Immunity Flashcards

1
Q

What is self

A

Material made by the body’s cells

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2
Q

What is non self

A

Foreign material

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3
Q

What happens if the body is infected with foreign materials?

A

If a person becomes infected with foreign material, the immune system is activated and attempts to remove the foreign material before it causes harm to tissues in the body.

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4
Q

What is infection?

A

Infection is entry into the body of a micro-organism that may cause disease. Infection does not necessarily lead to disease.

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5
Q

The immune system has two kinds of response to the entry of foreign material. Which include:

A
  • nonspecific immunity: natural immunity

- specific immunity: adaptive immunity

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6
Q

What does nonspecific immunity involve?

A

Nonspecific immunity involves many physical and chemical barriers to infection and is not affected by prior contact with a particular micro-organism. It has no ‘memory’ of a prior infection.

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7
Q

What does specific immunity involve?

A

This defence is highly specific. Specific immunity involves the production of specialised cells and chemical substances known as antibodies, which act against a particular infec- tion. Specific immunity has a ‘memory’

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8
Q

What is the first line of defence?

A
This first line of defence against infection takes place at the body surfaces. 
Which includes:
- skin
- mucus 
- natural flora 
- natural secretions
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9
Q

How does skin assist the first line of defence?

A

Intact skin acts as a barrier against entry by micro-organisms. Glands in the skin secrete fatty acids and sweat contains salt, both of which prevent bacteria.

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10
Q

How does mucus membranes assist the first line of defence?

A

Mucus secreted by the cells lining your respiratory tract traps bacteria, which are then swept upward to the back of the throat by the action of cilia, which line much of the respiratory tract. Some of the mucus and bacteria are swallowed. Some are removed when you blow your nose. Some bacteria are also removed from the respiratory tract when you cough or sneeze.
Mucus that lines the digestive tract forms a protective barrier and makes it difficult for micro-organisms to penetrate the cells beneath.

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11
Q

How does natural secretions assist the first line of defence?

A

Tears and saliva con- tain lysozyme, an enzyme that causes bacteria to lyse or burst. Acid in the stomach kills many bacteria.

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12
Q

How does natural flora assist the first line of defence?

A

Many different bacteria are normally found on the skin, in the gut and (in females) in the vagina. These bacteria are the natural ora of the body and are generally nonpathogenic in those areas. The presence of these bacteria inhibits the growth of pathogenic bacteria in those places because they compete more successfully for the space and nutrients that are available.
In special circumstances, such as when a person takes antibiotics, the natural ora may be disturbed. Pathogenic organisms are then able to move in. This type of infection is called opportunistic infection.

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13
Q

What makes up the second line of defence?

A
  • phagocytes and killer cells
  • complement proteins
  • interferon
  • cytokines
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14
Q

What are phagocytes?

A

Phagocytes are white blood cells that engulf and destroy micro-organisms and other foreign materials that enter the body, in much the same way as an amoeba engulfs its food.

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15
Q

Where are phagocytes produced?

A

Phagocytes are produced by cells in the bone marrow and include neutrophils, the most common of the white blood cells, and monocytes, the largest of the white blood cells.

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16
Q

What occurs after a bacteria is engulfed by a phagocyte?

A

Immediately a bacterium or other micro-organism is engulfed by a phagocyte, enzymes and other factors are released into the vacuole containing the bacterium and the bacterium is killed. Some material may be used by the cell, and unwanted material from the dead bacterium is released by the phagocyte.

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17
Q

What are natural killer cells?

A

Some white blood cells that kill virus infected body cells

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18
Q

What do other white blood cells do?

A

Other white blood cells attach to, and help destroy, larger blood parasites such as worms that are too large to be engulfed (phagocytosed).

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19
Q

What are complement proteins?

A

group of blood proteins that play various roles in the body’s second line of defence against infection. There are 20 different complement proteins.

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20
Q

Where are complement patients made?

A

They are made in the liver and circulate in the blood in an inactive state. When infection occurs, antibody–antigen complexes form and these activate complement proteins.

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21
Q

What occurs after one complement protein is activated?

A

The activation of one kind of complement protein results in a cascade effect where each activated complement protein then activates another, and so on down the chain.

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22
Q

How does complement proteins assist in the second line of defence?

A

Some complement proteins stick to invading micro-organisms, which then become more readily identi able to phagocytes as foreign. Some stimu- late phagocytes to become more active. Some attract phagocytes to the site of infection. Other complement proteins destroy the membranes of invading micro-organisms.
Complement proteins also play a role in acquired immunity

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23
Q

What are interferons?

A

group of proteins secreted by some cells, in response to a virus infection, that help uninfected cells resist infection by that virus

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24
Q

Why are interferons important?

