Immunology: Extracellular Infection Responses

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Questions and Answers

Streptococcus pneumoniae is a type of bacteria that can cause infections in humans.

True (A)

Isotype switching primarily leads to the production of IgM antibodies.

False (B)

Candida is a type of fungus that can lead to infections in humans.

True (A)

Minimal isotype switching results in the production of long-lived plasma cells.

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

Memory B cells reside in the marginal zones of secondary lymph organs.

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

Antibodies are ineffective in neutralizing pathogens.

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

The generation of IgA is important for mucosal protection.

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

There are no memory cells produced in the B cell response to streptococci.

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

Mast cells assist in getting rid of killed worms.

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

Eosinophil granules contain proteins that are harmful to parasites.

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

IgE antibodies have no effect on secondary infections.

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

Increased levels of IgE are associated with a higher vulnerability to asthma and allergies.

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

IL-4 and IL-5 are not related to TH2 associated diseases.

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

Hyposplenism refers to an increase in splenic function.

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

The spleen is a crucial secondary lymphoid organ.

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

B cells produce antibodies in the spleen after their development is completed.

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

Surgical removal of the spleen can lead to hyposplenism.

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

Prophylactic antibiotics are recommended only for patients with congenital asplenia.

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

Functional hyposplenism can be caused by conditions like Coeliac disease.

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

Annual antibody titer measurements are not necessary for patients with hyposplenism.

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

Vaccination should take place two weeks after a splenectomy.

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

Streptococci and helminths are examples of organisms involved in extracellular infections.

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

B cells are not involved in the elimination of extracellular infections.

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

Macrophages and dendritic cells are part of the adaptive immune response.

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

Complement activation is a mechanism involved in innate immunity.

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

Viruses are classified as extracellular organisms.

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

Phagocytosis is a process used by immune cells to engulf and digest extracellular pathogens.

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

Hyposplenism refers to an overactive spleen condition.

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

The immune response to intracellular infections involves T cells.

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

Inflammation is not a part of the innate immune response.

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

Antigen presentation is critical for the activation of T helper cells.

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

Haemophilus influenza is an example of an intracellular pathogen.

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

T cell memory is established as part of the adaptive immune response.

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

Cytokines are involved in the adaptive immune response only.

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

Staphylococcus aureus is an example of an extracellular infection.

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

IL-4 is an instructive cytokine that causes T cell differentiation into the Th2 subset.

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

Mast cells and eosinophils are involved in IgE & Eosinophil/mast cell-mediated reactions against helminths.

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

The cytokine IL-5 is not significant in the response against helminths.

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

The release of secretory antigens involves the activation of cells and the initiation of inflammation.

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

Th2 cells are primarily responsible for antibody isotype switching towards IgM in response to helminths.

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

Secretory antigens include IL-1, TNF, and IL-8.

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

PAMP stands for pathogen-associated molecular patterns.

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

The classical pathway is activated by antibody recognition from previous infections.

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

Insect bites pose no risk to individuals with splenectomy.

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

The alternative pathway of complement activation is triggered by proteins released by viruses.

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

Mannose receptors play a role in initiating phagocytosis.

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

Histamine secretion by mast cells contributes to gut mucus secretion and helps with peristalsis.

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

The main role of IL-4 is to inhibit inflammation in response to helminths.

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

Reactive oxygen species (ROS) are not involved in the killing of microbes in phagolysosomes.

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

TNF, IL-1, and IL-6 are examples of inflammatory mediators.

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

Streptococcus pneumoniae is a gram-negative bacterium.

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

Pharyngitis is a common condition caused by streptococci.

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

TH17 cells are important for defense against extracellular bacterial infections.

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

The alternative pathway can be activated by mannose on bacterial surfaces.

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

Nitric oxide (NO) is involved in the killing of microbes during phagocytosis.

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

Antigen presentation to CD4+ T helper cells is a part of the immune response to streptococci.

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

The immune response to streptococci does not involve the recruitment of neutrophils.

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

PAMP stands for pathogen-associated molecular patterns.

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

IL-23 is an instructive cytokine that promotes T cell differentiation into the Th1 subset.

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

Isotype switching primarily leads to the production of long-lived plasma cells in the bone marrow and gut.

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

Antibodies are primarily ineffective at activating complement and promoting opsonization.

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

IL-17 is involved in promoting the B cell response to streptococci.

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

Minimal isotype switching mainly leads to the production of IgG and IgA antibodies.

