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Questions and Answers

Which organ is responsible for the maturation of T lymphocytes?

  • Thymus (correct)
  • Bone marrow
  • Spleen
  • Lymph nodes

What is the primary function of the spleen in the immune system?

  • Produces antibodies
  • Matures T lymphocytes
  • Stores B lymphocytes
  • Filters blood and stores white blood cells (correct)

Which of the following is NOT a characteristic of innate immunity?

  • Immediate response
  • Specific to antigens (correct)
  • Non-specific
  • No immunological memory

What is a function of mucous membranes in the immune system?

<p>Act as a protection barrier (D)</p> Signup and view all the answers

How do lymph nodes contribute to the immune response?

<p>Trigger antibody production (C)</p> Signup and view all the answers

What distinguishes adaptive immunity from innate immunity?

<p>All of the above (D)</p> Signup and view all the answers

Which component of the oral cavity acts as a physical barrier in the immune response?

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

What roles do antibodies play in adaptive immunity?

<p>Identifying and neutralizing pathogens (C)</p> Signup and view all the answers

What is a common factor that can lead to the development of autoimmune diseases?

<p>Viral infections (C)</p> Signup and view all the answers

Which of the following statements about autoimmune diseases is true?

<p>They involve the immune system attacking the body's own cells. (C)</p> Signup and view all the answers

What oral manifestation is commonly associated with Sjögren syndrome?

<p>Xerostomia (D)</p> Signup and view all the answers

Which treatment option is NOT typically used for autoimmune diseases?

<p>Targeted gene therapy (C)</p> Signup and view all the answers

Which condition is characterized by painful blistering lesions on mucous membranes?

<p>Pemphigus vulgaris (C)</p> Signup and view all the answers

Which of the following is NOT an example of an autoimmune disease mentioned?

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

In autoimmune diseases, what role do immunosuppressants play?

<p>They reduce inflammation and immune response. (B)</p> Signup and view all the answers

What is a key aspect of treating patients with autoimmune diseases in a dental setting?

<p>Taking a detailed medical history at each visit (A)</p> Signup and view all the answers

What is the primary function of cytokines released by T helper cells?

<p>To help B cells differentiate (A)</p> Signup and view all the answers

Which type of cell is responsible for degranulation and releasing histamines during an immune response?

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

What role do antigen presenting cells have in the immune response?

<p>Display antigen fragments on MHC (A)</p> Signup and view all the answers

Cytotoxic T cells are mainly responsible for targeting which of the following?

<p>Parasites and tumor cells (A)</p> Signup and view all the answers

What do PMNs primarily release during an immune response?

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

Which of the following cells is NOT involved in the process of differentiating B cells?

<p>Basophils (D)</p> Signup and view all the answers

What is the main activity of histamine when released by mast cells?

<p>Cause vasodilation and increased permeability of blood vessels (C)</p> Signup and view all the answers

How do granulocytes contribute to the immune response?

<p>By degranulating and releasing mediators like cytokines and enzymes (B)</p> Signup and view all the answers

What is the primary mediator released during degranulation of mast cells in allergic reactions?

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

Which type of hypersensitivity reaction is primarily mediated by T cells and involves delayed responses?

<p>Type IV (D)</p> Signup and view all the answers

In which scenario would IgG and IgM antibodies typically bind to antigens on host cells?

<p>Type II hypersensitivity (C)</p> Signup and view all the answers

Symptoms such as serum sickness and rheumatoid arthritis are associated with which type of immune reaction?

<p>Type III hypersensitivity (D)</p> Signup and view all the answers

What is the treatment approach for Type III hypersensitivity reactions?

<p>Systemic glucocorticoids and immunosuppressants (D)</p> Signup and view all the answers

Which of the following conditions may result in a patient becoming immunocompromised?

<p>Poorly controlled diabetes (D)</p> Signup and view all the answers

What is a common treatment approach for delayed hypersensitivity reactions such as contact dermatitis?

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

What is the main risk of failing to ask patients about allergies during dental appointments?

<p>Potential for severe allergic reactions (A)</p> Signup and view all the answers

What role do antibodies play in the immune system?

<p>They recognize, bind to antigens, and mark them for destruction. (D)</p> Signup and view all the answers

Which type of immunoglobulin is primarily involved in allergic reactions?

<p>Immunoglobulin E (IgE) (D)</p> Signup and view all the answers

Which statement about Immunoglobulin M (IgM) is true?

<p>IgM is typically the first antibody to respond in the primary immune response. (C)</p> Signup and view all the answers

What characterizes Immunoglobulin A (IgA)?

