Chapter 11: Immunity Flashcards
1
Q
what is immunity
A
ability to defend ourselves agaisnt infection by pathogens
2
Q
2 types of defence mechanisms and their sub types
A
- external: physical, chemical, cellular
- internal: white blood cells
3
Q
describe the physical barriers function in defence against pathogens
A
- skin doesnt let infectious agents penetrate unless broken
- cilia and Mucus in the respiratory tract trap infectious agents
- Acidic pH of the vagina – genito – urinary tract prevents entry of pathogen
4
Q
describe the chemical barriers function in defence against pathogens
A
- Acid in the stomach and enzyme in the intestine destroy pathogens.
- Lysozyme in the tears, sweat and saliva avoids entry of the pathogens.
5
Q
describe the cellular barriers function in defence against pathogens
A
Interferon mediated defence against viral infections. Interferons are cytokines that are secreted by virus infected cells which protect non infected cells from further viral infection.
6
Q
where do wbc originate from
A
bone marrow
7
Q
how do wbc recognise pathogens
A
by the distinctive, large molecules that cover their surfaces, such as proteins, glycoproteins, lipids and polysaccharides, and the waste materials which some pathogens produce.
8
Q
molecules recognised as forgein are called
A
antigens
9
Q
what makes the immune system effective
A
can distinguish between self and non self and has effective methods to fight eg antibodies
10
Q
what are antibodies
A
glycoprotein/immunoglobulin molecules that act against specific antigens.
11
Q
what is an antigen/non self
A
a substance that is foreign to the body and stimulates an immune response.
12
Q
Antibodies are made by _ and made when _.
What about the variable region of it?
A
plasma cells derived from B-lymphocytes, secreted in response to an antigen; the variable region of the antibody molecule is complementary in shape to its specific antigen.
13
Q
what is the immune response
A
the complex series of responses of the body to the entry of a foreign antigen; it involves the activity of lymphocytes and phagocytes
14
Q
what does self refer to
A
substances produced by the body that the immune system does not recognise as foreign, so they do not stimulate an immune response.
15
Q
2 groups of wbc involved namely…
A
- phagocytes (neutrophils and macrophages)
- lymphocytes (b cells and t cells)
16
Q
where are phagocytes made and what is their function
A
- made throughout life in bone marrow
- remove dead cells and invasive organismss
17
Q
what are neutrophils
A
- kind of phagocyte
- 60% of wbc
- travel body, by squeezing through capillary walls to patrol tissues
- short lived. collect at site after death forming pus
18
Q
what are macrophages
A
- phagocytes, larger than neutrophils
- found in organs such as the lungs, liver, spleen, kidney and lymph nodes rather than in blood
- travel in blood as monocytes after made in bone marrow
- long lived
- do not destroy pathogens but cut em up into antigens for lymphocytes to recognise
19
Q
describe the process of phagocytosis
A
- cells under attack during an infection produce histamine, which along with other pathogenic chemicals attract neutrophils
- pathogen may be a cluster and covered in antibodies which the neutrophils protein receptors on surface attach to
- so neutrophil attaches to pathogen and engulfs it with membrane via endocytosis and traps it in a phagocytic vacuole and secretes digestive enzymes eg protease into it (lysosome fusion)
20
Q
what is chemotaxis
A
movement towards chemical stimuli
21
Q
structure of lypmhocytes
A
- smaller than phagocytes
- large, filling nucleus
22
Q
2 types of lymphocytes and their production+maturation
A
- B cells: remain in the bone marrow until they are mature and then spread throughout the body, concentrating in lymph nodes and the spleen
- T cells: leave the bone marrow and collect in the thymus where they mature (the thymus is a gland that lies in the chest just beneath the sternum. It doubles in size between birth and puberty, but after puberty it shrinks)
23
Q
vividly describe the mechanism of B-lymphocyte action
A
-as B cell matures its able to make 1 type of antibody receptor with specific shape. while B cells mature genes that code for antibodies are changed in a variety of ways to code for different antibodies.
