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innate, adaptive
what are the two types of immune defenses/responses?
nonspecific, surface, internal
the innate defenses have a quick response and are —, they exist as — barriers and — defenses
skin, mucosal, broken
surface barriers include — and — membranes; if bacteria are getting across, the barrier must be broken
inflammation, fever
internal defenses include phagocytes, NK cells, —, antimicrobial proteins, and —
7-10, specific, memory, humoral, cellular
the adaptive defenses take a much longer time to respond (#-# days), they are highly — and retain — of previous infections, include — immunity and — immunity
B cells
humoral immunity constitutes of - — that produce antibodies
T cells
cellular immunity constitutes of - — that regularly involve cell-to-cell contact
prevent, pathogen, pathogen
there are 3 goals of innate immune protection: — entry, detect —, eliminate —
antimicrobial
to prevent pathogen entry — substances are made by cells found at body surfaces
pattern recognition receptors, complement
the innate immune system detects invaders by — — — (PPRs) and use the — system (serum proteins)
interferon, inflammatory
the innate immune system eliminates invaders by — response (antiviral), phagocytosis, complement activation, — response, fever
physical, antimicrobial, microbiota
innate first-line defenses (3): — barriers, — substances, normal —
keratin, dermis, digestive, respiratory
physical barriers include skin/epidermis (— filled dead cells) junctions between cells — (dense irregular connective tissue), and mucus membranes in the — and — tract
lysosome, lactoferrin, positively
antimicrobial substances (skin/mucosal membranes): — degrade PGN, — are iron-binding protein, antimicrobial peptides (15-20 AA) some are — charged causing lysis of bacteria
immune
the normal microbiota are the microbes that live with us and are NOT part of the — system
hematopoiesis
formation and development of blood cells in bone marrow
granulocytes
immune cells that contain granules of antimicrobial substances
neutrophils
granulocytes that have granules with enzymes and antimicrobial substances
eosinophils
granulocytes effective in tissues (allergy) and against parasites
basophil
granulocyte effective against parasitic infection
Dendritic cells
— — involved in phagocytic activation of adaptive immune system
lymphocytes
B cells and T cells are —
cytokines
cell communication proteins
chemokines
subgroup of cytokines, cause chemotaxis
CSF (colony-stimulating factor)
differentiation of leukocytes
IFNs (interferons)
antiviral cytokines
TNF (tumor necrosis factor)
kills tumor cells, pro-inflammatory cytokine
invasion
PRRs allow body to sense microbial/microbe —
specific, surfaces, phagosomes
Toll-like Receptors (TLRs) are PRRs that recognize — microbial components and are found on cell — and in —/endosomes
cytoplasm
Nod-like receptors (NLRs) and RLRs are PRRs that detect cell damage and microbial components in the cell —
IFN
PRR activation leads to — response (limits viral spread)
save, iAVP, infected, lysis
IFN does not — cells but it alerts other cells → alerted cells produce — which will not activate until the cell is — by the virus → cell —
serum, antibodies, inactive, cleavage,
the complement system is made of — proteins that support the action of —; they are produced as — proteins that require — to be activated, effector function
3, convertase
the complement system has # pathways of activation; all converge to the formation of C3 —
C3a, C5a
— and — combine to form an inflammatory response that attracts phagocytes and increases vascular permeability
C3b, C5b, MAC
— and — combine to form a — that causes cell lysis
C3b
— alone will coat the microbe to make it visible to the immune system
chemotaxis, recognition, engulfment, maturation, digestion, exocytosis
steps of phagocytosis (6): —, — and attachment, —, phagosome — and phagolysosomes, destruction and — of bacteria, —
chemotaxis
recruitment of phagocytes to the infection, microbial products, injured host cells, chemokines
microbial ligands, C3b
recognition and detection can be direct through — — or indirect through —
endocytosis
engulfment occurs via — of bacteria and development of phagosome
acidic
a maturing phagosome grows more — which creates an antimicrobial environment
contain, local, function
the goals of an inflammatory response is to: — the site of damage, produce — inflammation, eliminate pathogens, and restore tissue —
blood flow, histamine, neutrophils, macrophages
an inflammatory response to a cut involves increased — — leading to fluid accumulation, and increased blood vessel diameter due to — release, — are the first phagocytes recruited to the area → phagocytic cell destroy and remove invaders and — ingest dead cells and debris
antigen
any molecule that will react with TCR, BCR, or Abs
adaptive, T, thymus
Dendritic cells from the innate immune response activates the — immune response by activating naive — cells developing in the —
capable
naive adaptive immune cells are fully — of responding but haven’t yet interacted with pathogen
cytotoxic, apoptosis, CD8
Tc cells are — T cells that activate — in infected self cells, they are — presenting
helper, cytokines, B, CD4
TH cells are — cells that deliver — to macrophages to boost their phagocytic ability and to — cells to initiate their development, they express —
bone marrow, plasma, TH, Abs
B cells develop in — — and are developed into — cells by initiation from — cells → produce lots of —
peripheral tolerance
occurs after B and T cells mature to ensure that they are not self-reacting
central tolerance
as lymphocytes mature if they recognize a self-antigen apoptosis is initiated
dendritic, TCR
on a T cells, — cells present Ag to T cell, recognition of antigen occurs at the antigen-binding site of the —
BCRs, Fc, Fab, degranulation
on a B cell, there are lots of —, the — portion is in the cytoplasmic membrane while the — region has the Ag-binding site, recognition of an Ag leads to — of the B cell
complement system activation, opsonization, cross-linking, ab-dependent cellular cytotoxicity, immobilization and prevention of adherence, neutralization
