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Chapter 15
Immune System
47
Physiology
Undergraduate 3
04/08/2014

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Term
Innate vs Adaptive defense
Definition
Innate is nonspecific
Adaptive is specific
Term
Inflammation, chemotaxis, diapedesis and phagocytosis are examples of what type of defense?
Definition
Innate (nonspecific) defense
Term
What are the 2 components of adaptive (specific) defense?
Definition

Humoral immunity (antibody structure and classification)

T Cells and cell-mediated immunity

Term
What are the characteristics of innate (nonspecific) defense?
Definition
  • Inherited; serves as a first line of defense 
  • External defense
    • Skin
    • Epithelial barriers 
      • Digestive tract (HCl, enzymes) 
      • Respiratory tract (mucus, cilia, enzymes) 
      • Genitourinary tract (acidity) 
  • Internal defense – phagocytes, fever, interferons
Term
Adaptive (specific) defense
Definition
A function of lymphocytes & changes with exposure
Term
Innate immunity is triggered by _____.
Definition
pathogen-associated molecular patterns (PAMPs)
Term
What are the types of PAMPs (pathogen associated molecular patterns)?
Definition
  • Lipopolysaccharide (LPS) from Gram “–” bacteria cell membrane
  • Peptidoglycan from Gram “+” bacteria cell wall
Term
Which is more resistant against antibodies, because of their impenetrable wall: gram + or gram -?
Definition
gram -.
Term
Why is gram - pink?
Definition
stained as pink/red due to the existence of an outer membrane
Term
PAMPs can be recognized by ______.
Definition
surface Toll-like receptors (TLR’) of immune cells
Term
What happens when TLR (toll like receptors) recognize PAMPs (pathogen associated molecular patterns)?
Definition
PAMPs-TLR’ complex → ↑ cytokines secretion from immune cells → activate more immune cells for further body defense → inflammation most likely to occur
Term
What is inflammation?
Definition
It is a part of the healing process when tissues are injured by pathogens, trauma etc. Inflammation initiates nonspecific phagocytosis by blood phagocytes (WBCs)
Term
Injured (infected) tissues release_____ which activate _____ near the damaged area
Definition

cytokines

mast cells

Term
What happens when mast cells secrete cytokines (histamine, TNF-a, prostaglandins & leukotrienes)
Definition

 (1) dilation of blood vessels → ↑ membrane permeability → recruit blood monocytes to damaged area → macrophages → phagocytosis

(2) constriction of bronchi & bronchioles

Term
Characteristics of inflammation
Definition
Redness, swelling and pus, warmth, pain
Term
Chemotaxis –
Definition
Infected or injured cells release chemokines → vasodilation → attracts WBCs to the injured tissues or infected cells
Term
Diapedesis (extravasation)
Definition
blood phagocytes exit capillaries by pseudopod movement
Term
First line of phagocytic defense:
Definition
  • First to arrive are neutrophils (pus formation) 
Term
Degradation of bacteria or injured cells
Definition
  • Pseudopod movement→vacuole formation →fuse with lysosomes → phagolysosomes 
  • Tissue damage → cell necrosis → expressed danger-associated molecular patterns (DAMPs) → ↑ innate immunity & inflammation 
  • Cells die by apoptosis do not express DAMPs
Term
Fever and interferons are an example of what type of defense?
Definition
Innate defense
Term
Fever
Definition
  • Body temperature is regulated by hypothalamus 
  • Can be induced by endogenous (IL etc.) or exogenous pyrogens (LPS) 
  • Endogenous pyrogens – IL1-β & other cytokines, released by WBCs and brain in response to endotoxin from gram “–” bac (LPS) 
  • Nonspecifically | bac; ↑ neutrophil activities; ↑ interferon production
Term
What are the 3 types of interferons
Definition
alpha, beta, gamma
Term
Interferons are
Definition
  • Polypeptides produced by cells infected with virus
  • Provide short-acting, non-specific resistance to viral infection in nearby cells
Term
Effects of interferons
Definition
  • ↑ Overall immune activities by ↑  phagocytosis, ↑  killer T cell activities, ↑  natural killer cell activities, ↑ Ab production by plasma cells
  • ↓ tumor growth, ↓ cell division, ↓ maturation of adipocytes, RBC

