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212 Test 4

Ch 16 17 18

QuestionAnswer
What are the six major non-specific host defenses? Physical barriers Chemical barriers Cellular defenses Inflammation Fever Molecular Defenses
What are the two physical barriers? Skin and Mucous membranes
What are two ways skin acts as a physical barrier? Protective layer and resident flora
How do resident flora act as protective layer? Bind receptor sites and release toxins
What are three ways mucous membranes act as physical barrier? Trap microbes Flushing action Contain protective chemicals
What are three chemical barriers? Saliva and Tears Gastric Juices Iron limiting proteins
How are saliva and tears chemical barriers Contain lysozyme which breaks down bacterial cell walls
How is gastric juice a chemical barrier pH 2, inhibits many microbes
How are iron limiting proteins chemical barriers? Transferrin in blood and Lactoferrin in body fluids bind extra iron so bacteria can't use it for growth
How do the five leukocytes act as cellular defense? N- phago M- phago E- release toxin (major basic protein) B- release histamine, SRS L- specific immune defense (humor/cell mediated immunity)
in tissues, neutrophils become ___ Polymorphonuclear leukocytes (PMNs)
PMNs are ___ to the site of injury and ___ have the killing power of macrophages fast, not
in tissues, monocytes become ___ Macrophages
Macrophages are ___ to the site of injury and have ___ killing power than PMNLs slow, more
this phagocyte stays within a specific tissue (ex alveolar in lungs or microglial in brain) Fixed Macrophages
What are three kinds of phagocytes Neutrophils, Monocytes, Fixed Macrophages
What are three types of intracellular killing due to phagocytosis Chemotaxis, Adherence, Ingestion/Digestion
How do chemotaxis contribute to phagocytosis histamins and cytokines stimulate movement of phagocytes to site
How does adherence contribute to phagocytosis accelerated by complement and antibody attachment
Ingestion and Digestion aka... intracellular killing
during phagocytosis, PMNs use ___ lysozomal enzymes
during phagocytosis, Macrophages use... (5) H2O, NO, O2, OCl, lysozomal enzymes
What are 2 cells that do extracellular killings? Eosinophils, and NK
How do eosinophils perform extracellular killings major basic protein perforate worms. Macrophage can then engulf parasitic fragments
How do NK cells perform extracellular killings lymphocytes that are activated by cytokines, they recognize virally infected cells and release cytotoxic proteins that trigger death of infected host cell
3 ways that pathogens resist digestion by phagocytes? Capsules Acid fast cell walls Toxins
(Capsule) ___ resists adherence Strep. pneumoniae
(Capsule) ___ capsule protects from lysozomal eynzymes Yersina pestis
Acid fast cell walls protect ___ from lysozomal enzymes Mycobacterium
anti-phagocyte toxin produced by staph leukocidin, kills phagocyte
anti-phagocyte toxin produced by strep streptolysin, kills phagocyte
anti-phagocyte toxin that inhibits the killing in phagocytes leukostatin
3 functions of lymphatic system collects excess fluid from tissues transports digested fats to CV system provides many of the nonspecific and specific defense mechanisms against infection and disease
4 cardinal signs of inflammation Calor, Dolar, Rubor, Tumor
Cardinal sign of Inflammation that refers to heat Calor
Cardinal sign of inflammation that refers to redness Rubor
Cardinal sign of inflammation that refers to edema or swelling Tumor
Cardinal sign of inflammation that refers to pain Dolar
3 functions of inflammation kill invading microbe clear away tissue debris repair injured tissues
3 signs/reasons for Chronic Inflammation Process Host is not able to eliminate the invading microbe Can persist for years Host attempts to wall off or isolate cause of inflammation in a granuloma
Type of granuloma for syphilis gummas
Type of granuloma for tuberculosis tubercles
Type of granuloma in Hansen's disease leproma
These 2 toxins cause release of interleukin-1 (IL-1) from macrophages Bacterial endotoxins (LPS) Exotoxins (neuro and enterotoxins)
This is an endogenous pyrogen that circulates in blood to hypothalamus causing release of ___ that reset body at high temp interleukin-1, prostaglandins
This molecular defense induces antiviral proteins (AVP) in neighboring cells Interferon
the specific immune response is aka... adaptive/acquird immune response
specific immune response is provided by ___ lymphocytes
___ provides humoral(antibody) response B lymphocytes
___ provides cellular immune response T lymphocytes
2 different ways of developing specific immunity acquired and active/passive
natural immunity is achieved via infection
artificial immunity is achieved via injection
active immunity is body exposed to agent and makes antibodies
passive immunity is antibodies are acquired from an outside source
main goal of immunization is to develop ___ immunity specific immunity, esp. memory cells
onset of specific immune response 5-9 days
onset of non-specific immune response immediate
type of antigen of specific immune response specific, only a small number will react
type of antigen of non-specific immune response all members will react
efficiency of specific immune response improves with increasing exposure
efficiency of non-specific immune response does not improve with increasing exposure
memory of specific immune response developed after first exposure to antigen
memory of non-specific immune response non memory is developed
antigens aka immunogens
antigens are found on ___ of cells surface
specific chemical moiety to which the antibody binds epitopes
___ can only be antigenic if they attach to a larger molecule. ex) penicillin haptens
___ are proteins produced by plasma cells tht react with specific antigens antiobodies/immunoglobins
level or quantitiy of antibody in the blood antibody titer
an antibody titer to rubella of 1:16 is considered protective, but a rubella titer of less than 1:8 assumes she ___ has immunity to infection does not
___ and ___ lymphocytes are specific for a particular antigen B and T
___ occurs if two epitoes are very similar in shape cross-reactivity
immunity to one strain of a microbe may not impart immunity to another strain or it may impart partial immunity because might have slightly different epitopes
each kind of antibody reacts with a different epitope
to acquire immunity from a particular antigen, the body must respond with an ___ response anamnestic (memory)
Dual Nature of Immune System refers to... Humoral and Cell Mediated Response
humoral response is provided by ___ antibodies
antibodies are produced by ___ that are ___ that have undergone differentiation plasma, B lymphocytes
stem cells differentiate in the GALT and bone marrow to become ___ b cells
GALT stands for Gut Assoicated Lymphoid tissues
antibodies are secreted and also expressed on ___ of ___ where they act as specific antigen recepters surface, B cells
B-lymphocytes become ___ that produce large amounts of ___ Plasma cells, antibodies, after response some B cells remain to become memory B cells
3 functions of antibodies activation of complement- classical pathway opsonization- enhance phagocytosis by PMNLs or Macs neutralization- coat viruses to limit viral attachment to host cells
cell mediated response is done through T lymphocyte
3 components of antibody four polypeptide chains Fab region Fc regions
5 classes of immunoglobins IgG, IgM, IgA, IgE, IgD
IgG makes up ___% of Ig in serum 75%
4 functions of IgG imparts longlasting immunity binds phagocytes fixes (activates) complement crosses placenta
IgM makes up ___% of Ig 10%
Allergy aka Hypersensitivity
Created by: mjbaig02
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