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82 Cards in this Set

  • Front
  • Back
List the 3 ways cells communicate.
Surface receptors
Adhesion molecules
Cytokines
surface receptors
integral membrane proteins; can be bound by specific ligands floating in the ECM
adhesion molecules
exist on the surface of cells
cytokines
chemical messengers (proteins) of the immune system released into the blood; short-lived & bind to surface of cells
List the 6 types of cytokines.
Chemokines
Colony-stimulating factors
Interferons
Interleukins
Tumor necrosis factors
Pyrogens
chemokines
involved in chemotaxis
colony-stimulating factors (CSF)
calls for the production of more WBC
interferons
glycoproteins involved in the inflammation response & control of viral infections
interleukins
inflammation & adaptive immunity
tumor necrosis factors (TNF)
destroys tumor cells; inflammation; apoptosis
pyrogen
fever; substance that can cause a rise in body temperature
List the 4 types of toll-like receptors.
LPS (lipopolysaccharide)
Flagellin (on bacteria)
Peptidoglycan (part of bacteria cell wall)
Bacterial nucleotide sequences
Identify the 3 ways to turn on the Complement Cascade System.
Complement proteins floating around run into and ...

A. Bind to Ag-Ab complex
B. Bind to mannin and lectin complex
C. Bind to anything!
When mannin and lectin are bound together, what does that tell the immune system?
There is an infection somewhere.
Identify the 3 functions of the Complement Cascade System.
Initiate inflammation.
Lyse foreign cells via MAC unit.
Opsonization.
MAC unit
(membrane attack complex) complement protein turns into a donut shaped structure and lyses other cells
Phagocytosis involves what 2 human cells...
Macrophages
Neutrophils
Which is more powerful: macrophages or neutrophils?
Neutrophils
Where do macrophages live in the body and for how long?
Always in tissue; live for months
Pericardial cavity ???
located between the visceral and parietal (wandständig) pericardium(Herzbeutel/Perikard);
filled with a thin layer of serous pericardial fluid;
helps reduce friction as the heart moves within the pericardial sac
diapedesis
dilated blood vessels stretch so much that neutrophils leak out of the vessel wall into the surrounding tissue
inflammation
a defensive response that serves to protect damaged tissues against infection (or a worsening of an existing infection)
List the 4 steps of inflammation.
1. Injury
2. Vessel dilation
3. WBC go to site of damage
4. Pus forms
When is the only time interferons are turned on?
When host cell detects double-stranded RNA, which humans DO NOT have.
Normal body temp is 37°C. What is body temp when you have a fever (medically)?
37.8°C
Pyrogens are _________ that call for a fever to start.
Pyrogens are CYTOKINES that call for a fever to start.
Higher temps _____ growth of bacteria.

(increase / decrease)
Higher temps DECREASE growth of bacteria.
Which type of immunity involves Ab and Ag: innate or adaptive?
Adaptive immunity
primary response
first exposure to an Ag, which will make you very, very sick
secondary response
any response after the primary response; sickness is less and reaction is quicker; only memory B-cells participate here
antigen (Ag)
protein or polysaccharide components of pathogens; have epitopes on them
epitopes
regions of an Ag that are recognized & bound by an Ab
antibody (Ab)
an immune system molecule that binds to the epitopes on antigens; shaped like the letter Y & there are different types
Describe the structure of an Ab.
4 subunits (all held by covalent disulfide bonds)
- 2 large
- 2 small
+ Antigen binding sites are the tips.
+ Variable region is right below antigen binding site.
+ Constant region is 75% lower portion.
IgG (3)
Longest living Ab (21 days)
Secondary immune response
Babies get it from mother's placenta & milk
IgA (3)
mostly exists as dimer (2 Ab)
In mucous membrane, saliva, breast milk
Babies get it from mother's milk for intestine protection
IgM (4)
5 Ab (pentomer); very large
Never leaves blood stream
Controls blood infections
Primary response
IgE (2)
Allergies
Parasite elimination
IgD (1)
activation of B-cells
List the 6 functions of Ab.
Neutralize
Immobilize
Agglutinate & Precipitate
Opsonization
Complement Activation
Ab-Dependent Cytotoxic
How many Ag will you encounter in your life?
Billions
What changes on the Ab to code for a specific Ag?
The variable region on the antibody; the tips of the Y.
What cells make Ab?
B-cells make Ab.
B-cells eventually turn into _______ cells, but not all of them.
B-cells eventually turn into PLASMA cells, but not all of them.
Identify the function of plasma cells.
Produce tons & tons of Ab to fight disease
B-cells that do not turn into plasma cells, turn into what?
Memory cells that are used in the secondary response.
What initiates B-cell replication?
T-cell has to release cytokines, which activates it.
Identify the 4 steps T-dependent B-cells must take in order to activated fully.
1. B-cell runs into Ag.
2. B-cell binds to it, chews it up, & displays it (MHC complex).
3. T-cell recognizes it & decides if its dangerous
4. If it is, T-cell releases cytokines
T-independent B-cells (3)
B-cells that don't need T-cell activation; they recognize LPS (or something else only bacteria have) and start making Ab
Weak response
Does NOT make memory cells
Do T-cells produce Ab?
No
T-cells will only bind to __________.
T-cells will only bind to MHC COMPLEX via B-cells.
Identify the 2 types of T-cells.
T-helper cells
T-cytotoxic cells
Identify the function of T-helper cells.
Release cytokines to increase B-cell & memory cell production

