Immunology: Defense Against Infection
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Questions and Answers

What is the principal role of the Th2 response in acquired immunity?

  • Secretion of IFN-γ
  • Destruction of infected cells
  • Activation of macrophages
  • Production of antibodies (correct)
  • Which immune cells are primarily responsible for eliminating intracellular bacteria?

  • CD8 cytotoxic T cells (correct)
  • Neutral killer cells
  • Helper T cells
  • B cells
  • In the context of tuberculosis, which type of immune response is activated for effective elimination of the bacteria?

  • Th1 response (correct)
  • Th2 response
  • Humoral immunity
  • Innate immunity
  • What outcome does a Th2-dominated response have in leprosy infections?

    <p>Severe tissue destruction (B)</p> Signup and view all the answers

    What is the role of natural killer (NK) cells in innate immunity?

    <p>Killing infected cells (B)</p> Signup and view all the answers

    Which bacteria are notably resistant to phagocytosis and cause chronic infections?

    <p>Mycobacterium leprae (C)</p> Signup and view all the answers

    What is the impact of the interaction between Th1 and Th2 responses in immune system functioning?

    <p>They determine the severity of certain diseases (B)</p> Signup and view all the answers

    The inflammatory response is a primary component of which type of immunity?

    <p>Innate immunity (B)</p> Signup and view all the answers

    What are the four fundamental kinds of microbial infectious agents that microbiologists study?

    <p>Bacteria, Fungi, Viruses, and Parasites (B)</p> Signup and view all the answers

    What factors determine the outcome of host-parasite interactions?

    <p>Characteristics of both the host and the microbe (A)</p> Signup and view all the answers

    Which two conditions result in adverse immune response according to the balance theory mentioned?

    <p>Under-reaction and excessive response (D)</p> Signup and view all the answers

    Which immune response is primarily activated against viruses?

    <p>Anti-viral immune response (B)</p> Signup and view all the answers

    What is NOT a characteristic that defines the phenotype of acute infectious disease?

    <p>Duration of symptoms (D)</p> Signup and view all the answers

    Which of the following is most closely associated with parasitic infections?

    <p>Protozoa (B)</p> Signup and view all the answers

    What is a key aspect of immune evasion by pathogens?

    <p>Pathogens can hide from immune detection (B)</p> Signup and view all the answers

    Which type of immune response would be engaged against an extracellular bacterium?

    <p>Humoral immune response (A)</p> Signup and view all the answers

    What role do antibodies play in humoral immunity against viruses?

    <p>They neutralize viruses and prevent attachment to target cells. (B)</p> Signup and view all the answers

    Which cell type is primarily responsible for killing virus-infected cells through direct recognition of viral antigens?

    <p>Cytotoxic T-cells (CTLs) (C)</p> Signup and view all the answers

    How do interferons (IFNs) inhibit viral replication in infected cells?

    <p>By inhibiting intracellular replication of viruses. (D)</p> Signup and view all the answers

    What is the purpose of the Cytokines released by T-helper cells during a viral infection?

    <p>To attract and activate macrophages. (B)</p> Signup and view all the answers

    What mechanism describes Antibody-Dependent Cell-mediated Cytotoxicity (ADCC)?

    <p>Antibodies bind to virus-infected cells which are then lysed by immune cells. (D)</p> Signup and view all the answers

    Which of the following best describes the action of interferons in the context of viral infections?

    <p>They act early in viral diseases before antibodies are produced. (B)</p> Signup and view all the answers

    What function do Mx proteins have in the innate immune response to viruses?

    <p>They block the transport of viral nucleoproteins into the nucleus. (B)</p> Signup and view all the answers

    Which type of immunity is primarily mediated by Natural Killer (NK) cells during the early stages of a viral infection?

    <p>Cell-mediated immunity (B)</p> Signup and view all the answers

    Which mechanism allows adenoviruses to successfully evade PKR activation?

    <p>Production of VA RNA that binds PKR without activating it (D)</p> Signup and view all the answers

    What is one of the roles of E1A produced by adenoviruses in immune evasion?

    <p>Sequesters p300/CPB co-factors to block interferon expression (B)</p> Signup and view all the answers

    Which type of immune response is primarily responsible for combating intracellular infections?

    <p>Cell-mediated response involving effector T lymphocytes (C)</p> Signup and view all the answers

    What determines the predominant immune response to an infection?

    <p>The cytokine signals at initial antigen contact (B)</p> Signup and view all the answers

    What defines immunological memory?

    <p>Recovery from infection that promotes long-term immunity to re-infection (B)</p> Signup and view all the answers

    Which cytokines are primarily associated with Th2-type immune responses?

