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Micro quiz 3/27
N/A
39
Biology
Undergraduate 3
03/27/2009

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Term
Type I hypersensitivity
Definition
allergic response
Term
Type I hypersensitivity is Ig__ mediated
Definition
E
Term
Sensitization to allergic responses occurs with how many exposures? How does this happen?
Definition
1 (2nd exposure leads to allergic reaction)-- class switches to IgA and IgE ... IgE's long Fc region can attach to mast cells
Term
How does an allergic reaction happen?
Definition
Allergen binds to TWO IgE receptors simultaneously (because there's so many IgE's, this can happen readily), Triggers mast cells to degranulate and release histamine, prostaglandin, and cytokines
Term
Why am I allergic to ____ and you're not?
Definition
I have more B cells that switched to IgE and more mast cells
Term
HOw can a person be desensitized to an allergen?
Definition
If you are injected with the allergen in gradually increasing doses of serum B cells to produce IgG, so that the IgG can outcompete the IgE :: OR be injected with anti-IgE antibodies against the Fc region of IgE (rhuMab)
Term
Why can't asthma be treated with anti-histamines?
Definition
it is mediated by leukotriene and prostaglandin, not histamine
Term
Cytotoxicity
Definition
 kill cells that present a foreign antigen - Type II HS
Term
How do type II hypersensitivities work?
Definition
Antibody mediated via complement or NK cells... when ;a small molecule (hapten) binds to the cell surface, or when non-self surface proteins are introduced into the blood (through transfusion)
Term
Penicillin allergy is actually a Type __ response
Definition
II
Term
penicillin allergy and hemolytic disaese of the newborn are both type __ hs
Definition
II
Term
Type ___ HS is an immune complex (antibody-antigen complex) disease
Definition
III
Term
Type ___ HS is mediated by Ab/Ag agglutination
Definition
III
Term
In a type III HS, why is having excess antigen advantageous?
Definition
forms smaller complexes, which makes it harder to phagocytize
Term
Steps in Type III HS
Definition
1. excess antigens form complexes with antibodies
2. complement activated, so basophils degranulate and increase vascular permeability
3. complexes circulate and are trapped in the basement membrane of blood vessels
4. activated complement attracts neutrophils and causes them to degranulate
5. neutrophils release enzymes responsible for much of the tissue damage
Term
Type __ HS is cell mediated or delayed, because?
Definition
IV, mediated by Th cells and macrophages, response in days, not minutes
Term
Similarity between Type I and Type IV HS?
Definition
Sensitization occurs with 1st exposure, 2nd exposure leads to a reaction
Term
Examples of Type IV HS
Definition
poison ivy, tissue rejection, TB test
Term
How do anti-rejection drugs alter immune response?
Definition
Cyclosporin - inhibits clonal expansion of T cells :: Corticosteroids reduce inflammation that cause tissue damage :: basiliximab blocks IL2 binding to T cels so prevents activation of T cells by Th cells
Term
Problem with anti-rejection drugs
Definition
causes patient to become immunocompromised
Term
Autoimmune disease
Definition
reaction to self antigens -- body makes antibodies against self antigens
Term
B cells recognize acCH receptors and IgG neutralizes these receptors so that muscles can't contract (because ac CH cant bind to their receptors) -- ptosis is a symptom
Definition
Myasthenia gravis
Term
TCR on Tc cells recognize and destroy B islet cells in pancreas so that they cant produce insulin
Definition
Type I diabetes
Term
Th cells recognize collagen in joins -- produce cytokines which cause inflammation, activate B ells that may also recognize collagen, immune complexes form
Definition
Rheumatoid arthritis
Term
B cells recognize own DNA and form IgG complexes throughout the body expecially in the capillaries
Definition
Lupus
Term
B cells recognize TSH receptors and antibodies mimic TSH to overstimulate thyroid -- proptosis and goiter
Definition
Grave's disease
Term
Failure to produce one or more components of the immune system
Definition
immunodeficiency diseases
Term
Primary immunodeficiency diseases
Definition
genetically inherited :: SCID - stem cells dont do VDJ joining = no B or T cells :: Agammaglobulinemia - no b cells :: DiGeorge syndrome - no thumus = no T cells :: selective IgA deficiency - most common (1:500)
Term
Acquired immunodeficiency diseases
Definition
caused by infection :: measles - virus grows in T cells and weakens cellular immunity :: Multiple myotoma - B cell cancer... B cells proliferate at the expense of others :: HIV - virus slowly destroys Th cells
Term
Primary pathogens
Definition
cause disease in a normal host
Term
Opportunistic pathogens
Definition
take advantage of immunocompromization, commonly present in native flora
Term
Subclinical infections
Definition
too few pathogens (below infectious dose), not highly virulent
Term
Clinical infection
Definition
causes signs and symptoms
Term
difference between signs and symptoms
Definition
signs - apparent upon examination (something a vet uses) ... symptoms - things a patient reports
Term
Balenced pathogenicity
Definition
pathogen does not want to kill its host before the pathogen can replicate and spread to a new host -- the best pathogens don't just kill their host quickly (ex: myxomatosis virus in rabbits)b
Term
acute illness caused by pathogens in blood
Definition
septicemia
Term
convalescence
Definition
getting better
Term
What kind of disease is characterized by an incubation period, illness, convalenscence, latnet period, and recurrant illness?
Definition
latent
Term
STOPPED AT KOCH'S POSTULATE
Definition
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