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Immune System
Lecture 2 Part 1
181
Pathology
Graduate
06/20/2014

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Term
What is the role of the immune system?
Definition
to protect the body from infection and disease
Term
How does the immune system protect the body from infections?
Definition
layered defenses of increased specificity
Term
WHat can cause improper functioning of the immune system leading to infection and disease?
Definition
pathology
Term
PRovides an immediate, but non-specific response
Definition
innate immune system
Term
The _____ immune system is activated by the innate response
Definition
adaptive
Term
Adaptive immune system is also known as
Definition
acquired
Term
The immune system adapts its resposne during an infection to ______ recognition of the pathogen
Definition
improve
Term
What is the first line of defense against pathogens
Definition
innate immunity
Term
Which immune system is non-specific and non-adaptive
Definition
innate
Term
What is an example of the innate immune system
Definition
skin
Term
What are the characteristics of acquired immunity
Definition
specificity and memory
Term
What is the role of acquired immunity
Definition
recognize and destroy pathogens, prevent proliferation of foreign materials within the body
Term
How does acquired immunity learn?
Definition
exposures are coded within the sysem for all future attacks by that specific pathogen
Term
Why is it important acquired immunity learns
Definition
so that subsequent pathogen attacks will be thwarted with a faster, stronger response
Term
What are the 2 types of acquired immunity?
Definition
active, passive
Term
How long does active acquired immunity last?
Definition
lifetime
Term
Protectoin acquired by the introduction of an antigen
Definition
active acquired immunity
Term
What is an antigen
Definition
component of a pathogen that initiaties an immune response
Term
What is an example of a active acquired immunity
Definition
vaccinations
Term
When antibodies, or sensitized lymphocytes, are transferred from one person to another
Definition
passive acquired immunity
Term
What is an example of passive acquired immunity
Definition
breast milk
Term
How long does passive acquired immunity last
Definition
weeks to months
Term
What are the components of the immune system
Definition
antigen, antibody, major histocompatibility complex
Term
A foreign substance whose cell surface markers does not match the host's cell
Definition
antigen
Term
Viruses, bacteria, parasites, foreign tissues cells, large protein molecules can be considered
Definition
antigens
Term
Antigens are capable of eliciting a _____ response
Definition
immune
Term
What are other names for anitobides
Definition
immunoglobins, Ig
Term
What are antibodies
Definition
proteins found in the blood or other bodily fluids
Term
What is the role of antibodies
Definition
identify and neutralize foreign objects
Term
What are cell markers
Definition
proteins present on the surface of all body cells
Term
What is the role of host cell markers
Definition
prevent antibodies from attacking our own cells
Term
Why is it important to have host cell markers and antigens?
Definition
so that the body's immune response can attack one and not the other
Term
What are some other examples of external innate immunity
Definition
lysozymes in tears, ear wax
Term
If the 1st line of exterior defenses is breached what other mechanisms exist to defend
Definition
acidic secretions, lysozymes, phagocytes, natural killer cells
Term
How do acidic secretions defend
Definition
create an unfavorable pH environment
Term
How do lysozymes defend
Definition
destroy cell walls of bacteria
Term
How do phagocytes defend
Definition
destroy and engulf foreign material
Term
How do natural killer cells defend
Definition
destroy virus infected and tumor cells
Term
What are the most common phagocytes
Definition
macropahges, neutrophils, monocytes
Term
What are other types of phagocytes
Definition
eosinophils, basophils, lymphocytes
Term
Where do phagocytes come from?
Definition
bloodstream
Term
After the pathogen is digested by the phagocyte what happens?
Definition
antigenic material appears on the surface of the phagocyte
Term
Why is it important that the antigenic material appears on the phagocyte surface?
Definition
to identify the antigen to lymphocytes for future exposures
Term
What causes activation the complement system and interferon?
Definition
microogranigms makes it beyond the body's first line of defenses
Term
What is the role of the complement system
Definition
assists immune cells so that microorganisms can be more easily destroyed
Term
How does the complement system assist immune cells
Definition
coating microorganisms
Term
The complement system _________ _______the microorganism so it cannot spread its infection
Definition
walls off
Term
What helps act as mesenger between the immune system and other body systems to help coordinate immune responses
Definition
cytokines, interferons
Term
What interferes with viral replication within host cells?
