Podcast
Questions and Answers
What is the primary role of regulatory T cells (Tregs) in the immune system?
What is the primary role of regulatory T cells (Tregs) in the immune system?
- To enhance the activation of immune cells against pathogens
- To produce antibodies in response to antigens
- To suppress the activation of other immune cells and maintain tolerance (correct)
- To eliminate self-reactive immune cells through apoptosis
What is the consequence of VDJ recombination in lymphocytes?
What is the consequence of VDJ recombination in lymphocytes?
- It eliminates self-reactive lymphocytes in peripheral tissues
- It generates a diverse repertoire of antigen receptors (correct)
- It leads to the activation of self-reactive immune cells
- It promotes the production of a single type of antigen receptor
What are autoimmune diseases primarily characterized by?
What are autoimmune diseases primarily characterized by?
- The immune system being overly tolerant to all substances
- The immune system attacking and damaging the body's own tissues (correct)
- The immune system attacking foreign pathogens only
- The immune system failing to respond to infections
Which process can lead to the elimination of self-reactive lymphocytes that escape central tolerance?
Which process can lead to the elimination of self-reactive lymphocytes that escape central tolerance?
What can occur as a result of loss of immune tolerance?
What can occur as a result of loss of immune tolerance?
What are the primary functions of the complement system?
What are the primary functions of the complement system?
What is a characteristic feature of Pattern Recognition Receptors (PRRs)?
What is a characteristic feature of Pattern Recognition Receptors (PRRs)?
Which type of leukocytes are responsible for differentiating into macrophages?
Which type of leukocytes are responsible for differentiating into macrophages?
Which type of antigens typically trigger an allergic response in individuals?
Which type of antigens typically trigger an allergic response in individuals?
Which of the following options is NOT a type of leukocyte?
Which of the following options is NOT a type of leukocyte?
What is the function of Toll-like receptors (TLRs) among PRRs?
What is the function of Toll-like receptors (TLRs) among PRRs?
Where are leukocytes primarily produced in the body?
Where are leukocytes primarily produced in the body?
Which of the following best describes self-antigens?
Which of the following best describes self-antigens?
What is the primary pharmacological effect of chloroquine?
What is the primary pharmacological effect of chloroquine?
Which therapeutic use is primarily associated with artemisinin compounds?
Which therapeutic use is primarily associated with artemisinin compounds?
What mechanism of action is shared by both sulfadoxin and pyrimethamine?
What mechanism of action is shared by both sulfadoxin and pyrimethamine?
What is a common adverse effect associated with chloroquine?
What is a common adverse effect associated with chloroquine?
Which of the following statements about proguanil is true?
Which of the following statements about proguanil is true?
What pharmacological characteristic is unique to artemisinin compounds?
What pharmacological characteristic is unique to artemisinin compounds?
Which option describes the mechanism of action of tetracyclines in treating malaria?
Which option describes the mechanism of action of tetracyclines in treating malaria?
Which two adverse effects are commonly associated with Fansidar?
Which two adverse effects are commonly associated with Fansidar?
What is the main function of cytotoxic T cells in the immune response?
What is the main function of cytotoxic T cells in the immune response?
What determines the efficiency of the secondary immune response?
What determines the efficiency of the secondary immune response?
Why is immune tolerance critical for the immune system?
Why is immune tolerance critical for the immune system?
What does central tolerance primarily involve?
What does central tolerance primarily involve?
What is the process called that eliminates self-reactive T cells in the thymus?
What is the process called that eliminates self-reactive T cells in the thymus?
How does peripheral tolerance prevent self-reactivity after immune cells have matured?
How does peripheral tolerance prevent self-reactivity after immune cells have matured?
What leads to a higher antibody titer during the secondary immune response?
What leads to a higher antibody titer during the secondary immune response?
What is anergy in the context of immune tolerance?
What is anergy in the context of immune tolerance?
What is the primary role of NOD-like receptors (NLRs) in the immune system?
What is the primary role of NOD-like receptors (NLRs) in the immune system?
Which cells are primarily responsible for presenting antigens to CD8+ cytotoxic T cells?
Which cells are primarily responsible for presenting antigens to CD8+ cytotoxic T cells?
Which type of MHC molecule is primarily expressed on antigen-presenting cells (APCs)?
Which type of MHC molecule is primarily expressed on antigen-presenting cells (APCs)?
What are epitopes primarily recognized by in the immune system?
What are epitopes primarily recognized by in the immune system?
How are antigens processed by antigen-presenting cells (APCs)?
How are antigens processed by antigen-presenting cells (APCs)?
What defines conformational epitopes?
What defines conformational epitopes?
RIG-I-like receptors (RLRs) are crucial for which type of immune response?
RIG-I-like receptors (RLRs) are crucial for which type of immune response?
Which of the following is NOT a function of Major Histocompatibility Complex (MHC) molecules?
Which of the following is NOT a function of Major Histocompatibility Complex (MHC) molecules?
What is the role of MHC I molecules in the immune response?
What is the role of MHC I molecules in the immune response?
Which of the following best describes co-stimulatory molecules?
