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Define antigen (AGN).
Any substance foreign to the circulation (blood or lymph nodes) of the body that stimulates production of antibodies by the immune system.
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Define antibody (ABY).
A protein, produced by the Immune System (IS) in response to a specific AGN
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Define epitope.
Chemical part of AGN which reacts with a specific ABY.
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What is the term for when ABY's attach to the epitope of AGN's and form clumps of AGN-ABY?
Agglutination
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What are the 2 purposes of agglutination?
- Localizes AGN - stops AGN from spreading
- The ABY helps phagocytes recognize the foreign AGN
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What are the 5 types of ABY's?
- Immunoglobulin G (IgG)
- Immunoglobulin M (IgM)
- Immunoglobulin A (IgA)
- Immunoglobulin D (IgD)
- Immunoglobulin E (IgE)
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Immunoglobulin G (IgG)
1. % of ABY's?
2. When is it produced?
3. Cross placenta?
- 1. 80%
- 2. Secondary exposure
- 3. yes
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Immunoglobulin M (IgM)
1. % of ABY's?
2. When is it produced?
3. Cross placenta?
- 1. 6-8%
- 2. Primary exposure
- 3. no
- (5 IgG's attached at Fc end)
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Immunoglobulin A (IgA)
1. % of ABY's?
2. When is it produced?
3. Cross placenta?
- 1. 10-13%
- 2. Secondary and late primary exposure
- 3. yes
- (2 IgG's attached at Fc end, secretion Ig, provides immunity to newborn)
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Immunoglobulin D (IgD)
1. % of ABY's?
2. When is it produced?
3. Cross placenta?
- 1. 1%
- 2. Secondary exposure
- 3. yes
- (Memory ABY; When the body making IgD's the Fab end attaches to the epitope and the Fc end attaches to a B-lymphocyte and is retained as a reminder of how to make more ABY's)
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Immunoglobulin E (IgE)
1. % of ABY's?
2. When is it produced?
3. Cross placenta?
- 1. 1-3%
- 2. Secondary exposure
- 3. yes
- Fc end if IgE attaches to a Natural Killer (NK) white blood cell that releases digestive enzymes that breakdown large AGN's
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IgA is the secretion ABY, what secretions is it found in?
- Urine
- genital secretions
- breast milk
- nasal secretions
- tears
- saliva
- colostrum
- spinal fluid
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How are ABY's made?
Undifferentiated neonatal stem cells differentiate into either B or T lymphocytes starting the 1 month after birth.
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What stimulates neonatal stem cells to differentiate into T-cells?
- The thymus gland.
- *the thymus is active for only 1 month after birth, and is complete degenerated by puberty.
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What stimulates neonatal stem cells to differentiate into B-cells?
Gut Associated Lymph Tissue (GALT)
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List 7 ways ABY protect against infection.
- Agglutination
- Precipitation
- Anti-viral ABY
- Anti-toxin ABY
- Anti-pili ABY
- Cytolysis
- Opsonization
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How does agglutination work?
When specific ABY's clump to an AGN in tissue to localize AGN and help phagocytosis.
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How does precipitation work related to immunity?
When specific ABY's (IgA) clump to an AGN in secretions to localize AGN and help phagocytosis.
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How do anti-viral neutralizing ABY's work?
ABY attaches to and covers protein head of virus preventing viral adsorption to host cells.
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How do anti-toxin ABY's work?
ABY made against exotoxins changing the structure of the exotoxin protein, rendering it non-harmful.
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How do anti-pili ABY's work?
ABY (IgA) made against bacterial pili. ABY attaches to bacterial pili, preventing attachment to host cell.
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Explain the process of Cytolysis (IgG and Complement).
- Fab end of IgG attaches to the epitope of G-
- bacterial AGN in the blood.
- The Complement subunits (which are free flowing in the blood serum) attach to the Fc end of IgG, and once complete is called Whole Compliment.
- Whole Complement will cause damage to cell wall, bacteria bursts and dies.
- Released endotoxin may cause harm.
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What is Complement?
Complement is a complex serum protein consisting of 11 major subunits (C1Q, C1R, C1S, C2, C3, C4, C5, C6, C7, C8, C9)
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Explain the process of Opsonization (IgG and Complement).
- IgG and certain subunits of Complement (C3B for example) help to destroy bacteria with capsules.
