topic 4 - health and disease - mr hedditch Flashcards

1
Q

what is health?

A

the state of complete physical, mental and social

wellbeing

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2
Q

what is disease?

A

not having complete good health because of the body/mind is not able to function at its maximum efficiency

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3
Q

what does acute and chronic mean?

A

acute - short term illness with symptoms appearing and disappearing quickly

chronic - long term illness with symptoms lasting for months and years

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4
Q

what is a communicable and non-communicable disease?

A

communicable - a disease that can spread between organisms

e.g. flu, chicken pox

non-communicable - are diseases that can’t be spread between organisms

e.g. physical (fractures), mental (depression) and inherited (cystic fibrous) diseases

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5
Q

what is a pathogen and the types?

A

a pathogen is an organism that causes a disease, these include bacteria, viruses, fungi and protoctists

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6
Q

how does a bacteria cause a disease?

A

by producing toxins, damaging cells and causing deaths of the vascular tissues (in plants)

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7
Q

what diseases do bacteria cause?

A

tuberculosis which affects humans/animals
bacterial meningitis which affects humans
ring rot affects potatoes/tomatoes

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8
Q

how does a virus cause a disease?

A

by invading the host cells to insert genetic

material into the hosts DNA. Cells make copies of the virus - they burst out of the hosts cell causing physical damage

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9
Q

what diseases do viruses cause?

A

AIDS/HIV which affects humans
Influenza which affects animals/humans
Tobacco mosaic virus which affects plants

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10
Q

how does a fungi cause a disease?

A

in animals, the microspores species in the skin send out reproductive hyphae - grows to the surface of skin and release spores

in plants - live in the vascular tissue (access nutrients).
Hyphae release extracellular enzymes - they digest surrounding tissues and cause decay - leaves shrivel/die

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11
Q

what diseases do fungi cause?

A

athlete’s foot which affect humans
ringworm which affects cattle
black sigatoka which affects banana plants

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12
Q

how do protoctists cause a disease?

A

by entering host cells and feeding on the contents of cells

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13
Q

what diseases do protoctists cause?

A

malaria which affects animal/humans

tomato/potato late blight which affects potatoes/tomatoes

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14
Q

what is an indirect transmission?

A

when a disease is transmitted from one organism to anther through a vector e.g. water, food, air, insects

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15
Q

wha

A

food and water
spores
airborne droplets
person-to-person physical

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16
Q

what are spores?

A

a spore is a unit of asexual reproduction adapted to spending a long period of time in unfavourable conditions before developing into an offspring of the plant, algae, fungi, or protozoan that created it

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17
Q

what is indirect transmission and e.g?

A

indirect transmission is when a disease is transmitted from
one organism to another via a vector

a vector is another organism that carries the pathogen from one host to another, vectors are usually insects

e.g female Anopheles mosquitoes and dutch elm disease

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18
Q

malaria case study?

A

pathogen - plasmodium falciparum

transmission - vector needed - female Anopheles mosquito
drinks infected blood, then the pathogen is passed to an
uninfected person in the mosquito’s saliva as it feeds

symptoms - fever, headache, sweats, chills and vomiting

treatment - anti-malarial drugs

prevention/control

– prevent completion of the mosquito life cycle;
– vaccination is difficult as there are many antigens (shift);
– treatment is affected by drug resistance;
– sickle cell allele gives some protection

worldwide importance -
found throughout the tropics e.g.
China, India, South America, West Indies

90% of sufferers are in Sub-Saharan Africa

global warming enhances the spread

1.5 – 3 million deaths a year

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19
Q

Dutch elm disease?

A

Dutch elm disease is caused by a member of the sac fungi
(Ascomycota), and is spread by an elm bark beetle vector

in an attempt to block the 
fungus from spreading 
farther, the tree reacts by 
plugging its own xylem tissue
with gum. This prevents the 
delivery of water and minerals to the leaves, which die

roots can also die as a result of lack of sugars from the leaves as photosynthesis stops

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20
Q

ways to reduce spread of disease?

A

good personal hygiene – washing hands (esp. after using the toilet) and wearing protective clothing

using heat/radiation to sterilise surfaces and surgical equipment

disinfecting surfaces

disinfecting cuts/grazes using antiseptics like alcohol

avoiding unprotected sex (use condoms)

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21
Q

social factors that contribute to disease transmission?

