Podcast
Questions and Answers
What is one of the primary benefits provided by our normal microbiota?
What is one of the primary benefits provided by our normal microbiota?
- Manufacturing hormones
- Destroying pathogens
- Producing toxic substances
- Manufacturing vitamins (correct)
Which of the following differentiates a pathogen from a normal microbiota?
Which of the following differentiates a pathogen from a normal microbiota?
- Pathogens are always present in the human body.
- Pathogens can cause disease. (correct)
- Normal microbiota can cause disease.
- Pathogens help in vitamin synthesis.
What does dysbiosis describe?
What does dysbiosis describe?
- Pathogen resistance
- A diverse microbial community
- Microbiota disruption (correct)
- A stable microbiota environment
Can a member of the normal microbiota ever act as a pathogen? Which example illustrates this?
Can a member of the normal microbiota ever act as a pathogen? Which example illustrates this?
What is the term for the preference of a pathogen for a specific host or tissue?
What is the term for the preference of a pathogen for a specific host or tissue?
Which term describes the ability of a microbe to cause disease?
Which term describes the ability of a microbe to cause disease?
How do virulence factors primarily harm the host?
How do virulence factors primarily harm the host?
What does the basic reproduction number (R0) indicate?
What does the basic reproduction number (R0) indicate?
Which type of immune response is primarily mediated by T cells?
Which type of immune response is primarily mediated by T cells?
What is the role of haptens in the immune system?
What is the role of haptens in the immune system?
Which set of cells are primarily responsible for presenting antigens to T cells?
Which set of cells are primarily responsible for presenting antigens to T cells?
Which T cell type is primarily involved in coordinating the adaptive immune response?
Which T cell type is primarily involved in coordinating the adaptive immune response?
What process is responsible for the large diversity of T cell and B cell receptors?
What process is responsible for the large diversity of T cell and B cell receptors?
Where do T cells mature after being produced in the bone marrow?
Where do T cells mature after being produced in the bone marrow?
What is the primary function of T regulatory cells?
What is the primary function of T regulatory cells?
Which class of MHC is found on all body cells?
Which class of MHC is found on all body cells?
Which immune response involves antibody production by B cells?
Which immune response involves antibody production by B cells?
What happens to T and B cells that fail the self-tolerance test?
What happens to T and B cells that fail the self-tolerance test?
What distinguishes MHC II from MHC I in terms of the type of antigens they present?
What distinguishes MHC II from MHC I in terms of the type of antigens they present?
Which of the following T cell types directly destroys infected or cancerous cells?
Which of the following T cell types directly destroys infected or cancerous cells?
What are the stages of the cellular adaptive immune response?
What are the stages of the cellular adaptive immune response?
What defines BSL-2+ agents?
What defines BSL-2+ agents?
Which type of immunity is characterized by generalized responses and is nonspecific?
Which type of immunity is characterized by generalized responses and is nonspecific?
Which of the following is NOT part of BSL-3 biosafety measures?
Which of the following is NOT part of BSL-3 biosafety measures?
What is the primary function of the lymphatic system?
What is the primary function of the lymphatic system?
Which process is essential for the detection of pathogens in the lymphatic system?
Which process is essential for the detection of pathogens in the lymphatic system?
What best describes granulocytes?
What best describes granulocytes?
What is the significance of defensins among antimicrobial peptides?
What is the significance of defensins among antimicrobial peptides?
Which of the following examples is a barrier defense in innate immunity?
Which of the following examples is a barrier defense in innate immunity?
What role does the hygiene hypothesis relate to immune responses?
What role does the hygiene hypothesis relate to immune responses?
What common characteristic do macrophages, neutrophils, and dendritic cells share?
What common characteristic do macrophages, neutrophils, and dendritic cells share?
What triggers leukocytosis in a patient’s blood sample?
What triggers leukocytosis in a patient’s blood sample?
Which of these describes noncritical equipment usage in healthcare settings?
Which of these describes noncritical equipment usage in healthcare settings?
What is a hallmark feature of adaptive immunity?
What is a hallmark feature of adaptive immunity?
What is the role of molecular factors in the second line of defense?
What is the role of molecular factors in the second line of defense?
What characterizes an attenuated pathogen?
What characterizes an attenuated pathogen?
What does ID50 represent in the context of infectious diseases?
What does ID50 represent in the context of infectious diseases?
Which of the following is true regarding endotoxins?
Which of the following is true regarding endotoxins?
What is the most common portal of entry for pathogens in humans?
What is the most common portal of entry for pathogens in humans?
Which type of immune cell is primarily responsible for presenting antigens to T cells?
Which type of immune cell is primarily responsible for presenting antigens to T cells?
How does antigenic masking help pathogens evade the host immune system?
How does antigenic masking help pathogens evade the host immune system?
What is the function of chemokines in the immune response?
What is the function of chemokines in the immune response?
What are siderophores used for by pathogens?
