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225 Cards in this Set

  • Front
  • Back
what is a pathogen?
disease producing microbe
define the term resistance?
the ability to ward of disease or damage
what does the term suseptibility mean?
vulnerabiltiy of lack of resistance to disease or damage
What are the two types of immunity every person has?
adaptive immunity, innate immunity
when are defences present , regarding innate immunity?
defenses are present at birth in innate immunity
waht does innate immunity not involve, regarding recognition of microbes?
innate immunity does not involve specific recognition of microbes
How does the innate immune system act against microbes?
the innate immune system acts against microbes all the same way
what are examples of the first line of defence in innate immunity?
physical and chemical barriers of the skin and mucous membranes
what are examples of the second line of defence in innate immunity?
antimicrobial substance, natural killer cells, phagocytes,fever,inflammation
What are the first and second lines of defence designed for?
to prevent micorbes from gaining acess to the body and to help elimnate those that do gain acess
Adaptive immunity refers to the defences that involve specific recognition of microbes once it has breeched what ?
adaptive immunity refers to the defences that involve specific recognition of microbes once it has breeched the INNATE IMMUNE system
which system adapts or adjusts to handle a specific microbe?
adaptive immunity
What 2 types of lymphocytes does the Adaptive immune system invovle?
B lymphocytes, T lymphocytes
what is the lymphatic system responsible for? (regarding immunity)
lymphatic system in responsible for adaptive immunity and some aspects of innate immunity
what is the lymphatic system closely allied with? Why?
the lymphatic system is closely allied with the cardiovascular system , it drains interstital fluid back to the heart
what does the lymphatic system drain back to the heart?
the lymphatic system drains intersistial fluid back to the heart
How does the lymphatic system function with the digestive system?
lymphatic system functions with the digestive system by absorbing fatty foods.
define the term lymph
a clear-pale yellow fluid confined in lymphatic vessels and flowing through lymphatic system until returned to the blood
where is lymph found?
lymph is found in lymphatic vessels and flowing throught the system
what are lymphatic vessels?
large vessels that collect lymph from lymphatic capillaries and coverge to form the thoracic and right lymphatic duct
where do lymphatic vessels collect lymph from?
lymphatic cappillaries
what type of tissue is lymphatic tissue ?
specialized form of reticular tissue that contains large lymphocytes
what is the name of highly vascularized connective tissue located in microscopic spaces between trabeculae and spongy bone?
red bone marrow
what is Red bone marrow the site for?
lymphocyte production
where is red bone marrow located?
microscopic spaces between trabeculae of spongy bone tissue
what type of tissue is red bone marrow?
highly vascualrized connective tissue
what are the three functions of the lymphatic system?
drains excess interstital fluid,transports dietary lipids from the gastrointestinal tract into the blood, protects against invasion through immune response
where do lymphatic vessels begin?
blind-ended lymph capillaries in tissue spaces between cells
what does interstital fluid form when it drains into lymphatic capillaries?
lymph is formed when intersitial fluid drains into lymphatic capillaries
what do lymphatic capillaries merge to form?
lymphatic capillaries merge to form lymphatic vessels
what structures do lymphatic vessels covey lymph in and out of?
lymphatic vessels convey lymph in and out of LYMPH NODES
Lymphatic vessels are found throughout the body , except for what areas?
avascualr tissue, CNS, portion of the spleen, red bone marrow
what are the difference between lymphatic capillaries and blood capillaries?
lymphatic capillaries have a slighlty large diameter, and overlapping endotherlial cells
what do overlapping endothelial cells found in lymphatic capillaries function for?
function as one way valves for fluid to enter lymphatic capillaries
what attached the overlappy endothelial cells found in lymphatic cappilaries to surrounding tissue ?
anchoring fillaments
What is the name of a lymphatic capillary in the villus of the small intestine called?
lacteal
what does the lacteal function for? (lymphatic capillary in the villus of the small intestine)
transport digested fats from the small intestine into the blood
what are the principle formed lymph trunks , formed from the exiting vessels of lymph nodes?
