FK-5-Cellular and molecular bases of immune and non-immune host defense mechanism-ORAL HEALTH MANAGEMENT

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Questions and Answers

Which cellular component is the first to respond to bacterial invasion in gingival tissues?

  • Plasma cells
  • Lymphocytes
  • Macrophages
  • Neutrophils (correct)

How do complement proteins contribute to host defense in the oral cavity?

  • Opsonization and direct lysis of bacteria (correct)
  • Activation of cytotoxic T-cells
  • Antibody production
  • Antigen presentation

Which immunoglobulin is predominantly found in saliva, providing a first line of defense against oral pathogens?

  • IgM
  • IgE
  • IgG
  • IgA (correct)

The inflammatory response in periodontal disease is primarily driven by the host's reaction to which of the following?

<p>Bacterial biofilm (B)</p>
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Which cell type is responsible for producing antibodies against specific oral pathogens?

<p>Plasma cells (B)</p>
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What is a primary function of pro-inflammatory cytokines in periodontal disease?

<p>Recruitment of immune cells (A)</p>
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How do macrophages in the oral mucosa contribute to host defense?

<p>Phagocytosis and antigen presentation (D)</p>
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What compromises the non-specific host defense mechanism involving the physical barrier of the oral epithelium?

<p>Tissue injury (C)</p>
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Which of the following is an example of a non-immune host defense mechanism in the oral cavity?

<p>The flushing action of saliva (B)</p>
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An allergic reaction in the oral cavity, such as to latex gloves, is primarily mediated by which type of hypersensitivity reaction and immunoglobulin?

<p>Type I, IgE (A)</p>
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Which enzyme present in saliva has antimicrobial properties by breaking down bacterial cell walls?

<p>Lysozyme (B)</p>
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Which salivary component helps to buffer acids produced by bacteria in the biofilm during the development of dental caries?

<p>Bicarbonate (B)</p>
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In the context of wound healing in the oral cavity, which cell type is crucial for collagen synthesis and tissue repair after an injury or surgery?

<p>Fibroblasts (C)</p>
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A patient with neutropenia (low neutrophil count) would most likely be at an increased risk of developing which oral condition?

<p>Oral candidiasis (D)</p>
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What is the process by which immune cells are attracted to the site of inflammation in the oral cavity by chemical signals called?

<p>Chemotaxis (D)</p>
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Which feature is characteristic of chronic inflammation in periodontal disease, reflecting a prolonged immune response?

<p>Infiltration of plasma cells and lymphocytes (A)</p>
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Antigen-presenting cells (APCs) in the gingival tissues present processed antigens to which cells to initiate the adaptive immune response?

<p>T-lymphocytes (B)</p>
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Pro-inflammatory mediators from periodontal lesions can enter the systemic circulation and potentially contribute to:

<p>Exacerbation of systemic inflammatory conditions (C)</p>
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In managing patients with autoimmune diseases affecting the oral cavity, understanding the dysregulation of their immune system is crucial because these diseases involve:

<p>An immune response directed against the body's own tissues (A)</p>
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Vaccination against oral-related pathogens would primarily stimulate which arm of the adaptive immune system?

<p>Humoral immunity involving antibody production (A)</p>
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What is the main function of secretory IgA in saliva?

<p>Neutralizing pathogens and preventing adherence (A)</p>
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Which of the following is the most direct mechanism by which the complement system defends against bacteria in the oral cavity?

<p>Directly lysing bacterial cells (D)</p>
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In addition to its antimicrobial properties, what is another important role of saliva in maintaining oral health?

<p>Buffering acids produced by bacteria (D)</p>
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What is the most significant consequence of tissue injury to the oral epithelium related to host defense?

<p>Compromised physical barrier to pathogens (C)</p>
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Which of the following cell types is most directly involved in the adaptive immune response following antigen presentation by macrophages?

<p>T-lymphocytes (B)</p>
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What would be the most likely outcome of administering a vaccine targeting a specific oral pathogen?

<p>Long-term protection through specific antibody production (D)</p>
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What is the primary mechanism by which neutrophils contribute to the control of fungal infections in the oral cavity?

<p>Phagocytosis of fungal cells by neutrophils (C)</p>
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Which of the following conditions involves an immune response directed against the body's own oral tissues?

<p>Autoimmune disease (C)</p>
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In what way does collagen synthesis by fibroblasts contribute to oral wound healing following surgery?

<p>Forming the extracellular matrix necessary for tissue repair (C)</p>
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How do pro-inflammatory cytokines contribute to periodontal disease?

<p>By recruiting immune cells to the site of infection (B)</p>
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What is the primary mechanism by which secretory IgA protects against viral antigens in the oral cavity?

<p>Neutralizing viruses and preventing their adherence to oral surfaces (B)</p>
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How does the flushing action of saliva contribute to non-immune host defense?

<p>By mechanically removing microbes and debris (B)</p>
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What is the role of MHC molecules in antigen presentation by macrophages?

<p>To present processed antigens on the cell surface for T-cell recognition (B)</p>
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Which aspect of the interrelationship between oral and systemic health explains the ability of oral inflammation to affect conditions like cardiovascular disease negatively?

<p>The systemic spread of oral inflammatory mediators can contribute to or worsen other systemic inflammatory conditions (D)</p>
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Why are neutrophils more associated with acute inflammation compared to chronic inflammation?

<p>Neutrophils are the first responders against invaders. (B)</p>
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Which hypersensitivity reaction involves IgE antibodies binding to mast cells and basophils?

<p>Type I (C)</p>
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Which component of saliva directly targets the structural components of bacteria?

<p>Lysozyme (C)</p>
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The ability of immune cells to move toward a stimulus in the damaged oral cavity is called?

