Non-Specific Immune Defenses Flashcards

(49 cards)

1
Q

What are Non-Specific (INNATE) Defenses?

A

-1st and 2nd line of the immune system
-no specific responses (respond the same each time)
-No immune memory
-do not recognize antigens
-recognize danger patterns
-no lag time/instant defense

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2
Q

True or False:
Non-specific defenses often set off specific defenses

A

True, Non-specifc defenses can help your specific defenses

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3
Q

What is the first line of your immune system?

A

Non-specific barriers

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4
Q

What is the second line of your immune system?

A

Non-specific responses
-phagocytic cells
-neutrophils
-macrophages
-dendritic cells
-NK cells
-Inflammation (appropriate or non-appropriate)
-fever
-Interferon
-Complement

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5
Q

What is the third line of your immune system?

A

Specific Responses vs Antigens
-Cell-mediated response
-Humoral Responses

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6
Q

What do neutrophils do?

A

-perform phagocytosis
-do not present antigens
-die and form puss at infection site (pyogenic infections)
-can harm tissues when activated
-job is to be super deadly and kill everything around them (normal tissues and then themselves)

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7
Q

What do macrophages do?

A

-perform phagocytosis
-antigen presentation

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8
Q

What are dendritic cells?

A

macrophages in various tissues

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9
Q

What are interferons?

A

Cytokines cells that can secrete in response to infection

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10
Q

Why is complement important?

A

Important in getting the immune system activated quickly

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11
Q

What is a cell-mediated response?

A

T cells secrete cytokines or cytotoxins

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12
Q

What is a humoral response?

A

B cells make antibodies

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13
Q

What are epithelial surfaces?

A

skin or mucosal surface of the respiratory, gastrointestinal, and urogenital tract that are frequently exposed to microorganisms

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14
Q

What do macrophages, neutrophils and B cells ALL do?

A

-chemotaxis
-attachment
-phagocytosis
-digestion of the immune threat
-load peptides on MHC 11 proteins
-secrete pro-inflammatory cytokines

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15
Q

What does reduced phagocytes/phagocytic ability lead to?

A

predisposition to infection

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16
Q

What are Toll-Like Receptors (TLR)?

A

-PRR
-trans-membrane proteins on/in macrophages/dendritic cells
-bind dangerous molecular patters that are specific and ALWAYS associated with certain pathogens
-enable APCs to response in a non-specific way to danger patterns
-recognize patterns
-do not recognize antigens

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17
Q

What are PAMPs (Pathogen-Associated Molecular Patterns)?

A

-PRR binding targets that are critical to the particular microbe
-cant be eliminated or changed
-evolutionarily conserved

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18
Q

What are some examples of PAMPs?

A

-LPS
-gram neg bacteria in outer membrane
-lipoteichoic acid
-gram pos bacteria in cell wall
-flagella
-dsRNA (viral RNA)

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19
Q

True or False:
The specificity of TLRs can be altered.

A

False, the specificity can not be altered because they are a feature of non-specific immunity

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19
Q

True or False:
The specificity of TLRs can be altered.

A

False, the specificity can not be altered because they are a feature of non-specific immunity

20
Q

What are the results of TLR binding?

A

-intracellular signaling
-cytokine production
-activation of other cells and responses
-Inflammation
-up-regulation of MHC proteins

21
Q

Where are PRRs found?

A

-TLR = macrophages
-Complement = soluble protein in bloodstream and lymphatic fluid

22
Q

What do PRRs respond to?

A

Danger patterns

23
Q

What are the functions of PRR?

A

TLR = secrete cytokines by macrophages
Complement = bind danger pattern to initiate a complement cascade
*Secrete cytokines and induce MHC-11 proteins

24
What are NK cells?
-not antigen specific -recognize infected/abnormal cells (too many or few MHC proteins secreted by the cell) -not phagocytic -extracellular killers
25
What are Eosinophils?
-not antigen specific -secrete cytokines -weakly phagocytic -extracellular killers -not antigen presenting cells -rare in body
26
What is normal inflammation?
non-specific, localized response to... -tissue damage -infection/damage
27
What happens in normal inflammation?
-Cut allows bacteria beneath surface of skin -damaged cells release histamine -capillaries dilate: more blood comes to tissue making it more red and warm -Fluid moves into tissue (edema) because capillaries are more permeable and causes swelling
28
True or False: Systemic Inflammation is very dangerous
True
29
What does histamine do?
-causes redness -causes swelling -increases body temp
30
What does it mean if something is chemotaxis?
it is physically drawn by chemical attraction
31
True or False: Inflammation is crucial to normal immune response
True
32
What do pyrogens do?
set macrophages off to produce pro-inflammatory cytokines
33
How does a fever happen?
-It is caused by pyrogens "fire makers" from outside of the body (ex: LPS and Lipoteichoic acid) -Causes the release of various cytokines -Cytokines travel to brain -Portion of brain that regulates body temp is offset to increase body temp
34
True or False: A fever does not benefit your immune system
False, can potentially be beneficial
35
What are alpha and beta interferons?
-Non-specific -Early response -Anti-viral responses in healthy cells (created in response to infection)
36
Where is complement produced?
produced in liver and released into bloodstream
37
Complement is normally inactive, but when it is active, it initiates a complement cascade. What are the results of a complement cascade?
-Inflammation: promotes phagocytosis -Opsonization (coating): promotes phagocytosis/helps macrophages -Microbe distribution
38
How do you activate a complement cascade through the classic pathway?
Complement proteins binding to bound antibodies *Antigen-antibody complexes
39
How do you activate a complement cascade through the lectin pathway?
Complement proteins will bind to specific sugars that are on the surface of certain cells *Doesn't need antigen present to recognize danger pattern (Microbial Surfaces)
40
How do you activate a complement cascade through the alternative pathway?
Complement proteins bind things that are foreign (ex: endotoxins) *Microbial Surfaces
41
True or False: Some complement proteins can become hydrophilic when activated
False, some can become hydrophobic
42
True or False: Inappropriate cytokine production can cause shock
True, can result in either sepsis in the blood or toxins in the blood
43
What causes toxic shock?
Circulating toxins in the blood (endotoxins)
44
What causes septic shock?
Circulating microbes in the blood (septic = not sterile; asepsis= sterile) *Caused by INFECTION (leading cause of death in non-coronary ICU patients)
45
What is hypotension?
Blood pressure decreases
46
In sepsis, what does the body attempt to compensate hypotension with?
-HYPERVENTILLATION -White blood cell count very high/very low -Increased heart rate -body temp
47
What is a result of sepsis?
multiple organ dysfunction and death
48
True or False: Each hour delay in the administration of appropriate antibiotic therapy in sepsis patients = a 7% rise in mortality
True