Term
|
Definition
|
|
Term
|
Definition
Major Histocompatibility Complex |
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
What individuals have identical MHC molecules? |
|
Definition
|
|
Term
|
Definition
|
|
Term
What cells do not contain MHCs? |
|
Definition
Non-nucleated (RBCs), Gametes, Neurons, Placental Trophoblast Cells |
|
|
Term
Why would an individual not respond to a pathogen? |
|
Definition
|
|
Term
What determines the MHC molecules an animal can make? |
|
Definition
|
|
Term
|
Definition
The requirement for Ag to be bound to a self-MHC molecule to elicit an immune response when it interacts with/binds to the TCR on a T lymphocyte |
|
|
Term
What cells have MHC I molecules? |
|
Definition
|
|
Term
What cells have MHC II molecules? |
|
Definition
|
|
Term
What do MHC I molecules present antigenic fragments to? |
|
Definition
Cytotoxic T/Killer T (CD8) Cells |
|
|
Term
What do MHC II molecules present antigenic fragments to? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Body defenses that protect against disease |
|
|
Term
Physical barriers in the respiratory tract |
|
Definition
coughing, sneezing, muco-ciliary flow |
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|
Term
Physical barriers in the GI tract |
|
Definition
|
|
Term
Innate immunity - chemicals |
|
Definition
|
|
Term
|
Definition
|
|
Term
What is the most important innate immune response? |
|
Definition
|
|
Term
______ immunity lacks memory, whereas _____ immunity has memory |
|
Definition
innate immunity, acquired immunity |
|
|
Term
Which immune system responds immediately? |
|
Definition
|
|
Term
Examples of foreign invaders |
|
Definition
pathogenic microbe, allergen, tissue graft (from non-identical twin) |
|
|
Term
Which immune system generates lymphocytes? |
|
Definition
|
|
Term
Which immune system is antigen-driven? |
|
Definition
|
|
Term
Which lymphocytes are part of humoral immunity? |
|
Definition
|
|
Term
Which lymphocytes are part of CMI? |
|
Definition
|
|
Term
What do B lymphocytes make? |
|
Definition
|
|
Term
Which type of immunity targets extracellular invaders? |
|
Definition
|
|
Term
Which type of immunity targets intracellular pathogens? |
|
Definition
|
|
Term
What are some examples of hypersensitivities? |
|
Definition
|
|
Term
What is an example of autoimmunity? |
|
Definition
|
|
Term
What are some examples of neoplasia of the immune system? |
|
Definition
|
|
Term
What is the first line of defense after microbial invasion? |
|
Definition
|
|
Term
What are the main cells that migrate to the site of inflammation? |
|
Definition
Neutrophils & Macrophages |
|
|
Term
Which phagocytic cells are in the blood? |
|
Definition
|
|
Term
Which phagocytic cells are in the tissues? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Cytokines that interfere with viral replication |
|
|
Term
What are complement proteins? |
|
Definition
A group of serum & cell-surface proteins that can be activated by both innate & acquired immune mechanisms & result in a variety of biological events |
|
|
Term
|
Definition
Complement proteins & other proteins such as some types of antibodies, which can coat microbes & help with phagocytosis by other cells |
|
|
Term
|
Definition
proteins that mediate cellular interactions & regulate cell growth & secretion |
|
|
Term
|
Definition
|
|
Term
What enzyme is involved in RB? |
|
Definition
|
|
Term
What does lysozyme attack? |
|
Definition
Carbohydrates in the cell wall of Gr+ bacteria |
|
|
Term
|
Definition
Digest basement membranes btw endothelial cells |
|
|
Term
What is another name for neutrophils? |
|
Definition
Polymorphonuclear Leukocytes |
|
|
Term
|
Definition
Polymorphonuclear Leukocytes (neutrophils) |
|
|
Term
What are the 1st & major phagocytes to respond to infections? |
|
Definition
|
|
Term
What is the circulating pool of neutrophils? |
|
Definition
The cells you see when you do a blood sample - moving as fast as other blood cells |
|
|
Term
What is the marginating pool of neutrophils? |
|
Definition
Where cells adhere to endothelium |
|
|
Term
Cats have 3 times as many _____ neutrophils as _____ neutrophils |
|
Definition
|
|
Term
|
Definition
Above normal concentration of neutrophils in the blood |
|
|
Term
What can cause MP to move into CP, leading to neutrophilia? |
