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Immunity & Immunopathy PT. 1
Oral Path. Chapter 3
81
Pathology
Professional
02/04/2013

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Term
When dos the immune response occur?
Definition
after the inflammatory response
Term
How are the immune and inflammatory responses different?
Definition
the immune response is programmed to defend against a specific target where the inflammatory response is not
Term
What are antigens?
Definition
any foreign material capable of causing an immune response (bacteria, viruses, parasites)
Term
What happens when the inflammatory response becomes chronic?
Definition
the immune response kicks in
Term
What are the primary cells of the immune system?
Definition
lymphocytes
Term
Where are lymphocytes located? (3)
Definition
-lymph nodes
-spleen
-bone marrow
Term
Where are lymphocytes made?
Definition
made by stem cells in the bone marrow
Term
What are most antigens?
Definition
proteins
Term
Do lymphocytes or neutrophils have a longer lifespan?
Definition
lymphocytes
Term
What do macrophages do during the immune response?
Definition
scavenge and digest antigen
Term
What do the macrophages have on their cell surface?
Definition
receptors that hold and present foreign antigens to lymphocytes
Term
Where do the macrophage receptors present antigens to the lymphocytes?
Definition
near the lymph nodes
Term
What does presentation of the antigen to the lymphocytes do?
Definition
it stimulates then to travel to the injury site
Term
What are the two major types of lymphocytes?
Definition
B and T cells
Term
What is the third type of lymphocyte?
Definition
natural killer cells, act like more macrophages & PMN's
Term
Are natural killer cells specific in what they attack?
Definition
no, thats why they are not like lymphocytes
Term
How much of the total WBC do lymphocytes make up?
Definition
about 20-25%
Term
What are B-cells made from?
Definition
developed by fetal bone marrow and then spreads to other lymph tissues
Term
What are the two types of B-cels?
Definition
-plasma cell
-B memory cell
Term
When does a B cell become a plasma cell?
Definition
when it is stimulated by antigens and make antibodies specific for that antigen
Term
What do B memory cells do?
Definition
linger in the body and react quickly if the antigen appears again
Term
What stimulates plasma cells to divide? What does this do?
Definition
process of b cell activation, this increases the amount of antibodies produced
Term
What is also stimulated to make more B cells? Why?
Definition
bone marrow, to help with antibody production
Term
How long does it take to build up enough antibodies to neutralize an antigen?
Definition
2-3 weeks
Term
How long to plasma cells live?
Definition
only a few days
Term
How long do memory cells live?
Definition
decades
Term
What are the 5 types of immunoglobins?
Definition
1. IgG
2. IgA
3. IgM
4. IgD & IgE
Term
What are IgG's?
Definition
-most common(75%)
-small molecule in tissue and circulation
-can cross placenta
-confers long term immunity
Term
What are IgA's?
Definition
-15% of total
-found in saliva, tears, GI mucosa, respiratory tract, and breast milk
-protects from inhaled and ingested antigens
Term
What are IgM's?
Definition
-10% of total
-large molecules
-form quickly after antigen challenged
-provide quick, short-term protection
-are replaced by IgG antibodies
Term
What are IgD and IgE?
Definition
-less than 1%
-do not circulate
Term
Where are IgD cells found? What do they do?
Definition
found on surface of B cells and serves as a receptor
Term
Where do IgE cells bind?
Definition
to receptors on Mast cells during allergic reactions
Term
Antibodies combine with antigen to form...
Definition
an immune complex
Term
What does an immune complex do?
Definition
renders antigen inactive
Term
What are immune complexes effective against?
Definition
effective against free antigen, cannot interact with host cells that are infected
Term
Where do T cells mature?
Definition
in the thymus
Term
Why does the immune system become less effective over time?
Definition
because they thymus shrinks
Term
What are the two main roles of T cells?
Definition
-programmed to recognize and attach specific antigens
-modulate B cell antibody production by either encouraging or restrining
Term
What are the T cells programmed to reconize and attack specific antigens? (3)
Definition
-t killer
-cytotoxic
-CD8
Term
What are the T cells that modulate B cell antibody production by either encouraging or restraining it? (2)
Definition
-t helper
-CD4 and T suppressor
Term
What do T memory cells do?
Definition
mount a rapid response next time the antigen appears
Term
What are the two types of lymphocytes made by stem cells?
Definition
-T lymphocyte
-B lymphocyte
Term
What type of response does the T lymphocyte cause?
