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Questions and Answers
What is the primary pathological consequence of severe infection by certain bacteria leading to sepsis?
What is the primary pathological consequence of severe infection by certain bacteria leading to sepsis?
Which cytokines are primarily involved in mediating sepsis?
Which cytokines are primarily involved in mediating sepsis?
How do bacteria evade humoral immunity through antigenic variation?
How do bacteria evade humoral immunity through antigenic variation?
What is a disease that can arise from an immune response after streptococcal infections?
What is a disease that can arise from an immune response after streptococcal infections?
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What characteristic helps certain bacteria resist phagocytosis?
What characteristic helps certain bacteria resist phagocytosis?
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What is the primary role of humoral immunity in response to extracellular bacteria?
What is the primary role of humoral immunity in response to extracellular bacteria?
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Which cytokines are primarily secreted by innate lymphoid cells (ILCs) to attract neutrophils during inflammation?
Which cytokines are primarily secreted by innate lymphoid cells (ILCs) to attract neutrophils during inflammation?
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Which cell type is crucial for stimulating antibody production in response to extracellular bacteria?
Which cell type is crucial for stimulating antibody production in response to extracellular bacteria?
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What are the injurious effects of inflammation in response to extracellular bacteria primarily caused by?
What are the injurious effects of inflammation in response to extracellular bacteria primarily caused by?
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Which IgG subclasses are primarily involved in the immune response against extracellular bacteria?
Which IgG subclasses are primarily involved in the immune response against extracellular bacteria?
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What is the primary mechanism of innate immunity against extracellular bacteria?
What is the primary mechanism of innate immunity against extracellular bacteria?
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Which of the following statements best describes extracellular bacteria?
Which of the following statements best describes extracellular bacteria?
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What is one way that pathogens can injure host tissues during infection?
What is one way that pathogens can injure host tissues during infection?
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How do microbes typically evade host immunity?
How do microbes typically evade host immunity?
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Which immune response role do phagocytes play in combating extracellular bacteria?
Which immune response role do phagocytes play in combating extracellular bacteria?
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What is a mechanism through which extracellular bacteria can induce tissue damage?
What is a mechanism through which extracellular bacteria can induce tissue damage?
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What consequence can arise when the immune response controls but does not eliminate a microbe?
What consequence can arise when the immune response controls but does not eliminate a microbe?
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What types of organisms do microbes encompass in the context of immune response mechanisms?
What types of organisms do microbes encompass in the context of immune response mechanisms?
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What cytokine is known to provide protective effects in many protozoal infections?
What cytokine is known to provide protective effects in many protozoal infections?
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Which immune response is primarily activated against helminthic infections?
Which immune response is primarily activated against helminthic infections?
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What is the role of IgE in the defense against helminths?
What is the role of IgE in the defense against helminths?
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What is the mechanism of immune evasion exhibited by parasites through antigen variation?
What is the mechanism of immune evasion exhibited by parasites through antigen variation?
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What specifically activates eosinophils during the immune response to helminthic infections?
What specifically activates eosinophils during the immune response to helminthic infections?
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What is the main mechanism of antigenic variation in influenza viruses?
What is the main mechanism of antigenic variation in influenza viruses?
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Which of the following best describes the role of MHC class I molecules?
Which of the following best describes the role of MHC class I molecules?
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What effect does chronic viral infection have on cytotoxic T lymphocyte responses?
What effect does chronic viral infection have on cytotoxic T lymphocyte responses?
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Why are parasitic infections often chronic?
Why are parasitic infections often chronic?
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What is the principal innate immune response to protozoa?
What is the principal innate immune response to protozoa?
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Which type of cells contribute to the innate immune response against helminths?
Which type of cells contribute to the innate immune response against helminths?
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What adaptive immune response is primarily activated against protozoa that survive within macrophages?
What adaptive immune response is primarily activated against protozoa that survive within macrophages?
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How do some viruses inhibit the immune response?
How do some viruses inhibit the immune response?
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What is the primary mechanism by which intracellular bacteria are recognized by the innate immune system?
What is the primary mechanism by which intracellular bacteria are recognized by the innate immune system?
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Which immune cells play a significant role in mediating the adaptive immune response against intracellular bacteria?
Which immune cells play a significant role in mediating the adaptive immune response against intracellular bacteria?
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What is a common consequence of macrophage activation in response to intracellular bacteria?
What is a common consequence of macrophage activation in response to intracellular bacteria?
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What type of immune cells are primarily responsible for killing virally infected cells in the adaptive immune response?
What type of immune cells are primarily responsible for killing virally infected cells in the adaptive immune response?
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Which of the following cytokines are crucial for activating NK cells in response to intracellular bacteria?
