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CH 15-17
| Question | Answer |
|---|---|
| What are antigens? | Molecules that stimulate a response by T and B cells |
| What two features characterize specific immunity? | Specificity and Memory |
| Define Specificity | Antibodies made by an individual in response to antigens previously exposed to (due to disease or vaccine) |
| Define Memory | Lymphocytes are programmed to "remember" past exposures with an antigen and respond rapidly to subsequent encounters |
| What do cell receptors do? | Confer specificity and identity of a cell |
| Name the major functions of cell receptors | Perceive and attach to non-self or foreign molecules, Promote the recognition of self molecules, Receive and transmit chemical messages among other cells of the system, Aid in cellular development |
| What is meant by "Antigen Processing?" | How the body recognizes something as foreign |
| What does MHC stand for? | Major Histocompatibility Complex |
| What are MHCs? | Receptors found on all cells (except RBCS) that play a role in recognition of self by the immune system and in rejection of foreign tissue. |
| What is MHC also known as? | HLA (Human Leukocyte Antigen) |
| What are the 2 types of MHC? | MHC I and MHC II |
| What does the MHC I do? | I marks cells as "self." (Unique to each person) |
| What does MHC II do? | Helps to present antigen to T-Helper cells. (Only found on certain cells [WBCs]) |
| What do receptors do? | They "view" markers |
| What do markers do? | The tell receptors who the are (ID Tags) |
| What do B-cell receptors do? | They bind free antigens |
| What do T-Cell receptors do? | They bind processed antigens together with the MHC molecules on the cells that present antigens to them. |
| Where do all Lymphocytes start? | In the bone marrow |
| Where do B Lymphocytes mature? | They stay in the bone marrow to mature |
| Where do T Cells Migrate for maturation? | Thymus |
| What are 2 generalities that you can derive from the clonal selection theory? | Lymphocyte specificity is preprogrammed - existing in the genetic makeup before an antigen has ever entered the system, Each genetically distinct lymphocyte expresses a single specificity and can react to only one type of antigen |
| In clonal selection and expansion, what occurs. | An antigen enters the body and is detected by the immune system. Specific lymphocytes recognize it. This contact makes the lymphocyte divide and expand into a larger population. Each in that population will have the same specificity. |
| What are immunoglobulins? | Large glycoproteins that serve as specific receptors of B-Cells. |
| The constant region of the Y shaped immunoglobulin is _____ among all IGs. | Similar |
| The Variable region of the Y shaped immunoglobulin _____. | depends on the antibody specific for an antigen. |
| Describe a T cell Receptor. | 2 parallel polypeptide chains with variable and constant regions. They are small and not secreted. |
| What is 1 difference in T and B Cells? | The T Cell is not secreted. |
| What directs T Cell Maturation? | The Thymus and its hormones |
| What term is used to differentiate classes of T Cell receptors? | Cluster of Differentiation (CD - as in CD4 and CD8) |
| The CD4 class of T Cell Receptors are ____. | Helper T Cells |
| The CD8 class of T Cell Receptors are ____. | Cytotoxic T Cells |
| Define antigen | A substance that provokes an immune response in specific lymphocytes. |
| Define Antigenicity | Property of behaving like an antigen - able to trigger an immune response |
| Define Immunogen | Something the DOES trigger an immune reponse |
| Name some antigen characteristics | Large molecules, perceived as foreign |
| Define hapten | Antigen that is too small to generate an immune response |
| Define epitope | Signal on an antigen that it is foreign |
| Define Alloantigens | Cell surface markers and molecules that occur in some members of the same species but not in other members of that species |
| Define Superantigen | Potent T Cell stimulators - provoke an overwhelming response |
| Define Allergen | antigen that evokes allergic reactions |
| Define autoantigens | Molecules on self tissues for which tolerance is inadequate |
| Name some antigen presenting cells. | Macrophages, Dendritic Cells, B-Cells |
| Explain antigen presentation | Antigen is phagocytized and moved to the APC surface (bound to MHCII), APC secretes interleukin 1 which activates Th cells, Th cells secrete interleukin 2 which activates B Cells and other cells |
