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Extracellular bacteria are captured by what cells?
Dendritic cells
DC cells with extracellular protein antigen activate what cells?
CD4+ T helper cells
CD4 Helper cells produce what? Functions?
IL-17: recruit neutrophils
IFNy: Activate macrophages
CD4 Cells differentiate into what? via?
Differentiate to Th1 via IL-12
Cells are lysed by what?
Cytotoxic CD8 cells
What cells are responsible for Intracellular Fungi killing
Neutrophils and Macrophages
Protective Responses against fungi
Th1 and Th17
Dentures and dry mouth can increase the risk of what fungal disease?
Oral Candidiasis or Thrush
Immune response for Viruses innate or adaptive?
Both
Innate response to Viruses
IFNalpha: induces antiviral state
NK cell killing
Protozoa are resistant to what type of killing?
Phagocytic
For protozoa you need macrophages activated by what?
Th1 cell derived cytokines
Helminths have what that helps them resist cytocidal mechanisms of neutrophils and macrophages?
Thick teguments
Activation of what results in the killing of helminths and not infected cells? what do they produce?
Th2 cells that produce IL-4 (IgE) and IL-5 (Eosinophils)
What is antigenic variation
Change surface proteins, common evasion mechanism for bacteria, virus, parasites
Point mutation Vs. Antigenic shift?
Point Mutation: small change
Antigenic Shift: Large Change
Reassortment of Viral RNA genomes responzible for influenza pandemics
Antigenic Shift
Effective vaccines produce what?
high affinity neutralizing antibodies, and memory cells
Caries vaccine enhances the levels of what? Reduces what?
Antigen specific S-IgA, Reduces Strep Mutans
Delayed type hypersensitivity primarily mediated by what?
Th1 and CD4 cells
What CD type causes tissue injury killing self cells?
CD8 cytotoxic cells
T cell mediated immune diseases are caused by what type hypersensitivity?
Type IV hypersensitivity
Antibody mediated autoimmune disease are caused by what type hypersensitivity?
Type II and III hyper
What type hypersensitivity can cause Serum Sickness (snake venom, Horse Ig)
Type III
Females or males at greater risk of autoimmune diseases?
Females
Autoimmune diseases are genetically linked to what?
MHC (HLA) genotypes
T/F environmental factors can play a role in diseases and autoimmune susceptibility?
True
Autoimmune diseases are triggered by what mechanism?
Inflammatory responses to infectious agents (ex. Strep. pyog. / Group A)
Hypersensitivity Type that is cross-linking of IgE antibodies bound to mast cells by antigen releasing histamine.
Type 1: Immediate
Penicillin allergy is an example of what type hypersensitivity?
Type 1
Antibodies on mast cells detect crosslink receptors to do what?
Activate mast cells and release histamine
What type hypersensitivity caused by IgG and IgM reacting with antigens on cells or basement membranes
Type 2
Hypersensitivity type where IgG and IgM bind to SOLUBLE antigens and activate the complement, avoiding clearance.
Type 3
Hypersensitivity type that is mediated by antigen specific T cells (CD4 and CD8)
Type 4
Delayed type hypersensitivity such as proteins, insect venom and tubercilin are reactions mediated by what?
Cytokine mediated inflammation