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187 Cards in this Set

  • Front
  • Back

Immunity

Ability to recognize and protect against nonself

Antigen

Any substance that can be recognized by your immune system

Epitope

The part of the antigen that is recognized by the immune system

Inflammation

A vascular response to protect and heal tissues


Attempts to isolate invaders

Premunition

Presence of a parasite induces immune response that conveys resistance to further infection; parasite remains alive but it's reproduction and other activities are restrained

Concomitant Immunity

Presence of parasite induces immune response that conveys resistance to further infection; parasite eliciting response is unaffected

Acquired Immunity

-Specific to particular non-self material


-Requires prior exposure


-Requires time for development during 1st exposure


-Occurs more rapidly and vigorously on 2nd exposure

Humoral Immune Response

Involves B-cells & T-cells, and antibodies

Cell Mediated Immune Response

Involves T-cells, no antibodies

Cytokines

Substances released by cells of the immune system to communicate with other cells of the immune system

Interleukins

Activate macrophages and lymphocytes

Tumor Necrosis Factor (TNF)

Mediates inflammation; fever

Interferons

Activates cells of the immune system


Activates endothelial cells to allow lymphocytes and phagocytes to pass through wall of vessel

Innate Immunity

-Not specific for one particular pathogen


-Does not require prior exposure


-Occurs rapidly and vigorously with each exposure


-Dramatically influenced and strengthened as a consequence of acquired immune response

Phagocytes

Can recognize nonself: abundant expression of Toll-like receptors


Carry out phagocytosis


Bind with antigens using receptors to identify self from nonself

Lysosomes

What do phagocytes produce?

Cytotoxic Compounds

Cell killer

H2O2


O


OH


Radicals

What are the reactive oxygen intermediates?

Nitric oxide


Nitrite


Nitrate

What are the nitrogen reactive intermediates?

Mononuclear Phagocyte System

Fixed phagocytes


Develop from monocytes that arise from cells in bone marrow


Can produce cytokines

Macrophages

What are monocytes called when they're in lymph nodes, spleen, and lung?

Kupffer

What are monocytes called when they're in the liver?

Microglial Cells

What are monocytes called when they're in the CNS?

Polymorphonuclear Leukocytes (Granulocytes)

Circulating phagocytes in blood

Neutrophils

Most abundant white blood cell


First like if defense

Eosinophils

Antiparasitic white blood cells

Basophils

White blood cell thay appears in inflammatory responses


Contains anticoagulant, which prevents blood from clotting too quickly

B Cells

Mature in bone marrow


Produce antibodies and release into bloodstream


Have antibody Receptor on cell surface


Can recognize nonself


Only cells that produce antibodies

Plasma Cells

Produce large amounts of specific antibody, then die

Memory B Cells

Long lived


Produce specific antibody rapidly upon second exposure

T Cells

Mature in Thymus gland


Have T-cell receptors that can recognize nonself


Produce cytokines that activate transcription factors in target cells

T-Helper Cells

Have coreceptor protein CD4 and CD28

CD4 and CD28

What are the two costimulatory molecules?

Cell-mediated Immunity

In which kind of immunity are T-helper 1 cells involved in?

Humoral Immunity

In which kind of immunity are T-helper 2 cells involved in?

Cytotoxic T Lymphocytes

Have coreceptor protein CD8


Bind with target cell and secrete protein that causes pores in membrane


Can cause apoptosis within target cell (lysis)

T-Memory bells

Long lived


Activated during 2nd exposure

Mast Cells

Basophil-like cells


Not phagocytic


Releases histamines, serotonin, etc


Involved in inflammation response and allergies

Natural Killer Cells

Lymphocyte-like cells


Kill infected cells (lysis)

Lymphocyte activated killer cells

NK cells that respond to cytokines

Complement Proteins

Series of proteins activated in a sequence in response to invading pathogen

Classical Pathway

Depends upon antibodies bound to surface of pathogen


Causes lysis and stimulates phagocytosis

Alternative Pathway

Depends upon polysaccharides on outer surface of pathogen


Causes lysis and stimulates phagocytosis

Regulatory proteins inactivate the first component of complement when it binds to host cells

What are host cells not lysed in the complement?

Major Histocompatibility Complex

Group of genes that code for proteins embedded in cell surfaces

Class I MHC Proteins

Found on surface of virtually all cells

Class II MHC Proteins

Found primarily on macrophages and lymphocytes

Antibodies

Immunoglobulins


10^11 types


Labels

They rearrange gene segments during development

How do RAG 1 and 2 genes account for the variability in antibodies?