Definition
interferons
Term
Where are natural killer cells found?
Definition
thymus
Term
What are natural killer cells?
Definition
immature lymphocytes
Term
Humoral refers to what?
Definition
bodily fluids
Term
What are teh two types of acquired immunity?
Definition
humoral, cell-mediated
Term
Humoral immunity is also referred to as what?
Definition
immunoglobin-mediated
Term
The humoral immunity response is mediated by anitbodies present in the body's different...
Definition
bodily fluids
Term
What are some examples of humoral secretions?
Definition
saliva, blood
Term
Where are B-cells created?
Definition
bone marrow
Term
What are B-cells
Definition
B-lymphocytes
Term
Where are B-cells most effective at?
Definition
anywhere within the body
Term
What are B-cells most effective at destroying?
Definition
free floating organisms
Term
Humoral Immunity Reaction: Step 1
Definition
B-cell recognizes specific antigen or foreign cell
Term
Humoral Immunity Reaction: Step 2
Definition
B-cell changes into a protein synthesizing cell
Term
The B-cell changes into a protein sythesizing cell known as what?
Definition
plasma cell, memory B-cell
Term
Humoral Immunity Reaction: Step 3
Definition
Plasma cell secretes a specific antibody to that antigen
Term
What do the plasma cells do?
Definition
very strong, specific attack on a known antigen in future exposures
Term
How many types of antibodies do plasma cells produce?
Definition
5
Term
What are the 5 antibodies plasma cells produce?
Definition
IgA, IgE, IgD, IgG, IgM
Term
Cell-Mediated Immunity involves what kind of lymphocytes?
Definition
T
Term
T-lymphocytes mature where?
Definition
Thymus
Term
What is the role of T-lymphocytes?
Definition
seek out and destroy organisms that hide within the body
Term
Which cells can also turn on and turn off the immune response?
Definition
T cells
Term
T-Helper Cells: Function 1
Definition
Assist B-cells to mature and produce antibodies
Term
T-Helper Cells: Function 2
Definition
Help activate macrophages and help destroy large bacteria
Term
T-Helper Cells: Function 3
Definition
Help otehr T-cells recgonize and destroy virally infected cells
Term
T-Helper Cells: Function 4
Definition
Help NK cells to kill infected cells
Term
WHat are the 2 types of T-cells
Definition
Helpers, Killers
Term
HIV inactivates which T-cells?
Definition
helper
Term
Other conditions that affect T-cell numbers or effectiveness: 1
Definition
stress
Term
Other conditions that affect T-cell numbers or effectiveness: 2
Definition
Malignancy
Term
Other conditions that affect T-cell numbers or effectiveness: 3
Definition
General anesthesia
Term
Other conditions that affect T-cell numbers or effectiveness: 4
Definition
Thermal Injury
Term
Other conditions that affect T-cell numbers or effectiveness: 5
Definition
Diabetes
Term
Other conditions that affect T-cell numbers or effectiveness: 6
Definition
Immunosuppresive Drugs
Term
Other conditions that affect T-cell numbers or effectiveness: 7
Definition
Malnutrition
Term
Other conditions that affect T-cell numbers or effectiveness: 8
Definition
Old age
Term
Which immune system is responsible for rejection of transplanted tissue?
Definition
Cell-mediated immunity
Term
Which immune system is responsible for delayed hypersensitivity reactions?
Definition
Cell-mediated immunity
Term
Which immune system is responsible for some auto-immune diseases?
Definition
cell-mediated immunity
Term
Which immune system is responsible for many skin tests such as TB, allergen test?
Definition
cell-mediated immunity
Term
Immune Reponse: Step 1: The antigen must make it past the body's first line of defense...
