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where do all immune cells originate |
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Definition
bone marrow (flat bones) they mature in the thymus and the bone marrow . B-cells bone marrow t-cells thymus |
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foreign substance or component of cell that stimulates immune response activate the immune system to produce matching antibodies |
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specific protein produced in humoral response to bind with antigen |
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components of immune system |
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lymphatics spleen tonsils intestinal lymph tissue lymphatic circulation system |
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mechanisms involved in specific identification and removal of foreign material |
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immune cells, lymphocytes and macrophages |
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important in fetal development place for maturation of T-cells programs the immune system to ignore self antigens |
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MHC- major histocompatibility complex |
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Definition
located on chromosome 6 genes that code antigens-unique combination of genes that make individuals who they are. V these antigens are used to provide the close match for a tissue transplant. immune system activated by the presence of cells with different MHC molecules within the body.
membrane proteins on the surface of ALL cells that tell if SELF or NON-SELF. |
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phagocyte action in immunity |
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intercept and engulf foreign material and then process and display the antigens from the foreign material on their cell membranes; the lymphocytes respond to this display, thus initiating the immune response. also secrete monokines and interleukins that help activate additional lymphocytes in the inflammatory response (secondary immune system) |
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mature lymphocytes cells that have the special function of recognizing and reacting with antigens in the body. |
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wbc cell mediated immunity arise from stem cells mature in the thymus effective against virus-infected cells, fungal and protozoal infections, cancer cells and foreign cells (transplants) |
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develops when T lymphocytes with protein receptors on the cell surface recognize antigens on the surface of target cells and directly destroy the invading antigens. Then they reproduce creating an army to battle the invader and activate other T and B lymphocytes |
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CD4- become helper T cells CD8 - become cytotoxic T cells regulatory T cells memory T cells rare subgroups |
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antibodies produced by plasma cells are specialized to latch onto intact bacteria and soluble foreign molecules in extracellular environments. Free in body secretions and tissue fluid and circulating in blood and lymph. Antibodies never invade solid tissues unless a lesion is present.
race between antibody production and pathogen multiplication determines whether or not you become sick.
REMEMBER: FORMING ANTIBODY-ANTIGEN COMPLEX DOES NOT DESTROY ANTIGENS. IT PREPARES THEM FOR DESTRUCTION BY INNATE DEFENSES. |
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cant see either free antigens or antigens that are in their natural state. can recognize and respond only to PROCESSED fragments of protein antigens displayed on surfaces of body cells.
target body cells infected by viruses or bacteria; cancerous cells and cells infused or transplanted foreign material
must recognize "self" and "nonself" |
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t cell destroy the target cell by binding to the antigen and releaseing damaging enzymes or chemicals such as monokines and lymphokines, which may destroy foreign cell membranes or cause an inflammatory response, attract macrophages to the site, stimulate proliferation of more lymphocytes and stimulate hematopoiesis. |
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t cell that facilitate the immune response. regulate all the cells in the immune system; the b and t cells, lymphocytes, macrophages and NK cells by secreting the " messenger" cytokines.
HIV destroys these cells ratio of 2:1 to cd8 cytotoxic cells |
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humoral immunity produce antibodies or immunoglobulins mature in the bone marrow proceed to spleen and lymph tissue act against bacteria and viruses that are outside body cells. after exposure to antigen with help from t cells become antibody producing plasma cells. |
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lymphocytes destroy without prior exposure no memory against virus infected or canerous cells |
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5 classes of immunoglobulins (antibodies) |
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inactive proteins C1 to C9 circulating in the blood lyses microorganisms enhances phagocytosis by opsonization intensifies inflammatory and immune responses when activated, stimulates release of other chemical mediators promotes inflammation, chemotaxis and phagocytosis a chemical mediator |
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most common antibody in blood main antibody primary and secondary immune respones activates complement antibacterial antiviral antitoxin crosses placenta and creates passive immunity to newborn readily fixes to complement |
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bound to B lymphocytes in circulation and serves as an antigen receptor first to increase in the immune response(presence in plasma usually indicates current infection by the pathogen eliciting IgMs formation) activates complement forms natural antibodies involved in ABO blood typing reaction potent agglutinating agent readily fixes and activates complement |
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Found in secretions -tears, saliva, mucous membranes found in colostrum for protection of newborn prevents attachment of pathogens to epithelial cell surfaces (including mucous membranes and the epidermis) |
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Binds to mast cells in skin and mucous membranes when linked to allergen causes release of histamine and other chemicals resulting in inflammation secreted by plasma cellsin skin, mucosae of gastrointestinal and respiratory tracts and tonsils. stem region becomes bound to mast cells and basophils when its receptor ends are triggered by an antigen it causes the cells to release the chemicals
LEVELS RISE DURING ALLERGIC ATTACKSOR CHRONIC PARASITIC ENFECTIONS OF THE GASTRO TRACK |
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attached to B cells activates B cells acts as antigen receptor of the B cell |
