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Molecular Pathophysiology Exam 1
N/A
160
Health Care
Graduate
01/18/2011

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Cards

Term
Darwin's theory of genetics
Definition
offspring resemble their parents. more offspring are produced than can survive, so only the best adapted will survive = natural selection
Term
Classical Genetics
Definition

Mendelian genetics

4 Laws:

- Traits are the result of genes. One gene = one trait

- Genes come in pairs. One from each parent.

- genes come in different forms (alleles). One is dominant, one is recessive

- Separate genes segregate independently of other genes

Term
2 revisions to mendel's laws, regarding dominance and segregation
Definition

1. alleles can be co-dominant and demonstrate incomplete penetrance

2. genes segregate independently only if they're on separate chromosomes (because of crossing over during meiosis I)

Term
Dominant vs. recessive
Definition

Dominant - only one allele of the gene must be abnormal to produce the mutant.

Recessive - both alleles must be abnormal

 

Term
When chromosomes are preparing to divide, the DNA replicates into two strands called _____.
Definition
chromatids
Term
Pattern of Chromosome size
Definition
1 pair is biggest, 22 is smallest. Y is very small. X is fairly large
Term
Central Dogma of genetics: DNA carries genetic info in a series of _____ that make up the genetic code
Definition
Codons (triplet nucleotide bases)
Term
DNA composition: ___ + ____ backbone. Two ___ bases (A+G), Two ____ bases (C+T). In RNA, __ is used instead of __.
Definition
deoxyribose + phosphate backbone. A+G = purine bases. C+T = pyrimidine bases. RNA = U instead of T.
Term
How many possible combinations of genetic code are there? How many of these possibilities actually form known amino acids in humans?
Definition

4 bases, taken 3 at a time = 4^3 = 64 possibilities

 

20 naturally occuring amino acids

 

Term
Start codon
Definition
Methionine = AUG
Term
how does DNA replication work?
Definition

1. DNA "unzips" to serve as a template for mRNA

2. mRNA leaves the nucleus and proceeds to ribosomes in the cytoplasm

3. tRNA carries amino acids to the ribosomes

4. Proteins are constructed at the ribosomes with the mRNA serving a the blueprint.

Term
One gene = how many proteins?
Definition
1
Term
How many genes do we have?
Definition
25,000 +/- 5,000
Term
___ are segments of DNA which code for protein synthesis. ___ are segments of DNA which code for mRNA, which does not result in protein synthesis.
Definition
exons, introns
Term
___ are DNA sequences between genes
Definition

intergenic sequences

 

Term
Only __% of genes are exons.
Definition
2
Term
Where else is DNA found besides the nucleus?
Definition
mitochondria
Term
What can mutations in mitochondrial DNA cause?
Definition

mitochondrial envephalomyopathy (MELAS)

Myclonic epilepsy (MERFF)

Term
The ___ is the sum of all inherited info
Definition
Genome
Term
____ refers to transfer of genetic info through chromosomes but outside DNA.
Definition
epigenetic
Term
Genetic info is transmitted in "layers". What are these layers?
Definition

1. Classic genes: protein=producing codons

2. RNA-only segments: introns and intergenic sequences

- riboswitch RNA and antisense RNA

3. epigenetic layer - genomic imprinting and histone spools

 

Term
In some genes, only one allele is active... the other is inactive. The inactive gene can be involved in genetic diseases such as prader-willi syndrome or angelman syndrome. This is an example of what?
Definition
Genomic imprinting
Term
Most people are Rh positive or negative?
Definition
postive.
Term
Mitosis v. meiosis
Definition

Mitosis - cell division. somatic, germ and neoplastic cells

Meiosis - sexual reproduction. produces gametes (ova and sperm)

Term
At the end of which mitotic phase is there a duplicated chromosome (2 sister chromatids) that's ready to complete mitosis?
Definition
prophase
Term
2 Distinctions of Meiosis.

