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what kind of innate immunity barriers are the following considered: intact epithelium, mucus, cilia, smooth muscle contraction
anatomic
what kind of innate immunity barriers are the following considered: temperature, ph, enzymes
physiologic
what kind of innate immunity barriers are the following considered: IFN-a and b, complement and acute phase reacants
soluble factors
what kind of innate immunity barriers are the following considered: neutrophils and monocyte/macrophages
phagocytic/endocytic
what is the internalization of macromolecules
endocytosis
what is endocytosis following binding of macromolecules to surface receptors
receptor mediated endocytosis
what is non specific membrane invagination
pinocytosis
this is when the neutrophil is rolling and reacts to the release of vasogenic substances from sites of inflammation which cause vascular permeability and the neutrophil to stop rolling and stick to the endothelium
margination
this is when the neutrophil squeezes out of the blood vessel between endothelial cells
diapedesis
this is when the neutrophil migrates toward site of tissue damage along the concentration gradient of chemotactic substances
chemotaxis
there are two important vasoactive/chemotactic substances involved in neutrophil migration in innate immunity
IL-8 and C5a
how does complement enhance the activity of phagocytic cells
opsonizing bacteria
what is the most prominent chemotactic factor involved with complement
c5a
what is the membrane attack complex made up of in complement
c5b-c9
what is the major opsonin in complement cascade
c3b
what is the lectin activation complement pathway activated by
mannose binding lectin
these factors are produced in response to viral ran and activate NK cells, increase MHC class I, and induce resistance to viral replication in cells
type I interferon
what are these an example of: LPS, manna, dsRNA, bacterial peptidoglycan bacterial flagellin
PAMPs
the binding of these two things can stimulate cells of the innate arm of the immune system to induce greater inflammatory response and become more effective at initiating adaptive immunity
PAMPs and PRRs
what are some cell associated PRRs
TLR, RIG, NOD
this pattern recognition receptor is more antiviral or responds to damage
RIG/RLR
where are B cells located in an LN
cortex
where are T cells located in a LN
paracortex
this feature of a lymph node brings antigen or dendritic cells presenting antigen back to LN from infection site
afferent lymphatic vessels
this is the location of B cells in the spleen
marginal zone
this is the location of T cells in the spleen
PALs
this substance can enhance the immune response to an antigen when mixed w it
adjuvant
this is the most common adjuvant
aluminum hydroxide
what are linear epitopes?
non-self amino acid sequence recognized by b or t cells
what is the role of CD4+ cells
secrete soluble factors to promote effector cell growth/differentiation
what is the acute phase response?
systemic reaction against inflammation, infection or tissue injury
what are perforin dependent killing mechanisms of CTLs
perforin pokes membrane holes, granzymes enter to induce apoptosis
where are memory T cells found
in lymphatic circulation, blood and peripheral tissues
what mechanisms mediate type II hypersensitivity
complement activation, opsonization, antibody dependent cellular cytotoxicity
what is a granuloma
organized macrophage structure surrounding tuberculosis
what is peripheral tolerance
deletion or anergy of auto reactive cells after leaving primary lymphoid organs
what is phagocytosis
specialized uptake of particles like whole bacteria
what is inflammation
pathologic tissue changes due to local damage or foreign materials
what triggers IFN-a/b production
viral RNA
what is a carrier
substance that enables happen to induce response when linked
this immunoglobulin is the major Ig in secretions/mucosa, monomer in serum, dimer in secretion
IgA
this is when the cytokine acts on a nearby cell
paracrine activity
what is pathogen evasion by suppression
pathogen encodes immunosuppressive proteins to shift toward wear antibody response
what are clinical effects of skin type I hypersensitivity
local swelling, redness, vasodilation after insect sting
which sex is more often affected by autoimmunity
fremale
what is the hygiene hypothesis
