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Questions and Answers
What is the primary function of innate immunity?
What are the primary lymphoid organs responsible for?
Which type of pathogen is considered the most dominant infectious organism in industrialized nations?
What is the role of cytokines in the immune response?
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What distinguishes adaptive immunity from innate immunity?
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Which type of immunity is characterized by an immediate response without requiring prior exposure to a pathogen?
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Which of the following components are NOT part of the innate immune response?
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What role do cytokines play in the immune system?
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Which leukocyte is primarily responsible for combating parasite infections?
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What do dendritic cells and macrophages primarily function as in the immune response?
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How do natural killer cells differ from other lymphocytes?
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Which of the following best describes the classical complement pathway?
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Which physical barrier is primarily responsible for trapping and limiting bacterial adhesion?
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Which non-cellular component of innate immunity can lyse bacterial cell walls?
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What is the primary function of the complement system?
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What is the primary function of antibodies secreted by plasma cells?
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Which immunoglobulin class is the first antibody produced after a new infection?
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What role does opsonization play in the immune response?
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Which immunoglobulin class is most abundant in the body and provides long-term memory?
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What is NOT a method by which antibodies lead to pathogen destruction?
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What is the function of IgE antibodies?
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How do vaccinations induce immunity?
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What is a key characteristic of the structure of antibodies?
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What is the primary role of T cells in the immune response?
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Which type of MHC molecules do cytotoxic T cells bind to?
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How do B cell receptors function in relation to antigens?
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What is the function of Helper T cells (Th cells)?
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What triggers the inflammatory response upon pathogen invasion?
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What is the main function of plasma cells in the immune response?
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What happens when a cytotoxic T cell is activated?
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What role do antigen-presenting cells (APCs) play in the adaptive immune response?
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What is the role of chemotaxis in the inflammatory response?
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Which statement about human leukocyte antigen (HLA) complexes is correct?
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How does the adaptive immune response differ from the nonspecific immune response?
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What initiates the vasodilation process during the inflammatory response?
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Which of the following is NOT a component of adaptive immunity?
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Study Notes
Immunology
- The study of how the body ("host") recognizes self from nonself ("pathogens")
- Goal: Eliminate foreign matter without damaging the host
Types of Pathogens
- Viruses
- Bacteria
- Fungi
- Parasites
Lymphoid Organs
-
Primary Lymphoid Organs - Responsible for the maturation of lymphocytes
- Bone marrow: Site of B cell maturation
- Thymus: Site of T cell maturation
-
Secondary Lymphoid Organs - Activation of lymphocytes during a specific immune response
- Lymph nodes (LN)
- Spleen
- Tonsils/adenoids
- Lymphocyte accumulations in the gut, respiratory, genital, and urinary tracts (e.g., GALT, BALT)
The Immune System
- Two main parts:
- Innate Immune Response
- Adaptive Immune Response
Innate Immunity
- Present at birth
- Acts immediately
- Does not require activation
- Nonspecific
- Recognizes carbohydrates and lipids on foreign cells
- Leukocytes circulate in the blood
Adaptive Immunity
- Acquired through exposure to pathogens
- Takes time to develop
- Requires activation
- Specific - forms memory cells
- Recognizes proteins on foreign cells
- Lymphocytes present in secondary lymphoid organs
Components of Innate Immunity
-
Physical Barriers:
- Skin
- Epithelium
- Mucous membranes
-
Chemical Barriers:
- Lysozyme
- Sweat
- Stomach acid
-
Cellular Components (Leukocytes):
-
Polymorphonuclear Granulocytes (PMNs):
- Neutrophils: Most numerous, secrete bleach and peroxide, avid phagocytes, elevated in bacterial infections.
- Basophils: Secrete histamine, related to mast cells (in skin and mucus membranes).
- Eosinophils: Fight parasite infections, elevated in allergies.
- Macrophages: Derived from monocytes, found where epithelium meets external environment (skin, gastrointestinal and respiratory tract), engulf particles by phagocytosis, act as Antigen-presenting cells (APCs).
- Dendritic cells: Macrophage-like cells, act as APCs.
-
Polymorphonuclear Granulocytes (PMNs):
-
Non-cellular Components:
- Complement: A group of plasma proteins that kill microbes extracellularly, synthesized in the liver and circulate in the blood.
- Cytokines: Protein messengers released by cells of the immune system.
- Inflammation: Local response to infection or injury
Physical and Chemical Barriers
- Skin: Few microorganisms can penetrate intact skin.
-
Epithelium (Gastrointestinal and Respiratory System):
- Mucous membranes: Sticky, traps and limits bacterial adhesion to epithelium.
- Hair and cilia: Trap and sweep away particulate matter.
- Lysozyme: Enzyme that lyses bacterial cell walls, found in tears, saliva, milk, and mucus.
Cellular Components
-
Leukocytes:
- Neutrophils: Most numerous, secrete bleach and peroxide, avid phagocytes, elevated in bacterial infections.
- Basophils: Secrete histamine, related to mast cells (in skin and mucus membranes).
- Eosinophils: Fight parasite infections, elevated in allergies.
- Macrophages: Derived from monocytes, found where epithelium meets external environment (skin, gastrointestinal and respiratory tract), engulf particles by phagocytosis, act as Antigen-presenting cells (APCs).
