Micro_Chap24 – Flashcards
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Unlock answers| Immunity | 
| Ability of an organism to resist infection | 
| Where do all cells involved in immunity originate from? | 
| Stem cells in bone marrow | 
| What does the Immune system do? | 
| protect against foreign cells and macromolecules | 
| Antigen/ immunogen: | 
| foreign cell or macromolecule that induces immune system | 
| types of immunity? | 
| naturally acquired immunity artificially acquired immunity | 
| Naturally acquired active immunity: | 
| host produces antibodies & T cells - can last from years to life time | 
| Naturally acquired passive immunity: | 
| -when antibodies are passed from one host to another ex. antibodies through placenta from mother to fetus. -lasts few weeks to months | 
| Artificially acquired active immunity: | 
| -result of vaccination -host makes antibodies that can last for years. | 
| what do vaccinations/ immunizations contain? | 
| 1. toxoid 2. killed bacteria cell 3.inactivated virus 4. live cells 5. purified polysaccharide | 
| Toxoid 
 ex.? | 
| chemically modified exotoxin retains antigenicity but loses toxicity. 
 ex. Tetanus, Diphtheria | 
| Killed bacteria cell 
 ex.? | 
| formaldehyde, heat 
 ex. Cholera (dead Vibrio cells) | 
| Inactivated virus 
 ex. 
 | 
| Formaldehyde 
 ex. Salk polio vaccine, influenza | 
| live cells/ virus 
 ex. 
 | 
| attenuated: has lost its virulence 
 ex. Tuberculosis, chicken pox most effective way 
 | 
| Purified polysaccharide 
 ex. 
 | 
| from the bacterial cell 
 ex. Meningitis | 
| Artificially acquired passive immunity: | 
| Host receives antibodies (antiserum) from another host that has formed antibodies against a specific antigen -snakebite victim -lasts only few weeks | 
| Phagocytic leukocytes do what? (neutrophils & macrophages + monocytes) | 
| engulf and destroy pathogens contains lysosomes (inclusions contain H2O2, lysozyme, proteases, phosphatases, nuclease, and lipase) | 
| Neutrophils aka | 
| PMNs --polymorphonuclear leukocytes | 
| Macrophages and monocytes when is it called a monocyte? what does a macrophage do? | 
| - called monocyte when circulating -differentiates into macrophage when enters tissues -Macrophage: antigen presenting cell > presents peptide antigens to T cells to activate a specific immune response. | 
| Adaptive immunity: | 
| Immune system reacts to specific antigens (foreign proteins, sugars, chemicals) -retains "memory" of these antigens 
 | 
| Humoral Immunity: | 
| production of antibody proteins -each binds different antigens | 
| Cellular immunity: | 
| T cells that bind different antigens -kill pathogens, control antibody production | 
| Immunogenicity: | 
| Ability of antigen to elicit immune response. | 
| What is an ex. of a good antigen? | 
| Proteins: b/c they are fixed and nonrepetitive shape | 
| Immune reaction is specific. blood types: type A attacks type B blood cell antigen AB blood has both antigens, won't make antibodies ; | 
| Antigen Presenting Cell (APC) | 
| Phagocytic cells that present processed antigens to T cells. | 
| Antibody (Immunoglobin) what is it? produced by what? interacts with what? | 
| A soluble protein produced by B cells; interacts with antigen | 
| After ingestion of a pathogen, what happens with phagocytes and B cell lymphocytes? | 
| phagocytes and B cell lymphocytes present antigens on the surface to T cell lymphocytes | 
| The ingestion of the pathogen results in? | 
| Cell mediated immunity; or Antibody mediated / Humoral immunity | 
| Cell mediated immunity involves? | 
| T cell lymphocytes | 
| What does T cell lymphocytes do? | 
| Mainly protects against tumor cells and virus-infected cells | 
| Where are T cells derived from? | 
| ;Bone marrow stem cells | 
| Where do these stem cells migrate? | 
| to the Thymus | 
| In the thymus, what do these stem cells do? | 
| differentiate into T lymphocytes. | 
| When phagocytes digest pathogens, _____ from pathogen are bound to the surface of phagocyte. | 
