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barry 2013
patho lecture 3- lines of defense
71
Nursing
Graduate
02/02/2011

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Term
first line of self defense is the?
Definition
(EXTERNAL AND NON-SPECIFIC)
SKIN AND MUCOSA
(SALIVA, TEARS, SEBACEOUS GLANDS).
IF AGENTS PENETRATE THEM
 COUGH + VOMITING + URINE.
THE SEBACEOUS GLANDS SECRETE A
SUBST. WHICH IS ANTIBACTERIAL AND
ANTI-FUNGAL. THERE'S ALSO THE
NORMAL BACTERIAL FLORA
(INHIBITS THE GROWTH OF SOME
BACTERIA).
Term
second line of defense is?
Definition
(NON-SPECIFIC)
INFLAMMATORY PROCESS. BEGINS
WITHIN SECONDS OF INJURY OR
INVASION.
Term
third line of defense?
Definition
(SPECIFIC)
IMMUNE RESPONSE:
-SLOW
-INVOLVES ONE TYPE OF
SERUM PROTEIN
(IMMUNOGLOBULIN OR ANTIBODY)
-INVOLVES ONE TYPE OF
BLOOD CELL (LYMPHOCYTES)
Term
all 3 lines of defense
Definition
COMPLEMENt EACH OTHER
Term
inflammation does what?
Definition
DESTROYS INVADERS (INJURIOUS AGENTS)

CONFINES AND ISOLATES INVADERS

STIMULATES AND ENHANCES IMMUNITY

PROMOTES HEALING
Term
CELL INJURY TRIGGERS
Definition
MAST CELL DEGRANULATION
 ACTIVATION OF PLASMA SYSTEMS
AND RELEASE OF SUBCELLULAR COMPONENTS
Term
local signs of inflammation
Definition
swelling- tumor
redness- rubor
pain- dolor
heat- calor
loss of function
Term
THESE MANIFESTATIONS RESULT FROM VASC. CHANGES + EXUDATION
Definition
ACCUMULATION OF EXUDATE (SWELLING)
EXERTS PRESSURE COMBINED WITH PROSTAGLANDINS AND BRADYKININS (PAIN), SUBSTANCES THAT TRIGGER VASODILATION AND INCREASED LOCAL PERFUSION (HEAT + REDNESS)
Term
THE MICROCIRCULATORY CHANGES RESPONSIBLE FOR THE
LOCAL INFLAMMATORY MANIFESTATIONS INVOLVE
Definition
VASODILATION,
INCREASED VASC. PERMEABILITY,
EMIGRATION OF LEUKOCYTES
(MOSTLY NEUTROPHILS)
TO THE SITE OF INJURY
Term
THE EXUDATE AND ITS CONTENT ( heat, redness, and pain)
Definition
DILUTE BACT. TOXINS AND CELLULAR
TOXIC PROD.

-DELIVER PLASMA PROT. AND
LEUKOCYTES TO THE SITE

-CARRY AWAY WASTE MAT.
Term
GENERAL (SYSTEMIC) MANIFESTATIONS
of the inflammatory response (when it is viral)
Definition
FEVER- r/t metabolic rate to provide energy
ASTHENIA/ weakness- r/t bodys need to save energy
ANOREXIA- r/t body's need to save energy

LEUKOCYTOSIS
Term
Acute inflammation
Definition
--SHORT DURATION (LESS THAN 2 WEEKS)
--LEUKOCYTOSIS (PREDOMINANTLY NEUTROPHILs with “LEFT SHIFt (more immature to mature ratio in peripheral blood)
--Increase in plasma protein synthesis- fibrinogen, c-reactive protein, haptoglobin, amyloid A, alpha1-antitrypsin, & ceruloplasmin
Term
chronic inflammation
Definition
--LASTS 2 WEEKS OR MORE

--LESS INTENSE LEUKOCYTOSIS
(LYMP. + MACROPHAGES)

--POSSIBILITY OF GRANULOMA FORM.
Term
INFLAMMATION IS MEDIATED BY 3 PLASMA PROTEIN SYSTEMS:
Definition
--COMPLEMENT SYSTEM

