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Immunology Midterm

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