Antibodies Flashcards

1
Q

what produces antibodies?

A

B lymphocytes

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2
Q

what are the central lymphoid organs, and what process occurs there?

A
  • bone marrow
  • thymus

lymphocytes differentiate there (B cells, bone marrow) (T cells, thymus)

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3
Q

what are the peripheral secondary lymphoid organs?

A
  • lymph nodes
  • spleen
  • GALT (gut-associated lymphoid tissue)
  • peyers patches
  • tonsils
  • appendix
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4
Q

what are naive B cells?

A

B cells that have not met antigens, and circulate from blood into peripheral lymphoid tissues

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5
Q

where is the main site of antigen encounter?

A

peripheral lymphoid tissues

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6
Q

describe organisation of lymph node?

A

cortex and inner medula

cortex:
- outer section of B cells follicles
- paracortical area of T cells and dendritic cells

medulla:

  • macrophages
  • antibody secreting B cells (plasma cells)
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7
Q

what is the pathway of blood carrying lymphocytes and antigen through the spleen?

A
  • enter from a trabecular artery into a central arteriole
  • pass into a marginal sinus
  • exit through a trabecular vein
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8
Q

what are features of the memory antibody response?

A
  1. faster
  2. can produce more antibody
  3. does not prevent you from making a response to another antigen
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9
Q

what are the two separate functions of antibodies?

A
  1. to bind the pathogen that elicited its production

2. to recruit other cells and molecules that will lead to clearance or destruction of pathogen

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10
Q

what determines antigen specificity?

A

three hypervariable loops that form a surface complimentary to antigen

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11
Q

how is Ab diversity created?

A
  1. rearranging multiple gene segments
  2. junctional diversity
  3. different combinations of H and L chains
  4. somatic hypermutation
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12
Q

what are the 5 classes of Ab?

A
  • IgA
  • IgD
  • IgE
  • IgG
  • IgM
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13
Q

which antibodies predominate in plasma?

A

IgG and IgM

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14
Q

what are the main isotypes of antibody in extracellular fluid?

A

IgG and monomeric IgA

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15
Q

where does dimeric IgA predominate?

A
  • secretions across epithelia, including breast milk
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16
Q

what antibody does a foetus receive by transplacental transfer?

A

IgG

17
Q

where is IgE found?

A

mostly near to epithelial surfaces, especially gut, lungs and skin

18
Q

where is free of Ab?

A

the brain

19
Q

what is infliximab for?

A
  • anti-tumour necrosis factor (inflammatory mediator)

- used in rheumatoid arthritis, ankylosing spondylitis, psoriasis, inflammatory bowel diseases

20
Q

what are examples of monoclonal antibodies?

A
  • infliximab
  • herceptin
  • gleevac
21
Q

what is herceptin for?

A
  • anti HER2 (human epidermal growth factor receptor 2)

- can block growth and lead to destruction of breast tumour cells that express high levels of HER2

22
Q

what is gleevac for?

A
  • anti-typrosine kinase

- effective against chronic myeloid leukaemia