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immunity
immunity and abnormal responses
96
Pathology
Graduate
12/21/2010

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Term
where do all immune cells originate
Definition
bone marrow (flat bones) they mature in the thymus and the bone marrow .
B-cells bone marrow
t-cells thymus
Term
antigen
Definition
foreign substance or component of cell that stimulates immune response
activate the immune system to produce matching antibodies
Term
antibody
Definition
specific protein produced in humoral response to bind with antigen
Term
components of immune system
Definition
lymphatics
spleen
tonsils
intestinal lymph tissue
lymphatic circulation system
Term
mechanisms involved in specific identification and removal of foreign material
Definition
immune cells, lymphocytes and macrophages
Term
thymus
Definition
important in fetal development
place for maturation of T-cells
programs the immune system to ignore self antigens
Term
MHC- major histocompatibility complex
Definition
located on chromosome 6
genes that code antigens-unique combination of genes that make individuals who they are. V
these antigens are used to provide the close match for a tissue transplant.
immune system activated by the presence of cells with different MHC molecules within the body.

membrane proteins on the surface of ALL cells that tell if SELF or NON-SELF.
Term
phagocyte action in immunity
Definition
intercept and engulf foreign material and then process and display the antigens from the foreign material on their cell membranes; the lymphocytes respond to this display, thus initiating the immune response.
also secrete monokines and interleukins that help activate additional lymphocytes in the inflammatory response (secondary immune system)
Term
immunocompetent cells
Definition
mature lymphocytes
cells that have the special function of recognizing and reacting with antigens in the body.
Term
t-cells
Definition
wbc
cell mediated immunity
arise from stem cells
mature in the thymus
effective against virus-infected cells, fungal and protozoal infections, cancer cells and foreign cells (transplants)
Term
cell mediated immunity
Definition
develops when T lymphocytes with protein receptors on the cell surface recognize antigens on the surface of target cells and directly destroy the invading antigens. Then they reproduce creating an army to battle the invader and activate other T and B lymphocytes
Term
categories of T-cells
Definition
CD4- become helper T cells
CD8 - become cytotoxic T cells
regulatory T cells
memory T cells
rare subgroups
Term
humoral immunity
Definition
antibodies produced by plasma cells are specialized to latch onto intact bacteria and soluble foreign molecules in extracellular environments. Free in body secretions and tissue fluid and circulating in blood and lymph. Antibodies never invade solid tissues unless a lesion is present.

race between antibody production and pathogen multiplication determines whether or not you become sick.

REMEMBER: FORMING ANTIBODY-ANTIGEN COMPLEX DOES NOT DESTROY ANTIGENS. IT PREPARES THEM FOR DESTRUCTION BY INNATE DEFENSES.
Term
response of T-cells
Definition
cant see either free antigens or antigens that are in their natural state.
can recognize and respond only to PROCESSED fragments of protein antigens displayed on surfaces of body cells.

target body cells infected by viruses or bacteria; cancerous cells and cells infused or transplanted foreign material

must recognize "self" and "nonself"
Term
cytotoxic CD8 action
Definition
t cell
destroy the target cell by binding to the antigen and releaseing damaging enzymes or chemicals such as monokines and lymphokines, which may destroy foreign cell membranes or cause an inflammatory response, attract macrophages to the site, stimulate proliferation of more lymphocytes and stimulate hematopoiesis.
Term
helper CD4 cells
Definition
t cell that facilitate the immune response.
regulate all the cells in the immune system; the b and t cells, lymphocytes, macrophages and NK cells by secreting the " messenger" cytokines.