|
Definition
Stress, glucocorticoids, epinephrine, inflammation, leukocyte adhesion deficiency |
|
|
Term
What is the proliferation, maturation, and storage pool for neutrophils? |
|
Definition
|
|
Term
How long do neutrophils live? |
|
Definition
|
|
Term
What are the "martyrs of the immune system?" |
|
Definition
|
|
Term
What do dying neutrophils attract? |
|
Definition
|
|
Term
When do neutrophils become active? |
|
Definition
Immediately upon release from bone marrow |
|
|
Term
|
Definition
Cell surface protein molecules that promote adherence of the cell to various things |
|
|
Term
What are the 4 steps of phagocytosis? |
|
Definition
Chemotaxis, Adherence to Microbe, Ingestion of Microbe, Destruction of Microbe |
|
|
Term
|
Definition
a family of chemotactic cytokines that serve as attractants for specific cell populations, thus, help mediate an inflammatory response |
|
|
Term
What type of receptors do neutrophils have? |
|
Definition
FcR, R for complement proteins |
|
|
Term
What is the vacuole into which antigens are ingested in phagocytic cells? |
|
Definition
|
|
Term
|
Definition
|
|
Term
What are some bacterial pathogens that can survive inside macrophages? |
|
Definition
Mycobacterium bovis, Rhodococcus equi, Brucella abortus, Listeria monocytogenes, Salmonella typhimurium |
|
|
Term
|
Definition
|
|
Term
What is the term for increased WBC count? |
|
Definition
|
|
Term
What are eosinophils primarily involved in? |
|
Definition
|
|
Term
What cells have granules with vasoactive amines (histamine & serotonin)? |
|
Definition
|
|
Term
What are basophils involved with? |
|
Definition
|
|
Term
What are some local types of macrophages? |
|
Definition
Kupffer cells in liver, Histiocytes, Microglia, Osteoclasts |
|
|
Term
What down-regulates macrophages? |
|
Definition
Steroids & Prostaglandins |
|
|
Term
What is secreted by macrophages? |
|
Definition
Lysozymes, proteases, complement proteins, cytokines (monokines & interleukins) |
|
|
Term
|
Definition
Proteins that act as growth & differentiation factors for cells of the immune system |
|
|
Term
What are some major cytokines of macrophages? |
|
Definition
|
|
Term
|
Definition
|
|
Term
Which IL has potential use as an adjuvant in vaccines? |
|
Definition
|
|
Term
What cytokine is produced by both macrophages & mast cells? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Pulmonary Intravascular Macrophages |
|
|
Term
What size is considered a large antigen? |
|
Definition
|
|
Term
What is the fate of large antigens? |
|
Definition
Removed by phagocytic cells |
|
|
Term
What is an extremely important function of macrophages? |
|
Definition
|
|
Term
|
Definition
Pattern Recognition Receptor |
|
|
Term
|
Definition
Pathogen Associated Membrane Patterns |
|
|
Term
What molecules are essential for survival of microbes, and therefore do not mutate or change expression? |
|
Definition
|
|
Term
What is the most important group of PRR? |
|
Definition
|
|
Term
|
Definition
|
|
Term
How many TLRs have been identified? |
|
Definition
|
|
Term
What cell types express TLRs? |
|
Definition
Macrophages, Mast cells, Dendritic cells, Eosinophils, Neutrophils |
|
|
Term
Which immune system do NK cells belong to? |
|
Definition
|
|
Term
|
Definition
|
|
Term
How do NK cells kill their target cells? |
|
Definition
Releasing perforin from granules |
|
|
Term
What receptors do NK cells have? |
|
Definition
|
|
Term
What is the most important function of NK cells? |
|
Definition
Viral immunity & defense against tumors |
|
|
Term
What do NK cells receive inhibitory signals from? |
|
Definition
Cells that express MHC-I molecules |
|
|
Term
What type of cells do NK cells recognize & kill? |
|
Definition
Cells that do not express MHC-I (tumor cells, virally infected cells) |
|
|
Term
What type of proteins do NK cells recognize? |
|
Definition
Those not present on normal, healthy cells - i.e. proteins expressed on cells undergoing stress |
|
|
Term
How do NK cells recognize antibody? |
|
Definition
|
|
Term
|
Definition
|
|
Term
What are NK cells regulated by? |
|
Definition
|
|
Term
What is expressed by many virally-infected cells and recognized by NK cells? |
|
Definition
|
|
Term
|
Definition
