How many lymph nodes are there along the lymph vessels?
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Approximately 500.
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How many lymph nodes are there along the lymph vessels?
Approximately 500.
Which key cells are involved in the second line of defence in innate immunity?
Neutrophils, macrophages, and NK cells.
What is the first step in the inflammation process?
Microbes invasion.
What cells produce antibodies in the antibody-mediated immune response?
B cells.
Where can lysozyme be found in the body?
In tears, sweat, saliva, and breast milk.
What are the components involved in lymphatic drainage?
Interstitial fluid, lymphatic capillaries, and lymphoid vessels.
Where is red bone marrow located?
In the marrow cavity of bones such as the spine, pelvis, ribs, skull, and the proximal ends of long bones.
Where are leukocytes (white blood cells) produced?
In red bone marrow.
What are the characteristics of lymphocytes?
Lymphocytes require maturation to become fully functional, have a round nucleus, no granules in the cytoplasm, and about 5% are in the blood while others are in lymph nodes, spleen, and bone marrow.
What is the function of lysozyme in innate immunity?
It breaks down cell walls and kills bacteria.
At what stage of viral infection does the antibody-mediated immune response target the virus?
Early viral infection (before entering cells).
What types of bones contain red bone marrow?
Spine, pelvis, ribs, skull, and the proximal ends of long bones.
Describe the direction of lymph flow through a lymph node.
Afferent vessel → Node → FILTER through the sinus → Efferent vessel.
What are the key functions of lymph nodes?
Screen lymph, accelerate lymphocyte production, and maturation of natural killer (NK) cells.
What is the first line of defense in innate immunity?
Physical barriers.
What role does the immune system play in identifying cells?
It identifies and destroys abnormal cells.
How does the immune system handle damaged and aged cells?
It identifies and destroys damaged and aged cells, recycling or eliminating their components.
Why do lymph vessels contain one-way valves?
To prevent backflow.
What is the shape and size of lymph nodes?
Ovoid shape, several millimeters wide.
Where is mucosa-associated lymphoid tissue (MALT) found?
In the mucosal linings of the respiratory, digestive, and urogenital tracts.
What occurs during the plasma leakage step of inflammation?
Plasma oozes into injured tissue with nutrients and repair factors.
What is diapedesis in the context of inflammation?
White blood cells (mainly neutrophils) crawl out to the damaged tissue.
What are the responses during the inflammation process?
Attack and remove the offending agent and initiate tissue repair process.
How does the size of the thymus change over time?
The size of the thymus peaks at puberty and then gradually shrinks but remains active.
What are the two main types of immunity?
Innate immunity and acquired immunity.
What is innate immunity?
Innate immunity is inborn and non-specific.
What is required for the activation of T cells in cell-mediated immunity?
Antigen presentation.
Where are dendritic cells most abundant?
In lymphoid organs and areas in direct contact with the environment.
What enzymes do eosinophils release to regulate allergic reactions?
Histamine-degrading enzymes.
What is the function of the enzymes released by eosinophils?
They specifically destroy parasites.
What type of immune response is mediated by T cells?
Cell-mediated immunity.
What is agglutination in the context of antibody action?
It clumps antigens with antibodies, immobilizing agglutinated cells.
What are the characteristics of leukocytes?
They are nucleated and have a complete set of organelles.
What type of immune response is the antibody-mediated immune response?
Specific immune response.
Where is the spleen located?
In the left hypochondriac region, posterior to the rib cage and inferior to the diaphragm.
What type of cells do lymph nodes contain?
White blood cells.
What role does red bone marrow play after birth?
It is responsible for the production of blood cells after birth.
How do acids contribute to innate immunity?
Gastric juice destroys bacteria and toxins, and acidic environments on vaginal and skin surfaces protect against microbial growth.
How does the spleen contribute to the breakdown of blood cells?
The spleen breaks down old red blood cells.
Where are mucous membranes found and what is their function in innate immunity?
Mucous membranes are found in the respiratory, digestive, and genitourinary tracts and they trap and prevent pathogen entry.
