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Beck - Immunology - Exam 1
Anatomy of the Immune System and Innate Immunity
163
Immunology
Undergraduate 4
10/02/2012

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Term
Immunology
Definition
study of the organism's ability to resist infection, the development of the immune response, and the diseases associated with these
Term
Name the five main immune compartments
Definition
1. skin - SALT
2. lungs - BALT
3. mucus membranes - MALT/GALT
4. blood/organs - systemic
5. CNS
Term
Innate immunity
Definition
nonspecific host defenses
Term
Dendritic cells
Definition
main antigen presenting phagocytes
Term
Two main properties of the adaptive immune system
Definition
1. it can recognize most any antigen
2. it does not respond to host antigen
Term
Tolerance
Definition
lack of an immune response to self antigens
Term
Epitope
Definition
antigenic determinant
Term
Clonal expansion
Definition
replication of an activated lymphocyte
Term
Clonal deletion
Definition
screening process in the Thymus for self reaction
Term
Cytotoxic T cells
Definition
Kill infected or altered host cells
Term
TH1 cells
Definition
positively reinforce activated macrophages in the tissues
Term
Helper T cells
Definition
activate B cells
Term
CD8
Definition
stabilizes the TCR - MHC Class I interaction
Term
CD4
Definition
stabilize the TCR - MHC II interaction
Term
Four main functions of antibodies
Definition
1. neutralization
2. agglutination
3. opsonization
4. complement activation
Term
TFH
Definition
activate B cells in the lymphoid follicles
Term
Affinity maturation
Definition
improvement in specificity of antibody variable region
Term
Primary lymphoid tissue
Definition
site of immune cell development
bone marrow and thymus
Term
secondary lymphoid tissue
Definition
site of immune cell residence and activation
lymph nodes, spleen, tonsils, Peyer's patch, appendix
Term
Tertiary Lymphoid Tissue
Definition
secondary lymphoid tissue which has developed at the site of chronic inflammation
Term
Immunodeficiency
Definition
lack of an immune response
Term
Primary immunodeficiency
Definition
lack of an immune response due to a genetic cause
Term
Secondary immunodeficiency
Definition
lack of an immune response due to an infection
Term
Allergy
Definition
non-infectious agents stimulate an immune response
Term
Vaccination
Definition
exposure of the host to an immunogen in the hopes of developing a protective immune response
Term
Disease
Definition
impaired function of a living system
Term
Antigen
Definition
object which is recognized by and stimulates a response from the immune system
Term
Antibody
Definition
effector molecule produced by B cells to bind to a specific epitope
Term
MHC Class I
Definition
protein which presents intracellular antigen and is expressed in most cells
Term
MHC Class II
Definition
protein which presents extracellular antigen and is present on APCs
Term
Most immune cells are produced in the _______.