A

Interferons are particularly important if a virus does not have far to travel. This is the case with cold and in uenza viruses that infect cells in the nose or throat. Because infection occurs quickly, the body sometimes does not have the time to develop antibodies against these viruses and relies on interferon for its defence. If a person develops a cold or u, interferon has failed to prevent infection.

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25
Q

What do interferons do and produce?

A

Interferons are produced very early during a viral infection and are particularly important in our ability to resist some viral infections. They cause dozens of antiviral proteins to be made.

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26
Q

What at cytokines?

A

Cytokines are protein molecules that act as messengers between cells.

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27
Q

What are cytokines produced by?

A

produced by virtually all cells of the immune system, but particularly by certain T cells. Hence, cytokines act as the messengers between cells of the immune system in much the same way that hormones act as the messengers within the endocrine system.

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28
Q

What do cytokines communicate with?

A

Cytokines also communicate with cells in other body systems, including the nervous system. As in other cellular communicating systems, a cell can respond to a message from a cytokine only if it has an appropriate receptor. A cell must also regulate the dur- ation of its response to cytokines in order to maintain its proper functioning.

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29
Q

What is inflammation?

A

reaction to an infection, typically associated with reddening of the skin flowing to an increased blood supply to that region

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30
Q

What is an inflammation reaction?

A

Inflammation is a reaction to the infection and occurs when arterioles in the area around the cut dilate, resulting in an increased blood supply to the area.

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31
Q

What controls inflammation?

A

Inflammation is controlled by a number of plasma enzyme systems and other compounds, including serotonin, produced by mast cells, platelets and basophils. Serotonin increases dilation of arterioles and permeability of vascular tissue. The blood carries phagocytes to the area. Phagocytes also move from nearby tissues towards the cut.

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32
Q

Phagocytes at work:

A

Capillary walls in the area become more permeable to phagocytes, which move out of the capillaries into the surrounding area. Phagocytes that arrive early at the scene of the injury release chemicals such as histamine that attract more and more phagocytes to the infection.As the invading Clostridium tetani bacteria are killed and engulfed by the phagocytes, material that has leaked from the capillaries forms a clot around the infection and prevents its spread. You will probably also have pus in the inflamed area. Pus contains white blood cells that are dead as a result of the many bacteria they have engulfed. It also contains living white blood cells as well as other cell debris. Eventually the pus and other dead or damaged cells are reabsorbed by other cells of the body or released from the skin, and tissue repair occurs. Your skin heals and all outward signs of the infection disappear.
All of the features discussed in this section are nonspeci c in their action.
Exactly the same responses would have operated whatever micro-organism or foreign material you encountered and whether or not you had been previously infected by the organism.

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33
Q

What occurs during the specific immunity?

A

Once a micro-organism enters your body, the presence of this foreign material initiates a response known as the third line of defence. This line of defence involves a specific response by the immune system to that particular infection and results in adaptive or acquired immunity. The specific immunity acquired is generally long lasting, often for life.

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34
Q

What is the third line of defence?

A

involves special white blood cells known as lymphocytes. They recognise invading cells or particles, react to that invasion and ‘remember’ the particular type of invader. If the same infection occurs again, the response to it occurs more rapidly.

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35
Q

What are the Two main groups of lymphocytes are involved in specific immunity?

A

All lym- phocytes are produced in the bone marrow. Some mature in the bone marrow into B lymphocytes or B cells. Other lymphocytes leave the bone marrow before they are fully developed and travel to the thymus gland where they differentiate into mature T lymphocytes or T cells

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36
Q

What are the cells of the third line of defence?

A

There are different kinds of B and T cells

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37
Q

How do b cells and t cells identify
foreign material?

A

Proteins on cell membranes are determined by genes. These genes are called the major histocompatibility complex (MHC) and the proteins produced by these genes are called markers. All cells have MHC markers on their surfaces.

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38
Q

What are two major groups of MHC markers that exist?

A

Class 1 markers: are found on all cells of the body except red blood cells.
Class 2 markers: are found only on T cells, B cells and some macrophages.

39
Q

MHC markers produced in a person are

A

Self

40
Q

Markers that are not produced within a person

A

Non self

41
Q

How do you distinguish self from non self?

A

B cells and T cells recognise and ignore cells that have the same MHC markers as themselves. When material such as pollen, or infecting agents, such as bacteria and viruses, enter a person, the B cells and T cells recognise the MHC markers on those as foreign or ‘non-self’ and react. Foreign material may also be a toxic chemical such as snake venom.

42
Q

What is an antigen?

A
The material (or marker) that triggers a response from a B cell or a T cell. 
Antigens are usually proteins but can also include carbohydrate.
43
Q

What are self antigens?

