Immunology Flashcards

(40 cards)

1
Q

what is the purpose of the immune system?

A

to identify and eliminate harmful microorganisms and harmful substances

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2
Q

name the 2 types of immunity

A

innate - first line

adaptive - acquired

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3
Q

which type of immunity has memory?

A

adaptive immune response

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4
Q

does the eye have a barrier?

A

not really - no skin

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5
Q

name some solutions that eye has to tackle harmful organisms

A

blink reflex
physical and chemical properties
limited exposure and size

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6
Q

name some chemicals present in the eyes tears

A
lysozyme
lactoferrin and transferrin
lipids
angiogenin
secretory IgA
complement 
IL-6, IL-8. MIP
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7
Q

name some cells present in the eyes tears

A

neutrophils
macrophages
conjunctival mast cells

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8
Q

what 3 things does the adaptive immune system require?

A
  1. antigen presenting cells
  2. lymphatic drainage
  3. effector cells
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9
Q

what is the principle APC for the external eye?

A

langerhans cells

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10
Q

name the class of MHC molecule langerhans cels are rich in

A

class II MHC

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11
Q

where on the eye are langerhans cells abundant?

A

corneal-scleral limbus

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12
Q

name the only part of the eye with lymphatic drainage

A

conjunctiva

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13
Q

name the part of the eye:

avascular
no lymphatics
lack of APCs

A

cornea and sclera

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14
Q

where are there more plasma cells (IgA) and CD8+ T cells compared to the conjunctiva?

A

lacrimal glands

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15
Q

has the vitreous, choroid and retina got a good or bad immune response?

A

bad - lack of APCs

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16
Q

define immune privilege

A

certain sites of the body (eyes) that are able to tolerate the introduction of antigens without eliciting an inflammatory immune response

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17
Q

name the sites in the eye that are immune privileged

A

cornea, anterior chamber, lens, vitreous cavity, sub retinal space

18
Q

what does ACAID stand for?

A

anterior chamber associated immune deviation

19
Q

what does ACAID do?

A

ACAID protects the eye and visual axis from the collateral damage of an immune response to infection by suppressing a future potentially damaging response to infection.

20
Q

immunological ignorance:

A

Corneal cells have ↓ expression of MHC Class I molecules and do not express MHC Class II molecules

21
Q

name the are, bilateral, granulomatous uveitis condition due to trauma (more common) or surgery (less common) to one eye

A

sympathetic ophthalmia

due to an autoimmune reaction to ocular antigens at event

22
Q

name the primary mediator in sympathetic ophthalmia including both the initial and later waves

A

T cells overall

initial wave: CD4+ Th cells
later wave: CD8+ Tc cells

23
Q

name the ocular autoimmune disease:

inflammation of uvea & retina

A

autoimmune uveoretinitis

24
Q

name the ocular autoimmune disease:

epithelial cell clusters in retinal layers

A

Dalen-Fuchs nodule

25
name the ocular autoimmune disease: dry eyes
keratoconjunctivits sicca
26
name the ocular autoimmune disease: reaction due to release of lens products
lens-induced uveitis
27
name the ocular autoimmune disease: common in retinopathy associated with cancer/infection/degenerative disease
retina autoantibodies
28
name the ocular autoimmune disease: bilateral granulomatous uveitis
sympathetic ophthalmia
29
what is the classification of a direct cell killing reaction?
type II
30
what is the classification of an immune complex mediated reaction?
type III
31
mast cells express receptors for __ region of Ig_ antibody on their surface
mast cells express receptors for Fc region of IgE antibody on their surface
32
acute allergic conjunctivitis is which type of hypersensitivity reaction?
type I
33
what does chemises mean?
oedema of the conjunctiva
34
ocular cicatricial pemphigoid is which type of hypersensitivity reaction?
type II
35
autoimmune corneal melting is which classification of hypersensitivity reaction?
type III
36
which type of hypersensitivity reaction is seen in corneal graft rejection?
graft IV
37
name the 2 ocular side effects of steroid use?
cataracts | steroid-induced glaucoma
38
which part of the eye is deficient in Langerhans cells?
central cornea
39
what 3 things can kill cells?
macrophages NK cells complement - MAC
40
what produces antigen-specific IgE antibody?
B cells