What are siderophores used for by pathogens?
Which pathway of complement activation is triggered by the presence of antibodies?
Which pathway of complement activation is triggered by the presence of antibodies?
What are the four cardinal signs of inflammation?
What are the four cardinal signs of inflammation?
What is one of the main effects of Type I exotoxins?
What is one of the main effects of Type I exotoxins?
What is a cytokine storm?
What is a cytokine storm?
Which statement about LD50 is accurate?
Which statement about LD50 is accurate?
What role do siderophores play in the context of pathogens?
What role do siderophores play in the context of pathogens?
Which method do pathogens use to block phagocytosis?
Which method do pathogens use to block phagocytosis?
Which type of cells are involved in innate immunity and directly target viruses and tumors?
Which type of cells are involved in innate immunity and directly target viruses and tumors?
What are the five steps to infection starting from entering the host?
What are the five steps to infection starting from entering the host?
What physiological changes occur during the vascular changes phase of inflammation?
What physiological changes occur during the vascular changes phase of inflammation?
What is a key characteristic of cytocidal effects of bacterial and viral pathogens?
What is a key characteristic of cytocidal effects of bacterial and viral pathogens?
Which of the following is NOT a way pathogens gain entry into the host?
Which of the following is NOT a way pathogens gain entry into the host?
What effect does fever have on the immune response?
What effect does fever have on the immune response?
What is the primary function of antibodies in the immune system?
What is the primary function of antibodies in the immune system?
How do invasin factors function in helping pathogens invade host tissues?
How do invasin factors function in helping pathogens invade host tissues?
What describes the role of exotoxins in bacterial infections?
What describes the role of exotoxins in bacterial infections?
What characterizes chronic inflammation?
What characterizes chronic inflammation?
What is the role of angiogenesis in inflammation?
What is the role of angiogenesis in inflammation?
What distinguishes a superantigen from a regular antigen?
What distinguishes a superantigen from a regular antigen?
What mechanism do hemolytic bacteria use to acquire iron from the host?
What mechanism do hemolytic bacteria use to acquire iron from the host?
What is the role of T helper cells in the immune response?
What is the role of T helper cells in the immune response?
What type of activation is required for T cell-independent B cell activation?
What type of activation is required for T cell-independent B cell activation?
Which of the following correctly describes T cell activation?
Which of the following correctly describes T cell activation?
What limits T cell-independent activated B cells?
What limits T cell-independent activated B cells?
What occurs during T cell clonal expansion?
What occurs during T cell clonal expansion?
Which cells are involved in the killing of infected or cancerous cells?
Which cells are involved in the killing of infected or cancerous cells?
What is immunological memory?
What is immunological memory?
What are the two main cytokine classes associated with T helper responses?
What are the two main cytokine classes associated with T helper responses?
Which type of antibodies is produced first during a primary immune response?
Which type of antibodies is produced first during a primary immune response?
What is the main purpose of serological testing?
What is the main purpose of serological testing?
What distinguishes memory B cells from effector B cells?
What distinguishes memory B cells from effector B cells?
How do antibodies facilitate the immune response?
How do antibodies facilitate the immune response?
Which antibody isotype is most abundant in human blood?
Which antibody isotype is most abundant in human blood?
What does convalescent plasma contain, and how is it used?
What does convalescent plasma contain, and how is it used?
What role does normal microbiota play in relation to potential pathogens?
What role does normal microbiota play in relation to potential pathogens?
How can dysbiosis directly affect the host?
How can dysbiosis directly affect the host?
What distinguishes the terms pathogenicity and virulence?
What distinguishes the terms pathogenicity and virulence?
What can cause a harmless species of normal microbiota to become a pathogen?
What can cause a harmless species of normal microbiota to become a pathogen?
Which of the following best describes how virulence factors operate?
Which of the following best describes how virulence factors operate?
What is one way pathogens may evolve new virulence factors?
What is one way pathogens may evolve new virulence factors?
What does the effective reproduction number (Re) of a pathogen indicate?
What does the effective reproduction number (Re) of a pathogen indicate?
How does tropism influence the emergence of new pathogens?
How does tropism influence the emergence of new pathogens?
What is the definition of ID50?
What is the definition of ID50?
What role do adhesins play in the infection process?
What role do adhesins play in the infection process?
Which type of exotoxin is known to bind to host cell receptors and alter gene expression?
Which type of exotoxin is known to bind to host cell receptors and alter gene expression?
Which strategy do pathogens use to avoid the immune system through antigenic variation?
Which strategy do pathogens use to avoid the immune system through antigenic variation?
What is a significant characteristic of endotoxins?
What is a significant characteristic of endotoxins?
Which process describes the ability of a pathogen to exist quietly inside a host?
Which process describes the ability of a pathogen to exist quietly inside a host?
What do siderophores do in the context of bacterial pathogens?
What do siderophores do in the context of bacterial pathogens?
