المحاضرة الحمراء Flashcards
How can the immune system differentiates
between different antigens?
By antigen receptor
Epitopes bind to ?
TCR or BCR
What is the smallest AgDIunit f i
biochemical unit of an Ag that is capable of eliciting an immune response ?
Epitope
What is the APC ?
1- Macrophages
2- dendritic cells
3- B cells
APC They express ?
MHC class II
What is the main APC ?
Dendritic cells
Extracellular antigens Processed by ?
APC
Intracellular antigens Processed by ?
host cell
MHC class II processing pathway ?
Externally
MHC class I processing pathway ?
Internally
CD4+ TH cells are ?
MHC II
CD8+ Tc cells are ?
MHC I
B 7 bind with ?
CD28
Thymus- dependent antigens induce ?
IgM production as well as production of other Ig isotypes.
Thymus- independent insideBm of
antigens “TI antigens” induce ?
IgM production only
Are the most potent immunogens?
Proteins
Weak immunogenic to high immunogenic ?
Adjuvant
The 1st adjuvant preparation used was ?
Al(OH)3
Examples of haptens:
1- Antibiotics as penicillin
2- Analgesics as aspirin
3- Hormones as peptide and steroid hormones
Specific antibodies that cross react with heterophil antigens are known as ?
heterophil antibodies.
They cause polycolonal activation of T cells ?
Superantigens
What is the two main histocompatibility systems ?
1- ABO
2- MHC
MHC class II processing pathway
Externally
MHC class I processing pathway
Internally
Endogenous Ag (cytoplasm)
1- Cytosolic pathway
2- MHC 1
3- CD8
Enxogenous Ag Phagocytosed (endosome)
1- Endocytic Pathway
2- MHC 2
3- CD4
Thymus- dependent antigens “TD Ags”
1- need Th cells
2- induce IgM and other Ig isotypes.
3- memory
4- They constitute most of Ags (proteins)
Thymus- independent insideBm of
antigens “TI antigens”
1- without TH
2- IgM only
3- They are characterized by having multiple repeating epitopes
4- no memory
5- few Ags are TI, like bacterial polysaccharides.
Foreignness
a molecule must be recognized as
Non Self
What are the most potent immunogen?
Proteins
Chemical composition
1- Proteins
2- Polysaccharides
do not serve as
immunogens
Lipids & nucleic acids
Example of Homopolymers
bacillus anthracis capsule; it is a polyglutamate capsule
more immunogenic
Large, insoluble
enhance the immunogenicity of that Ag.
Adjuvants
ADJUVANTS from bacteria ?
1- Bacterial LPS (as that of pertussis present
in DPT vaccine)
2- Mycobacterial cell wall in BCG
Heterophil antigens are ?
are non specific
Heterophil antigens may be used in diagnosis because
1- easily prepared
2- Safer to prepare
3- Cheaper
Paul Bunnel test:
Sheep RBCs/ EBV
Weil Felix test:
Gram negative bacilli (proteus)/
Rickettsia
VDRL, RPR, TRUST (non specific
tests for syphilis):
Cardiolipin Ag / Treponema pallidum
Superantigens
act as a
clamp between T cells and APCs
Superantigens cause
polycolonal activation of T cells
HLA B27
Ankylosing spondoylitis
HLA DR4
Rheumatoid Arthritis