Which of the following best describes co-stimulatory molecules?
What does the clonal selection theory explain?
What does the clonal selection theory explain?
Which T cell type is primarily involved in recognizing MHC II-antigen complexes?
Which T cell type is primarily involved in recognizing MHC II-antigen complexes?
What characterizes the primary immune response?
What characterizes the primary immune response?
What is the function of CTLA-4 in the immune system?
What is the function of CTLA-4 in the immune system?
What occurs during the clonal expansion of lymphocytes?
What occurs during the clonal expansion of lymphocytes?
Which of the following statements about TCRs and BCRs is true?
Which of the following statements about TCRs and BCRs is true?
Flashcards
What is the complement system?
What is the complement system?
A group of proteins that enhances the immune response by opsonizing pathogens, triggering inflammation, and directly killing pathogens.
Pyrimethamine's Mechanism of Action
Pyrimethamine's Mechanism of Action
The drug inhibits the enzyme dihydrofolate reductase, essential for folate synthesis in the parasite.
What are Pattern Recognition Receptors (PRRs)?
What are Pattern Recognition Receptors (PRRs)?
Proteins expressed by cells of the innate immune system that recognize molecular patterns specific to pathogens, called pathogen-associated molecular patterns (PAMPs).
Blood Schizonticide
Blood Schizonticide
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What are Toll-like receptors (TLRs)?
What are Toll-like receptors (TLRs)?
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Chloroquine's Therapeutic Use
Chloroquine's Therapeutic Use
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Artemisinin's Mechanism of Action
Artemisinin's Mechanism of Action
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What are leukocytes?
What are leukocytes?
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Artemisinin's Therapeutic Use
Artemisinin's Therapeutic Use
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What are pathogen-derived antigens?
What are pathogen-derived antigens?
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What are allergens?
What are allergens?
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Tetracycline's Mechanism of Action
Tetracycline's Mechanism of Action
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What are self-antigens?
What are self-antigens?
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Proguanil's Therapeutic Use
Proguanil's Therapeutic Use
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Sulfadoxine's Mechanism of Action
Sulfadoxine's Mechanism of Action
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What are autoantigens?
What are autoantigens?
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Regulatory T cells (Tregs)
Regulatory T cells (Tregs)
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VDJ Recombination
VDJ Recombination
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Peripheral Deletion
Peripheral Deletion
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Loss of Immune Tolerance
Loss of Immune Tolerance
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Allergies
Allergies
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Antigen Presentation
Antigen Presentation
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MHC I Presentation
MHC I Presentation
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MHC II Presentation
MHC II Presentation
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TCR and BCR
TCR and BCR
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Co-stimulatory Molecules
Co-stimulatory Molecules
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Co-inhibitory Molecules
Co-inhibitory Molecules
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Clonal Selection Theory
Clonal Selection Theory
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Primary Immune Response
Primary Immune Response
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What is immune tolerance?
What is immune tolerance?
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What is an autoimmune disease?
What is an autoimmune disease?
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What is central tolerance?
What is central tolerance?
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What is positive selection in central tolerance?
What is positive selection in central tolerance?
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What is negative selection in central tolerance?
What is negative selection in central tolerance?
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What is peripheral tolerance?
What is peripheral tolerance?
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What is anergy in peripheral tolerance?
What is anergy in peripheral tolerance?
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What is immune ignorance?
What is immune ignorance?
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What are NOD-like receptors (NLRs) and what do they recognize?
What are NOD-like receptors (NLRs) and what do they recognize?
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What are RIG-I-like receptors (RLRs) and what do they recognize?
What are RIG-I-like receptors (RLRs) and what do they recognize?
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What are Epitopes?
What are Epitopes?
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What are linear epitopes?
What are linear epitopes?
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What are conformational epitopes?
What are conformational epitopes?
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What are Major Histocompatibility Complex (MHC) molecules?
What are Major Histocompatibility Complex (MHC) molecules?
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What are MHC I molecules and what do they present?
What are MHC I molecules and what do they present?
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Study Notes
Thermoregulation and Pathogenesis of Fever
- Heat Production:
- Basal metabolic rate (BMR): Energy needed for bodily functions at rest.
- Muscle activity: Generates heat through muscle contraction.
- Thermogenesis: Heat production by brown adipose tissue.
- Heat Loss:
- Radiation: Transfer of heat as infrared waves from the body's surface.
- Conduction: Transfer of heat through direct contact with a cooler surface.
- Convection: Transfer of heat through air or water currents.
- Evaporation: Cooling effect from sweat evaporating.
- Respiration: Heat loss from exhaled warm air.
- Mechanism of Thermoregulation and the Role of Hypothalamic Set Point:
- Hypothalamic Set Point: Hypothalamus maintains a core body temperature set point.
- Monitors core temperature using temperature receptors.
- Hypothalamus uses the autonomic nervous system to initiate responses.
- Heat Conservation:
- Vasoconstriction: Reduces blood flow to the skin to conserve heat.
- Shivering: Involuntary muscle contractions to generate heat.
- Heat Dissipation:
- Vasodilation: Increases blood flow to the skin to promote heat loss.