1. During metaphase I: ___
2. The process involves __ divisions.
Definition

1. metaphase 1 - chromosomes form homologous pairs. crossing over occurs

2. Meiosis involves 2 divisions. The first division produces 2 cells with 46 chromosomes but only 1 copy of each of the 23 chromosomes. The second division produces haploid gametes (23 chromosomes)

Term
One primary spermatocyte yields __ spermatozoa. One primary oocyte yields _ mature oocyte and __ polar bodies.
Definition
4 spermatozoa. 1 mature oocyte. 2 polar bodies
Term
___ = one copy of each of the 23 chromosomes.
___ = two copies of each of the 23 chromosomes.
___ = more than 2 copies of the 23 chromosomes.
___ = not an exact multiple of n (usually + or - one chromosome.
Definition

haploid (n)

diploid (2n)

polyploid (3n or 4n)

Aneuploid

Term
Possible caues of polyploidy
Definition

Polyspermy

Failure to expel polar body

 

Term
Aneuploidy: 2n-1, 2n+1
Definition

2n-1 = monosomy

2n+1 = trisomy

Term
2 causes of aneuploidy. what may cause aneuploidy to happen more often?
Definition

1. nondisjunction during first meiotic division.

2. sporadic event due to chance

 

older oocytes - more common aneuploidy

Term
Miscarriages (spontaneous abortion) occurs in what percent of pregnancies?
When do most miscarriages occur?
Why do they usually occur?
Definition

10-20%

First trimester (<14 weeks)

Rate increases with age of mother

Usually do to cytogenetic abnormalities (polyploidy, trisomy, monosomy)

Term
What is the result of each?
1. Autosomal monosomy
2. Monosomy X
3. Monosomy Y
4. Autosomal trisomy
Definition

1. lethal

2. Turner's Syndrome

3. Lethal

4. Usuall lethal, except 13, 18, 21

Term
What is 45,X?
Definition

Turner Syndrome - monosomy X

Phenotype: short stature, webbed neck, shield chest

Problems: amenorrhea & infertility, kidney malformation, congenital heart disease, aortic arch dilation/rupture

Term
Trisomy 21
Definition

Down's Syndrome

Epicanthal folds

Variable degrees of retardation

Increased risk of congenital heart disease, hypotheroidism, cataracts, seizures,

Accelerated aging - high frequency of Alzheimers after age 50

Term
Trisomy 18
Definition

Edward's syndrome

10% survive to age 1, 1% to age 10

Term
Trisomy 13
Definition

patau syndrome

microcephaly, severe mental retardation

Cleft lip/palate

ambiguous genitalia

shortened life span

possible cause: robertsonian translocation

Term
What is 47,XXY?
Definition

Klinefelter's Syndrome

Pubertal delay, hypogonadism

Infertility

Term
What is 47,XXX?
Definition

Triple X syndrome

no special phenotype, usually normal

Term
47,XYY?
Definition

No name

Usually normal, but taller than expected

possible learning disabilities but normal IQ

Term
What is a chromosomal deletion and what causes it
Definition

part of a chromosome is deleted.

causes: errors during crossing over, rare spontaneous events.

Term
Cri du Chat syndrome
Definition

5p- syndrome -- the short arm of the 5th chromosome is deleted.

 

Phenotype: mental retardation, motor developmental delays

behavioral problems

newborns have distinct kitten-like cry

congenital heart defects

Term
___ is two or more cell lines with different genotypes in one individual, descending from one fertilized egg. Common examples?
Definition
Mosaicism -- 46XXY or 47XY (trisomy)
Term
A ____ is an individual with two or more cell lines derived from different zygotes
Definition
chimera
Term
Excessive triplet repeats (CGG) lead to inactivation of the FMR-1 gene in which syndrome? Phenotype?
Definition
Fragile X syndrome - mental retardation, prominent jaw, macro-orchidism. Most common inherited cause of retardation. Most common known cause of autism.
Term
Functions of introns (RNA-only genes)
Definition
regulate gene expression, influence protein synthesis
Term
Mendel's laws:
1. Traits are the result of (a) ("atoms of inheritance"). One trait = one (a)
2. Genes come in pairs, one of (b) origin and one of (c) origin.
3. Genes come in different forms, called (d). Some are dominant, some are recessive.
4. Separate genes are inherited (e) of all others.
Definition

a = genes

b = maternal

c = paternal

d = Alleles

e = independently

Term
Revisions to Mende's model
1. Alleles can be co-____.
2. ___ penetrance can occur
3. Genes are located on ___, and one pair is different from the others ____ (Autosomal vs. Sex-linked)
4. Genes are inherited independently only if they are on ____.
Definition