Non-Cellular Components
-
Complement: Family of plasma proteins (30+ proteins)
- Triggers extracellular killing of microbes
- Synthesized in the liver and circulates in the blood
- Activated by infection or damage
- Forms the membrane attack complex (MAC) that causes cell lysis
-
Cytokines: Protein messengers released by cells of the immune system
- Facilitate communication within the immune system
- Often act in cascades, with one cytokine stimulating the release of another
- Play a role in both innate and adaptive immune responses
- Types: Interleukins (IL-1, IL-2, etc.), Interferons (IFN), Chemokines, Lymphokines, Tumor Necrosis Factor (TNF)
Inflammatory Response
- Nonspecific immune response to invasion by pathogen (similar response to trauma, cold, heat injury)
- Steps:
- Entry of bacteria into tissue, causing tissue injury and chemical release.
- Vasodilation (increased blood flow) in the infected area (warmth, redness, swelling).
- Increased permeability of capillaries and venules.
- Chemotaxis: Movement of leukocytes into interstitial fluid and tissue.
- Destruction of bacteria by phagocytosis or other mechanisms.
Adaptive Immune Response
- Two types:
- Cell-mediated Immunity: Carried out by activated T cells.
- Humoral-mediated Immunity: Carried out by activated B cells.
Components of Adaptive Immunity
-
Cellular Components:
- B lymphocytes (B cells): CD19, CD20, responsible for humoral-mediated immunity.
-
T lymphocytes (T cells): Responsible for cell-mediated immunity.
- Cytotoxic T cells (Tc, CD8): Kill infected cells directly.
- Helper T cells (Th, CD4): Coordinate immune response.
- Antigen-presenting cells (APCs): Required for the activation of adaptive immune cells.
B Cell Receptors
- Antibodies on the surface of B cells
- Bind to specific antigens like a lock and key
T Cell Receptors
- Do not directly recognize antigens
- Recognize antigens presented on major histocompatibility complexes (MHCs)
- MHCs are unique to each person and act as genetic "identity tags" of self.
- Two classes of MHCs:
- Class I MHC: Found on all nucleated cells (except red blood cells).
- Class II MHC: Found only on the surface of macrophages, dendritic cells, and B cells.
- T cell receptors can only recognize an antigen if it is bound to an MHC.
- Cytotoxic T Cells (CD8): Bind to Class I MHC.
- Helper T Cells (CD4): Bind to Class II MHC.
Human Leukocyte Antigen (HLA) Complexes
- Human version of the major histocompatibility complex
- Encoded by a cluster of genes on chromosome 6
- Used to match for tissue transplantation to prevent rejection
- Certain HLA types are associated with specific autoimmune diseases
- Some HLA-mediated diseases may predispose to cancer
Details of Adaptive Immunity
-
Helper T Cells (Th): Coordinate the immune response to a specific pathogen, do not directly attack, but begin and coordinate the response.
- Enhance inflammation
- Stimulate cytotoxic T cells
- Stimulate B Cells
- Activated by antigen-presenting cells, producing IL-2.
- Two types: Th1 (cell-mediated) and Th2 (humoral), typically in balance.
- IL-2 causes helper T cells to proliferate and differentiate into:
- Memory helper T cells (remember the specific antigen)
- Effector helper T cells (coordinate immune response)
-
Cytotoxic T Cells (Tc): Kill infected cells directly.
- Activated by antigen-presenting cells.
- IL-2 from helper T cells causes Tc proliferation and differentiation into:
- Memory cytotoxic T cells (remember the specific antigen)
- Effector cytotoxic T cells (migrate to the site of infection and kill pathogens or infected cells).
-
B cells:
- Sensitized to antigen either by phagocytosis or antigen-presenting cells.
- Receive signals from helper T cells via IL-4, causing proliferation and differentiation into:
- Memory B cells (remember the specific antigen)
- Plasma cells (remain in secondary lymphoid organs and secrete antibodies).
How Do Antibodies Destroy Pathogens?
- Antibodies are secreted by plasma cells into lymph and blood.
- Bind to pathogens at the site of infection or in circulation.
- Destroy pathogens in three ways:
- Neutralization: Prevents virus or bacteria from binding to host cells.
- Opsonization: Tags a pathogen for destruction by phagocytes.
- Complement activation: Destroys pathogen by forming pores in the cell membrane.
Immunoglobulins
- Family of proteins that includes B cell receptors and plasma cell antibodies.
- Composed of four interlinked chains:
- Two heavy chains (long chains): Stem is distinct for each Ig type.
- Two light chains (short chains): Contain constant and variable regions.
Immunoglobulin Classes
- "MADGE"
- IgM: First antibody produced after new infection, transient.
- IgG: Most abundant, crosses placenta, long-term memory, active in secondary response.
- IgE: Involved in allergic reactions and parasite infections (found on mast cells and basophils).
- IgA: Mucosal immunity, found where the body interacts with the external environment (gastrointestinal, respiratory, genitourinary systems), secreted in breast milk.
- IgD: Found in blood and lymph, function unknown.
Vaccination to Induce Immunity
- Contains noninfectious antigens from known pathogens to generate a mild primary immune response.
- Leads to immune memory (memory B cells, IgG).
- When exposed to the pathogen, the immune system mounts a quick and robust response.
Immunologic Testing
- Polymerase Chain Reaction (PCR): Detects genetic material from an organism or pathogen.
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Description
Test your knowledge on the fundamentals of immunology, including the recognition of pathogens and the functions of lymphoid organs. Explore the differences between innate and adaptive immune responses. This quiz covers key concepts essential for understanding the immune system.