Patho Ch. 11

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1
What do mature forms of dendritic cells have the ability to do?
initiate adaptive immunity as antigen-presenting cells (APCs)
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immune response
the collective, coordinated response of the cells and molecules of the immune system
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innate immunity or non specific
the natural resistance with which a person is born
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adaptive immunity or specific
the second line of defense, responding less rapidly than innate immunity but more effectively due to a "memory" of pathogens and rapid response on subsequent encounters
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cytokines
•soluble proteins secreted by cells of both the innate and adaptive immunity that mediate the interaction between immune and tissue cells
•pleiotropic and redundant with broad activity
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pleiotropic
producing more than one effect
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redundant
duplicating the effect of another cell
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interleukins (ILs)
•proteins (cytokines) that stimulate the growth of B and T lymphocytes
•produced by macrophages and lymphocytes to enhance acquired immunity
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interferons(INFs)
•proteins (cytokines) secreted by T cells and other cells to aid and regulate the immune response
•primarily protects against VIRAL infections
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tumor necrosis factor-alpha
cytokine that is an endogenous pyrogen (fever producer)
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chemokines
cells that stimulate the migration of leukocytes to their primary site of action in the immune response
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colony-stimulating factors
•cells that stimulate growth and differentiation of bone marrow progenitors of immune cells
•very specific and named according to the target cell upon which they act
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lymphocytes
cells that specifically recognize and respond to foreign antigens
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accessory cells
•cells that function as antigen-presenting cells by the processing of complex antigens into epitopes required for the activation of lymphocytes
•macrophages and dendritic cells
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What are the components of innate immunity?
epithelial barriers, neutrophils, eosinophils, monocytes, macrophages
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neutrophils (aka polymorhonuclear neutrophils [PMN's]):
early responding white blood cells that are found predominately in the blood (not in the tissues)
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eosinophils
white blood cells that typically ingest antigen-antibody complexes and viruses
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monocytes
white blood cells that are released by the bone marrow, migrate into tissues, and mature into macrophages and dendritic cells
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macrophages
•Essential for clearance of Bacteria
•efficient phagocytic cells that engulf and digest microbes that attach to their cell membrane
• limit the spread of infection until adaptive immunity occurs
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basophils and mast cells
cells that release chemical s that mediate inflammation and allergic responses
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dendritic cells
cells of the epidermis and mucous membranes that are the bridge between the innate and adaptive immune system by releasing cells that can direct the nature of the adaptive immune response
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What do immature forms of dendritic cells do?
•sense and capture foreign agents
•transport to secondary lymphoid tissues
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Natural Killer cells
•cells that kill target organisms infected with intracellular (viral) or bacterial pathogenic organisms
•mediate spontaneous cytotoxicity against infected cells
•function WITHOUT previous exposure to surface antigens: assist in dendritic cell maturation and innate control of viral infection
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How do NK cells help protect against cancer?
help neutralize tumors that are virally caused
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What does PAMP's stand for?
pathogen-associatd molecular patterns
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PAMP's and toll-like receptors
proteins found in pathogens that are important in terms of protecting humgns so that other cells in our immune system don't kill us; help the innate immune system function the way it is supposed to by discerning self from non-self
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Opsonins
•Coating proteins that promote phagocytosis
•IgG and C3b
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inflammatory cytokines
•facilitate the migration of neutrophils from blood to infected tissues
•very short duration
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acute-phase proteins
•produced in response to inflammatory cytokines
•produced by hepatocytes in liver
•act as activators of the ALTERNATE COMPLIMENT PATHWAY
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What are two forms of acute-phase proteins?
manose-binding ligand; c-reactive protein
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complement system
A group of about 30 blood proteins that may amplify the inflammatory response, enhance phagocytosis, or directly lyse extracellular pathogens.
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What are the 3 phases of the complement system?
initiation; amplification of inflammation; membrane attack response
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What is the end result of activating the complement system?
increase in bacterial aggregation (which renders them more susceptible to phagocytosis)
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What percentage of plasma proteins are part of the complement system?
15%
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What complement pathway is activated on microbial cell surfaces in the absenc of antibody and is a component of innate immunity?
alternate pathway
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What complement pathway is activated by certain types of antibodies bound to antigen and is part of the humoral immunity?
classical pathway
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What complement pathway is activated by plasma lectin that binds to mannose on microbes and activates the classical system pathway in the absence of antibody?
lectin pathway
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The activation (and enzymatic cleavage into 2 smaller cells) of which protein is the central component for all 3 complement pathways?