Molecular structures that the immune system (acquired) can recognize & respond to; Molecules capable, under appropriate conditions, of inducing a specific immune response, & capable of interacting w/ the products of that immune response |
|
|
Term
What type of molecules can Ag interact with? |
|
Definition
Antibody, TCR on T-lymphocytes, BCR on B-lymphocytes, MHC molecules |
|
|
Term
|
Definition
the ability of an Ag to bind w immune components (antibody & TCR) |
|
|
Term
|
Definition
The ability of Ag to induce an immune response |
|
|
Term
What is a good molecular size for immunogenicity? |
|
Definition
|
|
Term
What is an example of a bacteria w/ a capsular coating that is poorly immunogenic? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Bovine Leukocyte Adhesion Deficiency |
|
|
Term
What must neutrophils be able to do in order to perform their functions? |
|
Definition
Get out of the vasculature (via integrins) |
|
|
Term
Can eosinophils be phagocytic? |
|
Definition
|
|
Term
What cells maintain sustained phagocytosis? |
|
Definition
|
|
Term
What type of receptors do macrophages have? |
|
Definition
FcR, CPR, Integrins, Cytokines, PRR |
|
|
Term
What are some of the cytokines secreted by macs? |
|
Definition
Monokines (pro-inflammatory), ILs |
|
|
Term
|
Definition
Macrophages & Neutrophils |
|
|
Term
Aside from TLR, what are 2 other PAMPs? |
|
Definition
|
|
Term
What are some examples of good immunogens? |
|
Definition
Proteins, glycoproteins, prokaryotic nucleic acids (CpG motifs), Bacterial LPS, Capsid proteins |
|
|
Term
|
Definition
Fixing with heat or formaldehyde |
|
|
Term
|
Definition
The small portion of the immunogenic molecule which binds with Ab/TCR/BCR |
|
|
Term
|
Definition
amino acids in linear sequence |
|
|
Term
|
Definition
amino acids separated, but brought together by folding |
|
|
Term
Which type of epitope will not be recognized if changed by denaturing? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
small molecules that are antigenic but are not immunogenic in vivo unless bound to a carrier protein |
|
|
Term
Give some examples of haptens. |
|
Definition
Some drugs, hormones, toxins |
|
|
Term
Give 2 specific examples of haptens. |
|
Definition
Penicillin bound to albumin; Urushiol + Skin proteins |
|
|
Term
What are most microbial Ags? |
|
Definition
|
|
Term
What determines whether a pathogen is classified as extracellular or intracellular? |
|
Definition
|
|
Term
What pathogens are intracellular? |
|
Definition
Viruses, some bacteria, certain stages of protozoa |
|
|
Term
What pathogens are extracellular? |
|
Definition
Most bacteria, most parasites |
|
|
Term
Give some examples of intracellular bacteria. |
|
Definition
Mycobacterium sp., Rhodococcus equi, Listeria monocytogenes, Brucella abortus |
|
|
Term
What determines whether something is classified as exogenous or endogenous? |
|
Definition
|
|
Term
What does the location of Ag production dictate? |
|
Definition
|
|
Term
What is an example of an exogenous Ag? |
|
Definition
Replicating extracellular microbe itself |
|
|
Term
Give an example of endogenous Ag. |
|
Definition
Proteins made by virus inside the host cell |
|
|
Term
What is the term for bacteria that can replicate inside macrophages? |
|
Definition
Facultative Intracellular |
|
|
Term
Give some examples of bacteria that produce endogenous Ag. |
|
Definition
Mycobacterium sp., Rhodococcus equi, Listeria monocytogenes, Brucella abortus |
|
|
Term
Give an example of a virus that exists outside the host cell for some time before becoming intracellular. |
|
Definition
|
|
Term
Is humoral immunity effective against HIV? |
|
Definition
|
|
Term
Is humoral immunity effective against Rabies? |
|
Definition
Yes, while it is extracellular |
|
|
Term
What are cell surface Ags? |
|
Definition
Molecules expressed on the surface of normal cells that in another animal could stimulate an immune response |
|
|
Term
What are 2 examples of cell surface Ags? |
|
Definition
|
|
Term
|
Definition
Surface molecules on immune cells |
|
|
Term
What is the function of CD25? |
|
Definition
|
|
Term
How are CD molecules identified? |
|
Definition
|
|
Term
APCs present _____ Ag to T-helper cells via MHC _____. |
|
Definition
|
|
Term
_____ Ag is presented to cytotoxic T-lymphocytes via MHC _____. |
|
Definition
|
|
Term
