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Nurs 505 Chapter 7
Adaptive Immunity
126
Nursing
Undergraduate 3
09/29/2011

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Term
Front of the Card
Definition
Back of the Card
Term
Acquired Immunity is which line of defense?
Definition
3rd line
Term
What do B Lymphocytes Do?
Definition
produce antibodies
Term
What do T lymphocytes Do?
Definition
attack the antigen directly
Term
What is specificity in regards to adaptive immunity?
Definition
each T or B cell recognizes only one antigen
Term
What does exposure to the infection a second time promote?
Definition
memory, provides long-term protection
Term
Where are T lymphocytes produced?
Definition
thymus gland
Term
Where are B lymphocytes produced?
Definition
bone marrow
Term
Where does Clonal Diversity Occur?
Definition
fetus, primary or central lymphoid organs
Term
What is clonal diversity?
Definition
process in which all lymphocytes recognize millions of foreign antigens
Term
What does clonal diversity result in?
Definition
B and T cells that are immate but immunocompetent / Lymphocyte Specificity
Term
What is clonal selection?
Definition
2nd phase of the immune response
Term
When does clonal selection primarily occur?
Definition
after birth
Term
What are the final products of clonal selection?
Definition
plamsa cells that produce antibodies/ effect cells that help Th, Tc, or Treg/ memory B and T cells
Term
What must occur with the antigen during clonal selection?
Definition
must be processed, presented to immune cells by antigen-presenting cells, interact with T cells
Term
What occurs in clonal selection?
Definition
immunocompetent B and T cells migrate from the primary and central lymphoid organs to the secondary lymphoid organs to await antigen
Term
Where do T-lymphocytes begin, and where do they move to?
Definition
being in the cortex of the thymus and move to the medulla of the thymus
Term
Where are T-lymphocytes released into?
Definition
the blood
Term
Where do T-lymphocytes reside?
Definition
in seconday lymph organs
Term
What develops in the T-lymphocytes?
Definition
T cell receptors and expression of characteristic surface molecules
Term
Which cells are involved in Cellular Immunity?
Definition
T Cells
Term
What cells are involved in humoral immunity?
Definition
B cells, antibodies circulate in the blood
Term
What is humoral immunity also called?
Definition
fluid immunity
Term
What do antibodies bind to?
Definition
antigens or infectious agents
Term
What is another name ofr active immunity?
Definition
active acquired immunity
Term
When is active immunity produced?
Definition
after natural exposure to an antigen or after immunization
Term
How does Passive Immunity work?
Definition
antibodies or T lymphocytes are transferred from a donor to a recipient
Term
Does Passive Immunity involve the hosts immune response?
Definition
No
Term
What does passive immunity provide?
Definition
temporary immunity as the donor antibodies or T lymphocytes are eventually destroyed
Term
What is an example of passive immunity?
Definition
maternal antibodies corss placenta to fetus
Term
What is an antigen?
Definition
a molecule that binds and reacts with an antibody or antigen receptor on B and T cells
Term
What are antigens often associated with?
Definition
pathogens, viruses, bacteria, fungi, parasites
Term
Can antigens be associated with Non-pathogenic substances?
Definition
yes
Term
What are examples of environmental antigens?
Definition
pollens/foods/bee venom
Term
What are examples of antigens?
Definition
drugs/ vaccines/transfusions/transplanted tissues
Term
What is an immunogen?
Definition
type of antigen that can trigger an immune response
Term
Are all antigens immunogens?
Definition
No
Term
What is an epitope?
Definition
precise part of the antigen that is configured for recognition and binding of the antibody
Term
What factors influence immunogenicity?
Definition
Foreignness to host/size of molecule/chemical complexity of immunogen/sufficient quantity
Term
What is the most important influece on immunogenicity?
Definition
foreignness to host
Term
Are large or small molecules the most immunogenic?
Definition
large
Term
What are haptens?
