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Chapter 19
Disorders associated with the immune system
69
Biology
Undergraduate 3
07/03/2008

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Term

Response that occurs in individuals who have been sensitized by previous exposure to an antigen which is sometimes called allergen

Definition
hypersensitivity
Term
Allergic reaction that oftern occurs in 2 to 30 minutes after a person sensitized to an antigen is reexposed to that antigen
Definition
Type I anaphylactic reaction
Term
An exclusive term for the reactions caused when certain antigens combine with IgE antibodies.
Definition
anaphylaxis
Term
  • Involve IgE
  • Localized: hives or asthma
  • Systemic: shock from ingestion or injection
Definition

Type I anaphylactic reaction

Term
What ways can you tell if a person has a Type I anaphylactic reaction to certain foods or things?
Definition

Skin testing

Term

A procedure that consist of series of gradually increasing dosages of the antigen injected beneath the skin

Definition
desensitization
Term
Desensitization is done in the hopes that what occurs?
Definition
The the body produces IgG instead of IgE
Term
  • Allergic reaction that involves IgG and IgM antibodies and complement.
  • Complement activation causes cell lysis or damage by macrophages
  • occurs in 5 - 12 hours
Definition
Type II anaphylactic reaction
Term
Who discovered that human blood could be grouped into 4 principal types and what is this method of classification called?
Definition
  • Karl Landsteiner
  • ABO blood group system
Term

What determines the positive or Negative in our blood?

Definition
the RH factor
Term
What is hemolytic disease of the newborn?
Definition
When a father is positive and the mother is negative and the baby is positive. The mother's immune system attacks the baby with antibodies because it recognizes the baby as a foreign object.
Term
What does drug-induced thrombocytopenic purpura do?
Definition

The body recognizes the plateles as something foreign and kills them

Term
  • Alleric Reaction where IgG antibodiesw and antigens form complexes that lodge in basememnt membranes
  • It gets damage
Definition

Type III (immune complex) reaction

Term
  • Allergic reaction where there is a delayed type hypersensitivities due to TD cells
  • Cytokinese attract macrophages and initiate tissue damage
Definition
Type IV (Cell-mediated) reactions
Term

What are autoimmune diseases?

Definition
Is loss of self tolerance such as aids.
Term
How many type of Autoimmune diseases are there?
Definition
4 types
Term

autoimmune disease type I

Definition
Due to antibodies against pathogens
Term
Autoimmune disease Type II
Definition
Antibodies react with cell-surface antigens
Term
Autoimmune Type III (immune complex)
Definition
- involes IgM, IgG, complement immune complexes deposit in tissues
Term
Autoimmune disease Type IV
Definition
Mediated by T cells
Term
What are histocompatibility antigens?
Definition

Self antigens on cell surfaces

Term
What is a major histocompatibility complex (MHC)?
Definition
Genes encoding histocompatibility antigens
Term

What is human leukocyte antigen (HLA) complex?

Definition
MHC genes in humans
Term
What is HLA typing?
Definition
  • Anti-HLA antibodies attach to HLAs on lymphocytes
  • Complement and blue dye is added
  • Cells damaged by complement take up dye
Term
What may be the reactions to transplantation?
Definition

Transplants not recognized as self are rejected - attacked by T cells, macrophages and complements-fixing antibodies

Term

How can transplantation not be rejected?

Definition
By stem cells who allow therapeutic cloning to avoid rejection
Term
Use of one's own tissue
Definition
Autograft
Term
Use of identical twin's tissue
Definition
isograft
Term

use of tissue from another person

Definition
Allograft
Term

use of nonhuman tissue

Definition
xenotransplantation
Term
How does graft-versus- host disease occur?
Definition
As a result from transplanted bone marrow that contains immunocompetent cells
Term
These cells contain tumor-specific antigens
Definition
Cancer cells
Term
These cells recognize and lyse cancer cells
Definition
tC Cells
Term
treatment of cancer using immunological methods
Definition
immunotherapy
Term

Necrosis factor

IL-2

interferons

 can do what to cancer cells?

