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98 notecards = 25 pages (4 cards per page)

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host defenses: adaptive immunity

front 1

adaptive immunity

back 1

acquired specific immunity after an immunizing event such as an infection

product of B and T lymphocytes

lymphocytes undergo selective process that specializes them for reacting to only one specific marker

front 2

immunocompetence

back 2

the ability of the body to react with countless foreign substances

front 3

antigens (markers)

back 3

molecules that can be seen and identified by the immune system

front 4

is it possible for an antigen to not provoke an immune response?

back 4

yes

front 5

immunogens

back 5

antigens that provoke adaptive immune response

stimulate a response by T and B cells

front 6

PAMPs

back 6

molecules shared by many types of microbes that stimulate an innate response

front 7

shared characteristics of PAMPs and immunogens

back 7

they are "parts" of foreign cells (other foreign materials)

they provoke a defensive reaction from the host

front 8

specificity

back 8

highly specific to the antigen against which the third line of defense is directed

front 9

memory

back 9

the rapid mobilization of lymphocytes that have been programmed to recall their first engagement with the invader and rush to attack once again

front 10

major functions of immune system markers

back 10

attachment to nonself or foreign antigens

binding to cell surface receptors that indicates self

receiving the transmitting chemical messages to coordinate the response

aiding in cellular development

front 11

clonal deletion

back 11

occurs when a T or B cell recognizes a "self" marker, and that clone of cells is deleted

front 12

major histocompatibility complex (MHC)

back 12

set of genes that code for human cell markers

gives rise to a series of glycoproteins called MHC molecules

found on all cells except red blood cells

front 13

class 1 MHC genes

back 13

markers appear on all nucleated cells

display unique characteristics of self

allow for recognition of self and the regulation of immune reactions

each human inherits a particular combination of class 1 MHC genes

front 14

class 2 MHC genes

back 14

code for immune regulatory markers found on macrophages, dendritic cells, and B cells

involved in presenting antigens to T cells during cooperative immune reactions

front 15

class 3 MHC genes

back 15

encode proteins involved with the complement system

front 16

cluster of differentiation

back 16

markers important in immunity

found on the membranes of variety of different cells involved in the immune response

close to 400 have been described

front 17

tissue macrophages

back 17

ingest the pathogens and induce an inflammatory response in the tissue if appropriate

front 18

tissue dendritic cells

back 18

ingest the antigen and migrate to the nearest lymphoid organ

process and present antigen to T lymphocytes

front 19

antigen-presenting cells

back 19

dendritic cells

macrophages

B cells

front 20

clone

back 20

proliferation of a particular lymphocyte

genetically identical cells, some of which are memory cells

front 21

three main functional types of T cells

back 21

helper T cells

regulatory T cells

cytotoxic T cells

front 22

helper T cells

back 22

activate macrophages, assist B-cell processes, and help activate cytotoxic T cells

front 23

regulatory T cells

back 23

control the T-cell response by secreting anti-inflammatory cytokines or preventing proliferation

front 24

cytotoxic T cells

back 24

lead to the destruction of infected host cells and other "foreign" cells

front 25

gamma-delta T cells can be activated quickly by

back 25

PAMPs and specific antigens

front 26

a B cell that is activated by an antigen divides into

back 26

plasma cells

front 27

each plasma cell has the same

back 27

reactive profile

front 28

innate response activating B cells

back 28

alert many components of the immune system to get active because a threat is on the way in a nonspecific way

front 29

CD3 markers

back 29

surround the T-cell receptor and assist in binding

front 30

CD4

back 30

found in helper T cells and binds to MHC class 2 molecules

front 31

CD8

back 31

found on cytotoxic T cells and binds MHC class 1 molecules

front 32

B cells site of maturation

back 32

bone marrow

front 33

T cell site of maturation

back 33

thymus

front 34

B cells specific surface markers

back 34

immunoglobulin as receptors and distinct CD molecules

front 35

T cells specific surface markers

back 35

T-cell receptor and distinct CD molecules

front 36

B cells concentration in blood

back 36

low numbers

front 37

T cells concentration in blood

back 37

high numbers

front 38

B cells receptors for antigen

back 38

immunoglobulin

front 39

T cells receptors for antigen

back 39

T-cell receptor

front 40

B cells location in lymphoid organs

back 40

cortex (in follicles)