What role do hairs, cilia, and mucus play in innate immunity?
They filter large particles and trap microbes, and are facilitated by coughing, sneezing, and swallowing to expel pathogens.
What type of cell surface markers can act as antigens?
Cell surface markers present on pathogens and cell surface markers from another individual.
Why does swelling occur during inflammation?
Due to the accumulation of fluid in the tissues.
What is artificial active immunity?
Immunity developed in response to a vaccination.
What is the main aim of the non-specific immune response in innate immunity?
To remove invading non-self matters.
What are the key processes involved in the second line of defence in innate immunity?
Fever, inflammation, and phagocytosis.
Where is the thymus located?
In the thoracic cavity, between the lungs, anterior to the great vessels of the heart, and posterior to the sternum.
Where do B lymphocytes (B cells) mature and what is their primary function?
B lymphocytes mature in the red bone marrow and are responsible for antibody-mediated immunity.
What are the key functions of the thymus?
Proliferation and maturation of T cells.
What percentage of total leukocytes do basophils constitute?
Less than 1% of total leukocytes.
What is the primary function of Immunoglobulin D (IgD)?
Functions mainly as a B cell receptor and plays a role in activation and regulation of B cells.
Which antibody is the first produced during the primary immune response?
Immunoglobulin M (IgM).
What percentage of total leukocytes do eosinophils constitute?
Approximately 3% of total leukocytes.
Describe the nucleus of neutrophils.
The nucleus of neutrophils is elongated and twisted.
What process do granulocytes use to release enzymes?
Degranulation.
What is diapedesis in the context of leukocytes?
It is the amoeba-like ability of leukocytes to crawl between adjacent endothelial cells of capillaries.
Where do T lymphocytes (T cells) mature and what is their primary function?
T lymphocytes mature in the thymus and are responsible for cell-mediated immunity.
What are the components of mucosa-associated lymphoid tissue (MALT)?
Tonsils in the throat, Peyer's patches in the small intestine, and the appendix.
What is the function of mucosa-associated lymphoid tissue (MALT)?
To protect mucosal surfaces from pathogens and initiate immune responses to antigens encountered along mucosal surfaces.
What role does normal flora play in innate immunity?
Non-pathogenic bacteria on mucosal surfaces prevent the growth of pathogenic bacteria.
Into what two cell types can monocytes differentiate?
Macrophages and dendritic cells.
What is the primary function of macrophages derived from monocytes?
To carry out phagocytosis (ingest and destroy pathogens).
What are the components of the first line of defense in innate immunity?
Physical barriers and chemical barriers.
What happens when a presented antigen binds to the T-cell receptor?
It activates the antigen-specific effector T cells.
What is acquired immunity?
Acquired immunity requires maturation and training and is specific.
What is the role of cytotoxic T cells in cell-mediated immunity?
They destroy abnormal cells with specific antigens.
How can activation occur in the antibody-mediated immune response?
Through direct interaction with antigen or through antigen presentation
What is the first step in the process of phagocytosis?
Wrapping around the non-self invaders.
What are intercellular clefts?
Gaps between endothelial cells that allow passage of small water-soluble molecules (e.g., glucose, gases) while retaining larger molecules (e.g., albumin, red blood cells) in the bloodstream.
What are the main targets of cell-mediated immunity?
Intracellular antigens, virus-infected cells, mutated cells, and transplanted cells.
What are the types of T cells involved in cell-mediated immunity?
Effector T cells (cytotoxic T cells, helper T cells, suppressor T cells) and memory T cells.
What is the outcome of chronic inflammation?
Injury, inflammation, and repair coexist, leading to tissue destruction, progressive damage, and impaired tissue function.
What are the chemical barriers involved in the first line of defense in innate immunity?
Lysozyme, acids, and normal flora.
What happens during the blood vessels dilation step of inflammation?
Blood vessels dilation increases blood flow and permeability.
What is the function of the inner medulla of the thymus?
It is the site of T cell maturation.
Where are Peyer's patches located?
In the small intestine.
