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72 Cards in this Set

  • Front
  • Back
What is the ultimate goal of compliment?
To lyse the target cell
What do components of the compliment system do to enhance the elimination of the infecting agent?
opsonization- they coat the antigenic cells and make them easier to phagocytize.
What is the key cell in the immune system?
lymphocyte
Which T-lymphocytes have CD4 receptors?
Helper Ts & Delayed Hypersesitivity Ts
Which T-lymphocytes have CD8 receptors?
Cytotoxic Ts and Supressor Ts
What does APC stand for?
Antigen presenting cell
aka Macrophages
What is another word for antigenic determinant?
epitope
attenuated vs. inactivated vaccines
attenuated: pathogen is alive but weakened, creates an actual infection, longer lasting & more potent

inactivated: pathogen killed, less potent, not long lasting
inactivated vs subunit vaccines
subunit: only part of the pathogen, used in Hep. B.

Inactivated: uses whole pathogen
Example of a subunit vaccine
Hep. B
Examples of attenuated vaccines
MMR, Sabin Polio, Varicella-Zoster
Examples of inactivated vaccines
rabies, Salk Polio, influenza
Examples of toxoid vaccines
tetanus, diptheria,
Type I Hypersensitivity
Immediate type (anaphylaxsis)
Type II Hypersensitivity
Cytotoxic type
Type III Hypersensitivity
Immune complex type
Type IV Hypersensitivity
Delayed or cell-mediated
Which leukocytes engage in phagocytosis?
Monocytes/Macrophages, N, E, B
Which leukocyte may engage in extracellular killing?
Eosinophils
What are pyrogens?
anything that causes a fever
The antibody unit is composed of how many heavy chains and how many light chains?
2 and 2
How many antigen binding sites are found in one unit of the antibody molecule?
2
What are the 2 branches of the immune system?
Humoral (antibodies)

Cellular (T-cells)
Define primary lymphoid organs? examples:
organs where lymphocytes are created. Thymus(T-cells), Bone marrow(B-cells)
Define 2ndary lymphoid organs? Examples:
Organs where mature lymphocytes reside in the body. Spleen, lymph nodes, etc.
What is passive immunization?
an immunization in which pre-formed antibodies or antitoxins are administered. You do not create them yourself.
natural passive vs. artificial passive
natural: breast milk

artificial: antitoxins given in the hospital
What is the Major Histocompatibility Gene Complex? What antigens do they code for?
Gene that codes for the Human Leukocyte antigen, which are almost unique to each person. Allows body to ditinguish between "self" and "other"
What is the role of the Macrophage in the specific immune response?
They phagocytize the anigenic cells and then present their antigenic determinants to the T and B cells to initiate an immune response.
Why are T-lymphocytes called T-lymphocytes?
because they were first created in the Thymus
What is the role of the Helper T lymphocyte?
T-helper cells activate cells involved in cellular immunity. The release cytokines that activate other T and B cells.
What is the role of the Cytotoxic T cell?
The kill host cells infected with viruses, protozoa, or tumor cells
What do activated T-cells release?
perforin: creates holes in target cells
What are memory T-cells used for?
They do not proliforate, but exist for years or decades, and when they encounter the same antigen again, they rapidly differentiate to attack the pathogen.
primary vs secondary immunodeficencies:
1ry: born with it
2ndary:get it later in life
Serum sickness is what type of Hypersensitivity reaction?
Type III - Immune complex
Atopy is am example of which hypersensitivity reaction?
Type I - localized anaphalaxsis
Which antibody type is a pentamer with 10 ag binding sites?
IgM
What is the role of delayed type hypersensitivity T cells
they release lymphokines that activate and call macrophages to the area & keep them in the area.
What are lymphokines (cytokines)
chemical attractants that call WBC's to the area, call Macrophages and Neutrophils
What is a hapten?
a molecule too small to elicit an immune response on its own, when it atatches to a larger molecule it creates a response
What is the role of the Supressor T cell?
supresses the activity of other T cells
What is the role of the B lymphocyte?
to differentiate into plasma cells and ultimately make antibodies
Which lymphocytes does the HIV virus infect?
Th and Tdh
What is an anemnestic response?
a 2ndary immune response - occurs when the body responds to an antigen it has already encountetred - much fater than 1ry response.
Which type of hypersensitivity response is poison ivy (contact dermatitis)
Type IV - delayed/ cell-mediated
Which type of Hypersensitivity involves blood cells (ex - hemolytic disease of the newborn?)
Type II - Cytotoxic
Which antibody is the secretory antibody?
IgA
Compare receptors on the surface of a B-cell vs a T-cell
B: IgM monomer antibody receptor, made of 4 polypeptide chains, has 4 ag binding sites

T: made f 2 polypeptide s, variable region binds to ag, but has only 1 ag binding site.
What is the role of the Human Leukocyte Antigen during the presentation of the antigen to the lymphocyte?
The antigenic determinant will be recognized only in context with the HLA on the surface of the APC.
Which antibodies have a J chain?
IgA, IgM
Which antibody has 4 ag binding sites?
IgA (in secretions, not blood)
Which antibodies have 2 ag binding sites?
IgG, IgA (in blood)
What is interferon?
protein "warning signal" molecules released by virus-infected cells
Name exsamples of infections where interferon might be used?
Chronic, severe infections: Herpes, Hep. B & C, certain cancers
What is diapedesis?
the emigration of WBCs between the endothelial cells of the blood vessels into the tissues
What is bradykinin?
a chemical/neurotransmitter that causes pain
What is a Granuloma?
lymphocytes with phagocytic cells surrounding the region of infection in a pocket.
Which T-cell is involved in the formation of a granuloma?
Tdh
Which infectious diseases cause granulomas?
TB, syphilis, leprosy
What component in a Gram neg. cell wall may activate compliment?
Lipid A (endotoxin)
How is the classical pathway of the compliment cascade activated?
by antigen-antibody reactions
What antibody is most abundant in the blood?
IgG
Which antibody is released first by the lymphocyte?
IgM
What type of vaccine is MMR?
attenuated
What type of vaccine is Pertussis?
acellular
The TB skin test is an example of which type of hypersensitivity reaction?
Type IV- delayed
gamma globulin (aka immune serum globulin) vs. hyperimmune serum
gg: made when we pool many serum samples together. used in ppl who are unable to produce an immune response (immunodeficient)

hs: made in horses, have high levels of antibodies to a SPECIFIC agent. Given to people recovering from infections
Which antibody has a secretory component?
IgA
What is graft vs. host disease?
BMT, when transplanted bone marrow attacks host tissues
what lymphocytes do ppl w/ Infantile X-linked Agammaglobunemia lack?
No B-cells
What lymphocyes do ppl w/ Severe Combined Immunodeficiency Disease lack?
No B or T cells (Bubble boy!)