Immune System Overview and Innate Cells
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Questions and Answers

What role do specific antibodies play in the immune response?

  • They promote the release of toxins from pathogens.
  • They neutralize toxins and promote phagocytosis. (correct)
  • They directly kill invading bacteria without assistance.
  • They restrict the movement of macrophages towards pathogens.
  • Which statement correctly explains the deficiency of the C3/alternative pathway?

  • It leads to increased vulnerability against Gram-negative bacteria.
  • It enhances the lytic pathway against various pathogens.
  • It primarily affects the immune response against viruses.
  • It mainly reduces the effectiveness against Gram-positive bacteria. (correct)
  • What is the primary function of interferon in the immune system?

  • To attract more macrophages to the infection site.
  • To enhance the activity of Gram-positive bacteria.
  • To serve as a vital defense against viral infections. (correct)
  • To induce apoptosis in virally infected cells.
  • Which immune-mediated condition arises when the immune system mistakenly attacks its own body?

    <p>Autoimmune disorders</p> Signup and view all the answers

    What is a significant challenge faced when the immune system encounters neurons in the CNS?

    <p>Neurons cannot be replaced from stem cells and do not divide.</p> Signup and view all the answers

    What is the primary function of B-cells?

    <p>Secrete antibodies</p> Signup and view all the answers

    Where do T-cells mature?

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

    Which type of pathogens do T-cells primarily target?

    <p>Intracellular pathogens</p> Signup and view all the answers

    What role do helper T-cells (CD4+ cells) play in immune responses?

    <p>Activate B-cells and other immune cells</p> Signup and view all the answers

    What is the function of antibodies in the immune response?

    <p>Mark pathogens for destruction</p> Signup and view all the answers

    How do B-cells recognize pathogens?

    <p>Through antigen-antibody complexes</p> Signup and view all the answers

    Which cytokine-secreting T-cell subtype activates macrophages?

    <p>TH1 cells</p> Signup and view all the answers

    What is the role of Mucosa Associated Lymphoid Tissue (MALT)?

    <p>Protection of mucosal surfaces</p> Signup and view all the answers

    In which part of the immune system do B-cells proliferate and mature?

    <p>Lymphoid follicles</p> Signup and view all the answers

    What happens when a B-cell is activated by a T-helper cell?

    <p>It differentiates into memory cells</p> Signup and view all the answers

    What is the primary type of T-cell responsible for killing infected cells?

    <p>Cytotoxic T-cells</p> Signup and view all the answers

    What is indicated by the term 'Class 1 MHC' related to T-cells?

    <p>It helps in the identification of normal cells.</p> Signup and view all the answers

    What determines the type of immune response generated (TH1 or TH2)?

    <p>Type of pathogen present</p> Signup and view all the answers

    Which type of antibody is most abundant in the blood and provides maternal protection during neonatal life?

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

    What is a key feature of Class 1 MHC molecules?

    <p>Found on all cells in the body</p> Signup and view all the answers

    Which antibody class is primarily responsible for protection at mucosal surfaces?

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

    What type of hypersensitivity reaction is mainly mediated by TH1 responses?

    <p>Type 4 hypersensitivity</p> Signup and view all the answers

    What is the role of the Fc region of antibodies?

    <p>Binds to receptors on cells and components of the complement system</p> Signup and view all the answers

    Which antibody class indicates a recent infection or exposure to an antigen when elevated?

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

    The term HUMAN LEUKOCYTE ANTIGEN refers to what aspect of the immune system?

    <p>Gene locus responsible for MHC molecules</p> Signup and view all the answers

    Which antibody is primarily involved in Type 1 hypersensitivity reactions?

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

    Which of the following statements about Class 2 MHC molecules is correct?

    <p>Present only on specialized antigen presenting cells</p> Signup and view all the answers

    What is not a function of IgG antibodies?

    <p>Provides mucosal protection</p> Signup and view all the answers

    Contact dermatitis is primarily associated with which immune response?

    <p>TH2 mediated response</p> Signup and view all the answers

    Which class of antibody is not well understood in terms of its function?

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

    Which of the following is a primary defense against local respiratory or gastrointestinal infections?

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

    Which immune response relies on macrophages presenting antigens to TH1 cells?

    <p>Type 4 hypersensitivity response</p> Signup and view all the answers

    Which type of hypersensitivity reaction involves the release of histamine, leukotrienes, and prostaglandins?

    <p>Type 1</p> Signup and view all the answers

    What is the primary immunoglobulin involved in Type 1 hypersensitivity reactions?