Which of the following is a common portal of entry for pathogens in humans?
Which of the following is a common portal of entry for pathogens in humans?
What distinguishes Type II exotoxins from other types of exotoxins?
What distinguishes Type II exotoxins from other types of exotoxins?
How do pathogens commonly exit the host they are infecting?
How do pathogens commonly exit the host they are infecting?
What is the function of lipases in the context of bacterial pathogens?
What is the function of lipases in the context of bacterial pathogens?
Which immune response is primarily responsible for activating B cells to produce antibodies?
Which immune response is primarily responsible for activating B cells to produce antibodies?
What is the primary effect of Type III exotoxins?
What is the primary effect of Type III exotoxins?
What is the primary role of dendritic cells in the adaptive immune response?
What is the primary role of dendritic cells in the adaptive immune response?
Which of the following is a common method pathogens use to evade phagocytosis?
Which of the following is a common method pathogens use to evade phagocytosis?
What types of antigens do T cytotoxic cells primarily respond to?
What types of antigens do T cytotoxic cells primarily respond to?
What is a distinguishing feature of a pathogen's effective reproductive number (Re)?
What is a distinguishing feature of a pathogen's effective reproductive number (Re)?
Which of the following describes the function of T helper 1 cells?
Which of the following describes the function of T helper 1 cells?
Where do B cells mature after their production in the bone marrow?
Where do B cells mature after their production in the bone marrow?
What is the role of chemokines in the immune response?
What is the role of chemokines in the immune response?
Which type of cytotoxic immune cell directly destroys infected or cancerous cells?
Which type of cytotoxic immune cell directly destroys infected or cancerous cells?
What is the role of major histocompatibility complex (MHC) proteins?
What is the role of major histocompatibility complex (MHC) proteins?
What does a cytokine storm refer to?
What does a cytokine storm refer to?
Which type of T cell has CD8+ receptors and interacts with MHC I molecules?
Which type of T cell has CD8+ receptors and interacts with MHC I molecules?
What is the process called when T and B cells that fail the self-tolerance test are eliminated?
What is the process called when T and B cells that fail the self-tolerance test are eliminated?
What is the primary function of interleukins in the immune system?
What is the primary function of interleukins in the immune system?
What type of proteins are primarily involved in presenting antigens to T cells?
What type of proteins are primarily involved in presenting antigens to T cells?
During which stage of adaptive immune activation do lymphocytes release cytokines?
During which stage of adaptive immune activation do lymphocytes release cytokines?
Which type of cell is primarily responsible for processing and presenting extracellular antigens?
Which type of cell is primarily responsible for processing and presenting extracellular antigens?
During which phase of inflammation does vasodilation and increased blood vessel permeability occur?
During which phase of inflammation does vasodilation and increased blood vessel permeability occur?
How do iron-binding proteins function in the immune response?
How do iron-binding proteins function in the immune response?
What is the main function of T regulatory cells in the immune response?
What is the main function of T regulatory cells in the immune response?
What mechanism allows pathogens like hemolytic bacteria to obtain iron from host tissues?
What mechanism allows pathogens like hemolytic bacteria to obtain iron from host tissues?
What mainly accounts for the diversity of T cell and B cell receptors?
What mainly accounts for the diversity of T cell and B cell receptors?
What is the role of macrophages in the immune system?
What is the role of macrophages in the immune system?
Which type of antigen is presented by MHC I molecules?
Which type of antigen is presented by MHC I molecules?
Which strategy do some pathogens use to overcome iron-binding proteins?
Which strategy do some pathogens use to overcome iron-binding proteins?
What is the primary effect of T helper 2 cells in the immune response?
What is the primary effect of T helper 2 cells in the immune response?
What is the main purpose of the complement system in the immune response?
What is the main purpose of the complement system in the immune response?
Which column of the complement activation pathways is triggered by antibodies?
Which column of the complement activation pathways is triggered by antibodies?
What is a superantigen?
What is a superantigen?
What distinguishes BSL-2 agents from BSL-1 agents?
What distinguishes BSL-2 agents from BSL-1 agents?
Which statement about first-line defenses in the immune system is correct?
Which statement about first-line defenses in the immune system is correct?
How do antimicrobial peptides (AMPs) function to combat pathogens?
How do antimicrobial peptides (AMPs) function to combat pathogens?
What role does the lymphatic system play in immune responses?
What role does the lymphatic system play in immune responses?
What distinguishes granulocytes from agranulocytes?
What distinguishes granulocytes from agranulocytes?
What is a significant characteristic of BSL-4 agents?
What is a significant characteristic of BSL-4 agents?
Which of the following is NOT a characteristic of adaptive immunity?
Which of the following is NOT a characteristic of adaptive immunity?
In healthcare settings, what is a primary goal of transmission precautions?
In healthcare settings, what is a primary goal of transmission precautions?
What does leukocytosis refer to?
