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A set of vocabulary flashcards covering core concepts from Unit 1: Introduction to Immunology, innate immunity, and the complement system.
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Immunity (modern definition)
All physiologic mechanisms that enable the host to recognize materials as foreign and to dispose of them with or without injury to its own tissues.
Immunity (early/old definition)
Resistance of the host to reinfection by a given microorganism.
Acquired immunity
resistance to reinfection; responses developed after exposure to a pathogen.
Innate Immunity
Non-specific defenses, immediate protection, first line of defense against infection.
Adaptive Immunity
develops after exposure to a pathogen; humoral and cell-mediated components.
Humoral Immunity
Antibody-mediated immunity; extracellular pathogens.
Cell-Mediated Immunity (CMI)
T cell–mediated responses; direct cell-to-cell contact or cytokine signaling; defends against intracellular pathogens and tumor cells.
Immunomodulation
Regulation of immune response by infections, drugs, or environmental cues.
Self vs non-self recognition
immune system distinguishes host tissues from foreign materials and mounts responses to non-self.
Pattern Recognition Receptors (PRRs)
Receptors on immune cells that recognize microbial patterns (PAMPs) or danger signals (DAMPs) to activate innate immunity.
Pathogen-Associated Molecular Patterns (PAMPs)
Molecular structures common to groups of pathogens recognized by PRRs.
Damage-Associated Molecular Patterns (DAMPs)
fragments released by damaged or dying cells that activate innate immune responses.
Toll-like Receptors (TLRs)
PRRs that detect PAMPs and trigger cytokine production and inflammation.
Scavenger Receptors (SR)
PRRs that bind lipids and other ligands to promote phagocytosis.
NOD-like Receptors (NODs)
Intracellular PRRs that sense bacterial components to activate inflammatory responses.
C-type Lectin Receptors (CLR)
PRRs see carbohydrates on pathogens to modulate immunity.
RIG-I-like Receptors (RLR)
Cytosolic PRRs that detect viral RNA and induce antiviral responses.
Lipopolysaccharide (LPS)
Endotoxin; PAMP from Gram-negative bacteria that stimulates inflammation when recognized by PRRs.
Flagellin
Protein of bacterial flagella, PAMP by immune receptors.
Mannose
Carbohydrate structure on pathogens recognized as a PAMP by immune receptors.
Zymosan
Yeast cell wall component recognized as a PAMP by the immune system.
Viral RNA
Genetic material of viruses detected by innate immune sensors as a PAMP.
Antibody-Mediated or Humoral Immunity
antibodies produced by B cells; defense against extracellular pathogens.
Cell-Mediated Immunity Targets
Primarily targets intracellular pathogens and tumor cells.
First Line of Defense (Innate External Barriers)
External barriers such as intact skin and mucosal surfaces that limit infection.
Mucosal Defenses
Respiratory, gastrointestinal, and urogenital tracts with mucus, cilia, saliva, and tears containing antimicrobial factors.
Goblet Cells and Mucus
Goblet cells secrete mucus to trap pathogens on mucosal surfaces.
Secretory Antimicrobial Products
Secretions (e.g., sebaceous sebum, lactic acid) that reduce pathogen survival on surfaces.
Iron-Binding Proteins (Lactoferrin, Transferrin)
Bind iron to limit microbial growth and support innate defense.
Reactive Oxygen Intermediates (ROIs)
Oxygen-derived molecules made during phagocytosis that kill pathogens.
Natural Killer (NK) Cells
Innate lymphocytes that lyse virus-infected and tumor cells without antigen-specific receptors.
Phagocytosis and Phagolysosome
Ingestion of pathogens to form a phagolysosome where killing occurs via ROS and enzymes.
Inflammation
Nonspecific, cytokine-mediated response to injury or invasion with redness, heat, swelling, and pain.
Fever and Cytokines
Systemic rise in temperature driven by cytokines (IL-1, IL-6, TNF-α) that inhibits pathogen growth.
Acute-Phase Proteins
Liver-synthesized plasma proteins that rise or fall during inflammation and help drive the response.