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released from mast cells and basophils allergic reactions causes vasodilation and increased vascular permeability or edema contraction of bronchiolar smooth muscle and pruritus chemical mediator |
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cause vasodilation increased permeability (edema) pain chemical mediator |
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group of lipids some cause inflammation some cause vasodilation some increased permeability and pain chemical mediator |
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group of lipids derived from mast cells and basophils cause contraction of bronchiolar smooth muscle and have role in development of inflammation chemical mediator |
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messengers includes: lymphokines, monokines, interferons, interleukins produced by macrophages, activated by t lymphocytes stimulate activation and proliferation of B and T cells communication between cells involved in inflammation, fever and leukocytosis chemical mediator |
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Tumor Necrosis Factor (TNF) |
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cytokine active in inflammatory and immune responses stimulateds fever, chemotaxis mediator of tissue wasting stimulates T-cells mediator in septic shock (decreasing BP) stimulates necrosis in some tumors chemical mediator |
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abnormally low serum albumin levels x-linked low antibody levels because of a be cell defect primary deficiency (immunodeficiency) |
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attract phagocytes to area of inflammation chemical mediator |
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measure of specific antibody |
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species specific immunity |
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gene specific immunity evident across ethnic groups |
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2 steps to immune response |
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primary response immunity |
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when a person is first exposed to an antigen. antigen is recognized and processed and subsequent development of antibodies or sensitized T-lymphocytes initiated 1-2 weeks |
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repeat exposure to the same antigen much more rapid and results in higher antibody levels than the primary response |
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4 ways to acquire immunity |
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active natural immunity active artificial immunity passive natural immunity passive artificial immunity |
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person's own body develops antibodies or T-cells in response to a specific antigen introduced into the body. Takes a few weeks but lasts for years because of memory B and T cells |
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occurs when antibodies are transferred from one person to another. Effective immediately but only temporary protection because there is no memory temporary |
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direct exposure to antigen and develop antibodies memory occurs |
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artificial active immunity |
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specific antigen is purposefully introduced into the body, stimulating the production of antibodies. vaccine memory occurs |
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IgG is transferred from mother to fetus across the placenta breast milk too protect infant for the first few months of life |
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passive artificial immunity |
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injection of antibodies from a person or animal into a second person EX: rabies antiserum, snake antivenom |
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tissue transferred between members of the same species but differ genetically-e.g., one human to another human |
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tissue transferred between two genetically identical bodies, e.g., identical twins |
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tissue transferred from one part of the body to another part on the same individual-e.g., skin or bone |
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tissue transferred from a member of one species to a different species-e.g, pig to human |
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host's immune system rejects the graft |
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graft tissue contains T cells that attack the host cells Ex: bone marrow transplants |
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occurs immediately after transplant as circulation is re-established |
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develops after several weeks when unmatched antigens cause a reaction |
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late rejection after months or years, with gradual degeneration of the blood vessels |
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a microorganism, normally nonpathogenic, that causes infectious disease when the person's resistance is reduced,microbial balance is upset or the microbe is transferred to another part of the body |
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immunosuppressive therapy |
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Definition
used to suppress the immune system like in the case of a transplant. It raises the risk for infection caused usually by opportunistic microorganisms. |
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Type I hypersensitivity or allergic reaction |
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Definition
IgE bound to mast cells release of histamine and chemical mediators immediate inflammation and pruritus
EX: hay fever, anaphylaxis, peanut |
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severe, acute reaction. Type I sensitivity life-threatening ,systemic hypersensitivity decreased blood pressure airway obstruction severe hypoxia |
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genetic predisposition toward development of a hypersensitivity |
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connective tissue cells that are present in large numbers in the mucosa of the respiratory and digestive tracts |
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small thin walled sac containing fluid EX: blister |
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actions involved in type I allergic reactions anaphylaxis |
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mast cells release chemical mediators general or systemic vasodilation occurs with sever decrease in blood pressure edema of lung mucosa and constriction of bronchi and bronchioles
lack of O2 with both respiratory and circulatory impairment can cause loss of consciousness |
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are inherited & can predispose or increase susceptibility to certain diseases.