-each cell then divides to a small group of cells called clones which can make that 1 antibody and conc in liver+spleen
-antibodies remain on cell membrane acting as glycoprotein receptors specific to an antigen
-when anitgen enters the small no. of cells with the antibody stimulated to divide by clonal selection and produce many identical cells over few weeks in clonal expansion
-some activated B cells become plasma cells and secret antibodies at a high rate into blood,lymph nodes, lung and gut linings
-others form memory cells which ciruclate in blood for long
-If same antigen is reintroduced
memory cells divide rapidly and develop into plasma cells and more memory cells
24
Q
life span of plasma cells, memory cells and antibodies
A
memory>antibody>plasma
25
Changes in the concentration of antibody molecules in the blood when the body encounters an antigen first and later
Primary response: slow, few antigen specific B cells antibodies
Secondary response: faster, many memory cells which can differentiate into plasma cells-->antibodies
26
memory cells are the basis of
immunological memory
27
Application of primary and secondary responses
1. someones unlikely to get measles twice because only one strain of virus so very fast 2ndry response
2. we suffer repeated infections of the common cold and influenza because there are new and different strains of these viruses each with diff antigens
28
antibody structure
- globular protein with quarternery structure
- 4 polypeptide chains (constant region): 2 heavy/long 2 light/short. disulfide bonds hold chains together
- each has 2 identical antigen binding sites made of BOTH heavy+light chains
- sequences of amino acids in these regions make the specific 3D shape which binds to 1 type of antigen
- ‘hinge’ region gives the flexibility for the antibody molecule to bind around the antigen.
- have chain sugars attached
29
what is diff in each type of antibody
antigen-binding sites form the variable region
30
6 antibody action mechanisms
1) combine with virus/bacterial toxin preventing cell entry+damage
2) attach to flagella of bact and make em less active and easier for phags to engulf
3) antibodies with multiple binding sites cause agglutination/clumping and reduce spread
4) along with other molecules they puncture holes in cell wall which leads to burtsing after osmosis
5) markers ie coat bact, phags have receptors for heavy polypeps
6) antitoxins combines with toxins and neutralise em making them harmless
31
types of antibodies named
Ig A,D,E,G,M
32
iga structure+property
dimer
| Found in mucus, saliva, tears and breast milk. Protects against pathogens
33
igd structure+property
monomer
| Part of the B cell receptor. Activates basophils and mast cells
34
ige structure+property
monomer
| Protects against parasitic worms. Responsible for allergic reactions
35
igg structure+property
monomer
| Secreted by plasma cells. Also cross placenta to enter fetus
36
igm structure+property
pentamer
| May be attached to the surface of B cell or secreted into the blood. Responsible for early stages of immunity.
37
features of neutrophils
Multilobed, Bacterial or fungal infection. These are the common first response to microbial infection
38
features of eosinophils
Bilobed, Parasitic infections and allergic reactions (inflammatory)
39
features of basophils
Bi/ Trilobed, Allergic and antigen response (releases histamine causing vasodilation)
40
features of lymphocytes
Include B lymphocytes and T lymphocytes. Large circular nucleus with little cytoplasm
41
features of monocytes
Kidney shaped nucleus, Phagocytosis of pathogens. Presentation of antigens to T lymphocytes. Eventually they become tissue macrophages which remove dead cells and attack microorganisms.
42
mechanism of T-lymphocyte action
- mature T cells have specific cell surface receptors called T cell receptors, structure similar to that of antibodies, and they are each specific to one antigen.
- activated when they encounter this antigen (complementary to receptor) on another cell of the host eg macrophage upon antigen representation
- clonal selection and expansion
43
3 types of T cells
a) helper T cells
b) killer T cells (or cytotoxic T cells)
c) suppressor T cells
44
what happens when helper t cells are activated
they release hormone like cytokines that stimulate appropriate B cells to divide, develop into plasma cells and secrete antibodies.
some T helper cells secrete cytokines that stimulate macrophages to carry out phagocytosis more vigorously.
