4/2: Immune System Flashcards

1
Q

What are agranulocytes?

A
  1. Monocytes/macrophages
  2. Lymphocytes
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2
Q

What are granulocytes?

A
  1. Neutrophils
  2. Eosinophils
  3. Basophils
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3
Q

What are the numbers of leukocytes from most to least?

A

Neutrophils
Lymphocytes
Monocytes
Eosinophils
Basophils
(Never let monkeys eat bananas)

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4
Q

What does healthy immune system function for?

A

o Surveillance of the body
o Recognition of foreign material
o Destruction of entities deemed to be foreign

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5
Q

What is innate immunity?

A
  • General
  • second line of defense
  • born with it
  • Stimulated by structures common to groups of
    related microbes; cannot distinguish between fine differences of foreign substances.
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6
Q

What are the functions of innate immunity?

A

inflammation, interferons,
phagocytosis, complement proteins

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7
Q

What is acquired immunity?

A
  • specific
  • third line of defense
  • Very specific response to a distinct macromolecule, also has the ability to “remember” macromolecule and respond more vigorously to the second exposure
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8
Q

What are the different types of acquired immunity?

A

Naturally acquired: infection
Artificially acquired: active vaccinations
Passive: antibodies from mom to fetus or
immune system therapy/medications

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9
Q

What is acute inflammation?

A
  • protective
  • neutralizes harmful agents, removes dead tissue, and initiates the tissue repair processes
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10
Q

What do damaged cells release and how does this affect the inflammatory process?

A

Damaged cells release inflammatory mediators which stimulate the
inflammatory process, but they can also injure normal tissue.
Mediators can act
locally or systemically

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11
Q

How do neutrophils function in inflammation?

A
  • Neutrophils get recruited to an area (travel through the walls of the blood vessel following chemical trail) and
    inject and endocytose bacteria and fungi
  • At the same time, they release chemicals (IL and TNF) which recruit macrophages and lymphocytes
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12
Q

What are the cardinal signs of acute inflammation?

A
  1. Rubor (red)
  2. Calor (heat)
  3. Dolor (pain)
  4. Swelling
  5. Loss of function
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13
Q

What is phagocytosis?

A

non-self damaged particles are engulfed by cells through endocytosis

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14
Q

What is phagocytosis essential in?

A

Both innate AND acquired immunity

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15
Q

What are principle cells involves in phagocytosis?

A

neutrophils and macrophages, called phagocytes.
(macrophages can phagocytose far more and larger material than neutrophils)

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16
Q

How does phagocyte recognize non-self?

A

Phagocytes contain toll-like-receptors (TLR) that can recognize generic Pathogen-
Associated Molecular Patterns (PAMPs) and Damage-Associated Molecular
Patterns (DAMPs)

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17
Q

What are PAMPs?

A

bind to flagella on bacteria and activate a cascade. Leads to engulfment of whatever initially activated the TLR

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18
Q

What are DAMPs?

A

released from dead cells to signal clean up control (removes dead tissue and neutralizes harmful agents)

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19
Q

How do phagocytes utilize their rough surface?

A

Native substances have glycocalyx (protein coat that repels phagocytes)

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20
Q

How do phagocytes utilize opsonization?

A

if a target has an immunoglobulin/antibody attached to it, then it is marked for phagocytosis
▪ Example of how innate and adaptive work together!

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21
Q

What do vitally infected cells secrete?

A

INF (interferons)

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22
Q

What do secreted interferons (INF) cause uninfected cells to produce?

A

enzymes that inhibit viral replication, which prevents spread of the virus to neighboring cells

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23
Q

What does the complement system consist of?

A

30 distinct components that are in plasma in an inactive form and must be cleaved to become active

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24
Q

How are complement systems activated?

A

By substances on the surface of microbes

25
Q

What does the cascade of complement system reactions lead to?

A

(1) enhancement of inflammation
(2) opsonization of pathogens
(3) formation of a Membrane- Attack Complex (MAC) that lyses pathogens

26
Q

What kind of immunity is the complement system?

A

Acquired immunity because antibodies can activate the complement system (Classical Pathway)

27
Q

What is enhancement of inflammation?

A

Causes vasodilation and contributes to inflammatory process

28
Q

What is opsonization of pathogens?

A

Increases phagocytosis. Binds to pathogens and makes pathogens more visible to neutrophils and macrophages

29
Q

What is formation of membrane attack complex (MAC)?

