Immunology Flashcards

1
Q

What is the immune system?

A

A protection system from internal and external threats.

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2
Q

What happens if IS is over active?

A

Allergies and autoimmune diseases.

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3
Q

What happens if IS is under active?

A

Infection and cancer.

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4
Q

What is innate immunity?

A

Rapid response. Complement proteins bind to pathogens. Macrophages engulf and digest pathogens. Kupffer cells in liver engulf 2 million RBC every second. Dynamic process.

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5
Q

What is acquired/adaptive immunity?

A

Slow response. Cytotoxic T cells kill pathogens by poisonous proteins that puncture the surface of the membrane. Macrophages then clear them away. Acquired and innate work together.

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6
Q

What is in the immune system?

A

Cells and organs and soluble components of body tissue and fluid that protects the body against pathogens and endogenous molecules. Surveillance to maintain tolerance to self and surveillance to protect and defend against malignancy.

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7
Q

What is the first line of defence?

A

Innate immunity. Physical barriers - skin, mucous barriers, lower pH in the vagina and nasal passages etc.

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8
Q

What is the second line of defence?

A

Innate immunity. Phagocytes, NK cells, mast cells, complement proteins, interferons, inflammation and fever.

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9
Q

What is the third line of defence?

A

Acquired immunity. Lymphocytes - T and B cells and dendritic cells.

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10
Q

What does skin do?

A

Continual shedding of the epidermal layer gets rid of pathogens, the epidermis is waterproof, has lower pH, sebaceous glands that release sebum which has antimicrobial properties and defensins that disrupt bacterial membranes. Also, commensal bacteria that compete with pathogens on the skin.

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11
Q

What are lymphoid organs?

A
Primary = bone marrow and thymus.
Secondary = spleen, bronchitis lymph nodes etc.
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12
Q

Where does innate immunity work?

A

Peripheral tissue. Detection of infectious agent, containment/elimination of agent using non specific mechanisms then pass on info about nature of infection to acquired immune system.

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13
Q

How does innate immune system work?

A

PAMPS and PRR and TLR at the surface of all innate immune cells. Germline encoded receptors.

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14
Q

Describe PAMPS and PRR

A

Every pathogen expresses foreign pathogen-associated molecular patterns that are recognised by pattern recognition receptors.

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15
Q

Describe TLR

A

Toll-like receptors e.g. TLR-5 bins to flagellin part of flagella which binds to the ligand and changes the shape of intracytoplasmic portion, binds to a protein that initiates signalling pathway in the macrophage that activates it.

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16
Q

What are the characteristics of the innate immune system?

A

General response. Remains the same on repeated exposure to antigen. Moderate efficacy.

17
Q

What secretes cytokines?

What do cytokines do?

A

Phagocytes.

They activate other inflammatory cells.

18
Q

What does IL-1 and TNF alpha do?

What does IL-6 do?

What does IL-8 do?

A

Promotes inflammatory effects.

Signals for more infection.

First released and is a chemokine (chemotaxis)

19
Q

What are complement proteins?

A

Recognise substances on macrophages by binding to them. Found in blood and tissue fluids.

20
Q

What do C3a and C5a do?

What does C3b do?

What does C9 do?

What does C5b, C7, C8 and C9 do?

A

Activate phagocytes. Attract inflammatory cells by chemotaxis and degranulate mast cells.

Acts as an opsonin.

Creates hole in microbial cell membrane, disrupts osmotic balance and kills microbe.

Membrane attack complex.

21
Q

What do mast cells do?

A

The inflammatory cell inside cells contain granules containing - Histamine which increases the permeability of small blood vessels. Prostaglandins stimulate pain receptors and increase permeability chemotactic factor for eosinophils and neutrophils.

22
Q

What causes mast cells to degranulate?

A

Heat, cold, trauma, chemicals, drugs and C3a and C5a.

23
Q

What are inflammatory mediators?

A

IL-10 secreted by macrophages and lymphocytes inhibit release of pro-inflammatory cytokines from other cells. Switches off inflammatory responses.