Topic 12 Part 1 Flashcards
(104 cards)
1
Q
Immune System=
A
System that protects individual against invasion by microorganisms and foreign substances
2
Q
Must recognize and destroy invaders–BUT do no damage to normal body tissue:
–destruction by _________
–destruction take place at ________= ability activate and move all components to the site (vascular system / lymphatic system / interstitial fluid)
A
phagocytosis and/or membrane lysis
point of infection
3
Q
Antigen=
A
–anything foreign that enters the body
–can bind to antibody and/or can bind to receptors on the T or B cells
4
Q
Target Cell=
A
antigenic cells that will be destroyed by immune system
5
Q
Immunogen=
A
–any substance that can stimulate an immune response
–all are antigenic (can bind with antibody)
–not all antigens are immunogens
6
Q
Pathogen=
A
–antigen with ability to cause disease
–usually microorganism or toxin
7
Q
Microorganism examples
A
bacteria / viruses / parasites / fungi / yeasts
8
Q
Allogeneic cells=
A
cells from genetically dissimilar individual
9
Q
Infected Cells=
A
cells inhabited by viruses / certain bacteria / parasites
10
Q
Leukocytes:
Avg adult has ______ circulating WBCs
NORMAL COUNT: _________
A
75 billion
5,000 to 10,000 per mL
11
Q
% of Total: Neutrophiles: Lymphocytes (T Cells / B Cells) Monocytes: Eosinophils: Basophils:
A
Neutrophiles: 40 to 75% of total Lymphocytes: 20 to 45% –T Cells / B Cells Monocytes: Up to 8% Eosinophils: 1 to 6% Basophils: Up to 1%
12
Q
Granulocytes=
A
Most numerous, named for granules in cytoplasm
–Neutrophils
–Basophils
–Eosinophils
13
Q
Monocytes=
A
large white cells, become macrophages in body tissues
14
Q
Lymphocytes: differentiate into
A
B and T cells
15
Q
Granulocytes: Neutrophils Made in \_\_\_\_\_\_\_\_ Life span = \_\_\_\_\_\_ \_\_% circulate \_\_% adhere to blood vessel wall (Margination/Ready to move into tissues) Fxn: \_\_\_\_\_\_\_\_\_\_ Produce about \_\_\_\_\_\_\_ per day \_\_\_\_\_\_ micrometer diameter
A
Made in hematopoietic marrow Life span = hours to days 50% circulate 50% adhere to blood vessel wall (Margination/Ready to move into tissues) Fxn: phagocytosis Produce about 100 billion per day 10-15micrometer diameter
16
Q
Granulocytes: Neutrophils First to enter \_\_\_\_\_\_\_ Attracted via \_\_\_\_\_\_\_ \_\_\_\_\_\_\_ invading organism Die Phagocytized by \_\_\_\_\_\_\_\_
A
First to enter infected areas Attracted via chemotaxis Phagocytize invading organism Die Phagocytized by macrophages
17
Q
Granulocytes: Eosinophils
Develop and mature in __________
Appear where __________
Involved in _____________
A
Develop and mature in hematopoietic marrow
Appear where foreign protein and parasites are
Involved in allergic reactions
18
Q
Granulocytes: Eosinophils
Have binding sites for specific antibodies and complement proteins– Designed to destroy proteins cells coated with (3)
A
IgG antibodies, IgE antibodies and complement
19
Q
Granulocytes: Eosinophils Reside in tissues: \_\_\_\_\_\_\_\_\_\_ Release antitoxin (\_\_\_\_\_\_\_\_\_) to destroy organisms Very effective against \_\_\_\_\_\_\_\_\_ Lifespan = \_\_\_\_\_\_\_
A
Reside in tissues: Skin, bronchi, bronchioles
Release antitoxin (Major Basic Protein) to destroy organisms
Very effective against parasitic worms
Lifespan = 12-24 hours
20
Q
Granulocytes: Basophils
_____ common
Have _______ and _______ activity
Main fxn : ________
A
Least common
Have chemotaxis and phagocytic activity
Main fxn : release of heparin in areas of foreign invasion to prevent blood clots from forming
–Blood clots–blood can’t circulate- WBC cannot get to foreign organism to destroy–tissue necrosis
21
Q
Granulocytes: Basophils Also release \_\_\_\_\_\_ –Causes \_\_\_\_\_\_\_\_\_ Circulate in \_\_\_\_\_\_ Have receptors for \_\_\_\_\_\_\_ Similar to \_\_\_\_ cells: which also contain \_\_\_\_\_, have surface receptors for \_\_\_\_... but Do Not \_\_\_\_\_\_
A
Also release histamine –Causes blood vessel dilation
Circulate in blood
Have receptors for IgE antibody.