(macrophages) Release cytokines leading to increase in lysosomes & nitric oxide
Identify the function of T-cytotoxic cells.
Kill infected cells, cancer cells, & alerts neighboring cells of danger
perforins
punch holes in membranes

Tip: perforate
protease
destroys all types of proteins
What tells T-cells than an Ag is bad?
Dendrites... Dendrites know because of toll-like receptors.

Dendrites also activate T-cells.
Identify the function of NK cells.
Binds to the constant region of Ab to kill infected, diseased cells; ends in apoptosis
active immunity
the result of an immune response in your body upon exposure to an Ag; can be natural or artificial
natural active immunity
you get sick & recover; Ab are produced
artificial active immunity
immunization program; Ag is injected and Ab are produced
passive immunity
antibodies are produced by one individual and then acquired by another; can be natural or artificial
active passive immunity
IgG crosses from mother to fetus; IgA comes from mother to baby from milk
artificial passive immunity
injection contains Ab already made; i.e. tetanus
attenuated vaccine
weakened form of disease-causing organism or virus; leads to production of immune response, but not the disease
inactivated vaccines
no longer able to replicate
inactivated whole-agent vaccines
contains killed microorgs or inactivated viruses through treatment with Formalin
Which type of vaccine needs booster shots?
Inactivated whole-agent vaccines
Which type of vaccine may cause the disease if it converts to wild type?
Attenuated vaccine
Which type of vaccine is so weak that it needs adjuvant?
Inactivated whole-agent vaccines
wWhich type of vaccine makes Ab against many different epitopes of the same disease?
Attenuated vaccine
toxoid
works against a toxin produced produced by a microorg, i.e. diptheria & tetanus
protein subunit
consists of key protein Ag, i.e. whooping cough or pertussis vaccine
genetic recombinant
can make yeast produce gene coding for the protein coat of Hep B virus
polysaccharide virus
could recognize components of the capsule of microorgs, i.e. flu, pneumonia
adjuvant
sometimes combined w/ vaccines if they are too weak/small to illicit an immune response; (aluminum hydroxide aluminum phosphate)
List the 4 types of hypersensitivities.
IgE mediated
Cytotoxic
Complex Mediated
Delay Mediated
How do you treat IgE mediated hypersensitivites?
Antihistamine drug (inflammation, etc.)

Albuterol/steroid drugs (affects respiratory system)

Adrenalin (when systemic anaphylaxis)
Are Ab involved in delayed cell-mediated hypersensitivity?
No, they are not.
What hypersensitivity are these involved in?

TB Skin Test
Poison Oak/Ivy
HIV
Leprosy
Delayed cell-mediated
What hypersensitivity is this involved in?

Transplanted organs
Delayed cell-mediated
What is the treatment after a transplanted organ?
Cyclosporin (fungus), which halts T-cell production