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Med Micro Exam I
Exam I
67
Biology
Undergraduate 4
02/18/2008

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Cards

Term
What 3 things does the immune system primarily protect against?
Definition

1. pathogens

2. toxins

3. cancer

Term
what are 3 examples of immune system failure?
Definition

1. hypersensitivity

2. failure to recogniz an Ag

3. autoimmunity

Term
what type of portal of entry is a needle or a catheter?
Definition
parenteral route
Term
what are the 3 parts of non specific immunity?
Definition

1. anatomical barriers

2. physiological barriers

3. phagocytic cells

Term
what are the anatomical barriers
Definition

skin

mucous membranes

Term
how do mucous membranes act as a defense against microbes
Definition

1) wash away cells (often ciliated)

2) high in glycoplipds

Term
how do glycolipids in the mucous membrane act to combat microbes
Definition
microbes bind to these proteins, can't get away.  as a result they get high exposure to cell's secretions and can't enter the cell.
Term
what are 3 physiological barriers
Definition

1. temperature

2. pH

3. chemicals

Term
whay mo has evolved to tolerate low pH of stomach acid
Definition
Helicobacter pylori
Term
what is lysozyme?
Definition
anti microbila chemical in tears
Term
what are 3 phagocytic cells
Definition

PMN

monocytes

macrophage

Term
what is endocytosis
Definition
when cell internalizes, destroys, and digests foreign cell
Term
what cells are the 'first responders' to infection
Definition
PMN
Term
what does PMN stand for
Definition
Poly Morpho Nuclear
Term
what is one of the reasons there is fatigue during an inection
Definition
body using energy to make PMN cells
Term
what are 2 morphological characteristics of PMN cells
Definition

multi lobed nucleus

granules in cytoplasm

Term
how do PMN cells travel in the body
Definition

from bone marrow to

circulatory system to

tissues

Term
where are PMN cells active agains Antigens? where NOT active?
Definition

active in tissues,

not in circ system

Term
how do PMN cells get from circ system to tissues
Definition
Diapedisis/Extravasation
Term

how does diapedesis occur

Definition
adhesive mechanisms between capillary wall cells relax, allowing blood to flow into tissue
Term
how are PMN cells directed where to go?
Definition
chemotaxis - attracted to released intercellular components of dying cells
Term
what are 3 examples of molecules involved in PMN digestion
Definition

enzymes

defensins

lactoferrin

Term
what are defensins
Definition
proteins that destroy foreign cells
Term

how does lactoferrin defend against microbes

Definition
chelates iron, makes it unavailable to microbes
Term
what are 2 microbes capable of avoiding intercellular digestion? how?
Definition

Mycobacterium tuberculosis - has mucolic acid cell wall, blocks proteases

Listeria monocytogenes - attaches to cytoskeleton, cell won't attack its own cytoskeleton

Term
what are monocytes? how are they distinguished?
Definition

phagocytic cells that develop into macrophages

have bilobate nucleus and no granules

Term
what are the 2 general types of macrophages
Definition
fixed and wandering
Term
where would you find fixed macrophages
Definition
spleen, lymph nodes, liver, kidney, brains, lungs
Term
how do PMN cells and monocytes differ
Definition

PMN get their first, leave first

macrophages stay much longer, invovled in secondary exposures

 

Term
what is required for phagocytosis?  what are the 2 responses?
Definition

contact required

phagosome formed

metabolism increased

Term
what is a phagosome
Definition
Term

why is there an increase in metabolism after phagocytosis

Definition

increases NADPH

oxidized by NADPH oxidase

creates superoxide and hydrogen peroxide

Term
what are the 4 parts of the inflammatory response
Definition

1. Redness

2. Swelling

3. Pain

4. Heat

Term
what is pus
Definition

dead PMN cells

dead bacteria

remnants of digested cells

fluid

Term
what are the three primary lymphoid organs? what do they do?
Definition

1. Thymyus (T cell maturation)

2. Bone marrow (B cell development)

3. Bursa of Fabricius

 

These are the sites where differentiation of B cells and T cells occurs.  Where these cells develop their specificity

Term
what do B cells do?
Definition
produce antibodies agains soluble antigens
Term
what are the secondary lymphoid organs
Definition

Peyers patch

Appendix

Tonsils

Follicles on membranes

Lymph nodes

Spleen

Term
what are MALTs?  which organs?
Definition

Membrane associated lymphoid tissues

Peyers patches

Appendix

Tonsils

Follicles on membranes

Term
what do lymph nodes do
Definition
act as filters, contain high levels of WBC, trap foreign particles
Term
what is the lymphatic system?  what does it do?
Definition

interconnected vessels, organs, nodes, vessels, tissues, etc. that link organs and transport lymph fluid

1. removal of excess lymph fluid

2. absorption of fatty acids, transportation of fat to circ sys

3. production of immune cells

Term
what two structure involved in the draining of lymph fluid
Definition

thoracic duct

subclavian vein

Term
what is the C region
Definition
constant region - same genetically for all Igs of the same class but differ between classes.
Term
what is the V region
Definition
variable region, diff between diff B.cells. controlled by variable expression of genes
Term
what 2 regions divided at the hinge region?
Definition
Fc region and Fab region
Term
which Ig most prevalent in serum
Definition

IgG

Term
which is the secretory Ig
Definition
IgA
Term
which Ig invovled in hypersensitivity reactions
Definition
IgE
Term
which Igs can cross placenta
Definition

IgG

IgM

Term
which Ig can exist as pentamer
Definition
IgM
Term
which Igs activate complement
Definition

IgG

IgM

Term
which Igs bind to Fc receptors
Definition

IgG

IgD

IgE

Term

what Ig is the first to respond?

which second?

Definition

first - IgM

second - IgG

Term
which Ig neutralizes toxins
Definition
IgG
Term
what is the minimum antigen size
Definition
10,000 daltons
Term
what happens when antigens bind to B cells
Definition

antibody production

memory response

Term
what happens when antigen attaches to T cell
Definition

effector T cells activated

get memory T cells

Term
what is an epitope
Definition
specific antibody binding site on and antigen
Term
how do adjuvants increase immunogenicity of an antigen
Definition

1. can bind to many Ags at once and place them at appropriate dist. for Ab sites

2. can change solubility of Ag to increase its persistence

Term
what is a mitogen
Definition
Ag that causes B or T cells to divide at inappropriate rate. 'super antigen'
Term
where are MHC genes found in humans
Definition
HLA region of csome 6
Term
which MHC found on surface of almost every nucleated cell
Definition
MHC class I
Term
what MHC associated with Ag presenting cells
Definition
MHC class II
Term
which MHC is not attached to cells, is a soluble protein
Definition
MHC class III
Term
what are 3 examples of MHC class III proteins
Definition

1. serum proteins

2. complement factors

3. tumor necrosis factor

Term
what cells don't have MHC
Definition

sperm

placenta

neurons

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