<p>Chemotaxis (A)</p>
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Autoimmune diseases in the oral cavity involve:

<p>Immune responses directed to self antigens. (A)</p>
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The main reason bacterial biofilm promotes the destruction of periodontal tissues is

<p>stimulates the host's inflammatory response. (A)</p>
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Flashcards

Neutrophils

The first cellular component of the immune system to respond to bacterial invasion in the gingival tissues with acute inflammation.

Complement proteins function

Enhances phagocytosis and directly lyses certain microorganisms.

Secretory IgA

Predominantly found in saliva, it neutralizes pathogens and prevents their adherence to oral surfaces.

Inflammatory response in periodontal disease

The host's reaction to bacterial biofilm triggers the immune and inflammatory responses, contributing to the destruction of periodontal tissues.

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Plasma cells

Differentiated B-lymphocytes that secrete large quantities of antibodies specific to encountered antigens.

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Pro-inflammatory cytokines function

Promote the migration of neutrophils and other immune cells to the site of infection.

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Macrophages function

Engulf and destroy pathogens and present processed antigens to T-cells, initiating adaptive immune responses.

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Compromised non-specific host defense

Tissue injury disrupts the integrity of the oral epithelium, allowing easier entry for pathogens.

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Flushing Action of Saliva

Mechanical removal of microbes and debris by saliva.

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Type I hypersensitivity reactions

Involve IgE antibodies binding to mast cells and basophils, leading to the release of histamine and other mediators.

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Lysozyme

An enzyme in saliva that can hydrolyze the peptidoglycan layer of bacterial cell walls, leading to their lysis.

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Bicarbonate role

Saliva contains bicarbonate ions that act as a buffer, neutralizing acids produced by cariogenic bacteria.

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Fibroblasts function

Responsible for producing collagen and other extracellular matrix components necessary for tissue repair and regeneration after injury.

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Neutrophils and neutropenia

Neutrophils are essential for controlling fungal infections like candidiasis.

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Chemotaxis

Directed migration of cells towards a chemical gradient, such as cytokines and chemokines.

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Chronic inflammation

Characterized by the infiltration of mononuclear cells, including plasma cells and lymphocytes.

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Antigen-presenting cells (APCs) function

APCs process antigens and present them on their surface along with MHC molecules to T-lymphocytes, leading to their activation.

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Oral health and systemic diseases

Systemic spread of oral inflammatory mediators can contribute to or worsen other systemic inflammatory conditions or exacerbate overall health issues.

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Autoimmune diseases

Occur when the immune system mistakenly recognizes the body's own components as foreign and mounts an immune response against them.

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Vaccination and Adaptive immunity

Vaccines typically aim to induce the production of specific antibodies that can provide long-term protection against pathogens.

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Study Notes

  • Neutrophils are the primary early responders during acute inflammation, migrating to infection sites to phagocytose bacteria.
  • Complement proteins enhance phagocytosis by opsonizing bacteria and can directly lyse microorganisms by forming membrane attack complexes, contributing to host defense in the oral cavity.
  • Secretory IgA is the predominant immunoglobulin found in saliva, neutralizing pathogens and preventing their adherence to oral surfaces.
  • Inflammatory response in periodontal disease is primarily driven by the host's reaction to bacterial biofilm on tooth surfaces, leading to tissue destruction.
  • Plasma cells, differentiated B-lymphocytes, are responsible for producing antibodies against specific oral pathogens.
  • Pro-inflammatory cytokines like IL-1 and TNF-alpha promote the migration of neutrophils and other immune cells to infection sites, acting as a primary function in periodontal disease.
  • Macrophages in the oral mucosa contribute to host defense through phagocytosis, antigen presentation, and initiating adaptive immune responses by presenting processed antigens to T-cells.
  • Tissue injury compromises the non-specific host defense mechanism involving the oral epithelium's physical barrier, allowing easier entry for pathogens.
  • The flushing action of saliva exemplifies a non-immune host defense mechanism, mechanically removing microbes and debris.
  • Type I hypersensitivity reactions, like latex allergy, primarily mediate allergic reactions in the oral cavity, involving IgE antibodies binding to mast cells and basophils, releasing histamine and other mediators.
  • Lysozyme, present in saliva, breaks down bacterial cell walls with antimicrobial properties, hydrolyzing the peptidoglycan layer and leading to their lysis.
  • Bicarbonate ions in saliva buffer acids produced by bacteria in the biofilm, helping protect tooth enamel in dental caries development.
  • Fibroblasts are crucial for collagen synthesis and tissue repair after oral cavity injury or surgery, producing collagen and other extracellular matrix components.
  • Neutropenia (low neutrophil count) increases susceptibility to oral candidiasis because neutrophils control fungal infections and a deficiency increases the risk of such infections.
  • Chemotaxis is the process by which immune cells in the oral cavity are attracted to inflammation sites via chemical signals like cytokines and chemokines.
  • Chronic inflammation in periodontal disease is characterized by plasma cell and lymphocyte infiltration, reflecting a prolonged immune response (adaptive immunity).
  • Antigen-presenting cells (APCs) in gingival tissues present processed antigens to T-lymphocytes, initiating the adaptive immune response through MHC molecules, leading to their activation.
  • Pro-inflammatory mediators from periodontal lesions entering systemic circulation can exacerbate systemic inflammatory conditions, linking oral and overall health.
  • Autoimmune diseases involve an immune response directed against the body's own tissues, where the immune system mistakenly recognizes body components as foreign.
  • Vaccination stimulates humoral immunity, inducing the production of specific antibodies (humoral immunity) to provide long-term protection against pathogens.

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