1. co-dominant

2. incomplete penetrance

3. chromosomes, X & Y

4. separate chromosomes

Term
4 types of Mendelian transmission
Definition
autosomal dominant, autosomal recessive, sex-linked dominant, sex-linked recessive
Term
Recessive Mendelian traits:

Heterozygotes are _____, and are usually asymptomatic.
Heterozygocity may confer a selective advantage, such as ___.
Definition

heterozygotes are carriers

sickle cell trait and plasmodium falciparum

Term
Effects of dominant traits may be reduced by the actions of other genes or substances. This is known as ____
Definition
incomplete penetrance
Term
Disorders caused by recessive mutations are most common in ___ populations. Disorders caused by dominant mutations are mmost common in offspring of ___ parents.
Definition

inbred

older (father >50)

Term
Can a woman suffer from a sex-linked recessive condition?
Definition
yes, if dad has the condition and mom is a carrier, than 50% of daughters will have it and 50% of sons will have it
Term
What kind of analysis can answer these questions?
What is the approximate frequency of affected individuals in an exposed population?
Does the disorder appear in every generation?
What is the gender ratio of affected individuals?
Are there any gender limits to transmission?
Such as no male to male transmission
Or female transmission only
Definition
Pedigree analysis
Term
A man with an autosomal dominant disorder marries a woman with the same disorder... what are the chances their child will have it?
Definition

75% -- do a Punnet square:

 

Aa x Aa = AA, Aa, Aa, aa

Term
1. Derangement of function seen in disease
2. The medical science, and specialty practice, conserned with all aspects of disease
3. A condition with signs and or symptoms that is linked to an increased risk of future death or disability
Definition

pathophysiology

Pathology

disease

Term
What 2 factors determine vulnerability to disease?
Definition

Nature of the insult (type, intensity, duration_

Defense and repair capacity (age, genetics, immune status, nutritional status, personality/psychological status, chance)

Term
1. absolute or relative shortage of blood supply to an organ
2. inadequate or below normal levels of oxygen
3. absence of oxygen
Definition

ischemia

hypoxia

anoxia

Term
Most common type of "injury" to the body?
Definition
hypoxia - most commonly caused by ischemia
Term
Examples of "agents" that cause disease
Definition

Infectious

chemical (poisons, toxins, electrolyte imbalance, oxygen excess from free radicals)

Physical (trauma, thermal, atomspheric, ioningizing radiation, electrical, sonic)

Genetic defectts

Term
What is the layman's term for cellular senescence?
Definition
aging
Term
5 cellular adaptations (changes) to injury
Definition
atrophy (decrease in size), hypertrophy (increase in size), hyperplasia (increase in number), metaplasia (replaement of one cell type by another), cell death (apoptosis or necrosis)
Term
Key features of apoptosis:
1. Apoptotic cells are easily recognized by _____ cells and removal is accomplished without _____.
2. ____ cells are those that have lost the ability to undergo apoptosis
Definition

1. phagocytic cells, without inflammation

2. neoplastic cells

Term
True/false: inflammation is always the result of immune action.
True/false: inflammation is not specific to the immune system
Definition
False, true
Term
4 Key clinical features of inflammation
Definition

calor (heat), rugor (redness), tumor (swelling), dolor (pain)

 

...also loss of function

Term
The dark side of inflammation:
1. Cell destruction liberates ____ enzymes and digests surrounding tissue.
2. Loss of critical function due to ___.
3. May accelerate chronic processes.
Definition

lysosomal

swelling

Term
In many diseases, damage from ____ exceeds that of the causative injury/agent, so treatment is increasingly directed at controlling this.
Definition
inflammation
Term
All proteins are built of how many amino acids?
Definition
20
Term
If a ligand is present in high concentration, it will activate its specific receptor and it will also activate ____.
Definition
closely related receptors
Term
3 Key features that effect receptor-ligand binding
Definition

Receptor number

Ligand number

Affinity - strength of attachment of ligand to receptor

Term
A woman who is a carrier for CF and sickle cell marries a man who is also a carrier for both. What are the chances their first child will have both?

