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foreign substances against which the immune system defends the body
mainly proteins
Antigens
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occurs as a result of part of an individuals own body becomes antigens
autoimmune disease
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Cells involved in the immune response:
- B lymphocytes (B cells) – Eosinophils
- T lymphocytes (T cells) – Mast Cells
- Macrophages – Natural Killer (NK) Cells
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Eosinophils
B lymphocytes (B cells)
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Mast Cells
T lymphocytes (T cells)
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Natural Killer (NK) Cells
Macrophages
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the 1° WBC’s involved in immune response
they recognize/respond to antigens
NK cell – viral infections
Lymphocytes
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from stem cells in bone marrow
they mature in lymphatic tissue (lymph nodes)
B lymphoctyes
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what are the 2 types of B lymphocytes?
- plasma cell
- T-lymphocytes-tymus
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produces specific antibody needed to fight the antigen
plams cell
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antibody also called
immunoglobulins
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what are the specific immunoglobulins?
- IgG, IgA, IgM, Ige, IgD
- (GAMED)
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antibody combines with?
immune complex
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renders the antigen inactive
antigen-antibody complex
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lab test to determine the level of a specific antibody in the blood
antibody titer
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2nd type of B lymphocyteRetains the memory of previously
B memory cell
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increase the functioning of B -lymphocytes and enhances the antibody response
T-helper cells
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suppress the functioning of the B lymphocytes and T-Killer cells that are active in surveillance against virally infected cells or tumor cells
T-suppressor cells
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lymphocytes produce?
lymphokines
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lymphocytes produce lymphokines which:
- -change monocytes to macrophages
- -inhibit migration of macrophages so they stay in needed area
- - activate macrophages
- - enhance ability of macrophages to destroy foreign cells (phagocytosis)
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What are the 3 lymphokines?
- interleukins
- lymphotoxins
- interferon
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stimulates WBC’s population growth
interleukins
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distruction of fibroblast
lymphotoxin
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antiviral activites
interferon
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phagocytosis
-link between the inflammatory and immune responses
-can act as antigen – presenting cells
Macrophages
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can occur naturally or can be acquired
-via vaccination
-“immunization”
-sometimes requires a booster (example tetanis)
Active immunity
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-using antibodies produced by another person to protect an
individual from infectious disease
-antibody from another passes through the placenta to a developing fetus
-bone marrow transplant
Passive immunity
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study of immune reactions involved in disease
Immunopathology
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allergic reactions with exaggerated responses and tissue destruction
Hypersensitivity
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-occurs immediately after exposure to a previously encountered antigen. (Penicillin)
-IgE causes mast cells to release Histamine
-can be life threatening because patient may not be able to breath
-examples: hayfever, Asthma
- Anaphylaxis
- type 1 hypersinsitivity
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-antibody combines with an antigen bound to the surface of tissue cells
-incompatible blood transfusions
-Rhesus incompatibiltiy (Rh)
-Ex: autoimmune hemolytic anemia
- Cytotoxic
- Type 2 hypersensitivity
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mother’s antibodies cross the placenta and destroy the newborn’s RBC’s
Rhesus incompatibility (Rh)
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-immune complexes are formed between microorganisms and antibody in circulating blood
-causes phagocytosis/death of the neutrophils with the release of lysosomal enzymes causing tissue destruction
-example: systemic lupus erythematosus
- immune complx
- Type 3 hypersensitivity
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-“delayed hypersensitivity” – cell-mediated response
- tuberculin test (PPD) [Mantoux]
-skin reaction occurs if the individual tested has previously been exposed to the organism causing TB
-responsible for the rejection of tissue grafts/transplanted organs
- cell-mediated
- Type 4 hypersensitivity
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-type of immunopathologic condition that involves a deficiency in
number, function, or interrelationships of the involved WBC’s and their products
-AIDS
Immunodeficiency
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canker sores or aphthous stomatitis
3 types of aphthous – minor, major, and herpetiform
most common type of ulcer – 20% of population
trauma is most common precipitating factor
Aphthous Ulcers
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systemic diseases associated with aphthous ulcers:
- 1. Behcet’s syndrome
- 2. Crohn’s disease
- 3. Ulcerative colitis
- 4. Cyclic neutropenia
- 5. Sprue (gluten intolerance)
- 6. Intestinal lymphoma
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-Most common type
-surfaced by a yellowish-white fibrin covering surrounded by a halo of erythema
-ulcers occur on movable mucosa, tongue, and soft palate
-more common in anterior part of the mouth
-begins with a prodromal period of 1-2 days – burning, itching, soreness
-single or multiple lesions
-heal spontaneously in 7-10 days
-treat symptomatically – Tylenol, anesthetics (topical), some topical steroids (lidex) [pallative]
Minor Aphthous Ulcers
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-larger than 1cm in diameter and are deeper and last longer than minor
-occur in posterior part of the mouth
-may require biopsy for dx
-several weeks to heal with scarring
-some require systemic steroids
Major Aphthous
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