Chapter 22- Immune System

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1

what are the 5 immune cell types

granulocytes- neutrophils, eosinophils, basophils

agranulocytes- monocytes and lymphocytes

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2

what do monocytes differentiate into?

macrophages- live in the alveoli of the lungs

dendritic cells- live in the skin and mucousal membranes

microglial cells- live in the brain

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3

what are mast cells?

cells in CT releasing histamine and heparin and are abundant near blood vessels and mucous linings

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4

what do immune cells secrete?

cytokines- soluble proteins that regulate the immune system by communicating between cells involved in the immune response

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5

what is innate immunity?

immunity that you are born with, immediate response. broken into…

  1. skin/mucous membranes

  2. non-specific internal defense

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6

what are some examples of skin/mucous membranes being the first line of defense?

  • skin; being a multi-layered physical barrier

  • chemicals on mucous membranes; like sweat, lysozyme, hyaluronic acid in the skin, lactic acid in sebum, mucus, hair/cilia, acidic vaginal enviornment

  • eyes; tears have lysozyme which is an antibacterial enzyme

  • ears; earwax protects eardrum from bacteria and waterproofs

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7

what is involved in the internal defense system category of innate immunity?

Cells, chemicals, and physiological responses

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8

what cells are involved in the internal response section of innate immunity

leukocytes

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9

what are the phagocytic cells?

neutrophils- arrive first at the site of injury

macrophage- some travel to the site of injury but some stay in the tissue

dendritic cells- work to take in the pathogen, process it and place a portion of it on the cell surface

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10

what are the proinflammatory chemical-secreting cells?

basophils- heparin (anticoagulant) and histamine (vasodilator/increases permeability)

mast cells- reside in CT to increase fluid movement from the blood to injury

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11

what are the Natural Killer cells?

destroy unwanted cells with release of chemicals

  • perforin- makes hole in enemy cells

  • granzymes- enter through the holes and trigger apoptosis

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12

what are eosinophils?

they target parasites by releasing cytotoxic chemicals to destroy them, involved in allergic or parasitic infections

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13

what is the second part of the internal responses (2nd line of defense)

chemicals (specifically cytokines)

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14

what are interferons (IFNs)?

released by a variety of cells including those infected by a virus by binding to nearby cells to prevent them from being infected

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15

what is the complement system?

proteins that are formed by the liver and become activated when needed, usually during bacterial infections

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16

What is O-Ice?

This is how the proteins act

Opsonization- opsonin protein binding to the pathogen to mark it for destruction

Inflammation- activates basophils and mast cells to promote inflammation

cytolysis- complement proteins create a channel in enemy cell membrane causing it to lyse (makes a hole in cell membrane)

elimination- proteins connect immune complex to RBC bringing it to liver for removal

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17

what are the two physiologic factors of internal 2nd line of defense responses?

Inflammation and fever

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18

what is inflammation?

local, immediate, nonspecific response to injury caused by external stimuli (like a bug bite, or cut to a body part)

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19

what is the first step of inflammation?

  1. chemical release from mast cells and basophils (heparin and histamine) as well as prostaglandins which stimulate pain through reception

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20

what is the second step of inflammation?

  1. vascular changes- vasodilation occurs, permeability of capillaries increases, cell-adhesion molecules activate for leukocyte attachment at site of injury

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21

what is the third step of inflammation?

  1. leukocyte recruitment- occurs through three steps

    1. margination- leukocytes go to the open area

    2. diapedesis- leukocytes squeeze out of capillaries through the openings

    3. chemotaxis- leukocytes move toward injury

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22

what is the fourth step of inflammation?

  1. delivery of helpful plasma proteins like complements, clotting, and pain receptor kinans

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23

what is exudate?

extra tissue fluid formed fluid proteins and immune cells that left the capillaries during inflammatory response

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24

what are the cardinal signs of inflammation

redness/heat (increased blood flow), swelling (from exudate), pain (chemicals stimulating pain reception), loss of function (from pain and swelling)

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25

what is a fever caused by?

release of pathogens, tissue trauma or drug reaction

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26

what does a fever do?

inhibits viruses and bacteria, enhances interferons and tissue repair

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27

what is adaptive immunity (third line of defense)

a delayed response to specific antigens (like a few days), stimulated by antigens which will trigger immune response by binding to antibody of T cell

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28

some antigens produce disease called…

pathogens

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29

what is immunogenicity

determined by size quantity, complexity and degree of foreignness of antigen

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30

what are epitopes?

projections on antigens serving as binding sites for the lymphocytes or antibodies

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31

what are haptens?

molecules too small to act as an antigen alone (like bee pollen and animal dander)

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32

how do T and B cells become activated?

through binding to an antigen through receptors on surface cells

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33

what is a coreceptor?

helps present the antigen present itself to the T cell can look at the antigen and bind to it if needed

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34

what is a major histocompatibility complex molecule?

transmembrane proteins making the surface of cells, where the antigen will be placed right on top and presented to lymphocyte

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35

what is MHC class I

found on all nucleated cells. presents as a self-antigen

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36

what is a MHC class II

surface of antigen presenting cells which are dendritic cells, macrophages, and B cells. They will take in the antigen and process it and then present it with a MHC class II molecule

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