Similar to mast cells: which also contain histamine granules, have surface receptors for IgE antibody… but Do Not Circulate
22
Q
Monocytes / Macrophages: Produced in \_\_\_\_\_\_\_ Circulate \_\_\_\_\_ Leave the blood and travel to the tissues –Mature into \_\_\_\_\_\_ -->Actively \_\_\_\_\_\_ –Concentrated in \_\_\_\_\_\_\_\_\_\_
A
Produced in bone marrow
Circulate immature
Leave the blood and travel to the tissues
–Mature into macrophages–>Actively phagocytic
–Concentrated in liver sinusoids, spleen, lungs
23
Q
Monocytes / Macrophages:
_____ micrometers
Monocytes in blood for ______
Macrophages in tissues for _______
A
12-20 micrometers
Monocytes in blood for 1-2 days
Macrophages in tissues for months to years
24
Q
Lymphocytes:
Specific immune response when ______ invades
Activated when they recognize _____ matter
Circulate in ____
Wait in ______ for antigens to appear
Play a role in rejection of _______
A
Specific immune response when antigen invades
Activated when they recognize foreign matter
Circulate in blood
Wait in lymph nodes for antigens to appear
Play a role in rejection of organ transplants
25
T-Lymphocytes (aka. T-Cells):
Mature in ______
Learn to recognize ____
Attack self ______–destroyed
Mature in thymus
Learn to recognize self
Attack self tissues–destroyed
26
T-Lymphocytes (aka. T-Cells):
Membrane receptors on T-Cells bind ________
Need to recognize certain ______ of protein antigens
Membrane receptors on T-Cells bind protein antigens
| Need to recognize certain fragments of protein antigens
27
T-Lymphocytes (aka. T-Cells):
| Antigen presenting cells (ie. Macrophage) digest and display a _______ on cell surface that T-cells can recognize
Antigen presenting cells (ie. Macrophage) digest and display a peptide fragment on cell surface that T-cells can recognize
28
T-Lymphocytes (aka. T-Cells)
Once T-Cells recognize–bind antigen–Release ______
Different types of T-cells: (4)
```
Once T-Cells recognize–bind antigen–Release cytokines (interleukins)
Different types of T-cells:
Helper T-Cells
Cytotoxic T Cells
Suppressor T Cells
Memory T Cells
```
29
Antibody Molecules:
- Protein molecules: ________
- Produced by _________ in response to a specific antigen–after initial exposure, takes ___ days to reach full power (lag time)
- Protein molecules: immunoglobulin
- Produced by B lymphocyte cells (plasma cells) in response to a specific antigen–after initial exposure, takes 14 days to reach full power (lag time)
30
Antibody Molecules:
- Always present in _____ amounts–blood & body tissues
- Five classes:
- Must bind with the ______ surface of the antigen to be effective–antigen binding site ______
- Always present in small amounts–blood & body tissues
- Five classes: IgG; IgM; IgD; IgA; IgE
- Must bind with the outer surface of the antigen to be effective–antigen binding site unique
31
```
Antibody Molecules:
-______ cross cell membranes
-Functions
–______ antigen (mark antigen for destruction)
–activate _______
```
-Cannot cross cell membranes
-Functions
–opsonize antigen (mark antigen for destruction)
–activate complement cascade
32
Opsonization:
Coating of antigen with ______ and ______
–Provides targeting mechanism for the _____ and ______ allowing them to bind, engulf, and destroy the antigen
Coating of antigen with antibody and complement
–Provides targeting mechanism for the phagocytic
neutrophils and macrophages allowing them to bind,
engulf, and destroy the antigen
33
Opsonization:
| Provides points where the ____ can attach to the antigen
Provides points where the phagocytes can attach to the antigen
34
Opsonization:
Phagocytic cells have two specific receptors on their membrane surface
_____ receptor: binds with antibody
_____ receptor: binds with complement
Phagocytic cells have two specific receptors on their membrane surface
–Fc receptor: binds with antibody
–C3 receptor: binds with complement
35
Lysis=
--complement activation leads to production of the
membrane attack complex (MAC)
--the MAC will lyse the antigens membrane
36
Antibody-dependent cell-mediated cytotoxicity:
