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Ch 15 Immunology
EVMS Biomedical Research Grad class
134
Physiology
Graduate
04/12/2011

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Term
pluripotent hematopoietic stem cell
Definition
progenitor cell for all blood/immune cells
Term
common lymphoid progenitor
Definition
progenitor cell of B cells, Tcells, NK cells and NK-T cells
Term
common myeloid progenitor
Definition
progenitor of granulocyte/macrophage progenitor, and megakaryocyte/erythrocyte progenitor
Term
granulocyte/macrophage progenitor
Definition
progenitor of neutrophils, eosinophils, basophils, precurosors of mast cells, and monocytes
Term
megakaryocyte/erythrocyte progenetor
Definition
progenitor of megakaryocyte and erythroblast
Term
monocytes
Definition
mature into macrophage
Term
megakaryocyte
Definition
releases platelets
Term
erythroblast
Definition
produces red blood cells
Term
T cells
Definition
has antigen receptors and differentiate in the thymus
Term
B cells
Definition
have antigen receptors and differentiate in the bone marrow
Term
Neutrophil or PMN
Definition
have a multi lobed nucleus, cytoplasmic granules, migrate out of connective tissue and become phagocytic. first line of defense in acute infections
Term
eosinophil
Definition
quite large, eosinophilic cytoplasmic granules that can refract light, bilobed nucleus, congregate in connective tissue in allergic reactions
Term
basophil
Definition
dark blue, basophilic granules, lobed nucleus, granules contain principly histamine and heparin, activated in response to immunologically mediated hypersensitivity reactions
Term
lymphocyte
Definition
only a little larger than a RBC, very little cytoplasm, large nucleus, involved in the adaptive immune response, T cells, B cells, and NK cells
Term
Mast cells
Definition
large cells that reside in connective tissues throughout the body, contain large granules including the vasoactive amin histimine, have high affinity Fc(e) receptors that allow them to bind IgE monomers that lead to degranulation, play a critical role in allergic reactions
Term
NK cells
Definition
large granular cells, kill virus infected cells and some tumor cells, important in innate immunity and in antibody dependent cell mediated cytoxicity
Term
NK-T cells
Definition
express NK1.1, express Tcell receptor, virus defense and involved in adaptive immune response
Term
macrophage
Definition
large phagocytic cells important as scavenger receptor cells, as pathogen recognition cells and a source of pro-inflammatory cytokines, antigen presenting cell, effector phagocytic cells in humoral and cell-medated immunity
Term
dendritic cell
Definition
bone marrow derived, antigen presenting, more effective at antigen presenting that macrophages
Term
conventional DCs
Definition
take up antigen in peripheral tissues and travel to secondary lymphoid tissues and stimulate T cell response
Term
Plasmacytoid DC
Definition
take up and present antigen, but their main function is to produce IFNs
Term
Follicular DCs
Definition
present antigen to B cells in lymphoid follicles
Term
throracic duct into the subclavian vein
Definition
lymphatic fluid enters the bloodstream from this duct and enters this vein
Term
Thymus
Definition
below the thyroid gland, grows during childhood, regresses after puberty, contans T cells that supply other tissues
Term
late childhood
Definition
T cells in the thymus can only be regenerated up to
Term
primary lymphoid tissues
Definition
bone marrow and Thymus
Term
secondary lymphoid organs
Definition
after T cell depletion in the thymus, repopulation is accomplished by production in
Term
seconday lymphoid organs
Definition
lymph nodes, spleen, tonsils, Peyer's patches, located where antigens could gain access to blood or lymph,
Term
lymphocytes
Definition
migrate constantly through blood and lymph, enhances chance that antibody will encounter it's antigen
Term
spleen
Definition
filter blood
Term
Innate Immunity
Definition
a general response to anything other than recognized "self cells"
Term
skin and mucous membranes
Definition
two anatomic barriers
Term
skin
Definition
mechanical barrier retards entry of microbes, acidic environment pH 3-5 retards growth of microbes
Term
mucous membranes
Definition
