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Immunology Chaper 9
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70
Biology
Undergraduate 4
03/28/2007

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Term
Different genetic strains that differ in the structure of capsular polysaccharides are called?
Definition
serotypes (90 strains of S. pneumoniae)
Term
Pattern of infection that spreads rapidly through the population then quickly subsides?
Definition
Epidemic
Term
Evolution of new mutatons that causes relatively mild and limited disease epidemics?
Definition
Antigenic drift
Term
A worldwide epidemic is called?
Definition
Pandemic
Term
Evolution that involves recombination of a virus that leads to inter species infection
Definition
Antigenic Shift
Term
Protozoans (trypanosome) can change their surface pathogens by gene rearrangements due to what?
Definition
Variable surface glycoproteins (VSGs).
Term
Virus can develope a dormant state in which it hides from within human cells called?

-doesnt cause disease
-Herpes simplex virus
Definition
Latency
Term
Where does herpes hide and why?
Definition
Neurons, becuase they express very small number of MHC I molecules.
Term
Epstein-Barr virus (EBV) binds to CD2 on B-cell co-receptor complex. Infected B cells proliferate and produce virus.
Definition
Although killed by CD8 cytotoxic T-cells, some infected B-cells become latent. Reactivation is possible but unsual.
Term
T or F? M. turberculosis pervents fusion of phagosome with lysosome.
Definition
True
Term
Can bridge alpha:beta T-cell receptors and MHC class II molecules without a specific peptide?

-produce a massive release of cytokines
-IL-1, IL-2, and INF-alpha causes systemic shock.
Definition
superantigens
Term
Another word for disease symptoms?
Definition
pathology
Term
T or F? Most pathology is caused by the immune response
Definition
True
Term
Inherited defects in genes for componets of the immune system causes?
Definition
immunodeficeiency diseases
Term
One of the dominate immune defects known is a defect in the receptor for what?
Definition
Interferon-gamma (INF-gamma)

-Receptro Binds to INF Gamma
-cannot produce an intracellular signal
Term
Disease characterized by antibody deficiency and x-linked inheritance?
Definition
X-linked agammaglobulinemia (XLA)
Term
X-linked agammaglobulinemia (XLA) has its defect in a tyrosine kinase called?
Definition
Bruton's tyrosine kinase (Btk)

-contributes to intracellular signaling from the B-cell receptor and is necessary for the growth and differentiation of pre-B cells
Term
T or F? Which isotype is most common with inherited deficiency
Definition
IgA


low IgA leads to chronic lung infection
Term
XLA patients's B-cells...
Definition
do not develope beyond the pre-B cell stage. (defective Btk)
Term
Gamma globulin injections, provide antibodies against the range of common pahtogens. This transfer is called?
Definition
passive immunity
Term
B-cell activation is dependent on?
Definition
Interaction of CD40 ligand on activated T-cells with B-cell CD40
Term
Disease caused by the absence of CD40 ligand on T-cells.


-no specific antibodies made
-High levels of IgM
-deficient in neutrophils (neutropenia)
-no germinal centers
Definition
X-linked hyper-IgM syndrome
Term
T or False? GM-CSF cytokine is produced by macrophages in response to activation by T-cells through CD40 and CD40 ligand.
Definition
True
Term
Function of GM-CSF?
Definition
Made by macrophages,

-stimulates production and release of phagocytes by the bone marrow.
Term
Defect in complement component C3 causes?
Definition
susceptibility to capsulated bacteria
Term
defect in complement component C5-C9?
Definition
Only effect is susceptibility to Neisseria.
Term
What causes hereditary angioneurotic edema (HAE)?
Definition
absence of the C1 inhibitor (C1INH) leads to uncontroled activation of classical pathway.
Term
Disease caused by mutation of gene encoding CD18, a subunit of integrins that causes non-functional inegrins in phagocytes.

-unable to migrate where needed
Definition
Leukocyte adhesion deficiency
Term
Disease where phagocyets are unable to produce the superoxide radical.

-cant kill ingested bacteria
Definition
Chronic Granulomatous disease
Term
Disease where phagocytosed material are not delivered to lysosome because of defect in vesical fusion machanism
Definition
Chediak-Higashi Syndrome
Term
Disease where patients niether make T-cell dependent antibodies nor cell-mediated immune responses.
Definition
severe combined immune deficiency (SCID)
Term
x-linked disase, defective protein (WASP) involved in cytoskeleton rearrangment needed before T cells can deliver cytokins to B-cells.
Definition
Wiskott-Aldrich syndrome (WAS)
Term
Adenosine deaminase (ADA) and (purine nucleotide phophorylase (PNP) are involved in purine degredation and are inherited how?
Definition
autosomal fashion
Term
Kinda of SCID that's caused by the lack of expression of HLA class II moleclues.