A

immune cells such as T cells and B cells have their own antigens. Which have receptor sites. Some of these receptors are ‘self’ receptors

44
Q

What are self receptors?

A

they determine if a molecule or cell the immune cell comes into contact with has the appropriate structures that show it is part of the same organism

45
Q

What are non self receptors?

A

they identify molecules or cells that are ‘foreign’ to those of the immune cell. If they are identi ed as foreign, an immune response occurs.

46
Q

What do B cells have one their surface?

A

Immunoglobulins

47
Q

What are immunoglobulins?

A

are proteins that identify antigens. Immunoglobulins are also called antibodies. The immunoglobulins of each B cell have a specific structure and recognise only one kind of antigen

48
Q

When B cells are maturing in the bone marrow, what occurs to a particular part of the genetic material?

A

A particular part of the genetic material undergoes change and only a few of each kind of B cell are made. In this way millions of different B cells are made with different immunoglobulins on their surfaces. These are able to identify the millions of different antigens with which a person may come into contact.

49
Q

B cells combine with antigens, the few B cells specific for any one antigen would not be sufficient to counter a massive infection of bacteria, as:

A

A person must have some way of producing large numbers of a specific antibody against antigens encountered. When a B cell identifies an antigen, it replicates rapidly to produce large numbers of special cells called plasma cells, which produce antibodies and release them into body fluids. Generally, many more cells are produced than are needed. Excess cells die by apoptosis.

50
Q

What is clonal expansion?

A

The B cell selected by the antigen reproduces rapidly to give rise to a number of identical cells. Each of these cells also reproduces rapidly to produce a large clone of cells.
Cells cloned in this way all have exactly the same genetic material and the same immunoglobulins. Most of these cells then differentiate into plasma cells and produce the same kind of antibody

51
Q

When is a person said to be immune to a disease?

A

When There isn’t a noticeable effect from a second infection by the same antigen because the body reacts very quickly to eliminate the ‘non-self’ material

52
Q

When recovery from infection completes, why is fewer plasma cells and antibodies are produced?

A

Because most of the cells produced by clonal expansion are no longer required after recovery from the infection, they die by apoptosis

53
Q

What is primary antibody response?

A

production of antibodies induced in an individual by the rst injection of antigen during vaccination

54
Q

What is secondary antibody response?

A

production of antibodies induced in an individual by a booster (second) injection of antigen

55
Q

When does the second antibody response activate?

A

On a second infection of the same disease

56
Q

Differentiate between the primary antibody response and secondary antibody response:

A

The concentration of secondary antibodies rises much more rapidly than during the primary response and many more antibodies are released. In addition, the antibody level after the second infection has cleared remains much higher for much longer than after the primary response.

57
Q

What is the structure of an antibody?

A

An antibody molecule has four polypeptide chains, two long heavy chains and two shorter light chains joined together

58
Q

What are antigen binding sites?

A

The free ends where the light and heavy chains are adjacent to each other are the regions that combine with antigen.

59
Q

There are five different kinds of heavy chains and this results in what five different classes of antibody molecules:

A

They results in five different classes of antibody molecules, also known as immunoglobulins (Ig). Different classes of antibodies are made of different numbers of basic antibody units. IgG, IgD and IgE each comprise a single molecule; IgA has two molecules and IgM has five.

60
Q

What is humoral immunity?

A

Immunity involving antibodies in body fluids

61
Q

What is IgM?

A

causes agglutination (clumping of cells containing antigens). Allows easy disposal by phagocytosis.

62
Q

What is IgE?

A

IgE - initiate inflammation causing allergic reactions such as in hay-fever.
They are antibodies that activate mast cells, which release histamines. These are important in allergies

63
Q

What is IgG?

A

IgG - activate complement proteins and can neutralise toxins directly.

64
Q

What is IgA?

A

IgA - neutralise pathogens in respiratory, digestive and reproductive tracts.

65
Q

What are histamines?

A

chemical released by cells at a site of injury

66
Q

Immunoglobulins can bind to how many sites and causes?

A

Because the basic antibody unit has two antigen-binding sites, it can bind to two antigens. A lattice is built up of the antibody and its specific antigen bound together, and the antigen is ‘disarmed’. The antigen is no longer able to damage host cells.

67
Q

After encountering their specific antigens, T cells reproduce how?

A

T cells reproduce rapidly in the same way as B cells, and T-memory cells also form. T cells do not make antibodies. There are different types of T cells and each type reacts with other cells in the immune response.

68
Q

Phagocytes that have ingested foreign material carry:

A

carry some of the foreign antigen on their surfaces as well as their usual class 2 marker proteins.