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

Memory B cells generated against streptococci reside primarily in the spleen and mucosa.

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

The immune response to streptococci includes the generation of long-lived plasma cells and memory B cells.

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

Heavy chain isotype switching leads to the production of only IgG antibodies.

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

Streptococcus species do not produce any exotoxins.

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

The alternative pathway of complement activation is initiated by peptidoglycans in the cell walls of fungi.

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

Phagocytosis involves the use of mannose receptors and complement receptors to initiate the process.

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

Th17 cells are important in fighting intracellular bacterial infections.

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

Streptococcus pneumoniae is a strain that falls under the category of encapsulated gram negative bacteria.

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

Reactive oxygen species (ROS) and nitric oxide (NO) play a role in killing microbes within phagolysosomes.

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

High levels of IgE are not related to increased mast cell activity.

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

Eosinophil granules contain proteins that are beneficial for parasites.

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

TNF, IL-1, IL-6, and IL-8 are all inflammatory mediators produced in response to infections.

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

The phagocytic process leads to the direct killing of microbes through antibodies released by B cells.

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

The presence of IgE antibodies can aid in secondary infections.

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

The recruitment of neutrophils is an essential part of the immune response to extracellular microbes.

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

IL-4 and IL-5 are associated with TH2 immune responses.

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

The lectin pathway is activated by the recognition of mannose on the surface of extracellular bacteria.

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

Mast cells are ineffective in eliminating helminth infections.

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

Streptococcus pyogenes and Streptococcus pneumoniae are classifications of gram negative bacteria.

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

Classical pathway activation occurs without prior antibody recognition.

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

Antigen presentation by resident macrophages induces inflammation in response to bacterial invasions.

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

IL-23 is secreted by antigen presenting cells and it affects T cell differentiation.

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

Staphlococcus aureus is an example of an organism that causes intracellular infections.

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

B cell memory is established through direct exposure to the pathogen.

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

The primary role of macrophages is in the adaptive immune response.

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

Phagocytosis is utilized by immune cells to eliminate extracellular pathogens.

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

Hyposplenism is characterized by increased splenic function.

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

Cytokines are released exclusively during the adaptive immune response.

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

Helminths are primarily considered intracellular pathogens.

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

B cells produce antibodies in response to extracellular pathogens.

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

Antigen presentation is crucial for the activation of cytotoxic T cells.

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

Complement activation is a mechanism unique to the adaptive immune response.

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

Inflammation only occurs in response to extracellular infections.

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

IL-5 is important for the differentiation of T cells during humoral responses.

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

The immune response to viral infections primarily involves B cells.

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

Streptococci are an example of intracellular pathogens that can cause infections.

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

Hyposplenism can occur due to surgical removal of the spleen.

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

Helminth infections are not influenced by the Th2 immune response.

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

B cells complete their development in the bone marrow.

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

Annual measurement of antibody titers is unnecessary for patients with hyposplenism.

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

Cytokine IL-4 plays a key role in instructing T cell differentiation.

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

Prophylactic antibiotics are recommended for patients who have had their spleen removed.

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

Eosinophils are not involved in responses to helminth infections.

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

Secretory antigens include signaling molecules that initiate inflammation.

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

Functional hyposplenism can be caused by sickle cell anemia.

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

IgM antibodies are produced primarily by long-lived plasma cells.

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

People who have undergone a splenectomy should be particularly cautious of insect bites.

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

Immunization should occur at least two weeks after a splenectomy.

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

Histamine secretion primarily leads to decreased mucus production in the gut.

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

The spleen plays a role in the storage of antibodies produced by plasma cells.

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

Pathogen-associated molecular patterns (PAMPs) are recognized by pattern recognition receptors (PRRs).

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

Mast cells do not contain substances that can directly kill worms.

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

Toll-like receptors (TLRs) are involved in recognizing extracellular pathogens.

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

IL-13 is not important for the immune response against helminths.

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

In the B cell response to Streptococci, isotype switching predominantly leads to the production of IgA and IgD antibodies.

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

Long-lived plasma cells generated from IgM production reside in the spleen.

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

The presence of memory B cells is crucial for mounting a swift immune response upon re-exposure to strep antigens.

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

Streptococcus pyogenes primarily elicits a B cell response that results in the production of IgM as the major antibody.

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

Antibodies produced in response to Streptococci primarily function by neutralizing the pathogen without activating complement.

