Adaptive Immunity Flashcards

1
Q

Describe features of APCs

A

Strategically located in skin, mucous membranes, lymphoid organs and blood plasma.
Pathogen capture by phagocytosis or macropinocytosis.
Diversity in PRRs- extra cellular for bacteria and intra cellular for viruses

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2
Q

Describe the role of MHC molecules

A

Present antigens to T cells naive or effector

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3
Q

How are microbial antigens processed and presented to T cells?

A
Exogneous and endogenous pathways of antigenic peptide presentation by MHC molecule. 
TCR of naive T cell will bind the antigen and the T cell wll either be CD4 positive or CD8 positive dependent on if the microbe in intra or extracellular and thus the MHC class type. There are other receptors involved in the two cell interaction and cytokines play a part as well.
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4
Q

What do T helper cells do in determining appropriate immune responses for intra and extra cellular pathogens?

A

If a CD8+ T cell is activated by an APC the cytotoxic immune system is activated. The cytotoxic T cells will recognise the MHC class I on all virally infected cells and cause death by perforin granzymes. CD4+ TH1 will also stimulate B cell and macrophages.

If CD4+ T cells are activated the humoral response is activated. CD4+TH17 will stimulate neutrophils in the presence of IL-17. CD4+TH2 in the presence of IL-4 will stimulate B cells and mast cells. CD4+TH2 in the presence of IL-5 will stimulate eosinophils.

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5
Q

Name the MHC class 2 molecules

A

HLA-DR
HLA-DQ
HLA-DP

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6
Q

Outline the genetics of MHC molecules.

A

Polymorhic

Co-dominant expression

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7
Q

What is the role of MHC class 1 molecules and where are thy found?

A

They are found on all cells and present antigens from intracellular pathogens.

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8
Q

What is the role of MHC class 2 molecules and where are they found?

A

MHC class 2 are only found on APCs and so deal with extracellular pathogens.

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9
Q

Outline MHC structure

A

Peptide binding cleft - variable highly polymorphic region

Broad specificity- one MHC can present lost of antigens

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10
Q

CD8+ T cells cells respond to what type of pathogen and thus which MHC molecules present to it?

A

CD8+ cells deal with intracellular pathogens and are thus activated by MHC class I. Remember APC will present on both MHC class I and MHC class II when it comes to intracellular pathogens.

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11
Q

CD4+ recognise which class of MHC?

A

Class II

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12
Q

Describe the two APC pathways.

A

Endogenous pathway- MHC Class I detects antigenic peptide in the ER and mobilises to the plasma membrane to present it.

Exogenous pathway-MHC Class II are released by ER and fuse vesicles with the endosomes containing antigen peptides and the vesicle will move to present on the plasma membrane.

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13
Q

Do MHC molecules present only non-self peptides?

A

No they will present self peptides as well

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14
Q

How many peptides from a microbe are presented on MHC molecules?

A

All peptides are presented on different MHC molecules.

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15
Q

How do MHC molecules effect susceptibility to infections?

A

The type of MHC an individual has will effect how susceptible they are to different infections.

Elite controllers of HIV will maintain low viral load and high CD4 count because they have MHC molecules that present vital peptides to the HIV virus. Other suffered may present non-vital peptides but these can mutate and thus doesn’t give good control of the virus and these patients are termed progressors.

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16
Q

Where do MHC molecules causes issues for medics?

A

Organ transplants, HLA mismatch will result in rejection.

Auto-immune diseases are associated with carrying certain MHC molecules.

17
Q

Which microbes are extracellular and what MHC complex is shown on the APC and so which cells are activated and what type of immunity?

A

Fungi, Bacteria, parasites and worms are all extracellular.

MHC class II only will present the antigen.

MHC class II will activate CD4+ T cells.

Humoral immunity is activated

18
Q

Which microbes are considered intracellular and which MHC complex(s) will present the antigens?

A

Viruses, bacteria and protozoa can be intracellular.

MHC Class I and II will both present antigens on APCs. Remember that APCs carry both types. CD4+ and CD8+ both activated.

Cell dependent immunity activated.

19
Q

List features of humoral immunity.

A

Antibodies from B cells

Complement

20
Q

List features of cell dependent immunity.

A

Cytotoxic T cells

Humeral response as MHC class II presented as well and so CD4+ activated. Macrophages.

21
Q

How do T cells recognise antigens?

A

T cell receptor - constant and variable regions

22
Q

How do extracellular microbes result in T helper cell activation and which TH cells in particular?

A

MHC class II presents to CD4+ naive T cell, costimulatory CD80/86 binds the CD28 receptor with the right cytokines. Th C cell will then be activated. TH2 and TH17.

23
Q

What TH cell is best for intracellular microbes?

A

TH1

Remember MHC class 1- CD8+ and costimulatory factors will give a TH1

24
Q

How do extracellular microbes result in T helper cell activation and which TH cells in particular?

A

No CD8+ repsonse.
MHC Class II present to CD4+.
TH17 with IL-17 stimulates neutrophils
TH2 can give eosinophil, B cells or mast cells stimulation depending on the Interleukins.

25
Q

How do extracellular microbes result in T helper cell activation and which TH cells in particular?

A

No CD8+ repsonse.
MHC Class II present to CD4+.
CD4+ TH17 with IL-17 stimulates neutrophils
CD4+ TH2 can give eosinophil, B cells or mast cells stimulation depending on the Interleukins.

26
Q

What TH cell is best for intracellular microbes?

A
CD8+ will stimulate Cytotoxic T cells. Cytotoxic T cells recognise antigens on MHC class I and release perforin and granzymes to kill affected cells.
CD4+ TH1 cells will stimulate B cells to make antibodies and macrophages to phagocytose.
27
Q

IL-4 and TH2 cells will stimulate which immune cells?

A

B cells and mast cells

28
Q

At a first exposure which antibody response is stronger IgG or IgM

A

IgM

29
Q

At second exposure which immunoglobin will be highest - its the best one that can get in the tissues.

A

IgG

30
Q

Which immunoglobin is vital to neonatal immunity?

A

IgG

31
Q

IgA is found where?

A

Mucousa

32
Q

What is IgM important for?

A

Complement activation in first exposures

33
Q

What is the role of IgE?

A

Immunity against helminths and mast cell degranulation in allergies.

34
Q

What are the roles of IgG?

A

Neonatal immunity
Toxin/ Virus neutralisation
Complement activation
Fc- dependent phagocytosis

35
Q

Which TH cells are involved in humeral immunity?

A

TH17 activates neutrohils

TH2 activates B cells, mast cells (basophils) and eosinophils

36
Q

Which TH cells are involved in cytotoxic immunity?

A

Cytotoxic T cells

TH1 from CD4+ will stimulate B cells and Macrophages..