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VVC Microbiology
Chapter 18 Immune disorders
48
Microbiology
Undergraduate 2
05/12/2013

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Term
Disorders of the immune system are
Definition
A result of over reacting or under reacting
Term
Hypersensitivity
Definition
An over reaction of an immune response against a foreign antigen
Term
Types of hypersensitivity
Definition
Type I - Immediate
Type II - Cytotoxic
Type III - Immune complex mediated
Type Iv - Delayed or cell mediated
Term
Type I hypersensitivity
Definition
Immediate, develops in seconds/minutes
localized or systemic
releases inflammatory molecules
an allergy
Term
Antigen IgE
Definition
IgE is the antigen for parasites and allergies
Term
Mechanisms Type I
Definition
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.
Term
degranulation
Definition
inflammatory chemical from granules
Term
Histamines, kinins, proteases, leukotrienes, and prostaglandis are released by
Definition
degranulation,
Released from Basophils and mast cells
Term
Mast Cell
Definition
derived from stem cells in bone marrow
are NOT WBC
Term
Basophils
Definition
least amount of WBC
releases chemicals through degranulation
Term
histimine
Definition
dialates blood vessels, tears, mucous
Term
kinins
Definition
inflammation
Term
proteases
Definition
degrades proteins, activates complement proteins
Term
leukotrines
Definition
inflammation, vascular permeability
Term
prostglandins
Definition
contracts and relaxes smooth muscle
Term
function of eosinophils
Definition
fight parasitic worms
release leukotrines(increase vascular permeability, and muscle contraction)
Term
constriction of bronchi
Definition
asthma
Term
urticaria
Definition
hives
Term
common allegens
Definition
pollen
dust mites
spores
Term
Type I systemic reaction
Definition
anahylaxis shock
Term
Type I detection
Definition
test for high levels of IgE
skin test (small allergen injections)
Term
Immunotherapy
Definition
allergy shots
Term
Type I treaatment
Definition
counteract inflammatory mediators
Term
Type II
Definition
Cytotoxic, results when cells are destroyed by an immune response
Term
two examples of Type II hypersensitivity
Definition
Blood transfusion
Destruction of fetal rbc's
Term
If woman is Rh- First pregnancy anit RH antibody
Definition
IgM
Term
If woman is Rh - Second pregnancy anti Rh antibody
Definition
IgG
Term
Rhogam
Definition
anti Rh immunoglobin given to women after pregnancy to prevent hemolitic disease
Term
Haptens
Definition
formed by drug molecules haptens bind to blood cells or platelets acting like an antigen and stimulate the production of antibodies
Term
Immune thrombocytopenic purpura
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

Term
Type III hypersensitivity
Definition
Immune complex mediated
Term
Type III localized reaction
Definition

Hypersensitivity pneumontitis - causes pneumonia

Glomerulonephritis - immune complexes deposited in glomerulus which compromises kidney function

Term
Type III systemic reactions
Definition

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

Term
Type IV Hypersensitivity
Definition
Delayed or cell mediated, antigens contact with skin causing inflammation 12-24 hours LATER
Term
Type IV reactions
Definition

Tuberculin test - reaction to test days later

Allergic dermatitis - irritating skin rash

*Graph rejection -  recetion of tissue or organs

Term
Isograft
Definition
genetically identicle sibling or clone graft
Term
Autograft
Definition
Self tissue graft
Term
Allograft
Definition
Same species but different member(person)
Term
Xenograft
Definition
graft from different species. ie. pig heart valves to human heart
Term
Type IV graft vs host disease
Definition

differ MHC class I - grafted T-cells attack recipient

differ MHC class II - grafted T-cells attack host APC

Term
Immunosupressive drugs
Definition
stop graft vs host disease
Term
Classes of immunosuppressive drugs
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

Term
Autoimmine disease
Definition

when an individual makes autoantibodies or cytotoxic t-cells against normal body function.

More common in women than men

Term
Systemic autoimmune disease
Definition
Lupus
Term
Single organ autoimmune diseases
Definition

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

Term
Immunodeficiency disease
Definition

primary - genetic defect

aquired - later in life

Term
primary immunodeficiency
Definition

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

Term
aquired immunodificeincy
Definition

stress- excess corticosteroids

malnutrition - inhibits production b cells, t cells

AIDS - low CD4 cells, presence of HIV

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