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

The minimal isotype switching associated with the B cell response generates high-affinity, long-lived plasma cells.

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

IL-17 plays a critical role in the recruitment of neutrophils during the immune response.

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

The primary function of IgM antibodies is to provide long-term immunity against infections.

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

TLR7 is responsible for the recognition of the surface of the Streptococcus.

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

Macrophages primarily produce IL-22 and IL-17 as their main cytokines.

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

The role of antibodies against Streptococcus includes opsonization.

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

Complement activation is primarily driven by IL-4 and IL-5.

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

The adaptive immune response does not involve antibodies against Streptococcus.

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

Opsonization can lead to phagocytosis of Streptococcus by immune cells.

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

TLR2 is the only Toll-like receptor involved in responding to Streptococcus.

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

Cytokines produced by macrophages include TNF and IL-1.

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

The presence of IgE antibodies reduces susceptibility to asthma and allergies.

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

IL-4 and IL-5 levels are associated with the suppression of TH2 associated diseases.

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

Mast cells are responsible for the secretion of proteins that inhibit inflammatory responses.

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

The role of IL-5 is significant in the response against helminths.

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

Hyposplenism is characterized by an increase in splenic function.

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

B cells complete their development in the spleen before producing antibodies.

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

Prophylactic antibiotics are recommended only for patients with surgical removal of the spleen.

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

Functional hyposplenism can arise from diseases like Sickle-cell anaemia.

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

Administration of vaccines should occur two weeks after splenectomy.

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

Macrophages and dendritic cells are primarily involved in the adaptive immune response.

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

Phagocytosis is primarily a mechanism of the adaptive immune system.

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

Short-lived plasma cells primarily produce IgG antibodies.

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

Annual measurement of antibody titers is not recommended for individuals with hyposplenism.

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

Streptococci pyogenes is considered an intracellular pathogen.

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

The spleen plays a key role in storing short-lived plasma cells for antibody production.

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

Complement activation is essential for the adaptive immune response.

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

The release of secretory antigens is crucial for the activation of innate immune cells.

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

Th2 cells are essential for isotype switching towards IgG and not IgE.

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

B cell memory is established mainly through the activation of T helper cells.

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

IL-4 functions as an instructive cytokine that causes T cell differentiation into the Th1 subset.

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

Histamine secretion from mast cells does not have any impact on gut function.

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

Inflammation is not a response associated with innate immunity.

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

Viruses can be classified as both intracellular and extracellular organisms.

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

Helminths can be effectively combated by the immune response mediated by IgE and eosinophils.

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

Helper T cells are activated through antigen presentation by B cells.

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

The cytokine IL-5 is crucial for IgE isotype switching and effective against helminths.

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

PAMPs are recognized by pattern recognition receptors to trigger adaptive immune responses.

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

Eosinophils are involved in responses against intracellular pathogens.

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

Helminths are examples of multicellular parasites that can trigger an immune response.

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

IL-4, IL-5, and IL-13 are all produced predominantly by Th3 cells.

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

Antibodies play no role in the elimination of extracellular infections.

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

Increased secretion of mucus in the gut due to mast cell activity assists in clearing intruding pathogens.

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

The primary function of the spleen is to serve as a storage site for red blood cells.

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

Intracellular bacteria survive by evading the detection of the immune system.

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

Chemokines are involved primarily in the adaptive immune response.

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

Flashcards

Streptococcus pyogenes

A type of bacteria known for causing various illnesses.

Streptococcus pneumoniae

A bacterium causing infections, often in the lungs.

Staphylococcus aureus

A bacterial species commonly associated with skin infections and food poisoning.

Candida

A type of fungus causing infections, especially in the mouth, vagina, and skin.

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Isotype switching

The process where B cells change the type of antibody they produce.

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IgG

A type of antibody produced by B cells, part of the body's immune system.

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IgM

Another type of antibody part of the body's immune system.

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Antibody response to Streptococci

Immune response to Streptococcus bacteria involves various antibodies and mechanisms to neutralize and eliminate the pathogens.

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Extracellular Infection

An infection where pathogens live and multiply outside of cells.

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Innate Immunity

The body's first line of defense against infection, including physical, mechanical, and chemical barriers.

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Adaptive Immunity

A specific immune response that develops after exposure to a pathogen.

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Complement Activation

A part of innate immunity that enhances the ability of antibodies and phagocytic cells to clear pathogens.