What mendelian principle is this an example of?
Definition

Do a punnet square:

AaBb x AaBb

Only children with AABB will have both diseases (1/16 children)

 

This is example of Dihybrid cross: 9:3:3:1 phenotypes:

9 normal

3 homozygous for one gene

3 homozygous for the other gene

1 homozygous for both

 

TO do it mathematically:

1/4 risk of homozygous for sickle cell

1/4 risk of homozygous for CF

1/4 x 1/4 = 1/16 chance of homozygous for both

Becuase it's for autosomal recessive, the child must be homozygous dominant to have the disease

Term
What disease does the CFTR gene cause?
Definition
Cystic fibrosis
Term
Principles of Incomplete penetrance:
1. mutations can vary in ____.
2. process may be influenced by more than one ____.
3. Gene ___ may vary
Definition

severity

gene

regulation

Term
The relationship of chromosome morphology to disease
Definition
cytogenetics
Term
Regulator genes, operators, structural genes, in which the operator is turned off by a repressor protein is part of what genetic model?
Definition
Jacob-Monod
Term
In DNA synthesis, ___ are cut out and ___ are spliced together to form a working protein
Definition

introns out

exons in

Term
RNA splicing is done at the ____ by "snurps" (snRNPs)
Definition
spliceosome
Term
Alternative splicing
Definition
Involves splicing together different combinations of exons
Term
RNA gene regulation concept: Nucleotides from "non-coding regions" can yield RNA which occupy sites on DNA and either ____ or ____ transcription
Definition
prevent/repress or activate
Term
RNA interference (RNAi):
Method of ___ gene expression

2 kinds:
1. _____ - small segment of non-coding RNA derived from a larger nucleotide sequence through the action of endonucleases Drosha and Dicer. Affects the action of what kind of RNA?
2. ___ - small, non-coding RNA that is double stranded and is capable of interfering with gene expression.
Definition

silencing

miRNA (microRNA)- affects action of mRNA

siRNA (small interfering)

Term
Genomic imprinting, histone spool regulation, and X chromosome inactivation are all subsets of _____.
Definition
epigenetics
Term
What concept?

In certain genes only one copy (allele) is active and the other is inactive but can be involved in genetic disease.

Example of this?
Definition

Genomic imprinting

 

ex: methylation, which silences DNA

Term
What concept?

One X chromosome is active, the other isn't.

Randomly accomplished via methylation and deacetylation

Happens in approximately __% of genes
Definition

X chromosome inactivation

85%

Term
What happens when a mother sheep ingests V. californicum on gestational day 14?
Definition
Fetal sheep develops cyclopsia because a compound in the plant blocks the hox-like gene receptor called "sonic hedgehog"
Term
What is the result of excessive sonic hedgehog activity?
Definition
polydactyly
Term
3 main sources of mutations
Definition

spontaneous DNA degredations

replication errors

environmental trauma (insults)

Term
Example of a spontaneous DNA degredation?

Cytosine deamination
Definition
converts cytosine to uracil
Term
Consequences of mutations in somatic cells v. germ cells
Definition

Somatic cells: cancer, cell/tissue dysfunction. NOT INHERITABLE

Germ cells: inheritable

Term
metabolic consequences of mutations:
1. ___ of function: decreased production of structural proteins can cause tissue dysfunction
2. ___ of function: increased production of structural proteins can be toxic to certain cells

Both can lead to ____.

