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53 Cards in this Set
- Front
- Back
What are the first lines of defense against infection?
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Physical defenses, chemical defenses, antibacterial peptides, and antiviral proteins
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How does the innate immunity respond to a second infection as opposed to the first?
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The same way it responded to the infection the first time around.
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How many immunogens does the innate immunity target?
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All. It’s non-specific.
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Does everyone have innate immunity?
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Yes.
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What is the adaptive immunity mediated by?
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Lymphocytes and their products
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What do antibodies do?
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Block infections and eliminate microbes.
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What eliminates intracellular microbes?
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T lymphocytes
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What are the routes of infection for pathogens?
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Mouth, respiratory tract, GI tract, reproductive tract, external epithelia (physical contact, wounds and abrasions, and insect bites), and opportunistic pathogens.
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What is the protective immunity against extracellular infections in the interstitial spaces, blood, or lymph?
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Complements, phagocytosis, antibodies
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What is the protective immunity against pathogen infection on the epithelial surfaces?
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Antimicrobial peptides, antibodies (IgA)
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What is the protective immunity against cytoplasmic pathogen infections?
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NK cells, cytotoxic T cells
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What is the protective immunity against vesicular pathogen infections
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T cells, NK cell dependent macrophage activation
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What are the three major interfaces between the body and the external environment?
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Skin, GI tract, respiratory tract
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How do microbes enter the host from the external environment?
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Via the 3 major interfaces by physical contact, ingestion, and breathing
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What is one of the most important barriers to infection, and why?
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The skin. Direct inhibitory effects of lactic acid and fatty acids in sweat and sebaceous secretions and the lower pH
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What can cause a major problem in our mechanical defenses?
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Skin loss
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What does mucus do?
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It is a protective barrierbecause it keeps the bacteria from adhering to the epithelial cells.
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What is a goblet cell?
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A cell with a ‘notch’ in it to be able to capture whatever pathogen is attempting to get in, and move it to the cilia to be directed out of the body
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Where do goblet cells reside?
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Bronchial ciliated epithelium
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How do cilia remove microbes?
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Forcing you to cough and sneeze
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What would happen in a patient without functioning cilia?
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Recurring respiratory tract infections
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What are surfactants?
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The main defenses in the lower respiratory tract that are secreted by specialized cells lining the alveoli that contain pathogen binding proteins (members of the collectin family)
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What are collectins?
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Globular lectin like heads that bind to sugars on microbes and long collagen like tail that bind to phagocytes or complements. They have a pattern recognition role.
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What is one of the main defenses against infection of the gut?
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Low pH
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What happens to patients who are unable to secret gastric acid?
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High risk for salmonella infections
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What are microbiological defenses?
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Trillions of communalistic bacteria which suppress the growth of pathogenic bacteria and fungi
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Why do commensals suppress pathogens?
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Physical advantage of previous occupancy (especially on epithelial surfaces), competition for nutrients, producing inhibitory substances
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What occurs if the commensals are disrupted?
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There’s an opportunity for pathogens to infect the gut
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The flushing action of tears, saliva, and urine are chemical defenses or mechanical defenses?
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Mechanical
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What do secreted body fluids contain?
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Microbicidal factors
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Where is lactoferrin and what does it do?
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It may reside in blood, and it depreives bacteria of iron and is bacteriostatic
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What is another name for antimicrobial peptides?
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Defensins
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What is the charge of antimicrobial peptides and why?
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+ charge to attract it to the transmembrane electric field and docks it into the lipid bilayer
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Are antimicrobial peptides hydrophobic or philic, and what does this accomplish?
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Amphipathic, and this allows it to interact with the membrane
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How do antimicrobial peptides kill microbes?
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They form pores in the membrane
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How are antimicrobial peptides activated?
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Proteases in neutrophils
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What type of defensins do neutrophils have?
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Alpha
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What kind of defensins does the respiratory tract produce?
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Beta
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Where are defensins primarily located?
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GI and lower respiratory tract
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What are some cells that produce pentraxins?
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Myeloid cells, endothelial cells, and epithelial cells.
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Where do pentraxins reside
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In blood and lymph
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What defenses do we have against viruses?
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Defensins
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How do defensins impact HIV?
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It binds to the CXCR4 receptor and blocks entry of virus into the cell
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How do defensins impact retroviral DNA?
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By binding to the apobec3g to cause hypermutation and inactivate the molecules
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What are produced by various cells upon infection?
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INFs
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What do interferons do?
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Induce resistance to viral replication in all cells, increase expression of ligands for receptors on NK cells, activate NK cells to kill virus infected cells
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How does an interferon inhibit viral replication?
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Activating intracellular enzyme pathways that degrade the viral genome and inhibit transcription of viral messenger RNA
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Define paracrine action
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The cell can have an affect on neighboring cells
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What is Type 1 IFN secreted by?
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A wide range of cells at frontline tissues (ex. Epithelial cells in the gut)
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What are the most efficient producers of type 1 IFN?
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Plasmacytoid dendritic cells |
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What are the three barriers to prevent microbial infection?
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Physical, mechanical, and chemical
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What generates pores in the membrane of bacteria?
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Anitmicrobial peptides
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What are able to generate an antiviral state in cells that harbor receptors for them?
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Interferons.
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