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101 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)

Adaptive immunity

-- adapts to microbial invader


-- 3rd line of defense


A. Humoral immunity


B. Cell mediated immunity

to adapt in life, you have to find the humor in it

Humoral

Antibody mediated Immunity


*


antibodies are dissolved in blood plasma, lymph, and mucous


*


A. Antibodies


B. Results of Ab - Ag binding


C. Immunological memory

Antibodies

1. Antibody globulin proteins


2. Antigen binding


3. Antibody classes


Antibody globulin proteins

AKA Immunoglobulin (Ig)s


*** produce B cells in response to antigen


*** antibodies are designed specifically for each antigen

Antigen

1 piece of a foreign particle


2 stimulates immune response


*** antibodies recognize and interact with different regions of antigens


** this interaction is called epitope


Antibody classes

IgM


IgA


IgD


IgG: Immunoglobulin G is the most abundant in the second exposure to an antigen.


IgE

The girl MADGE is in my Antibody class.

Results of Antigen binding

Agglutination
*


Cytotoxicity


*


Activation of a complement


*


Neutralization


*


Opsonization


*


another hint: Ask Calen Out After New years

Agglutination

**reduce the number of infectious units

Opsonization
coating of foreign particle with antibody

**


enhances phagocytosis

Neutralization
blocks adhesion of a foreign particle to a surface
cytotoxicity
Antibodies attached to a target cell cause destruction by phagocytes (enzyme release)
Activation of a complement
-- attracts a complement

--complement then recognizes / destroys foreign particle

Immunological Memory
1. primary response: Antibody production after 1st contact with antigen (results in B cell activation.

2. secondary response (memory response)


- rapid rise in antibody titer


- antigen exposure after a primary response

titer
the amount of antibody in a serum
serum
the liquid remaining after blood plasma is clotted

* serum has no: blood cells , no platelets

Humors
body fluids

such as:


plasma, lymph, mucous

where do antibodies come from
B-cells
how does the 3rd line of defense communicate with the 1st and 2nd?
Antibodies
Positive Titer
means I have enough antibodies to fight something specific off if I come into contact with it
Cell-Mediated Immunity
involves T cells

*


T cells are classified based on their function


*


Ex) helper T cell: activates macrophage


*


Ex) cytotoxic T cell: destroy target cells


*


Ex) regulatory T cells: regulate an immune response

Test information:

If given a certain disease I should be able to describe what the 1st, 2nd, and 3rd lines of defense would do to protect.

Help!!

Ch 18 - Vaccines

A. Attenuated


B. Inactivated whole agent


C. Toxoid


D. Subunit vaccine


E. Conjugated vaccine

Corey Said Travis Is Angry


(about getting vaccines)

Attenuated Vaccines
weakened

*


contain "live" attenuated microbes


*


Ex) MMR (RNA viruses)


Ex) Tuberculosis


Ex) Varicella (chicken pox)

don't be weak:

pay attention:


when you watch MTV

Inactivated vaccines
whole agent

*


contains microbes that have been inactivated


*


Ex)Cholera


Ex) Influenza


Ex) IPV (inactivated polio vac)

Toxoid Vaccines
Inactivated toxoids

ex) tetanus toxoid


ex) diptheria toxoid

Subunit vaccines
contain fragments that stimulate an immune response

*


Ex) pertussis (caused by bordatella?)


*


Ex) Hep B series

Hep B is a "series" like a series of cars on a "sub"way (subunit)

*****


cousin Percilla rides the subway


(pertussis)

Conjugated Vaccines
contain the desired antigen plus specific protein (that stimulate antibody production)

*


Ex) Hib (Haemophilus influenae type B)


this one is caused by a bacteria that usually causes pink eye and ear infections


*


Ex) PCV (pneumococcal conjugate vaccine) AKA: pneumonia shot

Pneumonia makes you

Congested....I mean: Conjugated!

ch 13 RNA viruses
most important of the two groups (RNA and DNA)

**


totally different from DNA viruses


**


Ex) MMR HIP


Measles,


mumps,


rubella,


HIV,


Influenza,


Polio

II. Viroids
RNA only

*


Decimated Crops


*


Plant diseases (not too many in humans)

Meteroid (Viroid) destroys crops
III. Prions
Infectious protein

*


described in 80's b/c finally got a good enough microscope to see them


*


they are fatal


*


difficult to destroy (don't say kill)


*


cause TSE's (transmissible spongiform encephalopathies)


* must be incenerated or digested

digested prions
means broken down into polypeptides: separated into tiny amino acids that can't be put back together
Prion Diseases
1.Sheep Scrapie

2.Mad Cow : BSE (bovine spongiform encephalopathy)


3. Deer / Elk : Chronic Wasting Disease


**


4. cannibals: Kuru Agent (from eating contaminated neural tissue)


**


5. human mad cow: Cruetzfeldt-Jakob Disease

Cruetzfeldt-Jakob Disease
gCJD (classic or genetic)