 

Term
What is adaptive (specific) immunity mediated by?
Definition
antigen (Ag) and antibody (Ab) responses
Term
What are the 2 types of specific immunity
Definition
  • Humoral immunity
  • Cell-mediated immunity
Term
Immune system can distinguish “self” molecules from non-self Ag. What is "Ag"?
Definition

molecules that elicit production of Ab that specifically bind to Ag

  • Usually large molecules that are foreign to the body
Term
Lymphoid organs
Definition

B cells

T cells

Term
B cells (B lymphocytes)
Definition
  • Named after lymphocytes processed from chicken bursa of Fabricius
  • Memory cells and plasma cells 
Term
T cells (T lymphocytes)
Definition
  • Of thymus origin 65-85% of blood lymphocytes are T cells 
  • Killer (cytotoxic) T Cells, helper T cells, suppressor T cells 
  • HIV virus specifically attacks helper T cells.
Term
B cells
Definition
  • Ab on surface that are receptors for Ag
  • Ag-Ab binding → B cell clone expansion → production of Ab and activation of complement proteins
Term
What 2 things lead to antibody production?
Definition

Memory cells + Plasma cells

  • Some offspring of B cell÷=memory cells (long-lived)
  • Plasma cell factory churns out ~2000 antibodies/sec
Term
Ab-Ag binding by itself destroys Ag. True or false.
Definition
False. Ab-Ag binding does not by itself destroy Ag
Term
Ab – immunoglobulin proteins (Ig) Structure
Definition
  • In shape of “Y” 
  • 2 long heavy (H) chains are joined to 2 shorter light (L) chains 
  • Each chain contains constant (or crystallizable) (Fc) and variable fragments (Fab) 
  • Fab confers Ab specificity 
  • Ab diversity – 1020 Ab/person
Term
Ab classification
Definition
  • IgG – main Ab in circulation 
  • IgA – main Ab in external secretions in mucosal area 
  • IgE – responsible for allergic symptoms 
  • IgM and IgD – as Ag R’ on lymphocytes
Term
Ab diversity
Definition
  • Recombination of genes code for Hs and Ls in developing lymphocytes → Ag-independent diversity 
  • Diversity further increases via somatic hypermutation → B cells undergo Ag-dependent proliferation
Term
Killer or cytotoxic T cells
Definition
  • Carry CD8 cell surface marker 
  • Kill pathogens by cell-mediated destruction – in contact with victim cell 
    • Secrete perforins → create a pore in victim's membrane → lysis 
    • Secrete granzymes → destroy victim's DNA
Term
Helper T cells
Definition
  • Carry CD4 surface marker 
  • ↑ Responses of both killer T cells and B cells 
  • HIV infects helper T cells and macrophages
Term
Suppressor (regulatory) T cells
Definition
  • Carry CD25 surface marker (and CD4) 
  • ↓ Responses of killer Ts and B cells 
  • Help protect against autoimmune responses
Term
Lymphokines –
Definition

secreted by lymphocytes

  • Usually called interleukin (IL)-1, 2, 3
Term
Active immunity
Definition
  • Require prior exposure to the specific antigen such as vaccinations 
    • Eg. Jenner’s cowpox inoculation against smallpox 
  • Vaccines may use (1) live attenuated virus, (2) killed virus, or (3) recombinant viral proteins
Term
Passive immunity
Definition
  • Donor was given active immunity, Ab was transferred to recipients 
  • May develop allergic response if Ab transfer in multiple times
Term
2nd line of phagocytic defense:
Definition
  • Second line of arrival – monocytes, become macrophages and may serve as antigen presenting cells 
Term
3rd line of phagocytic defense
Definition
  • Third line – T lymphocytes, for specific immunity
Term
What type of immunity uses Ab produced by B cells?
Definition
Humoral
Term
What type of immunity uses T cells to destroy host cells infected by pathoegens?
Definition
Cell-mediated immunity
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