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Questions and Answers
What is considered the first line of defense in innate immunity?
What is considered the first line of defense in innate immunity?
What is NOT one of the cardinal features of inflammation?
What is NOT one of the cardinal features of inflammation?
Which of the following is NOT a component of the innate immune system's physical barriers?
Which of the following is NOT a component of the innate immune system's physical barriers?
What is the primary role of inflammation in the immune response?
What is the primary role of inflammation in the immune response?
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What is the primary goal of the inflammatory response?
What is the primary goal of the inflammatory response?
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Which statement best describes the vascular response during inflammation?
Which statement best describes the vascular response during inflammation?
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How does skin contribute to the innate immune system's chemical barriers?
How does skin contribute to the innate immune system's chemical barriers?
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What characterizes the tissue response in inflammation?
What characterizes the tissue response in inflammation?
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What factors can trigger an inflammatory response?
What factors can trigger an inflammatory response?
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What follows cellular injury in the acute inflammatory response?
What follows cellular injury in the acute inflammatory response?
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Which type of exudate indicates the presence of a bacterial infection?
Which type of exudate indicates the presence of a bacterial infection?
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What is a common characteristic of chronic inflammation?
What is a common characteristic of chronic inflammation?
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Which of the following is NOT an acute phase reactant?
Which of the following is NOT an acute phase reactant?
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What is typically a cause of chronic inflammation?
What is typically a cause of chronic inflammation?
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What changes in the blood count may indicate acute inflammation?
What changes in the blood count may indicate acute inflammation?
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What is the primary function of the complement system in the plasma protein systems?
What is the primary function of the complement system in the plasma protein systems?
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Which primary kinin is responsible for causing pain and increasing vascular permeability?
Which primary kinin is responsible for causing pain and increasing vascular permeability?
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Which type of cytokine is primarily produced by macrophages and lymphocytes in response to pathogens?
Which type of cytokine is primarily produced by macrophages and lymphocytes in response to pathogens?
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What is the role of tumor necrosis factor-alpha (TNF-α) in inflammation?
What is the role of tumor necrosis factor-alpha (TNF-α) in inflammation?
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What is the function of leukotrienes synthesized by mast cells?
What is the function of leukotrienes synthesized by mast cells?
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What are the main receptors involved in recognizing pathogens by white blood cells?
What are the main receptors involved in recognizing pathogens by white blood cells?
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Which process involves adherence, engulfment, phagosome formation, and destruction of a target?
Which process involves adherence, engulfment, phagosome formation, and destruction of a target?
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What is the primary mechanism by which mast cells release their mediators during inflammation?
What is the primary mechanism by which mast cells release their mediators during inflammation?
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How do interleukins assist in the immune response during inflammation?
How do interleukins assist in the immune response during inflammation?
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What is the primary effect of histamine released from mast cells?
What is the primary effect of histamine released from mast cells?
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What does the term exudate refer to in the context of inflammation?
What does the term exudate refer to in the context of inflammation?
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Which phase of inflammation is characterized by the migration of leukocytes to the site of injury?
Which phase of inflammation is characterized by the migration of leukocytes to the site of injury?
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Which of the following statements about the kinin system is true?
Which of the following statements about the kinin system is true?
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Study Notes
Innate and Adaptive Immunity
- Innate Immunity: The body's first line of defense, consisting of physical and biochemical barriers.
- Adaptive Immunity: Acquired immunity involving B and T cells, providing 'memory' responses as a third line of defense.
Physical and Chemical Barriers
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Physical Barriers:
- Skin covers approximately 2 m².
- Epithelial linings of gastrointestinal, genitourinary, and respiratory tracts span around 32 m².
- Includes tight junctions, sloughing off of cells, mucus, and cilia.
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Chemical Barriers:
- Secretion of saliva, tears, earwax, sweat, and mucus contributes to protection.
- Antimicrobial peptides, including cathelicidins and collectins, play a role.
- pH levels: Skin (3-5), Stomach (1.5-3.5).
Inflammation: Response Mechanism
- Inflammation is the host response to vascular tissue damage, featuring redness, heat, swelling, pain, and loss of function.
- Goals include limiting tissue damage, destroying microorganisms, initiating adaptive immune responses, and clearing debris.
- Acute Inflammatory Response: Involves cellular injury, activation of plasma systems, and release of autocoids.
Plasma Protein Systems
- Systems contain inactive enzymes (proenzymes) that sequentially activate to combat infections.
- The Complement System activates both innate and adaptive immunity, destroying pathogens and enhancing the inflammatory response through pathways like classical, lectin, and alternative.
- Coagulation System creates a fibrin meshwork to trap pathogens and aid in repair.
- The Kinin System activates inflammatory cells and elevates vascular permeability.
Cellular Mediators of Inflammation
- White Blood Cells (WBC): Includes granulocytes, platelets, monocytes (macrophages, dendritic), and lymphocytes (T, B, NK).
- Mast Cells: Located close to blood vessels; release histamine and chemotactic factors upon degranulation.
- Cytokines are critical in signaling and modulating immune responses, classified into interleukins, interferons, and tumor necrosis factor-alpha (TNF-α).
Cytokines
- Interleukins (IL): Produced primarily by macrophages and lymphocytes, facilitating chemotaxis and regulating immune activity.
- Interferons (IFN): Protect against viral infections; types include IFN-alpha, IFN-beta, and IFN-gamma.
- Tumor Necrosis Factor-alpha (TNF-α): Induces fever, increases inflammatory proteins, and can cause muscle wasting.
- Chemokines: Attract leukocytes to inflammation sites.
Phagocytosis
- A cellular process that engulfs and disposes of foreign material, carried out in two phases:
- Extravasation: Involves margination and diapedesis.
- Phagocytosis: Involves adherence, engulfment, phagosome formation, and fusion with lysosomes.
Acute vs. Chronic Inflammation
- Acute Inflammation: Self-limiting and characterized by heat, swelling, redness, and pain. Leads to exudative fluid production.
- Chronic Inflammation: Lasting over two weeks, often resulting from an unsuccessful acute response, high lipid content microbes, or toxins.
Exudative Fluids
- Serous Exudate: Watery fluid indicating early inflammation.
- Fibrinous Exudate: Thick, clotted fluid reflecting advanced inflammation.
- Hemorrhagic Exudate: Contains blood, indicating bleeding.
- Purulent Exudate: Pus indicating bacterial infections.
Systemic Acute Inflammation
- Fever: Triggered by pyrogens acting on the hypothalamus.
- Leukocytosis: Increased WBC count, with a 'left shift' indicating more immature neutrophils.
- Acute Phase Reactants: Elevated plasma proteins such as C-reactive protein and fibrinogen, associated with the inflammatory response.
Chronic Inflammation Characteristics
- Dense lymphocyte and macrophage infiltration, granuloma formation, epithelioid and giant cell formation.
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Description
This quiz covers the fundamentals of innate and adaptive immunity, including their mechanisms and roles in the immune response. It delves into the first, second, and third lines of defense, as well as defects in these systems. Enhance your understanding of how the body protects itself against diseases.