• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/77

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

77 Cards in this Set

  • Front
  • Back

Lymphoid organs and tissues 2 categories

Structures in which lymphocytes develop, are stored, or carry out immune responses



1-primary


2-secondary

Primary lymphoid sites

Sites where pluripotent stem cells give rise to mature b cells and immature/mature pre-t cells



These sites change with age and season



Thymus and bone marrow

Secondary lymphoid sites

Sites where most immune responses occur


Nodes-focus on lymph


Spleen-focus on blood


Tonsils-focus on respiratory tract and pharynx


Appendix and Peyer's patches- focus on gi tract

Types of leukocytes

Granulocytes:


Neutrophils


Eosinophils


Basophils



Agranulocytes:


Monocytes


Lymphocytes

Neutrophils

Most abundant immune cell


Attack by Phagocytosis and degranulation


Bacterial infection


Eosinophils

Attack endoparasites


Contribute to allergic reactions



They attach themselves to TLRs and release granules containing enzymes (lipases, ribonuleases, deoxyribonuclease) and peroxidases.


Contribute to allergic reactions

Basophils

Release pro-inflammatory chemicals


Contribute to allergic reactions


Has lots of granules that have histamines and prostaglandins



Releases chemicals to attract other cells, and to inflame the area

Monocytes

Can be wandering or fixed. Grow into macrophages

Lymphocytes

B cells


T cells


Memory T&B cells


B= antibodies


T= helper regulatory cytotoxic

Mast cells

Produce pro-inflammatory chemicals


Contribute to allergic reactions

Dendritic cells

Antigen presenting cells

Innate immunity

Non specific (all non self cells are attacked the same way)


Immediate response (1st and 2nd lines)


No immunological memory

Surface Barriers

Skin


Mucous membranes


Hairs and cilia


Secretions

Internal barriers

Antimicrobial substance


Granulocytes


Macrophages


Nk cells


Inflammation


Fever

Adaptive immunity

Antigen-specific


Lag time from exposure to response (3rd line)


Immunological memory after exposure


Systematic response

Cell mediated immunity

Cytotoxic T cells


Immunity to intracellular bacteria, viruses, fungi, and protozoa


Humoral immunity

B cells/plasma cells


Immunity to extracellular bacteria viruses and toxins

Toll-like receptors

Identify and bind tightly to structures or patterns (pathogen associated molecular patterns) on pathogens



Humans have 11 tlr types


Each recognizes a pamp present in while groups of pathogens but not in human cells

Macrophages

Largest leukocyte and primary phagocytic


Free macrophages wander blood and lymph killing pathogens



Fixed macrophages are found in:


Brain-miceoglia


Liver-coopver?


Skin- Dermal macrophages


Aveoli-aveolar inhaled


Small intestine

Opsonization

Antibodies or complement proteins are opsonins that coat pathogens making them easier to attach to

How do phagocytic cells destroy microbes?

1) adhere to pathogen using TLRs


2) form pseudopodia, engulfing the particle and forming a phagosome


3) lysosome fuses with phagocytic vesicle, forming phagolysosome


4) toxic compounds and lysosomal enzymes destroy pathogens


5) exocytosis of the vessicle may remove debris

Respiratory burst

Helper T cells stimulate macrophages to produce respiratory bursts which kill resistant pathogens by



1)releasing cell-killing free radicals


2) producing oxidizing chemicals (ex. H2O2)

Definsins

In neutrophils, pierce cell membrane of pathogen

Nk cells

Natural killer cells



Non phagocytic granular lymphocytes that police the blood and lymph



Target virus infected cells before adaptive immune system is activated



Also target "non self" cancer cells



Kill by binding and releasing toxic substances from granules


Perforin


Granzymes


Perforin

Creates perforations in membrane...lysis

Granzymes

Enter perforin channel, digests proteins and induce apoptosis

Interferons

Immune modulating proteins


Cells that are infected secrete ifns to warn neighboring cells to put up defenses



Inf-a inf-b. (Alpha and beta)


Stimulate production of antiviral proteins


Activate nk cells



Inf-y (gamma)


Secreted by t cells, nk cells, and macrophages


Widespread immune mobilizing effects


Potent activator of macrophages, but also activates nk and t cells


Also blocks t cells that are immune supressor cells


Complement proteins

20 blood proteins that enhance immune responses


Circulate in blood in inactive form


Includes c1-c9


Enhanses inflammation and directly destroys bacteria


Enhanses both innate and adaptive defenses


Can be activated 3 ways


How are complement proteins activated?

1) Classical pathway: antibodies bind to bacteria. antibody binds to circulating complement proteins. That activate until C3 is activated



2) lectin pathway: activated when lectin (sugars) bind specific bacterial surface carbohydrates, then bind/activate complement proteins. They activate until C3 is activated.



