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39 Cards in this Set

  • Front
  • Back

Antigen

Any substance capable of triggering an immune response

Epitopes

An antigen announces its foreigners by means of intricate and characteristic shapes called epitopes


Polysaccharides


Protein

Characteristics of the skin

Tough

Thick


Dry


Salty


Oily


High in fatty acid


Low in nutrients

Innate Immune Response (Inbuilt immunity to resist infection)

Not antigen-specific

Not enhanced by second exposure


Has no memory


Uses cellular and humoral components


Poorly effective without adaptive immunity


Triggers & amplifies the adaptive immune responses

Innate Immune response 2

Line of defences that the body uses no matter what the invader may be


Responses need to be rapid


Defences include


Inflammation


Phagocytosis

Adaptive Immune Response (Immunity established to adapt to infection)

Learnt by experience


Confers pathogen-specific immunity


Enhanced by second exposure


Has memory


Uses cellular and humoral components


Poorly effective without innate immunity

Inflammation

Heat


Swelling


Redness


Pain


Loss of function

Function of Inflammation

Destroy and remove pathogens


If destruction is not possible , to limit effects by confining the pathogen and its products


Repair and replace tissue damaged by pathogen and its products

Chemotaxis of Phagocytes

Phagocytic neutrophils respond to soluble factors


Chemotactic signal molecules are generated at or near the source of infection


Cells migrate from the blood into the tissue underlying the infection along a concentration gradient towards the area of highest concentration

General scheme of an immune response

Pathogen with non-elf proteins damages the epithelium to break through the epithelial barrier


Epithelial cell 'activated ' upon contact with microorganism


Soluble proteins (chemokines, cytokines: chemical alarm system) are made by activated epithelial cells

Innate Immunity

Pathogen recognised by receptors encoded in the germline


Receptors ave broad specificity (recognise PAMPs)


Immediate response


No memory of prior exposure

Adaptive Immunity

Pathogen recognised by receptors generated randomly (BCR and TCR)


Receptors have very narrow specificity


Slow response


Memory of prior exposure

PAMPs

Lipopolysaccharide


Lipoteichoic acid


Peptidoglycan


Bacterial flagellin


Baterial DNA


Viral DNA or RNA


Viral capsids / proteins

Antibodies (Immunoglobulins)

Y-shaped protein molecule


Produced by B-lymphocytes


Heavy and light chains


Disulfide bridge


Variable regions


Constant regions



Cytokines and Chemokines

Diverse collection of soluble proteins made by cells that affect the behaviour of other cells

Cell - cell contact

Peripheral lymphoid tissues trap antigen - containing phagocytic cells and concentrate cells together to promote cell-cell contact

Phases of an adaptive immune response

Recognition


Activation


Effector


Decline homeostasis


Memory

Acute Inflammation

Fast onset


Short response


Main cellular component: Neutrophils


Tissue injury in mild


Prominent local and systemic symptoms

Chronic inflammation

Slow onset


Prolonged response


Main cellular component: Monocytes/ macrophages, lymphocytes


Often accompanied by severe tissue injury


Attempts to repair the damage

Inflammation

A protective physiological response aiming to eliminate harmful agents restore normal tissue function

The main cellular participants in inflammation

Macrophage


Neutrophil


Mast cells

Phagocytosis

Recognition and attachment


Engulment


Microbe ingested in pahgosome

The inflammatory response

Bacteria trigger macrophages to release cytokines and chemokines


Vasodilation and increased vascular permeability cause redness, heat and swelling


Inflammatory cells migrate into tissue releasing inflammatory mediators that cause pain



Cytokines

Small secreted proteins


Released by different cells in response to activating stimuli


Bind to transmembrane cytokine receptros on the target cells


Act in autocrine, paracrine and endocrine manner


Orchestrate and mediate immune responses


IL-1beta, IL-6, IL-12 and TNF-alpha

Chemokines

Chemotactic cytokines


Induce directed chemotaxis in responsive cells in a paracrine manner


First chemokine cloned and characterised was CXCL8


CXCL8 is associated with inflammation, secreted by macrophages


Chemokines released by phagocytes

Neutrophil extravasation

Neutrophils rolling


Integrin activation


Stable adhesion of neutrophils to endothelial cells


Diapedesis through the vascular endothelium

What causes cancer?

Hereditary cancers - Germline mutation


Sporadic cancer -Somatic mutation

Cancer risk factors

Smoking


Lack of physical activity


Alcohol


High fat diet


High percentage of processed meat and burnt food


Obesity
Hormone replacement therapy


Oral contraceptives

The hallmarks of cancer

Tissue invasion & metastasis


An inflammatory microenvironment


Insensitivity to growth inhibitors


Self sufficiency in growth signals


Limitless replicative potential


Sustained angiogenesis


Evasion of apoptosis

Transformation of normal cells

Altered morphology


Loss of contact inhibition


Ability to grow without attachment to solid substrate


Ability to proliferate indefinitely


Reduced requirement for mitogenic growth factors


High saturation density

Proto-oncogenes

Regulate the proliferation pathways in normal cells

Tumour supressor genes

Induce cell cycle arrest and apoptosis in response to exposure to harmful agents

C-MYC Oncogene

Insertional mutagenesis


ALV provirus is inserted into c-myc which is transcribed to produced myc mRNA


Translation of this protein induces uncontrolled proliferation

HER2 Oncogene

Epidermal growth factor receptor


Gene amplification of the HER2 gene occurs due to protein overexpression of the HER2 receptor this leads to uncontrolled proliferation

RAS Oncogene

Point mutation


G-T, Gly-Val


Prevents GTP in the protein cycle from being released which results in the protein being continuously active and uncontrolled proliferation take place

BCR-ABL Oncogene

Chromosomal translocation


t (9.22)


abl and bcr become juxtaposed and upon transcription the bcrabl fusion protein becomes stuck in the chromosome this activates a nuclear kinase which results in cell proliferation

Tumour supressor genes + Tumour supressor proteins

RB RB1)


APC


PT53



From primary tumour to metastasis

Primary tumour formation


Localised invasion


Intravasation


Transport through circulation


Arrest in microvessels of various organs


Extravasation


Formation of a micrometastasis


Colonisation

Carcinoma progression

Hyperproliferation


Adenomatous polyps


Severe dysplasia


Adenocarcinoma


Cancer