lumbar, intestinal , bronchomediastinal,subclavian, and jugular trunks
what is the dilation called that the throracic trunk beings as?
cisterna chyli
what is the main collecting duct of the lymphatic system?
cisternal chyli
where doest he thoracic duct recieve lymph from?
left side of head, neck , chest, left upper extremity and entire body below the ribs
where does the thoracic ducts drain lymph into venous blood?
left subclavian vein
where does the right lymphatic duct drain lymph from?
upper right side of body
where does the right lymphatic duct drain lymph into venous blood?
right subclavian vein
explain the passage of lymph?
arteries -> blood capillaries -> interstitial fluid ->lymph capillaries -> lymph trunk-> right/left thoracic duct->subclavian vein
what does lymph flow as a result of the milking action of?
lymph flows as a result of the action of the milking action of the skeletal muscle contraction and respiratory movements
what is lymphatic flow also aided by besides the contraction of skeletal muscles and respiratory movements?
lymphatic flow is aided by lymphatic vessel valves that prevent back flow of lymph
why is red bone marrow, and the thymus gland selected as the primary lymphatic organs?
red bone marrow, and the thymus gland are selected as primary lymphatic organs because they are the place where B and T lymphocytes become immunocompetent
what are the secondary lymphatic organs?
lymph nodes and spleen
what is an example of secondary lymphatic tissue?
lymphatic nodules
where do most immune responses occur?
most immune responses occur in secondary lymphatic organs and tissue (lymph nodes,spleen & nodules)
where is the thymus gland located ?
between sternum and heart
where does T cell maturation take place?
the thymus gland
how does the thymus function for immunity?
it functions for immunity as the site for t-cell maturation
what is the thymus gland replaced by after puberty?
largely replaced by adipose and aerolar connective tissue
what age is the thymus gland large?
in infants up until puberty
describe lymph nodes?
encapsulated oval structures located along lymphatic vessels
what cells do lymph nodes contain?
t cells, macrophages, follicular dendritic cells and B cells.
what does lymph enter nodes through?
afferent lymphatic vessels
what does lymph exit does through?
efferent lymphatic vessels
what are foreign substances filtered by lymph nodes trapped by?
nodal reticular fibers
after foreign substances are filtered by nodal reticular fibers , what cell destroys some of the forgein substances by phagocytosis?
macrophages destroy foreign substances filtered by nodal reticular fibers using phagocytosis
what are lymph nodes the site for regarding plama cells and t cells?
lymph nodes are the site for proliferation of plasma and t cells
what knowledge is important in the diagnosis and prognosis of the spead of cancer by metastasis?
knowledge of the location of lymph nodes and the direction of lymph nodes is important in the diagnosis of the spread of cancer by metastasis .
why is the location of lymph nodes and the direction of flow by the lymph nodes imporatnt in the diagnosis of the spread of cancer by metastasis?
is important because many cancer cells are spread by the way of the lymphatic system, producing clusters of tumor cells where they lodge.
what is the largest mass of lymphatic tissue in the body?
spleen
where is the spleen found?
left hypochondriac
what kind of pulp does the spleen consist of?
red and whit pulp
what is the white pulp found in the spleen made of?
lymphatic tissue
what is the red pulp found in the spleen made of?
venous sinuses filled with blood and spleenic chords consisting of RBC's , macrophages,lymphocytes, plasma cells, granulocytes
what is the function of macrophages found in the red pulp of the spleen?
removes worn out or defective RBC's, WBC's and platelets by phagocytosis,
where does the spleen store blood platelets ?
in the red pulp
which pulp found in the spleen is responsible for the production of red blood cells during the second trimester of pregnancy?
red pulp
what major lymphatic organ is often damaged during abdominal trauma?
spleen
what two types of lymphocytes is the white pulp found in the spleen made of?