- Sweating: Facilitates evaporative cooling.
- Application of Thermoregulation Principles to Fever:
- Elevated hypothalamic set point due to infection.
- Behavioral changes (shivering, vasoconstriction) increase body temperature.
- Sweating occurs while body temperature approaches the new set point.
- Medical intervention may be required to manage fever and prevent complications.
Bacterial and Viral Causes of Fever and Skin Rash
- Bacterial Causes:
- Streptococcus pyogenes (Group A Streptococcus)
- Staphylococcus aureus
- Neisseria meningitidis
- Borrelia burgdorferi (Lyme disease)
- Rickettsia rickettsii (Rocky Mountain spotted fever)
- Bacterial Infection Signs and Symptoms:
- Fever
- Skin rash (various forms)
- Localized redness, swelling, tenderness
- Systemic symptoms (headache, body aches, fatigue)
- Bacterial Infection Diagnosis:
- Clinical evaluation and medical history review
- Laboratory tests (blood cultures, skin swabs, biopsies)
- Serological tests (antibodies)
- Polymerase chain reaction (PCR) testing
- Viral Causes:
- Measles virus
- Rubella virus
- Varicella-zoster virus (chickenpox and shingles)
- Dengue virus
- Zika virus
- Viral Infection Risk Factors:
- Lack of vaccination
- Close contact with infected individuals
- Travel to endemic regions
- Certain age groups (children, pregnant women)
- Viral Infection Pathophysiology, Signs and Symptoms:
- Viral replication and invasion of host cells
- Immune response triggering inflammation and systemic effects
- Fever, skin rash, malaise, headache, joint pain, respiratory symptoms.
Drug Treatment of Malaria
- Quinolines and Related Compounds (Chloroquine, Quinine/Quinidine):
- Mechanism: Inhibits heme polymerase.
- Pharmacological effect: Blood schizonticide (kills asexual erythrocytic stages of the parasite).
- Artemisinin Compounds:
- Mechanism: Generates highly reactive free radicals in the parasite.
- Pharmacological effect: Rapidly acting blood schizonticide, effective against multidrug-resistant strains.
- Fansidar (Sulfadoxine + Pyrimethamine):
- Mechanism: Inhibits dihydropteroate synthase and dihydrofolate reductase.
- Pharmacological effect: Slow-acting blood schizonticide.
- Tetracyclines/Clindamycin:
- Mechanism: Inhibits protein synthesis.
- Pharmacological effect: Slow-acting blood schizonticide.
- Proguanil:
- Mechanism: Metabolized to cycloguanil, which inhibits dihydrofolate reductase.
- Pharmacological effect: Slow-acting blood schizonticide, effective against primary liver forms.
- Atovaquone:
- Mechanism: Interferes with mitochondrial functions.
- Pharmacological effect: Antiparasitic activity.
- Primaquine:
- Mechanism: Inhibits respiratory processes.
- Pharmacological effect: Effective against primary and latent hepatic stages.
Innate Immunity
- Physical Barriers: Skin and mucous membranes prevent pathogen entry.
- Cellular Components:
- Phagocytes (neutrophils, macrophages): Engulf and destroy pathogens.
- Natural Killer (NK) cells: Eliminate infected or abnormal cells.
- Dendritic cells: Capture antigens, initiating adaptive immune response.
- Chemical Barriers:
- Antimicrobial peptides: Directly kill pathogens.
- Complement system: Enhances immune response (opsonization, inflammation, pathogen killing).
- Pattern Recognition Receptors (PRRs): Recognize pathogen-associated molecular patterns (PAMPs).
Adaptive Immunity
- Epitopes: Specific regions on antigens recognized by the immune system.
- MHC (Major Histocompatibility Complex):
- MHC I: On all nucleated cells, displaying intracellular antigen peptides to CD8+ cells.
- MHC II: On antigen-presenting cells (APCs), presenting extracellular antigen peptides to CD4+ cells.
- Antigen-Presenting Cells (APCs):
- Dendritic cells are potent APCs, crucial for initiating adaptive immune responses
Immune Tolerance
- Immune tolerance: The immune system's ability to distinguish between self and non-self antigens.
- Central tolerance: Mechanisms in the thymus and bone marrow to eliminate or control self-reactive lymphocytes.
- Positive selection: Allows T cells to recognize self-MHC molecules.
- Negative selection: Eliminates self-reactive T cells.
- Peripheral tolerance: Mechanisms outside central lymphoid organs to maintain self-tolerance in mature immune cells.
- Anergy, regulatory T cells (Tregs), peripheral deletion: Various mechanisms to control self-reactive lymphocytes (B cells and T cells).
VDJ Recombination
- Mechanism of generating a diverse repertoire of B cell and T cell antigen receptors (BCRs and TCRs) . It involves rearrangement and recombination of gene segments.
Consequences of Loss of Tolerance:
- Loss of immune tolerance can lead to autoimmune diseases (e.g., rheumatoid arthritis, lupus, multiple sclerosis, type 1 diabetes) and allergies (e.g., allergic reactions to pollen or certain food).
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