A

lack of adequate shelter/homelessness

poor ventilation/overcrowding (e.g. linked to TB)

poor nutrition

poor health – individuals with

HIV/AIDS are likely to contract
other diseases

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22
Q

what are the two types plant defences?

A

passive and active

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23
Q

what are physical defences?

A

cellulose cell wall – acts as a physical barrier and
contains chemical defences

waxy cuticles on stems and the upper surface of leaves
– act as a physical barrier and prevent water collecting,
reducing the spread of water-borne pathogens

lignin – indigestible waterproofing substance found in
xylem vessels

bark - contains chemical defences

ability to close stomata when pathogens are detected through changes to cytoplasmic volume in
guard cells

callose – a large polysaccharide deposited between the cell wall and plasma membrane upon infection

callose can be used to block phloem sieve tubes and close off plasmodesmata to restrict pathogen spread

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24
Q

what are passive defences?

A

passive defences are present before infection occurs

and are aimed at preventing pathogen entry and spread

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25
Q

what does tyloses do and what defence is it?

A

swellings that block xylem vessels to restrict the spread

of pathogens - physical defence

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26
Q

what are chemical defences?

A

plants are capable of producing many different anti-microbial chemicals

some of these chemicals are present in plants all the time:
• Terpenes
• Phenols
• Alkaloids
• Hydrolytic (digestive) enzyme
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27
Q

how do plants detect pathogens and what does this stimulate?

A

plants are able to detect pathogens using receptors (proteins and glycoproteins) in their cell walls

detection of an infection stimulates the strengthening of existing physical defences:

cell walls become thicker as more cellulose fibres are laid down

callose is deposited to block phloem sieve tubes and plasmodesmata

oxidative bursts produce highly reactive oxygen molecules which damage the cells of pathogen

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28
Q

examples of anti-microbial chemical production when its increased?

A

saponins destroy the plasma membrane of fungal cells

phytoalexins inhibit the growth of pathogens like fungi

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29
Q

what necrosis?

A

infected cells are sacrificed in deliberate “cell suicide” this limits the spread of the pathogen to the rest of the plant

intracellular enzymes digest infected cells

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30
Q

what are primary defences?

A

stop pathogens entering the body

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31
Q

what are secondary defences?

A

actions of phagocytes to kill pathogens that make it past the primary defences

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32
Q

primary defences expulsive reflexes?

A

coughing and sneezing are all classed as expulsive reflexes

these are automatic responses which are the body’s attempt to expel foreign objects from the body

sneezes occur when dust or other particles irritate the nasal mucous membranes

coughing arises when the mucous membranes in the respiratory tract are irritated

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33
Q

what is the eyes primary defence?

A

tears contain antibodies and antibacterial

chemicals

34
Q

what are ears primary defence?

A

wax traps pathogens

mucous membrane

35
Q

what are gut defences?

A

acidic conditions in stomach (low pH)

mucous membrane

36
Q

what are genital areas defences?

A

acidic conditions in vagina (lactic acid)

mucous membranes

37
Q

what are nose defences?

A

nose Mucous membrane

nasal hairs trap pathogens

38
Q

what are blood defences?

A

platelets cause clots to seal wounds (scabs)

39
Q

what are anus defences?

A

mucus membrane

40
Q

what is inflammation what causes it?

A

a response to infection where the affected tissue becomes red, swollen, hot and painful

this is due to the action of mast cells, which detect the presence of pathogens and release a cell signalling molecule
called histamine

41
Q

what does inflammation cause?

A

causes vasodilation (blood vessels widen) for increased blood flow

capillary walls become more permeable to white blood cells and some proteins

there is an increased production of
tissue fluid which causes swelling

excess tissue fluid drains into
lymph vessels, where pathogens
come into contact with lymphocytes
– leads to the specific immune response

42
Q

Why is skin such an effective barrier?

A

provides a waterproof physical barrier

cells are produced by mitosis and migrate towards the surface

migrating cells dry out and cytoplasm is replaced by keratin protien

keratinised cells are dead and form an effective barrier to infection

43
Q

How do scabs form to seal wounds?

A

platelets (small cell fragments) and
damaged cells release clotting factors
to start the clotting process

a mesh of fibrin (protein) fibres forms

clots dry out to form a scab, which
shrinks as it dries to draw the sides of
the wound together

44
Q

What is a mucous membrane? Where are they found and how do they work?