45
what happens when killer t cells are activated
search body for cells that have become invaded + are displaying foreign pathogen antigens on their cell membranes
they recognise the antigens, attach themselves to the surface of infected cells, secrete toxic substances eg H2O2, killing the body cells and the pathogens inside.
46
what happens when suppresor t cells are activated
suppress immune response of the body by suppressing the action of B and T lymphocytes.
47
memory t cells
remember antigen for future
48
what are platelets
small cell fragments that do not have a nucleus; they are formed from the break-up of cells in the bone marrow.
release substances that stimulate blood clotting
49
how are results for specific white blood cells given
as absolute numbers or as percentages of the white cell count
50
when does neutrophil count increase
during bacterial infections and whenever tissues become inflamed and die.
51
when does lymphocyte count increase
viral infections and in TB
52
which cells does HIV invade and destroy
helper T cells
53
state the cycle of from bone marrow to individual wbc types
bone marrow stem cells-->hematopoietic cell-->Lymphoid progenitor makes B and T cells OR-->Myeloid progenitor which make platelets,eosiniphil,basophil,neutrophil,monocyte,erythrocyte
54
what happens in leukemia
it is the cancer of stem cells that divide to give rise to huge nos of mature differentiated blood cells which function in specific parts of immune response
- so when they divide uncontrollably they dont properly differentiate and disrupt function of normal rbc and platelets
- These malignant cells fill up the bone marrow and then flow into the blood and into the lymphatic system
55
what is myeloid leukemia
stem cells responsible for producing neutrophils divide uncontrollably and the number of immature cells increases
56
what is lymphoblastic leukemia
the cancerous cells are those that give rise to lymphocytes
57
long term affect of leukemia:
- immature wbc produced very quickly and disrupt normal balance of components in blood. body does not have enough rbc or platelets, causes anaemia and increases risk of excessive bleeding.
- numbers of mature neutrophils and lymphocytes decrease so that people with these cancers become more susceptible to infections ie immunosuppressed
58
acute and chronic leukemia
- acute develop quickly, have severe effects, and require immediate treatment upon diagnosis
- chronic take years to developand changes in blood cell counts are usually monitored over time so that treatment is given when it is most likely to cure the disease
59
how can leukemia be diagnosed, monitor their progress and assess treatment effectiveness
blood tests
60
what is active immunity
immunity gained when an antigen enters the body, an immune response occurs and antibodies are produced by plasma cells
61
what is a downside of active immunity
It takes time for sufficient numbers of B and T cells to be produced to give an effective defence
62
what is natural active immunity
lymphocytes are activated by antigens on the surface of pathogens that have invaded the body during an infection
63
what is artificial active immunity
lymphocytes activated by injecting antigens into the body or –for certain diseases– taking them by mouth.
aka vaccination
64
define vaccination
giving a vaccine containing antigens for a disease, either by injection or by mouth; vaccination confers artificial active immunity
65
what is passive immunity
immunity gained without an immune response; antibodies are injected (artificial) or pass from mother to child across the placenta or in breast milk (natural). antibodies not produced by person as B cells not activated
66
advantages of artificial passive immunity
If a person becomes infected with fatal disease such as tetanus, a more immediate defence than active immunity is needed for survival. Tetanus kills quickly, before the body’s natural primary response can take place. So people who have a wound that may be infected with the bacterium that causes tetanus are given an injection of antitoxin. This is a preparation of human antibodies against the tetanus toxin.
67
disadvantages of artificial passive immunity
Antitoxin provides immediate protection, but this is only temporary as the antibodies are not produced by the body’s own B cells and are therefore regarded as foreign themselves. They are removed from the circulation by phagocytes in the liver and spleen.