HIV destroys these cells
ratio of 2:1 to cd8 cytotoxic cells
Term
B cells
Definition
humoral immunity
produce antibodies or immunoglobulins
mature in the bone marrow
proceed to spleen and lymph tissue
act against bacteria and viruses that are outside body cells.
after exposure to antigen with help from t cells become antibody producing plasma cells.
Term
natural killer cells
Definition
lymphocytes
destroy without prior exposure
no memory
against virus infected or canerous cells
Term
5 classes of immunoglobulins (antibodies)
Definition
IgG
IgM
IgA
IgE
IgD
Term
complement
Definition
inactive proteins C1 to C9 circulating in the blood
lyses microorganisms
enhances phagocytosis by opsonization
intensifies inflammatory and immune responses
when activated, stimulates release of other chemical mediators
promotes inflammation, chemotaxis and phagocytosis
a chemical mediator
Term
IgG
Definition
most common antibody in blood
main antibody primary and secondary immune respones
activates complement
antibacterial
antiviral
antitoxin
crosses placenta and creates passive immunity to newborn
readily fixes to complement
Term
IgM antibody
Definition
bound to B lymphocytes in circulation and serves as an antigen receptor
first to increase in the immune response(presence in plasma usually indicates current infection by the pathogen eliciting IgMs formation)
activates complement
forms natural antibodies
involved in ABO blood typing reaction
potent agglutinating agent
readily fixes and activates complement
Term
IgA antibody
Definition
Found in secretions -tears, saliva, mucous membranes
found in colostrum for protection of newborn
prevents attachment of pathogens to epithelial cell surfaces (including mucous membranes and the epidermis)
Term
IgE antibody
Definition
Binds to mast cells in skin and mucous membranes
when linked to allergen causes release of histamine and other chemicals resulting in inflammation
secreted by plasma cellsin skin, mucosae of gastrointestinal and respiratory tracts and tonsils.
stem region becomes bound to mast cells and basophils
when its receptor ends are triggered by an antigen it causes the cells to release the chemicals

LEVELS RISE DURING ALLERGIC ATTACKSOR CHRONIC PARASITIC ENFECTIONS OF THE GASTRO TRACK
Term
IgD antibody
Definition
attached to B cells
activates B cells
acts as antigen receptor of the B cell
Term
histamine
Definition
released from mast cells and basophils
allergic reactions
causes vasodilation and increased vascular permeability or edema
contraction of bronchiolar smooth muscle and pruritus
chemical mediator
Term
kinins
Definition
cause vasodilation
increased permeability (edema)
pain
chemical mediator
Term
prostaglandins
Definition
group of lipids
some cause inflammation
some cause vasodilation
some increased permeability and pain
chemical mediator
Term
leukotrienes
Definition
group of lipids
derived from mast cells and basophils
cause contraction of bronchiolar smooth muscle and have role in development of inflammation
chemical mediator
Term
cytokines
Definition
messengers
includes: lymphokines, monokines, interferons, interleukins
produced by macrophages, activated by t lymphocytes
stimulate activation and proliferation of B and T cells
communication between cells
involved in inflammation, fever and leukocytosis
chemical mediator
Term
Tumor
Definition
Term
Tumor Necrosis Factor
(TNF)
Definition
cytokine active in inflammatory and immune responses
stimulateds fever, chemotaxis
mediator of tissue wasting
stimulates T-cells
mediator in septic shock (decreasing BP)
stimulates necrosis in some tumors
chemical mediator
Term
hypogammaglobulinemia
Definition
abnormally low serum albumin levels
x-linked
low antibody levels because of a be cell defect
primary deficiency (immunodeficiency)
Term
chemotactic factors
Definition
attract phagocytes to area of inflammation
chemical mediator
Term
titer
Definition
measure of specific antibody
Term
natural immunity
Definition
species specific immunity
Term
innate immunity
Definition
gene specific immunity evident across ethnic groups
Term
2 steps to immune response
Definition
primary
secondary
Term
primary response immunity
Definition
when a person is first exposed to an antigen.
antigen is recognized and processed and subsequent development of antibodies or sensitized T-lymphocytes initiated 1-2 weeks
Term
secondary response
Definition
repeat exposure to the same antigen
much more rapid and results in higher antibody levels than the primary response
Term
mutate
Definition
change of the original
Term
4 ways to acquire immunity
Definition
active natural immunity
active artificial immunity
passive natural immunity
passive artificial immunity
Term
active immunity
Definition
person's own body develops antibodies or T-cells in response to a specific antigen introduced into the body.
Takes a few weeks but lasts for years because of memory B and T cells
Term
Passive immunity
Definition
occurs when antibodies are transferred from one person to another.
Effective immediately but only temporary protection because there is no memory
temporary
Term
active natural immunity
Definition
direct exposure to antigen and develop antibodies
memory occurs
Term
artificial active immunity
Definition
specific antigen is purposefully introduced into the body, stimulating the production of antibodies.
vaccine
memory occurs
Term
passive natural immunity
Definition
IgG is transferred from mother to fetus across the placenta
breast milk too
protect infant for the first few months of life
Term
passive artificial immunity
Definition
injection of antibodies from a person or animal into a second person
EX: rabies antiserum, snake antivenom
Term
allograft
Definition
tissue transferred between members of the same species but differ genetically-e.g., one human to another human
Term
isograft
Definition
tissue transferred between two genetically identical bodies, e.g., identical twins
Term
autograft
Definition
tissue transferred from one part of the body to another part on the same individual-e.g., skin or bone
Term
xenograft
(heterograft)
Definition
tissue transferred from a member of one species to a different species-e.g, pig to human
Term
host vs. graft disease
Definition
host's immune system rejects the graft
Term
graft vs. host disease
Definition
graft tissue contains T cells that attack the host cells
Ex: bone marrow transplants
Term
hyperacute rejection
Definition
occurs immediately after transplant as circulation is re-established
Term
acute rejection
Definition
develops after several weeks when unmatched antigens cause a reaction
Term
chronic rejection
Definition
late rejection after months or years, with gradual degeneration of the blood vessels
Term
opportunistic
Definition
a microorganism, normally nonpathogenic, that causes infectious disease when the person's resistance is reduced,microbial balance is upset or the microbe is transferred to another part of the body
Term
immunosuppressive therapy
Definition
used to suppress the immune system like in the case of a transplant. It raises the risk for infection caused usually by opportunistic microorganisms.
Term
Type I hypersensitivity or allergic reaction
Definition
IgE bound to mast cells
release of histamine and chemical mediators
immediate inflammation and pruritus