Definition
small molecules that cannot trigger an immune response independently, they need to be bound to a carrier
Term
Which immunogen is the best with regards to chemical complexity?
Definition
the most chemically diverse is the best
Term
What are antibodies also know as?
Definition
immunoglobulins
Term
What are immunoglobulins?
Definition
serum glycoproteins produced by plasma cells in response to an immunogen
Term
What are the moleculare classes of immunoglobuins?
Definition
IgG, IgA, IgM, IgE, IgD
Term
How are immunoglobulins characterized?
Definition
by antigenic, structural, and functional differences
Term
Which class of immunoglobulins are the most abundant?
Definition
IgG
Term
Where are IgG transported?
Definition
across the placenta
Term
Which class of immunoglobulins are the major class found in fetal blood and newborns?
Definition
IgG
Term
How many subclasses of IgG are there?
Definition
four
Term
Where is IgA found?
Definition
in body secretions as dimers anchored by J-chain and secretory piece
Term
What does the secretory piece of IgA funtion to do?
Definition
proctect IgA against enzyme degradation
Term
Where is IgA1 found?
Definition
blood
Term
Where is IgA2 found?
Definition
normal body secretions
Term
IgA is the dominant immunoglobulin founds in which body fluids as antibodies?
Definition
tears, sweat, saliva, mucus, and breast milk
Term
What other immunoglobulins are found in body secretions in small amounts?
Definition
IgG and IgM
Term
What do lymphoid tissues protect?
Definition
external surfaces of the body
Term
Which immunoglobulin is the largest?
Definition
IgM
Term
Which immunoglobulin is synthesized during fetal life?
Definition
IgM
Term
Which is the first antibody procuded during the initial or primary response to an antigen?
Definition
IgM
Term
Which immunoglobulin exists as a pentamer stabilized by a J-chain?
Definition
IgM
Term
Which immunoglobulin is the least concentrated?
Definition
IgE
Term
Which immunoglobulin has very specialized functions?
Definition
IgE
Term
Which immunoglobulin is a mediator of many common allergic responses?
Definition
IgE
Term
Which part of IgE is bound to mast cells?
Definition
crystalline fragment
Term
What does IgE defend against?
Definition
parasitic infections
Term
Where is IgD found in low concentrations?
Definition
blood
Term
Where is IgD located primarily?
Definition
on the surface of developing B lymphocytes
Term
What does IgD function as?
Definition
one type of B cell antigen receptor
Term
What does the antigen binding fragment contain?
Definition
recognition sites or receptors for antigenic determinants
Term
What is the crystalline fragment responsible for?
Definition
biologic funtion
Term
How many polypeptide chains are found in the immunoglobulin structure?
Definition
4- 2 heavy and 2 light chains
Term
What does each polypeptide chain contain in immunoglobulins?
Definition
a constant region with same amino acid sequence and a variable region
Term
What are the direct effect of antibodies?
Definition
Neutralization, Agglutination, Precipitation
Term
What are the indirect effects of antibodies
Definition
opsonization, complement medication
Term
Neutralization:
Definition
inactivation
Term
Agglutination:
Definition
clumping insoluble particles together
Term
Precipitation:
Definition
making a soluble antigen into an insoluble precipitate
Term
How is the degree of antibody protection assessed?
Definition
by an antibody titer
Term
When does the primary response occur?
Definition
occurs with initial exposure
Term
What occurs during the latent period or lag phase of the primary response?
Definition
B-cell differentiation
Term
In the primary response, the IgM antibody for a specific antigen is detected after how long?
Definition
5-7 days
Term
What immunoglobulin response follows an IgM reponse in the primary response?
Definition
IgG response
Term
Which response is more rapid and produces large amounts of antibodies?
Definition
Secondary response
Term
What is the rapidity due to in the secondary response?
Definition
memory cells that do not have a differentiate
Term
In the secondary response, is IgM or IgG produced in more quantities than in the primary response?
