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Exam III
| Question | Answer |
|---|---|
| Lymphatic system | system of vessels, cells, & organ |
| Lymphatic system | carry excess bodily fluid to bloodstream |
| Lymph | interstitial (tissue) fluid that drains to bloodstream via series of blood vessels, trunks, & ducts |
| Lymphatic vessels | avenues for immune system cells-transport |
| Lymphatic vessels | open-ended capillaries to feed into larger lymphatic vessels; have destinations |
| Lymphatic vessels | contain valves for one-way movement; most go into left part of body to the heart |
| Lymph nodes | small & bean-shaped what stages for immune system response-development, & mediated by T, B, & accessory cells |
| Lymph nodes | remove debris & pathogens; "filter" |
| Afferent & Efferent lymphatic vessels | slow down the lymph's speed by causing a drought |
| Efferent lymphatic vessels | 2-3 taking lymph out away lymph node |
| Afferent lymphatic vessels | 3-5 nodes bringing in lymph |
| T cells | mature in thymus |
| B cells | mature in bone marrow |
| T & B cells | enable cells to attack pathogens w/o harming body cells |
| Macrophages | phagocytize foreign substances |
| Dendritic cells | capture antigens & deliver to lymph nodes & help activate T-cells |
| T cells | found in space between sternum & aorta; prominent in kids & small in adult |
| Fibroblast | main composition of lymphoid tissue structure |
| Fibroblast | for reticular fiber to compose the medulla through a mesh where the WBC would sit |
| Medulla | slow down the lymph's speed to allow lymphocytes to examine antigens |
| Spleen | 2nd major organ of lymphatic system |
| Connective tissue | surrounds spleen |
| Red pulp | area of RBC |
| White pulp | area of WBC (non-specific immune responses); ex: macrophages |
| Lymphoid Nodules | denser cluster of lymphocytes w/o a surrounding fibrous capsule |
| Lymphoid Nodules | in respiratory & digestive tracts; exposed to environmental pathogens |
| Lymphoid nodules' forms | tonsils, mucosa, & bronchus |
| Tonsils | swell due to infection from many WBCs |
| Mucosa | associated lymphoid tissue (MALT) |
| Mucosa | in GI tract, breast tissue, lungs, & eyes |
| Peyer's patches | in small intestine; vital for immune response against ingested substances |
| Bronchus | associated lymphoid tissue (BALT) |
| Bronchus | effective against inhaled pathogens |
| barrier defenses | hair, skin, & mucous |
| Soluble Mediators | cytokine & interferon (secreted by any cell if infected by virus) |
| Not disjoint events | Innate & adaptive immune response |
| Innate Immune response | default, always on, no need to be trained, doesn't have memory, mainly for bacterial parasites, & cells are always ready (macrophages & eosinophils) |
| Innate hallmark | inflammation; alert more WBC, positive feedback, can overload (week-months), & chronic inflammation (body can't control (kidney/liver failure) |
| Adaptive Immune response | needs to be activated & trained (vaccines); cells not always ready; has memory |
| Adaptive Immune response | cells: lymphocytes & antigen-prevent cells (APC) |
| Lymphocytes | Natural Killer (NK) cells | induce apoptosis; send apoptotic signal to the cell |
| Natural Killer (NK) cells | its granules release perforins to open a channel in plasma membrane & granzymes that go in cell & induce apoptosis from inside |
| Antigen | either floating or attached to a cell |
| Primary adaptive | 1st exposure to a pathogen |
| Secondary adaptive | stronger & faster response |
| Adaptive response | self-recognition (can distinguish between self-antigens & foreign antigen) |
| T & B cells | activation in lymph nodes |
| CD4/T helper cells | help activate T cells |
| CD8/ Cytotoxic cells | kills infected cells |
| T regulatory cells | fine tune the immune response |
| classes of Antibodies | Igm, Igg, IgA, IgE, & IgD |
| IgM | primary response of antibody |
| Igg | most aggressive; can cross placenta; responsible for HDN |
| IgA | can go to body's surface via mucosa; can move to babies & give immunity from mom's infection |
| IgE | Allergies; ex: peanut butter |
| IgD | "B cell receptor"; not released but only fixed on B cells |
| Humoral immunity | B cells-release antibodies; non-contact in killing virus, use fluid |
| Cellular immunity | no antibodies, t cells interaction, and need antigen presenting cells (APC) to be shown to the non-self antigen |
| Antigen presenting cells | macrophages, b cells, & dendritic cells |
| Immunities | both need non-self antigens to be activated (ex: proteins & toxins) |
