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What are the 4 types of cancer?
carcinoma, leukemia, lymphomas, sarcomas
What type of cancer is carcinoma?
arises from skin, glands, membranes, and metastasizes via lymph
What type of cancer is leukemia?
tissue that form blood, blood cancer
What type of cancer is lymphomas
lymph tissue
What type of cancer is sarcomas
usually metastasize via blood vessels, arises from connective tissue
What type of specific immune cell do AIDS damage?
CD4⁺ T helper cells (T lymphocytes)
What is the cause of AIDS?
condition that develops when HIV progressively weakens the immune system
What is HIV (Human Immunodeficiency Virus)?
virus that attacks immune system specifically CD4 cells
What is a autograft
use of one’s own tissue
What is isograft?
use of identical twin’s tissue
What is allograft?
Use of tissue from another person (not a twin)
What is xenograft?
Use of non-human tissue
What is privileged tissue (site)?
an area of the body (or tissue) that does not cause an immune response (ex; cornea, brain, heart valve)
What is the prevention and treatment of anaphylaxis/allergy?
avoid allergens, medications to treat reaction (antihistamine + epinephrine)
What are the 4 types of hypersensitivity reactions
Type I (anaphylactic), Type II (cytotoxic), type III (immune complex), type IV (cell mediated)
what antibody is involved in type I (anaphylactic) reactions
involved IgE antibodies, bind to mast cells and basophils
what antibody is involved in type II (cytotoxic) reactions
IgG or IgM AB and complement, causes cell lysis or damage of host cells by macrophages (ex; blood transfusion reaction)
what antibody is involved in type III (immune complex) reactions
IgG, IgM, and antigens form complexes that lodge in basement membranes, cause inflammation (glomerulonephritis)
what antibody is type IV (cell mediated) reactions
no antibodies involved (poison ivy, latex)
what are examples of over response
hypersensitivity, allergy, autoimmunity, anaphylaxis, transplant rejection
what are examples under response
disease, cancer, immune suppresion
define vaccination (immunization)
injection of antigens into body but usually not the disease producing part -they are modified
what is innate (nonspecific) immunity
built in resistance (canine distemper)
what is acquired immunity
developed during an individual’s lifetime (vaccination)
what is humoral immunity
antibodies produced by B cells, found in extracellular fluids, makes antibodies respond to antigen
what is cell mediated immunity
uses specialized lymphocytes called T lymphocytes
5 types of immunoglobulins (antibodies)
IgM, IgA, IgD, IgG, IgE (MADGE)
characteristics of IgM
pentamer, 1st made in initial exposure to an antigen then declines rapidly, remains in blood vessels,
characteristics of IgA
dimer, in secretions (saliva, colostrum, etc), stop pathogens from attaching to mucous surface
characteristics of IgD
monomer, antigen receptor on B cells
characteristics of IgG
monomer, most common ab in blood, in blood, lymph, intestine, crosses the placenta, mainly in 2nd exposure and long lived (many yrs)
characteristics of IgE
monomer, on mast cells and basophils in blood, cause mast cella to release histamine, allergic reactions; lysis of parasitic worms
what are chemokines
cause leukocytes to move to an infection
what are cytokines
chemical messengers within immune system
what are interleukins
communication between leukocytes
what is primary response
1st exposure, slow rise in antibody titer
what is secondary response (memory response)
2nd exposure, memory cells quickly divide into plasma cells, which produces antibodies
what is antibody titer
amount of ab in serum
what is herd immunity
the presence of immunity in most of a population
what is self tolerance
body doesn’t make ab against self, clonal deletion (B cells) and thymic selection (T cells); process of destroying B and T cells that react w/ self antigens
what is T dependent antigens
need helper T and macrophages to assist the B lymphocyte production
what is T independent antigens
produce B cell response without aid of T cells, usually IgM
types of acquiring immunity
naturally acquired active, naturally acquired passive, artificially acquired active
example of naturally acquired active immunity
infection
example of naturally acquired passive immunity
transplacental or bia colostrum
example of artificially acquired active immunity
injection of Ag (vaccination)
what is a hapten
low molecular weight molecules that are not antigens by themselves - need a carrier molecule
what is a antigenic determinant (epitope)
specific region on the surface of an antigen against which ab are formed/react
what is innate immunity/nonspecific resistance
defenses against any pathogens
what is adaptive immunity/ specific resistance
resistance to a specific pathogen
what are the different types/categories of WBC (leukocytes)
granulocytes, agranulocytes
what is a granulocyte
large granules in cytoplasm that are visible and under a microscope
what is a agranulocyte
have granules but not visible under light microscope
what are the 3 types of granulocytes
neutrophils, basophils, eosinophils
what are neutrophils
highly phagocytic, leave blood enter the infected tissue and destroy microbes and foreign particles
what are basophils
role is unclear, release histamine
what are eosinophils
they attach to the surface of parasite and discharge peroxide ions that destroy them
what are the 2 types of agranulocytes
monocyte, lymphocyte
what are monocytes
phagocytic as mature macrophages
what are lymphocytes (T cell and B cell)
are not phagocytic, play a key role in specific immunity
what is opsonization
enhancement of phagocytosis by coating with certain proteins (opsonins), happens in stage of adherence from stages of phagocytosis
what is a interferon
antiviral protein that interfere with vital multiplication
what are disadvantages of interferon
effective for short periods, when injected side effects can be toxic, no effect on cells already infected
what are the stages of phagocytosis
chemotaxis, adherence, ingestion, digestion
what happens in chemotaxis
chemical attraction of phagocytes are microbial products, components of WBC/tissue cells, peptides from complement
what happens in adherence
attachment to microorganism, can be done easily or difficulty w/ the presence of M proteins of large capsules can inhibit adherence.