Definition
cell mediated response
Term
What does the B lynphocyte produce? What kind of response does this cause?
Definition
produces plasma cell, causes humoral response
Term
What is the humeral response?
Definition
involves B cells reacting directly with freely circulating antigen
Term
What happens to antibodies in a humeral response?
Definition
they are secreted into circulation where they bind
Term
Why is the humeral response called "humeral"?
Definition
after old belief that humors were circulating in the blood and causing disease
Term
What responses involve the T cells?
Definition
cellular immunity or cell-mediated
Term
What antigens do the T cells react to?
Definition
ONLY the ones presented to them by macrophage, not the ones freely circulating like the B cell does
Term
What is another name for cell-mediated or cell immunity? Why?
Definition
delayed immunity, because it takes longed thn the B cell reaction
Term
What are the two types of immunity?
Definition
-passive immunity
-active immunity
Term
What is passive immunity?
Definition
-uses antibodies produced by another
Term
What is an examples of natural and acquired passive immunity?
Definition
-natural: placenta, mother's milk
-acquired or artificial: immune serum
Term
What is active immunity?
Definition
the body makes it's own antibodies
Term
What is an example of natural and acquired active immunity?
Definition
-natural: Contact with the disease
-acquired or artificial: vaccine
Term
What do T cells do to B cells when they finish their job?
Definition
turns them off
Term
What is a hypersensitivity or allergic reaction?
Definition
an exaggerated response to an antigen
Term
What is an autoimmune disease?
Definition
body treats own cells like they are antigens
Term
What is an immunodeficiency?
Definition
involves a deficiency in the function or interrelationships of WBC and their products
Term
What does the response in a hypersensitivity reaction do?
Definition
responses to allergens that cause tissue destruction
Term
What are allergens?
Definition
antigens that are commonly considered harmless
Term
How can exposure to an allergen occur? Are the symptoms of an allergic reaction local or systemin?
Definition
-inhalation
-ingestion
-injection
-physical contact

*8can be local or systemic**
Term
What is the Type I allergic reaction called?
Definition
immediate
Term
How fast does a Type I hypersensitivity reaction occur? Does it occur to a new antigen?
Definition
-occurs quickly, withing minutes
-no, it occurs to a previously exposed antigen
Term
What kind of antibodies are made by plasma cells in a Type I allergic reaction? What is released as a result of this?
Definition
-plasma cells make IgE antibodies
-histamine is released
Term
What does the histamine released in a Type I allergic reaction cause?
Definition
causes dilation of blood vessels and constriction of bronchioles
Term
What are the symptoms of a Type I allergic reaction?
Definition
hay fever, asthma, anaphylaxis, uticaria (hives, pruritus(itching)
Term
What is the type II allergic reaction called?
Definition
antibody mediated , it is a case of "mistaken identity"
Term
What happens in a Type II response?
Definition
-an immune response mounted against harmless cells
-antigen attaches to cell surface, antibodies bind to antigen and set off a reaction
Term
What can cause Type II reations?
Definition
blood transfusions, hemolytic disease of newbor(parents have opposing types of bloods, mother's antiboides pass placenta and attach baby's blood) , and in certain drug reactions
Term
What is a type III reaction casued? What happens in this reaction?
Definition
Immune complex-mediated, the antigen and antibody form an immune complex
Term
What basically happens in a type III reaction?
Definition
the antigen and antibody fight and tumble around causing inflammation and scar tissue, in the end the antibody explodes the antigen or a macrophage eats it
Term
What are the sites where these complexes get deposited?
Definition
-kidneys
-joints
-heart
-small blood vessels
Term
What is the Type IV allergy called? What is this reaction?
Definition
delayed, T cell mediated reaction instead of B cell, the T cells react to the antigen presented to them
Term
What are the 2 phases of a Type IV reaction?
Definition
1.Sensitzation Phase
2.Elicitation Phase
Term
What occurs in the Sensitzation Phase?
Definition
antigen penetrates the skin, taken to near by lymph node, memory cells produced and become local to site
Term
What happens in the elicitation phase?
Definition
memory T cells are stimulated at subsequent exposure, local inflammatory response occurs
Term
How long does the type IV(delayed) response take?
Definition
24-72 hours
Term
What are some examples of a type IV reaction?
Definition
-positive TB skin test
-poison ivy
-graft or organ rejection
Term
WHY is the type IV reaction delayed?
Definition
because the T-cell have to get the antigen presented to them by macrophage before they can attack
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