?
sensitization
Which of the following are the main mediators/
initiators of type II hypersensitivity reactions?
antibodies
Inflammatory molecules are released by mast
cells in type I hypersensitivities; type II
hypersensitivities, however, are characterized by
which of the following?
cell lysis (cytotoxicity)
Which of the following induces a type III
hypersensitivity?
accumulation of immune complexes in
tissues and small blood vessels
Which one of the following is not an example of a
type IV hypersensitivity?
hemolytic disease of the newborn
Which of the following is an example of an organspecific autoimmune disease?
Addison disease
Which of the following is a genetic disease that
results in almost no adaptive immunity due to
lack of B and/ or T cells?
severe combined immunodeficiency
All but which one of the following are examples
of secondary immunodeficiencies?
chronic granulomatous disease
Cancer results when a mutation leads to which
of the following?
loss of cell-cycle control
Tumor antigens are ________ that are
inappropriately expressed and found on
abnormal cells.
self-antigens
How are monoclonal antibodies produced?
Antibody-producing B cells from a mouse
are fused with myeloma cells and then the
cells are grown in tissue culture.
In the Ouchterlony assay, we see a sharp
precipitin arc form between antigen and
antiserum. Why does this arc remain visible for a
long time?
The precipitin lattice is too large to diffuse
through the agar.