Definition
bone marrow
Term
Red marrow
Definition
site of hematopoeisis
Term
Terminal differentiation
Definition
a process in which a cell permanently matures into another form
Term
Name the four hematopoietic stem cell lineages
Definition
1. Common lymphoid progenitor: B cells & dendritic cells
2. NK/T Precursor: T, NK, and dedritic cells
3. Common Myeloid: immune cells
4. Erythroid: RBCs
Term
CR1
Definition
complement receptor present on RBCs which allows them to facilitate the clearance of complement coated particle
Term
Megakaryocytes
Definition
reside in the bone marrow and produce platelets
Term
Granulocytes
Definition
granule (protein-filled sacs) containing immune cells
Term
Neutrophils
Definition
short-lived granulocytes which phagocytose bacteria intra and extracellularly
Often the first responders to inflammation
Term
Monocytes
Definition
immature macrophages
Term
macrophage
Definition
long-lived immune cells that reside in the tissues and act as phagocytes and APCs
Term
Four major roles of the macrophage
Definition
1. janitorial
2. inflammatory
3. antigen presentation
4. cell killing
Term
Basophil
Definition
Granulocyte that binds IgE and is key to the antiworm, antitick and allergic responses
Term
Eosinophil
Definition
Involved in worm responses and killing of antibody-coated parasites
Term
Mast cells
Definition
release histamine and promote inflammation
Term
TH2
Definition
promotes anti-large pathogen and allergic responses in the tissues
Term
TH17
Definition
promotes activation of neutrophils for extracellular bacterial and fungal infections in the tissues
Term
Treg
Definition
regulatory T-cells that help shut down the immune response
Term
alpha:beta T cells
Definition
most T cells in the adult
Term
gamma:delta T cells
Definition
most T cells in the fetus that bind to MHC class 1B
Term
Plasma B cells
Definition
effector B cells that produce antibodies
Term
Memory B cells
Definition
phagocytic memory cells that can later be activated to produce Plasma B cells
Term
B-1 cells
Definition
Self-renewing body cavity B cells express unmutated or minimally mutated IgM
Term
Marginal zone B cells
Definition
T-independent B cells similar to B-1 cells and found in the spleen
Term
NK cell
Definition
detect host cell abnormalities and initiate their destruction
Term
NKT cell
Definition
Also called innate-like lymphocyte
characteristics of NK and T cells
Term
Two functions of dendritic cells
Definition
1. inducing tolerance
2. stimulation of specific T-cells/B-cells
Term
Follicular dendritic cells
Definition
NOT bone marrow derived nor do they have MHC Class I
Hoard antigens in the lymphoid tissue
Term
Two components of Blood
Definition
Cellular components and Serum
Term
Lymph vessels are found in all tissues except:
Definition
a. avascular tissue
b. CNS
c. splenic pulp
d. bone
Term
Chyle
Definition
contents of lymphatic vessels in the small intestine
Term
Lacteals
Definition
lymphatic capillaries of the small intestine
Term
Two lymphatic vessel systems
Definition
1. right lymphatic duct system
2. thoracic duct system
Term
Elephantiasis
Definition
blockage of lymphatic vessels by worms
treated with antibiotics
Term
Six regions of lymph nodes
Definition
1. cervical
2. axillary
3. bronchial
4. mesenteric
5. inguinal
6. iliac
Term
Function of the spleen
Definition
filter blood, removing large debris like dead RBCs and bacteria
Term
Function of the kidneys
Definition
filters the serum, removing chemicals, wastes and excess fluid
Term
Function of the liver
Definition
detoxify and purify the blood
Term
Kupffer cells
Definition
liver macrophages
Term
Cisterna chyli
Definition
widening at the end of the thoracic duct where the lymph vessels of the lower body meet
Term
Two types of vessels attached to lymph nodes
Definition
Afferent and efferent lymphatic vessels
Term
Three regions of the lymph node
Definition
Cortex, paracortex and medulla
Term
HEVs
Definition
High endothelial vessels
blood vessels that serve the lymph nodes
Term
Three cell types found in the cortex
Definition
b-cells, follicular dendritic cells, and macrophages
Term
Primary lymphoid follicle
Definition