--CLOTTING SYSTEM

--KININ SYSTEM
Term
THE COMPLEMENT SYSTEM CONSISTS OF
Definition
20 PLASMA PROTEINS OF WHICH 11 (C1-C9, B AND D) ARE THE MAIN ACTORS.
Term
Complimentary system is the most important one bc
Definition
BECAUSE ONCE ACTIVATED, ITS COMPONENTS PARTICIPATE IN
VIRTUALLY EVERY INFLAMMATORY RESP. AND THE LAST FEW PROTEINS IN THE COMPLEMENT CASCADE ARE
CAPABLE OF KILLING MICROORGANISMS DIRECTLY
Term
THE COMPLEMENT SYSTEM IS A
NON-SPECIFIC MECHANISM OF
SELF-DEFENSE BECAUSE
Definition
EVEN WHEN ACTIVATED BY A SPECIFIC MECH.
(ANTIGEN-ANTIBODY COMPLEXES [IMMUNE SYST.])
IT MEDIATES A NON-SPECIFIC EVENT: INFLAMMATION.
Term
BRADYKININ, at low doses:
Definition
--Causes dilation of vessels
--Induces pain (PROSTAGLANDINS)
--Causes extravascular smooth muscle contraction
--Increases vascular permeability
--May increase leukocyte chemotaxis
Term
CLASSIC PATHWAY: ACTIVATED WHEN
Definition
AN ANTIGEN-ANTIBODY COMPLEX CONTAINING IgG OR IgM INTERACTS WITH THE FIRST COMPONENT OF THE COMPLEMENT CASCADE, C1 AND ALSO BY PRODUCTS RELEASED BY INVADING BACT. OR COMPONENTS FROM THE OTHER SYST.
Term
ALTERNATE PATHWAY: TRIGGERED BY
Definition
SEVERAL BIOLOGICAL SUBST.
(BACTERIAL AND FUNGAL CELL WALL POLYSACCH.) AND EXPOSURE OF BLOOD TO FOREIGN SURFACES
Term
the alternative pathway
Definition
IT'S CAPABLE OF FUNCTIONING AGAINST
INVADING MICRO-ORGANISMS EVEN
BEFORE THE PERSON BECOMES
IMMUNIZED AGAINST THEM
Term
neutrophils
Definition
most imp cell in acute inflammation
Term
monocytes
Definition
most important cell in chronic inflammation
Term
difference b/t acute and chronic has to do with
Definition
time and type of cell
Term
not all inflammation is the result of an infection but
Definition
all infection will reselt in inflammation
Term
IN THE CLASSIC PATHWAY, AFTER FORM. OF THE ANTIGEN-ANTIBODY COMPLEX (IMMUNE COMPLEX) IT BINDS TO C1 TRIGGERING
Definition
ACTIVATION OF COMPONENTS C1 THROUGH C5
Term
compliment, clotting, and kinin system
Definition
work as a cascade component system (positive feedback)
Term
THE COMPLEMENT SYSTEM IS A
NON-SPECIFIC MECHANISM OF
SELF-DEFENSE BECAUSE
Definition
EVEN WHEN ACTIVATED BY A SPECIFIC MECH.
(ANTIGEN-ANTIBODY COMPLEXES [IMMUNE SYST.])
IT MEDIATES A NON-SPECIFIC EVENT: INFLAMMATION.
Term
the compliment system can be activated by 3 pathways
Definition
classical- activated by antibodies bound to antigens
alternative- activated by gram - bacteria/ fungal cell wall polysaccharides
lectin- activated by certain bacterial carbohydrates
Term
ACTIVATION OF C6 THROUGH C9
Definition
FORM. OF COMPLEXES CAPABLE OF CREATING PORES IN BACTERIAL CELL WALLS

