Podcast
Questions and Answers
What is a common symptom of primary immunodeficiencies typically seen in infants?
What is a common symptom of primary immunodeficiencies typically seen in infants?
- Recurrent infections (correct)
- Persistent cough
- High fever
- Skin rashes
Which of the following best describes the classification of primary immunodeficiencies affecting T lymphocytes?
Which of the following best describes the classification of primary immunodeficiencies affecting T lymphocytes?
- Cell Mediated Immunity (CMI) defects (correct)
- B lymphocyte defects
- Phagocyte dysfunction
- Combined B and T cell defects
Which of the following is NOT a hallmark of primary immune deficiencies?
Which of the following is NOT a hallmark of primary immune deficiencies?
- High body temperature (correct)
- Frequent medical intervention
- Symptoms starting in childhood
- Developmental delay
What is the risk associated with stem cell transplantation in the treatment of immunodeficiencies?
What is the risk associated with stem cell transplantation in the treatment of immunodeficiencies?
What type of infections are commonly seen in patients with Chronic Granulomatous Disease?
What type of infections are commonly seen in patients with Chronic Granulomatous Disease?
Which of the following is a primary consideration when deciding on immunodeficiency treatments?
Which of the following is a primary consideration when deciding on immunodeficiency treatments?
How does severe primary immunodeficiency typically affect a child's growth?
How does severe primary immunodeficiency typically affect a child's growth?
Which of the following is not a type of primary immunodeficiency as classified by WHO?
Which of the following is not a type of primary immunodeficiency as classified by WHO?
What is a common symptom presented by patients with complement deficiencies?
What is a common symptom presented by patients with complement deficiencies?
Which of the following is associated with X-linked agammaglobulinaemia (XLA)?
Which of the following is associated with X-linked agammaglobulinaemia (XLA)?
What are typical clinical features of Di George Syndrome?
What are typical clinical features of Di George Syndrome?
In patients with severe combined immunodeficiencies (SCID), what is a common outcome if left untreated?
In patients with severe combined immunodeficiencies (SCID), what is a common outcome if left untreated?
What laboratory finding is expected in Di George Syndrome?
What laboratory finding is expected in Di George Syndrome?
What is an appropriate treatment for managing infections in patients with complement deficiencies?
What is an appropriate treatment for managing infections in patients with complement deficiencies?
In XLA, what happens to the immune system?
In XLA, what happens to the immune system?
What does the 'CATCH 22' mnemonic refer to in Di George Syndrome?
What does the 'CATCH 22' mnemonic refer to in Di George Syndrome?
What is the primary difference between HIV-1 and HIV-2?
What is the primary difference between HIV-1 and HIV-2?
Which cells are primarily targeted by HIV for infection?
Which cells are primarily targeted by HIV for infection?
What is the estimated number of people infected with HIV worldwide by the end of 2023?
What is the estimated number of people infected with HIV worldwide by the end of 2023?
What is the primary mode of HIV transmission globally?
What is the primary mode of HIV transmission globally?
During which phase of HIV infection does seroconversion typically occur?
During which phase of HIV infection does seroconversion typically occur?
Which of the following proteins is involved in binding HIV to host cells?
Which of the following proteins is involved in binding HIV to host cells?
What type of virus is HIV classified as?
What type of virus is HIV classified as?
What is the main purpose of antiretroviral therapy for individuals with HIV?
What is the main purpose of antiretroviral therapy for individuals with HIV?
What is the mean duration of the asymptomatic phase of HIV infection?
What is the mean duration of the asymptomatic phase of HIV infection?
Which of the following symptoms is NOT characteristic of the symptomatic phase of HIV?
Which of the following symptoms is NOT characteristic of the symptomatic phase of HIV?
During which phase of HIV infection does a significant loss of memory CD4+ cells occur?
During which phase of HIV infection does a significant loss of memory CD4+ cells occur?
What is a common mechanism by which HIV initially attaches to cells?
What is a common mechanism by which HIV initially attaches to cells?
What happens to the viral phenotype in approximately 50% of late-stage HIV infection cases?
What happens to the viral phenotype in approximately 50% of late-stage HIV infection cases?
Why is constant monitoring necessary for drug treatments of HIV?
Why is constant monitoring necessary for drug treatments of HIV?
What immune response is primarily attempted during the chronic phase of HIV infection?
What immune response is primarily attempted during the chronic phase of HIV infection?
What is a common result of mutations in HIV’s immunogenic epitopes?
What is a common result of mutations in HIV’s immunogenic epitopes?