Definition

They could kill cancer cells

Term
Links poisons with a monoclonal antibody directed at a tumor antigen
Definition
immunotoxins
Term
True or false? Vaccines can contain tumor-specific antigens
Definition
true
Term
An immune deficiency that is due to defective or missing genes
Definition
congenital
Term
Immune deficiency that develop during an individual's life, due to drugs, cancers, and infections. Such as HIV infections
Definition
Acquired immunodeficiency
Term
What is an artificial acquired immune deficiency?
Definition
immunosuppression drugs
Term
What is a naturally acquired immune deficiency?
Definition
HIV infections
Term
In 1981, a cluster of cases in Los angeles appeared where young homosexual men had a loss of immune function. What were the 2 diseases found in them?
Definition
  •  Pneumocystis
  • Kapo's sarcoma
Term
Discovery of virus causing loss of immune function
Definition
acquired immunodeficiency syndrom (AIDS)
Term

What type of DNA does the AIDS virus have?

Definition
An RNA strand
Term
What is so special about the RNA strand in AIDS virus?
Definition
It has the ability to transcribe itself back to DNA - Reverse transcription enzyme
Term

What is the origin of Aids?

Definition
  • Cross the species barrier into humans in Africas
  • The oldest case was a man who died in the congo (1959)
  • Spread in africa as a result of urbanization
  • Spread worldwide through modern transportation and unsafe sex
Term
Does HIV have a reverse transcriptase enzyme?
Definition
Yes
Term
HOw does HIV effect T cells?
Definition
The spikes of the virus enable it to attachto the CD4 receptor on the T cell
Term

How does the HIV infect?

Definition
  • Attaches to CD4 receptor of T cell
  • The HIV capsid enters the cell by fusion, leavin its envelop behind
  • The viral DNA is intergrated into cellular DNA and forms provirus
  • PRovirus is activated to allow it to make new viruses
Term

What occurs during latent infection of HIV?

Definition
  • HIV can persist either as a provirus or as a complete virion in vacuoles
Term
What are the stages of HIV infection?
Definition
  • Category A - Swollen lymph nodes
  • Category B - constant bad yeast infection
  • Category C - clinical AIDS
Term

What are some diagnostic methods?

Definition
  • seroconversion - takes 3 months
  • ELISA test - detects HIV antibodies
  • Western Blotting - detects HIV antigens
  • PCR or Nucleic acid - Plasma viral load
Term
What is the significance of T cells if HIV is present?
Definition
If HIV is present, there is a high level of T cells in the body
Term
How many hours can HIV survive outside a cell?
Definition
up to 6 hours
Term
How long can HIV survive in a cell?
Definition
less than 1.5 days in a cell
Term

What type of body fluids can transmit HIV from a health yperson from an infected person?

Definition
  • Sexual contact
  • breast milk
  • transplacental infection of fetus
  • blood contaminated needles
  • organ transplants
  • blood transfusion
  • artificial insemination
Term
What is the largest mode of HIV transmission?
Definition

homosexual contact being 30%

Term
What is the least mode of HIV transmission?
Definition
male-male contact (heterosexual)
Term
Injecting drug use and male to male sexual conduct
Definition
America, canada, western europe, australia, North Africa, South America
Term
Heterosexual contact
Definition
Sub-saharan africa
Term
Injecting drug use and heterosexual contact?
Definition
eastern europe, middle east, asia
Term
What is the most common HIV and how many Clades does it have?
Definition
HIV 1 with 11 clades
Term
Where is HIV 2 mostly seen?
Definition
In western Africa
Term
What are ways of preventing aids?
Definition
  • Use condoms
  • Sterile needles
  • Health care workers use universal precautions
Term

What is the risk of infection from an infected needlestick injury?

Definition

0.3%

Term
What are Clades in virus terms?
Definition
The different version of the virus
Term

Why is it difficult to make a vaccine for HIV?

Definition
  • Mutation
  • Clades - diff. versions
  • Antibody-binding sites are "hidden"
  • Proviruses - viral dna inbeds itself in cell DNA
  • Latent viruses - some stay dorman for years
Term
What can chemotherapy do for HIV?
Definition
  • Nucleotide reverse transcriptase inhibitor
  • non-nucleotide reverse transcriptase inhibitor
  • protease inhibitors - needed for viruses to grow
  • fusion inhibitors - needed for viruses to grow
Term
Why is it effective to use a combination of nucleoside reverse transcriptase inhibitors plus non nucleotide reverse transcriptase inhibitors, and protease inhibitor
Definition

A combinations of therapy keeps the virus from getting active.

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