low microbial exposure leads to increased allergy/autoimmunity
these are all factors of what: cells, molecules and physiologic responses present before infection with broad specificity
innate immunity
these are examples of factors to which type of immunity; lymphocytes and molecules after infection, narrow specificity
adaptive immunity
what are examples of soluble factors in innate immunity
IFN-A/B, complement, acute phase reactants
what is endocytosis
internalization of macromolecules
what is receptor mediated endocytosis
endocytosis triggered by binding of macromolecules to surface receptors
what are two oxygen dependent pathways of phagocytic cell killing a bacterium
ROS or Reative nitrogen intermediates
what are two oxygen independent mechanisms of phagocytic cell killing
antibacterial proteins or proteolytic enzymes
which signs of inflammation increase vascular permeability
pain and swelling
what signs of inflammation are caused by vasodilation
heat and redness
what is margination
neutrophil stops rolling and sticks to endothelum
what is diapedesis
neutrophil squeezes between endothelial cells to exit blood vessel
what is chemotaxis
neutrophil migrates toward tissue damage along chemotactic gradient
what is the goal of the alternative complement pathway
form MAC and enhance phagocyte recruitment/activity
how is the alternative complement pathway activated
spontaneous c3 cleavage
what activates the lectin complement pathway
mannose-binding lectin
factor c5b is associated with what function
MAC
factor c3b is associated with what function
opsonization
factor c5a is associated with what function
chemotaxis
what are pathogen associated molecular patterns
microbial molecules recognized by PRRs/epithelial cells that trigger inflammation and adaptive immunity
what are examples of PAMPs
LPS, peptidoglycan, flagellin, manina, dsRNA
what are cell associated PRRs
toll like receptors, rig like receptors, NODs
what are soluble PRRs
MBL, LBP
what is clonal expansion
BCR binds antigen—>proliferation—>plasma cells or memory cells
what are secondary lymphoid organs
organs where lymphocytes encounter antigen/perform immune function
what is an immunogen
antigen that induces and adaptive response
what is an adjuvant
substance that enhances immune response when mixed with antigen
how do adjuvants enhance immunity
render antigen insoluble, prolong persistence, activate inflammatory cells
what is an epitope
part of the antigen recognized by immune system
which epitopes do T cells recognize
linear only
what are conformational epitopes
surface amino acids recognized by B cells only
what is a hapten
antigen that can be bound/recognized but not immunogenicity alone
what is a mitogen
molecule that induces polyclonal b or T cell activation
what is an example of a mitogen
LPS from gram - directly activates B cells regardless of specificity
what are the parts of an antibody
light chain, heavy chain, variable and constant region
on what part of the antibody does the antigen bind
variable region of the heavy and light chain
this antibody is a pentamer with highest avidity and lowest affinity and a valence of 10
IgM
this antibody is a dimer with a valence of 4
IgA
these antibodies are monomers with a valence of two and highest affinity
IgG, IgD, IgE
what is valence
number of antigen binding sites
what is avidity
total strength of binding based on valence
what is affinity
strength of one antibody epitope interaction
this is the first isotope expressed in B cells, actives complement, pentamer in serum
IgM antibody
this is the most abundant in serum, opsonizes, activates complement, crosses placenta, monomer
IgG antibody
this is low serum concentration, binds mast cells/basophils, mediates allergies
IgE
this ig is primarily surface Ig with the function unknown
IgD
physiologic recombination in BCR/TCR gene assembly is what?
somatic recombination
what is the role of CD8 cells
recognize tumor or pathogen infected cells
what cells are MHC-I complex found on
nucleated somatic cells
what cells are MHC-II found on
APCs
is cd4+ pathway for exogenous or endogenous material
exogenous
is cd8+ pathway for exogenous or endogenous material
endogenous
how are TCRs made
somatic recombination
what is the role of positive selection
ensures TCR can weakly recognize self-MHC
what is the role of negative selection
eliminates TCR that bind strongly to self-MHC