Which of the following cytokines are crucial for activating NK cells in response to intracellular bacteria?
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How do antibodies primarily function in the immune response to viral infections?
How do antibodies primarily function in the immune response to viral infections?
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What role do type I interferons (IFNs) play in the immune response to viral infections?
What role do type I interferons (IFNs) play in the immune response to viral infections?
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Which immune response is primarily triggered against extracellular fungal infections?
Which immune response is primarily triggered against extracellular fungal infections?
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What characterizes many fungal infections in terms of patient immunity?
What characterizes many fungal infections in terms of patient immunity?
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What is a common feature of immune evasion strategies employed by intracellular bacteria?
What is a common feature of immune evasion strategies employed by intracellular bacteria?
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What is the primary function of humoral immunity in response to extracellular bacteria?
What is the primary function of humoral immunity in response to extracellular bacteria?
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Which cell type is primarily responsible for enhancing phagocytic activity against extracellular bacteria?
Which cell type is primarily responsible for enhancing phagocytic activity against extracellular bacteria?
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What is one of the injurious effects of inflammation caused by host responses to extracellular bacteria?
What is one of the injurious effects of inflammation caused by host responses to extracellular bacteria?
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Which cytokines are secreted by ILCs to promote neutrophil attraction during inflammation?
Which cytokines are secreted by ILCs to promote neutrophil attraction during inflammation?
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Which immunoglobulin isotype provides a high-affinity response against extracellular bacteria and helps neutralize toxins?
Which immunoglobulin isotype provides a high-affinity response against extracellular bacteria and helps neutralize toxins?
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What is a key factor determining the pathogenicity of microbes in a host?
What is a key factor determining the pathogenicity of microbes in a host?
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What specific type of bacteria are defined as extracellular bacteria?
What specific type of bacteria are defined as extracellular bacteria?
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Which mechanism is primarily responsible for the phagocytosis of extracellular bacteria?
Which mechanism is primarily responsible for the phagocytosis of extracellular bacteria?
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What role do toxins produced by extracellular bacteria play during an infection?
What role do toxins produced by extracellular bacteria play during an infection?
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How do microbes typically cause tissue injury upon infection?
How do microbes typically cause tissue injury upon infection?
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What role does IL-4 play in the immune response to helminthic infections?
What role does IL-4 play in the immune response to helminthic infections?
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What is the main effector mechanism of innate immunity against extracellular bacteria?
What is the main effector mechanism of innate immunity against extracellular bacteria?
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How do eosinophils contribute to the defense against helminths during an immune response?
How do eosinophils contribute to the defense against helminths during an immune response?
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Which of the following describes a characteristic of latent infections caused by some microbes?
Which of the following describes a characteristic of latent infections caused by some microbes?
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What initiates the complement activation in response to extracellular bacteria?
What initiates the complement activation in response to extracellular bacteria?
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What is an example of antigenic variation in parasites?
What is an example of antigenic variation in parasites?
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What is the primary action of the cytokine IFN-γ in protozoal infections?
What is the primary action of the cytokine IFN-γ in protozoal infections?
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Which cells are primarily responsible for mediating the immune response against helminthic infections?
Which cells are primarily responsible for mediating the immune response against helminthic infections?
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What is a primary mechanism viruses use to change their antigens and escape immune responses?
What is a primary mechanism viruses use to change their antigens and escape immune responses?
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Which of the following best describes how some viruses inhibit class I MHC molecule functions?
Which of the following best describes how some viruses inhibit class I MHC molecule functions?
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What is a consequence of chronic viral infections on cytotoxic T lymphocyte (CTL) responses?
What is a consequence of chronic viral infections on cytotoxic T lymphocyte (CTL) responses?
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What type of immune response is primarily activated against helminths?
What type of immune response is primarily activated against helminths?
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What is the principal immune response mechanism utilized by eosinophils against helminths?
What is the principal immune response mechanism utilized by eosinophils against helminths?
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Which cytokines are common targets for viral proteins that inhibit the immune response?
Which cytokines are common targets for viral proteins that inhibit the immune response?
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What is the primary role of TLR2 and TLR4 in the immune response to protozoa?
What is the primary role of TLR2 and TLR4 in the immune response to protozoa?
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What mechanism do parasites typically utilize to survive within the host immune system?
What mechanism do parasites typically utilize to survive within the host immune system?
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What severe condition can arise as a result of sepsis?
What severe condition can arise as a result of sepsis?
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Which of the following is a mechanism by which bacteria escape the immune response?
Which of the following is a mechanism by which bacteria escape the immune response?
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What is a common consequence of the immune response to streptococcal infections?