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Phagocytosis

The process where immune cells engulf and destroy pathogens.

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Inflammatory Response

A localized response to infection characterized by redness, swelling, heat, and pain.

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Antibodies

Proteins produced by B cells that target and disable pathogens.

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B Cell Memory

The ability of the immune system to remember previous exposures to pathogens.

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Hyposplenism

A condition where the spleen is not functioning properly, making the individual more vulnerable to infections.

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Pathogens

An organism or agent that causes disease or infection.

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Macrophages

A type of immune cell important for phagocytosis and antigen presentation.

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Dendritic Cells

A type of immune cell that detects pathogens and displays their antigens to other immune cells.

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Extracellular vs Intracellular

Categorization of pathogens based on location; extra within the body's cells.

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Immune Response

A complex system that protects the body from foreign invaders.

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T Cells

A type of immune cells crucial for cell-mediated immunity.

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Classical pathway

Complement activation triggered by antibodies recognizing previously encountered pathogens.

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Alternative pathway

Complement activation initiated by bacterial cell walls (peptidoglycans).

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Lectin pathway

Complement activation triggered by mannose-containing molecules on pathogens.

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Inflammation

Immune response triggering various cytokines.

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Cytokines TNF, IL-1, IL-6, IL-8, prostaglandins

Cytokines that mediate inflammation.

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Streptococci

Gram-positive bacteria, often causing pharyngitis and skin infections.

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PAMPs

Pathogen-associated molecular patterns.

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PRRs

Pattern recognition receptors.

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IL-23

Instructive cytokine that differentiates T cells into Th17 cells.

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IL-17

Cytokine secreted by Th17 cells, contributing to inflammation and response to extracellular pathogens.

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Impetigo

A skin infection caused by Streptococci.

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Extracellular Microbes

Pathogens that exist outside of host cells.

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Eosinophils and parasites

Eosinophils contain proteins that harm parasites.

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IgE antibodies

IgE helps in secondary infections, linked to Th2.

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Spleen's role

Important for fighting infections, B cell development, and storing antibody-producing cells.

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Increased susceptibility to asthma and allergy

High levels of IgE and mast cell activity are linked to allergies and asthma.

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IL-4 and IL-5

These cytokines are associated with Th2 response, inflammation, and allergies.

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Causes of hyposplenism

Congenital absence, surgical removal (trauma, etc.), or functional issues (e.g., Coeliac disease, Sickle-cell anaemia).

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Mast cell activity and allergies

High mast cell activity correlates with high IgE levels and increased allergies.

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Management of Hyposplenism

Prevent infections through antibiotics (prophylactically), vaccines, and regular antibody checks.

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Prophylactic antibiotics

Antibiotics taken regularly to prevent infections, especially in people with reduced or no spleen.

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Vaccines for hyposplenism

Essential vaccines like pneumococcal, Haemophilus influenzae B, Meningitis C, and annual influenza are important.

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Antibody titers

Regular measurements of antibodies to ensure vaccine effectiveness in hyposplenic patients.

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Patient education

Instructing patients to follow management guidelines and know how to spot and avoid infections.

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Immune response to helminths

The body's defense mechanism against parasitic worms (helminths).

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Eosinophils

Immune cells that target and destroy helminths.

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Antigen presentation

Displaying molecules of pathogens to other immune cells for recognition.

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How do innate immune cells detect extracellular infection?

Innate immune cells like macrophages and neutrophils use pattern recognition receptors (PRRs) to recognize pathogen-associated molecular patterns (PAMPs) on the surface of pathogens.

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What are the key players in the immune response to extracellular infections?

Innate immune cells (macrophages, neutrophils), complement proteins, antibodies produced by B cells, and T cells (cytotoxic and helper) all play a part.

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How do antibodies help fight extracellular infections?

Antibodies bind to pathogens, neutralizing them or marking them for destruction by phagocytes.

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What is B cell memory?

B cells that have encountered a specific pathogen can 'remember' it and mount a faster and stronger immune response upon re-exposure.

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What are the consequences of hyposplenism?

Hyposplenism increases susceptibility to encapsulated bacteria infections like pneumococcus and Haemophilus influenzae.

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How is hyposplenism managed?

Management involves prophylactic antibiotics, essential vaccines, and regular antibody checks.

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What are the key features of the immune response to helminths?

The immune response to helminths involves eosinophils, IgE antibodies, and Th2 cells, which promote inflammation and parasite elimination.