What does BCR interact with? |
|
Definition
|
|
Term
What can TCR interact with? |
|
Definition
Ag presented by APC, or an infected, nucleated cell w/i context of self-MHC |
|
|
Term
How do B-lymphocytes make Ab? |
|
Definition
W/ help from Helper T lymphocytes |
|
|
Term
What is the professional APC? |
|
Definition
|
|
Term
What cells are best for processing & presenting Ag? |
|
Definition
|
|
Term
|
Definition
|
|
Term
What cells are good for Ag capture? |
|
Definition
|
|
Term
DCs are found in all organs except _____, parts of _____, & _____. |
|
Definition
|
|
Term
DCs are prominent in ____, ____, & ____. |
|
Definition
Lymph nodes, skin, mucosal surfaces |
|
|
Term
What APCs can present & activate naive T-cells? |
|
Definition
|
|
Term
DCs are essential for initiating the ____ immune response. |
|
Definition
|
|
Term
What are DCs produced from? |
|
Definition
|
|
Term
What are the semi-professional APCs? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
A B-cell that can make Ab |
|
|
Term
A B-cell usually needs help from a ______ to become a plasma cell. |
|
Definition
|
|
Term
2 membrane-bound Ab mol's (the BCR) bind the Ag... this is called _____ |
|
Definition
|
|
Term
What are some "non-professional" APCs? |
|
Definition
Endothelial cells, astrocytes, fibroblasts |
|
|
Term
|
Definition
Specialized glycoproteins |
|
|
Term
What region of the MHC mol binds the Ag? |
|
Definition
|
|
Term
How many peptides can a given MHC mol present at a time? |
|
Definition
|
|
Term
|
Definition
The fact that an MHC mol can bind a # of antigenic peptides |
|
|
Term
What are the critical amino acids of the Ag that must fit into the binding pocket of the MHC? |
|
Definition
|
|
Term
What determines what Ags an MHC mol can bind & present? |
|
Definition
Structure of binding groove |
|
|
Term
TCR has _____ specificity |
|
Definition
|
|
Term
What is responsible for graft rejection in non-identical twins? |
|
Definition
|
|
Term
What are some examples of diseases that involve the MHC profile? |
|
Definition
Bovine Lymphoma, Bovine Leukemia Virus, Mareks Dz, Autoimmune Dz (Rheumatoid arthritis), Diabetes, Thyroiditis/Graves Dz |
|
|
Term
What MHC alleles are associated with diabetes mellitus in dogs? |
|
Definition
|
|
Term
The more _____ an animal is for MHC, the greater variety of antigenic peptides it can present to its immune sys. |
|
Definition
|
|
Term
What type of animals have more MHC diversity? Examples? |
|
Definition
|
|
Term
What is a cause of genetic erosion? |
|
Definition
|
|
Term
Give an example of an inbred pop that lacks MHC allelic diversity. |
|
Definition
Some pops of cheetahs, Tasmanian devils |
|
|
Term
|
Definition
|
|
Term
What is the term for a phagosome fused w/ lysosomes |
|
Definition
|
|
Term
MHC-II mols can bind peptides that are _____ aa long. |
|
Definition
|
|
Term
An APC can express ~ _____ different MHC-II mols. |
|
Definition
|
|
Term
How many different Ags can an APC present simultaneously? |
|
Definition
|
|
Term
MHC-II mols present Ag to ____ cells. |
|
Definition
|
|
Term
What type of cells to CTLs destroy? |
|
Definition
Infected Cells, Tumor Cells, MHC-incompatible cells |
|
|
Term
MHC-I mols can only bind peptides that are _____ aa long. |
|
Definition
|
|
Term
An APC can present both _____ & _____ Ag at the same time. |
|
Definition
|
|
Term
Cross-Presentation/Cross-Priming |
|
Definition
Under some circumstances, exogenous Ags may enter the endogenous Ag pway & thus be presented via MHC-I to CTLs |
|
|
Term
What is one example of a molecular chaperone? |
|
Definition
|
|
Term
HSP is important in _____. |
|
Definition
|
|
Term
What are sources of fetal lymphoid stem cells? |
|
Definition
Yolk sac, liver, bone marrow |
|
|
Term
What is the source of lymphoid stem cells in the adult? |
|
Definition
|
|
Term
What are the primary lymphoid organs? |
|
Definition
Thymus, Bursa, Peyers Patches, Bone Marrow |
|
|
Term
Where do lymphocytes acquire their repertoire of Ag binding receptors? |
|
Definition
|
|
Term
Where do lymphocytes mature? |
|
Definition
|
|
Term
Do lymphocytes encounter foreign Ag in Primary lymphoid organs? |
|
Definition
|
|
Term
What does T-lymphocyte stand for? |
|
Definition
Thymus-derived lymphocyte |
|
|
Term
|
Definition
|
|
Term