what happens in ingestion
pseudopods neet and fuse surrounding microorganisms in a sac called a phagosome
what happens in digestion
phagosome comes in contact w lysosomes that contains digestive enzymes, kill most type of bacteria
what are the stages of inflammation
vasodilation, phagocyte migration, tissue repair
what happens in vasodilation
increased blood flow, edema-swelling, histamines and kinins increase permeability of blood vessels, leukotrienes increase permeability of blood flow rate
what happens in phagocyte migration
phagocytes stick to inner surface of blood vessels, emigration (diapedesis)- phagocytes (WBC) move out of the blood vessel to tissues
what happens when phagocytes begin to destroy the microorganisms by phagocytosis migration (inflammation)
pus formation- dead cells, WBC, invading microorganism
abscess- localized walled off infection
what happens in tissue repair
fever occurs, g - endotoxin cause phagocytes to release interleukin 1, hypothalamus release prostaglandins to reset the hypothalamus to a high temperature, body increases rate of metabolism and shivering to raise temperature (chills)
what is the complement system
serum proteins involved in lysis and phagocytosis of bacteria
what are the 3 ways complement system can be activated
classical, alternative, lectin
what is the result of complement system
cytolysis, inflammation, and opsonization
A complement pathway is activated after antibodies bind to a bacterial antigen. Which pathway is this?
Classical pathway
Which pathway is part of innate immunity and does NOT require antibodies?
Alternative pathway
what is virulence
the degree (how severe) of pathogenicity
what is the portals of entry
mucous membrane (respiratory, GI, genitourinary, conjunctiva (eye)), skin, parental route
portal of entry through respiratory tract
most common, ex; cold, pneumonia, tuberculosis, flu, measles, small pox
portal of entry in gastrointestinal tract
microbes enter food, water, or contaminated food
most survive in stomach acid
ex; poliomyelitis, hepatitis A, typhoid fever
portals of entry in skin
act as a barrier for most microbes, some can gain assess in a open wound
portals of entry parental route
deposited beneath skin (needles, punctures, bites, cuts, surgery)
What is LD50
lethal dose (of a toxin) for 50% of test population (potency of toxic)
what is ID50
infectious dose for 50% of the test population (virulence)
what are the methods of adhesion
adhesins and ligands, biofilms
what is adhesin and ligands
surface molecules of microorganism, enable MO to adhere to host tissue, may be part of glycocalyx, pili, fimbriae, flagella
(streptococcus mutans, actinomyces causes tooth decay)
what is biofilms
communitie of MO (scum in pool, shower doors, teeth)
ways of penetrating host defences
capsules, enzymes, coagulase, kinases, hyaluronidase, collagenase, IgA proteases, antigenic variation, invasions
what is a capsule
glycocalyx resist phagocytosis, therefore increases virulence (prevents adhesion of phagocytic cell)
what are the components of a cell wall
certain proteins that resist or aid penetration
M protein- heat+acid resistant
Opa- adhesion
what are enzymes (coagulase, kinases, hyaluronidase, collagenase, igA proteases, antigenic variation, invasions)
extracellular enzymes
what is a coagulase
coagulate blood
what is a kinases
digest fibrin clots
what is a hyaluronidase
hydrolyses hyaluronic acid
what is a collagenase
hydrolyzes collegen
what is a igA proteases
destroy IgA antibodies
what are antigenic variation
alter surface proteins
what is invasions
manipulate cytoskeleton allowing entry to cell membrane