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58 Cards in this Set
- Front
- Back
IgG
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Major Ig in secondary immune responses.
80% of circulating Igs |
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IgD
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B cell surface marker
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IgM
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First Ig to increase during an immune response.
Present on surface of B cells. |
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IgA
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The secretory immunoglobin.
Present in bodily secretions. |
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IgE
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Present on surface of mast cells and basophils (immediate hypersensitivity reaction)
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CD2
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T Cells
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CD4
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Helper T Cells
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CD8
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Cytotoxic T Cells
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CD9
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B Cells
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Interleukins
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Cytokines that interact with leukocytes
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APCs
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Dendritic cells
Follicular dendritic cells Macrophages B Lymphocytes M cells in Peyer's Patches |
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Dendritic Cells
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APCs.
Capture and process antigens Abundant in T cell areas of lymphoid organs |
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Follicular dendritic cells
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Present in lymphoid nodules.
Trap antigens on surface for interaction w/ B cells. Do not endocytose or process antigens. |
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Cytotoxic T cells
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Act over short distances.
TCRs. Always require T-helper cells. Act by producing perforins and fragmentins. |
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B Cells (Plasma Cells)
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Act over long distances.
SIGs. Usually require T-helper cells. Act by producing Abs |
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Allergic reaction
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An attempt to neutralize the effects of an antigen
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Immunodeficiency
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A defect in either the innate or adaptive immune systems
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Autoimmune disease
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T lymphocytes that attack self antigens
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Immediate Hypersensitivity
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An immediate immune reaction within minutes of an antigen and antibody, bound to mast cells, w/ degranulation, occurring in sensitized individuals.
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Where is the site of atherosclerotic plaque formation?
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Tunica intima
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What is diagnostic of elastic arteries?
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Tunica media has 40-70 lamella of elastic tissue that absorb systolic pressure
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What is diagnostic of muscular arteries?
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Tunica media has >40 layers of smooth muscle.
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Arterioles
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Show only one or two smooth muscle layers in the tunica media
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What fibers are contained within capillary endothelium? And what do they do?
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Desmin or vimentin - lend structural support.
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Pericytes
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Well-developed cells of mesenchymal origin; surround capillaries at various sites; ability to differentiate into smooth muscle cells following injury to endothelium.
Contain proteins with contractile capabilities: tropomyosin, isomyosin. |
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Continuous capillary
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Characterized by continuity of endothelial cell. Found in all muscle, nervous tissue, CT, glands. Transports substances in bidirectional pathways (pinocytosis; transcytosis)
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What is diagnostic of large veins?
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Tunica media is thin with only a thin layer of circular smooth muscle.
Tunica adventitia is thick and contains elastic and collagenous network. Also contains broad bundles of smooth muscle cells arranged longitudinally. |
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Classification of lymphoids
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Primary: sites where lymphocytes are programmed to be immunocompetent cells
Secondary: sites where immunocompetent cells respond to antigens |
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Thymus
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Location where T cells become immunocompetent.
No reticular fibers. Cortex and medulla. No lymph nodules. Epithelioreticular cells allow for maturation of lymphocytes in antigen-free environment. Hassall's corpuscles in medulla. |
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What is diagnostic of thymus?
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Thymic corpuscles in medulla
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Hormones that affect T-cell maturation in thymus
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Thymosin, thymopoitin, thymolin, thymic humoral factor: affect development of T-cells.
Glucocorticoids: decrease T cell numbers. Growth hormone: increases T cell numbers. Sex steroids: cause involution of gland |
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DiGeorge
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Thymic hypoplasia d/t failure of development of third and fourth pharyngeal pouches. Produces variable loss of T-cell immunity.
Will also lose parathyroid. |
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What is diagnostic of lymphatics?
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No tunics
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Lacteals
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lymphatic capillaries in villi of small intestine
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Structure of lymph nodes
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Oval or kidney-shaped w/ hilum.
reticular cells and fibers in stroma. cortex: lymphoid nodules (B-cells) deep cortex: T-cells, high endothelial venules medulla: medullary cords. Sinusoids have reticulum across them |
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What is diagnostic of spleen?
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Central arterioles offset to GC in white pulp w/ periarterial lymphatic sheaths
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What occurs in the white pulp?