What does leukocytosis refer to?
Which of the following represents the role of macrophages in the immune system?
Which of the following represents the role of macrophages in the immune system?
What type of pathogen is associated with BSL-2+ agents?
What type of pathogen is associated with BSL-2+ agents?
One major function of molecular factors in the immune system is to:
One major function of molecular factors in the immune system is to:
What does the hygiene hypothesis propose regarding normal microbiota?
What does the hygiene hypothesis propose regarding normal microbiota?
What primary benefit do T helper cells provide to the adaptive immune system?
What primary benefit do T helper cells provide to the adaptive immune system?
What is a limitation of T cell-independent activated B cells?
What is a limitation of T cell-independent activated B cells?
What two signals are necessary for T cell activation?
What two signals are necessary for T cell activation?
How do T cytotoxic cells induce death in infected or cancerous cells?
How do T cytotoxic cells induce death in infected or cancerous cells?
What happens to B cells upon encountering their specific antigen?
What happens to B cells upon encountering their specific antigen?
What defines the primary immune response compared to the secondary immune response?
What defines the primary immune response compared to the secondary immune response?
What role do antibodies play in the immune response?
What role do antibodies play in the immune response?
Which antibody isotype is produced early during an infection?
Which antibody isotype is produced early during an infection?
What characterizes immunological memory?
What characterizes immunological memory?
What is serological testing primarily used for?
What is serological testing primarily used for?
What is the role of co-stimulatory proteins in B cell activation?
What is the role of co-stimulatory proteins in B cell activation?
What is a characteristic feature of T cell clonal expansion?
What is a characteristic feature of T cell clonal expansion?
What distinguishes T cell-dependent B cell activation from T cell-independent activation?
What distinguishes T cell-dependent B cell activation from T cell-independent activation?
What role do normal microbiota play in the immune system?
What role do normal microbiota play in the immune system?
What condition can arise from the overgrowth of normally present microbes due to antibiotics?
What condition can arise from the overgrowth of normally present microbes due to antibiotics?
What term describes the specific mechanisms pathogens use to evade host defenses?
What term describes the specific mechanisms pathogens use to evade host defenses?
How can a microbe that is normally harmless in one host become pathogenic in another?
How can a microbe that is normally harmless in one host become pathogenic in another?
What does tropism refer to in the context of pathogens?
What does tropism refer to in the context of pathogens?
What does a high virulence factor indicate about a pathogen?
What does a high virulence factor indicate about a pathogen?
What is the effective reproduction number (Re) of a pathogen?
What is the effective reproduction number (Re) of a pathogen?
What is the basic reproduction number (R0) used to measure?
What is the basic reproduction number (R0) used to measure?
What is the primary role of T helper cells in the adaptive immune response?
What is the primary role of T helper cells in the adaptive immune response?
What is the main limitation of T cell-independent activation of B cells?
What is the main limitation of T cell-independent activation of B cells?
Which of the following describes the signals required for T cell activation?
Which of the following describes the signals required for T cell activation?
What determines the differentiation of T cells during clonal expansion?
What determines the differentiation of T cells during clonal expansion?
How do T cytotoxic cells induce apoptosis in target cells?
How do T cytotoxic cells induce apoptosis in target cells?
What is the primary action of antibodies secreted by plasma cells?
What is the primary action of antibodies secreted by plasma cells?
Which type of antibody is primarily present at the initial stages of an infection?
Which type of antibody is primarily present at the initial stages of an infection?
What is convalescent plasma therapy used for?
What is convalescent plasma therapy used for?
How does the antibody isotype profile change between primary and secondary immune responses?
How does the antibody isotype profile change between primary and secondary immune responses?
What are the characteristics of effector B cells?
What are the characteristics of effector B cells?
What type of antigen do T-independent B cells primarily respond to?
What type of antigen do T-independent B cells primarily respond to?
Which immune cells are primarily responsible for initiating the adaptive immune response?
Which immune cells are primarily responsible for initiating the adaptive immune response?
How do fever-inducing pyrogens enhance the immune response?
How do fever-inducing pyrogens enhance the immune response?
Which type of cytokines specifically attract white blood cells to areas of infection?
Which type of cytokines specifically attract white blood cells to areas of infection?
What occurs during the resolution phase of inflammation?
What occurs during the resolution phase of inflammation?
What does the term ID50 refer to in infectious diseases?
What does the term ID50 refer to in infectious diseases?
Which statement correctly describes exotoxins?
Which statement correctly describes exotoxins?
Which pathway of complement activation is triggered without the involvement of antibodies?
Which pathway of complement activation is triggered without the involvement of antibodies?
What is a primary role of siderophores in pathogen defense mechanisms?
What is a primary role of siderophores in pathogen defense mechanisms?
What is a common method by which pathogens evade the immune system?
What is a common method by which pathogens evade the immune system?
Which type of pathogen is most likely to cause septic shock?
