Advanced Physiology Chapter 6: Immune System and Leukocyte Function
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Questions and Answers

Which system is particularly effective at killing many bacteria?

  • The Immune System
  • The Endocrine System
  • The Nervous System
  • The Complement System (correct)
  • Complement proteins circulate in the blood in ________ form.

    inactive

    What are the outcomes of complement activation? Choose the correct option.

  • Enhanced phagocytosis
  • Formation of MAC pore
  • Coating of bacteria with complement proteins
  • All of the above (correct)
  • Rheumatoid arthritis is an autoimmune disorder that activates innate immune cells in joints.

    <p>True</p> Signup and view all the answers

    What are the three levels of protection mentioned in the key concepts of the immune system?

    <p>Skin and mucosal barriers</p> Signup and view all the answers

    What are the two primary lymphoid tissues mentioned in the immune system anatomy?

    <p>Bone marrow and thymus</p> Signup and view all the answers

    Neutrophils are known as polymorphonuclear leukocytes.

    <p>True</p> Signup and view all the answers

    ________ cells are responsible for vasodilation and increased capillary permeability during inflammation.

    <p>Mast cell and basophil</p> Signup and view all the answers

    Which cells can present fragments of phagocytosed antigen to helper T cells?

    <p>Both a and b</p> Signup and view all the answers

    What are the three levels of protection outlined in the Key Concepts?

    <p>Adaptive immunity</p> Signup and view all the answers

    What is the most abundant white blood cell referred to as?

    <p>Neutrophils</p> Signup and view all the answers

    Macrophages and dendritic cells are examples of antigen-presenting cells.

    <p>True</p> Signup and view all the answers

    ____ are specialized to kill parasites.

    <p>Eosinophils</p> Signup and view all the answers

    Which system is evolutionarily old and particularly effective at killing many bacteria?

    <p>Complement System</p> Signup and view all the answers

    The Complement System circulates in the blood in an active form.

    <p>False</p> Signup and view all the answers

    ______ proteins circulate in the blood in an inactive form.

    <p>Complement</p> Signup and view all the answers

    Match the following outcomes of complement activation:

    <p>Enhanced chemotaxis = Attracts leukocytes to the site of infection Opsonization = Coating of bacteria with complement proteins to promote phagocytosis Membrane Attack Complex (MAC) pore = Forms a pore in the bacterial wall, leading to bacterial lysis</p> Signup and view all the answers

    What is an anaphylotoxin?

    <p>a peptide fragment of complement capable of releasing histamine</p> Signup and view all the answers

    Which pathway in the Complement System is antibody dependent?

    <p>Classical pathway</p> Signup and view all the answers

    Study Notes

    The Immune System

    • The immune system protects the entire body from invading pathogens and detects and kills virus-infected or cancer cells.
    • Immune cells and mediators reside in tissues and travel between tissues through circulation and lymphatic vessels, distinguishing between "self" and "nonself" cells.

    Three Levels of Protection

    • Skin and mucosal barriers: provide physical barriers against pathogens.
    • Innate immunity: includes nonselective macrophages and neutrophils that can immediately phagocytose and kill pathogens, as well as the complement system.
    • Adaptive immunity: consists of effectors such as B cells and antibody secretion, and cytotoxic T cells, which are promoted by helper T cells.

    Cells of Inflammation

    • Myeloid cells: include granulocytes (neutrophils, basophils, eosinophils) and agranulocytes (monocytes that become macrophages).
    • Lymphoid cells: include B cells and T cells, with T cells further subdivided into many classes.

    Mediators of Inflammation

    • Histamine: involved in allergic reactions.
    • Prostaglandins and leukotrienes: involved in inflammation.
    • Cytokines: signaling molecules involved in inflammation and immune responses.
    • Chemotactic factors: attract immune cells to sites of inflammation.
    • Acute phase proteins: produced in response to inflammation.

    Immune Disorders

    • Hypersensitivity reactions: overactive immune responses to normally innocuous stimuli.
    • Autoimmune disorders: destructive immune responses to self molecules, cells, and tissues.
    • Examples: allergy, atopic dermatitis, rheumatoid arthritis, type 2 diabetes mellitus, myasthenia gravis, systemic lupus erythematosus.

    Three Lines of Immune Defense

    • Barriers: skin and mucous membranes.
    • Innate immunity: nonspecific, rapid onset.
    • Adaptive immunity: specific, slow onset, long-lasting.

    Hematopoiesis

    • Myeloid lineage: granulocytes (neutrophils, basophils, eosinophils) and agranulocytes (monocytes that become macrophages).
    • Lymphoid lineage: B cells and T cells.

    Antecedents of Adaptive Immunity

    • Gene rearrangement precedes transcription and translation of B cell receptors (BCR) and T cell receptors (TCR).
    • V(D)J recombination: the process of gene rearrangement.

    Generation of a BCR/Antibody

    • Step 1: Initial heavy (H) and light (L) chain gene structures with many possible segments.
    • Step 2: Rearranged genes in final configuration.
    • Step 3: Protein product of rearranged gene becomes the B cell receptor, which later becomes the secreted antibody.

