Adaptive Immunity Flashcards

1
Q

What are the key players in adaptive immunity?

A

T cells

Antigen presenting cells (dendritic cells) - These allow T cells to be affective against microbe as they capture, process and present the microbes in a way that leads to T cell activation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two differen types of mcriobes and two different responses?

A

Intracellular microbes = Innate. (Naive T lymphocyte interacts with antigen presenting cell.)

Extracellularly microbes = Adaptive response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the features of antigen presenting cells?

A
  • Strategic location (B and T cell interaction)
    • Skin (SALT)
    • Mucous membranes (GALT, NALT, BALT, GUALT)
    • Lymphoid organs (Lymph nodes, spleen)
    • Blood circulation (Plasmacytoid and myeloid DCs)
  • Pathogen capture
    • Phagocytosis (whole microbe)
    • Macropinocytosis (soluble particles)
  • Diversity in pathogen sensors (PRRs)
    • Extracellular pathogens (bacteria)
    • Intracellular pathogens (viruses)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the spleen?

A

A major organ that will fight any blood borne pathogen.

So, patients with no spleen are highly susceptible to bacteria in the blood.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the different types of antigen-presenting cells?

A

Dendritic cells - Lymph nodes, mucous membranes and blood. They present to Naive T cells.

Langerhans’ cells - Skin. They present to Naive T Cells.

Macrophages - Various tissues. They present to effector T cells.

B cells (BCR) - lymphoid tissue. They present to effector and naive T cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Extracellular microbes?

A

Activate humoral immunity. -Antibodies, complement and phagocytosis. (MHC II)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Intracellular microbes?

A

Cell-dependant immunity. - Cytotoxic T lymphocytes, antibodies and macrophages. Need to kill the virally infected cells (Cytotoxic T cells). (MHC I)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the two classes of MHC molecules?

A

Class I - found on all cells. Called HLA-A, HLA-B, HLA-C

Class II molecules are only expressed on antigen presenting cells (dendritic cells, macrophages and B cells) called HLA-DR, HLA-DQ, HLA-DP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the key features of MHC class I / II molecules?

A

More diverse = more effective as active against more pathogens.

Co-dominant expression - Both parental genes are expressed. This increases the number of different MHC molecules.

Polymorphic genes - Different alleles among individuals - This increases the presentation of different antigens / microbes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the main functions of MHC Class I / Class II?

A

MHC Class I = presents peptides from intracellular microbes

MHC Class II presents peptides from extracellular microbes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the strctures of MHC class I / II molecules?

A

Peptide binding cleft - Variable region with highly polymorphic residues.

Broad specificity - Many peptides presented by the same MHC molecules.

Responsive T cells - MHC class I recognised by CD8+ T cells. MHC class II recognises by CD4+ T cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Antigen processing pathways

A

Both self and non-self peptides are presented.

All peptides from the same microbe are presented by different MHC molecules.

Susceptibility to Infection depends on the types of MHC molecules.

Endogenous pathway = Antigen peptides are loaded onto MHC I in RER after delivery via TAP (a transporter associated with antigen processing). They then present these exogenously synthesied antigens to CD8+ cytotoxic T cells.

Exogenous pathway = Antigen is loaded follwing the release if invarient chain in an acidified endosome. They then present these exogenously synthesied antigens to CD4+ helper T cells via MHC class II.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What happens in rapid HIV progressions?

A

HLA-B35. Homozygote in HLA-I allelels.

MHC molecules present mutated peptides (less critical peptides for the virus)

Poor recognition by T cells. Poor T cell responses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What happens in slow HIV response?

A

Slow progressors = HLA-B27, HLA-B51, HLA-B57

MHC molecules present key peptides for the survival of the virus (unumtated)

Effective T cell response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do different MHC molecules correlate to attractiveness?

A

If MHC molecules are less similar then you are more attracted to a person as children will be healthier.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What clinical problems are associated with MHC molecules?

A

Major cause of organ transplant rejection

  • HLA molecules mismatch between donor and recipient (Allograft)
  • Graft vs Host reaction (GVH)

HLA association and autoimmune disease.

  • Ankylosing spondylitis - HLA-B27 > 90% of patients.
  • Insulin dependant Diabetes Mellitus - HLADQ2 - >50-75% of patients
17
Q

T cell subtypes?

A

CD4+ = T helper

CD8+ = Cytotoxic T cells.

18
Q

How are extracellular microbes processed and presented?

A

Extracellular microbes (bacteria, parasites, worms and fungi) activate the exogenous pathway.

This causes CD4+ T cells (Helper T cells) to bind to MHC class II.

This causes humoral immunity to occur. (antibodies are produced and the compliment cascade is activated.

19
Q

How are intracellular microbes processed and presented?

A

Intracellular microbies (Viruses, Bacteria and Protozoa) enter the cell and activate endogenous and exogenous pathways.

This means CD4+ T cells bind to MHC class II AND CD8+ T cells bind to MHC class I.

This leads to cell dependant immunity (Antibody -B cells, Complement cascade and macrophages) and cytotoxic T cells.

If don’t have CD4+ then CD8+ is useless.

20
Q

What are co-stimulatory proteins?

A

These are proteins that require two signals to become fully active.

A first signal, which is antigen-specific, is provided through the T cell receptor (TCR) which interacts with peptide-MHC molecules on the membrane of antigen presenting cells (APC).

A second signal, the co-stimulatory signal, is antigen nonspecific and is provided by the interaction between co-stimulatory molecules expressed on the membrane of APC and the T cell.

The naive TCR could then become TH1 (Intracellular microbes) or TH2 (extracellular microbes).

21
Q

How do T cells respond to intracellular microbes?

A
22
Q

How do T cell respond to extracellular microbes?

A
23
Q

What are the functions of IgG?

A
  • fc-dependant phagocytosis
  • Complement activation
  • Neonatal immunty
  • Toxin / virus neutralisation
24
Q

What are the functions of IgA?

A

Mucosal Immunty

25
Q

What are the functions of IgE?

A

Immunty against helminths

Mast cell degranulation (allergies)

26
Q

What are the functions of IgM?

A

Compliment activation