front 41

T cells location in lymphoid organs

back 41

paracortical sites (interior to the follicles)

front 42

B cells result of antigenic stimulation

back 42

plasma cells and memory cells

front 43

T cells result of antigenic stimulation

back 43

several types of activated T cells and memory cells

front 44

B cells general functions

back 44

production of antibodies to inactivate, neutralize, and target antigens

front 45

T cells general functions

back 45

cells function in helping other immune cells, suppressing killing abnormal cells; hypersensitivity; and synthesize cytokines

front 46

immunoglobulin (Ig)

back 46

two heavy chains, two light chains

one light chain is bonded to one heavy chain

two heavy chains are bonded to each other with disulfide bonds

creates a symmetrical, Y-shaped arrangmeent

front 47

antigen-binding sites

back 47

pockets at the ends of the forks formed by the light and heavy chains

can be highly variable in shape to fit a wide range of antigens

front 48

variable regions

back 48

found in antigen-binding sites

amino acid position is highly varied from one clone of B lymphocytes to another as the result of genetic reassortment

front 49

constant regions

back 49

amino acids content does not vary greatly

front 50

T cell receptors

back 50

formed by genetic modification

has variable and constant regions

inserted into the membrane

has antigen-binding site formed from two parallel polypeptide chains

front 51

immune tolerance

back 51

tolerance to self

removal of any potentially harmful clones through clonal deletion

some autoimmune diseases are thought to be caused by the loss of immune tolerance, the survival of "forbidden clones" or failure of other systems

front 52

antigen

back 52

a substance that provokes an immune response in specific lymphocytes

front 53

immunogen

back 53

an antigen that has been responded to by the immune system

front 54

characteristics of antigens

back 54

must be perceived as foreign

whole microbes or parts

cells or substances that arise from other humans, animals, plants, and various molecules

molecules such as proteins or protein-containing compounds are more immunogenic than repetitious polymers composed of a single unit

front 55

antigens that provoke a strong response are considered

back 55

good

front 56

good antigens are so named because of

back 56

their chemical composition

their context, meaning what types of cytokines are present

their size

front 57

epitope

back 57

a portion of the antigen molecule recognized and responded to by a lymphocyte

the primary signal that a molecule is foreign

front 58

haptens

back 58

consist only of a determinant group

too small by themselves to elicit an immune response

if linked to a carrier group, the combined molecule develops immunogenicity

front 59

alloantigens

back 59

proteins and other molecules of one person which are antigenic to another

cell surface markers that occur in some members of the same species but not in others

the basis for an individual's blood group and major histocompatibility profile

responsible for incompatibilities that occur in blood transfusion or organ grafting

front 60

superantigens

back 60

bacterial toxins

potent stimuli for T cells

front 61

antigens' routes of entry

back 61

respiratory mucosa

gastrointestinal mucosa

mucous membranes

the skin

across placenta

intravenously

front 62

when antigens are introduced intravenously

back 62

they travel through the bloodstream and end up in the liver, spleen, bone marrow, kidney, and lung

front 63

lymph nodes and spleen

back 63

important in concentrating the antigens

circulating antigens thoroughly through all area populated by lymphocytes

front 64

APCs

back 64

macrophages, B cells, dendritic cells

front 65

T helper cells

back 65

play a central role in regulating immune reactions to antigens

involved in activating macrophages

front 66

stimulation of T helper cells

back 66

antigen/MHC complex

front 67

regulatory T cells

back 67

carry CD4 markers

control the inflammatory process

prevent autoimmunity

front 68

cytotoxicity

back 68

the capacity of certain T cells to kill a specific target cell

front 69

cytotoxic T cell (CD8) activation

back 69

must recognize a foreign peptide complexed with self MHC-1 presented to it and mount a direct attack on a target cell

