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Immunology Midterm
Term | Definition |
---|---|
Innate Immunity | Non-specific, always present, no memory, includes: skin, mucus membranes, cilia, peristalsis, normal flora, humoral factors |
Adaptive Immunity | Specific, has memory, reacts quickly once triggered, includes: B cells, T cells, Plasma cells |
Cytokines | Produced by Helper T cells, regulates immune responses |
Interleukins | Produced by Helper T cells |
Apoptosis | normal cell death |
Spleen | Removes old cells |
Memory | ability to respond quickly to antigens that previously triggered its activation |
IgM | found in primary response, is a pentamer |
IgM | best agglutinator (10 binding sites) |
IgA | is a dimer |
Antibody | Produced by plasma cells, proteins made in response to an antigen |
Histamine | Released by mast cells, makes local blood vessels more permeable |
Phagocytosis | cells ingesting objects (bacteria, viruses, apoptosis cells), Neutrophils perform |
Haptens | small compounds able to combine with immune system elements but cant stimulate a response unless linked to larger carrier, poison ivy |
Epitope | restricted portion of molecule involved in actual binding |
Heavy chain | determines antibody class |
Monocytes | differentiates into a macrophage |
Dendritic cell | most efficient antigen presenting cell |
Eosinophil | cell associated with allergies and parasitic infections |
Natural killer cells | virus infected cells |
CRP | tests for inflammation |
Tolerance | failure to respond to antigen, immature B cells that express self-reacting BCR bind self antigens |
T dependent antigens | requires presence of helper T cells to stimulate B cell antibody production |
Primary immune response | first contact with antigen, B and T cells respond, slow antibody peak, longer to reach immunity, antibodies decline rapidly |
Secondary immune response | second and subsequent exposure to antigen, memory cell responds, antibodies peak quickly, quicker immunity and antibody levels stay/decline slower |
B cells | CD19 |
T helper cells | CD4 |
MHC class I | found on nucleated cells |
MHC class II | interact with helper T cells |
Naive cell | cell that hasn't been exposed to an antigen |
Cyclosporine | affects T cell function to prevent antigen production/activation after organ transplant |
Somatic mutation | results in cancer |
Somatic recombination | process where segments of DNA are rearranged to form variable region genes of BCR and T cell receptors that interact with antigens |
T cytotoxic cells | cells that kill infected cells |
Complement | elemination of microorganisms. C3a, C4a, C5a are anaphylatoxins |
Alternative pathway activation | when C3b is deposited on the target cell surface |
MAC (membrane attack complex) | made of C5b, C6, C7, C8, C9 |
Scintillation | gamma rays |
Nephelometry | scatter of light |
Flow cytometry | for counting cells |
Chemiluminescence | light from a chemical reaction |
Spectrophotometer | absorbance/transmission of light |
AH50 | measures overall activity of alternative pathway |
HANE | decreased level of C1 inhibitor |
Substrate | substance acted upon by enzyme |
Glutaraldehyde | reagent used to bind fluorochromes and enzymes to antigens or antibodies |
Zone of equivalence | area of precipitin curve where all molecules and antibody molecules interact to form a lattice |
Antibody Titer | detects presence and amount of antibodies present in blood |
Syphilis testing | FTA-ABS, flocculation, cardiolipin antibody, RPR, TPHA/hemaggultination |
Primary stage | Chancre |
Secondary stage | Rash |
Tertiary stage | decades later, neurological |
Agglutination and precipitation | soluble/particulate; colloidal particles/gold |
Electrophoresis | takes place at room temp, antibodies located in gamma band, cellulose acetate doesnt impede protein movement, buffer pH >8 |
Immunofixation | antigens separated by electrophoresis, antibodies layered over & diffuse into the gel, immunodiffusion |
Immunodiffusion | antibodies diffuse & combine with the antigen, resulting in precipitation |
Gonorrhoeae | gram neg diplococci |
Chlamydia | elemtary body, reticulate body |
Cold agglutinins | mycoplasma pneumonia, must be kept warm |
Borrelia burgdorferi | bull's eye rash, lyme disease |
Weil-Felix agglutination test | Rocky mountain spotted fever (RMSF) |
Hepatitis testing | capsid |
Importance of clades in Hep C | responds to different treatment |
Rubeola | Measles, photophobia, subacute sclerosing, panencephalitis |
Mumps | Amylase |
Chicken pox | virus can lead to shingles in elderly |
HIV | CD4 cells, gp120, viral load tests |
Reye's syndrome | aspirin |
HTLV | retrovirus, adult T cell leukemia, transmitted through sexual contact, blood/blood, IV drug use, breast milk |
Germ tube test | Candida, positive: tube extending from spore |
Cryptococcus neoformans | india ink |
Acanthamoeba | contact lens wearers |
Thyroid testing | increased TSH=increased T3 and T4, decreased TSH=decreased T3 and T4, bulging eyes |
Graves disease | hyperthyroidism |
Cancer testing | CEA/colon cancer, CA125/ovarian |
Pernicious anemia | intrinsic factor, schilling test |
Philadelphia chromosome | 9 and 22 |
Bence jones proteins | multiple myeloma |