INFLUX OF H2O AND IONS

 LYSIS
Term
ALTHOUGH ACTIVATION OF C1 INITIATES A CASCADE WHICH CONTINUES THROUGH THE TERMINAL COMPONENTS RESULTING IN THE LYSIS OF BACTERIA, THE IMPORTANCE OF THE COMPLEMENT SYST. RESIDES IN THE
Definition
ACTIVITIES OF THE SMALL FRAGMENTS, OR SUB-COMPONENTS GENERATED DURING THE ACTIVATION OF C2-C5 WHICH ARE POTENT ACTIVATORS OF THE ACUTE INFLAMM. RESPONSE
(VASOD., SMOOTH MUSC. RELAX.,
 VASC. PERM.,  REL. OF HISTAMINE).
Term
THE COMPLEMENT SYSTEM IS A
NON-SPECIFIC MECHANISM OF
SELF-DEFENSE BECAUSE
Definition
EVEN WHEN ACTIVATED BY A SPECIFIC MECH.
(ANTIGEN-ANTIBODY COMPLEXES [IMMUNE SYST.])
IT MEDIATES A NON-SPECIFIC EVENT: INFLAMMATION.
Term
Another source of kinin is the tiss. kallikreins
Definition
in saliva, sweat, tears, urine and feces.
Term
The kinin system is activated by stimulation of the plasma kinin cascade by
Definition
converting plasma pre-kallikrein to kallikrein which then converts kininogen to kinin, the primary kinin being bradykinin.
Term
IMMUNITY
Definition
It’s a SPECIFIC defensive response against an invading foreign organism or substance.

The human immune system recognizes foreign substances as not being part of the body and mounts an immune response against it.

This recognition prevents the body from attacking its own tissues and components.
Term
The substances and organisms capable of triggering an immune response are known as
Definition
antigens and are usually proteins or large polysaccharides.
Term
Antigenic materials are part of invading organisms like
Definition
pathogenic bacteria, viruses, fungi, protozoa or helminths or pollen,
insect venom and transplanted tissue
Term
Neoplastic cells are also recognized and eliminated by
Definition
the immune system when
they're not very numerous
Term
THE IMMUNE SYST. REACTS TO ANTIGENS BY ACTIVATING
Definition
THE IMMUNOCYTES
(B-LYMPHOCYTES AND T-LYMPHOCYTES
Term
b lymphocytes
Definition
hummoral immunity, act indirectly by producing antibodies
Term
t lymphocytes
Definition
attacks the antigens directly, cell-mediated immunity, 5 types, involved in aids
Term
ONCE THEY'VE BEEN EXPOSED TO A PARTICULAR ANTIGEN,
Definition
THEY BECOME CAPABLE OF "REMEMBERING" AND IF A NEW INVASION BY THE SAME ANTIGEN HAPPENS THEY WILL ACT FASTER
Term
IMMUNITY IS A PROCESS WHERE THE IMMUNE SYSTEM HAS
Definition
SPECIFICITY, MEMORY AND CREATES A
LONG-LASTING PROTECTION AGAINST SPECIFIC AGENTS.
Term
The immune response is of two types
Definition
Cell-Mediated and
Humoral (antibody-mediated).
Term
In the cell-mediated type, (immune response)
Definition
specialized lymphocytes called T-cells or T-lymphocytes act against the antigens directly and regulates the activation and proliferation of macrophages.
It's most effective against bacteria and viruses within phagocytic or infected host cells and against fungi, protozoa and helminths.
This is the system mounting the response against foreign tissues (transplant and graft rejection) and against neoplastic cells.
Term
The humoral resp. involves
Definition
the production by the B-Lymphocytes
(now transformed into PLASMA CELLS)
of antibodies (globulins) which act
against foreign organisms and substances.
This type of response defends primarily
against bacteria, bacterial toxins and viruses circulating freely in the body fluids.
Term
both types of immune response are
Definition
specific
Term
immunity can be either
Definition
natural or acquired
Term
the natural immunity is
Definition
congenital and protects against disease which usually affects other species.
Term
the acquired immunity can be
Definition
naturally and artifically acquired.
Term
the acquired immunity can be
Definition
naturally and artifically acquired.
Term
naturally acquired active immunity
Definition
The individual is exposed to an antigen and develops the immunity against that antigen. Can be lifelong or lasts
from months to a few years.
Term
naturally acquired passive immunity
Definition
The mother transfers the antibodies to her infant during pregnancy through the placenta and in the breast milk after the baby's born (colostrum).
It lasts only as long as the transmitted antibodies are present
(up to a few months) and is essential to provide immunity to the infant till his immune system matures.
Term
artificially acquired acive immunity
Definition
Results from vaccination a process which introduces specially prepared antigens known as vaccines (inactivated bacterial toxins [toxoids], killed microorganisms,
living but attenuated [weakened] microorganisms or part of microorganisms [capsules]) into the body.
They can no longer cause the disease but stimulate the immune response.
Term
artificialy acquired passive immunity
Definition
Involves the introduction of antibodies from an animal or person already immune to the disease into the individual's body.