front 70

perforins

back 70

proteins that punch holes in the membranes of target cells

causes ions to leak out of target cells

creates a passageway for granzymes to enter

front 71

granzymes

back 71

enzymes that attack proteins of target cells

front 72

target cells of cytotoxic T cells

back 72

virally infected cells

cancer cells

cells from other animals and humans

front 73

gamma-delta T cells

back 73

distinct from other T cells

have T-cell receptors rearranged to recognize a wide range of antigens

response to certain PAMPs on microorganisms

respond quickly

produce memory cells when they are activated

front 74

natural killer cells

back 74

lymphocyte related to T cells

lack specificity for antigens

circulate through the spleen, blood, and lungs

front 75

hybrid type

back 75

share properties of both T cells and NK cells

display T-cell receptors and NK-cell markers

front 76

two functionally distinct fragments basic immunoglobulin

back 76

antigen-binding fragments

crystallizable fragment

front 77

Fab fragment

back 77

amino terminal end consists of the variable regions of the heavy and light chains

special region of attachment between the Fab and Fc regions allows swiveling of the Fab fragments

front 78

Fc fragment

back 78

serves as an anchor

involved in binding to various cells and molecules of the immune system itself

front 79

hypervariable region

back 79

site on the antibody where the epitope bind

amino acid content is extremely varied

a minimal complementary fir is necessary for the antigen to be held effectively

front 80

opsonization

back 80

the attachment of antibody to foreign cells and viruses exposes the epitopes to which they are bound to phagocytes

front 81

J chain

back 81

joins the monomers of IgA and IgM

front 82

secretory component

back 82

helps IgA move across mucous membranes

front 83

titer

back 83

the concentration of antibodies in the serum

can be measured over time to determine how the immune system reacts to antigen

front 84

latent period

back 84

marked by a lack of antibody production

antigen is concentrated in lymphoid tissues

front 85

active immunity

back 85

immune stimulus

creates a memory that renders the person ready for quick action upon reexposure to the same antigen

requires several days to develop

last for a long time

front 86

passive immunity

back 86

occurs when an individual receives substances that were produced actively in the body of another human or animal donor

lack of memory for the original antigen

lack of production of new antibodies against that disease

front 87

natural immunity

back 87

any immunity that is acquired during the normal biological experiences of an individual

it is not obtained through medical intervention

front 88

artificial immunity

back 88

induced by immunization with vaccines or the administration of immune serum

it is obtained through medical intervention

front 89

intravenous immune globulin

back 89

extracted from the pooled blood of human donors

IVIGs are processed to concentrate antibodies to increase potency and eliminate potential pathogens

most forms are injected intramuscularly

front 90

specific immune globulin

back 90

derived from a more defined group of donors who are convalescing in a hyperimmune state after certain infections

contain high titers of specific antibodies obtained from a smaller pool of patients

front 91

vaccination

back 91

exposing a person to material that is antigenic but not pathogenic

discovery of vaccination was one of the farthest reaching and most important developments in medical science

front 92

basic principles

back 92

stimulate a primary immune response that primes the immune system for future exposure to a virulent pathogen

if the pathogen later enters the body, the secondary immune response will be immediate, powerful, and sustained

front 93

vaccine considerations

back 93

antigen selection

effectiveness

ease in administration

safety

cost

front 94

live, attenuated cells or viruses

back 94

continues to stimulate strong immunity due to the pathogen's ability to replicate in the vaccine recipient

front 95

whole killed cell or inactivated virus

back 95

contains a wide range of surface markers that can activate the immune responses

front 96

adjuvant

back 96

a special binding substance added to some vaccines

any compound that enhances immunogenicity and prolongs antigen retention at the injection site

precipitates the antigen and holds it in the tissues so that it will be released gradually

facilitates contact with APCs and lymphocytes

front 97

common side effects of vaccine

back 97

local reactions at the injection site (soreness)

short-term flu-like symptoms (caused by our immune response)

front 98

most common serious side effect vaccine

back 98

risk anaphylaxis

for the COVID-19 vaccine, five cases out of a million resulted in anaphylaxis