| Major Histocompatibility Complex (MHC) | a type of protein that usually carry antigens |
| MHC I | can be found in all nucleated cells |
| MHC II | only for APC and signal for non-attack/verification |
| MHC II | use cytokine (chemical messenger) to activate the APC |
| MHC II | intermediate between non-self & cells (such as helper T cell) |
| T cells activation | APC shows non-self antigen on its MHC II to T/CD4 cell; |
| T cells activation | CD4 cells verify between MHC II & non-self antigen, if both are connected, helper T cells calls; T/CD8 will check the non-self antigen on MHCI of APC, & CD8 will turn to Cytotoxic cell |
| Activated T/CD4 cell | can only be read under MHC I |
| Cytotoxic cell | search for non-self antigen on MHC I of the cells of the body. |
| B cells activation | humoral immunity & secrete antibodies |
| B cells activation primary response | detect non-self antigen; b cell will form clones, the clones will produce plasma cells & memory cells, & plasma cell produce antibodies |
| Active Humoral immunity | non-self is in the body | either natural acquired (inflection/flu) or artificially acquired (vaccines) |
| Passive Humoral immunity | non-self antigen doesn't enter the body; yet the body is immune } Naturally acquired (pregnancy & breastfeeding) or artificially acquired (cancer treatment & antibodies injection) |
| Immune system | destroy/neutralizes pathogens that would cause disease or death |
| Skin | dead, keratinized epithelium prevent bacterial |
| Sweat | may lower PH, contain toxic lipids, & physically wash microbes away |
| mucus | traps both microbes & debris & facilitates their removal |
| Innate Immune response | rapid but nonspecific |
| Innate Defenses | Mast cells & basophils (inflammatory response), NK cells, Complement system, & phagocytes |
| Adaptive immune response | slower but more effective |
| Cytoplasmic granules | help mediate immune response against parasites & intercellular pathogens such as viruses |
| Macrophages | wander through the tissues to engulf bacteria wherever they find them |
| Macrophages | can evolve to cooperate w/ lymphocytes as part of the adaptive immune response |
| Neutrophil | phagocytic attracted via chemotaxis from the bloodstream to infected tissues. |
| Neutrophil | its granules contain vasoactive mediators such as histamine |
| Monocyte | differentiates either macrophage or dendritic, which can rapidly attracted to areas of infections by inflammation |
| Chronic inflammation | can be caused by foreign bodies, persistent pathogens, & autoimmune diseases such as rheumatoid arthritis |
| Cytokine | signals to allow cells to communication w/ each other over short distances (can be innate or adaptive) |
| Antigens | w/o it, there is no adaptive immune response |
| Antigens | used by lymphocytes to detect foreign cells entering the body |
| Antigens | have antigenic determinants that for antibody detection (several antibodies can bind) |
| T cells | can only recognize antigen with APCs |
| APCs | display antigens on MHC II |
| Adaptive Immune cells | B & T lymphocytes & APCs |
| Processes before activiation | development, maturation, & activation |
| Maturation | lymphocytes learn how to recognize self-antigen (self-tolerance) & foreign-antigen |
| Activation | lymphocytes recognize the foreign antigen & trigger the adaptive immune response |
| APCs | present antigens to lymphocytes; recognize foreign antigen, engulf them, & represent antigenic determinates on MHC-II class |
| T cells | induce cell mediated immune response |
| Regulatory T cells | regulate & suppress the immune response in order to go out of control & cause autoimmune disease |
| Cytotoxic cells | small number turn into memory cells and remained quiescent until a following recognition of the same antigen |
| Cytotoxic cells | target cancer, virus-infected, foreign (organ transplants & wrong blood fusion) & cells w/ parasites |
| Activated T cells | bind to MHC-I on APCs which will enable them to recognize the antigen; they search those display the same antigen & destroy them similarly to NK cells |
| Helper T cells | secrete cytokines that act to enhance other immune response; recognize antigens on MHC-II then release cytokines that activate cytotoxic T cells |
| Activated Helper T cells | small number turn into memory cells until recognize the same antigen |
| B cells | can recognize native, unprocessed antigen & don't require the participation of MHC molecules & APCs |
| Antibodies | glycoproteins consisting of 2 types of polypeptide chains: heavy & light chain |