Antibodies are found in the serum
(plasma without clotting factors).
It's immediate but short-term.
Term
Antibodies are soluble proteins collectively known as
Definition
Immunoglobulins (Ig) made in response to an specific antigen which it can recognize and bind to.
Term
IgG
Definition
80% of all antibodies in the serum.
Maternal IgG confers passive
immunity to the newborn. Protects
against circulating bacteria,
viruses, toxins, triggers the
complement system and when
bound to antigens enhances the
effectiveness of phagocytic cells.
Term
IgM
Definition
5-10 % of all antibodies in the serum.
The predominant type involved in the
response to the ABO blood groups
antigens. Effective also in reactions
involving complement and enhances the
ingestion of target cells by phagocytic
cells.
Term
IgA
Definition
10-15% of all antibodies in the serum.
It's the most common form in mucous
memb. and body secretions (mucus,
saliva, tears, breast milk) being the
most abundant in the body. Important
in the resistance against respiratory
pathogens. It's short- lived. In the
colostrum helps protect infants against
gastrointestinal infections
Term
IgD
Definition
0.2% of all antibodies in the serum. No
known function in the serum. Acts as
antigen receptor on the surfaces of B
cells.
Term
IgE
Definition
0.002% of all antibodies in the serum.
Binds tightly to receptors on mast cells
and basophils (specialized cells
participating in allergic reactions).
Term
In the first exposure to an antigen IgM is produced first and then IgG.
 
This is known as
Definition
PRIMARY RESPONSE.
Term
THE PRIMARY IMMUNE RESPONSE IS DOMINATED BY
Definition
THE IgM AND THERE’RE LOW AMTS. OF IgG.
Term
THE SECONDARY IMMUNE RESPONSE RESULTS AFTER
Definition
A SECOND EXPOSURE TO THE SAME ANTIGEN FASTER PRODUCTION OF ANTIBODIES AND AMTS. OF IgG WHICH IS THE PREDOMINANT ONE.
Term
VARICELLA (CHICKENPOX)
Definition
 FIRST EXPOSURE
PRIMARY IMMUNE RESP.
 LEVELS OF ANTIB.  YOU'RE SICK.

SECOND EXPOSURE
SECONDARY IMM. RESP.
(QUICK AND EFFECTIVE)
 AMT. OF ANTIB.
VIRUSES NEUTRALIZED
YOU DON'T GET SICK.
Term
allergies
Definition
EXAGGERATED RESP.
AGAINST ENVIRONMENTAL ANTIGENS
Term
autoimmunit
Definition
misdirected against the host's own cells
Term
isoimmuniy
Definition
against beneficial foreign tissue ( transplant)
Term
immune difieciency
Definition
insufficient for protection
Term
the immune response can by amplified or suppressed by
Definition
exogenous or endogenouse agents
Term
sone of these agents which will decrease the immune response are
Definition
EXOGENOUS: TRAUMA, RADIATION,
DRUGS, DISEASE, POLLUTION
 
ENDOGENOUS: AGE, SEX, NUTRITION,
GENETIC BACKGROUND,
REPRODUCTIVE STATUS
 
SOMETIMES THE SUPPRESSION OF IMMUNITY IS USEFUL TO HELP THE INDIVIDUAL (TRANSPLANTS, ALLERGIES, AUTOIMMUNE REACTIONS AND DISEASES).
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