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HPA 310 Immunity
HPA 310, Fall 2011, Chapter 17, Dr. Dansky, Penn State University
86
Health Care
Undergraduate 3
10/31/2011

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Term
Types of Chemical and Mechanical Barriers
Definition
Skin, Mucous Membranes, Body secretions, Reflexes
Term
Skin
as a barrier
Definition
as long as it remains intact. Burn victims are susceptible to infection because the integrity of the skin is compromised
Term
Mucous Membrane
as a barrier
Definition
-Lines passageways into the body
-traps foreign material with sticky secretions
-cilia in upper respiratory sweep impurities up/out
Term
Body Secretions
as a barrier
(examples and uses)
Definition
-example: tears, perspiration, saliva
-wash away microorganisms
-might contain acid, enzyme, or chemicals to destroy invaders
-digestive juices destroy bacteria
Term
Reflexes
as a barrier
(examples and uses)
Definition
-sneezing, coughing, vomiting, diarrhea
-removal of pathogens
-removes foreign matter
Term
Phagocytosis
Definition
WBC's take in and destroy waste/foreign matter
Term
Natural killer cell's locations
Definition
lymph nodes, spleen, bone marrow, blood
Term
Natural killer cell functions
Definition
recognizes body cells with abnormal membranes
Term
How Natural killer cell works
Definition
secretes protein into abnormal cell that breaks down cell membrane
Term
Inflammation/infection suffix
Definition
-itis
Term
inflammation/infection symptoms
Definition
heat, redness, swelling, pain
Term
inflammation releases ___________
Definition
histamine
Term
Histamine
Definition
-substance that cause the small blood vessels to dilate (widen)
-also releases substances that bring WBC's to the location.
Term
inflammatory exudate is produced by...
Definition
leukocytes and plasma
Term
inflammatory exudate's effect on infection site
Definition
contributes to swelling, puts pressure on nerves, causes pain in location
Term
phagocytosis' by-product
Definition
pus
Term
pus contents
Definition
exudate, living and dead WBCs, pathogens, destroyed tissue cells
Term
During infections
why do lymph nodes
enlarge and become tender?
Definition
-overproduction of phagocytic WBCs
-Fluid from area is filtered
through lymph nodes
Term
What causes fever?
Definition
phagocytes release substances that raises body temperature
Term
What is the effect of raising body temp?
Definition
-stimulates phagocytes
-increases metabolism
-decreases some organisms'
ability to multiply
Term
Interferon (IFN)
Definition
-interfered with multiplication
and spread of virus
-group of substances that prevent nearby cells from producing more virus'
Term
IFN categories
Definition
-Alpha, beta, gamma- indicate category
-followed with # or letter
-example: B2a
Term
Interferon
Uses
Definition
-can be genetically engineered
in microorganisms
-used to treat viral infections (Hep)
-IFNs can boost immune response in treatment of melanoma, leukemia, and Kaposi
Term
Immunity
Definition
Definition
ability to overcome a specific disease agent or foreign material
Term
Innate
Definition
Definition
inborn, inherited in genes
Term
Adaptive
Definition
Definition
Develops after birth
Term
Natural Active adaptive immunity,
How to develop
Definition
contact with disease
Term
Natural passive adaptive immunity,
How to develop
Definition
placenta or mother's milk
Term
Artificial Active adaptive immunity,
how to develop
Definition
Vaccine
Term
Artificial Passive adaptive immunity,
how to develop
Definition
immune serum
Term
Antigen
Definition
Definition
foreign substance that enters the body
Term
What do antigens do?
Definition
stimulate certain lymphocytes
Term
Where are T cells produced?
Definition
Begin as stem cells in bone marrow, migrate to Thymus (T=thymus)
Term
T cells capabilities
Definition
-combine with specific foreign antigens (sensitized)
Term
% of lymphocytes
that are T cells
Definition
80%
Term
Cytoxic (Tc)
function
Definition
destroys foreign cells directly
Term
Helper Tcells (Th)
function
Definition
release interleukins that stimulate other lymphocytes and macrophages to assist in removal of foreign body
Term
Regulatory T cells (Treg)
function
Definition
suppress immune response to prevent overactivity
Term
Memory T cells
function
Definition
remember an antigen and starts a rapid response if that antigen is contacted again
Term
Where are B cells
produced?
Definition
Produced in bone marrow, migrates and matures in lymph nodes
Term
B cell process
(3 steps)
Definition
1.) B cell combines with specific antigen
2.)cell divides to form antibody-producing plasma cells
3.)Some cells develop into memory cells to protect against reinfection
Term
Antibody produced by B cells
Definition
Immunoglobulin (Ig)
Term
Where in the blood plasma are B cells located?
Definition
gamma globulin faction
Term
Active immunity
indepth definition
Definition
occurs when the host is actively involved in the production of antibodies
Term
How does active immunity occur?
Definition
person is invaded by disease organisms, cells manufacture antibodies that provide immunity against infection
Term
How long does Natural Adaptive Active immunity last?
Definition
Years, or for life.
Term
Passive immunity
indepth definition
Definition
occurs when antibodies are acquired from an outside source
Term
How does active immunity occur?