normal flora compete with microbes for attachment sites and nutrients, mucus entraps foreign microorganisms
Term
Temperature, Low pH, and chemical barriers
Definition
physiological barriers
Term
temperature
Definition
normal body T inhibits growth of some pathogents, importance of fever response
Term
low pH
Definition
acidity of stomach kills most ingested microorganisms
Term
chemical mediators
Definition
(did not talk about in class), lysozyme cleaves bacterial cell wall, IFNs induce antiviral state in uninfected cells, complement lyses microorganisms or facilitates apoptosis
Term
endogenous pyrogens
Definition
resets hypothalamic thermostat to a higher temperature, interleukin 1B for example, released by WBCs in response to endotoxins from gram negative bacteria, also increase sleepiness and decreased plasma Fe to inhibit bacterial activity
Term
phagocytic endocytic barriers
Definition
barrier formed by cells that can phagocytose microorganisms, and cells that can endocytose foreign macromolecules
Term
inflammatory barrier
Definition
barrier formed by tissue damage and infections that induce leakage of vascular fluid that contains proteins with antibacterial activity and influx phagocytic cells into the infected area
Term
Pathogen-associated molecular patterns (PAMPS)
Definition
molecules shared by groups of related microbes that are essential for the survival of those organisms and not found associated with mammalian cells
Term
lipopolysaccharide (LPS)
Definition
PAMP for gram negative bacteria
Term
peptidoglycan
Definition
PAMP for gram positive bacteria
Term
PAMPs
Definition
also expressed on stressed, injured, infected, or transformed human cells
Term
Toll-like receptors
Definition
receptors for PAMPs displayed on some immune cells
Term
innate immune system
Definition
does not improve with repeated exposure to infection
Term
1. phagocytic cells
2. cells that release inflammatory mediators
3. NK cells
4. complement, acute phase proteins, and cytokines
Definition
What is involved in the innate immune system (4 items)
Term
inflammatory response
Definition
attempt by the body to restore and maintain homeostasis after injury
Term
1. Smooth muscle in larger blood vessels contracts
2. endothelial cells contract to increase space between (vasodilation)
Definition
two things blood vessels do during inflammation
Term
Extravasation or diapedesis
Definition
adhesion molecules are activated on the surface of the endothelial cells, integrins on leukocytes attach to the adhesion molecules and then squeeze between the cells
Term
1. attachment of bacteria to envaginations of pseudopodia
2. ingestion, phagosome
3. fusion with lysosome
4. digestion
5. release of digestion products
Definition
what are the 5 steps of phagocytosis
Term
Receptor-mediated pinocytosis
Definition
what is the alternative to phagocytosis that we don't need to know any details about
Term
released cytokines can promote cell replication and inflammation while blocking apoptosis
Definition
role nof inflammation in cancer
Term
LDL - artherosclerosis
Definition
role of inflammation in heart disease
Term
cytokines interfere with the normal function of insulin
Definition
role of inflammation on diabetes
Term
microglial cells interact with the beta-amyloid proteins, inflamation cytokines and free radicals destroy neurons
Definition
role of inflammation on alzheimer's disease
Term
Adaptive immunity
Definition
acquired ability to defend against specific pathogens by prior exposure to those pathogens
anthgenic specificity, diversity, immunologic memory, self/non-self recognition
Term
tolerance induction
Definition
when lymphocytes that bind self antigen are eliminated before they become mature
Term
TCR repertoire
Definition
the group of naive lymphocytes, each has an antigen receptor specifically for a single chemical structure
Term
clonal expansion
Definition
term for when naive T cells are activated ant start to divide into T effector cells
Term
clonal selection hypothesis
Definition
hypothesis that states,
each lymphocyte bears a single type of receptor specificity
binding to the antigen leads to activation
devision of T cell to effector cells with same receptor
lymphocytes bearing self receptors are eliminated at an early stage in lymphoid delvelopment-absent from mature lymphocytes
Term
antigens
Definition
