5 Immunology II Flashcards

1
Q

Name the 2 primary lymphatic organs

A

Bone marrow

Thymus

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2
Q

Name the 4 secondary lymphatic organs

A
  • Spleen
  • Lymph nodes
  • Tonsils/adenoids
  • Mucosa-associated lymphoid tissue (MALT)
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3
Q

What 2 big things occur in the bone marrow

A
  • Location of hematopoiesis (new RBC production)

- B cell maturation

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4
Q

What special job does the thymus have? Is it larger or smaller as a child?

A
  • Hosts T cell maturation

- Thymus is larger as a child then shrinks with age

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5
Q

What special jobs does the spleen have?

A
  • Removes old RBCs, holds storage of RBCs, recycles iron!!!
  • Synthesizes antibodies!!!
  • Removes antigens by the way of blood and lymph circulation
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6
Q

What is the result of asplenia? (3 things)

A
  • Increased circulating WBCs and platelets
  • Diminished response to some vaccines
  • Increased susceptibility to encapsulated bacteria!!! (strep pneumo, H. influenza, N. meningitides)
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7
Q

What is the primary job of the lymph nodes?

A

Filter foreign molecules and cancer cells

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8
Q

What organs are the first line of defense against ingested or inhaled pathogens?

A

Tonsils/adenoids

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9
Q

What is the primary function of the MALT organs?

A

Specializes in dealing with antigens passing through the mucosal epithelium (samples Ag and delivers to lymphoid tissue)

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10
Q

Compare innate vs. adaptive immunity (3 things)

A

Innate: First line of defense
Adaptive: Second line of defense

Innate: Nonspecific
Adaptive: Highly specific

Innate: No memory defense
Adaptive: Memory defense

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11
Q

How do autoimmune diseases arise?

A

When the adaptive immune system loses the ability to distinguish from self vs. non-self (innate immune system should only activate adaptive immune system as needed)

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12
Q

Compare and contrast the mechanism, cell-type, MOA, and purpose of humoral immunity vs. cell mediated immunity

A

Both are types of adaptive immunity

Humoral mechanism: Ab-mediated
Cell-med. mechanism: Cell-mediated

Humoral cell type: B-lymphocytes
Cell-med. cell type: T-lymphocytes

Humoral MOA: ANTIBODIES in circulating system
Cell med. MOA: DIRECT CELL TO CELL CONTACT or secreted soluble products

Humoral purpose: Primary defense against EXTRACELLULAR PATHOGENS (circulating viruses, bacteria)
Cell med. purpose: Primary defense against INTRACELLULAR PATHOGENS (viruses, fungi, intracellular bacteria, tumor antigens)

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13
Q

Describe the steps of activating a mature naive B-lymphocyte

A
  1. RECOGNITION: Ag binds to mature naive B-lymph. surface receptor (activation step!)
  2. PROLIFERATION: B-lymph. proliferate and make clones
  3. DIFFERENTIATION: Clones will either become a plasma cell or a memory B-cell
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14
Q

What do memory B-cells activate?

A

Years later, they can activate the SECONDARY immune response

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15
Q

What type of cell produces antibodies? What do Ab do?

A
  • Ab are made from plasma cells (which came from B-lymphocytes)
  • Ab tag antigens to mark them for destruction
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16
Q

What is the first antibody produced by plasma cells?

A

IgM - the first responder!

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17
Q

Which of the antibodies is the largest?

A

IgM

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18
Q

What is IgM’s job? What might elevated IgM levels indicate?

A
  • IgM is very good at activating the complement system

- Indicates acute/recent infection

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19
Q

What is the most abundant antibody?

A

IgG (75% of antibodies in blood)

20
Q

What is IgG’s job?

A

Opsonization! (Can also activate complement system)

21
Q

When looking at titer labs, what would a reactive IgG, non-reactive IgM, and high avidity IgG indicate?

A

Past infection

  • Non-reactive IgM means no current infection
  • High avidity IgG means body has seen infection/virus before
22
Q

When looking at titer labs, what would a reactive IgG, reactive IgM, and low avidity IgG indicate?

A

Primary infection

  • Reactive IgM means we have current infection
  • Low avidity IgG means this is the first time we are seeing infection
23
Q

Where do we typically find IgA?

A

MALT

  • Primarily in mucosal membranes and secretions
  • Present in GI tract, respiratory tract, saliva, sweat, tears
24
Q

What is IgA’s job?

A

Eliminating pathogens through mucosa

WEAK OPSONIZER and NOT good at activating complement system

25
When is IgE produced?
In response to allergens or parasites
26
What does IgE cause mast cells to release? What condition can IgE antibodies cause?
- IgE causes release of histamine | - IgE plays a large role in Type I Hypersensitivity Reactions
27
What is IgD's job?
Activation of B-cells
28
Which antibody crosses placenta and which antibody does not?
IgM: does NOT cross placenta IgG: DOES cross placenta (no info on other antibodies)
29
What is the first signal in the activation of T-lymphocytes?
TCR (T-cell receptor) binds to the MHC-Ag complex of the antigen-presenting cell (APC)
30
What is the second signal in the activation of T-lymphocytes?
T-cell surface receptor CD28 must bind to B7, located on APC
31
What happens once a T-cell is activated?
Proliferate and divide into: - Helper T-cells (The Helper) - Cytotoxic T-cells (Natural Killer) - Suppressor T-cells (The Regulator) - Memory T-cells (The Veteran)
32
What is the function of a Helper T-cell? (4 things)
- Stimulate B cells - Stimulate T-cells to proliferate - Active macrophages - Active NK cells
33
What is the surface receptor and MHC complex for a Helper T-cell?
Surface receptor: CD4+ | MHC complex: MHC II
34
What is the function of a Cytotoxic T-cell? (2 things)
- Kills virus-infected cells | - Kills tumor cells
35
What is the surface receptor and MHC complex for a Cytotoxic (Natural Killer) T-cell?
Surface receptor: CD8+ | MHC complex: MHC I
36
What is the function of a Suppressor T-cell? (2 things)
- Prevent immune system over activity | - Helps distinguish from self vs. nonself
37
What is the surface receptor and MHC complex for a Suppressor T-cell?
Trick question :-) No surface receptor, no MHC complex!
38
What is the function of a Memory T-cell?
Recognize Ags from previous exposure
39
What is the surface receptor and MHC complex for a Memory T-cell?
Trick question ;-) No surface receptor, no MHC complex!
40
What do APCs have that allows them to present Ags to T-cells? What type of cells can be APCs?
- APCs can be any nucleated cell in the body and are essential for adaptive immunity! - APCs have Major Histocompatability Complexes (MHCs) on their surfaces that display the Ag to the cytotoxic and helper T-cells
41
What 2 prongs (sorry I can't think of a better word) does a T-cell have that allows it to be activated?
T-cell receptor + CD28
42
What 2 prongs does an APC have that allows it to activate a T-cell?
MHC w/ Ag + B7
43
MHC I interacts with CD8+ on WHAT type of T-cell? This results in...?
MHC I interacts with CD8+ on CYTOTOXIC T-CELL, resulting in killing of infected host cell
44
MHC II interacts with CD4+ on WHAT type of T-cell? This results in...?
MHC II interacts with CD4+ on HELPER T-CELL, resulting in cytokine synthesis (activation/recruitment of other cells)
45
What type of APCs have an MHC Class I?
MHC Class I on surface of all nucleated cells (present to cytotoxic T-cells with CD8+ receptors)
46
What type of APCs have an MHC Class II?
MHC Class II are only present on surface of B-cells, dendritic cells, and macrophages (present to Helper T-cells that have CD4+ receptors)