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What are the main ways to manage hyposplenism?

Regular prophylactic antibiotics, essential vaccines, and monitoring antibody levels are crucial for managing hyposplenism.

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What is the difference between the classical and alternative pathway of complement activation?

The classical pathway is triggered by antibodies binding to pathogens, while the alternative pathway is activated by bacterial components like peptidoglycans.

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What are the roles of IL-23 and IL-17 in the immune response to extracellular infections?

IL-23 promotes the differentiation of T cells into Th17 cells, which produce IL-17. IL-17 is a key cytokine that contributes to inflammation and defense against extracellular pathogens.

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What is the role of the spleen in immune response?

The spleen filters blood, removes old red blood cells, and plays a crucial role in B cell development and storage of antibody-producing cells.

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What is hyposplenism?

Hyposplenism is a condition where the spleen is not functioning properly, making the individual more vulnerable to infections.

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Why is the spleen important?

The spleen is crucial for immunity. It filters blood, removes old red blood cells, stores immune cells, and produces antibodies.

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What causes hyposplenism?

Hyposplenism can be caused by various factors, including congenital absence of the spleen, surgical removal, and diseases like Coeliac disease or sickle cell anemia.

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How does hyposplenism affect immunity?

Hyposplenism weakens the immune system by reducing the production of antibodies, particularly IgM, which are vital for fighting off bacterial infections.

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What are some important vaccines for hyposplenic patients?

Hyposplenic patients should receive vaccines against pneumococcal, Haemophilus influenzae type b, Meningitis C, and influenza.

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Why is patient education crucial for hyposplenism?

Patients with hyposplenism need education about their condition, recognizing warning signs of infection, and adhering to management strategies.

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What are some signs of infection in hyposplenic patients?

Hyposplenic individuals may experience fever, chills, fatigue, and localized infections like pneumonia or skin infections.

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Th2 Response

A type of immune response that involves the production of certain cytokines (IL-4, IL-5) and antibodies (IgE), primarily targeting parasitic infections and contributing to allergic reactions.

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Protein vs. Non-protein antigens

Streptococcus pyogenes triggers a robust antibody response with isotype switching to IgG and IgA, primarily targeting protein antigens like toxins. In contrast, Streptococcus pneumoniae elicits a weaker response, mainly IgM production, primarily targeting non-protein antigens like lipoteichoic acid.

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What are key features of the B cell response to Streptococcus pyogenes?

The B cell response to Streptococcus pyogenes involves isotype switching to IgG and IgA, producing long-lived plasma cells in bone marrow and gut, and generating memory B cells.

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What are key features of the B cell response to Streptococcus pneumoniae?

The B cell response to Streptococcus pneumoniae is mainly IgM production, with minimal isotype switching. This leads to short-lived plasma cells primarily residing in spleen and mucosa. Memory cells are absent.

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What are the roles of antibodies in fighting Streptococcus infections?

Antibodies against Streptococcus neutralize the bacteria, activate complement, and promote opsonization. Neutralizing antibodies target the bacteria itself, preventing its entry, and also target exotoxins.

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How does the spleen impact antibody production?

The spleen plays a crucial role in B cell development and antibody production. Hyposplenism impairs these processes, leading to lower levels of protective antibodies against encapsulated bacteria.

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What is the immune response to helminths (parasitic worms)?

The body's immune response to helminths involves eosinophils, which contain proteins that harm parasites. The response is also characterized by the production of IgE antibodies and the activation of mast cells.

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How does a high IgE level impact the immune system?

High levels of IgE can lead to increased susceptibility to asthma and allergies. This is because IgE is involved in the activation of mast cells, which release inflammatory mediators that contribute to allergic reactions.

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What are the three complement pathways?

The three pathways of complement activation are the classical pathway, alternative pathway, and lectin pathway.

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What are PAMPs and PRRs?

PAMPs are pathogen-associated molecular patterns, unique molecules found on pathogens. PRRs are pattern recognition receptors found on immune cells, recognizing PAMPs to initiate immune responses.

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What are the key functions of Th17 Cells?

Th17 cells recruit neutrophils, release antimicrobial peptides, and strengthen barriers against infections.

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How is the Immune System Activated by Streptococci?

Streptococci activate resident macrophages, initiate phagocytosis, and trigger inflammation. They also stimulate antigen presentation, leading to antibody production.