What role does glycosylation play in the context of HIV?
What role does glycosylation play in the context of HIV?
How do CCR5-Δ32 mutations affect susceptibility to HIV?
How do CCR5-Δ32 mutations affect susceptibility to HIV?
What is the effect of mutations in viral protease and Tat on HIV fitness?
What is the effect of mutations in viral protease and Tat on HIV fitness?
Which HLA-B alleles are associated with delayed progression to AIDS?
Which HLA-B alleles are associated with delayed progression to AIDS?
What key treatment strategy is referred to as HAART?
What key treatment strategy is referred to as HAART?
What was one unique outcome for Timothy Ray Brown following his stem cell transplant?
What was one unique outcome for Timothy Ray Brown following his stem cell transplant?
What impact do escape mutants have during HIV infection?
What impact do escape mutants have during HIV infection?
What happens to HIV replication in resting T cells?
What happens to HIV replication in resting T cells?
Flashcards
Primary Immunodeficiency
Primary Immunodeficiency
A group of disorders where the immune system is weakened due to genetic defects, present from birth, often manifesting in early childhood with frequent infections.
Phagocyte Dysfunction
Phagocyte Dysfunction
A classification of primary immunodeficiency that involves problems with phagocytes, the cells that engulf and destroy pathogens.
Chronic Granulomatous Disease (CGD)
Chronic Granulomatous Disease (CGD)
A rare genetic disorder characterized by impaired phagocytes, leading to recurrent infections, especially with fungal organisms like Aspergillus.
Complement Abnormalities and Deficiencies
Complement Abnormalities and Deficiencies
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B Lymphocyte (Humoral) Defects and Deficiencies
B Lymphocyte (Humoral) Defects and Deficiencies
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T Lymphocyte Cell Mediated Immunity (CMI) Defects and Deficiencies
T Lymphocyte Cell Mediated Immunity (CMI) Defects and Deficiencies
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Combined B and T Cell Defects and Deficiencies
Combined B and T Cell Defects and Deficiencies
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Stem Cell Transplantation
Stem Cell Transplantation
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Primary Immunodeficiency Diseases
Primary Immunodeficiency Diseases
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Complement Deficiencies
Complement Deficiencies
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X-linked Agammaglobulinaemia (XLA)
X-linked Agammaglobulinaemia (XLA)
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DiGeorge Syndrome
DiGeorge Syndrome
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Severe Combined Immunodeficiency (SCID)
Severe Combined Immunodeficiency (SCID)
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Prophylactic Antibiotic Cover
Prophylactic Antibiotic Cover
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Properdin Deficiency
Properdin Deficiency
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ADA SCID
ADA SCID
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Secondary Immunodeficiency
Secondary Immunodeficiency
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Immunomodulatory Drugs
Immunomodulatory Drugs
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HIV Progression to AIDS
HIV Progression to AIDS
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HIV (Human Immunodeficiency Virus)
HIV (Human Immunodeficiency Virus)
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HIV-2
HIV-2
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HIV Entry into Cells
HIV Entry into Cells
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Reverse Transcriptase (RT) in HIV
Reverse Transcriptase (RT) in HIV
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Integrase in HIV
Integrase in HIV
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HIV gp120 Variable Loop Mutations
HIV gp120 Variable Loop Mutations
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HIV Epitope Obstruction
HIV Epitope Obstruction
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Nef Downregulation of MHC Class I
Nef Downregulation of MHC Class I
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HIV Internal Protein Mutations
HIV Internal Protein Mutations
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HIV Latency in Resting T Cells
HIV Latency in Resting T Cells
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CCR5-Δ32 Mutations
CCR5-Δ32 Mutations
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The Berlin Patient
The Berlin Patient
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HAART for HIV Treatment
HAART for HIV Treatment
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Asymptomatic phase of HIV
Asymptomatic phase of HIV
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Symptomatic phase of HIV
Symptomatic phase of HIV
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AIDS (Acquired Immunodeficiency Syndrome)
AIDS (Acquired Immunodeficiency Syndrome)
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Early Immune Cell Loss in HIV
Early Immune Cell Loss in HIV
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R5 Virus
R5 Virus
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X4 Virus
X4 Virus
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Highly Active Antiretroviral Therapy (HAART)
Highly Active Antiretroviral Therapy (HAART)
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HIV's Ability to Evade Immune Response
HIV's Ability to Evade Immune Response
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Study Notes
Immunodeficiency Overview
- Immunodeficiency encompasses conditions where the immune system is weakened, making individuals susceptible to infections.