    <p>IL-4, IL-5, IL-10, and IL-13 (C)</p> Signup and view all the answers

    What is a common response to helminth infections in the host immune response?

    <p>Strong production of immunoglobulin E (IgE) (D)</p> Signup and view all the answers

    What type of immune mechanisms resist or evade specific immune effector functions?

    <p>Virulence mechanisms employed by pathogens (B)</p> Signup and view all the answers

    What is pyroptosis in the context of HIV infection?

    <p>A highly inflammatory form of programmed cell death. (C)</p> Signup and view all the answers

    Which of the following statements correctly describes the innate immune response to abortive infection in CD4 T cells?

    <p>It results from sensing DNA fragments produced during reverse transcription. (C)</p> Signup and view all the answers

    What role do oral bacteria play in immune function?

    <p>They can impair B and T cell function. (D)</p> Signup and view all the answers

    How do periodontopathogens interact with the immune system?

    <p>They trigger the release of mediators that inhibit lymphocyte function. (A)</p> Signup and view all the answers

    What task is NOT associated with the immune response?

    <p>Igniting inflammation for non-dangerous stimuli. (C)</p> Signup and view all the answers

    Which bacteria produce specific toxins that kill monocytes?

    <p>A.actinomycetemcomitans (D)</p> Signup and view all the answers

    What are the components that provoke cytokine induction from Gram-negative bacteria?

    <p>Lipopolysaccharides (LPS) (B)</p> Signup and view all the answers

    What effect do prostaglandins released by certain bacteria have on immune function?

    <p>They inhibit lymphocyte function. (C)</p> Signup and view all the answers

    What describes the symptoms of Tuberculoid leprosy?

    <p>A few flat lesions, some large and numb (B)</p> Signup and view all the answers

    Which of the following is a possible disease response for Mid-borderline leprosy?

    <p>It may persist, regress, or progress to other forms. (B)</p> Signup and view all the answers

    What is a distinguishing feature of Lepromatous leprosy?

    <p>Presence of bacteria and severe nerve involvement (B)</p> Signup and view all the answers

    Borderline tuberculoid leprosy can result in which of the following disease responses?

    <p>Can persist, revert to tuberculoid, or advance (D)</p> Signup and view all the answers

    What characterizes the lesions found in Mid-borderline leprosy?

    <p>Lesions include reddish plaques with moderate numbness (D)</p> Signup and view all the answers

    What type of leprosy is characterized by many lesions and does not regress?

    <p>Lepromatous leprosy (A)</p> Signup and view all the answers

    How does the disease response differ for Tuberculoid and Lepromatous leprosy?

    <p>Tuberculoid may heal on its own; Lepromatous does not (B)</p> Signup and view all the answers

    Which statement about Borderline lepromatous leprosy is true?

    <p>It presents many lesions, including nodules and flat lesions. (B)</p> Signup and view all the answers

    What symptom is most likely associated with a more severe form of leprosy?

    <p>Severe nerve involvement and limb weakness (B)</p> Signup and view all the answers

    What condition involves lesions that may progress to another form but can also revert to tuberculoid?

    <p>Borderline tuberculoid leprosy (C)</p> Signup and view all the answers

    Flashcards

    Pathogenic microbes

    Microbial infectious agents that cause diseases and epidemics.

    Phenotype of an infectious disease

    The characteristics of a disease caused by a pathogen: the type of pathogen, the affected body part, the location of the pathogen (inside or outside cells), and the immune response triggered.

    Host-parasite interaction

    Interactions between a host and a pathogen vary depending on the individual host's characteristics and the pathogen's properties. This dynamic relationship influences the outcome of infection.

    Trade-off between over- and under-reactivity

    Extreme immune reactions, whether overactive or insufficient, can both be detrimental to the host. This highlights the delicate balance needed for a healthy immune response.

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    Adaptive race between hosts and parasites

    Both hosts and pathogens continuously evolve and adapt to each other, resulting in a dynamic race for survival, where each tries to outsmart the other.

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    Location of infection in host tissue

    The location of infectious agents within host tissues can influence how the immune system responds. Extracellular pathogens are found outside cells, while intracellular pathogens reside within cells.

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    Factors affecting immune response to pathogens

    The response of the immune system to pathogens can be influenced by various factors, including the type of pathogen, the location of infection, and the individual's immune status.

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    Distinct immune responses for different pathogens

    Because pathogens differ in their properties and mechanisms of infection, the immune system has evolved varying strategies to combat each type of pathogen effectively.

