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What role do human leukocyte antigens (HLA) play in the immune response?
What role do human leukocyte antigens (HLA) play in the immune response?
HLA proteins are essential for presenting antigens to T cells, which triggers an adaptive immune response.
How does a superantigen affect T cell activation?
How does a superantigen affect T cell activation?
A superantigen non-specifically cross-links HLA class II and T cell receptors, leading to excessive T cell activation.
What is the significance of HLA class II polymorphism?
What is the significance of HLA class II polymorphism?
The high polymorphism of HLA class II allows for a diverse range of antigen presentation, enhancing immune response variability.
What can result from an excessive immune response due to superantigens?
What can result from an excessive immune response due to superantigens?
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What pathogen is associated with superantigen-mediated diseases?
What pathogen is associated with superantigen-mediated diseases?
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How does host susceptibility relate to HLA haplotypes?
How does host susceptibility relate to HLA haplotypes?
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What type of cells primarily express HLA class II?
What type of cells primarily express HLA class II?
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What is the crucial interaction in the adaptive immune response involving HLA?
What is the crucial interaction in the adaptive immune response involving HLA?
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What are the common symptoms associated with Helicobacter pylori infection?
What are the common symptoms associated with Helicobacter pylori infection?
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Describe the primary mode of transmission for Helicobacter pylori.
Describe the primary mode of transmission for Helicobacter pylori.
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How does Helicobacter pylori invade the host's stomach lining?
How does Helicobacter pylori invade the host's stomach lining?
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What is the association between Helicobacter pylori and gastric cancer?
What is the association between Helicobacter pylori and gastric cancer?
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Why do many individuals infected with H. pylori not develop symptoms or disease?
Why do many individuals infected with H. pylori not develop symptoms or disease?
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What treatments were originally used for H. pylori infections before antibiotics became common?
What treatments were originally used for H. pylori infections before antibiotics became common?
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How did the discovery of H. pylori change the understanding of stomach ulcers?
How did the discovery of H. pylori change the understanding of stomach ulcers?
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What role does the microbiome play in susceptibility to H. pylori infection?
What role does the microbiome play in susceptibility to H. pylori infection?
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What advancements in medical research recognized the significance of H. pylori?
What advancements in medical research recognized the significance of H. pylori?
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What are some common symptoms of H. Pylori infection?
What are some common symptoms of H. Pylori infection?
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How is H. Pylori primarily transmitted among individuals?
How is H. Pylori primarily transmitted among individuals?
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What is the mechanism of infection for H. Pylori in the human stomach?
What is the mechanism of infection for H. Pylori in the human stomach?
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What is the association between H. Pylori and gastric cancer?
What is the association between H. Pylori and gastric cancer?
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How does host susceptibility influence the severity of H. Pylori infections?
How does host susceptibility influence the severity of H. Pylori infections?
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What are common symptoms associated with H. pylori infection?
What are common symptoms associated with H. pylori infection?
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What are the primary transmission methods for H. pylori?
What are the primary transmission methods for H. pylori?
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Describe the mechanism of H. pylori infection in the human stomach.
Describe the mechanism of H. pylori infection in the human stomach.
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How is H. pylori associated with the development of gastric cancer?
How is H. pylori associated with the development of gastric cancer?
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What is the significance of the CCR5 receptor in relation to H. pylori?
What is the significance of the CCR5 receptor in relation to H. pylori?
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What genetic factors contribute to host susceptibility to H. pylori?
What genetic factors contribute to host susceptibility to H. pylori?
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What role do virulence determinants play in H. pylori infection severity?
What role do virulence determinants play in H. pylori infection severity?
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How can host resistance genes affect the outcome of H. pylori infection?
How can host resistance genes affect the outcome of H. pylori infection?
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What are the common treatments for H. pylori infections?
What are the common treatments for H. pylori infections?
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What role does the production of urease by H. pylori play in its survival?
What role does the production of urease by H. pylori play in its survival?
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What symptoms are commonly associated with SARS?
What symptoms are commonly associated with SARS?
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What transmission method does SARS primarily use?
What transmission method does SARS primarily use?
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What is the mechanism of infection for the SARS coronavirus?
What is the mechanism of infection for the SARS coronavirus?
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Is there an association between SARS and gastric cancer?
Is there an association between SARS and gastric cancer?
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How does host susceptibility influence the severity of SARS?
How does host susceptibility influence the severity of SARS?
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What role do asymptomatic patients play in the spread of SARS?