A

epithelial layer contains goblet cells that secrete mucus – traps pathogens (sticky!)

epithelial layer also contains ciliated cells that move in a coordinated action to move the mucus

primary defences – mucous membranes

in the airways mucus is moved to the top of the trachea – can either be coughed up
or swallowed (stomach acid will deal with
pathogens)

45
Q

how do scars form?

A

the skin repairs itself by growing new tissue (stem cell) to pull together the wound and fill in any gaps caused by the injury

scar tissue is made primarily of a protein called collagen. Scars develop in all shapes and sizes

46
Q

non-specific meaning?

A

the process of phagocytosis (engulfing
and digesting pathogens) occurs in the same way no
matter what the pathogen is

47
Q

specific responses meaning?

A

antigens are recognised and
antibodies are produced to kill particular pathogens. This
involves white blood cells called B and T lymphocyctes

48
Q

what are antigens?

A

antigens are molecules found on the surface of all cell

they are specific to individual organisms

they are usually proteins, glycoproteins or polysaccharides

49
Q

what are phagocytes and what do they do?

A

phagocytes are non-specific white blood cells

can be divided into two types – macrophages and
neutrophils

they work together to engulf and digest foreign
particles (phagocytosis)

50
Q

what are macrophages?

A

larger than neutrophils and live much longer

made in the bone marrow

important role in the specific immune response – cause the activation of lymphocytes by acting as antigen-presenting cells

51
Q

what do antigen presenting cells do?

A

macrophages engulf pathogens but do not fully digest them

they attach the pathogen’s antigen to a protein molecule
called a major
histocompatibility complex (MHC) and express it on their own cell surface

in this way the macrophage presents the antigen to other
cells of the immune system so they can learn to recognise it

52
Q

what are neutrophils?

A

short lived – often die
after engulfing bacteria

made in the bone marrow, found in the blood and tissue fluid

attracted to infected cells by histamine released from infected cells

53
Q

order of phagocytosis?

A

plasma proteins attach to the antibodies. The surface of bacteria becomes coated with opsonins (this process is called opsonisation)

phagocytes are attracted to the pathogen by proteins and bacterial
products (move by chemotaxis)

phagocytes bind to antibodies

pathogen is enveloped by the phagocyte’s infolding membrane

pathogen is trapped inside a vesicle called a phagosome

lysosomes fuse with the phagosome and lysin enzymes are released

the pathogen is digested and end products are absorbed into the
cytoplasm by diffusion/active transport

waste products are excreted from the cell by exocytosis

54
Q

define an immune response?

A

the specific response to a
pathogen, which involves the action of lymphocytes
and the production of antibodies

55
Q

define an antibody?

A

protein molecules that can identify and neutralise antigens

56
Q

describe the three ways antibodies work?

A

Opsonisation:
antibodies bind to antigens on a pathogen’s surface and act as a binding site for phagocytes – easier for the
phagocyte to bind, engulf and digest the pathogen

Neutralisation of pathogens:
antibodies cover binding sites so the pathogen
cannot bind to host cells

antibodies can also
attach to flagella to prevent movement of pathogens

Neutralisation of toxins (acting as anti-toxins):

antibodies bind to toxins produced by the pathogen
(usually bacteria, e.g. those causing cholera and tetanus)

this prevents toxins from affecting host cells

any “toxin-antibody complexes” formed will be
phagocytosed

57
Q

what’s agglutination?

A
each antibody has two 
binding sites (some larger 
antibodies have more) so 
more than one pathogen 
can bind

pathogens become
clumped together
(agglutinate) and cannot
enter host cells

58
Q

describe the structure of an antibody?

A
each antibody is made up of 
four polypeptides – two 
heavy chains and two light 
chains joined to form a "Y" 
shaped molecule using 
disulphide bridges
59
Q

what does the constant region mean when describing a antibody structure?

A

allows attachment to phagocytic cells to aid phagocytosis

the constant region determines the mechanism used to destroy the antigen

60
Q

what does the hinge region mean when describing a antibody structure?

A

allows some flexibility

Branches can move further apart to allow more than one antigen to bind at once

61
Q

what are the two types of lymphocytes?