68
define natural immunity in terms of active and passive
gained by being infected (active) or by receiving antibodies from the mother across the placenta or in breast milk (passive).
69
how newborns aquiring antibodies and the protection they gain from this...
Infants are not entirely unprotected against pathogens, because antibodies from their mothers cross the placenta during pregnancy and remain in the infant. Colostrum, the thick yellowish fluid produced by a mother’s breasts for the first four or five days after birth,contains a type of antibody known as IgA. Some of these antibodies remain on the surface of the infant’s gut wall, while others pass into the blood undigested. IgA acts in the gut to prevent the growth of bacteria and viruses and also circulates in the blood.
70
summarise active, passive and subtypes natural, artificial
A-pathogen in body. N-infection A-injection of live/attenuated pathogen
P-antibodies/antitoxins from outside body. N-from mother A-injection
71
features of active and passive immunity ie antigen encountered, immune response, time before anitbodies in blood, memory cells, protection duration
```
A-antigen. P-no
A-response. P-no
A-1/2weeks. P-immediate
A-memory cells. P-no
A-permanent protection. P-temporary
```
72
conc of antibodies in mother and a fetus before and an infant after conception to within a year (that graph)
- till birth maternal and fetus antibodies rise. fetus gains natural immunity IgG via placenta
- after birth maternal decreases and infants increases due to milk/colostrum IgA
73
what are live attenuated vaccines
contain the microorganism/pathogen but a weakened lab version. it evokes the immune system of host hence prevents actual disease in the future
74
eg of vaccines that use live attenuated method
measles, chicken pox, yellow fever, typhoid
75
live attenuated vaccines are easy to create for certain viruses but not for bacteria. why is this
bacteria have thousands of genes and are harder to control
76
live attenuated vaccine mechanism in more detail at cellular level
- whole organism is used as vaccine but its effect reduced almost or fully as of being devoid of pathogenicity
- but capable of inducing protective immune response
- multiply in host and provide continuous antigenic stimulation over a period of time
77
what are inactivated vaccines
-uses a pathogen, killed either by chemicals or by heat or radiation
-
78
advantages of inactivated vaccines over live ones
- safer and more stable; d microorganismscan’t mutate back to their disease-causing state
- easy preparation to use
- usually don’t require refrigeration, and can be stored and transported in a freeze-dried form, which makes them accessible in developing countries.
79
disadvantage of inactivated vaccine over live
Less effective;
| -dead microorganisms do not multiply in body as to mimic the infection
80
eg of chemicals used to kill pathogens for vaccines
-formaldehyde or beta-propiolactone
| -
81
what is the traditional agent for inactivation of virus
formalin
82
the specifically tricky thing with treating organisms in inactivated vaccines
Excessive treatment can destroy immunogenicity (ability of a foreign antigen to provoke response) whereas insufficient treatment canleave infectious microorganisms capable of causing disease.
83
eg of inactivated vaccines
cholera, plague, influenza, rabies, rubella, hepatisis A
84
what are subunit vaccines
Vaccine that consists of specific, purified macromolecules derived from pathogen:
-instead of the whole microorganism only the antigens which best stimulate immune response used to prepare vaccine
85
3 general forms of subunit vaccines
Purified capsular polysaccharides, inactivated exotoxin (toxoid), recombinant microbial antigen
86
what is a conjugate vaccine
Is a substance that is composed of a polysaccharide antigen fused (conjugated) to a carrier molecule eg an antigen which infants system knows. This enhances the stability and the effectiveness of the vaccine.