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Lymphocyte proliferation (T and B)
APCs AB production Remove blood macromolecular antigens |
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What occurs in red pulp?
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Filtration!
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Ground substance of bone
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Proteoglycans/GAG complex, eg Chondroitin 4-sulfate for compressive strength.
Glyoproteins - for attachment of bone cells and fibers to the mineralized ground substance. Growth factors, eg BMP induce differentiation of mesenchymal cells into osteoblasts |
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Osteonectin
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Multiadhesive proteins in ground substance of bone
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Osteocalcin
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Binds Ca++ and raises their local concentration
Ground substance of bone |
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Bone fibers
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Primarily collagen type I. Secreted by osteoblasts. Like rebar
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Osteoprogenitor cells to osteoblasts
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Triggered by core binding transcription factor alpha-1, osteoprogenitor cells give rise to osteoblasts
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Alkaline phosphatase
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Secreted by osteoblasts. IMPORTANT!!! Responsible for calcification of bone.
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Howship lacuna
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Aka resorption bay. Depression formed by osteoclasts where bone has eroded
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How do osteoclasts degrade bone?
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1. Pump H+ protons from membrane into resorption site to create an acidic environment for dissolving hydroxyapatite.
2. Howship lacuna also receive hydrolytic enzymes in the form of lysosomal hydrolases promoting organic matrix resorption. All ions and matrix products are reused |
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What controls osteoclast activity?
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Osteoblastic cytokine and by hormones (parathormone and thyocalcitonin).
Osteoclasts have no receptor for parathormone, thus it functions through osteoblasts, which secrete OSF. |
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Intramembranous bone formation
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Produced by differentiation of mesenchymal cells. begins 8th week of development.
Found in flat bones and "bone collars" of long bones. Occurs by appositional growth. |
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Endochondral bone formation
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Vascularized mesenchyme which becomes cartilage model is precursor.
Formed in places of demand for weight bearing. Periosteal bone collar forms around diaphysis, then cartilage calcifies. Crucial step! Alk phos is released upon hypertrophy, allowing for calcification. Appositional growth from perichondrium to increase width. Interstitial growth to increase length. |
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Five zones of epiphyseal cartilage in developing endochondral bone
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1. Resting zone: hyaline cartilage
2. Proliferative zone: chondrocyte mitosis w/ cells stacked in columns in the long axis of the bone 3. Zone of hypertrophy: chondrocytes whose cytosol has an abundance of glycogen. Reabsorbed matrix is reduced to very thin septa. 4. Zone of calcified cartilage: death of chondrocytes produces a calcified cartilage matrix w/ hydroxyapatite crystals. 5. Zone of ossification: endochondral bone via osteoprogenitor cells form osteoblast which deposit woven bone over the calcified cartilage matrix. |
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Synovial layer
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Specialized connective tissue: areolar/fibrous.
Mainly 2 types of cells that resemble: 1. Macrophages - type A synovocyte. bind, engulf and remove tissue debris 2. Fibroblasts - type B synovocyte. Synthesis of hyaluronic acid/GAG rich ground substance |
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Fracture repair
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1. Torn blood vessel clots, producing large fx hematoma.
2. Gradually removed by macrophages and replaced by a soft procallus tissue rich in fibroblasts and collagen. 3. Fibrocartilagenous procallus is replaced by spicules of woven bone forming a hard callus throughout the original fx. 4. Woven bone is then remodeled as compact and trabecular/cancellous bone w/ fully functional vasculature. |
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Osteomalacia
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Adult rickets. Soft bone d/t defective mineralization of bone matrix leading to reduction in calcium:organic matrix ratio
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Osteoporosis
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Decrease in bone mass d/t insufficient bone formation or increased bone resorption by osteoclasts
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Osteopetrosis
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Normal bone formation w/ absence of osteoclastic activity resulting in overgrowth and thickening of bone. Bones are hard but brittle.
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Osteitis deformans
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Aka Paget's Disease.
Replacement of normal bone by soft, poorly mineralized osteoid tissue accompanied by fibrosis. pelvis is main bone affected. enlargement of skull accompanied by bowing of femurs and tibias are diagnostic. |
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Aortic dissection
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Separation of the tunica intima from tunica media.
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Aneurysm
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All 3 tunics are involved. No intimal flap.
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