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Inflammation
periodontology
54
Dentistry
Undergraduate 3
06/02/2014

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Cards

Term
protective mechanisms such as external barriers and bodily secretions are commposed of what type of immunity?
Definition
innate
Term
the key cells involved in developing adaptive or acquired immunity are?
Definition
T and B lymphocytes
Term
the immunologic principles involved with the ability of a vaccine to prevent disease is?
Definition
memory
Term
the immunoglobulin responsible for defense against infection during the first few weeks of life is?
Definition
IgG
Term
the first immunoglobulin to respond to infection is?
Definition
IgM
Term
the immunoglobulin involved in allergic reactions is?
Definition
IgE
Term
the migration of neutrophils or polymorphonuclear leukocytes (PMNs) to the site of an invading microbe is referred to as?
Definition
chemotaxis
Term
heparin, histamine, and serotonin, which intensify inflammation are released by ?
Definition
basophils release heparin, histimine and serotonin
Term
lymphocytes that are effectors of cell-mediated immunity are?
Definition
T lymphocytes
Term
T cells mature in what organ
Definition
the thymus gland
Term
Immune complex reactions are categorized into what type of hypersensitivity?
Definition
type III
Term
the bacterial pathogens most often associated with destructive perio make up what color complex
Definition
the red complex
Term
the primary pro-inflammatory cytokine is?
Definition
interleukin-1
Term
the T cell predominates in what stage of periodontal disease?
Definition
early stage
Term
immune system
Definition
a complex body defense system what protects the body from bacterial, viral, fungal, toxins and parasites
Term

what is involved in 1st line of defense

 

NONSPECIFIC RESISTANCE

Definition

intact skin

mucous membranes

normal microbes

Term

what is involved in second line of defense?

 

 

NONSPECIFIC RESISTANCE

Definition

phagocytes, white blood cells, inflammation

fever

 

antimicrobial substances

Term

Third line of defense

 

SPECIFIC RESISTANCE

Definition

specialized lymphocytes B cells and T cells

 

anitbodies

Term
innate/nonspecific
Definition
defense against pathogen
Term
immunity
Definition
specific antibody and lymphocyte response to antigen
Term
antigen (Ag)
Definition
substance that causes body to produce certain antibodies or sensitized T cells
Term
Antibody (Ab)
Definition
proteins made in response to antigen
Term
Differential white cell count
Definition
% of each type of white cell in a sample of 100 blood cells
Term
neutrophils
Definition
60-70%
Term
basophils
Definition
0.5-1%
Term
eosinophils
Definition
2-4%
Term
monocytes
Definition
3-8%
Term
lymphocytes
Definition
20-25%
Term
phagocytes
Definition

1st line of defense

 

lysosomes bacteriocidal and digestive enzymes that kills and digests bacteria

Term
Macrophages
Definition

largest lymphocytes

 

slow to arrive

 

kidney shaped

Term
B lymphocytes
Definition

memory and plasma be cells

 

most effective against bacteria

 

from bone marrow

transform into plasma

PRODUCE ANTIBODIES!!!!!

 

secrete antibodies into blood stream, neutrolize bacteria, coat it for phagocytosis, activate compliment system.

Term
what is the protein response to antigens?
Definition

immunoglobulins

 

glycoprotiens

antibodies

produced by b cells

5 major groups

Term
IgM
Definition

1st to the scene

 

large

 

remains in blood does not migrate through tissue

initiates complement cascade

Term
IgG
Definition

second on the scene lasts longest

 

opsonization-coats antigen for destruction

prepares with killer cells

activates the compliment cascade

Term
IgD
Definition

trace antibody

 

thought to activate b cells

initiation of immune response

Term
IgA
Definition
tears, saliva, secretions, bile and respiratory excretions
Term
IgE
Definition

binds to mast cells and basophils

 

stimulates release of histimines, seratonin and heparin in allergic reaction.

 

intensifies response of b cells and macrophages

Term
T cells lymphocytes
Definition

cellular immunity

 

against virus, cancer fungi

 

produce cytokines

 

from bone marrow to thymus

 

memory

 

cytoxic targets virus and tumors

 

delayed inflammation with allergic reaction

Term
complement system
Definition
a series of enzymes that continually circulate in blood to assist with phagocytosis of bacteria by bodies and antibodies.
Term
components of complement system
Definition

membrane attack complex

 

opsonization-coating

 

recruitment of additional phagocytes

 

clean up

Term
leukocyte migration
Definition

transendothelial migration

 

rolling

activation

adhesion

protrusion

transmigration

Term
inflammatory mediators
Definition

biologically active compounds that are released by the immune cells to activeat body's inflammatory response

 

biochemical mediators-middle men

Term
what are some examples of inflammatory mediators?
Definition

cytokines-activate immune response

 

chemokines-sub group of cytokines

 

prostaglandins

 

matrix metalloproteinases

Term
what are some sources of cytokines
Definition

pmn

macrophage

b cell

epithelial cell

fibroblasts

osteoblasts

Term
what are some examples of cytokines
Definition
interleukin-1, interluekin -6, interleukin-8, tumor necrosis factor TFN-a
Term
what do cytokines do
Definition

recruit cells

increase vascular permeability

increase cell movement

initiate tissue destruction and bone loss

chemical messenger between white blood cells

Term
what prostoglandin is a major mediator of bone loss
Definition
prostoglandin E
Term
what is the type of prostoglandin that increases vascular permeability and vasodilation and also triggers osteoclasts.
Definition

prostoglandin E.  

 

it is also a major mediator of alveolar bone loss!!!!

Term
what are the sources of matrix metalloproteinases?
Definition

-macrophages

 

-gingival fibroblasts

 

-JE cells

 

-PMNs

 

Term
what are the affects on Matrix metalloproteinases?
Definition

health-normal tissue turnover

 

disease- produced to kill invaders

 

overproduction- break down of CT

 

collagen destruction-by way of collagenase, protenase, and elastase

Term
what are the stages of page and shroeders periodontal progression?
Definition

-Stage I 2-4 days Initial/Subclinical stage

 

-Stage II 4-7 days  Early gingivitisPlaque overgrowth/early lesion stage

 

-Stage III 2-3 weeks, subgingival plaque stage, established lesion.

 

-Stage IV, tissue destruction periodontitis, advanced lesion

Term
what stage of page and shroeders perio progression stimulates osteoclasts by way of prosteglandin E?
Definition
tissue destruction phase/ perio/ advanced lesion
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