C-Reactive Protein (CRP)
Acute-phase pentraxin; marker of infection and inflammation.
Erythrocyte Sedimentation Rate (ESR)
Nonspecific indicator of inflammation based on red blood cell settling rate.
Complement System
30 serum proteins that aid immunity; activated via three pathways to defend against microbes.
C3 – Heart of the Pathways
Central component of all three complement pathways; cleaved to C3a and C3b.
Membrane Attack Complex (MAC)
Terminal complement complex (C5b6789) that forms pores and lyses target cells.
Opsonization
Coating of pathogens with C3b or antibodies to enhance phagocytosis.
C3 Convertases
Enzyme complexes that cleave C3; classical/lectin: C4b2a; alternative: C3bBb.
C5 Convertases
Enzyme complexes that cleave C5 to C5a and C5b; formed by C4b2a3b or C3bBb3b.
Anaphylatoxins
(C3a, C4a, C5a) promote inflammation and recruit immune cells
Properdin (Factor P)
Stabilizes C3 convertases, extending their activity on microbial surfaces.
C1 Complex (C1qrs)
Initiator of the classical pathway; C1q binds antibodies; C1r and C1s propagate the cascade.
What do probiotics do for our immunity?
live strains of bacteria that promote growth of other health microbiota
what do prebiotics do for our immune system?
non soluble fiber that supports the lining of the gut and growth of bacteria
define efferocytosis
Process of ingesting apoptotic cells, clearing dead cells and prevents autoimmunity so apoptotic cell membranes DO NOT rupture by secondary necrosis
chemotaxis
Movement of immune cells towards a chemical signal, guiding them to sites of infection or inflammation.
extravasion
neutrophil rolls endothelium, arrests itself, and moves into the tissue
exocytosis
release of reactive oxygen molecules, debris and can damage nearby cells/tissue
What is the respiratory burst?
killing & digestion of pathogens by the release of reactive oxygen species; hydrogen peroxide, hydroxide, superoxide
What do hepatocytes do?
acute phase proteins synthesized in the liver
What is the amplification loop of the complement system?
C3b and B is bound on the membrane and when activated by factor D becomes C3 convertase that can keep clipping more C3b and C3a
Compare the CRP test to the ESR test
CRP levels are higher in plasma during infection and acts as an opsonin to prepare debris for phagocytosis, PRO inflammatory
ESR is an EARLY INDICATOR or inflammation because proteins (fibrinogen) coat RBCs and make them clump together and fall faster ONLY TESTED EARLY, NOT TRACKED
Compare inducible vs noninducible defense mechanisms
inducible must be “turned on” when needed while non inducible is “on” at all times
What are the characteristics of an immune response?
What are the 4 types of acquired immunity?
Compare cellular vs humoral
cellular is cell mediated, direct cell to cell contact or the production of cytokines
defends against INTRACELLULAR pathogens and cancerous cells
humoral is antibody mediated, in body fluids and defends against EXTRACELLULAR pathogens
What are defensins and what do they do?
neutralize toxins and disrupt microbial patterns, cause lysis and release granules
What are the physiological factors in host defenses?
body temp, oxygen tension, nutrition, malnutrition, stress, exercise, microbiota, hygiene
How does iron contribute to innate immunity?
iron causes formation of reactive-oxygen intermediates
What is the hygiene hypothesis?
early exposure helps “program” immune system
paneth cells secrete angiogenin-4
B cell development in peyers patches
stim B cell differentiation
Granulocytic phagocytes
neutrophils, eosinophils, basophils
What are the two pools of PMNs
marginated - leukocyte rolling which wait to get attached into tissue during stress/infection demarginate to join the circulating pool
circulating - always ready to move into the cell and circulate in CBC
Examples of mononuclear cells
monocytes, macrophages, NK cells,
Examples of opsonins
complement system, pentraxins, antibodies
phagocytes need these to stop bacteria from escaping
define zymogen
enzymes inactive until cleaved
what are the effects of complement activation?
lysis of bacteria & enveloped viruses by MAC
C3b mediates opsonization through complement fixation
Discuss clinical features that cause elevated/decreased complement protein concentrations