the white pulp found in the spleen is made of B & T cells
What do the T lymphocytes found in the white pulp of the spleen directly destroy and attack?
antigens in blood
How do the T lymphocytes found in the white pulp of the spleen directly destroy and attack antigens in the blood?
cytolysis
What do the B cells found in the white pulp in the liver develop into?
antibody producing plasma cells
what do the antibody producing plasma cells (b cells) found in the white pulp of the liver inactivate in the blood?
antigens
describe lymphatic nodules?
oval-shaped concentrations of lymphatic tissues
where are lymphatic nodules found?
lymphatic nodules are found in the lamina propria of mucous membranes lining the GI tract,respiratory airway, urinary tract, and reproductive tract.
what does MALT stand for?
mucous associated lymphatic tissue aka lymphatic nodules
what are peyers patches? where are they located?
peyers patches are lymphatic nodules in the ileum of the small intestine
Tonsils are multiple aggregations of large lymphatic nodules imbedded in a mucous membrane at what junction?
the junction of the oral cavity and pharynx
what are the three types of tonsils?
pharyngeal (adenoid), palatine, lingual tonsils
why are tonsils situated strategically to do?
tonsils are situated strategically to protect the invasion of foreign substances, and participate in immune responses by producing lymphocytes and antibodies
define innate immunity
refers to a wide variety of body responses against a wide range of toxins that are present at birth
what are the two types of barriers the first line of defense contains?
physical and chemical barriers
what are examples of physical barriers provided by the first line of defense of the innate immune system?
skins epidermis, mucous membranes epithelium, mucus and cellia, lacriminal apparatus,saliva,flow of urine, defecation and vomiting
where are the chemical barriers provided by the first line defense localized to
the skin
what areas of the body are chemical barriers present?
loose connective tissue, vagina, stomach
what do sebaceous glands secrete that forms a protective film over the skin and acts as a chemical barrier by its acidity inhibiting certain bacteria and fungi?
sebum
why are sebaceous glands classified as a chemical barrier in the first line of defense?
sebum is a chemical barrier in the first line of defense because its acidity inhibits the growth of certain fungi and bacteria.
what do la-criminal, salivary, sudoriferus glands secrete that acts as a chemical barrier i the first line of defense?
lysozyme
what does the stomach produce that acts as a chemical barrier in the first line of defense?
gastric juice; its strong acidity kills most bacteria and bacterial toxins
What do vaginal glands secrete that inhibit bacterial growth?
vaginal secretions
What line of defense are antimicrobial proteins, phagocytic and natural killer cells, inflammation and fever involved in?
second line of defense
what do lymphocyte and macrophage cells , infected with a virus produce?
interferons
what does interferon induce in neighboring uninfected cells, once it is released from a virus infected cell?
interferon induces uninfected cells to synthesize antiviral proteins that interfere with or inhibit viral replication
what does a group of 20 proteins present in blood plasma and on cell membranes comprise ?
a group of 20 proteins present in blood plasma comprises the complement system.
what is the function of the complement system?
when the complement system is activated it enhances certain immune , allergic and inflammatory responses
How do iron binding proteins inhibit microbial growth?
iron binding proteins remove ion from the body fluid thereby inhibiting microbial growth
what are natural killer cells?
lymphocytes
what distinguished natural killer cells from T and B lymphocytes?
natural killer cells lack the membrane molecules that identify T and B cells
what does natural killer cells have the ability to "kill"?
natural killer cells have the ability to kill a wide variety of infectious microbes
natural killer cells can release "perforins", what can perforins do to a the plasma membrane of a microbe?
perforin can can insert into the plasma membrane of a microbe and make the membrane leaky so that cytolysis occurs
what lymphocytes are phagocytic?
neutrophils and macrophages
what are the three phases of phagocytosis?
chemotaxis,adherence,ingestion
what is formed after phagocytosis has been accomplished?
after phagocytosis has been accomplished a phagolysosome is formed
what does the lysozyme in the phagolysosome along with lethal oxidants produced by the phagocyte quickly kill?
many types of organisms
what are some of the reasons why a microbe may evade phagocytosis ?
capsule formation, toxin production,interference with lysozyme secretion, and the microbes ability to counter oxidants produced by the phagocyte
what process occurs when cells are damaged by microbes, physical agents, or chemical agents, The injury is often viewed as a form of stress?
inflammation
what is inflammation usually characterized by?
redness , pain , heat , swelling. Loss of function may be a fifth symptom , depending on the site and extent of the injury
what are the three basic stages of inflammation?