-CD4 T-cells fail to develope
Definition
bare lymphocyte syndrome
Term
AIDS is characterized by what?
Definition
Massive reduction in the number of CD4 T-cells.

Caused by HIV-1 or HIV-2
Term
HIV-1 comes from chimpanzee

HIV-2 comes from sotty mangabey
Definition
thats all...
Term
Characteristics of HIV
Definition
-RNA virus
-retrovirus: use RNA genome to direct the systhsis of DNA intermediate
Term
1.) Viral integrase integrates the cDNA into the host cell genome to form?

2.) This process is facillitated by repetitive DNA sequences called?
Definition
1.) provirus

2.) long terminal repeats (LTRs)
Term
Name given to retrovirus group that cause slowly progressing diseases?
Definition
Lentiviruses


lentus-(slow)
Term
T or F? HIV-1 has a RNA genome of nine genes
Definition
True
Term
macrophages, dendritic cells, and CD4 T-cells contain _______, which serves as a receptor to the virus.
Definition
CD4
Term
Glycoprotien on HIV that binds tightly to CD4.

-must also bind to a co-receptor before entry.
Definition
gp120
Term
Glycoprotein on HIV that mediates fusion of the viral envelope with the plasma membrane.

-allows entry
Definition
gp41
Term
HIV variants that spread infection from person to person bind to which co-receptor present on macrophages, dendritic, CD4 T-cells.

-"macrophage-tropic"
Definition
CCR5
Term
HIV variants that infect ACTIVATED CD4 T-cells bind to what co-receptor?


-"lymphocyte-tropic"
Definition
CXCR4
Term
Lymphocyte-tropic viruses cause disease


Macrophage-tropic viruses make it a pandemic
Definition
thats all
Term
T or F? Activation of CD4 T-cell induces the synthesis of the transcription factor NFkB.
Definition
True
Term
Function of NFkB in infected Cd4 T-cells?
Definition
-Binds to promoters in provirus.

-directs cells RNA polymerase to transcribe viral RNA.
Term
Viral protein that binds to LTR of viral mRNA (TAR). Prevents transcription from shutting off.
Definition
Tat
Term
Viral protein that controls the supply of viral RNa to the cytoplasm
Definition
Rev
Term
Process of an infected person that first exhibits detectable levels of anti-HIV antibodies.
Definition
seroconversion
Term
T or F? When CD4 T-cell count falls below 200, the patient is said to have AIDS
Definition
True
Term
People resistant to HIV infection have a lack of what?
Definition
CCR5, co-receptor fro macrophage-tropic HIV variants
Term
T or F? Viruses have a high rate of mutation during the course of an infection.
Definition
True
Term
T or F? Reverse transcriptase is prone to making errors. These nucleotide substitution give rise to new variants
Definition
true
Term
Mutation throughout the infection produces many viral variants called?
Definition
quasi-species.

-they co-exsist
Term
Reverse transcriptase inhibitor
Definition
zidovudine (AZT)
Term
Process use in which several antiviral drugs are used together?
Definition
combination therapy.
Term
Process that prevents new infection from becoming a provirus and becoming productive.

-Activated CD4 t cells and free virons have short life spans

-virus eventually become undectectable
Definition
highly active anti-retroviral therapy (HAART)
Term
Site where CD4 T cells are activated and produce virus.
Definition
Secondary lymphoid tissues
Term
What kind of infections kill patients with AIDS?
Definition
Opportunistic infections
Term
which organism has toxic shock syndrome toxic-1 and enterotoxin
Definition
S. aureus
Term
Fibrosis of livee due to excess TH2 cells
Definition
schistosomes
Term
Autosomal SCID
Definition
defects in JAK signals
Term
RAG-1 and RAG-2, DNA-PK can cause DNA rearrangements which can form inherited SCID
Definition
true
Term
Lack of EBV-specific T cells causes what disease
Definition
X-linked lymphoproliferative syndrome
Term
HLA matching reduces graft-verses host disease.
Definition
true
Term
What causes graft-verses host disease (GVHD)?
Definition
alloreactive T cells in the transplant that attack nonhematopoietic cells of the recipient.
Term
25% of HIV+ mothers have HIV+ babies
Definition
true
Term
Cause of Kaposi sarcoma,

in immunocompromised patients
Definition
HHV8


latent herpes that reactivates
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