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    Innate Immunity

    Innate immunity is the body's first line of defense against pathogens. It's non-specific, meaning it targets a wide range of invaders. This includes mechanisms like complement activation, phagocytosis, and the inflammatory response.

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    Acquired Immunity

    Acquired immunity is a specific defense system that targets particular pathogens. It involves memory cells that recognize and eliminate the same pathogen upon re-exposure. It mainly includes humoral immunity (antibodies) and cell-mediated immunity (T cells).

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    Humoral Immunity

    Humoral immunity, a part of acquired immunity, involves antibodies produced by B cells. These antibodies bind to and neutralize specific pathogens. It's dominant in defending against extracellular bacteria, such as those causing pneumonia or urinary tract infections.

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    Cell-mediated immunity

    Cell-mediated immunity relies on T cells that directly attack infected cells or activate other immune cells. It's crucial for combating intracellular bacteria such as Mycobacterium tuberculosis, which reside inside macrophages.

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    Natural Killer (NK) Cells

    Natural Killer (NK) cells are part of the innate immune system. They detect and kill infected cells, preventing the spread of infection. They also produce IFN-gamma to enhance phagocytosis (cell-eating) by macrophages.

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    Macrophages

    Macrophages are essential phagocytic cells that engulf and destroy pathogens. In the context of intracellular bacteria, they are activated by T cells and release antimicrobial substances to kill the bacteria inside.

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    Cytotoxic T lymphocytes (CTLs)

    Cytotoxic T lymphocytes (CTLs) are a type of T cell that directly kills infected cells. They recognize and destroy infected cells, preventing them from spreading the pathogen further.

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    Granuloma formation

    Granuloma formation is a characteristic response to intracellular bacterial infection. It's a localized area of immune cells surrounding the bacteria, forming a walled-off area to contain the infection. Often seen in diseases like tuberculosis.

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    Virus Neutralization

    Antibodies bind to viruses, preventing them from attaching to cells and causing infection.

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    Cell-mediated Immunity (CMI)

    A type of immunity that involves cells, primarily T cells, directly attacking infected cells.

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    Cytotoxic T Cells (CTLs)

    Specialized immune cells that directly kill virus-infected cells by recognizing viral antigens on their surface.

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    Interferons (IFNs)

    Proteins produced by virus-infected cells that help fight viral infection by interfering with viral replication.

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    Mx Protein

    A specialized protein that helps break down viral RNA, preventing the virus from replicating inside cells.

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    2',5' Oligo(A) Synthetase

    An enzyme activated by double-stranded RNA (dsRNA) that is involved in degrading viral RNA.

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    PKR (Protein Kinase R)

    A protein kinase activated by double-stranded RNA (dsRNA) that plays a role in inhibiting viral protein synthesis.

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    Adenovirus E1A

    A viral protein that binds to p300/CPB, preventing interferon expression and inhibiting the host's immune response.

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    Tuberculoid Leprosy

    A type of leprosy characterized by a few, flat, and often numb lesions. It can heal on its own, persist, or progress to a more severe form.

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    Borderline Tuberculoid Leprosy

    A type of leprosy characterized by a mix of symptoms. It can persist, revert to a more mild form (tuberculoid), or advance to a more severe form.

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    VA RNA

    A double-stranded RNA molecule produced by adenoviruses that binds to PKR but does not trigger its activation, allowing viral translation to proceed.

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    Mid-Borderline Leprosy

    A leprosy type with more numerous lesions, more nerve involvement, and reddish plaques. It can regress, persist, or progress to other forms.

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    Interferon

    A key signaling molecule that plays a critical role in the host's response to viral infections and activates the transcription of interferon genes.

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    Borderline Lepromatous Leprosy

    The most severe form of leprosy, characterized by numerous, diverse lesions, significant numbness, and widespread nerve involvement. It can persist, regress, or progress to other forms.

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    Lepromatous Leprosy

    The most severe form of leprosy characterized by many lesions, hair loss, significant nerve involvement, limb weakness, and disfigurement. It doesn't regress.

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    eIF2α phosphorylation

    A cellular process that involves the phosphorylation of the translation initiation factor eIF2α, effectively halting protein synthesis and preventing viral replication.

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    Humoral Immune response

    A type of immune response characterized by the production of antibodies and the activation of B cells, which are primarily responsible for recognizing and neutralizing extracellular pathogens.

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    Disease Response in Leprosy

    The immune response to leprosy can range from healing on its own to a more severe form of the disease. The specific immune response and the severity of the disease depend on the balance of two immune system subsets.

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    Cell-mediated immune response

    A type of immune response mediated by T cells, responsible for targeting and eliminating intracellular pathogens, as well as infected cells.

