BMS1058 - Immunology Flashcards

(41 cards)

1
Q

What is the function of the immune system? What does it interlink closely with?

A

To protect the body against ‘foregin’ attack, limit replication of invading microorganisms and to promote healing.

Interlinks closely with physiological and hormonal systems.

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2
Q

What are the 2 main types of immune response? What are the differences?

A

Adaptive and Innate - work best in combination

INNATE:
- present from birth
- fast acting
- broad specificity
- same each time - no memory

ADAPTIVE:
- is learnt and develops throughout lifespan
- slower to develop (4-7 days)
- highly specific
- memory and strength improve with time

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3
Q

What are the innate and adaptive immune response’s main players/mechanisms?

A

INNATE:
- bacteria killing substances
- physical barriers e.g. skin
- protection of all mucosal surfaces - e.g. tonsils, GI, respiratory tracts
- firsrt attack in tissues by Myeloid cells (neutrophils, macrophages, eosinophils etc) and Natural Killer cells

ADAPTIVE:
- B cells make antibodies against foregin pathogen
- T cells attack infected cells in tissues

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4
Q

Stem cells in bone marrow differentiate under the influence of _______ factors into pluripotent stem cells and then progenitor cells which form which distrinct lineages? This is known as _________.

A

growth factors

2 main lineages: Myeloid and Lymphoid

Haematopoiesis

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5
Q

What cells come under the category of granulocytes (granular leukocytes)? Which lineage are these from? They are poly-morpho-nuclear. What does this mean?

A

Neutrophils
Eosinophils
Basophils
Mast cells

From myeloid lineage/stem cells.

Poly-morpho-nuclear = nucleus varies in shapes and sizes. often have 2 or 3 lobes.

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6
Q

What are neutrophils? What do they secrete?

A

Most important white blood cell in bacterial infections.
Have cytoplasmic granules containing enzymes - e.g. lysozyme

Highly phagocytitic - recognise and take up and kills foregin substances/microbes

Secrete NETs (neutorphils extracellular traps) –> cells burst and release DNA which sticks to bacteria).

[Hans Solo - goes in and shoots everything on mass that shouldn’t be there, releases a huge arsenal of weaponry]

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7
Q

What are Eosinopils?

A

Specialsied white blood cells.

Have cytoplasmic granules that release toxic chemicals and proteins to attack and kill harmful cells or germs. Protect body from parasites, allergens and bacteria.

When situmualted, release mediators which promote inflammation.

Phagocytic (although this is not the major function).

[background characters]

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8
Q

What are basophils?

A

White blood cells, mostly in tissues during inflammation. Very few in the body.

On stimulation release substances that promote inflammation.
Important in allergy.

Not phagocytic

[background character]

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9
Q

What are Mast cells?

A

Stem cells migrate into tissues and mature into mast cells.

Improtant in allergy.

Release mediators (such as histamine) very rapidly when stimulated.

Can be phagocytic.

[background character]

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10
Q

What are monocytes and macrophages?

A

Myeloid white blood cells (leukocytes)

Monocytes:
- remain in blood 1-2 days
- mono-nuclear
- phagocytic

Monocytes differentiate into macrophages.

Macrophages:
- up to 10x larger than monoctyes
- characteristics depend on tissues. Can live for years.
- very phagocytic
- release a wide range of molecules that induce innate reponses
- present antigens to T cells (innate and adaptive response overlap)

[Chewbacka - Similar to neutrophils, release arsenal on mass to destroy everything that shouldn’t be there, just has bigger guns and muscles. Ability to survive longer.]

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11
Q

What are dendritic cells?

A

Myeloid leukocytes.

Irreguarly-shaped cells in most tissues.
Phagocytic.

When imature, cells ‘capture’ antigen and migrate to lymphoid tissues where they mature and present antigen to T cells.

[R2-D2 - processes a lot of info (taking up antigens) very quickly and communicate back out to the community who can deal with it ]

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12
Q

What cells does the lymphoid lineage give rise to? What do adaptive lymphocytes look like?

What do they become when stimulated by foreign molecules/antigens?

A

Lymphocytes (lymphoid leukocytes)- around 30-40% WBCs, including T cells, B cells which are adaptive.

Have large nuclei and small halo of cytoplasm.

All upon stimulation by foreign molecules/antigens become effector or memory cells.

There are also innate lymphocytes.

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13
Q

Describe B lymphocytes.

A

Differentiate and ‘taught’ not to recognise ‘self’ molecules in bone marrow.

Make hundreds of copies of identical antibodies. Have B cell receptors, which are highly specific and bind to foreign molecules.

Each B cell recognises only one Antigen.

When activated, B cells differentiate into plasma cells and secrete Antibody or memory cells.

[Like commander who directs and sends out spaceships to fight the enemy (antibodies)

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14
Q

B cells recognise _____ ______, but still need help from Helper T cells to become effector _____ cells and make _______ OR remain as memory B cells.

A

whole antigens

plasma cells

antibodies

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15
Q

What do antibodies do?

A

Coat antigens for recognition.

Agglutinate cells for clearance

neutralise toxins

Can block movement/attachment of microbes

Activate inflammation

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16
Q

Describe T lymphocytes. Name the 3 main types of T cells.