A

B lymphocytes

Humoral immunity
Involves antibodies

T lymphocytes
Cell-mediated immunity
Involves body cells

62
Q

where do B and T lymphocytes mature?

A

B lymphocytes mature
in the Bone marrow

T lymphocytes mature
in the Thymus gland

however they are both made in the bone marrow

63
Q

what do B lymphocytes do in humoral immunity?

A

B lymphocytes (or B cells) display antibodies on their surface in response to detecting foreign antigens

these antibodies in the cell’s plasma membrane act as receptors for antigens

64
Q

what is clonal selection?

A
occurs when a B cell 
encounters and binds to its 
corresponding antigen and so is “selected” – stimulated to divide repeatedly and 
produce a large number of 
clones, all secreting the 
correct antibody
65
Q

what is clonal expansion?

A

is the rapid increase by mitosis in the number of lymphocytes from just a few to millions in the presence of an infection

66
Q

where are T lymphocytes produced and matured?

A

thymus

bone marrow

67
Q

four types of T cells?

A

T helper cells
T killer cells
T regulator cells
T memory cells

68
Q

What are the effects cytokines?

A

Stimulate B-cells to
develop into plasma cells

Stimulate macrophages to
engulf and digest pathogens
by phagocytosis

Activate T killer cells

69
Q

Importance of cell signalling in the immune system response?

A

T helper cells stimulate B
cells to differentiate into
plasma cells using
interleukins

Macrophages release 
monokines which attract 
other neutrophils by 
chemotaxis and stimulate B 
cells to differentiate and 
produce antibodies
70
Q

define natural immunity?

A

arises as part of normal life

processes – immunity is inherited or acquired through having the disease and successfully fighting it off

71
Q

define artificial immunity?

A

comes about as a result of being deliberately exposed to antibodies or antigens; e.g. through vaccination

72
Q

define passive immunity?

A

is where a person gains antibodies from another person, giving them immediate but short-term
immunity

73
Q

define active immunity?

A

is where the immune system is activated by antigens so that lymphocytes begin antibody production. Active immunity can last for many years, or a whole lifetime but needs several days to take effect

74
Q

define autoimmune disease?

A

diseases caused by an immune response against
an organism’s own tissues

this can occur when an organism’s immune system is unable to recognise self-antigens, so assumes they are non-self (or foreign)
antigens and attacks the organism’s cells

75
Q

what happens in a vaccination?

A

involves putting a small amount of a dead or attenuated (weakened) form of a pathogen into the body. These act as antigenic material

an immune response is triggered, but no symptoms occur

the antigens stimulate plasma cells to produce antibodies against the pathogen

memory cells are also produced and remain in the blood so next time the antigen is present there will be a rapid immune response (secondary)

this is an example of active immunity (artificial)

76
Q

what’s a herd vaccination?

A

using a vaccine to provide immunity to all/almost all of a population so a disease cannot spread

when a large number of individuals are vaccinated, non vaccinated individuals are protected due to the break in chains of infection

77
Q

what’s a ring vaccination?

A

using a vaccine to immunise those people around new cases

 Family
 Nearest towns/villages
 Used to control the spread
of livestock diseases

78
Q

how to control a epidemic using vaccines?

A

using routine vaccination programmes (offered to everyone) will lead to herd immunity where the disease is extremely rare or even eradicated completely

once this has been achieved in a population, the routine programme can be relaxed – it is extremely unlikely that people will contract the disease

79
Q

ways to produce vaccines?

A

Killed virulent organisms

heat or chemically treated to denature enzymes

dead so will not replicate or cause disease but have
the same antigens

E.g. whooping cough, typhoid, cholera

Live non-virulent strains (attenuated)

pathogen is weakened so it will not cause severe
disease

E.g. BCG (TB), rubella

Whole live organisms

strains that are not as harmful but contain the same
antigens

E.g. smallpox
Ways to produce vaccines

Modified toxins (toxoid)

Toxins made by the pathogen that are made harmless

stimulate antibody production

E.g. tetanus and diphtheria

Isolated antigens

just the glycoproteins

E.g. influenza

Genetically engineered antigens

made by non-pathogenic bacteria after genes have
been isolated and put into plasmid DNA

E.g. hepititis B

80
Q

problems with taking vaccines orally?

A

because antigens are proteins they will become engulfed and digested inside the body