If this happens in a germ cell, it can results in one of two things...
Definition

1. loss of fxn

2. gain of fxn

 

Both can lead to neoplasia

 

In germ cells: can cause congenital anomalies or can be evolutionarily beneficial

Term
4 types of DNA mutation
1. ____. Base changes occur but the function of the coded protein is not impaired. Associated with ____.
2. ____. single base changes that result in change of one amino acid to another. Can be silent, or can result in disease (blood disorders like sickle cell)
3. ___. A single base change that turns a single codon into a StOP codon. Almost always deleterious, produces shortened (truncated) protein.
4. ____. Addition or deletion of a single or several bases in any but multiples of 3. Changes transcription/translation drastically downstream.
Definition

1. Silent - associated with SNPs

2. Missense

3. Nonsense

4. Frameshift

 

Term
4 types of DNA repair mechanisms
Definition

Base excision repair

Nucleotide excision repair

mismatch repair

recombination repair

Term
Repair effectiveness.

>__% of replication errors are corercted
Most environmental insults are corrected.
Definition
95%
Term
Genes that are involved in the repair process are calle d____ genes. Mutations in these genes may reduce repair efficiency. Results of significant reduction in repair efficiency = ___ and ____.
Definition

Tumor Suppressor Genes

 

increased neoplasia risk

Increased aging

Term
Examples of Multifactorial/polygenic/quantitative inheritance

Continuous characteristics & Clinical diseases/syndrome
Definition

continuous - height, skin color, intelligence, etc

 

clinical diseases: congenital and adult onset

Term
How do you predict the height of a child?

What principle does this illustrate?
Definition

Male: Mother's height + 5" + father's height / 2

Female: Father's height - 5" + Mother's height /2

 

Illustrates regression toward the mean - with continuous characteristics, there is a tendency for the offspring to be closer to the population mean than their parents

Term
Cleft palate
congenital heart defects
neural tube defects
pyloric stenosis
clubfoot

What kind of inheritance do these disorders have?
Definition
multifactorial
Term
These are all key features of what kind of disease inheritance?

Most affected individuals have normal parents
Recurrence risk increases with the number of affected children in the family
Recurrenc erisk increases with the severity of the defect
Definition
multifactoiral
Term
What model?

Physiologic functions are controlled by many genes and influenced by multiple control systems so clinical disease does not occur until physiologic dysfunction reaches a critical threshold.

Examples of adult onset diseases that follow this model?
Definition

Threshold model

 

Examples of diseases: diabetes, cancer, epilepsy, glaucoma, schizophrenia

Term
For adult onset disorders, how having a first degree relative that has the disease affect your risk?

For congenital disorders, how does family hisotry affect risk?
Definition

Doubles

 

congenital - recurrence risk increases wiwth the number of affected first degree relatives

Term
___ is the branch of biology concerned with the structure and function of all or part of an organism's genome.

__ is the study of the influence of genetic factorss on the variation of drug metabolism in an individual or group of individuals
Definition

genomics

 

pharmacogenomics

Term
What do we need to know about CYP 450 (cytochrome p-450)
Definition

Enzyme Present in liver and GI tract and is part of phase 1 drug metabolism reactions

 

can impact genetic diversity and drug interactions

Term
What do these patient comments tell us about their ability to metabolize drugs?

1. that stuff never works for me
2. i react strongly to all medicines
3. every medicine i've tried makes me miserable
Definition

1. fast drug metabolism

2. slow drug metabolism

3. multiple slow metabolic pathways

Term
___ is inserting genetic info into the genome of somatic cells or suppressing or activating genes for therapeutic purposes or for the control of gene expression.
Definition
gene therapy
Term
Risks associated with gene therapy
Definition

insertional mutagenesis - disrupt normal tumor suppressor genes

immunologic reaction - against vector or gene product

Term
2 functions of the immune system
Definition

protection against foreign enemies (microbes, parasites)

protection against domestic enemies (cancer)

Term
___ is a complex of cytologic and chemical reactions in the blood vessels and adjacent tissues in response to an injury or abnormal stimulation caused by a physical, chemical, or biological agent
Definition
Inflammation
Term
vasodilation, increased vascular permeability, formation of fluid exudate, formation of cellular exudate are all histologic features of _____.
Definition
inflammation
Term
Characteristics of the ____ immune system:
Evolutionarily ancient
Very rapid response
Relatively non-specific mode of attack
Localized risk of collateral damage (inflammation)
Definition
innate
Term
Characteristics of the ___ immune system:
Evolutionarily recent
Slow response
Highly specific mode of attack
Risk of local and distant collateral damage due to auto-immunity
Definition
Adaptive
Term
Cellular and humoral components of the Innate immune system
Definition

cellular: phagocytes (macrophages, monocytes, neutrophils) and NK cells

Humoral: complement

Term
Cellular and humoral components of the adaptive immune system
Definition

Cellular: T lymphocytes, B lymphocytes, APCs

Humoral: Immunoglobulins (antibodies)