A

lyses/makes holes in
pathogen membranes leading to eventual death

30
Q

What is acquired immunity?

A
  • specific response to an antigen
  • has the ability to remember
  • responds vigurously to second exposure
31
Q

What does acquired immunity require?

A

Activation and lymphocytes (B and T)

32
Q

What are antigens?

A

molecules capable of inducing an acquired immune response by binding to B and T-cell receptors and the production of antibodies against them

33
Q

What is the difference between an antigen and an epitope?

A

Antigen: peptide of polysaccharide that are part of a molecule or organism
Epitope: molecular group on the antigen that is recognized by the immune
system

34
Q

What is antigen presentation required for?

A

Acquired immunity

35
Q

How do antigen presenting cells (APCs) present antigens on their surface via?

A

Major Histocompability Complex (MHC) Class II
molecules

36
Q

What do APC’s bind to and activate?

A

T helper cells (CD4)

37
Q

What do T helper (CD4) cells activate?

A

Two branches of acquired immunity
1. Humoral
2. Cell mediated

38
Q

What are the three types of APCs?

A

Macrophages
Lymphocytes
Dendritic cells

39
Q

What do macrophages do?

A

Ingest the pathogen and induce an inflammatory response, if appropriate

40
Q

What do dendritic cells do?

A

Ingest the antigen and migrate to the nearest lymphoid organ

41
Q

What is cell mediated immunity?

A

Activated T cells (Natural Killer and Cytotoxic T, CD8) result in killing of infected cells and stimulation of phagocytosis of bacteria and fungi

42
Q

What is humoral immunity (aka antibody-mediated)?

A
  • Activated B cells develop into Plasma cells that secrete immunoglobulins/antibodies
  • The antibodies neutralize toxins and viruses and enhancing phagocytosis of bacteria (opsonization)
43
Q

What are memory b cells?

A

(humoral immunity)
- can produce antibodies later
when exposed a second time. - Present in vaccinations

44
Q

Where do activated T and B cells initiate a response in?

A

Secondary lymphoid tissues (lymph nodes, spleen, nodules (tonsils, mucosa-associated lymphoid tissue)

45
Q

What happens to T and B lymphocytes after activation?

A

T and B cells replicate and are secreted into the
lymphatic circulation. From there, they cycle through the blood, tissue, and back to the
lymph, working as effector cells to eliminate the antigen for which they are activated
o Naïve cells → clones

46
Q

What is a naive cell?

A

cell that has never been exposed to an antigen, so it contains t and b cell receptors. once it gets exposed, it will make many clones all designed to look for that antigen

47
Q

What are CD4 (T helper lymphocytes) activated by?

A

MHC class II

48
Q

What do activated MHC class II cause?

A
  1. Cell mediated Immunity: Growth and
    proliferation of CD8 and Suppressor T cells
  2. Humoral immunity: growth and proliferation of
    B lymphocytes
  3. Autocrine Signaling: stimulates activation of
    more CD4/T helper cells
  4. Activation of macrophage system: attract and
    slow/stop macrophage migration away from
    inflamed regions and stimulate more efficient
    phagocytosis. Enhances antigen presentation
49
Q

What are CD8 (cytotoxic T lymphocyte) activated by?

A

MHC class I (all nucleated cells can present antigens to CD8 because all cells (besides
RBCs) have MHC Class I)

50
Q

What do cytotoxic T cells do after binding antigens?

A

a. Secrete perforin molecules that punch holes in the membrane of the target. The targeted cell will swell and lyse.
b. Release cytotoxic substances (granzymes) into the target through perforin channels that stimulate apoptosis

51
Q

What happens to cytotoxic T cells after secreting substances?

A

unbind and move on to another cell

52
Q

What do suppressor T cells play a role in?

A

Minimizing autoimmunity
- Capable of suppressing functions of both CD4 and
CD8 cells

53
Q

How do T cells function as suppressors?

A

By secreting inhibitory cytokines

54
Q

Why are suppressor T cells important?

A

limit the immune system’s ability to attack one’s own
tissues
They add to immune tolerance

55
Q

What do B cells and the antibodies they secrete create?

A

Humoral immunity

56
Q

What are B cells activated by?

A

Intact antigens but also by activated T helper cells

57
Q

What happens when B cells are activated?

A

they enlarge and look like lymphoblasts

58
Q

What do B cells differentiate into?

A

plasmablasts which later become plasma cells