A8: Effector Mechanisms of Humoral Immunity Flashcards

1
Q

What is an Fc receptor?

A

A transmembrane protein that has the capability of binding to a specific portion of a dimeric heavy chain Ig molecule at a site located in Fc region of the Ig

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2
Q

Which cell type primarily produces IgA?

A

B-1 cells in a T cell independent fashio

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3
Q

What two main processes mediate neonatal immunity?

A

IgG cross the placenta so maternal IgG mediate immunity. Gut immunity is via IgA transfered through breastmilk

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4
Q

What is the mechanism of classical activation of complement?

A

IgM or enough IgG binds to an antigen such that two C1q heads can bind to antibody C region, thus making C1 enzymatically active (via serine protease activation) which cleaves C4

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5
Q

What is the pathway of classical activation of complement leading to C3 cleaving?

A

C1 becomes enzymatically active and cleaves C4, C4b binds to C2 generating C4b2a which is a C3 convertase

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6
Q

What is the key intermediate in the complement that mediates the step from C3 cleavage to C5 cleavage?

A

C4b2a is a C3 convertase, and C3b binds to the C4b2a generating the C4b2a3b complex which can cleave C5.

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7
Q

What is the main bacteria type and classic example that is attacked by the MAC?

A

Gram negative bacteria with thin cell walls like Neisseria

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8
Q

What are the steps of the lectin binding pathway that lead to C4 cleaving?

A

MBL binds mannose on bacteria or virus which allows serine proteases related to C1 to associate and activate C4

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9
Q

What is the mechanism of alternate complement activation?

A

Normal hdyrolysis of C3 leads to C3b that binds to microbes and is stabilized. Bound C3b binds to factor B and factor D breaks it down to make Bb fragment. C3bBb complex can break down more C3, resulting in more C3b which results in C3bBb3b which is a C5 convertase

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10
Q

What are the two key C5 convertases made by the alternative pathway and by the classical/lectin pathway?

A

Alternative: C3bBbC3b complex

Classical/lectin: C4bC2a3b complex

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11
Q

Which complements are key chemotaxic products?

A

C3a and C5a

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12
Q

What is the complement receptor present on B lymphocytes?

A

CR2 receptor (recognizes C3d)

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13
Q

How, via complement, are antigens presented to B cells in germinal centers?

A

A complement protein bound to antigen-antibody can be recognized by follicular dendritic cells in germinal centers and display it to B cells

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14
Q

What results if there is a deficiency of C3? What results if there is a deficiency of C2 or C4?

A

C3 deficiency is vulnerable to bacterial infection. C2 or C4 has little clinical significance.

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15
Q

What are key inhibitors of complement activation?

A

C1 inhibitory (C1 INH)
Decay accelerating protein (DAF) stops more C3b cleaving
Factor I cleaves C3b or C4b to inactive fragments
Factor H is required for factor I
MCP also regulates by working with factor I

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16
Q

What results if there are mutations in C1 INH?

A

Cause of hereditary angioedema

17
Q

What results if there are deficiencies of C1 or C2 (early complement)?

A

vulnerability to SLE

18
Q

What results if there are mutations in factor H or I?

A

Predispose to hemolytic uremic syndrome and macular degeneration