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49 Cards in this Set

  • Front
  • Back
General functions
aids in regulation of fluid balance
transports dietary fats
participates in immune response
Lymph
blood filtrate which is identical to interstitial fluid; also contains a large number of circulating lymphocytes, macrophages & dendritic cells (WBCs)
Lymphatic circulation
-lymph capillaries
-lymphatic collecting vessels
-lymphatic trunks
-lymphatic ducks
Mechanism of lymphatic circulation
slow, sporadic flow is generated by a small pressure gradient between the tissue space & the large veins. Flow is aided by muscle contractions and one-way valves in some vessels
Lymphoid cells
lymphocytes, dendritic cells, phagocytic cells
Lymphoid tissue
serve as sites of synthesis & maturation of WBCs, & filter lymph of blood to remove pathogens & foreign particles
Bone Marrow
source of all blood cells; site of maturation for B lymphocytes
Thymus gland
site of maturation of T lymphocytes
Lymph nodes
contain high density of lymphoid cells; serve as site for exposing these cells to pathogens circulating in lymph
Spleen
contains high density of lymphoid cells; serves as site for exposing these cells to pathogens in the blood
Tonsils
contain high density of lymphoid cells; serve as sites for exposing these cells to pathogens that enter the body through mucus membrane in respiratory tract
Diffuse lymphatic tissue
distributed throughout respiratory & digestive tract
Resistance to disease
immunity
Infection
condition caused by presence & multiplication of pathogens
Nonspecific (Innate) immunity
general defense mechanism, independent of pathogen type
Specific (adaptive) immunity
defense directed at particular pathogens
Mechanical barriers (NS)
skin, mucous membranes, ciliated epithelium
Chemical protection (NS)
sebaceous glands in skin; enzymes in perspiration/tears; gastric secretions; vaginal secretions
Antimicrobial substances (NS)
interferons: proteins produced by lymphocytes & fibroblasts, inhibit viral production stimulate phagocytosis
Phagocytosis (NS)
destruction of foreign substances by engulfing & digesting (endocytosis).
-Phagocytic cells: neutrophils phagocytize small particles; macrophages( develop from monocytes) phagocytize larger particles; tissue specific macrophages remain within an organ
Natural Killer Cells (NS)
a type of lymphocyte with some innate (in built) ability to destroy virus infected & cancer cells; nonspecific, not phagocytic
C-Reactive Protein (NS)
produced by liver in response to chemicals released during inflammation; function to bind to & mark pathogens for destruction by phagocytes or complement
Complement (NS)
plasma proteins that act nonspecifically under some circumstances to cause cell lysis (more important in specific immune response)
Fever (NS)
due to endogenous pyrogens; low grade fevers may enhance immune system function
Inflammation
tissue response to injury that aids in healing & defense against pathogens, changes that produce inflammation are initiated by chemical mediators
Changes include ( inflammation):
-vasodilation
-increased capillary permeability
-activation of pain receptors
-attraction of WBCs
Cells (S)`
-T lymphocytes
-B lymphocytes
-Macrophages & accessory cells
Antigens (ANTIbody GENerating)
large, complex molecules with antigenic determinants to provoke immune responses; lymphocyte receptor can bind to it
Types of compounds that are antigenic
-proteins
-glycoproteins
-lipoproteins
-some nucleic acids
-some polysaccharides
Self Tolerance
appropriate specific immunity requires that cells which belong to the body are tolerated by B & T lymphocytes- their receptors can't bind strongly to them
Major histocompatibility proteins (MHC)
family of glycoproteins which are expressed on all nucleated cells. They are genetically determined; their expression is unique in all individuals (except identical twins). Tissue typing for transplantation involves finding tissues with similar MHCs.
What are used to screen lymphocytes against "self"?
MHCs & other "self" antigens.
All lymphocytes which have receptors that strongly bind to "self" antigens must be destroyed in the screening process, or autoimmunity (reaction with self) will result.
Screening B lymphocytes occurs in what?
bone marrow
Screening T lymphocytes occurs in what?
thymus
After screening of these cells (B & T lymphocytes) what happens?
these cells are immunocompetent and self tolerant.
Specific immunity becomes effective (is acquired) via exposure to a pathogen (via environmental exposure, or vaccination)
Activation:
binding of these specific receptors to their antigenic determinant results in an increase in the number of cells that express the same receptor; also results in formation of "memory" cells that have the ability to react more effectively on subsequent exposures to the antigen
Antibody mediated (type of specific immun.)
indirect attack on antigens by antibodies (large immunoglobulins) circulating in body fluids (called "humoral" immunity to refer to blood and lymph fluids); B lymphocytes make antibodies; most effective against bacteria & their toxins. Also aids in removal of viruses from body fluids
Cell mediated immunity
involves direct binding & chemical attack on cells by T lymphocytes; very important as defense against viruses, intracellular bacteria, parasites & fungi, virally infected cells (pathogens with "hide")
Activation of B lymphocytes
a "naive" B cell encounters an antigen
Stimulas: Naive B cell binds to antigenic determinant (pathogen) in body fluids
Response: increase in number of B cells (mitosis) with same receptor as that bound to antigen ("clonal selection").
Some B cells differentiate into plasma cells, which secrete antibodies. Memory cell form & retain the ability to make antibodies next time against the same antigen (increased effectiveness during subsequent exposure- save time!)
Antibodies
group of globular proteins: immuniglobulins, gamma globulins
Antibodies are formed from Y-shaped monomers that have 2 sites to bind to antigenic determinants on the arms of the Y.
The region of the molecule making up the base is similar in all antibodies : binding site for macrophages, binding site for complement protein.
General classifications IgG:
about 80% of the antibody secreted; secreted as a monomer
IgD
acts as antigen receptor on lymphocyte membrane
IgM
acts as antigen receptor on lymphocyte membrane (monomer) & is the 1st antibody secreted during a primary response (secreted as a pentamer)
IgA
found in body fluids: saliva, sweat, milk (monomer & dimer)
IgE
attaches to basophils & mast cells ; associated with allergic reactions
Antibody function
bind to antigens to prepare them for destruction
-neutralize, agglutinate & precipitate antigens
-stimulate phagocytosis (opsonization)
-activate complement proteins
Complement proteins
are a group of >20 plasma proteins circulating in an active form
The activation of complement leads to a cascade of reactions that result in the construction of a large pore in the membrane of a pathogen- the cell lyses open, and the threat is averted.
It also amplified inflammation and promotes phagocytosis
The most common mechanism ("classical pathway") for complement activation
by binding of antibody to antigens on the pathogen

1. Recognition: three complement proteins bind with the antigen-antibody complex
2. Activation: binding of the complement proteins lead to activation of a key complement protein which catalyzes the combination of several other complement proteins
3.Attack: insertion of complement proteins in the cell membrane of the pathogen and formation of membrane attack complex (MAC) as a large pore in the pathogen's cell membrane. This leads to lysis of the pathogen.
Primary & Secondary B-Lymphocyte Responses
Memory cells are formed during initial exposure; these increase the efficiency of the secondary response because the antibody concentration rises more quickly & to a much higher concentration, when compared with primary response