87
what are toxoid vaccines
- for bacteria that secrete toxins/harmful chemicals
| - toxin inactivated with formalin to detoxify it resulting in toxoid used as vaccine
88
how do toxoids work
induce anti toxoid antibodies which learn how to bind to natural toxin and neutralize it
89
eg of toxoid vaccines
tetanus and diphtheria
90
conditions for toxoid vaccine production
must be closely controlled to achieve detoxification without excessive modification of the epitope structure. Sufficient quantities of the purified toxins is prepared by cloning the exotoxin genes and thenexpressing them in easily grown host cells, purified and subsequently inactivated
91
what are recombinant vector vaccines
They're experimental vaccines similar to DNA vaccines, but they use an attenuated virus or bacterium to introduce microbial DNA to cells of the body.
92
how do recombinant vector vaccines work
- The gene coding for immunogenic protein is inserted into plasmid vector and thentransformed it into suitable host cell
- The inserted genetic material causes the cell to display the antigens of the microbe on its surface
- In effect, the harmless cell mimic harmful microbe and stims a response
93
eg of recombinant vector vaccines
Hepatitis B only
94
why do less effective vaccines need boosters
to stimulate secondary responses that giveenhanced protection
95
state 4 problems with vaccines
- poor response
- live virus and herd immunity
- antigenic variation
- antigenic concealment
96
explain poor/zero response of some people to vaccines and their contribution to eradication
- may have defective immune system so dont develop B and T clones
- malnutrition especially protein deficiency doesnt allow making of anitbodies and lymphocyte clones
they are high risk of developing infectious diseases and transmitting them to those with no immunity
97
explain problems with live virus, and herd immunity
- People vaccinated with a live virus may pass it out in their faeces during the primary response and may infect others. This is why it is better to vaccinate a large number of people at the same time to give herd immunity, or to ensure that all children are vaccinated within a few months of birth
- Herd immunity interrupts transmission in a population, so that those who aresusceptible never encounter the infectious agents concerned
98
the issue with antigenic variation and vaccines:
- viruses with many strains eg cold/rhinovrius
| - antigen mutations eg influenza
99
explain antigenic drift and shift
drift-minor changes which memory cells can still identify and start decondary response
shift-major structural changes where vaccine becomes ineffective against new one
100
why have no effective vaccines been made against protoctist caused diseases
-eukaryotic pathogen so have more genes than virus/bacteria and even more surface antigens
101
why is there no vaccine agaisnt malaria
- parasite passes 3 stages in lifecycle in host, each with its own specific antigens
- meaning vaccine has to have antigens to all 3... or specific to each, which can work only if immune system effectively responds to each within short time eg between bite and liver cell infection
102
the issue with antigenic concealment and vaccines: (ways)
- some pathogens live inside host cells to evade antibodies
- some worms cover their bodies in host proteins
- others suppress immune system by parasitising cells like Tcells and macrophages
- V.cholerae stays in intestine far from antibodies
Hence short time for an immune response to occur before it hides so vaccines are hard to make
103
what are autoimmune diseases
- when the immune system attacks itself ie self antigens usually proteins
- when t cells mature in thymus many are destroyed cos they have receptops complementary to self antigens so when they evade this and sometime activated to stimulate response to own proteins
- antibodies and killer Tcells work against diff parts; localised organ/whole body
104
elaborate on what happens in a pateints body when they develop myasthenia gravis
- motor neurons transmit nerve impulses to muscle cells, by releasing acetylcholine-signalling molecule- into gap between neuron and fibre. Acetylcholine interaction with receptors proteins on muscle cell membrane stims channels to open and Na+ move through and this results in some events which result in contraction.
- MG ppl have helper T cells specific to these receptors and under certain conditions stim a B cells clone to make plasma cells and antibodies to bind to receptor to block impulse transmission from neuron. Muscle fibres absorb receptor-antibody complex and destory it. without receptops muscles not stimmed so tissue breaks down
105
what is myasthenia gravis
autoimmune disease that targets the neuromuscular junctions between motor neurons(nerve cells) and skeletal muscle cells.
