PMI02-2002 Introduction to Host Defence

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PMI- PATHOLOGY, MICROBIOLOGY & IMMUNOLOGY Flashcards on PMI02-2002 Introduction to Host Defence, created by Evian Chai on 07/09/2020.
Evian Chai
Flashcards by Evian Chai, updated more than 1 year ago
Evian Chai
Created by Evian Chai over 3 years ago
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Question Answer
Define the Immune system A communication network of cells and chemical signals in blood and tissue. Protects against disease and regulates growth
What are 4 important infectious diseases in history? The plague Influenza Smallpox TB
What are the two branches of immune system cells (in terms of linage), and which cells are which? Lymphoid-B and T cells, NK cells Myeloid- dendritic cells, granulocytes, platelets, RBC, macrophage, mast cell
What are the two parts of the immune system? 1. Primary lymphoid organs 2. Secondary lymphoid organs
What are the parts of the primary lymphoid system? What cells mature in each? 1. Thymus (T cells) 2. Bone marrow (B cells)
What are secondary lymphoid organs/tissues around the body? Tonsils/adenoids Bronchus assosiated lymphoid tissue Spleen Lymphoid nodule Lymph node Peyer's patch
What is the definition of immunity? Process in humans that allows innate and acquired resistance to disease
What are the 4 requirements for effective immune system? 1. Recognise infections 2. Defend selectively against noncommensals 3. Limit self damage 4. Speed
What are the two types of immunity? 1. Innate immunity 2. Adaptive immunity
4 steps of infection? 1. Adherence to epithelium 2. Penetration of epithelium (local infection) invasion 3. Infection of local tissues colonisation 4. Adaptive immunity (5 Days)
3 types of innate immunity barriers and examples of each? 1. Mechanical (eg. cilia, tight junctions, air flow) 2. Chemical (fatty acids, low pH, enzymes, salivary enzymes AMP eg. defensins) 3. Microbiological (normal flora)
3 pathways of the complement system? What do they achieve? 1. Classical (antigen:antibody complexes) 2. MB-Lectin pathway (lectin binds to pathogen surface) 3. Alternative Pathway (pathogen surface) Complement activation to recruit/activate serum proteins (Anaphylatoxins C3a, C5a, C3b, and MAC C5-9)
C3a and C5a lead to? Recruitment of inflammatory cells
C3b leads to? Opsonization of pathogens
MAC (C5-9) leads to? Killing of pathogens
4 phagocytic cells and where they're found? Which are the two main ones? 1. Neutrophil (blood) 2. Macrophage (tissue) 3. Monocytes (blood) 4. Dendritic cells (blood and tissue)
What recruits phagocytes to site of phagocytosis? Chemokines and complement
What are two ways phagocytes bind microbes? 1. Pattern recognition (eg. Lipopolysaccharide, nucleic acids, bacterial peptides) 2. Opsonisation
What are the three receptors on phagosomes? 1. Pattern Recognition Receptor 2. C3b Receptor (Opsonisation, for phagocytes to bind to) 3. FcY Receptor (antibody)
Steps of phagocytosis? 1. Phagosome recruited to site of infection via chemokines/complement 2. Binds microbe 3. Phagosome internalises microbe 4. Fusion with lysosome (phagolysosome) 5. Killing of microbe
How are microbes killed by phagolysosomes? Nitrogen oxides, oxygen products
4 General parts of innate immunity? 1. Physical eg. epithelium 2. Humoral eg. antimicrobial peptides, enzymes 3. Recruitment/activation of phagosomes 4. Activate adaptive immunity
What are two antigen presenting cells? 1. Langerhans 2. Dendritic
How do antigen presenting cells induce adaptive immunity? 1. Processing: cells uptake antigen and digest them into peptide fragments 2. Present on MHC molecules in blood/tissues 3. To lymphatics to lymph node to activate T cells
Examples of AMPs in saliva? Defensins, statins, cathelicidin
Internal pathogens/virus's are presented on? They are then presented to? MHC Class I Molecules on APC cells CD8+ T cells (cytotoxic)
External pathogens/bacteria are presented on? They are then presented to? MHC Class II Molecules CD4+ T cells (helper)
Adaptive immunity is specific to ? Mediated by? Vertebrates Lymphocytes
T cells are activated in the .... in the lymph node B cells are activated in the .... in the lymph node 1. Paracortical area 2. Germinal center
CD8+ T cells are ... cells and respond to ... presented on MHC... in response to ... 1. Tc, CD8, MHC I, internal pathogens/virus 2. Th, CD4, MHC II, external pathogens/bacteria
What is the mechanism of Tc killing? CD8+ T cell recognises complex with MHC Class 1 that is presenting antigen and kills cell by preforating cell with perforin and releaseing granzymes
What happens after CD4 T cell activation? 1. Proliferation of naive Th0 cells 2. Diffrentation into effectors due to cytokines
Th1 Cellular or humoral immunity: Effect: To achieve: Cellular Recruitment of CD8+ cytotoxic T cells, Macrophages Pathogen elimination
Th2 Cellular or humoral immunity: Effect: To achieve: Humoral Activates B cell Antibody production, path elimination
Th17 Cellular or humoral immunity: Effect: To achieve: Cellular Recruits neutrophils Bacterial/fungal elimination
Treg Cellular or humoral immunity: Effect: To achieve: Cellular Suppress/modulate IR Prevents autoimmunity
What are the two parts of an antibody (lgG) Fc : constant fragment across all 5 antibodies Fab : Y shaped, specific to bind each antigen
When is the peak of antibody levels in blood after first exposure? 10-20 hours
What do chemokines do? What do cytokines do? 1. chemokines= recruitment 2. cytokines= activation
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