What is a common consequence of the immune response to streptococcal infections?
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Which substance is primarily secreted by macrophages during sepsis to mediate systemic disorders?
Which substance is primarily secreted by macrophages during sepsis to mediate systemic disorders?
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How do bacteria with polysaccharide-rich capsules affect immune response?
How do bacteria with polysaccharide-rich capsules affect immune response?
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What is the primary mechanism required for eliminating intracellular bacteria?
What is the primary mechanism required for eliminating intracellular bacteria?
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Which immune cells are mainly responsible for the innate response to fungal infections?
Which immune cells are mainly responsible for the innate response to fungal infections?
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What is the primary action of CD4+ T cells in the context of intracellular bacteria?
What is the primary action of CD4+ T cells in the context of intracellular bacteria?
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Which process do type I interferons inhibit in virus-infected cells?
Which process do type I interferons inhibit in virus-infected cells?
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Which immune response is triggered primarily by extracellular fungi?
Which immune response is triggered primarily by extracellular fungi?
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How do CD8+ cytotoxic T lymphocytes (CTLs) contribute to viral infection control?
How do CD8+ cytotoxic T lymphocytes (CTLs) contribute to viral infection control?
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What role do natural killer (NK) cells play in antiviral immunity?
What role do natural killer (NK) cells play in antiviral immunity?
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What consequence can arise from macrophage activation in response to intracellular pathogens?
What consequence can arise from macrophage activation in response to intracellular pathogens?
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Which immune component is primarily responsible for blocking virus entry into host cells?
Which immune component is primarily responsible for blocking virus entry into host cells?
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What is a characteristic of intracellular bacteria that contributes to chronic infections?
What is a characteristic of intracellular bacteria that contributes to chronic infections?
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Study Notes
Immunity to Pathogens
- Study objectives include understanding infection and immune response mechanisms to pathogens (bacteria, viruses, fungi, and parasites), injurious effects of immune responses, and pathogen immune evasion.
Development of Infectious Disease
- Important events in infection include microbe entry, invasion and colonization of host tissues, evasion of host immunity, and tissue injury/functional impairment.
Microbes and Disease Production
- Microbes cause disease through direct killing of host cells, releasing toxins causing tissue damage/functional derangements, or stimulating immune responses that can injure normal tissues.
Progression and Outcomes of Infections
- Infection progression involves an incubation period, followed by a disease phase where the immune response controls the infection, resulting in either no disease, recurrent illness, or eradication with full recovery if the host response is strong enough.
Overview of Immune Responses to Pathogens
- Immunity is mediated by innate and adaptive effector mechanisms.
- The immune system employs specific responses to combat different pathogens.
- Pathogen survival relies on evasion or resistance to the host's immune response.
Latent/Persistent Infections
- Some microbes establish latent or persistent infections where the immune response controls but does not eliminate the pathogen.
Inherited/Acquired Defects in Immunity
- Defects in innate and adaptive immunity increase susceptibility to infections.
Immunity to Extracellular Bacteria
- Extracellular bacteria replicate outside host cells (e.g., blood, connective tissue).
- They induce inflammation and produce toxins damaging tissues.
Innate Immunity to Extracellular Bacteria
- Complement activation is crucial, triggered by peptidoglycans in gram-positive bacteria and lipopolysaccharides (LPS) in gram-negative bacteria through the alternative pathway.
- Mannose-expressing bacteria activate the lectin pathway.
- Phagocytes use mannose/scavenger receptors, Fc receptors, and complement receptors to recognize and engulf bacteria.
Phagocytosis
- Phagocytes (e.g., neutrophils, macrophages) use mannose/scavenger receptors, Fc receptors, and complement receptors to recognize and engulf bacteria.
Inflammatory Response
- Phagocytes and dendritic cells secrete cytokines and inflammation mediators to induce leukocyte infiltration.
Adaptive Immunity to Extracellular Bacteria
- Humoral immunity is a major protective response.
- Antibodies neutralize toxins, opsonize bacteria for phagocytosis, and activate complement for bacterial destruction.
CD4+ Helper T cells
- Helper T cells produce cytokines that enhance phagocytic and microbicidal activities of macrophages/neutrophils, as well as stimulate antibody production.
Outcomes of Immune Responses to Extracellular Bacteria
- Inflammation is often self-limiting but can cause tissue damage.
- Sepsis is a severe systemic consequence of infections, leading to potentially fatal outcomes.
Polyclonal Activation of T cells
- Bacterial superantigens can cause polyclonal T cell activation, stimulating cytokine storm and T cell deletion.
Disease-Producing Antibodies
- Antibodies produced against bacteria can cross-react with host tissues resulting in conditions like myocarditis and glomerulonephritis.
