(I) Lecture 1: Introduction to Immunology Flashcards

1
Q

Pathogens

A
  • bacteria
  • viruses
  • fungi
  • p;arasites
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2
Q

T or F

Microbes are everywhere. Most of them cause disease

A

False

Microbes are everywhere. Most of them are innocuous (minority cause disease)

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3
Q

T or F

Adaptive immunity is the first to act in response to pathogenic microbes

A

False

Innate immunity is the first to act in response to pathogenic microroganism

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4
Q

What is our first line of defense against microbes?

A

Physical barriers (like skin and epithelia) are our first line of defense against microbes

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5
Q

T or F

All immune cells (phagocytes and lymphocytes) derive from a lymphoid progenitor?

A

Fales immune cells derive from both mylenoid progenitors (phagocytes) and lymphoid progenitors (lymphocytes

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6
Q

T or F

Our microbiome can protect us against infection from pathogenic microbes

A

True

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7
Q

What happens when the physical barriers are compromised?

A

Immune cells come to the rescue (monocytes, macrophages, neutrophils and dendritic cells)

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8
Q

How do cells communicate?

A

Through chemical signaling (cytokines and chemokines)

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9
Q

How is passive immunity achieved?

A

By acquiring immune cells/proteins from others

Can be natural (maternal) or artificial (from donors/transplants)

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10
Q

Where are parasites prevalent?

A

In tropical areas

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11
Q

Infectious Diseases

A

Caused by pathogenic microorganisms like bacteria, viruses, parasites or fungi

Can spread from environment or from person to another

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12
Q

Modes of Transmission of Diseases

A

Direct contact (skin-to-skin contact, kissing, sex)

Droplet spread (sneezing, coughing and talking)

Indirect
- airborne (dust or droplets suspended in air)
- vehicleborne (food, water, blood and fomites)
- vectorborne (mosquitoes, fleas and ticks)

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13
Q

Examples of infectious diseases

A
  • respiratory infections and TB
  • enteric infections
  • malaria and neglected tropical diseases
  • HIV/AIDS and STIs
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14
Q

Burden of Infectious Diseases

A

Burden of disease is closely related to GDP

Richer country (higher GDP) = lower burden
and vice versa

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15
Q

How has life expectancy improved over the years?

A

By controlling infectious diseases

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16
Q

Chain of infection

A
  1. Pathogen (bacteria, virus, fungi, parasite)
  2. Reservoir - where pathogen is found (people, animals, soil, food, water)
  3. Portal of Exit - reservoir to host (coughing/sneezing, bodily secretions, feces)
  4. Mode of Transmission (direct contact, indirect contact, vectors)
  5. Portal of Entry (mouth, nose, eyes, cuts in skin)
  6. Susceptible host (elderly, infants, immunocompromised, anyone)
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17
Q

Prevention and Control of Infectious Diseases

A
  • vaccines
  • safe food handling (foodborne pathogens)
  • good hygiene (washing hands, covering mouth to sneeze/cough)
  • water treatment and purification (waterborne disease)
  • sewage disposal (enteric pathogens)
  • condom during sex (STD)
  • reduced reservoir for infectious vectors like mosquitoes (malaria –> eliminate mosquitoes)
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18
Q

Endemic

A

Present ALL the time at EXPECTED levels in a population within a region

Can have fluctuations

ex. flu, common cold, malaria, Lyme disease

19
Q

Epidemic

A

Sudden rise in the number of cases ABOVE the normal endemic level of the region

20
Q

Outbreak

A

Sudden rise in the number of cases in a SMALLER community (daycare, hospital, nursing home)

21
Q

Pandemic

A

An epidemic on a GLOBAL scale

widespread over several regions, countries or continents

22
Q

What does our immune system do?

A

Barriers – keep pathogens from entering tissues

Cells – detects and destroys the invading cells

Cytokines/chemokines – passes message along to other cells

Memory – quickly responds to the pathogen and prepares for next time

23
Q

Main Immune Defenses

A

Anatomical barriers, Immune Cells, and Proteins

24
Q

Anatomical Barriers

A

Skin, Tissues and Commensal Microbiota

25
Microbiota
Environmental factors (diet, maternal) and genetics help shape the microbiome (all microbes in the body) Huge diversity, varies by location in the body
26
Immune cells
White blood cells (leukocytes) - Phagocytes and lymphocytes Found in buffy coat of blood Derived via hematopoiesis
27
Blood
55% of total blood is plasma (blood hormones, clotting factors, proteins, enzymes and antibodies) Buffy coat (<1%) has leukocytes (WBCs) and platelets The remaining 45% contains erythrocytes (RBCs)
28
How are blood cells derived?
All blood cells, including immune cells, are derived via hematopoiesis
29
Phagocytes
Type of immune cell From myloid progenitors Ex. monocytes, macrophages, neutrophils, dendritic cells
30
Lymphocytes
Type of immune cell From lymphoid progenitors Ex. T cells, B cells, NK cells
31
Neutrophil
uses chemical signaling to engulf bacteria
32
Macrophage
detects IgG to know what cells to phacytose
33
Proteins
secreted by cells Ex. cytokines, complement proteins, antibodies
34
Innate Immunity
happens FIRST Through barriers, cells, and immune signaling
35
Adaptive Immunity
creates memory T-cell and B-cell immunity
36
Types of Immunity
Active immunity Passive immunity Passive Humoral Immunity
37
Acquired Immunity
Immunity that develops during your lifetime
38
Active Immunity
OWN BODY's immune response is activated Natural: antibodies develop in response to an infection Artificial: antibodies develop in response to a vaccination
39
Passive Immunity
Immune components are ACQUIRED from someone or somewhere else Natural: antibodies received from MOTHER (pregnancy + breastmilk) Artificial: antibodies received from a MEDICINE (ex. gamma globulin injection)
40
Passive Humoral Immunity
Provided by the transfer of antibodies from a donor IMMEDIATE, SHORT-TERM immunity (months)
41
Natural Passive Immunity
During PREGNANCY, antibodies are transferred from mother to fetus Vaccination during pregnancy also transfers protection to baby (ex. Tdap vaccine for tetanus, pertussis - whooping cough) After birth, antibodies are transferred from mum to baby via breastmilk
42
Immune System Development
Microbiome of a newborn is affected by the mother's and the mode of delivery (natural vs C-section) - it is shaped through infancy Newborns have INNATE immunity but NO adaptive immunity until 1 year of age
43
Artificial Passive Immunity
Intravenous Immunoglobulin (IVIG) - Therapy treatment for patients w/ antibody deficiencies - Prepared from a pool of immunoglobulins (antibodies) from the plasma of thousands of healthy donors