Where do T cell precursors come from? |
|
Definition
|
|
Term
Where does thymocyte gene receptor rearrangement occur? |
|
Definition
|
|
Term
What leads to the generation of enormous diversity of lymphocytes w/ diff TCRs? |
|
Definition
gene receptor rearrangement |
|
|
Term
Thymocytes w/ TCR that bind self Ag are _____ & _____. |
|
Definition
Negatively selected, die by apoptosis |
|
|
Term
What % of thymocytes undergo negative selection? |
|
Definition
|
|
Term
How long do the survivors of thymocyte negative selection remain in the thymus? |
|
Definition
|
|
Term
What 2 populations of thymocytes leave the thymus? |
|
Definition
|
|
Term
Where do B cells mature & differentiate in birds? |
|
Definition
|
|
Term
What % of B cells die via negative selection of self-reacting B cells? |
|
Definition
|
|
Term
|
Definition
Lymphoid Organs in the walls of the SI |
|
|
Term
What are Group II mammals? |
|
Definition
|
|
Term
What is the primary site for B cell development in Group II mammals? |
|
Definition
|
|
Term
What is the primary site for B cell development in Group I mammals? |
|
Definition
|
|
Term
What are Group I mammals? |
|
Definition
Ruminants, Pigs, Horses, Dogs, Humans |
|
|
Term
What occurs to generate a B cell population with diverse BCR? |
|
Definition
B cell receptor gene rearrangement |
|
|
Term
What are secondary lymphoid organs? |
|
Definition
Lymph nodes, Hemolymph nodes, Spleen, BALT, GALT, Tonsils, Spleen |
|
|
Term
What are the main sites where Ag trapping & presentation to lymphocytes occurs? |
|
Definition
Secondary Lymphoid Organs |
|
|
Term
What are Effector B cells? |
|
Definition
|
|
Term
What are Effector T-cells? |
|
Definition
|
|
Term
What predominates in the cortex of lymph nodes? |
|
Definition
|
|
Term
What predominates in the paracortex of lns? |
|
Definition
T-cells & Dendritic Cells |
|
|
Term
What is the function of lns? |
|
Definition
|
|
Term
What organ filters Ag from blood? |
|
Definition
|
|
Term
NK cells, unlike T & B lymphocytes, do not undergo ____ ____. |
|
Definition
|
|
Term
What is the signal transducer in TCR? |
|
Definition
|
|
Term
What is the signal transducer in BCR? |
|
Definition
|
|
Term
|
Definition
The strength of binding btw Ag & R |
|
|
Term
What type of epitopes do BCRs see? |
|
Definition
|
|
Term
As a cell pop, B & T lymphocytes must recognize & respond to a lg # of diverse foreign Ags. This is accomplished by _____. |
|
Definition
Somatic Gene Rearrangement |
|
|
Term
What gene segments are involved in somatic recombination? |
|
Definition
|
|
Term
What are the enzymes that mediate somatic gene rearrangement? |
|
Definition
|
|
Term
If somatic gene rearrangement is defective, this leads to severe _____. |
|
Definition
immunodeficiency syndromes |
|
|
Term
If somatic gene rearrangement is defective, functional _____ are not generated |
|
Definition
|
|
Term
With regard to T & B cell progeny, TCRs and BCRs are _____. |
|
Definition
|
|
Term
|
Definition
Mols needed to recognize mols on the surface of cells that help w/ co-stimulation |
|
|
Term
Examples of co-stimulatory molecules: |
|
Definition
|
|
Term
Examples of adherence molecules: |
|
Definition
|
|
Term
What is used for immunophenotyping lymphocytes? |
|
Definition
|
|
Term
What are 2 methods of identifying surface molecules on cells? |
|
Definition
Fluorescence microscopy & Flow cytometry |
|
|
Term
What are the majority of lymphocytes in circulation? |
|
Definition
|
|
Term
What % of circulating lymphocytes are T-lymphocytes? |
|
Definition
|
|
Term
How long do T-lymphocytes circulate? |
|
Definition
|
|
Term
How are subsets of T-lymphocytes defined? |
|
Definition
Surface molecules expressed; Functions performed |
|
|
Term
How many epitopes does a TCR bind? |
|
Definition
|
|
Term
In T-cells, what occurs first? Signal transduction, or Ag binding? |
|
Definition
|
|
Term
What happens to a T-cell after it is signaled by CD3? |
|
Definition
Activated, enters cell cycle, proliferates, secretes cytokines |
|
|
Term
What is usually necessary for T cell activation? |
|
Definition
|
|
Term
How many TCRs (identical) are on the surface of each Th cell? |
|
Definition
|
|
Term
How many TCR-MHC-peptide interactions are needed to trigger activation of a CD4 T cell? |
|
Definition
|
|
Term
What are the 2 T-helper cell subsets? |
