Phagocytosis, Complement & Oedema Flashcards

1
Q

The immune system can be categorised into which 2 categories?

A

Innate (non-specific)

Adaptive (highly specific)

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2
Q

What are 2 branches of the innate immune system?

A

Mechanical/chemical barriers

Cellular (e.g phagocytosis, complement)

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3
Q

What are two branches of the adaptive immune system?

A

Cell-mediated (b and t cells)

Humoral (antibody mediated)

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4
Q

In phagocytosis the ingested pathogen is packaged into a..?

A

Phagosome

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5
Q

A phagosome fuses with which organelle to aid in digestion? What is the resulting complex called?

A

Fuses with a lysosome - formation of a phagolysosome

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6
Q

Digestion of a pathogen in phagocytosis can be done in which two ways?

A

Oxygen-dependent

Oxygen-independent

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7
Q

What is a residual body? What two things can happen to a residual body once it is formed?

A

Indigestible material produced in phagocytosis.

Either secreted by exocytosis or remain as granules in the cytoplasm.

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8
Q

What is opsonization?

A

Process of identifying the invading particle to the phagocyte for destruction

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9
Q

What are two methods of opsonization?

A

Binding of antibodies e.g. IgG

Binding of C3B (complement protein)

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10
Q

Name 3 functions of complement

A

Destroys cells
Helps in opsonization
Results in inflammation

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11
Q

The complement cascade can be activated by which 2 pathways?

A

Classical Pathway

Alternative Pathway

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12
Q

What happens at the beginning of the classical pathway?

A

C1 is activated when it binds to an antibody-antigen complex

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13
Q

What happens at the beginning of the alternative pathway?

A

C3b is activated when it reacts with antigens (e.g the bacteria cell wall)

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14
Q

After initiation of either the classical or alternative pathways what is the common sequence of events that follows?

A

After C3 activation;

1) Inflammation
2) Opsonization
3) Membrane attack complex formed —> cytolysis

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15
Q

What is oedema?

A

An accumulation of an excessive amount of watery fluid, in cells, tissues or serous cavities.

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16
Q

What is lymphoedema?

A

Swelling as a result of obstruction of lymphatics or lymph nodes and an accumulation of excessive amounts of lymph in the region.

17
Q

Does oedema or lymphoedema pit?

A

Lymphoedema does NOT pit (oedema does)

18
Q

Why does lymphoedema not pit?

A

Many fibroblasts - secreting collagen fibres and general high protein content means the skin has little give

19
Q

What controls the blood flow into capillary beds?

A

Pre-capillary sphincters

20
Q

Where do lymph capillaries lie in capillary beds?

A

They lie amongst the capillaries in tissue spaces

21
Q

The starling forces refers to forces exerted by which two pressures? What do these pressures determine?

A

Blood colloid oncotic pressure and hydrostatic pressure

The movement of fluid across capillary membranes

22
Q

What is the blood colloid oncotic pressure?

23
Q

What is the hydrostatic pressure at the arterial end of capillaries?

24
Q

What is the hydrostatic pressure at the venous end of the capillaries?

25
Where does oedema often appear first?
At the ankles (due to gravity)
26
What is the result of venous hypertension?
RBCs pushed to the wrong places, oxygen dependent phagocytosis takes place ---> ferric oxide produced ---> rust coloured skin staining