Immune Evasion by Extracellular Bacteria
- Bacteria can vary their surface antigens to avoid recognition and antibody-mediated clearance.
- Bacteria often have capsules obstructing phagocytosis.
- Some pathogenic bacteria produce components preventing complement activation.
Immunity to Intracellular Bacteria
- Intracellular bacteria survive and replicate within phagocytes.
- Antibody responses are ineffective since they cannot access the bacteria.
- Cell-mediated immunity is critical to fight and eliminate the infection.
Innate Immunity to Intracellular Bacteria
- Phagocytes/ natural killer (NK) cells are the primary mediators.
- Toll-like receptors (TLRs) and Nod-like receptors (NLRs) recognize the bacteria to activate phagocytes.
- Cytokines (e.g., IL-12, IL-15) activate NK cells.
Adaptive Immunity to Intracellular Bacteria
- Cell-mediated immunity (CD4+/CD8+ T cells) is the main protective response.
- CD4+ cells activate phagocytes/others, resulting in elimination.
- CD8+ cytotoxic T lymphocytes(CTLs) kill infected cells.
Immune Evasion by Intracellular Bacteria
- Bacteria use mechanisms to impede phagolysosome formation.
- Bacteria may inhibit reactive oxygen/nitrogen species to prevent death.
- Escape from phagosomes or inhibition of phagolysosome formation is a common mechanism for evasion.
Immunity to Fungi
- Fungal infections, known as mycoses, are often opportunistic in immunocompromised individuals.
- Fungi can be extracellular or intracellular.
Innate and Adaptive Immunity to Fungi
- Neutrophils, macrophages, and ILCs mediate innate responses.
- TLRs/lectin-like receptors (dectins) recognize fungal components.
- Cytokines stimulate neutrophils/ILCs/phagocytes directly or indirectly.
Cell-Mediated Immunity to Fungi
- Adaptive immunity (CD4+/CD8+ T cells) actively combat fungi.
- CTLs kill fungus-infected cells; CD4+ cells activate phagocytes.
Immunity to Viruses
- Viruses are intracellular pathogens depending on host cells.
- Replication mechanisms disrupt normal cellular function, resulting in cytopathic effects on host cells.
- Both innate and adaptive immune pathways work in concert to resolve the infection.
Innate Immunity to Viruses
- The principal innate immunity mechanisms are inhibition of infection by type I interferons and the killing of infected cells by NK cells (natural killer cells).
- Virus-infected cells/dendritic cells secrete type I interferons (IFNs). These interfere with viral replication inside and outside the infected cells.
- NK cells kill infected host cells.
How Type I Interferons Block Virus Replication
- Type I interferons (IFNs) induce the expression of antiviral proteins.
- These proteins stop viral replication by hindering gene expression/protein synthesis.
Adaptive Immunity to Viruses
- Antibodies are crucial in the extracellular stage of viral infection.
- Antibodies bind to viral surface antigens, neutralizing them.
- Antibodies also promote phagocytosis.
- CTLs eliminate infected cells.
Elimination of Viruses in Cells
- Cytotoxic T lymphocytes (CTLs) eliminate viruses by killing infected cells.
Immune Evasion by Viruses
- Antigenic variation where viruses alter their surface antigens to evade immune recognition is a common method of immune evasion.
- Inhibition of MHC molecules, which affects cytosolic protein antigen presentation.
- Inhibition of the immune response where some viruses produce molecules that inhibit immune responses, such as soluble cytokine receptors or inhibition of interferon responses.
Immunity to Parasites
- Parasites include protozoa, worms(helminths), and ectoparasites.
- Complex life cycles often require multiple hosts.
- Parasitic infections are frequently chronic, with the immune responses frequently being less effective than in other infections and often not successfully clearing the infection.
Innate Immunity to Parasites
- Phagocytes are a critical component.
- Protozoan parasites are often resistant to phagocytosis.
Adaptive Immunity to Parasites
- Antibodies and CD8+ cells.
- CD4/Th1 cells activate macrophages to help kill parasites by phagocytosis.
- Th2 cells play a role in antibody production and eosinophil activation for helminth infections.
Antigenic Variation in Parasites
- Stage-specific and continuous variations are observed, which allow parasites to evade the host immune responses.
• Defense against helminthic infections involves Th2 cell activation, resulting in IgE antibody production and eosinophil activation. .
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Description
Test your knowledge on the immune responses to bacterial infections, focusing on cytokines, humoral immunity, and the mechanisms of sepsis. This quiz covers the complex interactions between pathogens and the host's immune system, highlighting key concepts in immunology.