Antigen binding fragment


Variable Region

What is the Fab region?

Phagocytosis/Opsonization

What happens if the Fc region is recognized by a macrophage?

Opsonization

Antibody dependent phagocytosis (IgG)

Antibody dependent Phagocytosis

What does the antibody IgG signal?

Neutrophils


Eosinophils

Which phagocytes have receptors for Fc regions of bound antibodies?

Natural Killer Cells

Which mast cells have receptors for Fc regions of bound antibodies?

Antibody Dependent, Cell-mediated Cytotoxicity (ADCC)

Phagocytize and or adhere to pathogen and release cytotoxic compounds

T-Cell Receptors

Has a variable region and a constant region


Occur in the surface of T-cells (constant region is transmembrane)


Have coreceptors (transmembrane)

Bind to antigen (epitope)


Coreceptor binds with MHC class II


Transmit signals into T cells and produce cytokines

How do T-Cell receptors work?

Delayed Type Hypersensitivity (DTH)

Type of cell mediated immunity


Depends on activated macrophages


Requires at least 24 hours from antigen introduction to response

It is deposited at the site if inflammation in an attempt to keep invader isolated in one place

What is fibrin used for during inflammation?

Fibrosis

The accumulation of modules of inflammatory tissue (granulomas)

Immediate Hypersensitivity

Involves mast cells with receptors for Fc region of IgE antibodies


Causes release of histamine, etc

Dialation of local blood vessels and increased permeability


Blood plasma escapes, causing swelling and redness


Neutrophils move out and attack first, followed by macrophages

What does the release of histamine, etc by IgE cause?

Anaphylaxis

First exposure causes over production of IgE


Second exposure causes massive mast cell response


Systemic

Cornified Skin / Sclerotized

The process by which the outer most layer of skin becomes hardened and tough

Skin


Mucous Layers

What are the two physical barriers of the body?

Shift Surface Antigen

Changes the antigen on the surface of their cell

Shed Surface Antigen

Antigens fall off

Absorb Host Antigens

Parasite coats itself in host antigens

Inhibit Binding of Fc Region

Attaches protein to Fc region of host antibody to prevent binding

Cleave off Fc Region

Cleaves off Fc region of bound antibodies so host immune cells can't bind

Migrate around Host

How can parasites outrun the host immune system?

Shift


Shed


Absorb


Inhibit Fc


Cleave Fc


Migrate

What are all the ways parasites can circumvent the hosts antibodies?

Inhibit IL-1 and IL-2


Cause non specific proliferation of B cells (exhausts immune system)


Produce antioxidants

What are the ways in which parasites can circumvent the hosts cytokines?

Parasitism

A symbiosis between two species in which the parasite is:


- Smaller than the host


- dependent on the host


- has a higher reproductive rate than the host


- potentially harmful to the host

Ectoparasite

Lives on the outside surface of the host

Endoparasite

Lives inside the host

Parasitoid

Insects that lays it's eggs inside the body of another insect, whose larvae feed on the body of the host

Hyperparasitism

When a parasite is the host for another parasite

Host

An animal that harbors a parasite

Definitive Host

Host in which parasite reaches sexual maturity; harbors adult parasite

Intermediate Host

Harbors developmental (immature) stages of parasite

Vector

Animal that transmits a parasite to a host; is necessary for development of parasite; may be either the definite or intermediate host

Paratenic Host

Parasite resides in host and is physiologically dependent on host, but no development occurs (accidental)

Phoretic Host

Mechanical transmission of a parasite (phoresis); parasite is in mouth parts or body of phoretic host, but is not physiologically dependent on host (no development in host)

Reservoir Host

Non-human animal that naturally harbors a parasite that is infective to humans

Commensalism

Symbiosis in which one participant benefits, whereas the other is neutrally affected

Phoresis

Mechanical transmission of a parasite


Parasite is on the mouth parts or body of host

Zoonosis

Disease in humans caused by a parasite that normally infects non-human animals

Epidemiology

Study of factors affecting transmission and distribution of a disease agent

Helminth

Greek word for worm

Parasitic Load

Number of parasites harbored by a host

Nagana

What disease does Trypanosoma brucei brucei cause?

Nagana

Causes:


Anemia


Fever


Brain lesions


Lack of coordination


Paralysis


Death within 15 days to months


Affects:


Livestock

Chronic African Sleeping Sickness

What disease does Trypanosoma brucei gambiense cause?

Acute African Sleeping Sickness

What disease does Trypanosoma brucei rhodesiense cause?

Gambiense

Which Trypanosoma brucei sub species invades the brain?

Variant specific surface glycoproteins

What is the protein coat of trypanosomas made of?