Such as diseases that affect the joints, endocrine glands & skin such as RA, Graves disease, & psoriasis. |
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factors affecting immune response |
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1. Amount of antigen introduced 2. Site of introduction Ex-skin gives a local response 3. Type of antigen introduced Some are deadly, some are not 4. Host Are you able to respond to NON self? How immunosuppressed you are? |
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Neutrophils (granulocyte) Eosinophils (granulocyte) Basophils (granulocyte)
Monocytes Lymphocytes |
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Aka polymorphonuclear cells (PMN) Derived from bone marrow Increase in response to infection & inflammation May damage host tissues during destruction
Dead PMN’s =‘s pus |
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1. Neutrophils 2. Monocytes
After neutrophils kill the invading organism, macrophages clear up the debris. Both neutrophils & macrophages have receptors for antibodies & complement so coating of bugs occurs. Ex-PB & J |
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These T lymphocytes or HELPER lymphocytes carry microscopic markers located on their surface that identifies them specifically. T2 T3 T5 T7 T4 are the helper cells T8 are cytotoxic T cells Helper T cells turn on Killer cells & B cells Killer T cells kill non self by insertion of a protein channel Suppresor T cells limit immune response Memory T cells are activated during initial exposure, can be activated quickly w/re-exposure. |
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S&S of anaphylactic shock |
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Definition
generalized itching or tingling coughing and difficulaty in breathing feelings of weakness dizziness sense of fear and panic edema may be observed around eyes,lips,tongue,hands and feel hives or urticaria general collapse |
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Type II cytotoxic hypersensitivity |
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ABO blood incompatibility IgG or IgM reacts with antigen on cell-compliment activated cell lysis and phagocytosis |
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Type III Immune Complex Hypersensitivity |
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Definition
autoimmune disorders; SLE, glomerulonephritis RA antigen-antibody complex deposits in tissue-compliment activated inflammation, vasculitis |
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systemic reaction that occurs when immune complex deposits occur in many tissues
with reduced use of animal serum for pasive immunization, serum sickness is less common today |
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antigen and antibody form a complex and is then deposited in tissue |
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localized inflammatory and tissue necrosis that results when an immune complex lodges in the blood vessel wall causing vasculitis. EX: farmer's lung;reaction to molds inhaled when and individual handles moldy hay |
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Typ IV : cell-mediated or delayed hypersensitivity |
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contact dermatitis, transplant rejection antigen binds to T-lymphocyte; sensitized lymphocyte releases lymphokines delayed inflammation
sensitized T-lymphocytes release chemical mediators that cause an inflammatory response and destruction of the antigen.
TB test organ transplant rejection |
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can be serious type I or type iv which manifests within 48-96 hours |
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antibodies formed against self antigens |
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systemic lupus erythematosus (SLE) |
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chronic inflammatory disease erythematosus- red rash of the face, nose, cheeks lupus(wolf) affects mostly women and manifests between 20 and 40 years old; higher in african americans, asians, hispanics and native americans |
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Definition
presence of multiple systems (4 min.) and lab data showing the presence of autoantibodies.
large numbers of autoantibodies circulating against DNA, platelets, erythrocytes, various nucleic acids and other nuclear materials.
erythrocyte sedimentation rate is high (ESR) |
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primary deficiency (immunodeficiency) |
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involve a basic developmental failure somewhere in the system, the thymus, or synthesis of antibodies. EX: bone marrow's production of stem cells) |
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secondary immunodeficiency |
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(or acquired immunodeficiency) refers to the loss of the immune response resulting from specific causes and may occur at any time during the lifespan. EX: infection (viral especially) splenectomy malnutrition liver disease use of immunosuppressive drugs HIV-AIDS |
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prophylactic antimicrobial |
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preventative antibiotics administered to anyone with immunodeficient states before undertaking an invasive procedure that carries an increased risk of organisms entering the body. |
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immunodeficiency disorders |
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b-cell (humoral) hypogammaglobulinemia (congenital) t-cell ( cell-mediated) thymic aplasia Di George's syndrome AIDS; temporary with some viruses B and T cell inherited combined immunodeficiency syndromes (CIDS) Phagocytes inherited chronic granulomatous diseases (CGDs) Complement Inherited deficit of one or more systems |
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attacks helper T cells(CD4) and macrophages and initially invades and multiplies in lymphoid tissue, the lymph nodes, tonsils and spleen, using these tissues as a reservoir for continued infection, considered chronic disease HIV-1 and HIV-2 (chimp to human) retrovirus which contains RNA highest incidence in women and children |
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signs include: pneumocystis carinii, pneumonia, cancer such as Kaposi's sarcoma |
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could indicate HIV signs are not clarified but immunodeficiency shows one way or another eventually |
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impaired function of the brain |
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affects the skin, mucous membranes and internal organs. skin lesions appear purple or brown are non-pruritic, painless patches that eventually become nodular. A classic incidence with AIDS much more common in men |
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fungus is a common cause of severe pheumonia Common in those with AIDS children with AIDS exhibit this |
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