| light chains | form part of the antigen-binding sit on the antibody molecules |
| IgM | effective against bacteria at early stages of a primary antibody response |
| IgG | clears pathogens from the blood & can activate complement proteins; : Main antibody of both primary and secondary immune response. |
| IgE | present in the lowest concentration in the blood |
| Plasma cells | B cell that's committed to produce a specific antibody against a specific antigen; short-life span |
| B cells activation | B cells sometimes need T helper cells to release cytokines to activate the B cell |
| B cells | receive signals from both its surface antibody & T cell via its cytokines |
| Acquired immune deficiency syndrome (AIDS) | a result of human immunodeficiency virus (HIV) that targets the helper T cells; use CD4 as the receptor to get inside cells |
| Acquired immune deficiency syndrome (AIDS) | treatment consist of drugs that target virally encoded proteins that are necessary for viral replication but are absent from normal human cells |
| Autoimmune disease | immune cells lose their tolerance to self-cells & start to attack them |
| Autoimmune disease | treatment include steroids |
| Celiac disease | autoimmune disease that damage to small intestine |
| Lupus erythematosus | autoimmune disease that damage of many body systems |
| Myasthenia gravis | autoimmune disease the debilitate muscle weakness |
| Rheumatoid arthritis | chronic inflammation of joints |
| Hypersensitivity | sensitive beyond normal levels of activation |
| Hypersensitivity | immune system is ready to initiate a complex immune response w/ minimum response to antigens |
| Type 1 hypersensitivity | mast cells releasing histamine |
| Type 2 hypersensitivity | complement system & happens w/ mismatched blood transfusion |
| Type 3 hypersensitivity | antibody & antigen precipitate in blood vessels & cause inflammation |
| Type 4 hypersensitivty | delayed; T helper cells take extra time to activate cytotoxic T cells |
| Lymph nodes | 500-600 throughout the body, and commonly found near the groin, armpits, neck, chest, & abdomen |
| Lymphatic capillaries | interlaced among the arterioles & venules of the circulatory system; empty into larger lymphatic vessels |
| Lymphatic capillaries | permit excess tissue fluid along with dissolve protein molecules to leave the tissue spaces |
| Lymphoid cells | Lymphoid cells (WBC in lymph. tissue) & cells that form structure (mainly fibroblast) |
| Primary lymphoid organs | Bone marrow & Thymus gland |
| other secondary lymphoid organs | lymph nodes & nodules |
| Reduction in speed flow in lymphoid node | mesh of reticular fibers & different in afferent and efferent |
| Medulla | consists B & plasma cells |
| Cortex | consists lymphoid follicles while contains rapidly dividing B cells surrounded by a layer of T cells |
| Spleen | fragile w/o a strong capsule & its dark red due to its extensive vascularization; divide red & white pulp by trabeculae |
| red pulp | blood filtrate using cells of the relatively nonspecific immune response |
| white pulp | resembles the lymphoid follicles of the lymph nodes; where T & B cells responses are mounted |
| Lymphatic system | carry out immune response & transport dietary fats |
| Lymphatic capillaries | can take up larger molecules & particles that blood capillaries can't |
| Second line of defense | inflammatory response /innate |
| Third line of defense | Adaptive defense system |
| Interferons | a cytokine that's released by a virus-infected cell to alert the nearby health cells within hours |
| Fever | beneficial immune response: speeds the activities of leucocytes |
| T cells activations | requires Antigen binding & MHC recognition |
| Helper T cell | absence results in no immune response |
| Regulatory T cell | modulates (slows) the immune response |
| Capillary beds | area where lymphatic collecting vessels originate |
| lymphatic collecting vessels | direct lymph to the lymph nodes |
| Venous circulation | where lymph ultimately drains into |
| Thymus | primarily active during the early years of life |
| Spleen | harbors macrophages that ingest rbcs that have aged or damaged for later reuse |
| Mucosa associated Lymphoid tissue / Peyer's patches | destroy bacteria before they can breach the intestinal wall |
| Mucosa associated Lymphoid tissue | generate “memory” lymphocytes for long-term memory |
| Splenic artery | branches from celiac trunk |
| Spleen | immune surveillance and helps in rbc recycling |