1000

How many VSG genes does T. Brucei have?

1

How many VSG genes are expressed at one time?

New VSG gene is copied, moved to active telomeric site


Placed downstream from a promoter region


Replaces resident VSG gene

Describe how a VSG gene is replaced

Silent telomeric VSG gene duplicated and transposed to 2nd telomeric site where it is expressed

Describe how a VSG is activated via duplication

Silent telomeric VSG becomes expressed

Describe how a VSG gene is activated without being duplicated

Slender Trypomastigote

Trypanosoma:


Slender and elongated


Mitochondrion undeveloped

Intermediate Trypomastigote

Trypanosoma:


Begins to shorten


Mitochondrion developing

Stumpy Trypomastigote

Trypanosoma:


Short, flagellum and undulating membrane reduced


Mitochondrion well developed and functional


Only stage infective to vector

Midgut Trypomastigote

Slender and elongated


Mitochondrion developed


No protein coat

Epimastigote

Begins to shorten


Mitochondrion less developed


No protein coat

Metacyclic Trypomastigote

Short, flagellum and undulating membrane reduced


Mitochondrion undeveloped


Protein coat present


Only stage infective to mammal

When the parasite sheds it's protein coat, it's former antigens bind to red blood cells, causing the hosts immune system to attack it's own red blood cells

Why does trypanosoma brucei cause anemia?

Found in:


- Blood


- Lymph nodes


- Brain


- nearly all organs of body


Causes:


- anemia


- fever


Symptoms:


- Apathy


- Sleepiness


- Coma


* Characterized by repeated waves of infection

General Pathology of T. b. gambiense

Found in:


- Blood


- Lymph nodes


- Nearly all organs


- Not brain


Causes:


- Anemia


- Fever


Symptoms:


- progresses rapidly


* Characterized by repeated waves of infection

General Pathology of T. b. rhodesiense

Treat with Suramin, DFMO


Control tsetse fly


-DDT


-Clear cut brush


-Eliminate wildlife

What is the treatment and control for T. b. gambiense and rhodesiense?

Phoresis. No vector

How is Trypanosoma evansi transmitted?

Sura


Transmitted by Tabanus ( Biting Horsefly)

What disease is caused by T. evansi in Africa and what phoretic host transmits it?

Murrina


Transmitted by vampire bats

What disease is cause by T. evansi in south America and what is the phoretic host?

Dourine


STD

What disease does T. equiperdum cause and how is it transmitted?

Hindgut


Transmitted through feces

Where does T. cruzi develop in the vector and how is it transmitted?

Intracellular part

What part of T. cruzi life cycle is in the human host?

Rhodnius


Triatoma (Hemiptera)

Who are the vectors or T. cruzi?

Dogs


Cats


Rats

Who are the reservoir hosts of T. cruzi?

Chagas Disease


Central and South America


US

What disease does T. cruzi cause and where?

Rupture of psuedocysts causes inflammatory response that destroys nerve cells in vicinity

General Pathology of T. cruzi

Most often in children


Heart muscle invaded (up to 80% of ganglion cells lost


Lose of muscle tone (heart failure)


Anemia, nervous disorders

What is the acute phase or T. cruzi pathology?

Chagas Disease

Caused by T. cruzi that results in a lose of muscle tone and destruction of ganglion cells in the vicinity

Most often in adults


Heart damage


Destroys autonomic ganglia of esophagus and colon


Lose muscle tone


Disrupts peristalsis


Inability to swallow or defecate


Transplacental transmission

What is the chronic phase of Trypanosoma cruzi pathology?

Megaesophagus and Megacolon

A result of chagas disease in which the muscle of the esophagus and colon lose tone and ganglion cells

Cell mediated

Which type of immune response happens in the acute phase of T. cruzi pathology?

Humoral


Classical Complement pathway

Which type of immune response happens in the chronic phase of Trypanosoma cruzi pathology?

Infects cells of the immune system


Sheds antigens (Not antigenic shift, no repeated waves of infection)


Binds Fc region of free Ab



Cleave Fc region of bound Ab

How does T. cruzi evade the host immune system?

Suppresses IL-2 production


Polyclonal lymphocyte activation


Exhaustion

How does T. cruzi suppress the hosts immune system?

Inflammatory response to ruptured psuedocysts


Cell lysis and fibrosis


Shed antigens absorbed by cardiac cells

What is the immunopathology of T. cruzi?

No effective treatment for intracellular stages


Control vectors

What is the treatment and control for T. cruzi?

Phlebotomus


Lutzomyia (Sand flies)

What are the vectors for Leishmania?