Term
Types of Leukocytes: Granulocytes and Agranulocytes
Definition

Granulocytes: basophils, eosinophils, polymorphonuclear neutrophils (PMNs)

Agranulocytes: Lymphocytes (B&T cells), and monocytes (become macrophages in tissues)

Term
What kind of WBC?

Most numerous type (70%)
Mode of action is phagocytosis
Stimulated and attracted by cytokines
Definition
Neutrophils
Term
___ are small proteins or polypeptides that modulate immune responses. Common types are Tumor necrosis factor (TNF) alpha, interleukins (IL) 1-18, and interferons (gamma and beta)
Definition
cytokines.
Term
___ are primitive lymphocytes that are effective against microbes and tumor/viral-infected cells.
Definition
NK cells
Term
___ is composed of 20-30 plasma proteins that function as proteases and result in a cascade-like sequence called the Membrane Attack Complex (MAC)
Definition
Complement
Term
5 functions of complement
Definition

Direct microbial attack

Opsonize microbes for phagocytosis

Serve as chemoattractants for macrophages and neutrophils

Bridge functions of innate and adaptive immune systems

Waste disposal

Term
___ is when chemicals or antibodies bind to a target and increase the probabilty that the target will be phagocytized -- makes the target cell more "appetizing" for phagocytes
Definition
opsonization
Term
What kind of WBC?

___ recognize foreign molecules (antigens ) and carry them to lymphocytes

___ identify extracellular antigens for descruction by other immune cells and produce immunoglobulin

___ attack infected cells (intracellular antigens)
Definition

APCs

B lymphocytes

T lymphocytes

Term
When B cells are activated, they can become one of two thins:

___ produce immunoglobulins and serve as APCs

___ produce clones should the antigen reappear later
Definition

Plasma cells

 

memory cells

Term
Antibody response: Ig_ is made first (within a few days) and Ig_ comes later to confer long-lasting resistance
Definition
IgM, IgG
Term
What happens to IgG and IgM production as a person is repeatedly exposed to the same antigen?
Definition

IgM increases at the time of exposure but remains low between exposures

 

IgG grows with each consecutive exposure

Term
What is the hygiene hypothesis?
Definition

IgE is very effective against parasites, parasites have evolved immunosuppressants.

As societies have developed, very few parasites are present and then a natural immunosuppressant has been lost

 

Thus, allergy and autoimmune disease rate rise with improved sanitation

Term
3 main types of T lymphocytes
Definition
Helpers, Killers (or cytotoxic), Memory
Term
Where are T and B lymphocytes made?
Definition

T - thymus

B - bursa of fabricus (organ in birds)

Term
____ are sites on cell surface that are bound by specific monoclonal antibodies and often represent key functional sites for antigen binding and processing.

Two most important of these lines?
Definition

Clusters of Differentiation (CD's)

 

Two most important: CD4 (attached to helper T's)

CD8 (attached to cytotoxic T's)

Term
3 Types of APCs:
Definition
Dendritic cells, Macrophages, B cells
Term
APCs use the _____, which processes antigens internally and then displays them on the cell membrane to attract T cells.