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

    Which of the following is NOT a typical action of histamine in a Type 1 hypersensitivity reaction?

    <p>Decreased secretion of nasal glands</p> Signup and view all the answers

    Which ocular manifestation is associated with Type 1 hypersensitivity reactions?

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

    What is anaphylaxis?

    <p>A systemic immediate hypersensitivity reaction</p> Signup and view all the answers

    Which antibodies are primarily involved in Type 2 hypersensitivity reactions?

    <p>IgG and IgM</p> Signup and view all the answers

    In Type 2 hypersensitivity reactions, antibodies target antigens located on:

    <p>Cell surfaces or ECM</p> Signup and view all the answers

    What is a characteristic feature of ocular pemphigoid in the context of Type 2 hypersensitivity?

    <p>Formation of bullae of the conjunctiva</p> Signup and view all the answers

    Which type of hypersensitivity involves the deposition of antigen-antibody complexes in tissue?

    <p>Type 3</p> Signup and view all the answers

    In Type 3 hypersensitivity, the deposited immune complexes cause tissue damage primarily through:

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

    Which ocular condition is associated with Type 3 hypersensitivity?

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

    What is a common location for immune complex deposition in Type 3 hypersensitivity reactions?

    <p>Cell walls</p> Signup and view all the answers

    Which of these is NOT a typical symptom of anaphylaxis?

    <p>Increased blood pressure</p> Signup and view all the answers

    Which of the following best describes the timing of a Type 1 hypersensitivity reaction manifestation?

    <p>Minutes after exposure</p> Signup and view all the answers

    Which is a typical response of the eye to a Type 1 hypersensitivity reaction?

    <p>Dark and puffy eyes due to reduced blood flow</p> Signup and view all the answers

    Where does the differentiation of lymphocytes into B-cells and T-cells occur?

    <p>Central lymphoid tissue</p> Signup and view all the answers

    What is the primary function of lymph nodes in the adaptive immune response?

    <p>Filtering lymph and presenting antigens to immune cells</p> Signup and view all the answers

    Which of the following is NOT a characteristic of the adaptive immune response?

    <p>Rapid response during the first encounter with a pathogen</p> Signup and view all the answers

    What is the role of memory cells in the adaptive immune response?

    <p>Recognizing and rapidly responding to previously encountered pathogens</p> Signup and view all the answers

    During which phase of the immune response do lymphocytes travel to the site of infection?

    <p>Effector phase</p> Signup and view all the answers

    What is the process of clonal selection?

    <p>Selection of lymphocytes with unique antigen receptors during development</p> Signup and view all the answers

    Where does clonal expansion of lymphocytes occur?

    <p>Secondary lymphoid tissues</p> Signup and view all the answers

    Which of the following cells is NOT involved in the adaptive immune response?

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

    What is the primary function of the surface barrier in the immune system?

    <p>To provide a non-specific defense against pathogens</p> Signup and view all the answers

    Which characteristic distinguishes the adaptive immune system from the innate immune system?

    <p>It is slower to respond</p> Signup and view all the answers

    The recruitment of cells to an area of infection is mediated by which substances?

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

    What role do dendritic cells play in the immune system?

    <p>They present antigens to lymphocytes</p> Signup and view all the answers

    Increased vascular permeability during inflammation is primarily due to the action of which component?

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

    Which cells are primarily responsible for defending against extracellular bacteria?

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

    What is the main role of natural killer (NK) cells?

    <p>To kill tumor and viral cells</p> Signup and view all the answers

    What is the function of the complement system in the immune response?

    <p>To recruit cells and label pathogens for destruction</p> Signup and view all the answers

    Which type of immunity is not fully functional at birth?

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

    Which of the following cells has a short lifespan and is primarily involved in immediate response to infection?

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

    In which scenario would the adaptive immune response be specifically triggered?

    <p>Upon first exposure to a foreign pathogen</p> Signup and view all the answers

    What do mast cells release when activated that contributes to inflammation?

    <p>Histamine and heparin</p> Signup and view all the answers

    What form of cell death is primarily caused by natural killer cells?

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

    What is the main distinction between phagocytosis and apoptosis?