<p>IgA exists in secretory and serum forms, with secretory IgA found in mucous membranes. (D)</p> Signup and view all the answers

Which immunoglobulin supports B cell maturation and activation?

<p>Immunoglobulin D (IgD) (C)</p> Signup and view all the answers

What is the primary function of Immunoglobulin G (IgG)?

<p>To protect against viral and bacterial infections in tissues. (A)</p> Signup and view all the answers

Which type of antibody is NOT capable of activating the complement system?

<p>Immunoglobulin A (IgA) (B), Immunoglobulin D (IgD) (C)</p> Signup and view all the answers

In which bodily fluids are antibodies typically found?

<p>In respiratory secretions, saliva, and breast milk. (D)</p> Signup and view all the answers

What is the primary role of macrophages in the immune system?

<p>Recognizing and binding to pathogens to induce apoptosis (C)</p> Signup and view all the answers

Which cells are primarily responsible for the destruction of infected cells?

<p>Natural killer cells (C)</p> Signup and view all the answers

What type of immunity do B cells contribute to?

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

What is a unique function of dendritic cells in the immune response?

<p>Capturing and processing antigens to regulate responses (A)</p> Signup and view all the answers

Which cells are known as the most common leukocytes?

<p>Neutrophils (D)</p> Signup and view all the answers

What mechanism do eosinophils primarily employ?

<p>Degranulation against parasites (A)</p> Signup and view all the answers

Regulatory T cells play a key role in the immune system by:

<p>Limiting the immune response to prevent damage (B)</p> Signup and view all the answers

What is the function of memory cells in the immune system?

<p>To retain a memory of previous infections for quicker responses (B)</p> Signup and view all the answers

From which precursor do monocytes develop?

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

Which cell type acts as an antigen-presenting cell in the adaptive immune response?

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

In which part of the body do memory B cells mature?

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

What is the main target of neutrophils?

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

What do plasma cells secrete?

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

Which group of cells helps link the innate and adaptive immunity?

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

Flashcards

Bone marrow

The primary immune organ responsible for the development and maturation of B lymphocytes (B cells), a type of white blood cell crucial for antibody production.

Thymus

The primary immune organ where T lymphocytes (T cells) mature and learn to distinguish between self and non-self antigens, ensuring a proper immune response.

Spleen

A secondary immune organ that filters blood, stores platelets and white blood cells, and removes old red blood cells, playing a critical role in the immune system.

Tonsils

Secondary immune organs located in the throat that trap pathogens entering through the nose and mouth, initiating an immediate immune response.

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Lymph nodes

Small, bean-shaped secondary organs located throughout the body, filtering lymph fluid and trapping pathogens to trigger antibody production by immune cells.

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Innate Immunity

A type of innate immunity that provides the first line of defense against pathogens, acting immediately or within hours of encountering an invader. It is non-specific, meaning it doesn't target specific pathogens, and lacks immunological memory.

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Adaptive Immunity

A type of immunity that develops over time, days or weeks, and is highly specific to the invading pathogen. It involves B and T lymphocytes and the production of antibodies, providing long-term protection through immunological memory.

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Mucous Membranes

A protective barrier that lines the internal surfaces of the body, including the nose, throat, bladder, and genitals. It contains immune cells that can help to defend against pathogens.

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Macrophages

White blood cells that play a key role in the immune response by engulfing and destroying pathogens.

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Mast cells

Specialized cells that release histamine and heparin in response to allergens or tissue damage.

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Basophils

Granulocytes that are similar to mast cells but are found mainly in the blood.

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Granulocyte

A type of white blood cell that's a granular leukocyte involved in the immune response.

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PMN (Polymorphonuclear Neutrophils)

A type of granulocyte also known as neutrophils that are the most abundant white blood cells.

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Antigen Presenting Cells (APCs)

Cells that present processed antigen fragments on their MHC molecules to T cells, triggering an immune response.

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T helper cells (Th)

A type of lymphocyte that plays a crucial role in coordinating the immune response.

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Cytotoxic T cells (killer T cells)

A type of lymphocyte that can directly kill infected cells or tumor cells.

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Antibodies (Immunoglobulin)

Special proteins produced by activated B cells. They recognize and bind to antigens to attack/weaken and mark them for destruction. The body can create new antibodies in response to pathogens or vaccines. Each antibody has a different role in fighting infection.

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Immunoglobulin M (IgM)

The first antibody produced during an initial infection. It is large and short-lived.

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Immunoglobulin G (IgG)

The most common antibody found in blood and tissue fluids, protecting the body from viral and bacterial infections.

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Immunoglobulin E (IgE)

Found mainly in skin, lungs, and mucous membranes. It binds to mast cells and basophils, causing the release of anti-histamine in the bloodstream. High levels are found in people with allergies.

