6B Microorganisms and immunity Flashcards

1
Q

Virus structure

A

Capsid protein coat
Nucleic acid core
Some carry proteins
Envelope stolen from host cell cell membrane
Attachment proteins

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2
Q

How is HIV transmitted

A

Through infected bodily fluids coming into contact with mucosal surfaces, damaged tissue or the bloodstream.

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3
Q

HIV replication

A

GP120 on the virus binds to CD4 receptors on the cell surface membrane of the T helper cell
Viral envelope fuses with cell membrane
The capsid is released into the cell and uncoats, releasing RNA into the cytoplasm.
Reverse transcriptase is used t make a complementary strand of DNA from the RNA template
Double stranded DNA is made and inserted into the human DNA
Host cell enzymes make viral proteins from the viral DNA
Proteins are assembled into new viruses which bud from the cell, killing it

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4
Q

developing AIDS

A

Initial HIV infection causes flu like symptoms
After a few weeks HIV antibodies are detected in the blood meaning they are HIV positive
Enter latency period with no symptoms
AIDS failing immune system , T helper cell count drops below a certain level or opportunistic infections occur due to the weakened immune system

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5
Q

Tuberculosis

A

Mycobacterium tuberculosis transmitted through inhalation of droplets containing bacteria into the lungs.
Bacteria engulfed by a phagocyte but survive due to their waxy coat. sealed in tubercles and lay dormant until they are reactivated eg weakened immune system due to AIDS

Symptoms: fever, coughing, lung damage, coughing up tissue, spread to the rest of the body

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6
Q

Pathogens routes of entry

A

Cuts in the skin
Digestive system
Respiratory system, inhalation
Mucosal surfaces

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7
Q

Barriers to prevent infection

A

Stomach acid HCL
Skin physical barrier
Gut and skin flora- harmless microorganisms outcompete pathogens for space and nutrients
Lysozyme- Mucosal surface secretions contain lysozyme which causes lysis in bacteria

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8
Q

Non-specific immune response

A

Inflammation- histamines, vasodilation and permeability
Interferons- inhibit replication, activation and promotion
Phagocytosis and lysozyme action- engulfment and lysis

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9
Q

Inflammation

A

recognition of foreign antigens cause immune system cells to release histamines, which cause vasodilation and increase permeability of blood vessels.
This brings more immune system cells to the site of infection and allows them to move out of vessels into infected tissue.

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10
Q

Interferons

A

When infected by a virus cells produce interferons, proteins which
Inhibit viral protein production and therefore replication
Promote inflammation
Activate cells involved in the specific immune response to kill infected cells

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11
Q

Phagocytosis

A

White blood cell identifies antigens on pathogen and engulfs it as the cytoplasm moves round the pathogen, containing it in a phagocytic vacuole
Lysosome fuses with the vacuole releasing lysozyme that kills the pathogen
Phagocyte presents pathogens antigens to activate immune system cells

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12
Q

Specific immune response

A

T lymphocytes bind to antigen presenting cells eg macrophage with specific receptors. When a complimentary antigen is found it binds and activates the t cell to divide by mitosis + differentiate

T helper cells- Release cytokine to activate B lymphocytes
T killer cells- bind to and destroy infected cells perforin
T memory cells- Remain in the blood to enable a quicker immune response to the same pathogen

B lymphocytes activate when their specific antibodies bind to a complementary antigen and substances from T helper cells are detected, to divide by mitosis and differentiate

Plasma/ be effector cells- produce complementary antibodies
B memory lymphocytes- remain in the blood to allow faster immune response to the same pathogen

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13
Q

Antibodies

A

Form antigen-antibody complexes
Variable region- form specific antigen binding sites
Constant region- allows binding to receptors on immune system cells
Hinge region- allows for flexibility when antigen-antibody complex is formed
Disulfide bonds- hold the polypeptide chains together (quaternary structure)

Agglutinate pathogens: clump pathogens together to allow phagocytosis all at once
Neutralise toxins: bind to toxins preventing them from affecting human cells until they are phagocytosed
Block cell surface receptors on pathogens: prevent binding with human cells and infection

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14
Q

Post- transcription mRNA modification

A

mRNA strands containing introns and exons are called pre-mRNA.
Introns are removed by splicing in the nucleus, along with some exons in alternative splicing. splicosome
This means more than one amino acid can be coded for by one gene

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15
Q

What is immunity

A

The presence of specific B and T memory lymphocytes which allows for a stronger and faster secondary immune response.

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16
Q

Types of immunity

A

Active- immune system produces its own antibodies in response to an antigen
Natural: infection
Artificial: vaccine

Passive- Antibodies are given from another organism
Natural: through placenta/breast milk
Artificial: injection with antibodies

17
Q

Evasion mechanisms: HIV and TB

A

HIV:
-kills immune system cells, reducing its chances of being detected
- High rate of mutation in structural genes means memory cells cant recognise new strains: primary response against each new strain
-disrupts antigen presentation on infected cells, preventing recognition and killing

TB:
-Produce substances that prevent lysozyme fusion with phagocytic vacuole
-disrupts antigen presentation to prevent recognition and killing

18
Q

Antibiotics

A

Bactericidal- kill bacteria
Bacteriostatic- Inhibit bacterial growth

Inhibit enzymes required for cell wall chemical bonds->lysis when osmosis causes too much pressure
Bind to ribosomes preventing protein synthesis and stops metabolic processes for growth

19
Q

Hospital acquired infections

A

Transmitted through poor hygiene: Not washing hands, uncontained coughs/sneezes, not disinfecting equipment and surfaces after use.

HAIs can be antibiotic resistant as the hospital prescribes more antibiotics increasing selection pressures for new strains to develop

  • Don’t prescribe antibiotics for minor bacterial infections and any viral infections
  • don’t prescribe preventative antibiotics
  • Use narrow spectrum antibiotics if possible ( when identified)
    -Rotate use of diff antibiotics
    -Patients should take all antibiotics to ensure infections are fully cleared