Which type of pathogen is most likely to cause septic shock?
What characterizes a cytokine storm?
What characterizes a cytokine storm?
What type of immune cells are classified as natural killer (NK) cells?
What type of immune cells are classified as natural killer (NK) cells?
Which of the following is NOT a step in the infection process?
Which of the following is NOT a step in the infection process?
What is the primary constituents of pus formed in response to a wound?
What is the primary constituents of pus formed in response to a wound?
What role do siderophores play for pathogens?
What role do siderophores play for pathogens?
Type II exotoxins primarily affect which part of the host cell?
Type II exotoxins primarily affect which part of the host cell?
Which immune response is specifically characterized by the production of antibodies?
Which immune response is specifically characterized by the production of antibodies?
What is the primary difference between T cytotoxic cells and T helper cells?
What is the primary difference between T cytotoxic cells and T helper cells?
Which of the following represents a common portal of exit for pathogens?
Which of the following represents a common portal of exit for pathogens?
What describes the role of eicosanoids in the inflammatory process?
What describes the role of eicosanoids in the inflammatory process?
What is a key characteristic of attenuated pathogens?
What is a key characteristic of attenuated pathogens?
What is the impact of NSAIDs on inflammation?
What is the impact of NSAIDs on inflammation?
What role do haptens play in the immune system?
What role do haptens play in the immune system?
What is the general function of interferons in the immune response?
What is the general function of interferons in the immune response?
How can pathogens induce cytopathic effects in host cells?
How can pathogens induce cytopathic effects in host cells?
Which type of MHC molecule presents extracellular antigens?
Which type of MHC molecule presents extracellular antigens?
Which of the following is an example of antigenic mimicry?
Which of the following is an example of antigenic mimicry?
Why do T and B cells that fail the self-tolerance test undergo apoptosis?
Why do T and B cells that fail the self-tolerance test undergo apoptosis?
During which stage of adaptive immune response do activated T and B cells proliferate?
During which stage of adaptive immune response do activated T and B cells proliferate?
What is a common function of adhesins in pathogens?
What is a common function of adhesins in pathogens?
What can happen to LD50 values depending on circumstances?
What can happen to LD50 values depending on circumstances?
What is the function of T regulatory cells?
What is the function of T regulatory cells?
Which type of antigen receptors do both T cells and B cells possess?
Which type of antigen receptors do both T cells and B cells possess?
What occurs in the thymus during T cell maturation?
What occurs in the thymus during T cell maturation?
How are antigens that are processed for MHC I presentation primarily derived?
How are antigens that are processed for MHC I presentation primarily derived?
What distinguishes T helper 1 cells from T helper 2 cells in terms of their function?
What distinguishes T helper 1 cells from T helper 2 cells in terms of their function?
What initiates the cellular and humoral responses to eliminate an antigen?
What initiates the cellular and humoral responses to eliminate an antigen?
What classes of MHC molecules interact with the different CD receptors on T cells?
What classes of MHC molecules interact with the different CD receptors on T cells?
Which of the following best describes the relationship between T cell receptors (TCRs) and the diversity of antigen recognition?
Which of the following best describes the relationship between T cell receptors (TCRs) and the diversity of antigen recognition?
Which biosafety level consists of agents that pose limited risk?
Which biosafety level consists of agents that pose limited risk?
In which biological structure do B cells mature?
In which biological structure do B cells mature?
Which of the following is NOT a characteristic of BSL-3 agents?
Which of the following is NOT a characteristic of BSL-3 agents?
What is a characteristic of innate immunity?
What is a characteristic of innate immunity?
What function does the lymphatic system serve?
What function does the lymphatic system serve?
Which of the following correctly describes first-line defenses in the immune system?
Which of the following correctly describes first-line defenses in the immune system?
What distinguishes BSL-4 agents from those of lower biosafety levels?
What distinguishes BSL-4 agents from those of lower biosafety levels?
What is the primary function of antimicrobial peptides like defensins?
What is the primary function of antimicrobial peptides like defensins?
What may swollen lymph nodes indicate?
What may swollen lymph nodes indicate?
What role do mechanical barriers play in the innate immune system?
What role do mechanical barriers play in the innate immune system?
What is leukocytosis?
What is leukocytosis?
What defines barrier defenses in the context of innate immunity?
What defines barrier defenses in the context of innate immunity?
Which of the following correctly describes granulocytes?
Which of the following correctly describes granulocytes?
What is the primary purpose of transmission precautions in healthcare?
What is the primary purpose of transmission precautions in healthcare?
How does normal microbiota influence immune responses?
How does normal microbiota influence immune responses?
Flashcards
Normal Microbiota Benefits
Normal Microbiota Benefits
Produce vitamins, compete with pathogens, and help immune system develop.
Pathogen vs. Normal Microbiota
Pathogen vs. Normal Microbiota
Pathogen = disease-causing microbe; Normal microbiota are microbes that usually don't cause disease and reside in the body.