    Innate Immune Cells

    • Neutrophils: most abundant white blood cell, primarily involved in acute inflammation and phagocytosis.
    • Mast cells: involved in allergic reactions and inflammation.
    • Macrophages: professional phagocytes involved in the removal of foreign substances and apoptotic cells.
    • Dendritic cells: involved in antigen presentation to T cells.

    Sequence of Acute Inflammation

    • Detection of danger: by cellular pattern recognition receptors (PRRs) in tissue and sentinel cells (mast cells and macrophages).
    • Activation of sentinel cells: by pathogen-associated molecular patterns (PAMPs) and danger-associated molecular patterns (DAMPs).
    • Recruitment of leukocytes: to the site of inflammation.
    • Healing and resolution: of inflammation.

    Innate Immune/Antigen-Presenting Cells

    • Macrophages and dendritic cells: able to present fragments of phagocytosed antigen to helper T cells.

    Complement System

    • Recognition of pathogen features: by Toll-like receptors (TLRs), a class of pattern recognition receptors (PRRs).
    • Activation of complement proteins: through the classical, alternative, or lectin pathways.
    • Membrane attack complex (MAC): forms a pore in the bacterial membrane, leading to lysis.

    Chronic Inflammation

    • Rheumatoid arthritis: an autoimmune disorder characterized by chronic inflammation in joints, perpetuated by Th1 and Th17 immune responses.

    The Immune System

    • The immune system protects the entire body from invading pathogens and detects and kills virus-infected or cancer cells.
    • Immune cells and mediators reside in tissues and travel between tissues through circulation and lymphatic vessels, distinguishing between "self" and "nonself" cells.

    Three Levels of Protection

    • Skin and mucosal barriers: provide physical barriers against pathogens.
    • Innate immunity: includes nonselective macrophages and neutrophils that can immediately phagocytose and kill pathogens, as well as the complement system.
    • Adaptive immunity: consists of effectors such as B cells and antibody secretion, and cytotoxic T cells, which are promoted by helper T cells.

    Cells of Inflammation

    • Myeloid cells: include granulocytes (neutrophils, basophils, eosinophils) and agranulocytes (monocytes that become macrophages).
    • Lymphoid cells: include B cells and T cells, with T cells further subdivided into many classes.

    Mediators of Inflammation

    • Histamine: involved in allergic reactions.
    • Prostaglandins and leukotrienes: involved in inflammation.
    • Cytokines: signaling molecules involved in inflammation and immune responses.
    • Chemotactic factors: attract immune cells to sites of inflammation.
    • Acute phase proteins: produced in response to inflammation.

    Immune Disorders

    • Hypersensitivity reactions: overactive immune responses to normally innocuous stimuli.
    • Autoimmune disorders: destructive immune responses to self molecules, cells, and tissues.
    • Examples: allergy, atopic dermatitis, rheumatoid arthritis, type 2 diabetes mellitus, myasthenia gravis, systemic lupus erythematosus.

    Three Lines of Immune Defense

    • Barriers: skin and mucous membranes.
    • Innate immunity: nonspecific, rapid onset.
    • Adaptive immunity: specific, slow onset, long-lasting.

    Hematopoiesis

    • Myeloid lineage: granulocytes (neutrophils, basophils, eosinophils) and agranulocytes (monocytes that become macrophages).
    • Lymphoid lineage: B cells and T cells.

    Antecedents of Adaptive Immunity

    • Gene rearrangement precedes transcription and translation of B cell receptors (BCR) and T cell receptors (TCR).
    • V(D)J recombination: the process of gene rearrangement.

    Generation of a BCR/Antibody

    • Step 1: Initial heavy (H) and light (L) chain gene structures with many possible segments.
    • Step 2: Rearranged genes in final configuration.
    • Step 3: Protein product of rearranged gene becomes the B cell receptor, which later becomes the secreted antibody.

    Innate Immune Cells

    • Neutrophils: most abundant white blood cell, primarily involved in acute inflammation and phagocytosis.
    • Mast cells: involved in allergic reactions and inflammation.
    • Macrophages: professional phagocytes involved in the removal of foreign substances and apoptotic cells.
    • Dendritic cells: involved in antigen presentation to T cells.

    Sequence of Acute Inflammation

    • Detection of danger: by cellular pattern recognition receptors (PRRs) in tissue and sentinel cells (mast cells and macrophages).
    • Activation of sentinel cells: by pathogen-associated molecular patterns (PAMPs) and danger-associated molecular patterns (DAMPs).
    • Recruitment of leukocytes: to the site of inflammation.
    • Healing and resolution: of inflammation.

    Innate Immune/Antigen-Presenting Cells

    • Macrophages and dendritic cells: able to present fragments of phagocytosed antigen to helper T cells.

    Complement System

    • Recognition of pathogen features: by Toll-like receptors (TLRs), a class of pattern recognition receptors (PRRs).
    • Activation of complement proteins: through the classical, alternative, or lectin pathways.
    • Membrane attack complex (MAC): forms a pore in the bacterial membrane, leading to lysis.

    Chronic Inflammation

    • Rheumatoid arthritis: an autoimmune disorder characterized by chronic inflammation in joints, perpetuated by Th1 and Th17 immune responses.

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    Description

    This quiz accompanies Chapter 6 of Advanced Physiology and Pathophysiology, covering the immune system and leukocyte function. Assess your understanding of key concepts in immune cells and their functions.

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