3) alternative pathway: activated when complement proteins directly bind to bacteria



All three pathways happen in an immune response. All about activating c3

What can complement do?

Once c3 is activated, it splits into two parts.



C3b-opsonizarion- coats surface of pathogen which enhanses Phagocytosis by making it much more noticeable to phagocytes



C3a- enhanses inflammation, stimulates histamine release by basophils, increases blood vessel permability, attracts phagocytes by chemotaxis. Makes travel to infected cell easier for the cells


Fever

High body temperature


Innate immune response


Leukocytes and macrophages exposed to foreign substances secrete pyrogens


As long as the fever remains below 40c (104f) there are benefits

Benefits of fever

1-liver and spleen increase storage of Fe and zn which bacteria need to reproduce


2) inhibition of microorganism growth/reproduction


3- promotes activation of macrophages


4- stimulates bactericidal activity of neutrophils


5- increases production of interferons


6- stimulates activation lymphocytes


7- promotes antibody production


8- increased BMR= tissue repair

Inflammation and steps

Non specific response to local tissue damage such a trauma, heat, infections



Steps:


1) Chemical signals (inflammatory chemicals)


2) vasodilation and vascular permeability


3) phagocyte mobiliation

Important chemical signals

Histamine- vasodilation and permability


Kinins- " " and attract phagocytes


Prostaglandins- intensity the effects of histamines and kinins


Leukotrienes- increase permeability and promote phagocyte adherence to pathogens


Complement- multifunctional


Cytokines- have a multitude of functions


4 cardinal signs of inflammatory reaponse

Redness and heat (hyperemia)


swelling (exudate-fluid with clotting factors and antibodies & edema)


Pain (chemicals from bacteria and edema pushes on nocireceptors)

Benefits of edema

Surge of fluid helps sweep foreign particles into lymph vessels to lymph nodes to trigger more response



Delivers complement proteins to the area


Neutrophils

Most abundant leukocytes and first to arrive to injury


Bacteria specialists

Inflammation diapedesis and chemotaxis steps

1) leukocytosis- neutrophils are released from bone marrow in response to leukocytosis-inducing factors



2) margination- cell adhesion proteins (can's) like Velcro, grab passing neutrophils



3) diapedesis- neutrophils flatten and squeeze outside of the capillaries



4) chemotaxis- following a chemical trail. The cells follow the route to the infected area


chemical trail is made of : complement proteins, c3b bacteria parts, histamines, gamma



After about 12 hours macrophages come in as reinforcements. They consume bacteria and cell debris. Tissue repair

Benefits of inflammation

1) prevents spread of damaging agents


2) disposes call debris and pathogens


3) alerts adaptive immune system


4) sets the stage for repair

Homeostatic imbalance: abscesses

Occurs when collegen fibers are laid down over a sac of pus



Pus is a mixture of dead neutrophils, tissue, and living/dead pathogens



Causes a painful swollen lump that may need to be drained

Adaptive immune system

Provides protection against specific microbes and pathogens. Targets specific viruses based on their antigens



There is a lag time from exposure to response (3rd line)



Immunological memory after exposure



Systematic response



Cell mediated and humoral immunity

Cell mediated immunity

Cytotoxic T Cells


Immunity to intracellular bacteria, viruses, fungi, protozoa, and cancer



Attack infected self cells

Humoral immunity

B cells/plasma cells


Immunity to extracellular bacteria viruses and toxins

Pathogen vs antigen

Pathogen- potential disease causing microorganisms


Focus of the innate immune system


All are antigens



Antigen- Elicits an adaptive immune response (immunogenicity) and reacts specifically to the antibodies and cells it provoked (reactivity). Ex. Pollen no it all are pathogens


Can be complete, or just a small part (hapton)


The part of the antigen that is bound by an antibody by or lymphocyte receptor (epitope)

Mhc proteins

Major histocompatibility complex proteins



Transmembrane glycoproteins that are unique to the cells of every individual.



All body cells, except RBC have MHC1. Allows immune cells to identify all cells as self cells



MHC2 only on antigen presenting cells (macrophages, dendritic cells, and v cells)



Contain grooves that hold a piece is self antigen or foreign antigen allowing T cells to identify self cells as non-antigenetic and foreign antigens as not self



T lymphocytes can only recognize antigens that are presented on MHC proteins



Where do t and b lymphocytes originate

Red bone marrow

Where do t and b cells mature?

Thymus (t) and bone marrow (b)


They develop immunocompetence, self recognition, and self-tolerance



Immunocompetence

Ability of a lymphocyte to recognize one specific antigen (there are a billion different receptors they could develop)



What is self recognition and self tolerance. How is it developed

Positive selection


If MHC1 binds to T cell if moves on. If T cell doesn't bind to MHC1, it is destroyed



Negative selection


Next if T cell binds to a self antigen it is destroyed.