| What is the principle antibody activities? | Unite with the Ag, call attention to it, or neutralize it |
| Define opsonization | Process of coating microorganisms or other particles with specific antibodies so they are more readily recognized by phagocytes |
| Define neutralization | Antibodies fill the surface receptors on a virus or the active site on a microbial enzyme to prevent it from attaching |
| Define agglutination | Antibody aggregation; cross-linking cells or particles not large clumps |
| Define complement fixation | Activation of the classical complement pathway can result in the specific rupturing of cells and some viruses |
| Define precipitation | aggregation of particulate antigen |
| Discuss IgG | Can cross the placenta, it is a monomer and it fixes complement |
| Discuss IgA | Can be a Dimer or Monomer, it is a secretory antibody (on mucus membranes) |
| Discuss IgM | Pentamer (5), Fixes complement |
| Discuss IgD | Monomer |
| Discuss IgE | Monomer (Antibody of allergies) |
| Discuss a primary response | After first exposure to an Ag, the immune system produces IgM and a gradual increase in antibody titer (concentration of antibodies) with the production of IgG |
| Discuss a secondary response | After second contact with the same antigen, the immune system produces a more rapid, stronger response due to memory cells |
| What is a secondary response called and why? | Anamnestic response because of its association with recall. |
| Monoclonal antibodies ______. | Originate from a single clone and have a single specificity for antigen, They are a pure preparation of an antibody, Used in diagnosis of disease, identification of microbes and therapy |
| Cell mediated immunity requires the direct involvement of ______. | T Lymphocytes |
| T Cells act ____ ___ antigens, unlike B cells that release antibodies into circulation | directly against |
| T cells secrete _____ that act on other cells | Cytokines |
| Sensitized T cells proliferate into long-lasting _____ ___ _____. | Memory T cells |
| Name the Types of T Cells | T Helper Cell 1 (Th1), T Helper Cell 2 (Th2), and T Cytotoxic cell (Tc) |
| Describe what a Th1 cell does. | Activates other Helper cells |
| Describe what a Th2 cell does. | Drives B-cells |
| Describe what a Tc cell does. | Kills foreign cells, cancer cells and virus infected cells |
| Describe a natural killer cell. | A Cell that lacks specificity and circulates through the spleen, blood and lungs |
| Perforins are _____ | hole punchers |
| Granzymes are ______ | Protein digesters |
| Apoptosis is ______ | Programmed cell death |
| Define active immunity | Your body is making antibodies |
| Define Passive immunity | It is given to you, no memory is made |
| Define natural immunity | immunity that is acquired as part of normal life experiences (getting sick) |
| Define artificial immunity | Immunity acquired through a medical procedure such as a vaccine |
| Passive immunity acquired through receiving immunoglobulin extracted from pooled blood is known as ______. | Immunotherapy |
| Artificial Active immunity is the process of ______. | Deliberately exposing a person to material (antigen) that is antigenic (provokes an immune response) but not pathogenic (gets them sick) |
| How are killed or inactivated vaccines made? | The desired strain is cultivated, then killed but antigenicity is not destroyed. |
| How are live vaccines made? | The virulence factor (ability to make sick) is lessened or eliminated. They can still make you sick. |
| What are some advantages of live vaccines? | They are able to multiply and cause infection but not disease, Protection is longer lasting, Usually require fewer doses and boosters |
| What are some disadvantages of live vaccines? | Require special storage, could revert back to virulent strain |
| Define adjuvant | Any compound that enhances immunogenicity and prolongs antigen retention at the injection site |
| What is meant by herd immunity? | Individuals immune to a communicable disease will not harbor it which will reduce the occurrence of that pathogen |
| Immunopathology | The study of disease states associated with underactivity and overactivity of the immune response |
| Allergy/Hypersensitivity | an exaggerated, misdirected expression of immune responses to an allergen |
| Autoimmunity | Abnormal responses to self Ag |
