Autoimmunity Part 1 Flashcards

1
Q

What are TLRs?

A

membrane bound receptors of the innate immune cells that recognize PAMPS. Activate NF-KB which increases cytokines and leukocytes causing inflammation and activates INF that stimulates antiviral cytokines

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2
Q

What is an NLR

A

A nod-like receptor that recognizes DAMPs and produce IL-1

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3
Q

Cell mediated immunity defends against _____ and is mediated by ______.

A

Intracellular pathogens; T cells

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4
Q

Humoral immunity defends against _______ and is mediated by ________

A

extracellular pathogens; B cells

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5
Q

What are the two type of antigen presenting cells?

A

macrophages and dendritic cells

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6
Q

An infiltrate of T cells expressing identical gene rearrangement of their T cells receptors are _____ and therefore represent_______.

A

clonal; a neoplastic population of malignant T cells

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7
Q

CD3 can be used to differentiate _______ cells

A

T cells

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8
Q

Which are more common CD4 or CD8 T cells? What is their function?

A

CD4 (60% vs 30%)–> secrete cytokines to help macrophages and B cells fight infection

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9
Q

Where is CD28 located?

A

on the T cell

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10
Q

What is the function of IL-2?

A

induces and sustains proliferation of activated T cells

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11
Q

What do TH1 cells secrete?

A

INF-gamma–> activates macrophages

stimulate B cells–> to secrete oposonizing and complement fixing antibodies (IgG)

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12
Q

What cells are involved in mediating delayed type hypersensivity?

A

TH1

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13
Q

What do TH2 cells secrete?

A

IL4–> induces synthesis of IgE from B cells

IL5–> results in activation of eosinophils

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14
Q

What do TH17 cells secrete?

A

IL-17–> recruit neutrophils and some monocyts

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15
Q

What is required for signal transduction following antigen binding in a B cell?

A

CD79

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16
Q

What are present on the surface of a naive developing B cell?

A

IgM and IgD

17
Q

What are the 3 steps to B cell activation?

A

1) antigen must bind to antibody
2) CD21/CR2 on the B cell must bind to complement
3) CD40 on the T cell must be activated by T cells

18
Q

What are 2 opsonizing agents?

A

IgG and C3b

19
Q

What are the 2 types of dendritic cells?

A

1) interdigiting–> located in epithelial and interstitial tissues (Langerhan cells) and are important for initiating T Cell response via MHCII on initial encounter with the antigen
2) Follicular–> located in germinal center and are important for mediating ongoing immune responses (humoral immunity) by presenting antigens that have been opsonized to B cells

20
Q

What are the targets of NK cells?

A

viruses and tumors

21
Q

CD16 is located on which cells?

A

NK cells; it binds to IgG

22
Q

What are the two ways NK cells target cells for lysis?

A

1) Antibody dependent cell mediated cytotoxicity (CD16 binds IgG)
2) Monitoring MHC class I and stress molecules

23
Q

What are the 5 functional classes of cytokines (ILs)?

A

1) mediate innate immunity
2) regulate lymphocytes
3) activate inflammatory cells
4) chemokines (affecting lymphocyte movement)
5) stimulate hematopoiesis

24
Q

What is the function of IL-12?

A

It induces cells to differentiate along the TH1 pathway

25
What cytokine induces differentiation of CD4 T helper cells along the TH2 pathway?
Il-4
26
What does TGF-B (and IL-10) do?
down-regulates the immune response
27
What does IL-1 do?
It is an important cytokine involved in immunity that mediates the acute phase inflammatory response by recruiting inflammatory cells and initiating fever
28
Name two different cysteine residue chemokines and what they do.
1) C-C (cys-cys) chemokines are produced by T cells and attract monocytes, eosinophils, basophils and lymphocytes (but not neutrophils) 2) C--X-C are produced by macrophages and endothelial cells and act on neutrophils
29
MHC molecules are a heterodimer of what 2 things?
a polymorphic a chain and a B2 microglobulin
30
What well known diseases are associated with HLAs?
ankylosing spondylitis and post-infectious arthropathies(HLA-B27--> MHC I)
31
Autoimmune diseases often show which HLA disease association?
HLA-DR (DR4--> RA)
32
What are two inherited diseases of metabolism (HLA-associated diseases?)
``` herditary hemochromatosis (HHC) --> HLA-A 21 hydroxylase deficiency --> HLA-bw47 ```