- ABY (IgG) attaches to capsule of bacteria
- C3B attaches to Fc end of IgG, creating a link that allows phagocytosis by WBC
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List the 4 types of ABY immunity.
- Passive natural
- Passive artificial
- Active natural
- Active artificial
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Describe passive natural immunity.
- Short term immunity, usually less then 1 year, ABY is given not made.
- Maternal ABY's passed to baby through the placenta and breast milk.
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Describe passive artificial immunity.
- Short term immunity, usually less then 1 year, ABY is given not made.
- ABY given post exposure to AGN in a life threatening situation.
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Describe active natural immunity.
- Long term immunity, lasts for years, individual makes own ABY's.
- ABY's are made after infection and recovery to AGN.
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Describe active artificial immunity.
- Long term immunity, lasts for years, individual makes own ABY's.
- Vaccinations (immunizations), you're given an altered form of AGN or epitope to stimulate ABY production.
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List 5 things vaccines could consist of.
- Dead AGN organism (boiled, formaldehyde, mercury)
- Attenuated AGN organism (weakened state)
- Non-virulent strain of AGN
- Toxoid - altered toxin
- Epitope
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List 4 common vaccines.
- DPT (Diphtheria - toxoid, Pertussis - epitope, Tetanus - toxoid)
- MMR (Measles, Mumps, Rubella - all attenuated viruses)
- Polio TOPV vaccine - attenuated, non-paralytic Polio virus
- Haemeophilis influenza Type B (HiB) vaccine -attenuated bacteria
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Many state require these 4 vaccines in addition to the common vaccines.
- Hepatitis B
- Pneumococcal pneumonia
- Chicken Pox
- Rotavirus
- *Recommended - flu shot, Gardasil (HPV)
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Breifly describe the process of Humoral Immunity.
- AGN is introduced
- AGN is picked up by a type of T-lymphocyte called a T-helper cell.
- The T-helper cell processes the AGN and exposes the epitope surface of AGN.
- The epitope is transferred to the surface of a B-lymphocyte.
- The B-lymphocyte becomes a plasma cell.
- The plasma cell produces the ABY for that particular AGN.
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Breifly describe the process of Exogenous Cellular Immunity. (hint: T4 cell)
- Foreign exogenous AGN is introduced into the body
- AGN is "met" by an AGN Presenting Cell (APC), usually a macrophage, APC attached to AGN, APC transfers epitope to surface of a T4-lymphocyte
- Epitope attaches to a protein called a T-Cell Receptor (TCR) on the surface of the T4 cell.
- T4 cell with attached epitope is now an activated T4 cell
- The activated T4 cell can either become a T-helper 1 (Th1) or a T-helper 2 (Th2) cell
- Th1 cell produces immune chemicals called lymphokines and cytokines
- Th2 carries epitope to a B-lymphocyte.
- Th2 transfers epitope to the surface of the B-lymphocyte.
- Epitope attaches to a protein called SIg on B-lymphocyte (SIg = Surface Immunoglobulin), and produces ABY
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Breifly describe the process of Endgenous Cellular Immunity. (hint: T8 cell)
- Foreign endogenous AGN is introduced into the body
- AGN is "met" by an AGN Presenting Cell (APC), usually a macrophage, APC attached to AGN, APC transfers epitope to surface of a T8-lymphocyte
- Epitope attaches to a protein called a T-Cell Receptor (TCR) on the surface of the T8
- cell.
- T8 cell with attached epitope is now an activated T8 cell
- The activated T8 cell can either become a T-helper 1 (Th1), a T-helper 2 (Th2), a
- Cytotoxin-T-lymphocyte (CTL), T-memory, or T-suppressor cell cell
- Th1 cell produces immune chemicals called lymphokines and cytokines
- Th2 carries epitope to a B-lymphocyte.
- Th2 transfers epitope to the surface of the B-lymphocyte.
- Epitope attaches to a protein called SIg on B-lymphocyte (SIg = Surface Immunoglobulin), and produces ABY
- CTL - aggressive phagocyte that can attack cancer cells.
- T-memory cell; retains epitope as a reminder.
- T-suppressor cell; stops action of all T-lymphocytes
- (see Exogenous Cellular Immunity for Th1 and Th2 cells)
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