What process allows monocytes to migrate from blood vessels to body tissues?
Diapedesis.
What substances do basophils release?
Histamine (vasodilator) and heparin (anti-coagulant).
What occurs at the mid capillary where there is no net movement of fluid?
No net movement of fluid occurs since capillary hydrostatic pressure (25 mm Hg) equals blood colloidal osmotic pressure (25 mm Hg).
What is the primary function of dendritic cells derived from monocytes?
Responsible for antigen presentation.
What happens at the venous end of a capillary during reabsorption?
Fluid re-enters the capillary since capillary hydrostatic pressure (18 mm Hg) is less than blood colloidal osmotic pressure (25 mm Hg).
What is the net filtration pressure at the venous end of a capillary?
-7 mm Hg.
What are the components of the third line of defense in acquired immunity?
Antibody-mediated immunity and cell-mediated immunity.
What occurs during the primary immune response?
Initial cell activation around the first week and the first encounter with the antigen.
What is required for cell-mediated immunity to function?
Antigen presentation.
What happens after the non-self invaders are wrapped in phagocytosis?
They are internalized into a vacuole.
What happens to a cell receptor that strongly interacts with a 'self-molecule' during development?
It undergoes apoptosis.
What type of cells are involved in antibody-mediated immunity?
B cells
What is the outcome of acute inflammation?
Eliminates the cause of infection, promotes tissue healing, and restores normal tissue function.
Which areas of the body does the right lymphatic duct drain?
The right arm, right side of the chest, and right side of the head and neck.
What are the primary functions of leukocytes?
To defend against infections and airborne particulate matter, and to clean up cellular debris and assist in tissue repair.
What are the two main structural components of the thymus?
The thymus has two lobes: an outer cortex and an inner medulla.
What are the key functions of the spleen?
The spleen screens blood, breaks down old red blood cells, produces red blood cells in fetuses and severely anemic adults, and stores platelets, iron, and macrophages.
What role does the spleen play in blood cell production?
The spleen produces red blood cells in fetuses and in severely anemic adults.
What substances does the spleen store?
The spleen stores platelets, iron, and macrophages.
What is the life span of granulocytes?
48 to 72 hours.
What is the definition of inflammation in the context of the body's second line of defense?
Inflammation is the body's cellular and vascular response to injury.
What is the definition of an antibody?
A Y-shaped protein formed in response to a specific antigen that forms the antigen-antibody complex (immune complex) for destruction.
What are the components of the second line of defense in innate immunity?
Fever, inflammation, and phagocytosis.
What occurs during the proliferation phase of cell-mediated immunity?
Activated effector T cells multiply and some evolve into memory T cells.
What happens during the precipitation mechanism of antibodies?
Soluble antigens bind with specific antibodies, forming an insoluble precipitate and losing damaging ability.
What is the function of suppressor T cells in cell-mediated immunity?
They regulate cytotoxic T cells to maintain immune system homeostasis.
What do B cells express on their cell surface?
B-cell receptors.
How do APCs present digested pieces of targets?
Using Major Histocompatibility Complex (MHC) on their membrane.
What is the final step in phagocytosis?
Expelling the debris.
What role does osmotic pressure play in capillary filtration?
Plasma proteins (e.g., albumin) exert osmotic force, drawing fluid back into the capillaries.
What are the characteristics of lymph vessels?
Thin-walled structures and contain one-way valves to prevent backflow.
What are the regulatory molecules involved in the second line of defence in innate immunity?
Cytokines, prostaglandins, and complement proteins.
What are the main targets of the antibody-mediated immune response?
Extracellular antigens, parasites, and early viral infections (before entering cells).
What is the primary function of the immune system?
The body's cellular defense system against 'non-self' invaders, mainly by leukocytes.
What is one of the key functions of the immune system?
To distinguish 'self' and 'non-self'.
How does the immune system defend the body?
By defending against pathogens and foreign substances.
How does the epidermis contribute to innate immunity?
The epidermis, a multilayer of dead cells, prevents pathogen entry.