C3
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How does the smaller fragment of C3, C3a, stimulate inflammation?
by acting as a chemoattractant for neutrophils
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How does the larger fragment of C3, C3b, assist in the immune system?
by attaching to the microbe and acting as an opsonin for phagocytosis and by acting as an enzyme to cleave C5 into 2 smaller parts
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How does the C5a fragment assist in the immune response?
by producing vasodilation and increasing vascular permeability
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How does the C5b fragment assist in the immune response?
by leading to the late-step membrane attack responses
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How do the membrane attack complex proteins cause cell lysis?
by creating a pore that allows fluids and ions to enter the cell
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pattern recognition receptors
microbial structures (sugars, lipid molecules, proteins) that are shared by microbes and are often necessary for their survival, but are not present on human cells
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What are the two types of adaptive immunity?
humoral and cell-mediated
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What type of adaptive immunity is mediated by b-lymphocytes and is the principal defense against extracellular microbes and their toxins?
humoral
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What type of adaptive immunity is mediated by cytotoxic T-lymphocytes and functions in the elimination of intracellular pathogens (e.g. viruses)?
cellular (cell-mediated)
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When is the adaptive immune system initiated?
after the innate immune response initiates the inflammatory process
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antigen
substances foreign to the host that can stimulate an immune response when introduced to the body
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What does the body produce in resonse to antigen presentation?
b-cells
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regulatory cells
immune cells that assist in orchestrating and controlling the immune response
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effector cells
immune cells that accomplish the final stages of the immune reponse with elimination of the pathogen
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What are some examples of effector cells?
activated t-lymphocytes, phagocytes
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What are the major cell types of adaptive immunity?
lymphocytes, macrophages and dendritic cells, MHCs, APCs
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lymphocytes
primary cells of adaptive immunity that differentiate into B and T cells
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macrophages and dendritic cells
Primarily cells of innate immunity but play a key role in adaptive immunity by functioning as antigen presenting cells (APCs)
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Major Histocompatibility Complex (MHC)
•molecules are host proteins present on APCs that display the antigen fragments on the cell surface
•present the processed antigen to CD4+ cells and CD8+ cells for activation of the adaptive immune response
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antigen presenting cells
cells that deliver stimulatory signals to T-lymphocytes due to their ability to express both major forms of MHCs
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What cells are the principal APCs?
macrophages
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What types of cells process and present antigen peptides to CD4+ helper T-cells?
macrophages and dendritic cells
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To which cells do class I MHCs present processed antigens to for destruction?
CD8+ T-cells
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To which cells do class II MHCs present processed antigenic fragments to in order to promote effective interaction among immune cells?
CD4+ T-cells
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HLA antigens
•antigens the body recognizes as self or non-self
•present on all body cells except the red blood cells: type of MHC that is important in organ transplantation / rejection
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Into what forms of cells can mature B-cells differentiate when presented with antigens that are complementary with their surface Ig receptor?
memory cells or plasma cells
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plasma cells
•B cells that are actively fighting against exogenous antigens and secreting antibodies
•secrete antibodies into the lymph and blood where they will do their work
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memory b-cells
•Produced during a B cell response, but are not involved in antibody producing during the initial infection
•stored for the rest of your life in case you encounter that pathogen again.
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Helper t-cells (CD4+)
•Activates B and T cells
•Controls or limits specific immune response;
•Helps regulate ALL the cells in the immune system by secreting "messenger" cytokines
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regulatory t-cells
•subset of t-cells that control immune responses
•involved in non-self discrimination
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Cytotoxic T cells
•T cells, often called killer cells because of their capability to kill invading organisms
•destroy target cells by a variety of mechanisms including the release of cytolytic enzymes, toxic cytokines, and pore-forming molecules or by triggering membrane molecules and intracellular apoptosis
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What are the central lymphoid organs that provide the environment for immune cell production and maturation?
bone marrow and thymus
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thymus
specialized bi-lobed immune organ located in the mediastinum above the heart
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What are the functions of the thymus?
production of mature T-cells; storage of macrophages and dendritic cells
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lymph nodes
•small oval clumps of lymphatic tissue located at grouped intervals along lymphatic vessels
•responsible for removal of foreign material before it enters the bloodstream and is the site for proliferation and response of immune cells
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spleen
lymph organ that filters antigen from the blood and is important in the response to systemic infections
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nonencapsulated clusters of lymphoid tissue around membranes lining the respiratory, digestive, and urogenital tracts
tonsils, the appendix, and Peyer's patches
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What is another name for antibodies?
immunoglobulins
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antibodies
secreted proteins produced by B-cells that mature into plasma cells which recognize specific antigens and bind with receptors to activate cellular response
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What are the 5 classes of antibodies?
IgG, IgE,
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IgG
•Most common antibody
•only Ig to cross the placenta
•activates complement and binds to macrophages
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IgA
Ig prominent in body secretions that protects mucous membranes
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IgM
•Ig prominent in early immune responses that activate complement
•earlies produced Ig in the fetus
•is agglutinating (stimulates clumping of organism for eventual lysis and elimination)
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IgD
Ig needed for the maturation of B-cells
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IgE
•binds to mast cells
•involved in allergic and hyspersensitivity reactions
•also responsible for combatting parasitic infections
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How long does the primary response of adaptive immunity take?
1-2 weeks
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active immunity
specific protection induced after exposure to the offending substance and activation of B and T lymphocytes
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passive immunity
specific protection induced through transfer of protective antibodies against and antigen
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When does the most amount of IgG cross the placenta to the fetus?
the last weeks of pregnancy
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If cord blood does contain IgM or IgA what must be suspected and why?
intrauterine infection; because IgG is the only one to cross the placenta
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What is decreased in the immune system in elderly adults?
size in thymus gland; numbers of CD4+, CD8+ cells, and B cells
90
interferons
cytokines that generally induce cells to resist viral replication by shutting down protein synthesis.
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