Dysbiosis
Dysbiosis
Disruption of the normal microbiota.
Normal Microbe as Pathogen
Normal Microbe as Pathogen
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Tropism (in Pathogens)
Tropism (in Pathogens)
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Pathogenicity
Pathogenicity
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Virulence
Virulence
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Basic Reproduction Number (R0)
Basic Reproduction Number (R0)
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Effective Reproductive Number (Re)
Effective Reproductive Number (Re)
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Attenuated pathogen
Attenuated pathogen
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ID50
ID50
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LD50
LD50
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Toxin
Toxin
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Endotoxin
Endotoxin
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Exotoxin
Exotoxin
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Type I Exotoxin
Type I Exotoxin
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Type II Exotoxin
Type II Exotoxin
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Type III Exotoxin
Type III Exotoxin
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Portal of entry
Portal of entry
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Adhesin
Adhesin
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Biofilm
Biofilm
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Portal of exit
Portal of exit
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Siderophore
Siderophore
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Biosafety Levels
Biosafety Levels
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BSL-1 agents
BSL-1 agents
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BSL-2 agents
BSL-2 agents
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BSL-2+ agents
BSL-2+ agents
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BSL-3 agents
BSL-3 agents
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BSL-4 agents
BSL-4 agents
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Standard Precautions
Standard Precautions
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Transmission Precautions
Transmission Precautions
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Innate Immunity
Innate Immunity
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Adaptive Immunity
Adaptive Immunity
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First line defenses
First line defenses
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Normal microbiota
Normal microbiota
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Antimicrobial peptides
Antimicrobial peptides
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Lymphatic system
Lymphatic system
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Immunogenicity: Most to Least
Immunogenicity: Most to Least
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Hapten
Hapten
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Superantigens
Superantigens
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Cellular Immune Response
Cellular Immune Response
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Humoral Immune Response
Humoral Immune Response
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Antigen Presentation
Antigen Presentation
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Lymphocyte Activation
Lymphocyte Activation
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Lymphocyte Proliferation and Differentiation
Lymphocyte Proliferation and Differentiation
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Antigen Elimination and Memory
Antigen Elimination and Memory
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T cell Origin and Maturation
T cell Origin and Maturation
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B cell Origin and Maturation
B cell Origin and Maturation
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T Cytotoxic Cell
T Cytotoxic Cell
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T Helper Cell
T Helper Cell
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MHC I vs. MHC II
MHC I vs. MHC II
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T Regulatory Cell
T Regulatory Cell
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T helper cell function
T helper cell function
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T cell-independent B cell activation
T cell-independent B cell activation
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What are the two signals for T cell activation?
What are the two signals for T cell activation?
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T cell clonal expansion
T cell clonal expansion
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T cell differentiation: T helper and T cytotoxic cells
T cell differentiation: T helper and T cytotoxic cells
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How do T cytotoxic cells kill infected cells?
How do T cytotoxic cells kill infected cells?
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Two signals for B cell activation in T cell-dependent activation
Two signals for B cell activation in T cell-dependent activation
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B cell clonal expansion and differentiation
B cell clonal expansion and differentiation
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What are antibodies?
What are antibodies?
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Types of antibodies and their functions
Types of antibodies and their functions
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Immunological memory
Immunological memory
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Differences in antibody response during primary and secondary infections
Differences in antibody response during primary and secondary infections
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Serological testing
Serological testing
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What is convalescent plasma?
What is convalescent plasma?
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Types of humoral immunity
Types of humoral immunity
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Highly Phagocytic Cells
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Antigen-Presenting Cells (APCs)
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Neutrophils: First Responders
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Eosinophils: Parasite Hunters
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Basophils: Allergy and Parasite Defenders
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Mast Cells: Allergy and Parasite Sentinels
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Monocytes: Macrophage Precursors
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Macrophages: Fixed vs. Wandering
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Lymphocytes: B and T Cells
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Natural Killer (NK) Cells: Innate Defenders
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Cytokines: Cellular Communication
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Chemokines: Immune Cell Recruitment
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Iron-Binding Proteins: Iron Deprivation
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Siderophores: Stealing Iron Back
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Hemolytic Bacteria: Red Blood Cell Destruction
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Complement System: Immune Cascade
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Complement Activation Pathways
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Complement Regulation: Preventing Self-Damage
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Inflammation: The Body's Response to Injury
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Stages of Inflammation: Vascular Changes
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Histamine, Kinins, and Eicosanoids: Inflammatory Mediators
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Leukocyte Recruitment Phase: Bringing in the Troops
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Resolution Phase: Restoring Order
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Angiogenesis: Building New Blood Vessels
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Pus: The Aftermath of Battle
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Fever: Systemic Response to Infection
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Pyrogens: Fever-Inducing Substances
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Fever Benefits: Fighting Infection
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Antigen: Triggering Immune Response
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Epitope: Antigen's Recognition Site
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Antibodies: Binding and Neutralizing Antigens
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Hapten: Small Antigen
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Superantigen: Immune System Overload
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Pathogen
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Virulence Factor
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Emerging Pathogens
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Antigenic Variation
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Antimicrobial Peptides (AMPs)
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Granulocytes
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Differential White Blood Cell Count
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T Cell-Independent Activation
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T Cytotoxic Cell Function
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Perforins and Granzymes
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Antibodies: Role in Immunity
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IgM and IgG Antibodies
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Convalescent Plasma
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Emerging Pathogens and Tropism
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Virulence vs. Pathogenicity
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Study Notes
Chapter 10 - Host-Microbe Interaction and Pathogenesis
- Normal Microbiota Benefits: Manufacture vitamins, compete with pathogens, and mature the immune system
- Normal Microbiota vs. Pathogen: Pathogens cause disease; normal microbiota colonize various body sites (skin, digestive, genital, etc.) and aren't typically disease-causing.