region of the cortex where resting B-cells are found
Term
Secondary lymphoid follicle
Definition
B-cell germinal center of the cortex
Term
Paracortex
Definition
T-cell zone of a lymph node
Term
Medulla
Definition
Residence of macrophages and effector B cells in the lymph node
Term
Three main functions of the spleen
Definition
1. House aged RBCs
2. House lymphoid follicles
3. Store platelets
Term
Thymus
Definition
specialized organ for T-cell development and screening
Term
TCR
Definition
T-cell receptor that binds to MHC
Term
Peyer's patches
Definition
Regions of the intestines where M-cells undergo antigen transytosis to underlying immune cells
Term
Appendix
Definition
a lymphoid organ active only in childhood
Term
Factor I deficiency
Definition
lack of Factor I causes C3 convertase to run rampant and deplete the levels of C3
Term
Humoral immunity
Definition
immunity mediated by antibodies
Term
Cellular immunity
Definition
immunity mediated directly by host cells
Term
Three modes of disease transmission
Definition
Contact, vehicle, and vector
Term
Vehicle
Definition
inanimate object (water, air, food, blood) that transfers pathogens
Term
Vector
Definition
living agent of disease transmission
Term
Natural resistance
Definition
immunity to a pathogen due to a difference in physiology, anatomy or nutrition
Term
Four methods of microbial antagonism
Definition
1. blockage of possible binding sites
2. competition for nutrients
3. alteration of pH or oxygen concentration
4. production of antimicrobial compounds
Term
Lysozyme
Definition
common body fluid enzyme that breaks down peptidoglycan
Term
Bile
Definition
mixture of digestive enzymes and detergents produce by the liver
Term
alpha-defensins
Definition
antifungal and antibacterial peptides produced by neutrophils
Term
beta-defensins
Definition
antibacterial peptides present in the respiratory and urogenital tract
Term
Lactoferrin
Definition
protein that binds free iron
Term
Fibronectin
Definition
protein that binds to Gram + cocci and promotes their adhesion to macrophages
Term
Three pathways of the complement cascade
Definition
1. classical
2. alternate
3. lectin
Term
Three functions of the complement system
Definition
1. opsonization
2. chemotaxis
3. lysis
Term
Cascade
Definition
series of zymogens or kinases that activate each other in sequence
Term
Zymogen
Definition
inactive protein
Term
General steps of the classical pathway
Definition
1. Antibody binds to C1q
2. C1s cleaves C4
3. C4b binds to the surface and C2
4. C1s cleaves C2
5. C4bC2a cleaves C3
6. C3b binds to organism's surface
Term
General steps of the Lectin pathway
Definition
1. MBL/ficolin binds to mannose
2. MASP-2 cleaves C4
3. C4 binds to surface and C2
4. MASP-2 cleaves C2
5. C4b2b cleaves C3
6. C3b binds to surface
Term
Two systems of the alternate pathway
Definition
1. direct activation of C3 by serum proteins
2. spontaneous activation of C3
Term
General steps of the alternate pathway
Definition
1. C3 breaks down to C3(H2O)
2. C3(H2O) binds Factor B
3. C3(H2O)B is cleaved by Factor D
4. C3(H2O)Bb cleaves C3
Term
Factor H
Definition
binds and inactivates C3b
Term
CD59
Definition
protectin
prevents final assembly of MAC
Term
C5 convertase formation and action
Definition
1. C3b binds to either C4b2b or C3bBb
2. C5 convertase cleaves C5
3. C5b binds to C6 and C7
4. C5b67 binds to C8, inserts into membrane
5. C5b678 binds numerous C9 molecules forming the membrane attack complex
Term
Opsonization
Definition
marking of foreign matter for phagocytosis by C3b, iC3b, and C3dg
Term
Complements that promote inflammation
Definition
C3a: neutrophil and mast cell activation
C5a: chemotaxis and activation of granulocytes
Term
Factor I
Definition
deactivates C3b and C4b
Term
CR1
Definition
cofactor for Factor I
Term
C1INH
Definition
C1 inhibitor
Term
DAF
Definition
decay accelerating factor that displaces Bb and C2a
Term
Five antimicrobial mechanisms of phagocytes
Definition
1. acidification 2. oxygen or nitrogen radicals 3. antimicrobial peptides 4. enzymes 5. competitors
Term
Mast cells degranulate the entire cell, rather just a localized degranulation. Why?