| –cell destruction carried out by _______, _______, _______ and ______ of target cells opsonized by antibody
cell destruction carried out by natural killer cells,
macrophages, neutrophils and eosinophils of target
cells opsonized by antibody
37
Neutralization=
antibody renders the antigen toxins harmless
38
Most antibodies fall into ______ class
IgG or IgM
39
Class determined by the ______ arrangements in heavy and light chains
–same arrangement in specific area of chain
amino acid
40
IgM Antibody Class:
| First antibody produced against an antigen by the ____ / plasma cells–increased levels indicate _______
First antibody produced against an antigen by the B cells / plasma cells–increased levels indicate new infection
41
IgM Antibody Class:
First antibody produced by the ____
–increased levels indicate ______ in newborn
First antibody produced by the fetus
| –increased levels indicate infection in newborn
42
IgM Antibody Class:
Accounts for _____% of circulating antibody
Very large–remains in _______
Main function to activate ________
Can cause _______
Anti-A and Anti-B antibodies are the _____ type
Fxn: ________
Accounts for 10 to 15% of circulating antibody
Very large–remains in vascular system
Main function to activate complement system
Can cause antigen agglutination
Anti-A and Anti-B antibodies are the IgM type
Fxn: Activate Complement
43
IgD Antibody Class:
______ class of antigen to be released
Found only in ___ amounts in ____ and ____ fluids
Has little ______ effect on antigen
May assist with the _______ cells into plasma cells
Second class of antigen to be released
Found only in small amounts in serum and body fluids
Has little immunologic effect on antigen
May assist with the maturation of B cells into plasma cells
44
IgE Antibody Class:
____ class of antibodies released
Found in ______ concentrations in plasma
Increases with _____ reactions and _____ infections
–causative agent for ___, _____ and other ______
Third class of antibodies released
Found in very low concentrations in plasma
Increases with allergic reactions and parasitic infections
–causative agent for asthma, hay fever and other allergic reactions
45
IgE Antibody Class:
Bind with _____ and _____ cells stimulating them to release ______
Involved with _______ reactions
Bind with basophils and mast cells stimulating them to release histamine
Involved with anaphylactic reactions
46
IgG Antibody Class
_____ class released
Most _____ and _____
Comprises __% of antibody in the immune system – produced in greatest amounts on ___ exposure to antigen
Fourth class released
Most Important and potent
Comprises 80% of antibody in the immune system – produced in greatest amounts on second exposure to antigen
47
IgG Antibody Class
Only antibody that can ______
–provides immunologic protection for ____
–___ antibody is an IgG antibody
______ disease of the newborn
Very effective at binding and destroying ____
Only antibody that can cross the placenta
–provides immunologic protection for fetus
–Rh antibody is an IgG antibody
Hemolytic disease of the newborn
Very effective at binding and destroying antigen
48
IgG1=
protects body from (most) bacteria
49
IgG2=
attacks and destroys organizms encased in a saccharide coat
| Ie. Rest of bacteria
50
IgG3=
activates complement proteins
| -Enhances phagocytosis of antigen
51
IgG4=
produces potent vasodilators
| -Protects bronchioles
52
IgA Antibody Class
| Major antibody in the body ____ and ____ secreted by the mucous membranes: Such as (4)
Major antibody in the body fluids and mucous secreted by the mucous membranes
–tears / breast milk / bronchiole secretions / saliva
53
IgA Antibody Class
- Binds with antigen to _____ it – allows mucin (main ingredient of ______) to remove antigen-antibody complex
- Cannot activate the ________
- Can trigger ________
- Binds with antigen to immobilize it – allows mucin (main ingredient of mucous) to remove antigen-antibody complex
- Cannot activate the complement system
- Can trigger cell-mediated immune reactions
54
Biggest antibody? MW?
IgM 970
55
antibody with longest half life?
IgG (7-21 days)
56
antibody with shortest half life?