Leishmaniasis

What disease does Leishmania cause?

Promastigote

What stage of Leishmania's life cycle is infective to the host?

Amastigotes

What stage of Leishmania's life cycle is infective to the vector?

Africa


Middle East


India

Where are L. tropica and L. major found?

Phlebotomus

What is the vector for L. tropica and L. major?

Dogs


Rodents

What are the reservoir hosts for L. tropica and L. major?

Old World Cutaneous Leishmaniasis

What disease does L. tropica cause?

Visceral Leishmaniasis


(Dum Dum fever)


(Kala azar)

What disease does L. donovani cause?

Worldwide

Where is L. donovani found?

Phlebotomus

What is the vector for L. donovani?

Canids

What is the reservoir host for L. donovani?

Visceral Leishmaniasis

Disease caused by L. donovani that results in an enlarged spleen and causes anemia

The spleen and bone marrow over compensate for lost macrophages at the cost of RBC production

Why does visceral leishmaniasis cause anemia?

New World mucocutaneous leishmaniasis

What disease does L. brazilliensis cause?

Central and South America

Where is L. brazilliensis found?

Lutzomyia

What is the vector for L. brazilliensis?

Cats


Dogs


Rats

What are the reservoir hosts for L. brazilliensis?

Control Vectors

What is the treatment and control for L. tropica, major, and brazilliensis?

Genes Scl-1 and 2

What controls resistance to L. tropica and major?

Yes

Can hosts resistant to L. tropica and major develop complete immunity?

No. Hosts may develop premunition


The parasite is harmed and lays dormant

Can hosts susceptible to L. tropica and major develop complete immunity?

Humoral

In hosts susceptible to L. tropica and major, which immune response is most active?

Cell-mediated


DTH

In hosts resistant to L. tropica and major, which immune response is most active?

Lsh gene

What controls the resistance to L. donovani?

Cell mediated

In hosts susceptible to L. donovani which immune response is suppressed?

Humoral response

In hosts resistant to L. donovani, which immune response is most active?

Tissue destruction via immunopathology

How does L. brazilliensis cause harm to the body?

Trichomonas tenax

Commensal in human mouth

Trichomonas vaginalis

Infects reproductive tract of men and women; STD


Men often asymtomatic


In women, alters pH or vagina; becomes more basic

Metronidazole

How do you treat Trichomonas vaginalis

Trichomonas foetus

STD of cattle


Causes abortion and sterility

Histomonas meleagridis

What causes blackheads in turkeys?

Chickens

What is the reservoir host for Histomonas meleagridis?

No. It requires the presence of a gut parasite

Can Histomonas meleagridis cause blackhead alone?

Causes necrotic ulcers in liver and caecum


Yellowish diarrhea


Ruffled, droopy feathers


Skin on head turns back

What does Histomonas meleagridis cause in turkeys?

Spread through fecal contamination

How is Giardia duodenalis spread?

Dogs


Beavers

What are the reservoir hosts for Giardia duodenalis?

Entamoeba histolytica

What amoeba causes dysentery in humans?

Histomonas meleagridis


Entamoeba histolytica

Which two parasites require the presence of gut bacteria to cause disease?

Diarrhea


Cramps


Vomiting


Slow development

What are the symptoms of chronic amoebic dysentery?

Severe cramps


Dysentery


Headache


Fever


15-20 bloody stools/day


May lose up to 17 L of fluid/day

What are the symptoms of acute amoebic dysentery?

In the gut where it causes dysentery


Can penetrate the gut

Where are the primary lesions found in the host that Entamoeba histolytica resides and what does it cause?

Liver and lungs


Causes ectopic cysts

Where are the secondary lesions found in the host that Entamoeba histolytica resides and what does it cause?

Hepatic amebiasis

What are the cysts of Entamoeba histolytica called when they're in the liver?

Pulmonary amebiasis

What are the cysts of Entamoeba histolytica called when they're in the lungs?

Metronidazole


Control:


- Sanitation


- Drying


- Hold feces in storage for 2 weeks

How do you treat and control Entamoeba histolytica?

4

How many nuclei per cyst does Entamoeba histolytica have?

8

How many nuclei per cyst does Entamoeba coli have?

Entamoeba coli

Commensal in human gut

Entamoeba gingivalis

Commensal in human mouth


No cyst

Iodamoeba buetschlii

Amoeba found in human gut


Forms cysts


Fecal contamination

Naegleria fowleri

What is the amoeba that causes Primary amoebic meningoencephalitis (PAM)?

Primary Amoebic Meningoencephalitis

Brain eating disease