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76 Cards in this Set

  • Front
  • Back

Cytokine

Communication molecule

Macrophages engulf and destroy by

Phagocytosis

Types of leukocytes

Lymphocyte, monocyte, eosinophil, basophil, neutrophil

Intracellular signaling leads to

1. Upregulation and/or down regulation of genes, transcription factors; 2. Production of other cytokines; 3. Increase in # of surface receptors for other molecules; 4. Suppression of their own effect by feedback inhibition

Cells that release inflammatory mediators

Basophils, eosinophils

Phagocytic cell types

Macrophages, neutrophils, monocytes

Main function of dendritic cells

"Gather up" antigens, bring them to T-cells, and initiate response from those T-cells

Antigen

Anything that initiates an adaptive immune response

Where do B-lymphocytes develop?

Bone marrow

Where do T-lymphocytes develop?

Thymus

T-helper lymphocyte function

Help B-lymphocytes and macrophages

T-cytotoxic lymphocyte function

Kill virus-infected cells; kill some tumor cells

B-lymphocytes and antigens

Interact directly

T-lymphocytes and antigens

Antigens are "presented" to T-helper cells by virus-infected cells that need to be "killed"

Each B-lymphocyte has a very specific surface receptor that...

Binds to only one; can respond to any type of biomolecule; may require "help" from T-helper lymphocytes

T-cells only respond to:

Short peptides

MHC

Major Histocompatibility Complex

Normal role of MHCs

Present peptides to T-lymphocytes

MHC Class I

Present peptides to T-cytotoxic cells

MHC Class II

Present peptides to T-helper cells

CD8

Cell surface molecule presented on T-cytotoxic cells; looking for peptides presented only by MHC Class I

CD4

Cell surface molecule presented on T-helper cells; looking for peptides presented only by MHC Class II

Specificity for presented peptide is determined by:

Peptide-specific receptor

Function of responding cell is selected by:

Type of MHC presenting peptide

Antigen vaccine

From killed or weakened organism. Will not cause infection or disease

Attenuated vaccines

Weakened version of organism

Inactivated vaccines

Dead form of organism. (Inactivated toxin -toxoid)

Current vaccines

Protective

Recent vaccines

Therapeutic

Future vaccines

Immunogenic and Tolerogenic

Immunogenic

Produces immune response

Tolerogenic

Produces immunological tolerance; induces immune state of unresponsiveness to foreign antigen

Adjuvant

Substance that enhances body's immune response

Therapeutic

Raise immune response during ongoing disease

Prophylactic

Trigger immunological memory

Practical introduction to immune system

Course goal

Stimulate critical thinking about design and application of biomaterials

Course goal

Connect cellular and molecular biology concepts and apply to immune system

Course goal

Showcase clinical problems in immunology and biomaterial science

Course goal

Introduce interaction of various immune system components with engineered biological devices; implants; cells and tissues

Course goal

Explore strategies and solutions for maximizing biocompatibility of engineered biomaterials with immune system

Course goal

Immune system is collectively all of the cells/tissues and chemicals in body that are dedicated to:

Defend it from invasion by pathogens

All of the cells of the immune system originate in the:

Bone marrow

White blood cell location

Blood and lymphatic system

Neutrophils - found in ___, function is:____

Blood; attracted to and release cytokines

Human immune system's natural goal of homeostasis involves destroying any "foreign" (non-self) material using immune responses. What response does not involve foreign material?

Autoimmune response

Define biocompatibility related to interaction of biomaterials with immune system

State in which biomaterials are able to exist and function in human body without causing adverse immune response

Prerequisite tests for evaluation of biocompatibility of materials:

Performance standards under simulated conditions, end use applications, exposure (body temp, water, ions, pH, dissolved gases, electrolytes, cells, proteins), safety

Biomaterials such as medical devices sold in USA must be registered through what agency?

FDA

Characteristics of innate immunity are variable or fixed?

Variable

Adaptive immunity increases or declines during response?

Declines

Innate or adaptive?

Innate

Innate or adaptive?

Adaptive

Challenges of ensuring biocompatibility of engineered materials/cells/tissue

Foreign body response, chronic inflammation, no current vaccine available, safety, design challenges

Biomaterials recognized as "non-self" by human immune system. In order to achieve biocompatibility they must be designed to:

Resist body's natural goal of homeostasis

Non-specific defenses of innate immunity

Physical barriers, complement system, inflammatory mediators, phagocytic cells, cytokines

Are antibodies part of innate immune system?

No

Main components of innate immune system

Physical epithelial barriers, phagocytic leukocytes, circulating plasma proteins, natural killer cells

Two distinct branches of adaptive immune system

Humoral and cell mediated

Biomaterials can initiate which three innate immune responses?

Inflammation, phagocytosis, and cytokine signaling

Biomaterials (not from living things)

Metals, metal alloys, metal oxides, glass, synthetic polymers, adhesives

Properties of biomaterials to consider

Physicochemical properties, durability, desired functions, physiology and anatomy, effects of failure, cost, manufacturing, material strength, stiffness and flexibility, fatigue endurance, wear resistance, dimensional stability, dynamic loading conditions, electrical and thermal conductivity, light transmission, size, biodegradability, bioactivity, self-repair, metal corrosion

The complement system is considered humoral immunity but is part of the innate immune system largely due to the fact that:

It is not adaptable/does not change over course of an individual's lifetime

Basic functions of complement system

Optimization, cell lysis, apoptosis, agglutination

How do biomaterials trigger the complement system specifically?

Blood and plasma protein adhere to biomaterials

Key roles of skin interface

Protect against pathogens, protect against excessive water, insulation, temperature regulation, sensation, synthesis of vitamin D, protection of vitamin B folates

Skin functions- protect deeper tissues from:

Mechanical damage (bumps), chemical damage (acids and bases), bacterial damage, ultraviolet radiation (sunlight), thermal damage (heat or cold), dessication (drying out)

3 main layers of skin

Epidermis, dermis, subcutaneous tissue

Parts of epidermis

Stratum: dead layer of skin, melanin: skin pigmentation

Parts of dermis

Blood vessels, sweat glands, collagen fibers, nerves, smooth muscle fibers

Responsibilities of dermis

Structural integrity, elasticity, resiliency

Subcutaneous tissue

Fat (adipose) tissue - gives skin shape

Subcutaneous tissue contains:

Blood vessels, nerves, collagen fibers

Laceration

Wound produced by tearing of soft body tissue; irregular, jagged and often contaminated with bacteria and debris from whatever object caused it

Puncture wound

Usually caused by a sharp pointy object; usually does not bleed excessively; can appear to close up; prone to infection

Four phases of wound healing

1. Haemostasis


2. Inflammatory response


3. Proliferation


4. Remodelling