Lecture 5 Immunity and disease Flashcards

(67 cards)

1
Q

What is immunity?

A

Protection/defence against infections. Bacteria, virus, fungi, toxins, cancer.

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2
Q

What does immune system do? (3)

A

Distinguishes self from non-self molecules. Activates mechanisms to either eliminate or neutralise threat. Innate and adaptive.

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3
Q

Define innate immunity?

A

Defence mechanisms present before infection.

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4
Q

Examples of innate immunity?

A

Skin, mucus membranes, phagocytic cells, inflam, fever

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5
Q

What phagocytic cells are in the innate immunity?

A

Neutrophils and macrophages.

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6
Q

What is the time frame for the innate immunity?

A

0-12 hours

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7
Q

Complement and NK cells are in which immunity?

A

Innate

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8
Q

What does the adaptive immune response entail?

A

Cell-mediated immunity and humoral immunity

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9
Q

What cells are involved in the adaptive immunity?

A

B lymphocytes and T tymphocytes

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10
Q

What do B lymphocytes become?

A

Antibodies

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11
Q

What do T lymphocytes become?

A

Effector T cells

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12
Q

Name 4 examples of non-specific deferences?

A

Intact skin, mucus, cilla and chemical barriers

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13
Q

How does skin defend?

A

Mechanical barrier. Keratin outer layer. Dead cells constantly lost -> X invading bacteria colonisation.

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14
Q

What does sweat and oils contain?

A

Anti-microbial chemicals

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15
Q

How do mucous membranes defend?

A

Normal flow of mucus washed bacteria and viruses off membranes. Cilia in resp tract, acid in stomach and vagina. Enzymes in saliva & eyes

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16
Q

How do chemical barriers protect?

A

Proteins. Complement (work with other defence mechanisms). Interferons (X replication of viruses)

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17
Q

What do cellular defences involve?

A

Phagocytosis

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18
Q

What are granulocytes?

A

Neutrophils, Eosinophils and Basophils

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19
Q

How do granulocytes work?

A

Remove dead cells and micro-organisms

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20
Q

What attracts granulocytes?

A

Inflam response or damaged cells

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21
Q

What are monocytes?

A

Macrophages

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22
Q

Monocytes/macrophages location?

A

in tissues which act as filters for trapping microbes

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23
Q

Monocytes/macrophages life span?

A

Live longer than granulocytes

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24
Q

Do monocytes or granulocytes arrive at site first?

A

Granulocytes

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25
What do monocytes/macrophages do?
Stimulate specific immune response (antigen presenting).
26
What are the non-specific responses to infection?
Macrophages releasing IL-1 & IL-6, fever, pain, swelling, redness, acute-phase proteins.
27
Why does a fever work?
Most bacteria grow optimally at temp below body temp
28
Why does pain, swelling and redness work?
^ capillary permeability, ^blood flow, ^ phagocytic.
29
Why does acute-phase proteins release from liver work?
Bind to bacteria and activate complement proteins
30
What is the specific immunity?
Adaptive. Needs antigens and lymphocytes
31
What are antigens?
Toxin/foreign substance which induces immune response.
32
How much of lymphocytes are carried in blood? Where are the rest?
1%. Rest in lymphatic system.
33
How many lymphocytes in human body?
2x10^12
34
What is a lymphocyte?
small leucocyte (white blood cell)
35
Where do B-cells mature?
Mature in bone marrow then conc in lymph nodes and spleen
36
Where do T-cells mature?
Mature in thymus
37
Both B-cell and T-cells
Circulate in blood ensuring they come in contact with pathogens
38
What do T-cells recognise?
X free antigens. Only recognised antigens presented by major histocompatibility complex - Class I (all cells) class II (APC)
39
What do T-cells do?
Directly attack invaders (cytotoxic, CD8+, MHCI) and recognise pathogens inside cells.
40
What can sometimes recognise and destroy cancer cells?
Cytotoxic T-cells
41
What to T helper cells do?
Stimulate B-cells and activate cytotoxic cells/macrophages.
42
How do T-cells recognise an invader?
Detect an antigen - protein marker on cell surface.
43
Define epitope?
Fragment of antigen
44
What happens when an antigen is encountered by macrophage?
It will bring the protein to a helper T-cell -> if T-cell recognises it as "not-self" -> Launch immune response.
45
How are B-cells stimulated to divide?
Helper T-cells (CD4+) that has been stimulated by antigen -> releases cytokines to stimulate B-cell division.
46
How does HIV affect immune response?
Destroys helper T-cells so immune response diminished
47
What do B-cells do?
Secrete antibodies, humoral immunity and recognise pathogens outside cells.
48
What antibodies do B-cells produce?
Glycoproteins, specific, hypervariable region, different subtypes (IgM, IgA and IgD)
49
Antibodies are on
B-cells
50
B-cell antibodies can be
Glycoproteins, specific hypervariable region, or different subtypes
51
What different subtypes of antibodies is there?
IgG, IgM, IgA, IgD.
52
Define opsonisation
identifying the invading particle to the phagocyte
53
B-Cells also stimulate
Complement
54
What do memory cells do?
remain ready to divide rapidly if an invasion occurs again
55
Explain pathway of B-cells
Antigen binds to antibodies-> B-cell multiples-> differentiate into 1) memory cells 2) plasma cells - more antibodies
56
Examples of when immune system is deficient?
Chemo, HIV, Splenectomy, bone marrow dysfunction
57
What is HIV?
Human immunodeficiency virus. Retro virus.
58
How does HIV effect?
Infects CD4 + T-cells. Infection -> latency -> AIDS (acquired immunodeficiency syndrome).
59
What is AIDs?
Acquired immunodeficiency syndrome. Decline in CD4 and T cells -> opportunist infections.
60
Causes of 2nd immunodeficiency?
Malnutrition, burns, uremia, diabetes m, recreational drugs and alcohol. AIDs!
61
Type 1 hypersensitivity examples?
Anaphylaxis/allergy. Rhinitis (hayfever)
62
Self reactive lymphocytes are
deleted centrally and suppressed in periphery
63
4 examples of autoimmune diseases
Hashimoto's thyroiditis, type 1 diabetes M, coeliac disease, multiple sclerosis,
64
Example of live (attenuated) vaccine?
MMR
65
Example of inactivated vaccine
Hep B
66
Example of toxoid (bacterial toxin) vaccine?
Diptheria
67
Example of conjugated (antigen linked to protein) vaccine
pneumococcal