**


vCJD (varient BSE: human)

chapter 21 Microbial Diseases of the Skin

1. Bacterial infections


**


2. Viral Infections


**


3. Mycoses


**


4. Animal Infections on skin

Bacterial Infections of the skin
1. Staphylococcal Infections

*


2. Streptococcal Infections


*


3. Pseudomonad Infections


*


4. Acne Propionibacterium

Staphylococcal Infections
Staphylococcus aureus

*

can produce exfoliative toxins

*


can produce leukocidin (destroys WBC)


*


can produce coagulase


*


diseases of S. aureus:


folliculitis, Furuncle, Carbuncle, Impetigo, Scalded Skin Syndrome, Toxic Shock Syndrome:


(IT, First Come, First Serve)




folliculitis

furuncle


carbuncle

1. hair follicle infection

2.more serious hair follicle infection (one drain)


3. cluster of furuncles (multiple drains)


cluster of boils fused together

Impetigo
cluster of pus-filled blisters
Scalded Skin Syndrome (SSS)
causes outer layer of skin to slough off:

*


risk by opportunistic pathogen cause other infections

Toxic Shock Syndrome (TSS)
can cause organ failure
Streptococcal Infections
Streptococcus pyogenes



*


Group A


*


beta-hemolytic strep


*


1. Erysipelas (St Anthoney's fire)


2. Impetigo


3. Necrotizing fasciitis

Erysipelas (St. Anthony's fire)
inflamed region of the face

*


often follows a streptococcal throat infection


*


can progress to sepsis

Impetigo
looks the same

*


??? the same as what ???

Necrotizing fasciitis
flesh eating disease

*


bacterium releases exotoxins


*


actually cause our immune system to start targeting skin cells so our immune system contributes to the disease : eating your own flesh

necro

necrotizing

= death

*


= causes cellular death

Pseudomonad Infections
Pseudomona aeruginosa

*


1. Pseudomonas dermatitis


2. Ototis externa


3. associated w/infections in burn wounds

Pseudomonas dermatitis
associated with saunas and public pools;

**


cause long term scarring and pitting


**


typically not life threatening

Ototis externa
external ear infection (swimmers ear)

*


in external ear canal

Acne Propionibacterium
Acnes produce propionic acid*blocked sebum channel......to inflamed hair follicle......to acne
viral infections of the skin
1. warts

2.other viruses (chick pox & shingles)



warts
AKA: papillomas

*


more than 50 types causing a variety of many different mutation in skin cells called warts


*


virus enters thru a cut in skin


*


incubation can be weeks

Other viruses

*


Chicken pox & shingles

agent: Varicellovirus

*


Ex) chicken pox: viral particles are inhaled and from there we see onset of primary infection: (pus filled skin lesions)


**


primary causes lesions


**


when scratched and healing over they scab, virus enters peripheral nerves.........some sort of system stress happens.......then Secondary infection occurs known as "shingles": burning lesions on skin: back and face

herpes zoster :
shingles, not a genus

not even a medical name


it's someone's last name

Varicellavirus
is the genus and the agent for chicken pox
Fifth Disease
agent: Human Parvo virus B19

*


20% of people can be infected and be asymptomatic


*


symptoms: mild flu-like symptoms, anemia, arthritis, birth complications

Mycoses
fungal infections:

4 cutaneous mycoses

cutaneous mycoses: (know for test)
1. dermatophytes

2. fomite


3. types of Tinea


4. Candida albicans


**C. tropicalis


**C. Krusei


(hint: Krus to the tropics with candi)

Candida albicans
infected areas are bright red with lesions on the border.

*


lesions usually rupture leaving a flaky appearance around the red area


**


C. tropicalis


*


C. Krusei

Tinea have two genera
1. microsporum

2. trichophytan

Animal infections on the skin

Can use the word organism b/c they are "living" things.


**

A. Scabies (mite)

B. Pediculosis (lice infestation)

Scabies
microscopic : can NOT be seen

*


organism: Sarcoptes scabei


*


grow beneath the skin


*


can see red inflamed area where they live


*


mites burrow into skin and deposit eggs; intense local itching


*


1/2 million people per year are treated


*Domain Eukarya


*Kingdom Animalia


*Phylum arthopod "jointed foot"

Pediculosis
lice infestation

*


Pediculus humanus capitis (head louse)


*


Pediculus humanus corporis (body louse)

Pediculus humanus corporis
Body louse

*


can transmit diseases


*


AKA: Epidemic Typhus (rod)


*



formite:
transmission source for a pathogenic microbe

*


Ex) sponge or wash cloth: substance that holds, absorbs, transports infectious material

Skin functions

Regulate body temp**


Prevent water loss**


Involved synthesis vitamin D**


First line of defense**


Sensory receptor

chapter 16



Innate / nonspecific defenses of the host


Immune response

nonspecific = general response directed toward "any" invading microbe or particle

* fungi


* bacteria


* viruses


* toxins


* 1st and 2nd line of defense

First Line of Defense
barriers that shield the body (keep stuff out)

