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Bacitracin
gram positive
inhibits cell wall synthesis
in neosporin
Neomycin
broad spectrum, inhibits protein synthesis
in neosporin
tamiflu
inhibits release of viral particles
paxlovid
inhibits viral protein processing
the current covid drug
made of a combination of multiple
acyclovir
inhibits nucleic acid replication
used to treat herpes and shingles
chloramphenicol
inhibits protein synthesis
narrow therapeutic index
could cause aplastic anemia
tetracycline
broad spectrum
inhibits protein synthesis
humira
limits inflammation (bind to TNF alpha)
polymyxin B
acts on gram negative
injury to plasma membrane
in neosporin
penicillin
inhibits cell wall synthesis
gram positive
discovered by fleming
ivermectin
injury to plasma membrane
paralyzes worms (acts on helminths)
miconazole
injury to plasma membrane
fungi (used for athletes foot)
artemisinin
kills Plasmodium falciparum
protozoa (malaria)
amoxicillin
inhibits cell wall synthesis
gram positive
remdesivir
old covid meds, broad spectrum for viruses
inhibits nucleic acid replication & transcription
innate immunity
born with it
very fast response
non-specific
comes from mother
adaptive immunity
slow response
defenses that target a specific pathogen after exposure (highly specific)
memory of microbe develops
physical factors in immunity
epidermis (keratin, old cells, dead skin shed)
lumen (villi, enterocytes)
tears (blinking)
ciliary escalator
peristalsis, defecation, vomiting, diarrhea
epiglottis
earwax
urine
vaginal secretions
chemical factors in immunity
sebum
lysozyme
gastric juice
vaginal secretions
differential white blood count
measures the % of each type of wbc in your body
normal wbc
5,000-10,000/mm3
neutrophils: 60-70%
lymphocytes: 20-25%
monocytes: 3-8%
eosinophils: 2-4%
basophils: 0.5-1%
what causes low wbc?
bone marrow issues, chemotherapy, HIV/AIDS, hep A + B, medicines (ex. antibiotics), bad nutrition, radiation
what causes high wbc
infection, reaction to meds, sudden stress, immune system issue, smoking/nicotine, leukemia
what is a primary response
first time the immune system combats a particular foreign substance (can be from infection or vaccination)
characteristics of a primary response
IgM higher in primary response
indicate active infection
neutrophils predominate in initial phase of bacterial infection
characteristics of a secondary response
later interactions with the same foreign substance, faster & more effective due to memory
IgG higher during secondary response
macrophages dominate later
signs & symptoms of inflammation
PRISH
pain, redness, immobility, swelling, heat
importance of inflammation
destroys injurious agent/limits its effect on the body
repairs and replaces tissue damaged by injurious agent
B cells
lymphocytes that are created and mature in red bone marrow
what do B cells do
recognize antigens and make antibodies (causes secretion of antibodies)
T cells
a lymphocyte that recognizes antigenic peptides processed by phagocytic cells
mature in thymus
secretes cytokines (causes destruction of host cell)
how do T cells work
T cell receptors (TCRs) on T cell surface contact antigen, causing T cell to release cytokines instead of antibodies
humoral immunity
produces antibodies that combat foreign molecules known as antigens. production of lots of antigens
involves B cells
(antibody-mediated immune system)
cellular immunity
an immune response that eliminates intracellular pathogens w/o using antibodies. eventually kills cell
(cell mediated immune system)
what is antibody titer
the relative amount of antibody in the serum
what is class switching
where initial IgM response shits to IgG, IgE, or IgA
active immunity
patient encounters the antigen and generates their own antibodies
passive immunity
patient gets antibodies against an antigen from another person (patient doesn’t make their own antibodies)
ex. fetus via placenta, infant via breast milk, infused preformed antibodies
artificial immunity
vaccine provides the antigen (not naturally encountered)
natural immunity
person encounters a pathogen (naturally encountered)
vaccine types
attenuated vaccines
inactivated vaccines
subunit vaccines
nucleic acid vaccines
attenuated vaccine characteristics
able to do replication (could be problematic for immunocompromised)
alive
inactivated vaccine characteristics
not able to survive, brings antigenic properties
dead
subunit vaccine characteristics
not the whole thing (ex. only protein, polysaccharide)
part of microbe
nucleic acid vaccine characteristics
brings in mRNS, encodes antigen in host cell
doesn’t last long (transient), aka needs boosters
vaccine importance to a community
if enough people are vaccinated it can provide herd immunity
important for immunocompromised
antibody classes
IgG, IgM, IgA, IgD, IgE
IgG characteristics
monomer
80% of all serum antibodies
crosses placenta and protects fetus
IgM characteristics
pentamer (1 unit has 5 copies)
6% of serum antibodies
released as 1st response to an infection
short lived
IgA characteristics
dimer in secretions
13% of serum antibodies
in mucous membranes, saliva, tears, and breast milk
prevents microbial attachment to mucous membranes
major secratory antibody
IgD characteristics
0.02% of serum antibodies
similar structure to IgG
no well defined function in serum
IgE characteristics
0.002% of serum antibodies
high levels when infected w/ parasitic worm (lysis of parasitic worm)
plays important role in allergies