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Role of Antibodies

Antibodies are proteins produced by B cells that bind to pathogens, neutralizing them and helping eliminate them.

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What are the two types of Immunity?

The two main types of immunity are innate immunity (the body's first line of defense) and adaptive immunity (a more specific response that develops after exposure to a pathogen).

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What is the role of Th2 cells in helminth infections?

Th2 cells are crucial for fighting helminth infections by producing cytokines like IL-4, IL-5, and IL-13, which promote IgE production and recruit eosinophils and mast cells.

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What are the key functions of IgE?

IgE antibodies bind to mast cells and basophils, triggering the release of histamine and other inflammatory mediators, which help fight parasites.

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What is the role of eosinophils in fighting helminths?

Eosinophils release toxic proteins that damage and kill parasitic worms, playing a key role in defending against these infections.

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How does the immune system recognize extracellular pathogens?

Innate immune cells like macrophages and dendritic cells use PRRs to detect PAMPs on extracellular pathogens, activating the immune response.

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What are the main types of infections individuals with hyposplenism are at risk for?

Individuals with hyposplenism are at increased risk for infections caused by encapsulated bacteria, such as Streptococcus pneumoniae, Haemophilus influenzae, and Neisseria meningitidis.

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What are the key management strategies for hyposplenism?

Management involves preventing infections through prophylactic antibiotics, regular vaccinations, and close monitoring of antibody levels.

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What are the key elements of patient education for individuals with hyposplenism?

Patients should be informed about their condition, how to recognize signs of infection, and the importance of following management protocols.

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What are the key recommendations for travelers with hyposplenism?

Individuals with hyposplenism should be advised about the risks of travel and insect bites, and they should carry a splenectomy card or wear a medical alert bracelet.

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What are the management strategies for hyposplenism?

Management involves preventing infections through prophylactic antibiotics, regular vaccinations, and close monitoring of antibody levels.

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What is the immune response to helminths?

The immune response to helminths involves eosinophils, which release proteins that harm parasites, and the production of IgE antibodies which activate mast cells.

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What is the role of IgE?

IgE antibodies bind to mast cells and basophils, triggering the release of histamine and other inflammatory mediators, which help fight parasites.

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IgM vs. IgG

IgM is the first antibody produced during an infection. It's good at activating complement and is short-lived. IgG is produced later, targeting the specific pathogen, and is long-lived, offering long-term protection.

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Streptolysin O

A toxin produced by Streptococcus pyogenes that damages red blood cells and contributes to the symptoms of infection.

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TNF and IL-1

Tumor necrosis factor (TNF) and Interleukin 1 (IL-1) are key pro-inflammatory cytokines produced by macrophages in response to Streptococcus infection.

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Opsonization

The process where antibodies or complement proteins coat bacteria, making it easier for phagocytes to engulf and destroy them.

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Neutralization

Antibodies bind to and block the activity of bacterial toxins or other harmful factors.

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Managing Hyposplenism

Hyposplenism is managed by preventing infections with prophylactic antibiotics, essential vaccines, and regular antibody checks.

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Essential Vaccines for Hyposplenism

Important vaccines include pneumococcal, Haemophilus influenzae type b, Meningitis C, and annual influenza.

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Patient Education for Hyposplenism

Patients need information about their condition, warning signs of infection, and how to follow management strategies.

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Encapsulated Bacteria

Bacteria with a protective outer layer, making them harder for the immune system to destroy.

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Helminths

Parasitic worms that can infect humans, causing various diseases.

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Study Notes

Extracellular Infection Responses

  • Focuses on the immune response to extracellular pathogens, like bacteria and parasites.

Immunology Lectures Outline

  • Barrier Immunity: Physical, mechanical, and chemical barriers provide initial defense.
  • Innate Immunity: Cytokines, inflammation, complement, and antigen presentation are key components of the innate response.
  • Adaptive Immunity: T cells (cytotoxic and helper) and B cells (antibodies) target extracellular infections.

Lecture Learning Outcomes

  • Students will be able to describe how the immune system responds to extracellular infections, using streptococci and helminths as examples.
  • Understand how innate immune cells detect these infections.
  • Describe the roles of antibodies in eliminating the infection.
  • Explain how B cell memory is established.
  • Outline conditions causing hyposplenism and its management.

