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Disorders of the immune system are |
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A result of over reacting or under reacting |
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An over reaction of an immune response against a foreign antigen |
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Types of hypersensitivity |
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Type I - Immediate Type II - Cytotoxic Type III - Immune complex mediated Type Iv - Delayed or cell mediated |
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Immediate, develops in seconds/minutes localized or systemic releases inflammatory molecules an allergy |
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IgE is the antigen for parasites and allergies |
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Antigen presenting cell engulfs allergen Antigen is exposed to Th2 cell Th2 cell releases cytokine IL-4 IL-4 activates B-cell B-cell creates plasma cells Plasma cells secrete antibody IgE Fc(crystalized) portion of IgE binds to mast cells, basophils, and eosinophils. |
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inflammatory chemical from granules |
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Histamines, kinins, proteases, leukotrienes, and prostaglandis are released by |
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degranulation, Released from Basophils and mast cells |
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derived from stem cells in bone marrow are NOT WBC |
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least amount of WBC releases chemicals through degranulation |
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dialates blood vessels, tears, mucous |
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degrades proteins, activates complement proteins |
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inflammation, vascular permeability |
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contracts and relaxes smooth muscle |
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fight parasitic worms release leukotrines(increase vascular permeability, and muscle contraction) |
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test for high levels of IgE skin test (small allergen injections) |
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counteract inflammatory mediators |
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Cytotoxic, results when cells are destroyed by an immune response |
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two examples of Type II hypersensitivity |
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Definition
Blood transfusion Destruction of fetal rbc's |
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If woman is Rh- First pregnancy anit RH antibody |
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If woman is Rh - Second pregnancy anti Rh antibody |
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anti Rh immunoglobin given to women after pregnancy to prevent hemolitic disease |
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formed by drug molecules haptens bind to blood cells or platelets acting like an antigen and stimulate the production of antibodies |
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Immune thrombocytopenic purpura |
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Definition
drug molecules bind to platelets/cells forms a complex
complex triggers an immune respoonse
antibodies bind to drug molecules
complement proteins bind to antibodies
complement proteins release MAC membrane attack complex which lyse platelet |
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Type III hypersensitivity |
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Type III localized reaction |
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Hypersensitivity pneumontitis - causes pneumonia
Glomerulonephritis - immune complexes deposited in glomerulus which compromises kidney function |
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Type III systemic reactions |
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Systemic lupus erythematosus - affects multiple organs, immune system destroys "self" antigens
* Rhematoid arthritis - B-cells secrete IgM, IgM binds to IgG forming complexes, IgM-IgG complex deposited in joints causing inflammation, destroys cartilage |
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Delayed or cell mediated, antigens contact with skin causing inflammation 12-24 hours LATER |
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Tuberculin test - reaction to test days later
Allergic dermatitis - irritating skin rash
*Graph rejection - recetion of tissue or organs |
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genetically identicle sibling or clone graft |
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Same species but different member(person) |
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graft from different species. ie. pig heart valves to human heart |
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Type IV graft vs host disease |
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differ MHC class I - grafted T-cells attack recipient
differ MHC class II - grafted T-cells attack host APC |
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stop graft vs host disease |
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Classes of immunosuppressive drugs |
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Definition
glucocorticoids - steroids, supress T-cell antigens
cytotoxic drug - block cellular reproduction9prevents b-cell, t-cell cloning)
cyclosporine - prevents production of interleukins, clocks Th1
lymphocyte delpeting threapy - antiserum against lymphocytes |
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when an individual makes autoantibodies or cytotoxic t-cells against normal body function.
More common in women than men |
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Systemic autoimmune disease |
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Single organ autoimmune diseases |
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hemolytic anemia - produce antibodies against own rbc's
Type I diabeties mellitus - dont produce insuline
Graves disease - disorder of thyroid gland
Multiple sclerosis - cell mediated degeneration of myelin sheath
Rhematoid arthritis - complexes in joints affect connective tissue |
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primary - genetic defect
aquired - later in life |
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chronic granulomatous -inability of phagocytes to kill antigens
severe combined immuno disease - (SCID) stem cells, b cells, t cells dont produce
DiGeorge syndrome - t cell deficiency, thymus doesnt develope
Bruton type agammaglobulinemia - b cell defeciency, cant produce ummunoglobulins |
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stress- excess corticosteroids
malnutrition - inhibits production b cells, t cells
AIDS - low CD4 cells, presence of HIV |
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