*


Physical, Chemical, Normal Flora

Physical Factor
Lacrimal apparatus

* Diarrhea / vomiting


* Skin


* Urine / vaginal secretions


* Cilia


* Hairs


* Mucous membrane


* Saliva




hint: Lynn Does Shopping Unless Calen Has Micro "to" Study

Chemical Factor
Lysozyme

*Sweat


*Peroxidase


*Transferrin


*Defensins


*Acids




hint: Lynda Sweat Probably Travels During April when Claudie doesn't work at the Chemical Factory

Normal Flora
provides protection via a process known as microbial antagonism (ecological competition)

***microhabitat = "small habitat"


*** Indirectly part of our immune system


*** we don't produce these microbes, they just live on us and help us.

skin
physical barrier

**


largest organ


**


keratized cells

Mucous membranes
physical barrier **

line GI tract, Respiratory tract, and genitourinary tract


* mucous inhibits entrance of microbes


* mucous also coats the microbe

Lacrimal apparatus
physical barrier ** protects the eyes with continual washing with saline / tears
Saliva
physical barrier * can be used to dilute microbes * can be used to wash microbes from a surface
hair
physical barrier

*


filter


* physical barrier

cilia
ciliary escalator

*


moves microbes up the throat


*


physical barrier

urine and vaginal secretions
protects surfaces and move microbes out of the body ** urine is a hypertonic solution for most microbes** physical barrier
diarrhea & vomit
expel microbes

* physical barrier

Lysozyme
chemical barrier:

keep organisms from entering the body


*


enzyme degrades peptidoglycon


* can occur in blood, sweat, tears, saliva

Sweat
chemical barrier:

**


antimicrobial b/c much salt

Peroxidase
chemical barrier:

**


oxydizing enzyme


**


saliva, milk, phagocytes

transferrin
chemical barrier:

**


protein binds iron


**


saliva, milk, phagocytes


**


hint: fe = iron

Defensins
chemical barrier:

**


proteins that disrupt membrane function


**


found in mucous and phagocytes

Acids
chemical barrier:

*


fairly acidic


*


skin pH 3 to 5

II. second line of defense
activated when 1st line fails

**


when foreign particles do enter the body


**


A. phagocytes


B. fever


C. Inflammation


D. Antimicrobial substances

phagocytes
2nd line:

*


cells that engulf and digest foreign particles


*


all are WBC


*


5 types of WBC but not all are phagocytic


*


Never Let Monkeys Eat Bananas

Phagocytic WBC
Monocyte (non mobile)

*


Eosinophil (produce toxic proteins: stationary)


*


Neutraphil (mobile: active beginning infection)


*


hint: M E N are phago-psychotic

Non-phagocytic WBC
Lymphocytes

a. T cells (attack foreign particles)


b. B cells (Bone marrow & spleen: antiBodies)


hint: TNT dynomite: T n B Lymphocyte


*******


Basophils


a. histamine (active allergic reactions)


b. heparin (blood thinner)


hint: "twins"


*******


hint: Little Boys are NOT Phago-psychotic

2nd Line Defense:

**


Fever:

*** Pyrexia abnormally high temp


**


most often caused by bacteria, virus, or toxin


**


could be from bite: spider / mosquito


**


1. Function


2. Increasing temp


3. Decreasing temp


4. Complications





Fever functions:
Body Temperature: creates environment that's unfavorable to invading substances

**


hypothalamus: internal thermostat


**


brain hormone, release and recognition that resets this thermostat


**


Pyrogen (hormone) causes fever to increase

Mechanism for Increasing temperature
a. shivering

b. increase metabolism


C. vasoconstriction (goose bumps)


trapping warm blood near surface of skin

Mechanism for Decreasing temperature
A. sweating (evaporative cooling)

liquid H2O goes to vapor H2O


this breaks down hydrogen bonds between H2O molecules


If body loses excess amounts of water sweating at work or play PRE-hydrate::::: drink today, work tomorrow


B. vasodilation: increase blood vessel dilation near the surface of body

5 complications of fever
coma

*


seizures


*


death


*


dehydration


*


rapid heart rate


*


normal body functions do not take place at high temperatures

Inflammation
localized response to cell damage


*


Ex) puncture wound cut / insect bite


*


1. Signs


2. Functional Purpose


3. Process



Inflammation Signs
redness, swelling, heat, pain
Functional Purpose Inflammation: Defense
A. destroy & remove foreign particles

B. Confine the agent


C. repair the damaged tissue

Process of Inflammation
A. tissue damage and entrance of foreign particle

B. vasodilation: increased permeability of blood vessels


C. phahocyte migration: phagocytosis


D. tissue repair

Antimicrobial Substances (know well)
1. Interferons (AVP Antiviral Proteins)

************


target viral replication:


Big AMP


B= Biosynthesis


A= Attachment


M= maturation


P= penetration


******************


2. Complement System: 30 proteins produced by the liver that destroy foreign particles

How do VP (viral particles ??) act to disrupt viral replication?
prevents penetration or attachment
How do interferons target or interrupt viral replication?
BiosynthesisAttachmentMaturationPenetration

Rickettesia provazekii

Jail fever. Epidemic typhus