Immune Response to Different Infections

  • Viruses
  • Extracellular bacteria
  • Intracellular bacteria
  • Fungi
  • Protozoan
  • Multicellular parasites

Extracellular vs. Intracellular Infections

  • Extracellular pathogens (bacteria, fungi, protozoa, helminths) live and multiply outside host cells.
  • Intracellular pathogens (viruses, some bacteria) infect and replicate inside host cells.

Examples of Extracellular vs. Intracellular Pathogens

  • Extracellular:
    • Streptococcus pyogenes
    • Staphylococcus aureus
    • Haemophilus influenzae
    • Schistosoma mansoni
  • Intracellular:
    • Listeria monocytogenes
    • Mycobacterium tuberculosis
    • Viruses (truly intracellular)

Cooperation Between Innate and Adaptive Immunity

  • Macrophages and dendritic cells are initial defenses.
  • Circulating antibodies target extracellular pathogens.
  • Antigen presentation activates T helper cells and cytotoxic T cells.

Overview of Immune Response to Extracellular Infections

  • Innate Immunity to Extracellular Infections:
    • Complement activation
    • Phagocytosis
    • Inflammatory response

Complement Activation

  • Classical pathway: Activated by antibodies binding to pathogens.
  • Alternative pathway: Activated by pathogen cell wall components.
  • Lectin pathway: Activated by lectins binding to carbohydrates on pathogens.

Phagocytosis and Inflammation

  • Phagocytosis, initiated by host cell receptors, kills microbes through reactive oxygen species (ROS) and nitric oxide (NO).
  • Inflammatory response also plays a vital role.

Adaptive Immunity to Extracellular Microbes

  • T helper cells: Activate B cells for antibody production and promote inflammation.
  • Antibody production (by B cells): Creates antibodies to neutralize the infection.

Summary of Extracellular Bacterial Infection

  • The graph shows data related to the extracellular bacterial infection.

Immune Response to Streptococci

  • Gram-positive, spherical bacteria
  • Encapsulated, release toxins.
  • Includes Streptococcus pyogenes and Streptococcus pneumoniae.

Medical Conditions (Streptococci)

  • Pharyngitis (strep throat)
  • Skin infections (impetigo, scarlet fever, cellulitis)
  • More serious conditions (toxic shock syndrome, pneumonia, necrotizing fasciitis)

Overview of Immune Response to Streptococci

  • Extracellular microbe
  • Macrophages initiate phagocytosis and inflammation.
  • Neutrophils recruited.
  • Antigen presentation to CD4+ T helper cells.
  • Antibody production by B cells and isotype switching.

Recognition and Activation of Innate Immunity

  • PAMPs (pathogen-associated molecular patterns) trigger innate immune responses.
  • PRRs (pattern recognition receptors) like TLRs recognize PAMPs.
  • This activation initiates inflammation and innate immune responses.

TH17 Cells

  • Important in fighting extracellular bacteria like Streptococcus pyogenes, Streptococcus pneumoniae, Staphylococcus aureus and Candida.
  • Involved in inflammatory responses, recruiting neutrophils and releasing antimicrobial peptides.

B Cell Response to Streptococci

  • T-dependent: IgG and IgA antibodies for general protection.
  • T-independent: IgM antibodies, mainly for initial response.
  • Long-lived plasma cells and memory B cells for sustained protection.

Antibody Responses

  • Antibodies neutralize pathogens, activate complement, and promote opsonisation.
  • IgG and IgM antibodies are crucial for neutralisation, opsonisation, and complement activation.

Hyposplenism

  • Reduced or lost splenic function.
  • Causes include congenital absence, surgical removal, or functional issues.
  • Increased risk of bacterial infections, especially encapsulated bacteria.

Management of Hyposplenism

  • Prophylactic antibiotics
  • Immunizations
  • Annual antibody titers measurement
  • Patient education

Immune Response to Other Extracellular Pathogens

  • Focus on examples like helminths (Schistosoma mansoni, Ascaris lumbricoides, etc.).

Th2 Cells and Helminth Infections

  • Crucial for fighting helminth infections.
  • Promote IgE-mediated inflammation.
  • Recruit mast cells and eosinophils.
  • Increase mucus secretion and peristalsis.

IgE and Eosinophil/Mast Cell-Mediated Reactions

  • Mast cells release proteases and histamine during helminth infections.
  • Eosinophils release toxic proteins.
  • This response aids in killing or clearing the helminth.

Th2-Associated Diseases

  • Increased susceptibility to asthma and allergies is associated with elevated Th2 activity and IgE.

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