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24 Cards in this Set

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non-specific
body recognizes surface of something as foreign.
ex: AIHA where surface of rbc's changes and body attacks it.
Specific immunity
sees foreign body and recognizes and attacks.
self vs. nonself.
Lymphocytes.
Antigen:
Antibody:
-foreign substance

-kills antigen
Immunity:
Immunity includes what types of cells?
/the body's ability to specifically counteract or neutralize foreign microbes or other foreign substances and to remember

Lymphocytes-
-T cells: cellular immunity
-th helper cells
-ts suppressor cells
-Tc cytoxic cells

-B cells- humoral immunity
- memory cells
- plasma cells-AB


-NK natural killer cells.
T cells include?


B cells
derived bone cells mature in thymus
Th helper cells
Ts suppressor cells
tc cytoxic cells


-memory cells
-plasma cells-AB (antibody prdction) ie immunoglobulins)
Total protein is:
Immunoglobulins and albumin
Antigen (AG) definition?

Prominent antigenic determinants?
Foreign substance which are capable of provoking an immune response.
- membrane components (antigenic determinants) which are recognized as foreign by the immune system.
-Prominent antigenic determinents
-mammalian cell membrane
-bac outer surface (capsule, cell wall)
-surface structures of other microorganisms
-bac exotoxins?
Antibody (AB) definition?

What is the major immunoglobulin in normal serum?
What does it do and what is it capable of?
Specific glycoproteins termed immunoglobulins
-produced by body in response to an antigen. Ab binds specifically to Ag that induced formation.
-primary function is to combine with antigen

-5 distinct classes
-(IgG is the major immunoglobulin in norm serum)
-IgG neutrolizes toxins and binds to microorgansims
-capable of crossing placenta
activates compliment
What is a complement?
A series of 20 or more proteins in the serum
- bind microbial surface or certain antibodies
-form membrane attack complex that pierces cell membrane
-results in microorganism lysis
-enhances inflam
produces phagocytosis and inflam
Antibody structure consists of 2 distinct functional portions?

What does the antibody do when it is encountered by an antigen?
-variable portion is specific for the antigen
-constant portion is same in all antibodies of same class.


-When an antigen is encountered by an appropriate antibody the antobody binds to the antigen to form a complex...
Classes of antibodies
IgG?

IgM?
-most abundant serum antibody
-produced after IgMs in immune response
-crosses placenta-passive immunity (w/ comes from colostrum)
-activates compliment (inflam and calling in other cells

IgM- first antibody produced during an infxn
-exists as pentamer in solution or as monomer on surface of B-cell
-complement fixation
-J chains-protein molecules

*Both IgG andIgM are involved in complement
Classes of antibodies continued:
IgA?

IgD?

IgE?
IgA- localized protection on mucosal surfaces
-mucosal immunity
*found in secretions, tears, saliva, milk
-most common Ig in body/ tissues on can exist as dimer?

IgD: present on B-cells, functions in initiation of immune response

IgE: lowest concentration of all Ig
-found on mast( w/ release histamine) and bsaophilic cells

-allergic responses
Dexamethesone?
Great for itchy skin: stabilizes mast cells w produce histamines.
IgA intranasal vaccinations?
intranasal vacs ie. kennel cough :to build a stronger immunity.
Natural active immunity?

Acquired active immunity?

Natural passive immunity?

Acquired passive immunity?
strongest
- become actively resistant to disease by having it.

Acquired active immunity
- develops resistance from vac

Natural passive immunity
- antibodies are transmitted from mother to offspring (colostrum)

Acquired passive immunity
- antibodies produced in donor animal are injected to recipient (ie..antivenom?)
Modified live vs killed?

Adjuvant?
modified live 2 stim body better (don't contain adjuvant) (risky)
killed is safer.

adjuvant- irritant added 2 vaccine 2 stim a better response..leads to tumors.
Immunizations?
vaccine made by injecting a suspension of microorganism into an animal to elicit an antibody response but not causing dz.

-organsims are attenuated (alive but weakend)
-cause longer lasting response

-organisms are inactivated (killed)
-safer.
Elisa?
What does it use and how is the specifity?
Enzyme linked immunosorbent assay
-use monoclonial antibody to detect antigen
-specificity very high
-must run +/- controls
Elisa antigen detection?
How does it work?
-monoclonial antibody bound 2 surface (wells, membrane, plastic wand)
-antigen in patient sample will bind to antibody
-enzyme linked antibody added to aid in detection of antigen
-substrate added to mix and reacts w enzyme to give color change
Elisa Antibody detection?
How does it work?
Antigen is bound to surface
-antibody in patient serum will react
-anti-immunoglobulin labeled antibody added to aid in detection of antigen
-substrate added to mix and reacts w/ enzyme to give color reaction
Autoimmune dz?
How does it happen and 3 examples?
Immune system is usually tolerant to "self " antigen that would ordinarily provoke an immune response
-sometimes the recognition of these "self" antigens fails and autoimmune dz may result
-production of antibody against self antigens
-rheumatoid arthritis
- lupus
-AIHA
Autoimmune hemolytic anemia?
What happens to antigens on red cell membranes?
What is the cell shape?
What causes cells to lyse?
antibodies are produced against antigens on red cell membrane
-antibody coated red cells change the membrane and cell shape so spherocytes are common
-coated red cells are removed from circulation in spleen
-complement can be activated w causes cells to lyse.
Direct Antiglobulin Test (DAT)
Also called coombs test
-purpose of test?
- to see if red cells are coated w antibodies in vivo
- diagnosis for aiha
- can have false negatives

-used when autoagglutination is absent, but immune mediated hemolytic anemia is still suspected
DAT procedure?
how to perform and what to look for?
red blood cells are washed 3 times in saline to wash away any protein and unbound antibodies present in serum
-add species specific antisera antisera against IgG, IgM, and C3 (third component of complement)
look for agglutination