What percentage of total leukocytes do neutrophils constitute?
Approximately 60%.
What are some examples of antigens?
Cell surface markers present on pathogens, toxins secreted by pathogens, mutated cells, virus-infected cells, and cell surface markers from another individual.
What causes the redness observed during inflammation?
Increased blood flow to the injured area.
What is the function of membrane-bound antibodies?
They function as antigen receptors.
What is the function of secretory antibodies?
They neutralize and inactivate specific antigens.
What causes pain during inflammation?
Release of chemicals that stimulate nerve endings.
What additional symptoms can sometimes accompany inflammation?
Pus and fever.
What are the key steps in phagocytosis?
Wrapping around the non-self invaders, internalizing into vacuole, secreting enzymes to digest the invaders, and expelling the debris.
Why is the secondary immune response quicker and more intense?
Because of the presence of memory cells.
What is natural passive immunity?
Antibodies received from the mother through placenta and breast milk.
What are the primary stimulants of acute inflammation?
Tissue injury and acute infection (e.g., meningitis, appendicitis, tonsillitis).
How do activated T helper cells contribute to the antibody-mediated immune response?
They enhance plasma cell activation
How is the intensity of response different between acute and chronic inflammation?
Acute inflammation has a rapid and robust response, while chronic inflammation has a less intense but persistent and prolonged response.
Is antigen presentation required in cell-mediated immunity?
Yes, it is required.
What is the primary function of red bone marrow?
Contains stem cells that differentiate into various types of blood cells.
What occurs in the outer cortex of the thymus?
Lymphocytes proliferation.
Where do natural killer (NK) cells mature and what are their primary functions?
Natural killer cells mature in the bone marrow or lymph nodes. They are responsible for the second line of defense, killing cancer cells and virus-infected cells directly, and inducing target cells to undergo cell death.
What are the general characteristics of granulocytes?
Granulocytes are large, have an irregularly-shaped nucleus, a life span of 48 to 72 hours, and contain cytoplasmic granules with enzymes released through degranulation.
What is immunity?
The balanced state of the body’s ability to fight against non-self matters while maintaining tolerance to avoid attacking self-matters.
What is the net filtration pressure at the arterial end of a capillary?
+10 mm Hg.
What is the role of basophils in the body?
They are important in allergic reactions.
What is the net filtration pressure at the mid capillary?
0 mm Hg.
How do eosinophils respond to allergies?
They increase in number with allergies.
What is the role of defecation and vomiting in innate immunity?
They expel pathogens through bowel movements and vomit.
What is the third line of defense in the immune system?
Adaptive immunity.
What are the two types of adaptive immune responses?
Antibody-mediated immune response and cell-mediated immune response.
What characterizes the secondary immune response?
A quicker and more intense response due to the presence of memory cells.
What is the role of memory T cells in cell-mediated immunity?
They proliferate into effector T cells for a faster and more intense secondary immune response.
What types of molecules can pass through intercellular clefts?
Small water-soluble molecules such as glucose and gases.
What is hydrostatic pressure in the context of capillary filtration?
The fluid pressing against the capillary wall due to the pumping force of the heart, which pushes fluid out of the capillaries from high hydrostatic pressure to low hydrostatic pressure.
What is the target of antibody-mediated immunity?
Extracellular antigens
Can you name some examples of immunodeficiency disorders?
Severe combined immunodeficiency (SCID), acquired immune deficiency syndrome (AIDS).
What role do tonsils play in the immune system?
They are part of the mucosa-associated lymphoid tissue (MALT) and help protect mucosal surfaces from pathogens.
What is an antigen?
A 'non-self' substance or anything without 'self markers' that triggers an immune response.
What are the main characteristics of inflammation?
Redness, swelling, warmth, pain, and sometimes pus and fever.
What are the two forms of antibodies?
Membrane-bound and secretory.
What is the mechanism of action called neutralization?
It blocks the effect of antigens.
What is the first key process in the antibody-mediated immune response?
Activation
What is natural active immunity?
Immunity developed in response to an infection.