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Immunoglobulin D (IgD)

Found on the surface of B cells. It supports B cell maturation and activation. It plays a role in the development of the immune system.

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Immunoglobulin A (IgA)

Found in the linings of the respiratory and digestive systems, saliva, tears, and breast milk. It plays a role in protecting mucous membranes from infections.

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Humoral/Antibody-mediated Immunity

A type of adaptive immunity that involves the production of antibodies by B cells. It starts when B cells recognize and bind to specific antigens.

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Antigen Presentation

Antigen-presenting cells (APCs) display antigens (parts of foreign invaders) on their surface. This activates specific T cells, which then trigger the immune response.

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Autoimmune disease

A disorder where the immune system mistakenly attacks the body's own tissues.

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Factors leading to autoimmunity

Factors that can trigger or contribute to an autoimmune response, making the body attack itself.

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Immune system

The part of the immune system that is responsible for recognizing and attacking foreign invaders like bacteria and viruses.

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Antigen

A substance that can trigger an immune response, making the body produce antibodies to fight it off.

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Antibodies

Proteins produced by the immune system to target and neutralize specific antigens.

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Systemic lupus erythematosus (SLE)

A severe autoimmune disease where the immune system attacks the body's own connective tissues.

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Sjögren's syndrome

A chronic autoimmune disease that mainly affects the salivary and tear glands, leading to dryness.

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Pemphigus vulgaris

A rare autoimmune disease characterized by blisters in the mouth and skin.

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Phagocytic cells

These immune cells engulf and destroy foreign invaders like bacteria and viruses.

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Neutrophil

A type of phagocytic cell that is the most abundant white blood cell in the body.

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Eosinophil

A type of phagocytic cell that plays a crucial role in the immune response to parasites and allergic reactions.

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Natural killer cells (NK cells)

A type of white blood cell that is responsible for recognizing and destroying infected cells.

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Lymphocyte

A type of white blood cell that plays a crucial role in adaptive immunity.

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B cell

A type of lymphocyte that produces antibodies.

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T helper cell

A type of lymphocyte that helps activate other immune cells.

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T cytotoxic cell

A type of lymphocyte that directly attacks infected cells.

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Regulatory T cell

A type of lymphocyte that helps regulate the immune response.

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Memory cell

A type of lymphocyte that remembers a specific pathogen and can quickly respond to it again.

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Apoptosis

A process by which cells are programmed to self-destruct, often triggered by immune cells.

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Type I hypersensitivity

An immune response triggered when the body is exposed to an allergen. It involves IgE antibodies binding to mast cells and basophils, leading to the release of histamine and other inflammatory mediators. This can cause localized reactions like hay fever or asthma, or systemic reactions like anaphylaxis.

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Type II hypersensitivity (cytotoxic)

An immune response involving IgG or IgM antibodies binding to antigens on the surface of cells, leading to cell lysis or destruction by complement or killer cells. This can cause hemolytic reactions, drug reactions, and autoimmune anemia.

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Type III hypersensitivity (immune complex)

An immune response caused by immune complexes (antigen-antibody complexes) forming in the circulation and activating complement, leading to inflammation and tissue damage. Examples include serum sickness, rheumatoid arthritis, and systemic lupus erythematosus.

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Type IV hypersensitivity (delayed)

A delayed hypersensitivity reaction triggered by the stimulation of T cells and macrophages, leading to the release of cytokines and tissue damage. This can cause contact dermatitis, eczema, and allergic reactions to metals.

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Immunodeficiency

A weakened or compromised immune system that makes a person more susceptible to infections and diseases.

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Immunocompromised

Individuals with conditions that make them more vulnerable to infections and require additional precautions, such as careful hygiene, frequent handwashing, and potentially antiviral or antibiotic medications.

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Contact dermatitis

An inflammatory skin reaction caused by contact with a substance that triggers an allergic response. Common allergens include latex, chlorhexidine, benzocaine, sodium metabisulphite, and dentine bonding agents.