A

Move from the bone marrow to be ‘taught’ not to recognise ‘self’ mocleules in the thymus.

Have many identical highly speicific T cell receptors on surface which bind to foreign antigens. Don’t produce antibodies.

[young luke skywalker - going to be able to fight the bad guys, just doesn’t know how to do it yet]

Different types:
- Helper T cells
- Cytotoxic T cells
- Regulatory T cells

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17
Q

T cells have to be shown ______ and not whole antigens. APCs do this. e.g….

Once activated they becomes ________ cells that carry out functions, or _________ cells.

A

peptides
APCs: MCs, Dendritic cells, B cells

effector
memory

18
Q

What do Helper T cells do?

A

CD4

help all aspects of the immune response, particuarly adaptive responses, usually through secretion of mediators (cytokines).

[Princess Leia - doesn’t kill anything but is very good at organising cells to kill things]

19
Q

What do Cytotoxic T cells do?

A

CD8

kill infected target cells and cancer cells.

[Jedi fighter - oB1Kanobi - highly specialised in kill]

20
Q

What do Regulatory T cells do?

A

CD4 or CD8

Help to regulate immune responses.

21
Q

Natural Killer T cells, Natural Killer Cells and Innate Lymphoid cells. What do they do? What do they look like?

A

Kill certain tumour and virally infected cells and/or have ‘helper’ roles in innate immune responses at skin/mucosal surfaces.

Lymphocyte-like but larger, granular cytoplasm.

[Jedi Master - highly skilled cells to destroy things that shouldn’t be there - virally infected and tumour cells]

22
Q

List cells that are only in the innate immune system.

A

Basophils
Neutrophils
Eosinophils
Mast cells
Monocytes

23
Q

List cells that are only in the Adaptive immune system.

A

B cells
T cells - helper, cytotoxic and Regulatory

24
Q

List cells which are part of both the innate and adaptive immune system.

A

Macrophages
Dendritic cells
Natural killer cells, NKT, ILCs

25
How does exercise affect the immune system?
ST exercise moves immune cells into the blood. LT exercise rejuvinates immune function.
26
What difficiencies are related to reduced immune function?
Vitamin C, A, D, B12, B6, B9 (folate) Zinc, Selenium, Iron, Copper immune cells require energy and appropriate nutrient balance to function. Defficiencies are associated with increased incidence of infections.
27
What has vitamin D deficiency been associated with? (immune-related condition)
Asthma
28
Where do immune cells get their energy from?
Oxidative phosphorylation Aerobic glycolysis Lipid oxidation Different cell types us different forms of energy.
29
How do Resting and activated T cells gain their energy?
Resting T cells - aerobic glycolysis and lipid and AA oxidation to produce ATP for immune surverillance. Upon activation, lipid oxidation downregulated and glycolysis and glutaminolysis produce energy and biosynthetic precursors for cell growth.
30
How do we eat to feed immune cells during challenge?
Early phase - food high in glucose, then food high in glutamine Late phase - foods high in fat and protein
31
What are the main innate immunity mechanisms.
Physiologyical - rasied temp, acific pH, enzyme secreition etc Physical barriers - skin, mucosal tissues (have cilia, muscous etc) , tears Phagocytosis Inflammation
32
Describe the process of Phagocytosis.
Recognition: Cells have lots of different receptors that recognise foreign molecules directly Ingestion/uptake: into ‘phagosomes’ Digestion: Enzymes, acidification (pH), Antimicrobial proteins (defensins), Respiratory burst – free radicals Final stage: digested material stored, reused, exocytosed or PRESENTED to T cells!!
33
What is the purpose of inflammation?
To increase blood flow and permeability of vasulature - allowing leukocyte migration to aid limiting the spread of infection, tissue damage and to promote healing
34
How are immune cells activated during inflammation?
MEDIATORS (cytokines, chemokines, histamine) are released from activated tissue cells (master cells). Local effect: increase expression of adhesion molecules lining blood vessels and WBCs allowing them to attach to endothelium. Also allow them to pass into tissues. Systemic effect: stimulate release of granuloctyes and monocytes from Bone marrow Hypothalamus - fever Liver - increased protein production
35
What causes immediate allergy reactions (food, pollen, bee sting etc)?
Wrong kind of T helper cell activates antibody production and stimulation of mast cells and eosinophils to release inflammatory mediators.
36
What causes delayed allergy reactions? (e..g. posion ivy, contracting dermatitis to nickel)
Persistence of antigen leads to increased inflammation and T helper and T cytotoxic cell involvement.
37
What is autoimmunity?
When immune tolerance is broken and T and B cells respond against self-antigens and are not controlled. Causes systemic and organ specific diseases. Causes not fully understood. Studies: Exercise can reduced disease activity status for all but one participant, with most moving into remission.
38
What causes immune deficiencies?
Primary: genetic polymorphisms (lack of T and B cells). Antibody or granulocyte deficiencies. - often lead to recurrent infections. Secondary: Often due to infection e.g. HIV, where T helper cells are infected and depleted
39
How can immune deficiencies link to cancer?
Tumour cells evade immune detection by decreasing antigen presentation to T cells. studies: - 4 weeks of exercise decreases tumour incidence and growth by >60%.
40
What are some immune manipulation methods to help people?
Blood transfusion Organ transplants Stem cells Immunotherapy
41