1.vasodilation and increased permeability of blood vessels
2.phagocyte migration
3.tissue repair
what do histamines, kinins, prostaglandins, leukotrienes, and compliment all contribute to?
inflammation
what is the fluid called pus formed from after an inflammation response?
the fluid called pus is formed from phagocytes that have engulfed damaged tissue and dies , forming a pocket of dead phagocytes and damaged tissue
if puss does not drain out of the body , what does it form?
abscess
what is fever usually caused by?
infection from a virus or bacteria
what does the high body temperature during a fever inhibit?
bacterial growth and speed up body reaction that aids repair
define the term immunity?
ability of the body to defend itself against specific foreign substances
what are foreign substances that provoke immune responses called?
antigens
what are the two properties that distinguish adaptive immunity from innate immunity?
specificity for particular antigen, memory of previously encountered antigens
where do both T and B cells derive from?
stem cells in red bone marrow
where to T cells become immunocompetent?
in the thymus under the influence of thymic hormones
Before T cells leave the thymus or B cells leave bone marrow, what do they aqurie?
several distinctive surface proteins
what are antigen receptors?
molecules capable of recognizing antigens
what lymphocytes are involved in cell mediated immunitiy(part of adaptive immunity)?
T lymphocytes
what type of adaptive immunity is particularly effective against intracellular pathogens, such as fungi, parasites, and viruses, some cancer cells , and foreign tissue transplants
cell mediated immunity (T cells)
what does Cell mediated immunity ALWAYS involve?
Cell mediated immunity always involves cells attacking cells.
what is antibody-mediated immunity?
antibody- mediated immunity refers to destruction of antigens by antibodies
what type of adaptive immunity works against antigens dissolved in body fluids, extracellular pathogens, primarily bacteria that multiply in body fluids but rarely enter body cells?
antibody-mediated immunity
what type of lymphocytes are involved in antibody-mediated immunity?
B lymphocytes
what cells aids both types of adaptive immunity; cell-mediated & antibody-mediated?
helper T cells
what is clonal selection?
process by which an immune cell proliferates and differentiates in response to a specific antigen
what are the two major types of cells that result from clonal selection?
effector cells, memory cells
what are effector cells?
effector cells are the cells that actually do the work to destroy the antigen
what are examples of effector cells?
helper T cells, cytotoxic T cells, plasma cells
what is the function of memory cells?
provide a faster second invasion response by proliferating and differentiating into effector cells
what are examples of memory cells?
memory helper T cells, memory cytotoxic T cells, and memory B cells
what are the two important characteristics of antigens?
immunogenicity, reactivity
what does the term "immunogenicity" mean?
an antigens ability to provoke an immune response by stimulating antibody production, T cell proliferation or both.
what does the term "reactivity" mean regarding the two important characteristics of a an antigen?
an antigens ability to react with antibodies or T cells
What are the specific portions of an antigen that trigger immune responses?
epitopes or antigenic determinants
what are antigens made of most often?
proteins
what is the human immune systems ability to recognize and bind to at least a billion different epitopes is due to?
the ability is due to the immune systems billion different antigen receptors
what is antigen rector diversity due to?
genetic recombination during lymphocyte development.
why does each B cell or T cell have a unique antigen receptor?