IgE (2 days)
57
main function of IgM and IgG3
activation of complement system
58
main function of IgG1
opsonization
59
main function of IgE
sensitization of mast cells
60
main property of IgG1 IgG2 IgG3 and IgG4
diffusion into extravascular sites
61
main property of IgA
transport across epithelium
62
2 main properties of IgG1
transport across placenta
| diffusion into extravascular sites
63
Immune System
Protects individual against ______
Must ____ and ____ harmful invaders – but do no damage to normal body tissue
Protects individual against infectious pathogens
| Must recognize and destroy harmful invaders – but do no damage to normal body tissue
64
Two categories of immunity
innate
| adaptive
65
Innate Immunity
____ / natural
____ line of defense – always present
Able to respond ____
Inborn / natural
First line of defense – always present
Able to respond quickly
66
Innate Immunity components (4)
epithelial barriers
phagocytes
complement
natural killer cells
67
Innate Immunity:
Uses _____ recognition mechanisms to detect antigen – recognizes _____ – limited number of recognition ___ available
Does NOT produce _____
Uses general recognition mechanisms to detect antigen – recognizes microorganisms – limited number of recognition proteins available
Does NOT produce long term immunity to antigen
68
innate immunity is responsible for
inflammation
69
```
Adaptive Immunity:
Responds to _____ antigen
–can be _______
– _____ of recognition proteins
Develops after ______
```
Responds to specific antigen
–can be non microbial
–millions of recognition proteins
Develops after exposure to antigen
70
Adaptive Immunity:
_____ response
Produces very _____ response
_______ are the major players
Slow response
Produces very powerful response
Lymphocytes (T & B cells) are the major players
71
Characteristics of Adaptive Immunity: Specificity=
immune reaction specific for offending antigen
72
Characteristics of Adaptive Immunity: Diversity=
lymphocytes can respond to millions of antigens
73
Characteristics of Adaptive Immunity: Memory=
lymphocytes can remember any antigen previously encountered
74
Characteristics of Adaptive Immunity: Self-regulation=
lymphocytes can shut down activity after antigen is destroyed
75
Characteristics of Adaptive Immunity: Self-tolerance=
lymphocytes can distinguish self-tissue from non self tissue
76
Immune response initiated when ____ stimulates activation of ____ cells
antigen
| T and B
77
Phases of response: cognitive phase=
(first phase)
| antigen interacts with the T lymphocytes
78
Phases of response: activator phase=
(second phase)
T cells respond by releasing cytokines
cytokines stimulate proliferation of T & B cells
79
Phases of response: effector phase=
(third phase)
granulocytes / macrophages / complement activated
antigen opsonized and engulfed
80
T Lymphocytes:
____ immune response against ____ antigen
Responsible for the ____ cells that respond and how they respond
Direct immune response against protein antigen
| Responsible for the type of white cells that respond and how they respond
81
T Lymphocytes:
- T cells must recognize the _____
- T cell response to antigen is called _____
T cells must recognize the antigen
| T cell response to antigen is called CELL-MEDIATED IMMUNITY
82
Role of T Cells
- Direct _______
- Assist _____ via release of _____ that activate other phagocytic cells
- Destroy ____ cells, ___ cells and ____ cells via lysis
- Direct immune response
- Assist phagocytosis via release of cytokines that activate other phagocytic cells
- Destroy malignant cells, allogeneic cells and infected cells via lysis
83
Role of T Cells
- Aid ____ / ____ cells in antibody production
- Involved with delayed_______
- Cause some types of _____ in organ and tissue transplantation
- Responsible for certain types of _______
- Aid B cells / plasma cells in antibody production
- Involved with delayed hypersensitivity immune reactions
- Cause some types of graft rejection in organ and tissue transplantation
- Responsible for certain types of autoimmune disorders
84
```
T Cell Production:
Produced in ______
Mature in ______
–cells trained to distinguish ______
Leave thymus – travel to secondary lymphatic organs (3)
```
Produced in bone marrow
Mature in thymus
–cells trained to distinguish self-tissue from non self-tissue
Leave thymus – travel to secondary lymphatic organs
–lymph nodes
–spleen
85
Types of T Cells: Categorized by? Types of them?
