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Immunology Exam 1, Part 1
Introduction, overview of host defenses
54
Immunology
Professional
01/22/2012

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Term
Define immunology
Definition
Branch of biomedical science concerned with the response of the organism to antigenic challenge, the recognition of self from non-self, and all of the in vivo, in vitro and physical chemical aspects of immune phenomenon.
Term
Who is attributed with the concept of immunity?
Definition
Edward Jenner (1798) whose work led to smallpox vaccine—the only drug to date to completely eradicate a disease.
Term
Define molecular immunology
Definition
Molecular immunology dates from the 1960s and the elucidation of the chemical structure of immunoglobulin molecules.

Advances in molecular biology have produced a new era of potent peptide immunotherapeutic agents beginning with the marketing of interferon alfa in 1986.
Term
Define immunity
Definition
The state of specific resistance to toxins, microorganisms, and foreign cells.
Term
What macromolecule are toxins composed of?
Definition
Protein
Term
Define antigen
Definition
A substance that is recognized by the immune system as foreign and stimulates an adaptive immune response
Term
Describe antigens in gram (-) bacteria
Definition
a. LPS – immunogenic and highly reactive with many cytokines and proteins of the immune system
b. Capsule – usually carbohydrate
c. Integral membrane proteins
Term
Describe antigens in gram (+) bacteria
Definition
a. Teichoic Acids
b. Capsules – carbohydrate or other polymers
c. Integral membrane proteins
Term
List cellular components of the broad, innate defenses
Definition
Phagocytes, killer T cells
Term
List humoral components of the broad, innate defenses
Definition
Complement, natural antibodies, maternal antibodies, Toll-like receptors, and other host pattern recognition mechanisms
Term
List components of the specific response to a foregin substance
Definition
Antigen presenting cells, T cells, B cells, and specific antibodies
Term
Define tolerance
Definition
Non-reactance to SELF or non-dangerous substances
Term
What is the opposite of immunity?
Definition
Susceptibility
Term
Define neoplasm
Definition
An abnormal mass of tissue as a result of neoplasia
Term
Define alloimmunity
Definition
A condition in which the body gains immunity against antigens of another individual of the same species, which are perceived as foreign

Ex. reaction to a blood transfusion
Term
How can administered cytokines be effective therapeutically?
Definition
As a tumor treatment, cytokines stimulate anti-cancer immune system
Term
Define immunosupressive agents
Definition
Drugs that act by inhibiting immunity
Term
Define hybridoma technology
Definition
The production of monoclonal antibodies for a specific disease
Term
Define biologics
Definition
Drugs derived from living sources (as opposed to chemically synthesized)

Often not considered drugs by law or by public
Term
Give an example of an active immunizing agent (type of biologics therapy)
Definition
Vaccines and Toxoids
Term
Give an example of a passive immunizing agent (type of biologics therapy)
Definition
Immune globulins, antitoxins, antisera, etc
Term
Give an example of a cellular therapy (type of biologics therapy)
Definition
Autologous cultured chondrocytes
Term
Give an example of a biological response modifier (type of biologics therapy)
Definition
Cytokines
Term
How are biologics regulated?
Definition
FDA assumed control in 1972 with the Center for Biologics Evaluation and Research (CBER) and Center for Drugs Evaluation and Research (CDER)
Term
What is the best known and most widely used biologic?
Definition
Vaccines
Term
List 6 unique characteristics of biologics
Definition
1. Natural
2. Relatively crude
3. Composed of macromolecules
4. Standardized by bioassay
5. Immunogenic
6. Have special hazards
Term
What does "standardized by bioassay" mean?
Definition
The unit the drug/biologic is measured in is derived by a system other than mass.

Ex. moles of substrate converted, or antibody neutralization activity
Term
Give an example of active naturally acquired immunity
Definition
Disease
Term
Give an example of passive naturally acquired immunity
Definition
Maternal antibodies
Term
Give an example of active artificially acquired immunity
Definition
Vaccination
Term
Give an example of passive artificially acquired immunity
Definition
Antisera (blood serum containing polyclonal antibodies)
Term
Define PMN
Definition
polymorphonuclear leukocytes, aka neutrophils
Term
Define Toll-like receptors
Definition
A family of 10 surface proteins that act as specific receptors for microbial products
Term
What do TLRs trigger?
Definition
All trigger a common pathway of intracellular signaling shared by the receptor for cytokine IL-1
Term
Where are TLRs found?
Definition
Macrophages, mast cells, and B cells
Term
What sorts of things are TLRs likely to recognize?
Definition
LPS, unmetylated DNA, dsDNA, flagella, imidazoquinolones (antiviral drugs), peptidoglycan, porins, other bacterial structures
Term
What happens when TLR4 and LPS bind?
Definition
IRAK4 kinase is stimulated and NFkB is activated, activating genes for inflammatory cytokines
Term
What does TLR3 recognize, and where?
Definition
dsDNA (from viruses) within endosomes
Term
What are the three main characteristics of immunity?
Definition
1. Specificity
2. Ability to discern self/non-self
3. Memory
Term
What is the characteristic time-course for active, acquired immunity?
Definition
Delayed onset (7-10 days) and long duration
Term
What is the characteristic time-course for memory immunity?
Definition
Rapid and intense
Term
What is immunologic redundancy?
Definition
The fact that a heterogeneous response of different effectors are produced in an active immune response
Term
What is the characteristic time-course for passive immunity?
Definition
Rapid onset (hours) and short duration
Term
What is heterologus passive immunity?
Definition
Immunity transferred from an animal source to a human
Term
What are some disadvantages of passive immunity?
Definition
1. No memory
2. Short duration
3. Subsequent exposure may result in allergy
Term
List signs of acute inflammation
Definition
Erythema, edema, heat, pain, possibly loss of function
Term
Define inflammation
Definition
A non-specific protective attempt to remove the injurious stimuli and to initiate the healing process
Term
List the five steps of inflammation
Definition
1. Vasodialation/Increased capillary permeability
2. Infiltration of Plasma and Cells
3. Phagocytosis
4. Localization of irritant
5. Repair
Term
What conditions can lead to chronic inflammation?
Definition
Persistent irritation- TB, burns, infected prosthetic devices
Term
What are the two generalized steps of the immune response?
Definition
1. Afferent phase
2. Efferent phase
Term
Define the afferent phase of the immune response
Definition
Stimulation of a specific response to an antigen

Includes inflammatory response and antigen processing
Term
Define the efferent phase of the immune response
Definition
Production of effector cells and molecules following antigenic stimulation
Term
What three ways do immune reactions influence an inflammation?
Definition
Immune reactions may initiate (e.g., immune complexes), augment (e.g., opsonization), and/or amplify (e.g., complement-fixation) an inflammation.
Term
If either innate or adaptive immune systems are missing, will duration of infection simply double?
Definition
No, both innate and adaptive immunity is necessary as they both influence each other
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