B cells or T cells have unique antigen receptors due genetic recombination.
where are major histocompatibility complex antigens located?
plasma membrane of body cells
what is the name of the "self antigen" that helps T-cells recognize that a foreign antigen is not "self"
MHAC antigens
what are the two MHC antigen classes?
MHC-1 antigens, MHC 2 antigens
what class of MHC antigens are in the plasma membrane of all body cells except red blood cells?
MHC-i
where are MHC ii antigens located?
MHC ii antigens are located in the plasma membrane of antigen-presenting cells
what must happen for an immune response to occur?
foreign antigens must bind antigen receptors on B and T cells in lymphoid tissue or circulating throughout the body
which type of cell can bind directly to antigens?
B cells
T-cells can only recognize antigens that have been processed and presented by what type of cell?
antigen presenting cells (APC's; dendritic cells, macrophages and B cells)
describe antigen processing?
APC breaks antigen down into fragments and binds it to MHC
describe antigen presentation
APC inserts antigen-MHC complexes into it plasma membrane
What are the steps in processing and presenting exogenous antigens
1.APC ingests exogenous antigen
2.APC digests antigen into fragments
3.APC synthesizes MHC-ii molecules
4.APC binds antigen fragments to MHC-ii molecules
5.APC inserts MHC-ii complexes into plasma membrane
where do APC cells migrate to after processing exogenous antigens?
APC cells migrate to lymphatic tissue to present the antigen to T cells
what does the presentation of exogenous antigen bound to MHC-ii inform T cells?
that intruders are in the body
what are endogenous antigens?
antigens that were synthesized in the body
what are the steps in processing and presenting endogenous antigens?
1.infected body cell digests endogenous antigen into fragments.
2.infect body cell synthesized MHC-1 molecules
3.infected body cell binds antigen fragments to MHC-1 molecules
4.infected body cells insert MHC-i into its plasma membrane
what does presentation of endogenous antigen bound MHC-i signal?
that a cell is infected and needs help
what does cell-mediated immunity begin?
a cell mediated immune response begins when an antigen activates a T cell by binding with its antigen receptor.
after an antigen has activated a T cell by binding to a receptor, activated T cells proliferate and differentiate into a clone of cells that can recognize what?
the same antigen as the activated T cell
what type of cell carries out immune response after activated T cells have proliferated and differentiated into a clone of cells to recognize the same antigen as the activated T-cell?
effector cells
what are the two steps required for a T cell to become activated?
antigen recognition, co-stimulation
explain the step "antigen recognition" that is required for a T cell to become activated?
T cell receptor recognizes and binds to antigen MHC complex. CD4 or CD8 coreceptors bind to MHC and help maintain coupling during antigen recognition.
which of the two steps in activation of T cells is analogous to starting a car before putting it in gear?
antigen recognition
what step in activation of T cells is analogous to putting the car into gear?
costimulation
what other signal can a T cell receive during co-stimulation in order to activate a T cell?
chemical signal (interleukin), or mechanical (T cell binding to other receptors on the APC)
what does the two step activation required to activate T cells prevent?
cell-mediated immune response from occuring accidently
what do T cells that display CD4 protein develop into , when activated by an APC?
helper T cells
what does a helper T cell form once it is activated?
clone of active helper T cells and memory helper T cells
what do activated T helper cells secrete?
interleukin
what is interleukin that is secreted by activated T helper cells need for?
co-stimulation of all immune responses
what are the specific immune responses that interleukin co-stimulates?