molecules that elicit the production of antibodies, usually large and foreign
Term
antigenic determinant sites
Definition
different sites on an antigen that stimulate production of, and bind to different antibodies
Term
T cells
Definition
develop from lymphocytes in the thymus, do not secrete antibodies, attack infected host cells, cancer, and foreign cells, 65 to 85% of blood lymphocytes, found in germinal centers of lymph nodes and spleen
Term
Cell-mediated immunity
Definition
T cells provide what type of immunity
Term
B cells
Definition
fight bacterial infections by secreting antibodies into blood and lymph
Term
Humoral immunity
Definition
B cells provide what type of immunity
Term
variable region
Definition
antigen binding site
Term
Constant region
Definition
effector function of the antibody or receptor
Term
IgG, IgM, IgA, IgE, IgD
Definition
Name the 5 classes of the heavy chain
Term
Fc
Definition
when cleaved, crystallizable fragment, constant among different antibodies
Term
Fab
Definition
when cleaved, the arms of antibody, contains the antigen binding fragment-the variable regen that confers antibody specificity
Term
B cells
Definition
recognize the surface antigen on pathogens living outside cells
Term
T cells
Definition
deal with pathogens that have entered host cells, help activate B cells, TCR binds peptide fragment on MHC
Term
paracortical area
Definition
Area of lymph node where pathogens, DCs, T cells and B cells are located and where some activation of naive cells occurs
Term
red pulp
Definition
site of red cell disposal in the spleen
Term
White pulp
Definition
in spleen, lymphocytes surrounding arterioles
Term
periarteriolar lymphoid
Definition
in spleen white pulp, area of many T cells
Term
marginal zone
Definition
part of spleen white pulp, contains blood-bone microbes, soluble Ag, Ag-Ab complexes are filtered from the blood by Mfand immature DCs, activated DCs then move into T cell areas
Term
1. Mucosal-associated tissues (MALT)
2. Gut-associated lymphoid tissues (GALT)
3. Nasal-associated lymphoid tissues (NALT)
4. Bronchus-associated lymphoid tissues (BALT)
Definition
4 other lymphoid tissues
Term
GALT
Definition
includes tonsils, adenoids, appendix, and Peyer's patches
Term
co-stimulatory molecules
Definition
second signal, delivered by another call by means of cell-surface molecules
Term
Anergy
Definition
contact with Ag without accompanying co-stimulatory molecules inactivate naive T cells rather than activating leading to clonal depletion or an inactive status
Term
Dendritic cells, Macrophages, and B cells
Definition
The three antigen presenting cells
Term
Dendritic cells
Definition
originate in marrow then move to areas where pathogens may arise, engulf antigen, partially digest it and then display on surface, migrate then to secondary lymphoid organs and secrete cytokines to attract T-cells
Term
histocompatibility antigens
Definition
Antigen fragments associate with this on the surface of presenting cells and are necessary to activate T cells
Term
IgG
Definition
main form of antibodies in circulation, production increased after immunization, secreted during secondary response
Term
IgA
Definition
Main antibody type in external secretions, such as saliva and mother's milk
Term
IgE
Definition
Responsible for allergic symptoms in immediate hypersensitivity reactions
Term
IgM
Definition
Function as antigen receptors on lymphocyte surface prior to immunization, secreted during primary response
Term
IgD
Definition
Function as antigen receptors on lymphocyte surface prior to immunization
Term
plasma cells
Definition
B cells that produce about 2000 antibodies/sec that are specific for original antigen
Term
antigen independent diversity
Definition
recombination of a few hundred genes for heavy chains and few hundred genes for the light chains, type of antigen diversity
Term
somatic hypermutation
Definition
high rate of single base pair mutations that occurs as B cells undergo proliferation in secondary lymphoid tissues in response to foreign antigens
Term
class switch recombination
Definition
there is a switch in constant regions of heavy chains of antibodies so that IgM are converted to IgA or IgE
Term
Neutralization
Definition
antibodies bind and neutralize a bacteria toxin, cannot react with host receptors, important in protecting against viruses
Term