In humans, this is called the ____ complex.
Definition

MHC (major histocompatibility complex)

HLA complex in humans

Term
Class 1 v. Class 2 HLA complex
Definition

Class I - HLA-A, B, C - found on all nucleated cells

Class II - HLA-DP, DQ, DR - found on macrophages and lymphocytes

Term
Possession of certain HLA alleles has been linked to ____ and ___.
Definition
disease risk and drug reactions
Term
HOw the adaptive immune system works:

1. Antigens are recognized and the processed and displayed by ____.

2. These cells move to ___ tissue, where..

3. Proper ____ & ___ cells are activated
Definition

APCs

lymphoid tissue

T&B cells

Term
Functions of ___ cells

1. Assist in the activation of B cells
2. Assist in teh activation of Cytotoxic T's (CTLs)
3. Secrete appropriate cytokines
Definition
Helper T's (CD4)
Term
Functions of ___ cells:

Cell destruction by:
1. placement of a "cytoplasmic bomb"... perforin drills hole in target cell membrane and inserts granzyme B into cytoplasm
2. trigger apoptosis
Definition
Killer T's (CTL, CD8)
Term
3 pathways to activate complement

All are activated by the activation of ___.
Definition

classical (antibody dependent)

Alternative (spontaneous/microbe enhanced)

mannose-lectin

 

All are activated by C3

Term
___ activators:

1. antigen-antigen complexes
2. PAMPs -- recognized by PRR (Pattern recognition receptors) and TLRs (Toll-like receptor proteins)
Definition
C3
Term
What concept is being described?

Newly activated B cells secrete IgM
Mature B cells secrete IgG, IgA, or IgE
Eventually the cells have to switch the antibody they secrete by "cutting and pasting" a gene on chromosome 14
Definition
Class switching
Term
Each B and T cell interact and respond to only one antigen. They need assistance to bind to this antigen and to work properly. How does the body increase the likelihood that all these elements will come together?
Definition

By having three types of lymphoid tissue:

Lymph nodes (deal with lymph-borne pathogens)

MALT/Peyer's Patches/Appendix (intercept GI tract pathogens in the mucosa)

Spleen (handle blood-borne pathogens)

Term
HIV causes binds to ___ on ___ cells and eventually causes cell death.
Definition
CD4 on Th cells
Term
Phases of HIV infection
Definition

1. Initial infection - 2-4 weeks after infection. Flu/mono symptoms for 1-4 weeks.

2. latent phase - no symptoms. viral load increases, CD4 count decreases.

3. AIDS phase - opportunistic infetions and/or unusual cancer (Kaposi's sarcoma)

Term
The key pathologic feature of ____ is caseating granulomas (necrotic centers)
Definition
TB
Term
Symptoms of Progressive (Active) TB. When can latent TB become reactivated?
Definition

intermittent fever (night sweats)

weight loss

cough/hemoptysis

Fatigue/malaise

 

Very Infectious

 

Can be reactivated with HIV, immunosuppression, in children, malnutrition

Term
Apoptosis by negative feedback and apoptosis by positive feedback
Definition

Negative feedback - cells will undergo apoptosis unless they are told not to

Positive feedback - cells will not undergo apoptosis unless they are told to

Term
If you're born with the inability to make IgA, what is the result?
Definition
Susceptible to lots of infections bc IgA is found in the mucous
Term
Passive v. active immunization
Definition

Passive - give someone antibodies against a disease

Active - give someone a dead or weakened version of the disease

Term
___ are the communicating molecule between cells
Definition

cytokines

interleukins

interferons

TNFs

Term
What is C-Reactive Protein (CRP)?
Definition
A pattern recognition receptor (PRR), which detects PAMPs, which are associated wtih cytokines and innate immunity
Term
What makes your body have an inflammatory response during seasonal allergies?

How do you treat allergies?
Definition

IgE is on mast cells.

Allergen binds to IgE and mast cells degranulate, releasing histamines and leukotrienes and causing an inflammatory response.

 

Treatment: anti-histamines and anti-leukotrienes

Allergy shots: Get IgG to bind to allergen so IgE can't

Term
An excess immune response that makes a person very sick to the point of death very quickly is called ____
Definition
cytokine storm
Term
What phenomenon is being described?

Person is infected with virus. Recovers. A few weeks/months later they have some other disease (like Type I Diabetes). It ends up that the body thinks that a normal body cell (such as insulin-producing Beta cells in pancreas) are the virus and it kills them.

examples:
Definition

molecular mimicry

 

 

ex: virus and type 1 diabetes

strep throat and rheumatic fever

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