1What is a Polymorphonuclear Phagocytes? Role?
-Neutrophils
-circulate in blood, engulf and destroy bacteria, granules contain enzymes and antimirobials
2What are mononuclear phagocytes?
-monocytes (develop as they leave hte blood stream)
-macrophages (mature in tissue)
-dendritic cells (migrate to lymph nodes and present antigens to adaptive immune cells)
3What is phagocytosis?
-ingestion of microbes or particles by a cell
4Steps of Phagocytosis?
-C3b opsonization of microbe
-phagocytes recognize the C3b and engulfs it
-phagosome formed and digestive enzymes destroy
-exocytosis of destroyed microbe
5What does the term "chemotaxis" in phagocytosis represent?
-when chemokines (peptides) are released by infected cells and activate immune cells
-involves C3a and C5a
6What does the term "adherence" in phagocytosis represent?
-when receptor binding of MAMP's or PAMP occurs (to complement or lectin)
7What are Nets?
Neutraphil Extracellular traps
neutraphil excretes its DNA to trap bacteria)
8What is the function of inflammation (acute)?
-limit spread of infection or tissue damage
-neutralize pathogens
-repair damaged tissues
9What are the three phases of inflammation mechanism?
-vasodilation and increased permeability of blood vessles (includes edema and blood clot formation)
-phagocytic immune cells recruite and activated
-tissue repair
10What are localized symptoms of acute inflammation?
-redness
-pain
-heat
-swelling (edema)
-blood clot
-pus
-abscess
11What are systemic symptoms of acute inflammation?
-fever
12What are the 5 signaling molecules of inflammation?
-Histamines
-Kinins
-Prostaglandins
-Leukotrienes
-Cytokines
and other acute phase proteins
13Role of histamines in inflammation?
-vasodilation and increased permeability of blood vessels
14Kinins role in acute inflammation?
small peptide that contributes to vasodilation and permeability of blood vesseles, aid in chemotaxis
15Role of Prostaglandins in acute inflammation?
lipids that intensify effects of histamine and kinins
16Role of Leukotrienes in acute inflammation?
-produced by mast cells, help increase permeability of blood vessels, help phagocytes attatch to pathogens
17Role of Cytokines in acute inflammation?
-released by macrophages (help stimulate WBS) and increas permability of blood vessels
18T or F, there are other acute phase proteins that take part in complement system?
T, these other portions help with release of histamine, attract phagocytes and promote phagocytosis
19Impact of vasodilation on blood flow?
-slows blood flow and increases volume
20Impact of Cytokines on blood flow?
-alter cellular adhesion molecules (CAMs) causing phagocytes to adhere to vascular walls
21What is Margination?
migration of phagocytes through vessel wall (extravasation)
22What is Chemotaxis?
cell movement in the direction of a chemical (chemokine) gradient
23Walk me through the behavoir of phagocytes during acute inflammation?
-margination (phagocytes stick to endothelium)
-diapedsis (phagocytes squeeze between epithelial cells)
-phagocytosis of bacteria
24What are primary lymphoid organs?
-where immature lymphocytes mature
-Bone marrow (B-cells)
-Thymus (T-cells)
25What are secondary lymphoid organs?
-where lymphocytes encounter antigens
*lymph nodes
*spleen
*peyers patches
*tonsils, adenoids
*appendix
26What is happening (on the molecular scale) with sepsis?
-microclots form as blood proteins and are exposed to tissue factor (leads to more coagulation)
=basically microvascular coagulopathy
27What is chronic inflammation?
-tissue destruction by inflammatory cells
-repair with fibrosis or angiogenesis
28Name three diseases assoicated with chronic inflammation?
-cancer
-arthritis
-authoimmune disease
29Normal body temp set by?
37 degrees C by hypothalamus
30What does the Hypothalamus release to increase body temp?
-prostaglandins
31How does the body respond to prostaglandins?
-body increases rate of metabolism
-induces shivering to raise temp (chills)
32Effect of Lipid A from gram negative endotoxin?
-causes phagocytes to release interleukin 1 (cytokines)
33What do cytotoxic T cells do?
induces apoptosis in target cell
34What are superantigens?
-bind to outside of MHC (major histocompatibility complex) site resulting in cytokine storm
-not an antigen specific response (results in many different T cells being activated)
35What are natural killer cells?
innate immune cells that destroy virus-infected cells and cancers
36What does self-tolerance mean?
-body doesn't make Ab against itself
37What is clonal deletion?
-process of destroying B and T cells that react to self antigens
38What is adaptive immunity naturaly aquired?
active: antigens enter body and induce antibodies and specialized lymphocytes
passive: antibodies pass from mother to fetus via placenta or to infant via formula
39What is artifically acquired adaptive immunity?
active: antigens are introduced via vaccines and body produces antibodies and specialized lymphocytes
passive: preformed antibodies in immune serum are injected
40What are the two conventional vaccines?
-whole inactivated (virus inactivated by chemicals or heat)
-live attenuated (wild type virus passaged through several cell types until mutations accumulate so it doesn't cause disease)
41What types of vaccines use protein fragments from virus?
-subunit vaccine
42T or F, there are nucleic acid vaccines?
True
43Pro and con to Live attenuated virus?
pro: tend to mimic actual infection and give better immune response
con: can mutate into virulent form
44Examples of live attentuated vaccines?
-oral polio, measules, mumps, rubella
45Pro and Cons inactivated killed vaccine?
pro: can't cause disease
con: immunity not as strong
46Ex of inactivated killed vaccine?
rabies, influenza, inactivated polio virus
47what type is anaphylatic shock?
Type 1
48How long until symptoms of Anaphylactic shock occur?
less than 30 minutes
49What is type II hypersensitivity reaction? how long until symp?
Cytotoxic, 5-12 hrs
50What is type III hypersensitivity reaction? how long until symp?
Immune complex, 3-8 hrs
51What is type IV hypersensitivity reaction? how long until symp?
-delayed cell mediated
OR
-delayed hypersensitivity
-24-48 hrs
52What situations lead to type 1 anaphylactic reactions?
-drug injections
-insect venom
-hay fever
-asthma
53What situations lead to type II Cytotoxic reactions?
transfusion reactions, Rh incompatibility
54What siutation lead to Type III (immune complex) reactions?
-arthus reaction (extra dose of vaccine)
-serum sickness (sickness to certain proteins in medicine)
55What situation leads to Type IV reactions?
-rejection of transplanted tissues
-contact dermatitis
-poison ivy
-tuberculosis
56What does localized Type 1 anaphylactic result from?
-hives or asthma from contact or inhaled antigens
57What does systemic Type 1 anapylactic result from?
-shock from ingested or injected antigens