    <p>Phagocytosis destroys pathogens, apoptosis destroys both the pathogen and the host cell</p> Signup and view all the answers

    Study Notes

    Immune System Overview

    • Three barriers with increasing specificity: surface barriers (skin, eyelashes); chemical (low stomach pH), mechanical (coughing, sneezing), and biological (tears, urine, lysosomes, phospholipase A2)
    • Innate Immune System: rapid, non-specific, no memory, determined by genetics and age, first line of defense
    • Adaptive Immune System: slow, specific, with memory, cell-mediated and humoral
    • Innate immune cells involved in inflammation include mast cells and basophils: increased blood flow, increased vascular permeability, increased cell recruitment
    • Complement System (C1-C9): initiates recruitment of inflammatory cells, labels pathogens for destruction, disrupts plasma membranes of infected cells, and removes antibody-antigen complexes

    Innate Immune System Cells

    • NK Cells: kill tumor and viral cells, using perforin and granzymes which cause apoptosis
    • Mast Cells: associated with allergies and anaphylaxis, release histamine and heparin, involved in vasodilation and recruiting other cells
    • Macrophages: phagocytes, swallow pathogens and form phagosomes, can remove damaged and old cells
    • Dendritic Cells: antigen presenting cells, process foreign material, and present to lymphocytes
    • Neutrophils: short-lived, toxic molecules (e.g. reactive oxygen species), important in defense against extracellular bacteria
    • Basophils and Eosinophils: related to neutrophils, release histamine, important in defense against parasites and allergic reactions

    Adaptive Immune System

    • The adaptive immune response is slower, takes minutes/hours, only present in vertebrates. Memory cells lead to a greater subsequent response with repeat encounters.
    • Adaptive immune cells: B cells and T cells
    • B Cells: bone marrow derived, mature in bone marrow, secrete antibodies, identify pathogens and take up antigen-antibody complexes. They process the complex into peptides and present on MHC Class 2 molecules to attract T-helper cells
      • Humoral immunity is mediated by these B cells
    • T Cells: thymus derived, mature in thymus, destroy virus-infected cells (cytotoxic T cells -CD8+) and control the type of immune response (helper T cells -CD4+ ), TH1 activates macrophages and TH2 promote antibody responses
    • Clonal Selection: lymphocytes diversify and have own antigen-specificity
    • Clonal Expansion: lymphocytes that recognise a particular pathogen divide rapidly in the secondary lymphoid tissues
    • Two phases of immune response: initiation (afferent) is in the mucosa/local lymph nodes near the infection site; effector phase is when lymphocytes and phagocytes enter the infection site

    Antibody-Mediated Response

    • Basic structure: two light chains and two heavy chains.
    • Antigen-binding sites, and fragment that binds to receptors on cells or complement system.
    • 5 classes of antibodies, each with unique structure, function, and location: IgG, IgA, IgM, IgE, and IgD.
    • IgG: most abundant, transferred across placenta, opsonisation.
    • IgA: found in secretions, primary defense against infections in respiratory/GI tracts
    • IgM: First antibody produced in an immune response, activates complement.
    • IgE: binds to mast cells and basophils, involved in allergic reactions.
    • IgD: role unclear.

    Immune Defense Mechanisms (Bacteria)

    • Releasing toxins
    • Invading tissues—parasitizing and killing cells
    • Combination of the above.

    Immune Defense Mechanisms (Viruses)

    • Interferons
    • Cytotoxic T cells
    • Various activation processes for infected cells and targeting.

    Types of Hypersensitivity

    • Type 1 Allergy: rapid, localized or generalized reaction (e.g., asthma, hayfever)
      • Mediated by IgE antibodies and mast/basophil cells. Involvement of histamine is key.
    • Type 2 Cytotoxic: antibodies target cells—causes cell damage.
      • Antibody-mediated destruction of cells and tissues (e.g., blood transfusion reactions).
    • Type 3 Immune Complex: formation and deposition in tissues—causing inflammation.
      • Immune complexes deposited in tissues cause inflammation and damage (e.g., glomerulonephritis).
    • Type 4 Delayed: T cells—causing tissue damage via cytokines
      • Cell-mediated response, tissue injury mediated by cytokines. Examples include contact dermatitis.

    Lymphocytes (and other cells) and Tissues

    • Lymphoid follicles: areas in the lymph nodes where B cells proliferate, develop, and mature antibodies
    • Para cortex: an area where T cells activate other B cells
    • Mucosa-associated lymphoid tissue (MALT): a major site of pathogen entry
    • Important for immune surveillance in mucosal surfaces—protection against pathogens that enter via the mucous membranes (e.g., respiratory, digestive)

    MHC Molecules

    • MHC class I: on all cells, present self-antigens.
    • MHC class II: on APC, presents foreign antigens.

    Immunodeficiency

    • Genetic or acquired inability to fight infections effectively.
    • Ability of the body to effectively mount an immune response against infections is compromised.

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