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Ch 17 & 18 Immune responses and Disorders
Chapter seventeen & eighteen
42
Microbiology
Undergraduate 2
02/24/2013

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Cards

Term
What is the most common type of acquired immunity?
Definition
Naturally acquired immunity, Ab as a resulting from infection
Term
What is naturally acquired passive immunity?
Definition
Ab through transplacental or via breast milk
Term
What type of immunity is acquired through injection of Ag (vaccination) to produce Ab?
Definition
Artificially acquired active immunity
Term
What is Artificially acquired passive immunity?
Definition
Injection of Ab (serum for snake bites or rabies)
Term
What type of vaccine is a live weakened form of a pathogen?
Definition
Attenuated vaccine
Term
What are the two different forms of inactivated vaccines (unable to replicate in vaccinated individual)?
Definition
Whole agents: contain killed organisms or inactivated viruses
Fragments: portions of organisms or agents including toxins proteins and cell wall components
Term
What are the advantages for attenuated vaccines?
Definition
Single dose usually sufficient to induce long-lasting immunity, vaccine strain has added potential to be spread to un-immunized individuals
Term
Could cause disease in immunocompromised individuals is a disadvantage to which type of vaccine?
Definition
Attenuated
Term
What are 3 attenuated vaccines that are in use?
Definition
Sabin polio vaccine, MMR, yellow fever
Term
What is an advantage to inactivated vaccines?
Definition
Cannot cause disease, immunogenic not pathogenic
Term
Magnitude of immune response is limited, and no amplification of the dose in vivo-booster shots: are disadvantages of what type of vaccines?
Definition
Inactivated
Term
What are some examples of whole agents inactivated vaccines?
Definition
Cholera, Plague, influenza, salk polio
Term
Diptheria, tetanus, pertussis, and hepatitis B are..
Definition
Fragments of agents (inactivated vaccines)
Term
What type of antibodies are involved with type I hypersensitivities?
Definition
IgE
Term
Which type of hypersensitivity is characterized by an immediate reaction of the sensitized individual and is typically inherited?
Definition
Type I
Term
What is localized anaphylaxis?
Definition
Hives, hay fever or asthma from CONTACT or INHALED antigens
Term
What type of anaphylaxis includes shock from INGESTED or INJECTED antigens?
Definition
Systemic (peanuts, bee sting)
Term
When does sensitization occur with Type I hypersensitivity?
Definition
When antigen induces plasma cells to secrete IgE antibodies
Term
The Fc region of IgE binds where during Type I hypersensitivity?
Definition
to receptors on mast cells and basophiles
Term
Most allergic reactions are?
Definition
Type I hypersensitivity, localized anaphylaxis
Term
What are hives?
Definition
Wheal and flare rash on skin
Term
What is described by itchy-watery eyes, sneezing, and runny nose?
Definition
hay fever
Term
What is asthma?
Definition
Increased mucous secretion and bronchi spasm
Term
Systemic anaphylaxis is rare but serious. reactions...
Definition
affect almost the entire body, can induce shock (extensive blood vessel dilation, drop in blood pressure leading to flow insufficiency.
Term
How is systemic anaphylaxis countered?
Definition
Epinephrine counters hypertension
Term
How can we try to eliminate or lessen type I hypersensitivity?
Definition
Skin testing and desensitization
Term
What two antibodies are involved in type II hypersensitivity?
Definition
IgG or IgM
Term
What occurs during type II hypersensitivity?
Definition
Complement-fixing antibodies react with cell surface antigens causing cell injury or death
Term
Examples of type II hypersensitivities are...
Definition
Transfusion reactions (Anti-A, Anti-B-Pentimers)
Hemolytic disease of the newborn (Rh factor- Monomer)
Term
What is hemolytic disease of the newborn?
Definition
Incompatibility of Rh factor between mother and child, Anti-Rh antibodies form in Rh negative mother pregnant with Rh positive fetus, 2nd Rh positive fetus provokes strong secondary immune response
Term
What happens in type III hypersensitivity?
Definition
IgG antibodies and antigens form complexes: usually adhere to Fc receptors on cells and are destroyed and removed
Term
Certain instances complexes persist in circulation or at sites of formation and...
Definition
Initiate blood clotting mechanism and activate complement contributing to inflammation.
Term
Where are complexes in type III hypersensitivities commonly deposited?
Definition
In skin, joints, and kidney
Term
Which hypersensitivity is the only one that has to do with T cells?
Definition
Type IV
Term
Describe type IV hypersensitivities.
Definition
Delayed hypersensitivities due to Td cells that release cytokines that initiate inflammation that attracts macrophages
Term
List some examples of Type IV hypersensitivities
Definition
Tuberculin skin test, contact dermatitis, tissue damage, rejection of tissue grafts, and some autoimmune diseases
Term
What is transplant immunity?
Definition
Special case of delayed type cell mediated hypersensitivity
Term
Most transplants are_____, meaning?
Definition
Allo-grafts: tissues of donor and recipient are not genetically identical
Term
What type of grafts avoid transplant immunity?
Definition
Autografts: From elsewhere in the body
& Isografts: from identical sibling
Term
what are Xenografts and what do they do?
Definition
From animals, envoke vigorous response
Term
What leads to rejection of grafts?
Definition
Antigenic differences, especially MHC molecules
Term
Effector cytotoxic T cells and natural killer cells reject grafts, how do we minimize this?
Definition
Indefinite use of immunosuppressive drugs, but increases susceptibility to infections and cancer.
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