| polypeptides | 
| What happens when an APC binds to a T cell? | 
| the T cells differentiate | 
| What are the major classes of T cells? ; | 
| 1. Helper T cells (h1,h2,h0) 2. Cytotoxic T cells 3. Memory T cells 4. T cell receptors | 
| Th1: | 
| activates Tc cells | 
| Th2: | 
| Binds B cells ; activates them to divide into plasma and memory cells | 
| Th0: | 
| Undifferentiated T cells | 
| Cytotoxic T cells | 
| Destroy tumor cells and infected cells by releasing cytotoxin - also recognizes grafted tissues ; organs as foreign | 
| Memory T cells | 
| allows host to respond to 2nd exposure quickly | 
| T cell receptors | 
| receptor that binds antigen specifically. | 
| Structure? | 
| 2 peptides (alpha ; beta) each with constant and variable domain | 
| which structure binds the antigen? | 
| Variable domains | 
| Major Histocompatibility Complex proteins | 
| "self" proteins on surface of cells | 
| What does MHC proteins do? | 
| bind to antigen | 
| T cell receptors recognizes ______ | 
| antigen/ MHC protein | 
| Class 1 MHC proteins on surface of all nucleated cells presents what? | 
| intracellular antigens to Tc cells | 
| Class 2 MHC proteins on surface of antigen-presenting cells presents what? | 
| Extracellular antigens to Th cells | 
| When do T cells become activated? | 
| When antigen/ MHC binds to T cell receptor | 
| T cell; T cell receptor; Peptide antigen (epitope); MHC protein; antigen presenting cell | 
| Tc cells destroy what? | 
| Antigen presenting cell | 
| Th1 cells do what? | 
| recruit macrophages to destroy antigen bearing cell. | 
| What are attacked by the Th1 cell activated macrophages? | 
| tumor cells transplanted organs tissues | 
| When antibodies bind to antigens, they _____them. ; | 
| inactivate | 
| antibodies are most active against | 
| bacteria, bacterial toxins, and viruses in blood stream | 
| What do antibodies recognize if not the entire pathogen? ; | 
| regions called Epitopes. | 
| binding of an antibody does not directly kill the cell. | 
| Antibody binding: 1. activates _____ system 2. Enhances __________ 3. causes _________ 4. neutralizes _______ | 
| 1. complement 2. phagocytosis 3. agglutination (clumping together) 4. antigens | 
| Complement system | 
| group of proteins that act together to enhance immune system | 
| Complement can: 1. increase _______ 2. Attract and activate _______ 3. cause _______ | 
| 1. inflammation 2. phagocytes 3. lysis | 
| Opsonization | 
| process of enhancing phagocytosis by binding both to a microbe and phagocyte, bringing them closer in proximity. | 
| what region allows each fragment to bind antigen independently? | 
| Hinge region | 
| Antibody structure? | 
| Y shaped protein | 
| IgG consists of how many polypeptide chains? ; | 
| 4 | 
| The 2 large/ heavy chains are identical ; held together by; | 
| 2 disulfide bonds | 
| The 2 small/ light chains are also identical and held together by; | 
| 1 disulfide bond | 
| Antibody has Constant and Variable domains. | 
| What region does the antigen bind? | 
| Variable regions | 
| Each IgG can bind 2 antigens. | 
| What defines the class of antibody? | 
| The heavy chain in the constant domain | 
| 5 classes of antibody: | 
| IgG IgA IgM IgE IgD | 
| IgG | 
| Most abundant- 80% of Ig in serum Only antibody that can be transferred through placenta Gamma heavy chains | 
| IgA | 
| Predominant antibody in secretions (saliva, tears, milk, mucus.) Dimer Alpha heavy chain | 
| IgM | 
| 2nd most abundant; 1st class of antibody made in response to infection Aggregate of 5 molecules attached by disulfide bonds ; J chain protein can bind up to 10 antigens Mu heavy chains ; | 
| IgE | 
| Low concentrations, responsible for allergies binding of antigen to IgE causes release of histamine (allergies) Epsilon heavy chain | 
| IgD; | 
| Found on the surface of B cells Binding of antigen to these antibodies stimulates B cells to produce antibody IgG Delta heavy chains. | 
| B cell is a type of ? | 
| Lymphocyte that makes antibodies | 