protein molecules on cell membrane (i.e. CD8+ / CD4+)
- cytotoxic cells
- helper cells
- suppressor cells
86
What type of molecules bind to CD8
MHC Class 1
87
What type of molecules bind to CD4
MHC Class 2
88
what are CD8 cells
Cytotoxic T Cells
89
what are CD4 cells
Helper T Cells
90
Cytotoxic T Cells:
- Must be converted from ______
- Destroy (3)
- Once activate, release _____ that rupture target cells
- Must be converted from inactive T cells
- Destroy virally infected cells, allogenic cells (organ transplant), malignant cells
- Once activate, release lytic molecules that rupture target cells
91
Helper T Cells:
Assist or activate other white cells–release _____ to call other cells
Do not destroy ______
Assist or activate other white cells–release cytokines to call other cells
Do not destroy antigen directly
92
Helper T Cells:
| Activated when presented with
antigen-MHC combination
93
Helper T Cells: what is MHC
MHC is major histocompatibility complex
- found on most body cells
- divided into Class I or Class II
- binds with antigen fragments
94
Helper T Cells: TH1=
inflammatory helper; releases cytokines that convert inactive T cells into cytotoxic T cells
95
Helper T Cells: TH2=
release cytokines needed for B cell activation and antibody secretion; MUST be present
96
Suppressor T Cells
| Activated to ______ response once antigen has been destroyed
stop immune
97
B Lymphocytes
Produce antibody in response to antigen–called ____
Able to directly recognize ____ and ____ antigens and initiate response
Produce antibody in response to antigen–called HUMORAL IMMUNITY
Able to directly recognize carbohydrate and lipid antigens and initiate response
98
B Lymphocytes
| Must be activated by ____ before it can produce antibody against protein antigen
TH2 helper cells
99
B Lymphocytes
When activated: proliferate and differentiate into plasma cells
–plasma cells produce the _____ for the specific antigen
–antibody will be produced until ______
When activated: proliferate and differentiate into plasma cells
–plasma cells produce the antibodies for the specific antigen
–antibody will be produced until antigen has been destroyed
100
How they all play together: Part 1
1. ____ antigen is present
2. Ingested by ____ cells (in skin) –Antigen is digested to _____
3. ____ cell moves to the _____
4. Digested protein bound into a groove on the____ on surface of ______ cell
1. Protein antigen is present
2. Ingested by dendritic cells (in skin) –Antigen is digested to small peptides
3. Dendritic cell moves to the lymph node
4. Digested protein bound into a groove on the MHC molecule on surface of dendritic cell
101
How they all play together: Part 2
5. Finds a ____ (naïve – hasn’t interacted with other antigens)
–If T-Cell Receptor (TCR) of CD4 T-Cell sees a ____ it recognizes -> Becomes ____ -> divides and releases ____
--Help induce a ____ to make antibodies
5. Finds a CD4 T-cell (naïve – hasn’t interacted with other antigens)
–If T-Cell Receptor (TCR) of CD4 T-Cell sees a peptide it recognizes -> Becomes active -> divides and releases cytokines
--Help induce a B-cell to make antibodies
102
How they all play together: Part 3
6. Meanwhile – antigen is also recognized by naïve B-cells with _____ molecule
–_____ binds to immunoglobulin on B-Cell.
--Ingested and digested by _____
--____ present on surface of B-Cell in ____ molecules
--React with activated _____: Make _____
6. Meanwhile – antigen is also recognized by naïve B-cells with immunoglobulin molecule
–Antigen binds to immunoglobulin on B-Cell.
--Ingested and digested by B-Cell
--Peptide present on surface of B-Cell in MHC molecules
--React with activated T-Cell: Make Antibodies
103
How they all play together: Part 4
7. CD4 cell recognized antigen peptide on dendritic cell will recognize peptide present on the ____.
–CD4 cell is ____ --Capable of releasing _____: Stimulate the B-cells to make _____
–Activated CD4 cell with MHC-peptide on B-cells will induce B-cells to become ____: Proliferate and release ______
7. CD4 cell recognized antigen peptide on dendritic cell will recognize peptide present on the B-cell.
–CD4 cell is activated --Capable of releasing cytokines: Stimulate the B-cells to make Antibodies
–Activated CD4 cell with MHC-peptide on B-cells will induce B-cells to become activated: Proliferate and release antibodies
104
How they all play together: Part 5
8. B-cells have ____ marker on cell surface
9. CD4 cells (activated helper) have a _____
–Transient presence
10. Appears on T-cells after ____ binds to antigen
11. CD40 : CD40L = ______
8. B-cells have CD40 marker on cell surface
9. CD4 cells (activated helper) have a ligand CD40L
–Transient presence
10. Appears on T-cells after TCR binds to antigen
11. CD40 : CD40L = costimulation
–Need Co-stimulation to make antibodies