- Two main types exist: primary (inherited) and secondary (acquired).
- Primary immunodeficiencies manifest at birth or early childhood, usually stemming from genetic defects impacting immune cell development or function.
- Secondary immunodeficiencies arise later in life, often due to underlying diseases like HIV/AIDS, malnutrition, or certain medications.
Learning Objectives
- The videos cover examples of primary and secondary immunodeficiencies, their underlying causes, and manifestations.
- Basic detection, monitoring, and treatment strategies/plans for these conditions are also addressed.
- By the video's end, students should be able to detail the causes of both primary and secondary immunodeficiencies and how these lead to immune dysfunction.
- Laboratory investigation methods used in diagnosing and monitoring the conditions are also to be understood.
Primary Immunodeficiency
- Classification is based on the specific immune components affected: phagocytes, complement, B lymphocytes (humoral immunity), T lymphocytes (cell-mediated immunity), and combined B and T cell defects.
- Primary immunodeficiencies are often characterized by frequent and prolonged infections, presenting in early childhood usually within 1-2 months of birth.
- They are also associated with developmental delay (DD) or failure to thrive (FTT) and require medical interventions.
Primary Immunodeficiencies - Specific Conditions
- Phagocyte dysfunction (Chronic Granulomatous Disease):
- Early-onset recurrent infections, particularly fungal.
- Normal antibody and complement responses, but impaired phagocyte function.
- Dysfunction in genes for oxidative burst.
- Complement abnormalities (Complement Deficiencies):
- Characterized by recurrent infections.
- Often results in increased susceptibility to severe bacterial infections and developmental delay.
- B lymphocyte defects (XLA):
- X-linked agammaglobulinemia; deficiency of Bruton's tyrosine kinase.
- Characterized by a decrease in B cells and gamma globulin.
- Patients prone to recurrent bacterial infections and often diagnosed in childhood.
- T lymphocyte cell-mediated immunity (CMI) defects (DiGeorge Syndrome):
- Recurrent serious viral, bacterial, and fungal infections, including failure to thrive and developmental delay.
- Associated with impaired T cell function and anatomical abnormalities, including cardiac issues.
- Often diagnosed by the absence or underdevelopment of the thymus.
- Combined B and T cell deficiencies (SCID):
- Severe combined immunodeficiency; marked immune deficiency impacting both B and T cells.
- Characterized by severe recurrent infections and failure to thrive.
- This often necessitates a stem-cell transplant for a cure.
Treatments
- Stem cell transplantation: Replaces faulty immune cells with healthy ones.
- Risk and benefit ratio—critical to understanding the choice of therapy.
Secondary Immunodeficiency
- Causes of secondary immunodeficiency: Immunosuppressive drugs, malnutrition, HIV, and various health conditions.
- HIV (Human Immunodeficiency Virus):
- Characterized by gradual destruction of CD4+ T cells.
- Leads to progression from acute (initial) infection, through an asymptomatic phase, and eventually to AIDS (Acquired Immunodeficiency Syndrome).
HIV Infection Timeline
- Includes stages of acute infection (flu-like), asymptomatic, symptomatic (non-specific symptoms), and finally progressing to AIDS.
- CD4+ T-cell count decrease correlates with the progression of disease.
- The initial infection usually establishes in genital/anal mucosa and moves to lymphoid tissues and cells for viral replication.
HIV Genes & Replication
- HIV's genetic material, RNA is converted into DNA by reverse transcriptase.
- The newly created DNA integrates into the host cell's DNA, creating a provirus leading to continuous HIV replication.
- HIV primarily targets Helper T cells (CD4+ T-cells) and, macrophages, and dendritic cells.
- Viral proteins such as gp120, gp41 and others allow entry, fusion in the host cell and replication.
HIV Treatment (HAART)
- HAART (Highly Active Antiretroviral Therapy) aims to reduce viral load and protect CD4 counts, often with mixed success due to drug resistant mutants.
- Antivirals can target specific stages of HIV replication such as entry, replication and budding.
Summary
- The presentation covers primary immunodeficiencies (inherited).
- Also includes details regarding secondary immunodeficiencies like HIV and the pathogenesis and treatment (HAART).
- Various factors that can affect the immune response to infections and the progression to immunodeficiency disorders like HIV are discussed.
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Description
Test your knowledge on primary immunodeficiencies, including their symptoms, classifications, and treatment options. This quiz covers essential concepts relevant to immunodeficiency disorders as they occur in infants and children. Brush up on key details to better understand immunology in clinical practice.