| interferon | released by infected cells to help protect cells that have not yet been infected |
| interferon | binds to membrane receptors in healthy cells and triggers a response inside the cell that leads to the production of chemicals that interfere with virus manufacture. |
| Opsonins | coat pathogens to facilitate their capture and accelerate phagocytosis |
| complement | inflammatory chemical that dilates local arterioles and makes local capillaries leakier |
| Histamine | produced by mast cells to moderate inflammation |
| antibodies | used to recognize antigens |
| Proliferation (rapid increase) | occurs after activation and binding of an antigen |
| Neutralization | humoral response that response on antibodies blocking specific sites on viruses or bacterial exotoxins |
| Regulatory T cells | dampen the immune response. They release inhibitory cytokines; these cells are important in preventing autoimmune reactions. |
| Cytotoxic cells | recognize antigens associated with an organ transplant |
| T cells | don't recognize self-antigen |
| Interstitial fluid | prevent dangerous swelling in the tissue |
| Right lymphatic & thoracic duct | return their lymph into the blood in large veins in the neck region |
| Thoracic duct | largest lymphatic vessel in the body; 3/4 of the body's lymph drains to |
| Right lymphatic duct | where right upper extremity& right side of head, neck, & upper torso's lymph drains to |
| reticular fibers | suspend the lymph nodules to trap the debris and let immune cells to phagocytize the debris |
| Breast | contains a uniquely extensive network of lymphatic drainage & filtration to drain excess fluid and prevent the spread of infections & cancer |
| Thymus | source of lymphocytes b4 birth & important in maturation |
| Thymosins | secreted by thymus and influence the development of T cells |
| Involution | thymus tissue gets gradually replaced by fat & C.T. |
| Spleen | act as a reservoir for blood that can be returned to the cardiovascular system when needed |
| Splenoctomy | removing of spleen; due to damage & bleeding in spleen |
| White pulp | reservoir for monocytes, which can quickly leave the spleen to help repair damaged tissue in the body during an emergency. |
| Innate chemicals | complement proteins, interferons, & etc. |
| Adaptive chemicals | antibodies & various signaling chemicals |
| Phagocytosis | innate form of immunity |
| Chemotaxis | cytokines attract WBCs to the area, which produce inflammation (heat, redness, pain, & swelling) |
| Complement | plasma proteins (inactive enzymes) that causes lysis (rupture)/ holes of a foreign cell (can be trigger innately or adaptively) |
| Heat & redness in inflammation | caused by + blood flow & vascular permeability which result in tissue swelling & pain |
| Immunization | artificially exposed |
| Interleukins | protein cytokines used by WBC to communicate between cells (both innate & adaptive) |
| Interleukins | involved in producing fever & activating cells of adaptive specific immunity |
| Antigen-antibody complex | antibody neutralize antigen's toxin |
| Antigen-antibody complex | agglutinate enemy cells (sticking together in clumps) for phagocytes to rapidly destroy them |
| Antibodies | promote & enhance phagocytosis |
| Complement cascade | when a antibody combine with antigen's surface, they change the shape of the antibody molecule slightly just enough to expose hidden regions resulting in cell's destruction |
| Complement-binding sites | hidden regions where antibody change shape to fit |
| Complement cascade | donut-shaped protein rings are formed & makes holes in the cell where it allow Na+ to diffuse rapidly into the cell and allow internal osmotic pressure to increase and burse the cell |
| Lymphocytes | NK, B, & T cells |
| Dendritic cell | high branched cell produce in bone marrow where some will remain in the blood but many will migrate to tissue in contact w/in the external environment |
| Macrophages & DC | ingest cell to remove its antigen and displaying on their cell surfaces where it can be presented to other immune cells to trigger additional immune response |
| NK cells | kill tumor cells & virus-infected cells |
| B cell activation | comes in contact w/ certain non-self antigens whose shape fits into B cell's surface antibody; requires cytokine from another T cell |
| B cell clones | made up of plasma (effector) & memory cells |
| Plasma cells | secrete huge numbers of antibodies into the blood |
| Memory B cells | quickly divide to produce clones of plasma & memory cells |
| T cell activation | needs cytokine from another T cell |