EX: hay fever, anaphylaxis, peanut
Term
Type II hypersensitivity
Definition
Term
anaphylaxis
Definition
severe, acute reaction.
Type I sensitivity
life-threatening ,systemic hypersensitivity
decreased blood pressure
airway obstruction
severe hypoxia
Term
atopic hypersensitivity
Definition
genetic predisposition toward development of a hypersensitivity
Term
mast cells
Definition
connective tissue cells that are present in large numbers in the mucosa of the respiratory and digestive tracts
Term
vesicles
Definition
small thin walled sac containing fluid EX: blister
Term
pruritic
Definition
itchy
Term
actions involved in type I allergic reactions
anaphylaxis
Definition
mast cells release chemical mediators
general or systemic vasodilation occurs with sever decrease in blood pressure
edema of lung mucosa and constriction of bronchi and bronchioles

lack of O2 with both respiratory and circulatory impairment can cause loss of consciousness
Term
HLA
Definition
are inherited & can predispose or increase susceptibility to certain diseases.


Such as diseases that affect the joints, endocrine glands & skin such as RA, Graves disease, & psoriasis.
Term
factors affecting immune response
Definition
1. Amount of antigen introduced
2. Site of introduction
Ex-skin gives a local response
3. Type of antigen introduced
Some are deadly, some are not
4. Host
Are you able to respond to NON self? How immunosuppressed you are?
Term
types of leukocytes
Definition
Neutrophils (granulocyte)
Eosinophils (granulocyte)
Basophils (granulocyte)

Monocytes
Lymphocytes
Term
neutrophils
Definition
Aka polymorphonuclear cells (PMN)
Derived from bone marrow
Increase in response to infection & inflammation
May damage host tissues during destruction

Dead PMN’s =‘s pus
Term
two principle phagocytes
Definition
1. Neutrophils
2. Monocytes

After neutrophils kill the invading organism, macrophages clear up the debris.
Both neutrophils & macrophages have receptors for antibodies & complement so coating of bugs occurs. Ex-PB & J
Term
T cells
Definition
These T lymphocytes or HELPER lymphocytes carry microscopic markers located on their surface that identifies them specifically.
T2
T3
T5
T7
T4 are the helper cells
T8 are cytotoxic T cells
Helper T cells turn on Killer cells & B cells
Killer T cells kill non self by insertion of a protein channel
Suppresor T cells limit immune response
Memory T cells are activated during initial exposure, can be activated quickly w/re-exposure.
Term
S&S of anaphylactic shock
Definition
generalized itching or tingling
coughing and difficulaty in breathing
feelings of weakness
dizziness
sense of fear and panic
edema may be observed around eyes,lips,tongue,hands and feel
hives or urticaria
general collapse
Term
erythema
Definition
redness
Term
Type II cytotoxic hypersensitivity
Definition
ABO blood incompatibility
IgG or IgM reacts with antigen on cell-compliment activated
cell lysis and phagocytosis
Term
Type III Immune Complex Hypersensitivity
Definition
autoimmune disorders; SLE, glomerulonephritis RA
antigen-antibody complex deposits in tissue-compliment activated
inflammation, vasculitis
Term
serum sickness
Definition
systemic reaction that occurs when immune complex deposits occur in many tissues

