2 Flashcards

1
Q

Explain the first line of defence and second line of defence

A

First line involves antigen uptake and processing by APCS and tcell activation producing cytotoxic T cells, also antibodies circulate
Second line involved bcell activation by T cells and plasma cell formation to produce antibodies

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2
Q

What are the major APCS in the storms of organs

A

Macrophages

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3
Q

What are the major APCS of epithelia

A

Dendritic cells

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4
Q

How does interstitial fluid enter the lymphatics- describe the vessels

A

Via collecting lymph vessels, have valves and sparse smooth muscles

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5
Q

What are the two drivers of lymphatic fluid

A

Smooth muscles rhythmically contracting and move my of tissue during eg exercise

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6
Q

From the lymph nodes what does the lymphatic fluid travel in

A

Larger collecting vessels with spirally arranged smooth muscle
Trucks
Subclavian veins

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7
Q

What is the structure of the epithelium of initial lymphatics

A

Cells are oak leaf shaped held together by adhesive junctions that leave the lobes frees moving
Flaps only allow moment in not out

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8
Q

What is the job of the secondary lymphoid organs

A

Filter lymph for antigen and allow matches before lymphocytes and APCS

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9
Q

What is a follicle made up of

A

Germinal centre and mantle zone

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10
Q

In a lymph node what is the first step

A

Activated macrophage or dendritic cell travel to lymph node and present protein fragments

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11
Q

What is the second step in the lymph node

A

B cells have picked up the antigen in the follicle infested and move to the b/t cell interface

Antigen presentation in the para cortex leads to T cell activation and proliferation

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12
Q

What is the third step in lymph nodes

A

T and b class specific for this antigen meet at the b/t cell zone interface and the t helped cell activates the B cell to proliferate and mature

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13
Q

Where are the follicular dendritic cells and what is their job

A

B cell follicles
Long extensions that form networks, they bind the antigen in native form conformation and present it on their surface for a long time

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14
Q

How can an antigen get into the lymph node

A

A) opsonised by antibody or complement
B) as a small soluble or proteolyzed antic
C) carried by a APC ( dc)

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15
Q

If a B cell doesn’t find a match in the follicle what else can it do

A

Help ferry antigen to FDC’s

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16
Q

What is the supporting network or a lymph node made from

A

Strong trabecular of lymph node and Reticular fibres from reticular cells

17
Q

What are reticular fibres composed of

A

Collagen 111 and 1

18
Q

What is the free space been the wrapped reticular fibres

A

Transport venue- conduit for small antigens

19
Q

What is the first step in B cell activation

A

Either internalise a soluble native antigen or form an immunological synapse with a T cell, if the fitting antigen is part of a larger complex bound to a APC or FDC’s

Antigen attached to the B cell receptor is internalised and transferring a lysosome where it is loaded onto MHC11 ( has come from ER with protective cap- invariant chain- cleaved off in lysosome before loading)

20
Q

What is the second step in B cell activation

A

Antigen attached to MHC is presented to the T cell at the b/t cell interface

21
Q

What happens if the B cell finds it T cell match

A

T helper cell activates the B cell to proliferate into
IgM producing plasmablasts
Remaining B cells move to germinal centre for maturation

22
Q

What is the key enzyme generated the mutations and how

A

Activation induced deaminase
Point mutations in the variable region of the B cell receptor, cleaved off NH2 groups of some cytosines- making it uracil
Uracil is rna equivalent of DNA thymine. In next round of replication, uracil read as thymine, means base pair CG changed to AT

23
Q

Why must the B cell undergo hyper mutation and elimination

A

Because B cell clone receptor binding to antigen is specific but not super tight, need to select clone with high affinity

24
Q

What at the steps of hyper uracil and elimination

A

T/b cell interaction at border and receiving of co-stimulators signals
Selected cells enter dark zone of Gc
Undergo somatic hypermuation ( upregulate component of shm machinery and activation of aid)
After 1 or more calves B cells move to light zone
BCRs exposed to antigen by FDC’s
Low affinity ones undergo apoptosis
High affinity ones compete for T cell help
The survivors have three routes

25
What are the three possible routes for a mutated and selected B cell with high affinity
Re enter dark zone for more proliferation and shm Exit gc as plama cell secreting igG Exit gc as memory cells
26
What is the turnover of a lymph node
10 to 48 times per day
27
Where do lymphocytes enter and leave lymph nodes
High endothelial venues in the paracortex
28
How can high endothelial venues be recognised
Cuiboidal epithelium compared to squamous
29
What is the tonsils
Ring of lymph follicles - Waldeyers ring
30
What is the lungs innate defence
Mucus containing immunoglobulins mainly igA | Alveolar macrophages