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    Tuberculoid Response

    A type of immune response characterized by a strong cellular immune response, leading to fewer, but larger lesions.

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    Immunological memory

    The ability of the immune system to mount a more rapid and effective response to a previously encountered pathogen.

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    Lepromatous Response

    A type of immune response characterized by a weaker cellular immune response, leading to more numerous and varied lesions.

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    Immune Balance and Leprosy Severity

    The balance of the immune response determines the severity of leprosy. A strong cellular response leads to milder forms like tuberculoid leprosy, while a weak cellular response leads to more severe forms like lepromatous leprosy.

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    T cells

    A type of white blood cell that plays a crucial role in the immune system and primarily targets intracellular pathogens such as bacteria, viruses, and parasites. They're vital in recognizing and eliminating these intruders.

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    Pyroptosis

    A type of programmed cell death that involves the release of inflammatory substances, potentially contributing to chronic inflammation and immune activation.

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    Self vs. Non-self Discrimination

    The immune system's ability to distinguish between the body's own cells and foreign invaders. This prevents harmful attacks on healthy tissues.

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    Dangerous vs. Safe Discrimination

    The ability of the immune system to identify and eliminate harmful substances, like infectious agents, while ignoring safe substances like food.

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    Immunosuppressive effects of Oral Bacteria

    Oral bacteria can suppress the immune system by impairing B and T cell function, producing toxins that kill monocytes, and releasing substances that inhibit lymphocyte activity.

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    Cytokines

    Signaling molecules produced by cells of the immune system to communicate and coordinate immune responses. They play a crucial role in regulating immune function.

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    Cytokine-induction by LPS

    Lipopolysaccharide (LPS) from various periodontopathogens (bacteria that cause gum disease) can trigger the production of cytokines by host cells, indicating an immune response to these bacterial components.

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    Cytokine-inducing Components, Gram-positive vs. Gram-negative

    Gram-positive bacteria, with thick peptidoglycan layers, and Gram-negative bacteria, with thin peptidoglycan layers and outer membranes, can both trigger cytokine production through distinct mechanisms.

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    Study Notes

    Immunity in Defense and Disease

    • Immunological defenses are crucial in combating microbes and tumors, as well as for reactions against transplants and diseases stemming from abnormal immune responses.
    • Animations on the human immune system can supplement understanding of the immune response.

    Immunological Defenses Against Microbes

    • Pathogenic microbes interact with the human host in various ways, leading to various responses.
    • Anti-bacterial, anti-viral, anti-fungal, and anti-parasite immune responses are key components of defending against various infectious agents.
    • Understanding immune evasion mechanisms is vital.

    Pathogenic Microbes

    • Microbiologists study four main types of microbial infectious agents: bacteria, fungi, viruses, and parasites (including helminthes and protozoa).
    • Understanding why pathogenic microbes are feared is vital for studying immunity.

    Acute Infectious Diseases

    • Infectious diseases and epidemics are caused by pathogenic microbes.
    • The characteristics of an acute infectious disease include the type of infectious agent, the target organ, the localization (intracellular/extracellular), and the evoked immune response.
    • Understanding how the immune system reacts to different pathogens is important.

    Innate vs Acquired Immunity to Different Pathogens

    • The immune system's response to distinct pathogens varies.
    • Responses to the same pathogen may differ.

    Host-Pathogen Interaction

    • Host-parasite interactions differ among individuals based on the characteristics of the host and the microbe.
    • There is a trade-off between over- and under-reactivity (in the immune response) – an important concept that demonstrates the careful balance needed for a healthy immune response.
    • Hosts and parasites are locked in an adaptive race.

    Location of Infectious Agents in Host Tissue

    • Infectious agents can be found intracellularly or extracellularly depending on their type.
    • This difference determines the mechanisms of immune response.

    Anti-Bacterial Immunity

    • Innate immunity includes complement activation, phagocytosis, and inflammatory responses.
    • Adaptive immunity involves humoral mechanisms (antibodies—Th2 response) and cell-mediated mechanisms (Th1 response).
    • The immune response to extracellular bacteria is different from the response to intracellular bacteria.

    Immune Response to Intracellular Bacteria

    • Innate immunity to intracellular bacteria is primarily from natural killer (NK) cells, which kill infected cells and secrete IFN-γ.
    • Acquired immunity to this type of infection (intracellular) is mainly from cell-mediated immunity (CMI) and Th1 responses.
    • Both activation of macrophages and lysis of infected cells by cytotoxic cells (CTLs) are crucial in the immune response to intracellular bacteria.