Definition
Naturally through the placenta from the mother to the fetus or breastfeeding
Term
How long does Natural adaptive passive immunity last?
Definition
6 months (usually long enough for child's immune system to start functioning
-nursing lengthens protective period, antibodies administered through milk
Term
Artificial adaptive immunity
Definition
Vaccination
Boosters
Term
Vaccination (immunization) causes...
Definition
immune system to manufacture antibodies
Term
What is attenuated?
(in terms of vaccines)
Definition
organism weakened for use in vaccine
Term
What is Toxoid?
(in terms of vaccines)
Definition
-Toxin produced by disease organism
-Toxin altered with heat/chemicals to reduce harmfulness
-still functions as antigen to induce immunity
Term
How are toxoids created?
Definition
Heat, chemical, or genetic engineering
Term
Children's vaccines
(8)
Definition
-DPT (Diptheria, Pertussis{whooping cough}, and Tetanus)
-Hib (Haemophilus influenza type B)
-PCV (Pneumococcal pneumonia)
-polio
-MMR (measles, mumps, rubella)
-Hep B
-Varicella (chicken pox)
-Rotavirus
Term
Young adult's vaccines
(2)
Definition
-Meningococcal Meningitis
-HPV (Human Papilloma Virus)
Term
Adult Vaccines (4)
Definition
-Influenza -Pneumococcal Pneumonia -Hep B -Herpes Zoster (shingles)
Term
Traveling Vaccines
(5)
Definition
-Hepatitus (A & B)
-Yellow Fever
-Thyphoid
-Rabies
-Malaria
Term
What is antiserum?
Definition
Emergency rx with antibodies from outside source
Term
What is Artificial Passive Adaptive Immunity
Definition
man-made/altered immune serum
Term
Antiserum types
(5)
Definition
-Tetanus
-Hepatitis A & B
-Rabies
-RH incompatibility
-Snake bites
Term
What is an allergy?
Definition
abnormal reaction to certain substances in the environment
Term
Four types of allergies (and examples)
Definition
-Ingested: food, drugs
-Inhaled: pollen, dander
-Insect stings: bees, wasps
-Skin contact: soap, perfumes, dyes, metal, latex
Term
Allergic reaction
How is it induced?
Definition
Body produces antibody (IgE) to bind the allergen
Term
How is histimine created?
Definition
Allergen + antibodies attach to mast cells
Term
What is an anti-histimine?
Definition
drug that counteracts histamine
Ex. Benadryl
Term
What is Anaphylaxis
Definition
Systemic reaction, regardless of cause
Term
Systemic Reactions
due to Anaphylaxis
(4)
Definition
-Hives/itching
-Wheezing, shortness of breath
-Hoarse, tight, swollen throat
-Cardiovascular shock
Term
How to treat
Anaphylaxis
Definition
requires immediate attention
-epinephrine
-antihistamine
Term
Allergy Treatment
(3)
Definition
-Minimize exposure
-Antihistimines
-immunotherapy (allergy shots)
-Steroids
Term
Ways to administer
allergy-treating steroids
(3)
Definition
Topical
Inhaled
Ingested
Term
Best cities for allergies
Definition
Seattle, San Diego, Sacramento, Albany, Salt Lake City, Stockton, San Jose, Colorado Springs, Daytona Beach, Harrisburg (exception of Albany/Harrisburg, all WEST COAST)
Term
Worst cities for allergies
Definition
Knoxville, Louisville, Chattanooga, Dayton, Charlotte, Philadelphia, Greensboro, Jackson, St. Louis, Wichita
(all EAST coast/Mid-America)
Term
Auto-immune disease
Definition
Definition
Abnormal reaction to one's own tissues
Immune system reacts to body's own antigens as if they were foreign
Term
Auto-immune disease
examples
(5)
Definition
Rheumatic fever
Glomerulonephritis
Rheumatoid arthritis
Collagen vascular diseases
Diabetes
Term
Immune deficiency
Definition
Definition
Some type of failure in immune system
Term
What causes autoimmune deficiencies?
(5)
Definition
T/B cell deficiency
thymus gland irregularity
AIDs/HIV
Antibody (hypogammaglobulinemia)
Medication
Term
How does AIDs cause
autoimmune deficiency?
Definition
Destroys helper T cells (CD4) that have a receptor
Term
Retrovirus
Definition
Definition
-backwards virus
-virus reverses typical order of genetic actions
Term
Which immune deficiency is considered a pandemic?
Definition
AIDs/HIV
Term
What should be done to minimize transplant rejection?
Definition
tissue/blood typing
immune suppression drugs
Term
Reverse Transcriptase
Definition
Definition
enzyme used to turn RNA into DNA to become part of cells' genetic material
Term
What can retrovirus's activities be?
Definition
lie dormant
direct formation of more virus
Term
Medications that cause
immune deficiency
(2)
Definition
Steroids
Bone marrow suppressants - chemotherapy
Term
Transplant materials
Definition
tissues or organs from animals or other humans
Term
Reaction syndrome
Definition
organism's natural tendency to destroy foreign substances, including transplants, caused by antigen-antibody reaction.
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