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Pathophysiology
Chapter 7: Adaptive Immunity
39
Nursing
Undergraduate 3
09/04/2011

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Cards

Term

 

Adaptive (Aquired) Immunity

Definition

Third line of defense. After inflammation has been activated.

Slow acting, specific, long-living

Term

 

Antigens

Definition
A spectrum of substances that the immune system recognizes as foreign or "non-self"
Term

 

helper T-cells

Definition

 

Facilitate immune response

Term

 

Humoral Immunity

 

 

Definition

 

Arm of the immune response in which antibody circulates in the blood and binds to antigens on infectious agents. Primarily responsible for immunity against bacteria and viruses.

Term

 

Cellular Immunity

Definition

The arm of the immune system that develops cytotoxic

t-cells that kill targets directly.

Term

 

Memory cells

Definition
Long lived cells that are capable of "remembering" the antigen and responding more efficiently on subsequent exposure to the same antigen.
Term

 

Active Acquired Immunity

Definition
Produced by an individual after either natural exposure to an antigen or after immunization.
Term

 

Passive Acquired Immunity

Definition

Occurs when preformed antibodies are transferred from a donor to a recipient.

(i.e. passage of maternal antibodies across placenta)

Term

 

Hapten

Definition
Antigens that are too small to be immunogens by themselves but become imunogenic in combination with larger molecules that function as carriers.
Term

 

Allergen

Definition

 

An antigen that elicits an alergic response.

Term

 

Antibody/immunoglobin

Definition
A serum glycoprotein produced in plasma cells in response to a challenge by an immunogen.
Term

 

IgG

Definition
Most abundant class of immunoglobins - 80-85% circulating in body. Account for most of the protective activity against infection, major antibody found in the blood of fetus and newborn.
Term

 

IgA

Definition

 

Found predominantly in the blood and in normal body secretions.

Term

 

IgM

Definition

 

Largest of the immunoglobins. It is the first antibody produced during initial or primary response to antigen. Synthesized early in neonatal life, and its synthesis may be increased in response to infection in utero.

Term

 

IgD

Definition

 

Information is limited. It is found in low concentrations in the blood, but they do not have a known function.

Term

 

IgE

Definition
Least concentrated of any of the immunoglobins circulating in the blood. It has a very specialized function as a mediator of many allergic responses and in defense against parasitic infections.
Term

 

MHC

Definition
Major histocompatibility complex. Essential set of recognition molecules.
Term

 

HLA

Definition
Human Leukocyte Antigen. Donor tissue must match host for transplanted tissue to be accepted. The more closely they match, the better the rate of acceptance.
Term

 

Primary Lymphoid Organs

Definition

 

Thymus and Bone Marrow

Term

 

Secondary Lymphoid Organs

Definition

 

spleen, lymph nodes, adenoids, tonsils, Peyer patches (intestines) and appendix.

Term

 

Antigen processing

Definition

 

The process by which exogenous and endogenous antigens are linked to appropriate MHC molecules.

Term

 

Primary immune response

Definition

 

IgM produced first, followed by IgG against same antigen. If no further exposure to the antigen occurs the circulating antibody is catabolized and measurable quantities fall. Immune system has been primed.

Term

 

Secondary Immune Response

Definition
A second challenge by a known antigen occurs. Rapid production of a larger amount of antibody occurs due to the presence of memory cells that do not require differentiation.
Term

 

Superantigens (SAGs)

Definition
Bacterial toxins such as those produced by Staph. aureus and Streptococcus pyogenes. Result in the overproduction of cytokines that result in symptoms of a systemic inflammatory response. May cause fever, low blood pressure and potentially fatal shock.
Term

 

Neutralization

Definition

 

Inactivating or Blocking the binding of an antigen to a receptor.

Term

 

Agglutination

Definition

 

Clumping of insoluble particles that are in suspension.

Term

 

Precipitation

Definition

 

Making a soluble antigen into an insoluble precipitate.

Term

 

Attenuated Virus

Definition

 

Weakened virus used in vaccines to induce neutralizing antibody production at the site of a typical viral entrance to the body

Term

 

Antibody Titer

Definition

 

Level of circulating antibodies in the blood.

Term

 

Infliximab (Remicade)

Definition
Recombinant chimeric antibody directed at tumor necrosis factor. Used in the treatment of inflammatory bowel diseases such as Chron disease and autoimmune diseases like RA.
Term

 

Rituximab (Rituxin)

Definition

Recombinant antibody that recognizes a glycoprotein on the surface of B lymphocytes(CD20). Administration results in antibldy binding to CD20 and subsequent immunoglobin and complement mediated killing of CD20 B cells. Used for treatment of Non-Hodgkin Lymphoma.

 

Term

 

Opsonins

Definition
Antibody that binds to a receptor on a pathogen making it more susceptible to phagocytosis.
Term

 

Opsonization

Definition
Necessary for efficient bacterial clearance because many bacteria have an outer capsule that deters recognition by phagocytes unless it is coated with antibody.
Term

 

Secretory Immune System

Definition

 

A distinct set of lymphoid tissues  located at the external surfaces of the body.

Term

 

Systemic Immune System

Definition

 

Immune response that protects the entire body.

Term

 

Secretory Immunoglobins

Definition
Immunoglobins that are secreted in lacrimal and salivary glands, lymphoid tissues of the breast, bronchi, intestines and genitourinary tract. Act locally rather that systemically.
Term

 

Cytotoxic T-Lymphocytes

Definition
Responsible for the cell mediated destruction of tumor cells, or cells infected by viruses.
Term
Fetal/Neonatal Immune Function
Definition
In the last trimester fetus is capable of producing IgM to antigenic challenge. To protect child in early months a system of active transport facilitates the passage of maternal antibodies into fetal circulation. When umbilical cord is severed maternal antibodies begin to be catabolized.
Term

 

Aging and Immune Function

Definition
Immune function decreases in old age as a result of changes in lymphocyte function anda decrease in lymphocyte population.
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