    Feedback of Adaptive on Innate Immunity

    • The output on innate immunity from adaptive immunity involves different cytokines (IFN-γ, TNF; Th1 and Th2 cytokines)
    • The effect this interaction has on the outcome of some bacterial infections, such as Leishmaniasis, and Tuberculosis are covered.

    Th1/2 Choice in Leprosy

    • A specific example of Th1/2 choice is shown in clinical cases of Leprosy.
    • Different outcomes can result from different choices in immune response, including the development of tuberculoid and lepromatous leprosy.
    • Outcomes of these conditions can have a significant impact (and influence) on the patient and the progression of the disease.

    Anti-Viral Immunity

    • Humoral immunity involves neutralizing viruses and destroying virus particles by aggregation and opsonization, complement-mediated lysis.
    • Cell-mediated immunity (CMI) uses cytotoxic T-cells (CTLs), NK cells, and activated macrophages, directly killing infected cells.
    • Cytokines (interferons - IFNs) play a significant role in antiviral activity, acting early in viral diseases to inhibit intracellular replication and activate NK cells.

    Immunity to Viruses

    • Understanding how the innate and adaptive immune systems work together to fight viral infections is essential for studying immunity.

    Hepatitis B Virus (HBV) Infection

    • HBV infections in the liver are protracted, suggesting a tolerogenic effect on immune responses.
    • The liver is made up of hepatocytes, endothelium, macrophages, and lymphocytes.
    • The liver, however, is not the only tissue site where responses are noted
    • The principal cells involved in HBV infections include NK cells, T cells, B cells, and Kupffer cells.

    Immunopathology Due to Viral Infections

    • The involvement of chemokines and their receptors in infection is mentioned
    • Cytokine levels and antiviral responses are discussed
    • Phagocytosis of viral proteins by macrophages play a key role.

    Anti-Fungal Immunity

    • Innate immunity is mediated by phagocytic cells (neutrophils and macrophages).
    • Cell-mediated immunity (CMI) plays a significant role in clearing intracellular fungi; Th1 responses are crucial.

    Immunity to Parasites

    • Immunity against intracellular protozoa is largely mediated by Th1-triggered macrophages, and immunity to helminthic infections by Th2 cells, IgE, and mast cells/basophils.
    • Chronic parasite infections are common due to weak innate immunity and parasitic evasive mechanisms.

    Pathogens and Effective Immune Response

    • The table details various specific pathogens, their location (intra/extracellular), antigen recognition(MHC class I/II), and the effector actions.
    • This table was created based on immune interactions.

    Important Issues in Immunity

    • The relationship between immune deficiencies and the type of microbes is an important concept.
    • The ways various microbes evade the immune system are examined in specific examples.
    • The effects of microbes on disposition, autoimmune diseases, and other illnesses are touched upon.

    Microbial Evasion of Immune Responses

    • Microbes can avoid innate immune responses through mechanisms like resisting phagocytosis, reactive oxygen intermediates, complement activation, or anti-microbial peptide resistance.
    • The specific immune response can also be circumvented.

    Immune Evasion Targeting Cytokine Production

    • Microorganisms can induce cytokine synthesis by host cells.
    • Significant quantities of pro-inflammatory cytokines (IL-1, IL-6, IL-8, TNF) are essential mediators in inflammatory diseases that range from arthritis to periodontal ailments.
    • Viral infections can affect interferon responses.

    Tuberculosis (TB)

    • The tuberculosis bacterium uses various sophisticated methods to evade immune system responses, including mechanisms to evade cell entry, phagocytosis.
    • A very important point to make here is the high lipid concentration in the TB cell wall.
    • Pathogenesis of TB is discussed

    Immune Evasion via Microbial Antigens and Variants

    • Various mechanisms that pathogens use to evade the immune system were presented.
    • Key concepts include antigenic shifting or drifting in response to selective pressures.
    • Viral and bacterial examples were included to aid in understanding the immune response.

    HIV and Infection

    • A discussion of how HIV infects cells is presented followed by discussion of other immune responses.

    Tasks of the Immune Response

    • The roles of the immune response, including differentiation between self and non-self, and the determination of what is dangerous and safe, is discussed from a complex perspective

    Role of Immune Compartments, Signals, and Cytokines

    • Various immune mechanisms are employed to target the pathogens
    • How the adaptive and innate compartments and the roles of cytokines play are important concepts to grasp.

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    Description

    Explore the immune system's vital role in combating pathogens and tumors. This quiz covers immunological responses to various microbes, including bacteria, viruses, fungi, and parasites. Understand how the human body defends itself and how microbes evade these defenses.

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