Definition
innate immunity
Term
Immune Response: Step 2: If the antigen makes it past the body's innate immunity the B-cells may recognize it as a bacteria and produce antibodies that bind to it and neutralize it
Definition
humoral response
Term
Immune Response: Step 2: If the antigen makes it past the body's innate immunity the B-cells may recognize it as a bacteria and produce antibodies that bind to it and neutralize it
Definition
humoral response
Term
Immune Reponse: Step 4: In the case of a viral intruder, cytotoxic ____-cells recognize and destroy the bacteria
Definition
T
Term
Immune Response Step 5: The ______ system recognizes and destroys the invading organism
Definition
complement
Term
2 features of innate immune response
Definition
non-specific, no memory
Term
4 features of acquired immunity
Definition
active, passive, specific, memory
Term
Features of Humoral Immune Reponse
Definition
found in bodily fluids, involves B-cells, find free-floating antigens, B-cells change to plasma or memory cells
Term
Feature of cell-mediated immune response
Definition
involves T-cells, finds hidden antigens, T-helper cells, killer t-cells
Term
Effects of Aging: Changes in Innate Immunity: 1
Definition
thinning of the skin
Term
Effects of Aging: Changes in Innate Immunity: 2
Definition
decresaed acidity of the GI tract
Term
Effects of Aging: Changes in Innate Immunity: 3
Definition
decreased air exchange due to shallower breathing
Term
Effects of Aging: Changes in Innate Immunity: 4
Definition
less acidic urine
Term
Effects of Aging: Changes in Innate Immunity: 5
Definition
less elastic bladder, resulting in urinary retention
Term
Effects of Aging: Changes in Innate Immunity: 6
Definition
less effective resposnes of phagocytes, NK
Term
Effects of Aging: Changes in Acquired Immunity: 1
Definition
shrinkage of the thymus
Term
involution
Definition
shrinkage
Term
At age 50 how much has the thymus shrunk by?
Definition
5-15% of max size
Term
What happens due to involution of the thymus?
Definition
more ineffective functioning and decreased production of T-cells
Term
Effects of Aging: Changes in Acquired Immunity: 2
Definition
Gene mutations
Term
What do gene mutations do to acquired immunity?
Definition
interfere with hormones, tumor necrosis factor, intereferon
Term
Effects of Aging: Changes in Acquired Immunity: 3
Definition
fewer celsl are available to mediate the immune reaction
Term
What happens as a result of fewer cells being availabe to mediate the immune reaction?
Definition
dormant infection may become active
Term
Factors Affecting Immune Response: 1
Definition
sin integrity
Term
Factors Affecting Immune Response: 2
Definition
nutrition
Term
Factors Affecting Immune Response: 3
Definition
presence of chornic illness
Term
Factors Affecting Immune Response: 4
Definition
impaired circulation
Term
Factors Affecting Immune Response: 5
Definition
exposure to microbes
Term
Factors Affecting Immune Response: 6
Definition
immune system status
Term
Factors Affecting Immune Response: 7
Definition
age
Term
Physical activity has both + and - effects on teh immune system depending on what?
Definition
intensity
Term
What intensity exercise has been show to neutralize deletrious effects of stress on the immune system?
Definition
moderate
Term
______ exercise during _______ inflammation should be avoided?
Definition
intense, acute
Term
How can high intensity exercise impair the immune response?
Definition
decreases the number and effectiveness of important cells
Term
If the athlete's symptoms are above the neck then the person
Definition
may train
Term
If teh symptoms are below the neck then
Definition
exercise should be avoided
Term
Immunodeficiency Diseases are a result of
Definition
absent, impaired immune response
Term
Primary immunodeficinecy diseases consist of a defect involving..
Definition
T-cells, B-cells, or lymphoid tissue
Term
Primary immunodeficiency diseases are often
Definition
congenital, inherited
Term
Secondary immunodeficiency results from...
Definition
altered or impaired immune response
Term
What are examples of secondary immunodeficiency diseases?
Definition
leukemia, Hodgkin's disease, AIDS
Term
Page 17
Definition
Slide 1
Term
What does AIDS begin with?
Definition
HIV retrovirus
Term
WHat does the HIV retrovirus affect?
Definition
T4 helper lymphocytes
Term
The HIV retrovirus affecting the T4 Helper lymphocytes leads to what?
Definition
progressive destruction of the cell mediated immunity, changes in humoral immunity and autoimmunity
Term
Which cells are progressively destroyed?
Definition
T-cell or CD4 Cells
Term
What CD4 cell count results in an elevated viral load, opportunistic infections?
Definition
<200 cells/mm^3
Term
At what T-cell count does the HIV infection become considered AIDS?
Definition
<200 cells/mm^3
Term
What is considered teh asymptomatic pahse of HIV?