What is the process of capillary filtration?
Fluid and solutes flow across endothelial cells from blood capillaries to the interstitial space.
Which cells are involved in the cell-mediated immune response?
T cells.
What is the third key process in the antibody-mediated immune response?
Action
What are the primary stimulants of chronic inflammation?
Autoimmune disorders, persistent infections or unresolved acute inflammation, and prolonged exposure to irritants (e.g., rheumatoid arthritis, periodontitis, hepatitis, atherosclerosis).
What type of cells are involved in cell-mediated immunity?
T cells
Is antigen presentation required in antibody-mediated immunity?
No, it is not required.
What are some potential consequences of autoimmune diseases?
Chronic inflammation, pain, organ dysfunction, and potentially death.
What is an allergy?
An exaggerated immune reaction (hypersensitivity) to harmless substances (allergens).
What are some common allergens?
Pollens, metals, food ingredients, dust mites.
Which body tissues are not penetrated by the lymphatic network?
Bone and nervous tissue.
What type of system is the lymphatic network?
Blunt-ended linear system.
What are the characteristics of monocytes?
Large nucleus, no granules in cytoplasm, migrate from blood vessels to body tissues by diapedesis, differentiate into macrophages or dendritic cells.
What happens at the arterial end of a capillary during filtration?
Fluid exits the capillary since capillary hydrostatic pressure (35 mm Hg) is greater than blood colloidal osmotic pressure (25 mm Hg).
What are the main functions of neutrophils?
Neutrophils are mainly responsible for phagocytosis and tissue repair, and they are actively mobile and responsible for the inflammatory response.
Where is Immunoglobulin A (IgA) commonly found and what is its function?
It is found in mucous, saliva, tears, and breast milk, and protects against pathogens at entry points.
What is the involvement of Immunoglobulin E (IgE) in the immune system?
It is involved in allergic reactions and provides protection against parasitic infections.
What are the key cells involved in phagocytosis?
Neutrophils, macrophages (including liver macrophages or Kupffer cells, lung macrophages or dust cells), and dendritic cells.
What is the function of liver macrophages (Kupffer cells) in phagocytosis?
They break down old blood cells.
Is active immunity long-lasting or short-lasting?
Long-lasting.
When does the initial cell activation occur in the primary immune response?
Around the first week.
What happens during the proliferation phase of the antibody-mediated immune response?
Activated B cell multiplies; most evolve into plasma cells, some become memory B cells
Which molecules are retained in the bloodstream during capillary filtration?
Larger molecules such as albumin and red blood cells.
What is artificial passive immunity?
Antibodies received from an injection or infusion.
What is the typical duration of acute inflammation?
Shorter, resolving within days or weeks.
What is the main action of antibody-mediated immunity?
Secrete antibodies
How do helper T cells enhance antibody-mediated immunity?
By enhancing plasma cell activity
Which type of immunity has a faster response time?
Antibody-mediated immunity
What is immunodeficiency?
A condition characterized by a weak or absent immune response, leading to increased susceptibility to infections.
What is the role of the lymphatic system in nutrient absorption?
It absorbs fats and fat-soluble vitamins from the intestines and delivers them to the blood.
What is the role of Immunoglobulin G (IgG) in the immune system?
It is the most abundant in secondary immune response, provides long-term immunity, and crosses the placenta.
How do tears and urination contribute to innate immunity?
They flush pathogens away.
Can toxins act as antigens? If so, how?
Yes, toxins secreted by pathogens can act as antigens.
What are the two main types of adaptive immunity?
Active and Passive.
Why are virus-infected cells considered antigens?
Virus-infected cells are considered antigens because they display 'non-self' markers that trigger an immune response.
What is the role of lung macrophages (dust cells) in phagocytosis?
They break down inhaled pathogens.
Which cells are considered antigen-presenting cells (APCs)?
Macrophages and dendritic cells.
What do antigen-presenting cells (APCs) do with targets?
Capture and digest targets into pieces.
Is passive immunity long-lasting or short-lasting?