What role do asymptomatic patients play in the spread of SARS?
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What global impact did SARS have after its emergence?
What global impact did SARS have after its emergence?
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What are the common complications of severe SARS infections?
What are the common complications of severe SARS infections?
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When did SARS first emerge, and where did it originate?
When did SARS first emerge, and where did it originate?
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How did the SARS outbreak initially spread internationally?
How did the SARS outbreak initially spread internationally?
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Study Notes
Host Susceptibility and Resistance Genes
- Human leukocyte antigen (HLA) is the human version of the Major Histocompatibility Complex (MHC), crucial for immune function.
- MHC has two classes; HLA class II is mainly found on antigen-presenting cells, like macrophages, and is highly polymorphic.
- HLA class II binds specifically and reversibly to T cell receptors (TCR), essential for the adaptive immune response.
- Group A streptococci can produce superantigens, which non-specifically link HLA class II and TCR, leading to excessive T cell activation and inflammatory cytokine production.
- An excessive inflammatory response may result in organ damage and can be fatal.
- Certain HLA haplotypes demonstrate increased resistance to superantigen-induced cross-linking.
Bacterial Infectious Disease
- Various bacteria cause diseases including:
- Sore throat and flesh-eating disease (Streptococcus pyogenes)
- Anthrax (Bacillus anthracis)
- Tetanus (Clostridium tetani)
- Tuberculosis (Mycobacterium tuberculosis)
- Gonorrhea (Neisseria gonorrhoeae)
- Plague (Yersinia pestis)
- Stomach ulcers (Helicobacter pylori)
Helicobacter pylori
- Discovered by Barry Marshall and Robin Warren in 1983; won the Nobel Prize in 2005 for this work.
- Helicobacter pylori is linked to gastritis and stomach ulcers; initially thought to be caused by stress and diet.
- Antibiotic treatment has replaced antacids; approximately two-thirds of the global population is infected, yet most remain asymptomatic.
- Symptoms include burning stomach pain, nausea, vomiting, and inflammation.
Fungal, Protozoan, and Parasitic Infectious Disease
- Eukaryotic microorganisms that cause diseases include:
- Thrush (Candida albicans)
- AIDS-related infections (Pneumocystis carinii)
- Malaria (Plasmodium spp.)
- African sleeping sickness (Trypanosoma brucei)
- Intestinal worm infections (Ascaris spp.)
- Hydatid disease (Echinococcus granulosus)
Severity of Infectious Disease
- Severity is influenced by:
- Virulence determinants of pathogens such as attachment systems, toxins, and immune evasion mechanisms.
- Host factors including human genetic susceptibility and resistance genes.
Virulence Determinants
- Key determinants of virulence include:
- ECM adhesins and fimbriae/flagella for colonization.
- Siderophores for iron acquisition.
- Proteases and toxins that disrupt immune responses and cause tissue damage.
- Capsules that help avoid phagocytosis.
Resistance and Susceptibility Genes
- Genes affecting susceptibility/resistance:
- Hbs (sickle cell gene) provides resistance against Plasmodium falciparum.
- Duffy blood group glycoprotein is associated with susceptibility to Plasmodium vivax.
- CCR5 receptor polymorphisms confer resistance to HIV.
- Vitamin D receptor polymorphisms present mixed resistance/susceptibility to Mycobacterium tuberculosis.
- HLA gene polymorphisms can influence susceptibility or resistance to infections.
Viral Infectious Disease
- Viruses responsible for various diseases:
- Colds (Rhinovirus, Coronavirus)
- Influenza (Type A, B, C)
- Diarrhea (Rotavirus)
- Polio and hepatitis (Types A, B, C)
- Smallpox and SARS (Coronavirus)
SARS - Severe Acute Respiratory Syndrome
- Emerged in November 2002 in China; rapidly became a global epidemic after spread from a Hong Kong hotel.
- Spread mainly through close person-to-person contact; asymptomatic cases are common.
- Severe infections can lead to pneumonia and may require mechanical ventilation.
Group A Streptococcal Diseases
- Invasive diseases such as necrotizing fasciitis and toxic shock syndrome are linked to HLA class II polymorphism.
- Severe cases may necessitate limb amputation for patient survival.
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Description
Explore the essential roles of Human leukocyte antigen (HLA) and its impact on immune function. This quiz covers the concepts of the Major Histocompatibility Complex (MHC) and its significance in vertebrates. Test your knowledge on cellular immunity and genetic resistance.