Definition
>500 cells/mm^3
Term
WHat is considered the early symptomatic phase?
Definition
200-500 cells/mm^3
Term
What are some symptoms of the early symptomatic phase of HIV?
Definition
fatigue, night asweats, anorexia, fever
Term
What neurlogic manifestations are present with HIV and AIDS?
Definition
CNS, PNS, ANS, severe dementia, paraplegia
Term
PT's role in ptnts with HIV/AIDS
Definition
ddress and maximize endurance, strength, functional performance
Term
Pt's role in ptnts with HIV/AIDS: part 2
Definition
wound care, treating neurologic musculoskeletal dysfunction
Term
What has been shown to increase the CD4 count in earlier stages of HIV/AIDS?
Definition
exercise
Term
How many types of hypersensitivity disorders exist?
Definition
4
Term
What are hypersensitivity disorders usually a result of?
Definition
increased immune response to an antigen, resulting in tissue destruction
Term
What occurs in Type 1 HD?
Definition
IgE is produced instead of IgG
Term
What happens as a result of IgE, not IgG, meeting the pathogen?
Definition
immediate inflammatory response is inititated, including the release of histamine and other inflammatory chemicals
Term
What is urticaria?
Definition
hives
Term
Type 1 HD: What occurs if the response is widespread?
Definition
systemic release of histamine
Term
Systemic release of histamine results in what?
Definition
vasodilation, bronchospasm, increased mucus secretion, edema
Term
System release of hystamine is also known as what?
Definition
anaphylaxis
Term
What can counter anaphylaxis?
Definition
epinephrine
Term
What are other exampels of type 1 HD?
Definition
hay fever, allergic rhinitis, urticaria, extrnisic asthma
Term
What does type 2 HD involve?
Definition
destruction of own tissue and cells because the body recognizes it as foreign
Term
What are examples of Type 2 HD?
Definition
blood transfusion rejection, Guillian-Barre syndrome attacking the PNS
Term
What causes type 3 HD?
Definition
local tissue injury and acute inflammation caused by deposition of immune complexes in tissue and around small blood vessels
Term
Type 3 HD: Vasculitis effects: Skin
Definition
urticaria causing wheals
Term
Type 3 HD: Vasculitis effects: Joints
Definition
Synovitis causing RA
Term
Type 3 HD: Vasculitis effects: Kidneys
Definition
nephritis
Term
Type 3 HD: Vasculitis effects: Pleura
Definition
causing pleuritis
Term
Type 3 HD: Vasculitis effects: Percardium
Definition
pericarditis
Term
Type 4 HD
Definition
delayed hypersensitivity that occurs after contact with an allergen
Term
Example of Type 4 HD
Definition
exposure to poison ivy, latex allergy, TB test
Term
WHat is Lupus?
Definition
chronic inflammatory auto-immune disorder that is characterized by multiple system invovlement
Term
Lupus is what type of a HD?
Definition
3
Term
WHat is lupus due to?
Definition
immunologic, hereditary, environmental, hormnal influences
Term
Lupus causes what sourt of reaction?
Definition
vasculitis in multiple organs
Term
Systemic Lupus Erythmatosus
Definition
SLE
Term
What is a landmark symptom of Lupus?
Definition
butterfly rash
Term
What is the major focus for a PT and their Lupus patient?
Definition
balance between sufficient rest and activity
Term
PTI and ptnts with most disorders/diseases
Definition
addressing patient's functional limitations
Term
Methicillin-Resistant Staphylococcus Aureus
Definition
MRSA
Term
Person colonized with MRSA has...
Definition
hosts bacteria but does not feel sick
Term
How can MRSA cause disease?
Definition
tissue invasion and its toxins
Term
What happens to the toxins produced by MRSA?
Definition
exert the effects of this disease at sites distant from infection and colonizaiton
Term
How to deal with a ptnt who has MRSA
Definition
universal precautions, wash hands frequently
Term
H1N1
Definition
Swine Flu
Term
H1N1 is what sort of virus?
Definition
quadruple reassortant
Term
H1N1 contains genes from what flu viruses?
Definition
Pigs from Europe and Asia, Avian, and human
Term
How long should one wait to leave their home after fever from H1N1 subsides?
Definition
24
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