Opsonization
Definition
Antibodies coat antigen and then phagocytes recognize the coated antigen, bound antibodies can also activate complement
Term
Complement system
Definition
part of nonspecific defense system, help to opsonize and lyse bactera/antigens
Term
classic pathway
Definition
complement pathway triggered by binding of antibodies to antigens and can bind bacteria surface
Term
alternative pathway
Definition
binds to mannose residues on bacterial surface, part of complement system
Term
membrane attack complex
Definition
formed by C5-C9 (complement fixation), puts a hole the intruder cell lysing it
Term
C1
Definition
recognition complement
Term
C4, C2, C3
Definition
activation complement
Term
C3b
Definition
phagocytes have this receptor that bridges complement and phagocytation
Term
histamine
Definition
release from mast cells stimulated by C3a and C5a which increases blood flow and capillary permeability bringing in more phagocytes
Term
cytotoxic CD8 cells
Definition
recognize cells infected by vius, have the capacity to kill the infected cell directly via caspase-dependent mechanism
Term
T cells
Definition
are responsible for the cell mediated immune response
Term
cell-mediated destruction
Definition
must be in contact with victum cell, killed by secreting perforins and granzymes
Term
perforins
Definition
create a pore in victums membrane and cause lysis
Term
granzymes
Definition
cause destruction of victums DNA
Term
IL-1
Definition
introduces proliferation and activation of T lymphocytes
Term
IL-2
Definition
induces proliferation of activate T lymphocytes
Term
IL-3
Definition
Stimulates proliferation of bone marrow stem cells and mast cells
Term
IL-4
Definition
stimulates proliferation of activated B cells, promotes production of IgE antibodies, increases activity of cytotoxic T cells
Term
IL-5
Definition
induces activation of cytotoxic T cells, promotes eosinophil differentiation and serves as chemokine for eosinophils
Term
IL-6
Definition
Stimulates proliferation and activation of T and B lymphocytes
Term
Granulocyte/monocyte macrophage colony stimulating factor (GM-CSF)
Definition
Stimulates proliferation and differentiation of neutrophils, eosinophils, monocytes, and macrophages
Term
Th1 cells
Definition
activated by intracellular infected macrophages, stimulates phagocytic vesicles to fuse with lysosomes, done to avoid tissue damage and to save energy
Term
thymus dependent activation
Definition
antibody response to protein antigens require antigen specific T cell help
Term
Th1 and Th2
Definition
support B cells response
Term
histocompatibility antigens
Definition
on the surface of all cells except for RBCs
Term
major histocompatibility complex (MHC)
Definition
histocompatibility antigens are enconded by 4 genes on chromosome 6 known as, create many MHC types
Term
MHC1
Definition
on all cells except for RBCs, collect peptides derived from protein synthesized in the cytosol and display fragments of viral proteins on the cell surface
Term
MHC II
Definition
made only by antigen presenting cells and B cells, bind peptides derived from proteins in intracellular vesicles, and thus display peptides derived from pathogens lifing in macrophage vesicles or internalized by phagocytic cells and B cells
Term
MHC1
Definition
CD8 T cells interact only with
Term
MHC II
Definition
CD4 T cells interact only with
Term
immunological competence
Definition
ability to produce antibodies againse non-self antigens while tolerating self-antigens, occurs during the first month of life
Term
autoreactive T cells
Definition
Killer T cells that attack self-antigens
Term
clonal deletion
Definition
tolerance occurs because T cells that recognize self antigens are destroyed
Term
clonal anergy
Definition
lymphocytes directed agains self antigens are present throughout life but don't attack self antigens
Term
central tolerance
Definition
mechanisms that occur in thymus or bone marrow, T cell apoptosis and B cell clonal deletion and anergy
Term
peripheral tolerance
Definition
involves complex mechanixm that produces anergy
Term
passive immunity
Definition
immune protection produced by transfer of antibodies from a doner that has been actively immunized, used to treat snake bite, rabies, tetanus, and hepatitis
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