69
Q

types of T cells:

A
  • A helper T cells (Th), which recognises these antigens and stimulates B cells
  • cytotoxic T cells (Tc), kills body cells that have been infected with a virus, only when inside the cell. Some Tc cells also destroy cancer cells.
70
Q

Why so B cells need the assistance of T cells?

A

B cells do not reproduce and form plasma cells without this assistance from Th cells. Th cells also secrete a protein that stimulates other T cells and B cells.

71
Q

What is cellular immunity?

A

Immunity involving T cells and phagocytes

72
Q

A Tc cell at work

A

Tc cell identi es its antigen, in this case a viral protein coat that is left outside the infected cell, and the class 1 marker and kills the infected cell before the virus has time to replicate. Tc cells kill the infected cell by secreting proteins that punch holes in the membrane of the cell and the contents ooze out.

73
Q

What is lymph?

A

tissue fluid that circulates in the lymphatic vessels

74
Q

T and B memory cells, circulate in the lymph, ready to react with their antigens as:

A

Antigens that enter the body are carried in lymph to a lymphatic organ where there is a high concentration of white cells. If the antigen has not been destroyed along the way, the immune response begins when it comes into contact with cells in the lymph nodes. Large numbers of lymphocytes (mainly B cells) reproduce by mitosis. As a result, your lymph nodes can become swollen and sore.

75
Q

What is acquired immunity?

A

characterised by the presence in
an individual of antibodies to a particular infective agent; in active acquired immunity, individuals produce their own antibodies as a result of exposure to an antigen; in passive acquired immunity, individuals receive antibodies from an outside source

76
Q

What is passive immunity?

A

immunity provided when an individual receives antibodies made by another organism; antibodies may be received through injection or naturally, as when a baby receives them from its mother across the placenta or in breast milk

77
Q

What is active immunity?

A

immunity that develops when an organism makes its own antibodies; antibodies may be produced naturally in response to chance infection or may be induced by vaccination

78
Q

What does active immunity involve?

A

the production of antibodies within a person in response to exposure to a particular antigen. In addition, B-memory cells and T cells are produced and react quickly if another encounter occurs with the same organism.
Active immunity can be acquired in two ways: naturally or induced.

79
Q

What are vaccines?

A

Injection of dead or treated living micro-organisms, used to activate the immune system to produce antibodies against specific disease-causing organisms without actually causing the disease.

80
Q

What is attenuated?

A

refers to a micro-organism that, while still living, has been treated so that it is no longer able to cause disease

81
Q

What happens when someone is injected with a vaccine?

A

When a vaccine is injected into a person, the immune system shows a primary antibody response similar to that shown in gure 8.16. A second injection of vaccine produces a secondary antibody response. The antibody is speci c to the treated micro-organism used in the vaccine so, if the person comes into con- tact with the live organisms at some future date, memory cells and antibodies will be ready to act and the person is immune to infection.

82
Q

What are toxoids?

A

inactivated toxins used for active immunisation

83
Q

What are vaccinations?

A

injection of an individual with a vaccine to induce active immunity (also called adaptive immunity) against a pathogen

84
Q

Why do we continue to get colds and flux?

A

Cold and flu viruses are continually changing to give new strains of the viruses.

85
Q

What are allergic responses?

A

(allergy) rapid immune responses to normally harmless antigens such as dust or pollen; involves action of mast cells

86
Q

What are mast cells?

A

non-motile cells containing histamine, which is involved in allergic responses

87
Q

Mast cells are immune cells involved in what responses.

A

Allergic responses

88
Q

IgE antibodies are made against antigens such as dust, pollen and plant spores. If a person contains IgE antibodies for a particular antigen, they are said to be sensitised what?

A

To that antigen. If the person is further exposed to the same antigen, cross links are formed between the antibody on the mast cells and the antigen. These antibody–antigen cross links trigger mast cells to release active agents such as histamine.

89
Q

What does histamine cause?

A

Histamine causes contraction of smooth muscle, including the muscle around tubules leading to the lungs. And also causes blood vessels to dilate allowing cells and serum to move into the surrounding tissue causing swelling and in ammation.

90
Q

What is histamine?

A

chemical released by cells at a site of injury

91
Q

How can allergic response be avoided?

A

treating the person with small doses of the antigen to which they are sensitive. This antigen links with the IgE and so makes less IgE available for any future reaction. The severity of any future reaction is reduced.

92
Q

If the immune system is unable to recognise ‘self’ from ‘non-self’, in which the system reacts as if some of the body’s own cells are ‘non-self’ such as:

A

B and T cells attack and destroy ‘self’ cells in the same way that they attack and destroy invading micro-organisms. This is an autoimmune disease.

93
Q

What is autoimmune disease?

A

Conditions that develop because of this ‘self’ attack