| Immunodeficiency | deficiency or loss of immunity |
| Cancer | Both a cause and effect of immune dysfunction |
| What are two levels of allergic reaction severity? | Atopy and anaphylaxis |
| Atopy | Any chronic local allergy such as hay fever or asthma |
| Anaphylaxis | a systemic, often explosive reaction that involves airway obstruction and circulatory collapse |
| Atopic allergies may be ____ or they may be _____. | Lifelong, outgrown |
| Predisposition to allergies is _____, but not necessarily to a ______ allergy. | Familial, specific |
| Allergies can be affected by ____, ____, and ____ area. | Age, Infection and geographic |
| Where are mast cells located? | In connective tissue of virtually all organs |
| Where are basophils located? | They circulate in blood and migrate to tissues |
| A sensitizing dose is considered the ____ ____. | First contact with an allergen that doesn't elicit signs or symptoms |
| A Provocative Dose is a ______ exposure to an allergen that elicits signs and symptoms. | subsequent |
| Histamine, serotonin, leukotriene, platelet activating factor, prostaglandins, bradykinin | Each can act alone or some combination of them, they account for scope of allergic symptoms |
| General targets of allergens include.... | Skin, conjunctiva, GI Tract, Respiratory tract |
| Systemic targets of allergens include.... | smooth muscles, mucous glands, and nervous tissue |
| Which chemical mediator is the most profuse and fastest acting? | Histamine |
| Histamine stimulates.... | smooth muscle, glands, eosinophils |
| Specific atopic diseases include... | hay fever, rhinitis, seasonal allergies, inhaled plant pollen, mold - asthma, eczema |
| Food allergies can affect ___ and ___ | skin respiratory tract |
| Cutaneous Anaphylaxis | Wheal and flare response to local injection of allergy |
| Systemic Anaphylaxis | Sudden respiratory and circulatory disruption |
| Hygiene Hypothesis | WE ARE TOO CLEAN...could lead to Alzheimer's |
| Treatment and prevention of anaphylaxis includes... | Avoid the allergen, use medications that block the actions of the lymphocytes (antihistamines) |
| Injecting allergens as a treatment for allergies is known as ..... | Desensitization Therapy |
| Type I hypersensitivity mostly involves.... | Allergic Reactions |
| Type II Hypersensitivity involves... | Reactions that lyse foreign cells |
| Blood transfusions can elicit a Type ___ hypersensitivity reaction. | II |
| Hemolytic disease of the newborn involves... | Differences in the mother's and child's Rh factors |
| Type A blood would contain antibodies that react against __ antigens | B |
| Type B blood would contain antibodies that react against __ antigens | A |
| Type O blood would contain antibodies that react against __ and __ antigens | A B |
| Type AB blood would contain ___ antibodies against A and B antigens | No |
| An arthus reaction is _____ | a localized dermal injury due to inflamed blood vessels |
| Serum sickness.... | systemic injury initiated by antigen-antibody complexes that circulate in the blood |
| Type IV hypersensitivity is a ____ allergic response | Delayed (TB skin test, metals, cosmetics, dermatitis [poison ivy] from plants) |
| Autograft | Graft from self |
| Isograft | Graft from identical twin |
| Allograft | Graft from someone else (within the same species) |
| Xenograft | Graft from an individual of a differing species |
| Graves Disease causes ___ | Hyperthyroidism |
| Diabetes mellitus causes ____ | a reduction in insulin production |
| Myasthenia gravis.... | pronounced muscle weakness |
| Multiple sclerosis... | paralyzing neuromuscular disease |
| In immunodeficiency diseases... | components of the immune response system are absent |
| Primary immunodeficiency is usually ___ and involve ____ ____. | congenital, genetic errors |
| Secondary immunodeficiency diseases are... | acquired after birth, caused by natural or artificial agents |
| AIDS is the most common ______ immunodeficiency disease. | secondary |
| AIDS infection is marked with numerous ____ and ____ | opportunistic infections, cancers |
| Phenotypic | observable under microscopes (Macro = colonies) (Micro = Cells) |
| Genotypic | Genetic makeup |
| Immunological | serology; antibody-antigen reactions |
| In immunological testing ___ ____ are used to detect antigens rather than testing for microbe itself. | specific antibodies |
| Phenotypic method | Grow colony and observe |