Seeding secondary lymphoid organs and circulation

Immunocompetent, but naive lymphocytes leave and colonize secondary lymphoid organs (wait until they are needed)

Antigen encounter and activation

When a lymphocyte's antigen receptor binds it's first antigen, that lymphocytes becomes active

Proliferation and differentiation

Activated lymphocytes replicates lots of clones (clonal selection)



Then differentiate into memory or effector cells



Most become effector cells (actually have an effect)

Steps of adaptive immunity

1. Origin


2. Maturation


3. Seeding secondary lymphoid organs and circulation


4. Antigen encounter and activation


5. Proliferation and differentiation

Antigen presenting cell apc

Do not respond to specific antigens. They break down the pathogen, then show t and b cells the antigen to activate them



Macrophages


Dendritic cells


B cell

Macrophages

Widely distributed in connective tissues and lymphoid organs



Present antigens to t cells. Which activates t cell and itself



Once activated it becomes a voracious phagocytic killer



monocyte>macrophages>activated

Dendritic cells

Best antigen presenting cell


Found in connective tissues and epidermis


Acts as mobile sentinel (constantly moving around and looking for pathogen) of tissue separating inside from environment


Phagocytize pathogens that enter the body, dig at them, travel to lymph nodes, and present the antigens to t cells



Key link between innate and adaptive immune system

Exogenous antigens


Antigens not already in a cell



Pollen, bacteria, toxins, parasites, and viruses that are not already in a cell

B cells

Can recognize and bind to exogenous antigens in lymph, blood, or tissue fluid



Apc aslo activate b cells

Humoral immune response

Process of a naive b cell to a ln active b cell to a plasma cell



Initiated when b cells encounter a specific target antigen



Route one: (t cell independent activation) ~unprocessed antigens bind (cross-linked) to specific B cell receptors and the cell activates


~Activation triggers receptor-mediated endocytosis of antigen-receptor complexes


~Clonal selection is the result, but the T cell-independent response is short lived, and does not result in the production of memory b cells. So if another exposure occurs, you won't have memory cells for the antigen



Route 2: first two steps are the same. Then processed antigens, bound to MHC II, are presented to a TH cell specific for that antigen. It clones memory cells for future infection.

Epitope

Parts of a pathogen that receptors bind to that identify it as foreign

B cell activation and development

Look at summary slide on lecture 4

Immunoglobulins

Antibodies


Secreted by plasma cells (activated b cells)


Bind to a specific epitope on the antigen in a lock and key fashion



They don't destroy pathogens, but they bind to them to prepare for later destruction


What is the structure of an antibody

Composed of Two long heavy chains and two short light chains.



Each chain had a variable "sensory" region that binds antigens


And a constant region "effector" which determines the class and function of antibody



5 Immunoglobulin classes

IgM (pentamer- 5 parts)


IgA (dimer- 2 parts)


IgD (monomer- 1 part)


IgG (monomer)


IgE (monomer)


IgM

First Ig class secreted by plasma cells during the primary response, so it's presence indicates active infection



Readily activates complement

IgA

Known as secretory IgA because it is found in body secretions such as saliva, sweat, breast milk, and intestinal juice



Helps stop pathogens from attaching to epithelial cell surfaces including mucus membranes

IgD

Found on B cell surface

IgG

Most abundant antibody in the plasma (75-85% of antibodies)



Main antibody of both secondary and late primary responses



Readily activates complement



Ex chicken pox. And vaccine



Monomer circulating in blood stream

IgE

Binds to mast cells or basophils. Triggers the release of histamines and other chemicals that mediate inflammation and allergic reaction

How do antibodies work?

They bind to antigens which deactivates them, and tags them for destruction



They form antigen-antibody complexes


Neutralization

Antigens Block dangerous parts of bacterial endotoxins and viruses keeping them from causing damage while waiting for other cells to phagocytize them

Aggulination

Antibodies link cell-bound antigens together

Precipitation

Antibodies make soluble antigens insoluble

How do you acquire adaptive immunity?

1) active natural immunity- own immune system, after your own b-cells encounter a pathogen by chance


2) active artificial immunity- delivered exposures to an antigen (vaccine)


3) passive natural immunity- someone else's antibodies are passed to you (breastfeeding, through placenta). They degrade over time


4) passive artificial immunity- IgG serum when someone (or animal) else's immune cells are received (ex. for someone with lukeimia)

Immunodeficiencies and which cells they target

Severe combined immunodeficiency (scid) - deficit in b and t cells



Hodgkin's disease (lymphoma)- cancer of b cells



Hiv- destroys helper T cells


Autoimmune diseases, and what they target

Rheumatoid arthritis-joints



Myasthenia gravis- nerve and muscle connections



Multiple sclerosis- mylenin sheaths



Type 1 diabetes mellitus- beta cells in the pancreas



Glomerulonephritis- nephrons of the kidneys



Graves disease- thyroid



Systemic lupus- multiple systems

Review this slide