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Study Notes

Immunology Overview

  • Immunology is the study of the body's immune system and how it protects against disease.
  • Microbes are microscopic organisms, some pathogenic (disease-causing) and others beneficial. Examples include bacteria, viruses, fungi, protozoa, and algae.
  • Antigens are substances found on infection-causing organisms that trigger an immune response. Examples include bacteria, viruses, chemicals, toxins, and pollen.
  • Cytokines are small proteins that control/signal immune cell growth and activity. Examples include interleukins, interferons, and lymphokines.
  • Antibodies are special proteins produced by activated B cells which target and weaken antigens. They are also called immunoglobulins.
  • Phagocytes are immune cells that engulf and digest pathogens. Examples include macrophages, neutrophils, monocytes, dendritic cells, and granulocytes.
  • Antigen-presenting cells (APCs) process antigens and display them for T cells to recognize. Examples include macrophages, dendritic cells, and B cells.
  • Proteins within the immune system are large molecules made of amino acids. Examples include antibodies, cytokines, and complement proteins.
  • Opsonins are molecules that coat pathogens, making them more recognizable to phagocytes. IgG and C3b are examples.
  • Phagocytosis is the process by which phagocytes engulf and digest pathogens.
  • Apoptosis is programmed cell death that removes unwanted cells.
  • The complement system helps eliminate pathogens and damaged cells.
  • Polymorphonuclear leukocytes (PMNs), such as neutrophils, eosinophils, basophils, and mast cells are the first line of defense in response to tissue injury, infection, and inflammation.

Key Organs and Tissues of the Immune System

  • Primary organs create specialized immune system cells (lymphocytes).
    • Bone marrow: produces immune system cells, B lymphocytes mature here
    • Thymus: site of T lymphocyte maturation, coordinates immune responses.
  • Secondary organs function within these organs where immune cells attack foreign substances.
    • Tonsils: prevent foreign substances from nasal and oral cavities
    • Spleen: filters blood, stores platelets and white blood cells; breaks down old red blood cells
    • Lymph nodes: filter lymph fluid, trap pathogens, trigger antibody production
    • Mucous membranes: immune system cells line these, acting as a protection barrier; found in nose, throat, bladder, and genitals.

Innate vs. Adaptive Immunity

  • Innate Immunity: non-specific, immediate response, no memory
    • First line of defense (skin, mucous membranes)
    • Includes immune cells like phagocytes.
  • Adaptive Immunity: specific, develops over time, has memory
    • Involves B and T lymphocytes
    • Antibody production

Key Barriers of Innate Immune System

  • Anatomic: initial physical barrier (skin, mucous membranes)
  • Physiological: regulates immune response through body systems (e.g., low pH in stomach, body temperature)
  • Phagocytic/Endocytic: engulf and digest pathogens (macrophages, neutrophils)
  • Inflammatory: detects injury, triggers immune response to protect from pathogens & tissue damage (cytokines, histamine)

Cells of the Immune System

  • Many different types with varying functions
  • Phagocytes (macrophages, neutrophils) consume and destroy pathogens.
  • Lymphocytes (B and T cells) are central to adaptive immunity, producing antibodies and directly attacking cells.
  • Other cells like dendritic cells and natural killer cells play supporting roles in the immune response.

Antibodies (Immunoglobulins)

  • Special proteins produced by B cells.
  • Recognize and bind to antigens to destroy or disable them. There are 5 major types (IgG, IgM, IgA, IgD, IgE).
  • Each antibody type has different functions and locations in the body (e.g., IgG is the most abundant in blood, IgA is found in secretions).

Immune Responses

  • Humoral immunity: antibody-mediated response, fights extracellular pathogens (B cells, antibodies)
  • Cellular immunity: cell-mediated response, fights intracellular pathogens (T cells)

Acquired/Adaptive Immunity

  • Passive: receiving antibodies from another source (e.g., maternal antibodies in breast milk, immunoglobulin injections). Short-lived.
  • Active: developing antibodies in response to an infection or vaccination. Long-lived due to immunological memory.

Immune Disorders - Hypersensitivity

  • Type I (Anaphylaxis): rapid, caused by re-exposure to an allergen, involves IgE antibodies, mast cells, and basophils.
  • Type II (Cytotoxic): occurs when antibodies bind to host cells, triggering complement activation and cell destruction (e.g., in autoimmune hemolytic anemia).
  • Type III (Immune Complex): an immune complex reaction formed by antigens and antibodies, resulting in inflammation (e.g., serum sickness).
  • Type IV (T cell mediated): delayed hypersensitivity, caused by T cells and macrophages triggering inflammation and tissue damage (e.g., contact dermatitis).

Immune Disorders - Immunodeficiency

  • Primary: inherited, rare conditions impairing immune function.
  • Secondary: acquired conditions due to factors like infections or other diseases (e.g., malnutrition).

Autoimmunity

  • Autoimmune diseases occur when the immune system mistakenly attacks the body's own tissues. (e.g., lupus, rheumatoid arthritis)

Dental Implications

  • Systemic conditions, including immune disorders, can impact oral health.
  • Patients with compromised immune systems are at greater risk of infections and complications during dental procedures.
  • Dental professionals must be aware and follow preventative strategies to mitigate risks.

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