- Dysbiosis: Microbiota disruption, e.g., antibiotics killing normal gut microbiota, allowing Clostridioides difficile to overgrow.
- Normal Microbiota as Pathogens: A harmless microbe in one host can be pathogenic in another (e.g., Group B Streptococcus causing neonatal infections).
- Tropism: Pathogen preference for a specific host and/or tissue. Emerging pathogens often expand tropism to infect humans.
- Pathogenicity, Virulence, Virulence Factors:
- Pathogenicity: Ability to cause disease.
- Virulence: Degree of disease caused.
- Virulence factors: Mechanisms enabling pathogens to evade our defenses (adherence, invasion, etc.).
- Virulence Factor Damage: Directly damage host cells or provoke a harmful immune response.
- Reproduction Numbers (R0 & Re):
- R0: Measurable transmissibility (e.g., R0=2, one infected person infects 2 others).
- Re: More appropriate in epidemics/pandemics, as host-pathogen interactions change.
- Attenuated Pathogens: Infectious but weakened pathogens; created by growing in cell culture, losing virulence factors, and no longer causing disease in immunocompetent hosts. Used in vaccines.
- ID50 & LD50:
- ID50: Infectious dose killing 50% of hosts. Lower ID50 = more infectious pathogen
- LD50: Lethal dose killing 50% of hosts; values influenced by species, host immunity, exposure route (can change).
- Toxins (Endo- & Exo-):
- Toxins: Molecules harming the host.
- Endotoxins: Lipid A component of Gram-negative LPS; lower LD50; can cause septic shock (e.g., E. coli).
- Exotoxins: Soluble proteins; Gram-positive and -negative bacteria produce them.
- Type I: Bind via receptors, alter host gene expression (e.g., superantigens & TSS).
- Type II: Damage cell membranes, cause cell lysis (e.g., hemolysins).
- Type III: Intracellular toxins, enter cells (e.g., diphtheria, pertussis, cholera, botulinum toxins).
Chapter 10 - Host-Microbe Interaction and Pathogenesis (cont.)
- Infection Steps: Enter host, adhere to tissues, invade/obtain nutrients, replicate/avoid immune, transmit to new host.
- Portal of Entry: Site pathogen enters. Most common is mucous membranes (respiratory).
- Adhesins: Virulence factors promoting attachment to host cells (cell wall components, capsules, fimbriae, pili).
- Biofilms & Adhesion: Adhesins create biofilms; common sites are implanted devices and organs.
- Invasins & Motility: Invasins enable tissue/cell invasion (extracellular enzymes breaking down tissues, causing blood clotting), flagella for motility.
- Siderophores: Molecules scavenging iron from host proteins.
- Lipases & Proteases: Enzymes breaking down lipids and proteins during tissue invasion.
Chapter 11 - Innate Immunity
- Immune System Branches: Innate (generalized, non-specific) and adaptive (specific, slower, memory).
- Lines of Defense: Barrier, cellular/molecular, and adaptive defenses.
- Microbiota & Immune Response: Normal microbiota fine-tune the immune system to fight pathogens and differentiate between pathogens vs. nonpathogens (Hygiene Hypothesis).
- First-Line Defenses: Prevent pathogen entry (mechanical, chemical, physical).
- Mechanical: Rinse/flush pathogens, mucociliary escalator.
- Chemical: Attack invaders/limit growth (e.g., lysozyme, HCl, fatty acids).
- Physical: Block entry (epithelial tissue, skin).
- Antimicrobial Peptides (AMPs): Destroy pathogens, stimulate leukocytes, disrupt membranes/cell walls. Defensins are a class of AMPs.
- Lymphatic System: Collects, circulates, filters fluid.
- Primary lymphoid tissues: Thymus and bone marrow (leukocyte production/maturation).
- Secondary lymphoid tissues: Lymph nodes, spleen, MALT (filter lymph).