with reduced use of animal serum for pasive immunization, serum sickness is less common today
Term
immune complex
Definition
antigen and antibody form a complex and is then deposited in tissue
Term
arthus reaction
Definition
localized inflammatory and tissue necrosis that results when an immune complex lodges in the blood vessel wall causing vasculitis.
EX: farmer's lung;reaction to molds inhaled when and individual handles moldy hay
Term
Typ IV : cell-mediated or delayed hypersensitivity
Definition
contact dermatitis, transplant rejection
antigen binds to T-lymphocyte; sensitized lymphocyte releases lymphokines
delayed inflammation

sensitized T-lymphocytes release chemical mediators that cause an inflammatory response and destruction of the antigen.

TB test
organ transplant rejection
Term
latex sensitivity
Definition
can be serious type I or type iv which manifests within 48-96 hours
Term
autoantibodies
Definition
antibodies formed against self antigens
Term
systemic lupus erythematosus (SLE)
Definition
chronic inflammatory disease
erythematosus- red rash of the face, nose, cheeks
lupus(wolf)
affects mostly women and manifests between 20 and 40 years old; higher in african americans, asians, hispanics and native americans
Term
diagnosis of lupus
Definition
presence of multiple systems (4 min.) and lab data showing the presence of autoantibodies.

large numbers of autoantibodies circulating against DNA, platelets, erythrocytes, various nucleic acids and other nuclear materials.

erythrocyte sedimentation rate is high (ESR)
Term
primary deficiency
(immunodeficiency)
Definition
involve a basic developmental failure somewhere in the system, the thymus, or synthesis of antibodies.
EX: bone marrow's production of stem cells)
Term
secondary immunodeficiency
Definition
(or acquired immunodeficiency) refers to the loss of the immune response resulting from specific causes and may occur at any time during the lifespan.
EX: infection (viral especially)
splenectomy
malnutrition
liver disease
use of immunosuppressive drugs
HIV-AIDS
Term
hypoproteinemia
Definition
low serum protein level
Term
prophylactic antimicrobial
Definition
preventative antibiotics administered to anyone with immunodeficient states before undertaking an invasive procedure that carries an increased risk of organisms entering the body.
Term
immunodeficiency disorders
Definition
b-cell (humoral) hypogammaglobulinemia (congenital)
t-cell ( cell-mediated) thymic aplasia
Di George's syndrome AIDS; temporary with some viruses
B and T cell inherited combined immunodeficiency syndromes (CIDS)
Phagocytes inherited chronic granulomatous diseases (CGDs)
Complement Inherited deficit of one or more systems
Term
HIV
Definition
attacks helper T cells(CD4) and macrophages and initially invades and multiplies in lymphoid tissue, the lymph nodes, tonsils and spleen, using these tissues as a reservoir for continued infection,
considered chronic disease
HIV-1 and HIV-2 (chimp to human)
retrovirus which contains RNA
highest incidence in women and children
Term
signs include:
pneumocystis carinii, pneumonia, cancer such as Kaposi's sarcoma
Definition
could indicate HIV
signs are not clarified but immunodeficiency shows one way or another eventually
Term
encephalopathy
Definition
impaired function of the brain
Term
karposi's sarcoma
Definition
affects the skin, mucous membranes and internal organs. skin lesions appear purple or brown are non-pruritic, painless patches that eventually become nodular.
A classic incidence with AIDS
much more common in men
Term
pneumocystis carinii
Definition
fungus is a common cause of severe pheumonia
Common in those with AIDS
children with AIDS exhibit this
Term
myalgia
Definition
muscle pain
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