Pathology I - Session 3

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What is immunity?

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The body's ability to recognize and remove potentially harmful chemicals and antigens.

What is an antigen?

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Anything that illicits an immune response

What is an antibody?

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Chemical designed to kill one type of antigen

Name the body's 3 lines of immune defense?

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1) Nonspecific Resistance
2) Innate Immunity
3) Acquired Immunity

What is the function of "Nonspecific Resistance" ?
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Defend against foreign or abnormal material of any type even on initial exposure.

Describe three aspects of "Innate Immunity" ?

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Recognizes a variety of pathogens as foreign, even on initial exposure.

Uses non specific defenses

Triggers the slower but more specific acquired immunity

Describe three aspects of "Acquired Immunity" ?

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Develops as a result of previous exposure to antigens.

Relies on specific responses mediated by individual lymphocytes to offending antigens

Repeated exposure to the same antigen triggers an immediate and enhanced response designed to prevent re-infection.

What are 3 one-word characteristics of Acquired Immunity?

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Specific
Diverse
Memory

What are 2 characteristics of Nonspecific Resistance ?

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Resistance to invasion
Reactions to invasion

What are 4 categories of Nonspecific Resistance To Invasion?

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Mechanical Barriers
Chemical Barriers
Antimicrobial Substances
Species resistance

What are 5 categories of Nonspecific Reactions To Invasion?

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Inflammation
Natural killer cells
Fever
Cough
Others (diarehha, vomiting, sneezing)

What are the 2 types of Immunity?

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Cellular
Humoral

Name the 5 key processes to cellular and humoral immunity.

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Presentation
Recognition
Amplification
Elimination
Memory

What type of cells are involved in Cellular Immunity?

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T cell

What type of cells are involved in Humoral Immunity?

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Plasma Cells
Memory B cells

What is the significant difference(s) between Cellular and Humoral Immunity during the Recognition stage?

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Cellular: T-cells recognize antigen
Humoral: B-cells recognize antigen

What is the significant difference(s) between Cellular and Humoral Immunity during the Amplification stage?

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Cellular: T-cell multiply themselves

Humoral: B-cells divide into plasma and memory cells

What is the significant difference(s) between Cellular and Humoral Immunity during the Elimination stage?

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Cellular: Cloned cytotoxic T cells kill antigen via phagocytosis

Humoral: Antibodies produced by plasma cells do the killing (Lysing)

What is the Neonatal period?

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First 6 months of life.

When is someone considered elderly?

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50+

What are two types of Vaccination?

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Active Immunity
Passive Immunity

Describe Active Immunity Vaccinations.

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Weakened or dead form of antigen is introduced into body.

Describe Passive Immunity Vaccinations.

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Antibodies are injected into the body.

What is Hypersensitivity Reactions?

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Exaggerated or innappropriate immunie responses that can be harmful to the body.

What is Self Tolerance?

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The body's ability to recognize itself and the resulting immunologic unresponsiveness to self, of an otherwise functioning immune system.

What are the 4 characteristics of Autoimmune Diseases?

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Diseases that develop as a result of a breakdown of self tolerance, and the activation of self-reactive T cells.

Most often are inherited/genetic predisposition.

Thought to be caused by an environmental exposure and a cross reaction with normal tissue.

Increased incidence with age.

What is a Neoplasia?

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An abnormal mass of tissue.

What is Carcinogenesis?

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Cancer develops when DNA is damaged, but the cell lives to reproduce the damaged DNA.

What is meant by "Multiple Hits & Multiple Factors" in relation to Carcinogenesis?

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An initial event followed by a series of promoting events.

The magic number seems to be 5

List the 4 Oncogenes & Tumor Suppressor Genes.

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Proto-oncogenes
Oncogenes
Tumor suppressor genes
DNA repair genes

What is a Proto-oncogene?

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The gene that triggers mitosis in a cell. When stressed becomes an oncogene.

What is an Oncogene?

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Genes found in tumor cells whose activation is associated with the initial and continuing conversion of normal cells to cancer cells.

What is a Tumor suppressor gene?

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Oppose proto-oncogenes and limit cell proliferation. Mutations in these genes allow neoplasms to proliferate.

What is a DNA repair gene?

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Repair non lethal damage in other genes. Damage to these genes allows mutations to be passed on to cell progeny.

What are 3 Carcinogenic Agents?

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Chemical
Radiation
Viral

What is metastasis?

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Travelling through the blood/body.

What are the gross features of a Benign tumor?

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Smooth surface with a capsule
Slow growth rate
Rarely fatal
Small to very large

What are the gross features of a malignant tumor?

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Irregular surface with no capsule
Rapid growth rate
Usually fatal if untreated
Small to large

What are the microscopic features of a benign tumor?

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Growth by compression of surroundings
Highly differentiated resembling tissue of origin
Cells similar to normal resembling one another
No metastasis

What are the microscopic features of a malignant tumor?

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Growth by invasion of surroundings.
Poorly differentiated.
Cells dissimilar with abnormalities
Metastasis to distant sites

Name the 4 types of Neoplasia.

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Benign
Malignant
Teratomas
Hamartomas

Describe the 12 steps of the Metastatic Process.

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1) Clonal expansion, growth, diversification and angigenesis.
2) Metastatic subclone
3) Adhesion to and invasion of basement membrane.
4) Passage through extracellular matrix
5) Intravasation
6) Interaction with host lymphoid cells
7) Tumor cell embolus
8) Adhesion to basement membrane
9) Extravasation
10) Metastatic tumor
11) Angiogenesis
12) Growth

What are 3 ways in which malignant neoplasms metastasize.

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Seeding of cancers (spreads through body cavity)

Lymphatic spread

Hematogenous spread

What is Cachexia?

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Unhealthy weight loss


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