|
Definition
|
|
Term
How are T-helper cell subsets defined? |
|
Definition
By the cytokines they make |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
What does IL2 do when secreted by Th1 cells? |
|
Definition
Activate other T cells, B cells, NK cells |
|
|
Term
What does IFN-gamma do when secreted by Th1 cells? |
|
Definition
activate macrophages (promote CMI) |
|
|
Term
Think _____ when you think of Th1 cells. |
|
Definition
|
|
Term
Think _____ when you think of Th2 cells. |
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Definition
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Term
What do IL-4 & 5 do when secreted by Th2 cells? |
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Definition
Stimulate B cell proliferation & Ab secretion |
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Term
Th1 cells promote resistance to _____ pathogens. |
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Definition
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Term
Th2 cells promote resistance to _____ pathogens. |
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Definition
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Term
How long do B cells live? |
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Definition
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Term
How long do memory B cells live? |
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Definition
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Term
What % of lymphocytes in circulation are B lymphocytes? |
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Definition
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Term
BCR can process & present Ag with _____ molecules. |
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Definition
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Term
What is present in a BCR that is lacking in Ab? |
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Definition
B cell membrane-spanning tail |
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Term
What do variable regions of BCR dictate? |
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Definition
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Term
Most of the time, the B cell will need help from _____ cells to become fully activated. |
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Definition
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Term
What cells mediate Delayed-type Hypersensitivity Response? |
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Definition
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Term
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Definition
Delayed-Type Hypersensitivity |
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Term
What is 1 example of DTH? |
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Definition
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Term
What cells of the innate immune sys participate in CMI? |
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Definition
NK, Macrophages, Neutrophils |
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Term
How many signals do mature but naive T cells need for activation? |
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Definition
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Term
Proliferation of a mature, naive T cell is _____ dependent. |
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Definition
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Term
Co-stimulatory mols trigger T cell entry into ____ of the cell cycle |
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Definition
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Term
How often/for how long do T cells divide? |
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Definition
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Term
Memory & Effector T cells express more _____ than naive T cells. |
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Definition
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Term
Upon activation, a naive CD4+ T cell can differentiate along 2 pways giving rise to _____ & _____. |
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Definition
CD4+ Th1 lymphocytes, CD4+ Th2 lymphocytes |