Short-lasting.
Which primary immune cells are involved in acute inflammation?
Neutrophils, monocytes, and macrophages.
What receptor is used in cell-mediated immunity?
T-cell receptor
What is an autoimmune disease?
A condition where the immune system attacks 'self' tissues.
What is the reason for the warmth felt in an inflamed area?
Increased blood flow and metabolic activity in the affected area.
How does the body develop active immunity?
The body develops its own immunity in response to an infection or vaccination.
How do helper T cells contribute to cell-mediated immunity?
They activate cytotoxic T cells and plasma cells to produce antibodies.
Where do B cells develop and mature?
In the bone marrow.
What triggers the secondary immune response?
The second encounter with the same antigen.
What do plasma cells do during the action phase of the antibody-mediated immune response?
Plasma cells secrete antibodies specific to the antigen
What happens to cells with receptors for foreign non-self antigens?
They are selectively retained and can respond to pathogens.
What receptor is used in antibody-mediated immunity?
B-cell receptor
How can mutated cells trigger an immune response?
Mutated cells can act as antigens because they are recognized as 'non-self' by the immune system.
Which cells are involved in the antibody-mediated immune response?
B cells.
What happens when an antigen binds to the B-cell receptor?
It activates the antigen-specific B cell
What is the second key process in the antibody-mediated immune response?
Proliferation
How are the invaders digested during phagocytosis?
Enzymes are secreted to digest the invaders.
What do T cells express on their cell surface?
T-cell receptors.
What role do memory B cells play in the antibody-mediated immune response?
Memory B cells proliferate into plasma cells for a faster and more intense secondary immune response
What is the typical duration of chronic inflammation?
Longer, lasting for weeks, months, or even years.
Can you name some examples of autoimmune diseases?
Type I diabetes, systemic lupus erythematosus, rheumatoid arthritis.
What causes allergic reactions?
IgE binding with allergens, leading to the release of inflammatory chemicals such as histamine from basophils.
How does the body receive passive immunity?
The body receives the immunity from others.
Where do T cells develop and mature?
Develop in bone marrow, mature and differentiate in the thymus.
Which primary immune cells are involved in chronic inflammation?
Monocytes, macrophages, and lymphocytes (T cells and B cells).
What are the targets of cell-mediated immunity?
Intracellular and extracellular antigens
What is the main action of cell-mediated immunity?
Destroy abnormal cells with specific antigens
How do helper T cells enhance cell-mediated immunity?
By enhancing cytotoxic T cell activity
Which type of immunity has a slower response time?
Cell-mediated immunity
What role does the lymphatic system play in the destruction of red blood cells?
It destroys old red blood cells.
What are the key players in the lymphatic system?
Lymph vessels and lymphoid organs.
What type of circulatory system does the cardiovascular system have?
Closed circulatory system.
What are the lymphoid organs in the lymphatic system?
Red bone marrow, thymus, spleen, lymph nodes, and mucosa-associated lymphoid tissue (MALT).
How does the lymphatic system contribute to fluid balance in the body?
It filters and returns some interstitial fluid to the blood.
What is the function of the lymphatic system in relation to immune cells?
To house and support immune cells.
Into which veins do the right lymphatic duct and thoracic duct empty lymph?
The right lymphatic duct empties into the right subclavian vein, and the thoracic duct empties into the left subclavian vein.
What does the thoracic duct drain?
The remainder of the body.
What are the components of the lymphatic network?
Lymphatic capillaries, lymphoid vessels, lymph nodes, and lymph ducts.
What are the components of lymph?
Water, Electrolytes, Proteins, Fats, and White blood cells.
What assists the movement of lymph during breathing?
Pressure changes during breathing.
How is the movement of lymph facilitated?
Similarly to movement in veins, facilitated by skeletal muscle contractions and assisted by pressure changes during breathing.
What are lymphatic capillaries composed of?
Closed-end vessels composed of endothelial cells.
What is the primary purpose of lymphatic drainage?
To collect and return interstitial fluid and lymph to the blood circulatory system.