Chapter Objectives: Chapter 43 the Immune System 1. Explain nonspecific defense and list nonspecific lines of defense in vertebrate body 2. Explain how the physical barrier of skin is reinforced by chemical defenses 3. Define phagocytosis and list 2 types of phagocytic cells derived from white blood cells 4. Explain how the function of natural killer cells differs from the function of white blood cells 5. Describe the inflammatory response pattern and how it is triggered 6. Explain how the inflammatory response prevents the spread of infection to surrounding tissue 7. List several chemical signals that initiate and mediate the inflammatory response 8. Describe several systemic reactions to infections and explain how they contribute to defense 9. Describe a plausible mechanism for how interferon can fight viral infection and might act against cancer 10. Explain how complement proteins may be activate and how they function in cooperation with other defense mechanisms 11. Explain how the immune response differs from nonspecific defenses 12. Distinguish between active and passive immunity 13. Explain how humoral immunity and cell-mediated immunity differ in their defensive activities 14. Outline the development of B and T lymphocytes from stem cells in red bone marrow 15. Describe where T and B cells migrate and explain what happens when they are activated by antigens 16. Characterize antigen molecules in general and explain how a single antigen molecule may stimulate the immune system to produce several different antibodies 17. Describe the mechanism of clonal selection 18. Distinguish between primary and secondary immune response 19. Describe the cellular basis for immunological memory 20. Describe the cellular basis for self-tolerance 21. Explain how the humoral response is provoked 22. Explain how B cells are activated 23. Diagram and label the structure of an antibody and explain how this structure allows antibodies to perform the following functions a. recognize and bind to antigens b. assist in destruction and elimination of antigens 24. Distinguish between variable (V) and constant (C) regions of an antibody molecule 25. Compare and contrast the structure and function of an enzyme's active site and an antibody's antigen-binding site 26. List the 5 major classes of antibodies in mammals and distinguish among them 27. Describe the following effector mechanisms of humoral immunity triggered by the formation of antigen-antibody complexes a. neutralization b. agglutination c. precipitation d. activation of complement system 28. Explain how monoclonal antibodies are produced and give examples of current and potential medical uses 29. Explain how T-cell receptors recognize self and how macrophages, B cells, and some T cells recognize one another in interactions 30. Describe an antigen-presenting cell (APC) 31. Design a flow chart describing the major sequence of events that follows the interaction between antigen presenting macrophages and helper T cells, including both cell-mediated and humoral immunity 32. Define cytokine and distinguish between interleukin I and interleukin II 33. Distinguish between T-independent and T-dependent antigens 34. Describe how cytotoxic T cells recognize and kill their targets 35. Explain how the function of cytotoxic T cells differs from that of complement and natural killer cells 36. Describe the function of suppresser T cells 37. Distinguish between complement's classical and alternative activation pathways 38. Describe the process of opsonization 39. For ABO blood groups a. list all possible combinations for donor and recipient in blood transfusions b. indicate which combinations would cause an immune response in the recipient c. state which blood type is the universal donor 40. Explain how the immune response to Rh factor differs from the response to A and B blood antigens 41. Describe the potential problem of Rh incompatibility between a mother and her unborn fetus and explain what precautionary measures may be taken 42. Explain why, other than identical twins, it is virtually impossible for 2 people to have identical MHC markers 43. Describe the rejection process of transplanted tissue in terms of normal cell-mediated immune response and describe how the immune system can be suppressed in transplant patients 44. List some known autoimmune disorders and describe possible mechanisms of autoimmunity 45. Explain why immunodeficient individuals are more susceptible to cancer than normal individuals 46. Describe an allergic reaction including the role of IgE, mast cells, and histamine 47. Explain what causes anaphylactic shock and explain how it weakens the immune system 48. Recall the infectious agent that causes AIDS and explain how it weakens the immune system 49. Explain how AIDS is transmitted and why it is difficult to produce vaccines to protect uninfected individuals 50. Describe what it means to be HIV-positive 51. Explain how general health and mental well being might affect the immune system Chapter Terms: lysozyme plasma cells heavy chains phagocytosis secondary immune response light chains macrophages major histocompatability complex (MHC) monoclonal antibodies eosinophils neutralization class I MHC natural killer cells opsonization class II MHC inflammatory response agglutination antigen presentation complement fixation histamine cytotoxic T cells membrane attack complex basophils helper T cells immune adherence mast cells humoral immunity active immunity prostaglandins cell-mediated immunity immunization chemokines antigen-presenting cells (APCs) vaccination pyrogens cytokines passive immunity complement system interleukin 1 transfusion reaction interferon interleukin 2 Rh factor B lymphocytes (B cells) suppresser T cells graft versus host reaction CD8 T lymphocytes (T cells) antigens anaphylactic shock CD4 AIDS target cell opportunistic diseases antibodies perforin antigen receptors tumor antigen human immunodeficiency virus T cell receptors T-dependent antigen HIV-positive effector cells T-independent antigen memory cells epitope clonal selection immunoglobulins (Ig) primary immune response Chapter Outline Framework A. Nonspecific Defenses against Infection 1. Skin and mucous membranes provide 1st-line barriers to infection 2. Phagocytic cells, inflammation, and antimicrobial proteins function early in infection B. Specific Immunity 1. Lymphocytes provide specificity and diversity of immune system 2. Antigens interact with specific lymphocytes inducing immune responses and immunological memory 3. Lymphocyte development gives rise to an immune system that distinguishes self from non-self C. Immune Responses 1. Helper lymphocytes function in both humoral and cell-mediated immunity 2. In cell-mediated response, cytotoxic T cells defend against intracellular pathogens 3. In humoral response, B cells produce antibodies against extracellular pathogens D. Immunity in Health and Disease 1. Immunity can be achieved naturally or artificially 2. Immune system capacity to distinguish self from non-self limits blood transfusion and transplantation 3. Abnormal immune function can lead to disease 4. Invertebrates have a rudimentary immune system