| Where are B cells made and matured? | 
| in bone marrow | 
| B cells disperse through: ; | 
| blood and lymph | 
| B cells collect in: | 
| Lymph nodes and spleen. | 
| 1st step in making antibodies | 
| b cell must phagocytize foreign cell so that polypeptides from that cell are bound onto B cell surface. ; | 
| 2nd step to make antibodies | 
| Th cell binds to the polypeptide on B cell, this triggers B cell to divide. | 
| B cells differentiate into: ; | 
| Plasma cells and memory cells | 
| Which antibody is made first, then what? ; | 
| IgM first, then IgG | 
| Isotope switching/ class switching | 
| Predominant antibody produced becomes IgG instead of IgM | 
| Immune response diseases ; | 
| Hypersensitivities ; super antigens | 
| Hypersensitivity type 1 | 
| results from 2 or more exposures to same allergen 1st exposure - B cell produce IgE; IgE binds mast cells and basophils 2nd exposure - Mast cells and basophils release histamine | 
| Histamine produces what?; causes what? ; | 
| produces prostaglandin, leukotrienes causes allergy symptoms. | 
| anaphylactic shock | 
| constriction of airways and drop in blood pressure ; | 
| treatment for allergies: ________ to neutralize histamine ________ to reduce inflammation ___________ to counter effects of histamine ____________- allergy shots that shift antibody production from IgE to IgG | 
| 1. antihistamines 2.steroids 3. adrenalin 4. desensitization | 
| Type II Hypersensitivity: antibodies bind to foreign ________ antigen -blood transfusion recipients -Rh- mother has antibodies to Rh+ fetus -can occur within hours | 
| cell surface | 
| Type III hypersensitivity: antibodies bind to ________antigen -large amounts of antigen- antibody complex are formed -triggers complement cascade -stimulate mast cells -in response to certain antibiotics -can take weeks to occur | 
| soluble | 
| Type IV-Delayed type hypersensitivity | 
| result of sensitivity to chemicals or microbes Th1 cells release cytokines that activate macrophages, NK cells, and Tc cells takes few days to occur typical antigens: M. tuberculosis; chemicals that covalently bind to skin creating new antigens symptoms: hardening swelling, reddening pain and localized heating | 
| type 2 hypersensitivity autoimmune diseases | 
| autoantibodies Rheumatic fever hemolytic anemia Graves disease Myasthenia gravis | 
| autoantibodies | 
| antibodies that interact with self antigens, destroying self-molecules | 
| Rheumatic fever | 
| Autoantibodies to cardiac cells, damages heart valves caused by similarity between epitope in M protein of Streptococcus pyogenes and cardiac tissue --(antigenic mimicry) | 
| hemolytic anemia | 
| autoantibodies to Rh blood group; destroys RBC | 
| Graves disease | 
| Autoantibodies to thyroid stimulating hormone receptor causing hyperthyroidism | 
| Myasthenia gravis | 
| autoantibodies to acetylcholine receptor; causes progressive muscle weakness 
 | 
| Type III diseases : antibodies bind soluble proteins, creating insoluble complex leading to complement and inflammation | 
| Rheumatoid arthritis Systemic lupus erythematosis | 
| Rheumatoid arthritis | 
| complexes deposited in joints; inflammation & destruction of cartilage | 
| Systemic lupus erythematosis | 
| complexes deposited in kidney, lungs, & spleen | 
| type IV autoimmune diseases : T cells respond to self antigens | 
| Multiple sclerosis Type 1 diabetes | 
| Multiple sclerosis | 
| T cells attack myelin protein, destroying covering of neurons 
 | 
| type 1 diabetes | 
| t cells attack insulin producing cells in pancreas; preventing insulin production | 
| super antigens: proteins that can cause very strong immune response, activate more T cells than normal -bypass normal route of antigen processing by binding TCR &MHC -results in cytokine production, systemic inflammation. | 
| Toxic shock syndrome Scarlet fever | 
| Toxic shock syndrome 
 | 
| staphylococcus aureus super antigen exotoxin | 
| Scarlet fever | 
| Streptococcus pyogenes super antigen erythrotoxin | 