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Term
Th1-dominated response primarily promotes _____. |
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Definition
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Term
Th2-dominated response primarily promotes _____. |
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Definition
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Term
What are the 2 types of killed Rabies vaccines? |
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Definition
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Term
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Definition
Human Diploid Cell Vaccine |
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Term
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Definition
Purified Chick Embryo Cell Vaccine |
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Term
What is the route of both killed Rabies vaccines? |
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Definition
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Term
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Definition
Human Rabies Immune Globulin |
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Term
What Immunoglobin/Ab is given to Rabies postexposure non-immunized individuals? |
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Definition
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Term
What is the route of HRIG? |
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Definition
Local infusion @ wound site, w/ add'l amt IM @ site distant from vaccine |
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Term
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Definition
Human Ab against the rabies virus |
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Term
What is the reservoir for Rabies in Grenada? |
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Definition
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Term
What is the Tx for rabies post-exposure non-immunized individuals? |
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Definition
Wound cleansing, HRIG, & Vaccine |
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Term
What is the Tx for rabies post-exposure previously-immunized individuals? |
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Definition
Wound Cleansing, NO HRIG, & Vaccine |
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Term
Describe wound cleansing for a rabies post-exposure non-immunized individual. |
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Definition
Immediate thorough cleansing of all wounds w/ soap & water |
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Term
Describe wound cleansing for a rabies post-exposure previously-immunized individual. |
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Definition
Immediate thorough cleansing of all wounds w/ soap & water. If available, an agent w/ some anti-viral activity, such as povidine-iodide sol'n should be used to irrigate the wounds. |
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Term
Describe administration of HRIG in rabies post-exposure non-immunized individuals. |
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Definition
If possible, the full dose should be infiltrated around any wound(s) & any remaining volume should be administered IM @ an anatomical site distant from vaccine admin |
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Term
Describe vaccine admin in rabies post-exposure non-immunized individuals. |
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Definition
4 vaccinations, HDCV or PCEC 1.0 mL, IM (deltoid area), 1 ea on days 0, 3, 7, 14 |
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Term
Describe vaccine admin in rabies post-exposure previously-immunized individuals. |
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Definition
2 vaccinations HDCV or PCEC 1.0 mL, IM (deltoid area), 1 ea on days 0 & 3 |
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Term
Why shouldn't HRIG be administered to previously immunized individuals? |
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Definition
They already have Ab b/c their initial vaccination stimulated Ab production |
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