Term
|
Definition
the physiological mechanisms that humans and other animals use to defend their bodies from invasion by other organisms. |
|
|
Term
Immune systems act against_____ (5) not ____. |
|
Definition
1. non-self (microbes), altered self (tumor cells), infected cells, dead cells, sterile injury (foreign bodies) 2. self (normal host cells) |
|
|
Term
Physiologic targets of immune attack include_____? |
|
Definition
1. infectious agents such as bacteria, fungi, viruses, multicellular parasites (protozoa) and their products (may include sterile foreign bodies) 2. altered host cells such as tumor cells, infected cells, apoptotic cells |
|
|
Term
What are the essential features of immune systems? (4) |
|
Definition
1/ breadth 2. selectivity 3. immunity 4. tolerance |
|
|
Term
|
Definition
ability to act against a broad range of potential targets sch as diverse microbes and a wide range of altered host cells |
|
|
Term
|
Definition
immunity directed selectively against microbes (non-self) and altered host cells (altered self) but NOT against normal host cells (self) |
|
|
Term
What does breadth and selectivity of immunity depend on? |
|
Definition
elaboration of diverse immune recognition systems that selectively recognize UNIQUE molecules or molecular motifs expressed by non-self or altered self and not by self. |
|
|
Term
|
Definition
immune recognition + attack against non-self and altered self - immune recognition and immune effectors |
|
|
Term
What does a deficiency in immunity lead to? Name 2 such deficiencies. |
|
Definition
increased susceptibility to infectious diseases, rheumatolgic diseases, malignancies, chronic diseases - COPD, atherosclerosis |
|
|
Term
What is tolerance? What is a deficiency of tolerance? |
|
Definition
- restriction or absence of immune recognition/attack against self - autoimmunity |
|
|
Term
What are some excessive/inappropriate reactions to non-self? |
|
Definition
- hypersensitivity/allergy - systemic inflammation - transplantation rejection |
|
|
Term
|
Definition
microbial flora that is not normally pathogenic- play helpful roles in immune and tissue development, development of immune tolerance, protect against infection by pathogenic microbes |
|
|
Term
What type of epithelia is most likely to be breached by pathogens? |
|
Definition
mucosal epithelia that is one cell layer thick or has a function depending on transport across the apical surface for oxygen, nutrient, and waste product exchange |
|
|
Term
what does recruitment and activation of systemic defense depend on? |
|
Definition
specialized and regulated migratory properites of different leukocyte populations such as B and T lymphocytes, NK cells, neutrophils, eosinophils, monocytes, dendritic cells - specialized and regulated surface properties of endothelia - regulated expression and secretion of immune signaling molecules (diffusible mediators) |
|
|
Term
How can extracellular parasites such as bacteria, fungi, and protozoa cause host damage? |
|
Definition
produce and secrete directly toxic products and/or induce host cell perturbations by direct cell-cell contract |
|
|
Term
How can intracellular parasites such as viruses, bacteria, and fungi, cause host damage? |
|
Definition
disturb metabolism and structural integrity of infected host cells |
|
|
Term
What are the physiologic roles of host inflammatory and immune responses? |
|
Definition
interruption and elimination of invading microbes |
|
|
Term
Signals are required to activate host inflammatory and immune responses. WHat activates the signals? |
|
Definition
1. invading microbes 2. infected or damaged host cells 3. activated host cells responding to a released product from an invading microbe or altered host cell |
|
|
Term
|
Definition
less selective effects when signals are of increased magnitude and duration when invading microbes are not efficiently eliminated - can cause damage |
|
|
Term
What are three things that increase the probability that invading microbes are eliminated and the host is returned to a homeostatic state? |
|
Definition
1. sensitive immune recognition mechanism to permit rapid and robust mobilization of 2. potent immune effectors to arrest and eliminate the invading microbes 3. later host responses to faciliate resolution of host inflammatory and immune responses. |
|
|
Term
What determines the outcome of infection like cancer? (3) |
|
Definition
Race between: 1. growth 2. spread of infection 3. host response |
|
|
Term
D = (N) (V)/R What does each mean? |
|
Definition
D = probability of disease N = number of invading microbes V = virulence of the microbe (ability to survive, multiply at site of infection and invade); ability to cause host damage and produce toxic products R = host resistance to microbe and microbial products at the site of infection/invasion/intoxication |
|
|
Term
Who invtented vaccinations and how? |
|
Definition
Edward Jenner in 1796 - used cowpox on a boy and observed if resistant to smallpox |
|
|
Term
What was the first infectious disease erradicated? |
|
Definition
|
|
Term
What immunity can be acquire? |
|
Definition
|
|
Term
Why are children more susceptible to infection? |
|
Definition
adaptive immunity takes time to develop and exposure |
|
|
Term
How to antibiotics increase resistance to infection? |
|
Definition
act directly on the invading microbe to inhibit microbial multiplication; if microbicidal wiil eliminate viable microbes already present |
|
|
Term
How does natural infection or vaccination lead to resistance to infection? |
|
Definition
increase in number and reactivity of specific host cells responsive to products of specific invading microbes - increased rate, extent of mobilization of host defense with earlier control, and eradadication of infection |
|
|
Term
What is the primary defense against infection? |
|
Definition
innate immunity; able to act at or shortly after birth without prior exposure; induces the adaptive response |
|
|
Term
Describe the genes mediating innate immunity |
|
Definition
hard-wired into the genome act right after birth without prior exposure all members of a species have similar repertoire |
|
|
Term
describe the genese encoding proteins for the adaptive response. |
|
Definition
genes reguire somatic recobination - induced by prior exposure different in all peopel based on exposure |
|
|
Term
What are the innate immune recognition proteins? |
|
Definition
pattern recognition receptors (PRR's) - recognize conserved, unique molecular motifs expressed by broad classes of microbes or stressed host cells - dancer molecules |
|
|
Term
Compare the number of PRR's to antibodies and T cell receptors - which is more selective? - which has more breadth |
|
Definition
PRR's - limited with less than 1000 different ones antibodies and T cell receptors - high number with greater than 10^6; more selective targets and greater breadth of immune recognition |
|
|
Term
Describe the repertoire of PRR"s |
|
Definition
unchanged during life - same among all indiciduals with functionally signifiant nucleotide based polymorphisms of PRR's |
|
|
Term
WHat kinds of cells express PRR's? Examples. |
|
Definition
many different cell types in innate immunity - leukocytes, macrophages, dendritic cells, NK cells, eosinophils, mast cells, endothelia, epithelia, CT, hepatocytes, etc. |
|
|
Term
Which cells express Ig's or antibodies? which express T cell receptors? |
|
Definition
|
|
Term
Which is polyclonal? monoclonal? - Ig's and T cell receptors - PRR's |
|
Definition
polyclonal - pRR - many cells of a lineage express many different PRR's monoclonal - Ig's and T cell receptors - B and T cells ecpress one of specificity |
|
|