- Lymph: Fluid screened for pathogens.
- Granulocytes & Agranulocytes:
- Granulocytes: Neutrophils, eosinophils, basophils, mast cells (contain granules).
- Agranulocytes: Monocytes, dendritic cells, lymphocytes (lack granules).
- Differential WBC Count: Identifies leukocyte imbalances that can indicate infection.
- Leukocytosis: Elevated WBC count.
- Molecular Factors (Second Line): Recruit leukocytes, restrict pathogen growth, trigger fever, stimulate inflammation.
Chapter 11 - Innate Immunity (cont.)
- Phagocytic Cells: Macrophages, neutrophils, dendritic cells. Dendritic cells most efficient APC for T cells activation.
- Lymphocytes Categories: NK (innate), T Cells (adaptive), B cells (adaptive).
- Cytokines: Signaling proteins for cell communication; include interleukins [ILs], tumor necrosis factor (TNF), interferons (IFNs). Chemokines attract WBCs.
- Cytokine Storm: Exaggerated cytokine response.
- Iron-Binding Proteins: Combat pathogens by limiting iron availability. Some pathogens overcome this by using siderophores or hemolysins
Chapter 11 - Innate Immunity (cont. 2)
- Complement System: Cascade of proteins boosting immune defenses. Three pathways (classical, alternative, lectin). Regulation important to prevent damage to host cells.
- Inflammation Stages:
- Vascular changes: Vasodilation, increased permeability, exudate accumulation.
- Leukocyte recruitment: Chemoattractants recruit more WBCs.
- Resolution/resolution phase: Inflammation decreases, damaged tissues repair.
Chapter 11 - Innate Immunity (cont. 3)
- Fever: Abnormally high body temperature.
- Pyrogens trigger fever acting on the hypothalamus.
- Promotes fighting infection/repair (enhancing interferons, phagocytes, leukocytes production, limiting pathogen growth).
Chapter 12 - Adaptive Immunity - (Part of a Continuing Topic Block)
- Antigen, Epitope, and Antigen-Binding Proteins: Antigens are foreign molecules; epitopes are antigen parts recognized; antibodies bind to these. Protein/polysaccharide antigens are most immunogenic.
- Hapten & Superantigen: Incomplete antigens requiring carriers; potent T helper cell activators, respectively.
- Adaptive Immunity Types:
- Cellular: T cell-mediated.
- Humoral: Antibody-mediated (B-cell based).
- Adaptive Immunity Stages:
- Antigen presentation
- Lymphocyte activation
- Lymphocyte proliferation and differentiation
- Antigen elimination and memory
- T & B Cell Origins and Maturation:
- T cells: Bone marrow made, thymus matured (cellular, humoral).
- B cells: Bone marrow made, bone marrow matured (humoral).
Chapter 12 - Adaptive Immunity (cont.)
- T Cell Lineages & Roles:
- T cytotoxic cells (CD8+): Destroy infected/cancer cells (MHC I). T Helper cells (CD4+): Coordinate adaptive immunity (MHC II).
- T Regulatory Cells: Control other immune cell functions to limit or end immune responses.
- Antigen Recognition Diversity: Numerous T and B cells generated to recognize a broad range of antigens.
- Self-Tolerance Mechanisms: Elimination of T and B cells reacting with “self” to prevent autoimmune disorders; T-cell selection in the thymus. (more detailed in the text)
- MHC Proteins: "Self-proteins" presenting antigens to T cells.
- MHC I: On all cells; presents intracellular antigens to T cytotoxic cells.
- MHC II: On APCs; presents extracellular antigens to T helper cells.
- Cellular Adaptive Immune Response Stages: (detailed in original text).
- Antigen Processing (MHC I vs. MHC II): (detailed explanation).
Chapter 12 - Adaptive Immunity (cont.)
- Role of TH Cells: Crucial for activating almost all aspects of adaptive immunity.
- TH1: Activate Tc and macrophages for intracellular pathogen destruction, cellular response.
- TH2: Activate B cells, driving antibody production.
- T-cell-independent Activation of B cells: Specific case bypasses TH cell involvement
- Antibody Structure & Function: Proteins secreted by plasma cells; similar to B cell receptor; several isotypes including IgG, IgM. Neutralize pathogens, participate in complement activation, and increase phagocytosis (detailed in text). (more details).
- Types of Humoral Immunity: (detailed categories).
Chapter 12 - Adaptive Immunity (cont.)
- Immunological Memory: Rapid and effective response to previously encountered pathogens. Memory cells (B and T) responsible.
- Isotype Profile Changes (Primary vs. Secondary Responses): Shift occurs in response type after re-exposure with a rapid and targeted IgG increase during the secondary response.
- Serological Testing: Assess antibody titers; can diagnose exposure to a disease. (additional detail).
- Convalescent Plasma: Provides passive immunity using antibodies from someone recovering, treatment.
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