The entire reviewer including the sidenotes! Langkat kagaral
Edward Jenner
1796 - Introduced vaccination against small pox and cross-immunity (cowpox and small pox)
Louis Pasteur
1880 - developed the first attenuated vaccine
Ellie Metchnikoff
1882 - cellular theory of immunity through phagocytosis
Jules Bordet
1896 - discovered ‘alexin’ , now known as complement
Jonas Salk
1949 - developed the polio vaccine (IPV)
Albert Sabin
1949 - developed the polio vaccine (OPV)
Rosalyn Yallow & Solomon Berson
1959 - developed the Radioimunnoassay technique
Gerald Edelman & Paul Porter
1972 - discovered the chemical structure of antibody
Cesar Milstein & George Kohler
1973 - devised Hybridoma technology
Hybridoma
production of monoclonal antibodies, which can be used for reagents or treatment of cancer
Susumu Tonegawa
1976 - discovery of genetic principle for Antibody diversity
Innate or Non-Specific
Natural Immunity
Immediate
Immunologic Response of Natural Immunity
3 to 6 hours
Neutrophils response within ______
Absent
Immunologic Memory of Natural Immunity
1st and 2nd
Lines of Defense of Natural Immunity
Acquired or Specific
Adaptive Immunity
Slow
Immunologic Response of Adaptive Immunity
3 to 7 days
Antibody production takes _______
Present (Memory B cells and T cells)
Immunologic Memory of Adaptive Immunity
3rd
Lines of Defense for Adaptive Immunity
First Line of Defense
consists of anatomical barriers that prevent infectious agents from infecting the body (skin, mucous membrane, cilia, body secretions)
5.6
pH of Intact Skin
1 - 3
pH of stomach acid
Lyzozymes
Body secretions contain ____
Lyzozymes
tears, saliva, milk, and mucus (has antibacterial properties)
Cellular and Humoral component
Second Line of Defense compose of ____
Phagocytic Cells
Major component of the Second Line of Defense (PMNs, Monocytes, Macrophages)
Antigen-Presenting Cells
Part of Cellular Component of 2nd line, Present to Helper T cells for antigen recognition
Dendritic Cell
most effective Antigen-Presenting Cell ; most potent phagocytic cell
Monocytes and Macrophages
APCs & Phagocytic cell
Natural Killer Cells
part of cellular component of 2nd line ; cytotoxic cells which kills virus and tumor cells
Humoral
composed of soluble factors or proteins
Complement system
Major component of the 2nd Line of Defense of the Humoral Component
Interferons
part of the Humoral Component of 2nd Line of Defense
Third Line of Defense
Higher Line of Defense
Specialized Lymphocytes
B cells and T cells, Cellular component of 3rd Line
Antibodies & Cytokines
Humoral component of the 3rd Line of Defense
Adherence
Physical contact between phagocytic cell and microorganism occurs
Diapedesis
migration of WBCs from capillaries to surrounding tissue
Chemotaxis
cells are attracted to the site of inflammation
Engulfment
outflowing of cytoplasm to surround the microorganism
Formation of Phagosome
microorganism is completely enclosed
Granule contact
lysosomal granules fuse with the phagosome
MPO
primary granule, important in bacterial digestion / respiratory burst
Formation of Phagolysosome
contents of the lysosome are emptied
Digestion
digestion of the microorganism by hydrolytic enzyme
Excretion
contents of phagolysosome are expelled to the outside by exocytosis
NK cells
Transitional cells bridging innate and adaptive immunity
Neutrophils
first responders to infection
Neutrophils
principal leukocyte associated with phagocystosis
16 - 48 hours
Monocytes / Macrophages respond within _____
Monocytes or Macrophages
Slow responders, constitute the Mononuclear phagocyte system
Eosinophils
Less efficient phagocyte, contains granules
Helminths
Eosinophils are toxic to ___
Eosinophils
Neutralizes products of mast cells (hypersensitivity)
Kupffer Cells
Liver Macrophages
Alveolar Macrophages or Dust Cells
Lung Macrophages
Microglial Cells
Brain / Nervous Tissue Macrophage
Histiocytes
Connective Tissue Macrophage
Langerhans Cells
Skin / Mucosa Macrophages
Splenic Macrophage
Spleen Macrophage
Littoral Cells
Lymph Nodes Macrophages
Hofbauer Cells
Placenta Macrophages
Osteoclasts
Bone Macrophage
Mesangial Cells
Kidney Macrophages
TLR (Toll-Like Receptors)
found on human leukocytes and recognize different microbial products
TLR 1, 2, 4, 5, 6
Toll-Like Receptors for bacterial structures, found on the surface of the cell
TLR 1, TLR 6
Lipopeptides (Mycobacteria)
TLR 2
Peptidoglycan (G pos Bacteria)
TLR 4
Lipopolysaccharide (G neg Bacteria)
TLR 5
Flagellin
TLR 3, 7, 8, 9, 10
Toll-Like Receptors for viral nucleic acid, located in the endosome
TLR 3
dsRNA viruses
TLR 7
ssRNA viruses
TLR 8
ssRNA viruses
TLR 9
dsDNA viruses
TLR 10
unknown of function
Opsonins
substances that coat the foreign cells to make them more susceptible to phagocytosis (CRP, C3b, antibodies)
Acute-Phase Reactants
normal serum constituents that increase by 25% due to infection, injury, or trauma to tissues
Hepatocytes, 12-24 hours
Acute Phase Reactants are produced by _____ within ____
CRP
most commonly measured ACR, increases 1000x in value within 6-10 hours
Cardiovascular Disease
CRP is a risk marker for ____
High Risk
3 mg/L
Average Risk
1-3 mg/L
Active Immunity
host synthesizes own antibodies
Passive Immunity
host receives antibodies derived from other sources
Natural Active
gained from infection, antibody is produced by the host, long duration of response
Artificial Active
Vaccination, antibody is produced by the host, long response
Natural Passive
Placental transfer of IgG of mother to child ; IgG protection for the first few days of birth
Artificial Passive
Infusion of plasma or serum ; COVID-19 Convalescent Plasma
Active immunity
What type of immunity is vaccination?
T-cells
60-70% of Lymphocytes
B-cells
10-20% of Lymphocytes
NK cells
10-15% of Lymphocytes
Cell-mediated
T cells are _____ mediated immunity
Humoral-mediated
B cells are ____ mediated immunity
Antibody-Dependent Cellular Cytotoxicity
NK cells are ______ mediated immunity
Viral, Fungal, Tumors, Graft Rejections
T cells defend against ____
Bacterial infections
B cells defend against ____