106
MG symptoms
varies between ppl
| but typical muscle weakness and hence fatigue; worse with activity, improved with rest
107
2 effective MG treatments
- a drug that inhibits the enzyme in synapses which breaks down acetylcholine so as to increase its conc. n synapses so it lasts longer stimming
- surgical removal or thymus gland (because its site of maturation of helper T cells that stimulate B cells to produce antibodies to the acetylcholine receptors)
108
what is multiple sclerosis
develops when nerve cells in the brain and spinal cord (CNS) randomly lose the insulatingmyelin sheaths that surround them.
109
degenerating areas in multiple sclerosis known as
plaques
110
what progresses with the loss of the protective myelin in MS
The neurones stop conducting impulses and there is a loss of thefunctions controlled by the areas of the CNS concerned
111
multiple sclerosis symptoms
muscle weakness, loss of sensory input from the skin and other areas, poor vision and mental problems
112
no card
ok
113
what is rheumatoid arthritis
long term destructive process in the joints are swollen and cant stretch
starts with finger and hand joints and spreads to shoulder etc
endons become inflamed and there is constant muscle spasm and pain. and ppl cant keep still
114
reasons for autoimmune diseases
Genetic factors increase susceptibility to the diseases are inherited. However, environmental factors are also contribute as the increase in prevalence of these diseases in the developed world
115
Antibodies have high degrees of specificity. This specificity of antibodies has made them very desirable for use in the treatment of diseases. Nevertheless, this requires a very large number of cells of a particular B cell clone, all secreting identical/ monoclonal antibodies (Mabs), but this isnt possible as...
This is tackled by scientists using the method of...
...cells that divide by mitosis do not produce antibodies, and plasma cells that make anitbodies dont divide
... small number of plasma cells producing a particular antibody are fused with cancer cells-which divide indefinitely- forming a hybridoma which divides by mitosis to form the Mabs
116
Mabs in diagnosis of clots
- locate blood clot position in deep vein thrombosis
- human fibrin-main clot protein-injected in mouse, which makes plasma cells to make antibodies agaisnt foreign fibrin. these are collected from spleen, fused with cancer. hybridoma makes antifibrin antibody which is radioactively labelled with gamma producing chemical and then put in patients bloodstream where they bind to any fibrin and this can be detected by gamma ray camera
117
Mabs in diagnosis of cancers
-cells have proteins in their cell surfacemembranes that differ from the protiens on normal body cells and can therefore be detected by antibodies
118
how is the fact that Mabs can be used to identify the exact strain of a virus or bacterium (diff antigen on surface than normal body cells then same process) that is causing an infection helpful to doctors
speeds up the time to take an appropriate treatment decision by narrowing down the possible choices
119
Mabs are also used routinely in blood group typing before transfusion, and tissue typing before transplants.
antigen on rbc different
120
Mabs in diagnosis adminstered once. In treatment more than once and this is problematic bcos...
This issue has been overcome by....
antibodies are made by lab animals and trigger and immune response because they are foreign
- altering the genes that code for the heavy and light polypeptide chains of the antibodies so that they code for human sequences of amino acids, rather than mice sequence
- changing the type and position of the sugar groups that are attached to the heavy chainsto the arrangement found in human antibodies
121
trastuzumab: to treat what+how
- treating breast cancers
- binds to hercepin receptor protein (not unique to cancers but when in abnormal quantities its confirmed cancer)
- marked for destruction
122
ipilimumab: to treat what+how
- melanoma a type of skin cancer
- secretes antibody that binds to protein produced by T suppressor cells as to inhibit it
- blocks its action and maintains immune system agaisnt cancer
123
infliximab: treats what+how
- rheumatoid arthritis
- binds to protein secreted by Th and Tk that damage cartilage in joints
- so sorta suppresses immune system
124
rituximab: treat what+how
- leukemia (also for those 3 autoimmune diseases). here theres over/inappropriate B cell production
- controls B cells
- this antibody binds to B cell receptors-antigens and leads to changes to kill the abnormally proliferated undifferentiated B cell