T helper cells, cytotoxic T cells, B cells, enhances natural killer cells activity
why do memory T helper cells remain in the body after the immune system destroys the antigen that stimulated their production?
so memory t cells can quickly proliferate and differentiate into more active T helper cells and memory T helper cells if the antigen returns
what do T cells that display CD8 protein develop into?
cytotoxic T cells
what type of cells do cytotoxic t cells recognize and bind to
MHC-i complex presented on a ; microbe-infected body cell, some tumor cells, cells of tissue transplants,
what happens once a cytotoxic T cell is activated?
forms a clone of active cytotoxic T cells and memory cytotoxic t cells
how do cytotoxic t cells fight foreign invaders?
by killing the target cells (cell that bears the same antigen that stimulated production of the cytotoxic t cell)
what do cytotoxic t cells release that trigger apoptosis?
granzymes
what do cytotoxic t cells release that trigger cytolysis of infected cells?
perforins
what does anti-body mediated immune system target?
processed pathogens
how does an anti-body mediated immune response begin?
antigen activates B cell by binding to its antigen receptor
what do plasma cells secrete that help the immune system eliminate an antigen?
antibodie
what is the next step in an anti-body mediated immune response after an antigen has activated a B cell receptor
activated b cells proliferate and differentiate into plasma cells and memory b cells
what is the function of plasma cell?
secrete antibodies that help the immune system eliminate the antigen
explain the process of co stimulation to activate a B cell
some antigen is taken into the B cells , combined with MHC-ii , and moved to the B cell surface, T helper cell recognized the antigen-MHC-ii combination and secretes IL-2 which co-stimulates the B cell
what must a helper T cell secrete to activate a B cell is the co-stimulation step?
IL-2
what can an ONLY combined with?
epitope on the antibody that triggered its production
where is IgG found?
lymph,blood, GI tract
what does IgG protect against?
bacteria and viruses
what is the only antibody to cross the placenta?
igG
why is the igG protein considered to provide considerable protection to a new born?
only antibody to cross the placenta
what is the most abundant blood antibody?
igG
what antibody protect mucous membranes against bacteria and viruses?
IgA
where is IgA found?
blood and secretions like sweat, tears, mucous, breast milk, saliva, GI secretions
where is IgM found ?
blood and lymph
what is the first antibody to be secreted by plasma cells after antigen exposure?
IgM
what antibody is located on b cells and acts as a b cell receptor?
IgD
what two antibodies are an early indicator of an infection?
IgD, IgM
which antibody includes anti-a and anti-b antibodies?
IgM
what antibody is located on mast cells and basophils?
IgE
what type of reactions are IgE involved with?
allergic and hypersensitivity reactions
which type of antibody provides protection from parasitic worms?
IgE
what actions do antibodies use to disable antigens?
antigen neutralizers, bacterial immobilization, antigen agglutination and precipitation, complement activation, phagocytosis enhancement
what is the compliment system?
group of about 20 proteins present in blood plasma and on cell membranes
what does compliment enhance when activated?
phagocytosis , cytolysis, inflammation
why is immunization against certain microbes possible?
memory b cells and memory t cells remain after primary response to an antigen
how does the secondary response provide protection from an antigen?
provides protection should the same microbe enter the body again. It delivers a far greater antibody titer(amount of antibody in serum) than the primary response
what is naturally acquired active immunity?
primary response to an attacking microbes antigens; forms anti-body secreteing plasma cells and cytotoxic t cells, forms memory b and t cells
what is naturally acquired passive immunity?
transfer of antibodies from mother to baby via IgA through placenta and breast milk
what is artificially acquired immunity?
primary response to a vaccination, has same affect as naturally acquired active immunity
what is artificially acquired passive immunity?
intravenous injection of antibodies, has same affect of naturally acquired passive immunity
what do T cells undergo to insure that they can recognize self-MHC antigens?
positive selection
What happens to T-cells that cannot recognize self-MHC antigens?
they are destroyed
what do T cells that undergo postive selection also go through to ensure that they do not react to other self-proteins?
negative selection
what do T cells that react with self antigens undergo?
deletion , or anergy
what does the term anergy mean?
the t cell is inactivated
what does the psychneuroimmunology field research show about thoughts, feelings, moods and beliefs?
that they have an effect on course of disease
what happens to the immune system with the advancement of age?
functions less effectively
what happens to cellular and humoral responses with the advancement of age?
they diminish
what happens to the response of vaccines with the advancement of age?
response decreases and more auto antibodies are produced