what are the 6 results of Ab-Ag binding? (COCAIN) — — —, —, —, — — — — ,— and — of —, —
complement, Fc, classical
complement system activation: antibody coats bacteria → — binds to the — portion of Ab → — complement pathway activated → formation of MAC
phagocyte
opsonization: Ab coats bacteria → — recognition → bacterial degredation
identical, Ab-Ag
cross-linking: arms of Ab bind to separate but — antigens forming an — - complex that is phagocytosed
virus infected, NK
antibody-dependent cellular cytotoxicity (ADCC): antibodies bind to — — cell → identified by a — cell → apoptosis
flagellum/pili
immobilization and prevention of adherence: Ab bind to —/— to prevent bacterial movement
toxin
neutralization: Ab coats — or virus blocking them from binding to a host cell
memory
— cells are the basis of vaccines
specific, proliferation, effector, memory
clonal selection theory: the ideal that the immune system encounters a — antigen → only lymphocytes with specific recognition undergo — → differentiation occurs as some B cells become — cells to make Abs and some become — cells
antigen, internalizes, peptide, 2, TH, cytokine, anergic, apoptosis
B cell activation: B cell binds to — → B cell — antigen → B cell degrades antigen into — fragments → fragments are presented on MHC class # molecules then either
microbial antigen presentation: B cell expansion occurs as — cell recognizes antigen fragment and activates B cell by delivering — to it forming a plasma cell
harmless antigen presentation: peripheral tolerance occurs as no TH cell recognizes ag fragment → B cell becomes — → low-responsiveness → —
IgM, IgG, IgA, IgD, IgE
what are the 5 classes of antibodies?
pentamer, blood, abundant, dimer, IgM, basophils, mast, parasite, allergy
IgM can form a — and is used in early B cell secretions, good at getting — infections; IgG is the most — serum Ab and is most prominent during a secondary response; IgA is the most abundant nonserum antibody, it is a — at mucosal surfaces; IgD is often expressed with — and is part of development and maturation of Abs; IgE is bound by Fc receptors on — and — cells and causes degranulation in response to — infection and —
lymph
the adaptive immune system primary response occurs in the germinal centers of secondary — organs
affinity, class
a primary response consists of — maturation and — switching
multiply, mutations, effectively
affinity maturation is when naive B cells recognize antigen and then —, during replication spontaneous — occur in Ab genes → might lead to slight changes in Ag-binding site → B cells that most — bind Ag are selected to become plasma cells
IgM, Ab, IgG, IgA
class switching: B cells initially produce —, as they multiply they switch — class (this is done by cutting out class DNA before the existing class); B cells in lymph switch to —, B cells in mucosal tissues switch to —
IgM, IgG
primary response to antigen exposure first low — levels are released then — is produced
rapid
secondary response is — and more intense due to subsequent Ag exposure because of memory B cells
MHC
T cells do not interact with free antigen, they require presentation of Ag via — from DCs
CD4, MHC2
helper T cells have — receptors that recognize Ag on —
CD8, MHC1
killer T cells have — receptors that recognize Ag on —
nucleated, MHC1, Tc
all — cells present endogenous Ags on — molecules which is recognized by — cells
macrophages, MHC2, Th
B cells, — and DCs present exogenous antigens on — molecules which is recognized by — cells
MHC2, macrophages, basophils
when a macrophage has phagocytosed material it presents particles on — for TH cells activate — and cytotoxic T cells, they recruit eosinophils, —, and neutrophils, and they enhance B cell responses
antibody
Natural killer cells have — dependent cell mediated cytotoxicity meaning if antibodies are present NK cells will kill the cell they are attached to
MHC1, apoptosis
cells that do not express — due to viral blocking are targeted by NK cells and undergo —
1-2
between ages # and # the human microbiome begins to fully develop
trillion
in a human adult microbiome there are about 100 — microbes
mutualism
a symbiotic relationship where both partners benefit, can be found in the human microbiome, in large and small intestinal bacteria
commensalism
symbiotic relationship where one partner benefits and the other is unharmed, this can be found on the skin
parasitism
an organismal relationship where one organism (parasite) benefits at the expense of the other
infection, cancer, tolerance, digestion
some benefits of the human microbiome is that it protects against — and —, promotes immune —, aids in —, and produces substances that are important for human health
competing, binding, nutrients, pathogens, adaptive
the microbiome protects against infection and cancer by — for space, covering — sites on cells, consuming — and producing toxins that damage — and stimulate the — immune response
autoimmunity, hygine
the microbiome promotes immune tolerance by promoting self/—, follows the — hypothesis (the idea that you need to be sufficiently exposed to a certain number of microbes to prevent allergies and (« prev)
energy
microbes aid in digestion by allowing the body to extract more — from food
k
the microbiome produces substances that are important for human health like vilamin —
colonization
establishment and growth of a microbe
infection
parasitic relationship between microbe and host
subclinical infection
no symptoms/does not lead to illness, immune system takes care of it before you become symptomatic
infectious disease
infection that leads to disease (prevents normal body function)
primary infection
initial infection
secondary infection
all additional infections with a specific microbe
incubation, growth, infectious
— period: introduction of microbe to host → onset of symptoms; impacted by — rate of pathogen, condition of host, number of — cells or virons
illness
signs and symptoms of disease are evident
covalescence
recovery from disease
acute
illness is short term because the pathogen is eliminated by the host defenses, person is usually immune to reinfection