Definition
IgM is produced in similar quantites, IgG is produced in considerable larger quantity
Term
Which immunoglobulin is higher in the primary response, IgM or IgG?
Definition
IgM
Term
Which immunoglobulin is higher in the secondary response, IgM or IgG?
Definition
IgG
Term
What do Helper T Lymphocytes do?
Definition
help antigen-driven maturation of B and T Cells, facilitate and magnify interaction between APCs and immunocompetent lymphocytes
Term
What do Helper T Lymphocytes interact with?
Definition
APC through antigen-specific and antigen-independent mechanisms
Term
Do Helper T Lymphocytes undergo differentiation?
Definition
Yes
Term
What do mature Th interact with?
Definition
plasma or effector T cells
Term
What do Th1 cells do?
Definition
provide help in developing cell-mediated immunity
Term
What do Th2 cells do?
Definition
provide help in developing humoral immunity
Term
What do Antigen Presenting Cells (APC's) do?
Definition
present antigens so that they can react with B or T cells
Term
What substances do APC's not present?
Definition
ions, dendrites, macrophages, B lymphocytes
Term
What is the major histocompatability complex?
Definition
cluster of genes found on human chromosome 6, products of genes are human leykocyte antigens
Term
What are MHC Class 1?
Definition
endogenous proteins antigens
Term
What are MHC class II?
Definition
exogenous protein antigens
Term
What is CD1?
Definition
liquid antigen
Term
During transplantation, which surface antigens are different between recepient and donor?
Definition
MHC surface antigens are different, and recipient MHC can mount an immune reponse
Term
Where are CD1 molecules found?
Definition
antigen presenting and thymus cells
Term
What do CD1 molecules present?
Definition
lipid antigens contained in lipoproteins, glycolipids and other molecules
Term
What are the two infectors that CD1 molecules have an important role in?
Definition
TB and Leprosy
Term
How do T cells become activated?
Definition
bind antigen to T cell receptor
Term
What do T cells do once they are activated?
Definition
direct killing of foreign or abnormal cells and assist or activate other cells
Term
What do T regulatory cells do?
Definition
regulate the immune response to avoid attacking "self"
Term
What are the three types of T cells?
Definition
T-regulator cells/ memory T cells/ cytotoxic T lymphocytes
Term
What do cytotoxic T lymphocytes do?
Definition
responsible for cell mediated destruction of tumor cells or destruction of cells infected with virus
Term
What do cytotoxic T lymphocytes contain?
Definition
perforins and granzymes that are lysosomal granules released onto the surface of the target cell
Term
When are B cells activated?
Definition
when immunocompetenet B cells encounter an antigen for the first time
Term
Which B cells are stimulated to differentiate and proliferate?
Definition
B cells with specific BCR's
Term
What does a differentiated B cell become?
Definition
plasma Cell
Term
What is each plasma cell for?
Definition
antibody production
Term
What is an antibody class switch for B-Cells?
Definition
major component of B cell maturation
Term
When does antibody class switch occur?
Definition
during clonal selection
Term
Can B cells change class of antibodies?
Definition
Yes
Term
Which antibodies are able to respond in fetal or neonatal immunity?
Definition
IgM is capable of a primary response, IgG is not able to respond
Term
Where do Fetal or Neonatal patients get their immunity?
Definition
trophoblastic cells transport maternal IgG across the placenta
Term
When aging, which cells decrease and why?
Definition
T cells activity decreased because thymus is shrinking
Term
What is decreased in aging with regards to immunity?
Definition
production of specific antibodies, circulating memory B cells
Term
What is increased in aging with regards to immunity?
Definition
circulating antigen-antibody complexes, circulating auto antibodies
Term
In older adults, what is impaired inflammation a result of?
Definition
chronic illness
Term
What does chronic medication use do in the older adults with regards to immunity?
Definition
contributes to a decrease in the inflammatory response
Term
What occurs with the healing process with older adults?
Definition
dimished due to loss of the ability of skin to regenerate, infections are more common.
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