Immunology Flashcards
(48 cards)
causes of secondary immune deficiency?
infection old age drugs malignancy nutritional disorder
what is a granuloma?
an organised collection of activated macrophages and lymphocytes
why do granulomas sometimes form?
inflammatory response triggered by a stimulus
failure of removal of the stimulus results in persistent cytokine production
immune cells cluster in a circle
DDx lung granuloma
TB sarcoidosis chronic hypersensitivity pneumonitis dust diseases eg silicosis foreign body
people with antibody deficiencies tend to get bacterial/viral infections
bacterial
how does antibody deficiency present
recurrent bacterial infections
antibody mediated autoimmune disease
selective IgA deficiency patients to tend to get infections in what system?
respiratory BUT most are asymptomatic
what is hypogammaglobulinaemia
decrease in gammaglobulins INCLUDING immunoglobulins
if you arent antibody deficient but you have hypogammaglobulinaemia what could be the cause?
protein loss or failure of protein synthesis eg by leukaemia
NK cells kill cells that lack what?
MHC
toll-like receptors respond to what?
PAMPS
pathogen associated molecular patterns
TLRs are expressed on..
phagocytes
dendrites
by activating TLRs, you will trigger the release of…
pro-inflam cytokines
type 1 interferon secretion
TNF inhibitors block…
pro-inflam cytokines
give an example of a TLR activating drug
imiquimod
why are biologic drugs not hepato or nephrotoxic?
are normal proteins so their metabolism doesnt depend on liver/renal function
what are biologic drugs made of?
artificial antibodies
name the fastest kind of transplant rejection; how long does it take to present?
hyperacute
minutes-hrs
acute cellular rejection is an example of type _ hypersensitivity
4
cells involved in acute cellular rejection?
CD4 and CD8 T cells
acute vascular rejection is an example of type _ hypersensitivity
2
name the types of transplant rejection that occur 5-30 days after transplant
acute cellular rejection
acute vascular rejection
what transplant rejection can present with vasculitis?
acute vascular rejection
what transplant rejections are treated? with what?
hyperacute - nil
acute cellular/vascular - immunosuppression
chronic allograft failure - treat symptoms