Definition
to induce inflammation
Term
Four roles of the Macrophage
Definition
1. Janitorial
2. Inflmmatory
3. Antigen presentation
4. Cell killing
Term
fMet
Definition
formal methionine which is only present in bacteria
Term
C5a
Definition
promotes adherence to vessel walls, migration, and phagocytic activity of neutrophils
Term
PMN
Definition
polymorphonuclear leukocyte
neutrophil
Term
Segs
Definition
Mature PMNs
Term
Bands
Definition
immature PMNs
Term
ADCC
Definition
antibody-dependent cell cytotoxicity
Term
PRR
Definition
pattern recognition receptors
Term
Toll-like receptors
Definition
PRRs that bind to foreign molecules to promote inflammation
Term
Important pattern recognition receptors
Definition
Mannose receptor
fMet receptor
Scavenger receptor
TLR
Term
TLR2
Definition
binds to G+
Term
TLR6
Definition
binds to G+
Term
TLR3
Definition
binds to dsRNA
Term
TLR4
Definition
G- LPS
Term
TLR5
Definition
recognize flagellin
Term
TLR9
Definition
bind to unmethylated CpG DNA
Term
PAMP
Definition
pathogen associated molecular patterns
Term
DAMPs
Definition
danger associated molecular patterns
Term
HMGB1
Definition
a DAMP release when a cell dies by necrosis
Term
ET
Definition
extracellular traps, rich in DNA, that function like nets in the blood or tissue
Term
Mitochondrial ETs
Definition
ETs released by eosinophils w/o apoptosis
Term
4 ways cells avoid viral infection
Definition
1. degrade the virus as it enters
2. degrade the viral genome
3. warn neighboring cells
4. induce apoptosis/kill altered host cells
Term
RIG-1
Definition
detect of intracellular viral RNA
Term
PKR
Definition
detect intracellular viral RNA
Term
NOD
Definition
family of proteins that detect peptidoglycan in the cytoplasm and initiate caspase activation
Term
cDCs
Definition
conventional dendritic cells that activate T cells and promote inflammation
Term
pDCs
Definition
plasmacytoid dendritic cells that are the major producers of interferons
Term
Type 1 interferons
Definition
INF-alpha and INF-beta
mostly anti-viral
produced by pDCs
Term
Type 2 Interferons
Definition
INF-gamma
defend against intracellular infection
Term
Roles of inflammation
Definition
1. activation of immune cells
2. delivery of effector molecules to infection site
3. microvascular coagulation
4. repair of injured tissue
Term
Steps of acute-phase inflammation
Definition
1. immediate activation of macrophages and vasodilation
2. recruitment of neutrophils
3. recruitment of monocytes
Term
Phases of inflammation
Definition
acute and chronic
Term
Two causes of inflammation
Definition
tissue damage or pattern recognition of foreign matter
Term
Four serum systems
Definition
1. complement
2. kinin
3. coagulation
4. fibrinolytic (plasmin)
Term
Kinin system
Definition
promote inflammation in response to tissue damage
Term
Cytokines
Definition
intracellular messenger proteins
Term
chemokines
Definition
cytokines which direct chemotaxis
Term
Acute-phase cytokines
Definition
IL-1, IL-6, and TNF-alpha
Term
Four results of vasodilation
Definition
1. increase in vascular diameter
2. increased surface adhesion
3. Increased vascular permeability
4. microvessels clotting at infection site
Term
Main functions of phagocytic cells
Definition
1. promote inflammation
2. induce acute-phase response
3. remove debris
4. increase cell killing
5. antigen presentation
6. creation of ETs
Term
IL-8
Definition
released by macrophages to induce chemotaxis of neutrophils into the tissue
Term
Sepsis
Definition
bacterial infection of the blood
Term
SIRS
Definition
systemic inflammatory response syndrome
inflammation, fever, and high level of neutrophils
Term
MODS
Definition
multi-organ dysfunction syndrome
altered organ function due to sepsis
Term
septic shock
Definition
sepsis-induced hypotension
Term
DIC
Definition
disseminated intravascular coagulation
massive coagulation of microvessels
Term
Treatment of sepsis
Definition
antibiotics and management of symptoms
Term
Two dendritic cell functions
Definition
inducing tolerance and stimulating specific lymphocytes
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