Basic terms, organization of the immune system (first seminar) Flashcards

1
Q

role of immune system

A

Maintenance of immune homeostasis
Self  non-self versus dangerous  harmless
Recognition  immune response  elimination
immunotolerance
ignorance

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2
Q

innate cells-

A
phagocytic cells- macrophages, neutrophils and dendritic cells
nk cells,
mast cells
eosiniphils
basophils
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3
Q

Main features of the adaptive immune response-

A

Main features of adaptive immune response

  1. Specificity
    The answer is specific to the recognized molecule
  2. Sensitivity
    A very low amount of the specific molecule is enough to trigger an immune response
  3. Memory
  4. Selectivity
    There is a wide range of preformed receptors, and the cell clone that has the most appropriate receptor for a particular molecule (antigen) is selected
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4
Q

Antigen, epitope.

alloantigens, xenoantigens, autoantigens

A

Molecules which trigger immune response are antigens.
an epitope, also known as antigenic determinant is part of of an antigen that is recognized by the specific angtigen receptors (one antigen may have several epitops!)

alloantigens- An antigen that occurs in some but not all members of the same species. Used by the immune system to distinguish self from nonself.
Xenoantigen: An antigen that is found in more than one species. An antigen is something that is capable of inducing an immune response
autoantigens- an antigen that, despite being a normal tissue constituent, is the target of a humoral or cell-mediated immune response, such as in autoimmune disease.

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5
Q

what types of receptors can recognize antigens-

A

Pattern recognition receptors which detect general components of microboes like common cell wall structures.
Specific antigen receptors:
B cell receptors which recognize the Whole molecule= CONFORMATIONAL EPITOPE.
T cell receptors-which recognize processed peptides on mhc molecules (linear epitope)

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6
Q

Passive immunity vs active immunity.

A

Passive immunity: Immunity produced by the transfer of antibodies or activated T cells.

natural: pregnancy
artificial: adoptive transfer

Active immunity: Immunity is induced in the host itself by antigens

natural: pathogen infection
artificial: active vaccination
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7
Q

Lymphocyte recirculation

A

Specific immune response is based on the meeting of antigen-specific lymphocytes and invading
antigens. To this end, T and B cells circulate through peripheral tissues permanently. This is the so
called recirculation (homing).

Steps of lymphocyte recirculation:
1) Lymphocytes move from the primary to the secondary lymphoid tissues. They enter from the blood
via the HEVs (high endothelial venules). Lymphocyte traffic is regulated by selective expression of
adhesion proteins in peripheral lymphatic tissues.
2) In the absence of antigen exposition the virgin cells (that have not already been exposed to
antigens) go back to the blood through lymphatics, while memory cells selectively return to the tissues
where they were first stimulated by antigens. It is also regulated by adhesion proteins.
3) After activation by an antigen-presenting cell, lymphocytes proliferate and differentiate to effector
and memory cells. (Figure 1.2)

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8
Q

Lymph nodes-

A

Lymph nodes have two major functions:
1) elimination of foreign antigens (during the filtration of lymph
as it passes through the lymph nodes, the phagocytic cells eliminate the invading microbes and other
foreign substances);
2) antigen presentation (the professional APCs – macrophages and dendritic
cells – capture antigens and display them to T lymphocytes).

Regions-
Paracortex/interfollicular space- T cells and dendritic cells.
Cortex- B cells and Macrophages.
Centrum germinativum- Driving B cells, plasma cells, macropahges and follicular dendritic cells
Medulla- Plasma cells and macrophages.

Area of antigen presenting is the paracortex between dendritic cells and T cells.

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9
Q

Sentinal lymph nodes

A

The sentinel lymph node (SLN) is the first lymph
node in a lymph node bed to receive lymphatic drainage from a tumor. The new regional staging
system is based on the biopsy of senitel lymph nodes. There are two methods that can be used for
identifying SLNs:
1) injections of blue dye in the area immediately surrounding the cancer
2) injectionsof a radioactive substance in the area immediately encompassing the cancer. The injections are administered prior to surgery. During surgery the surgeon identifies the node(s) containing either the
blue dye (through direct visualization) or the radioactive substance (through a detector e.g. Geiger
counter), indicating the collection of drainage from the cancer. The nodes that collect the injected
substances are determined to be the SLN and are subsequently removed for a biopsy.

Advantages:
 surgery decreases unnecessary lymph node dissections, thereby reduces the risk of
lymphedema
 more effective in the demonstration of micro-metastasis
 enables new staging strategies
 helps to optimize the supplemental radiation therapy

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10
Q

Common myeloid and common lymphoid.

A

Pluripotential stem cells differentiate into committed progenitors. Two types of committed
progenitors are known:
1) common myeloid progenitor-
The common myeloid progenitors generate proerythroblasts (erythropoiesis),
myeloblasts (granulopoiesis),
monoblasts (monocytopoiesis)
megakaryoblasts (thrombopoiesis)

2) common lymphoid progenitor-
lymphoblasts (lymphopoiesis).

Myelopoiesis and B cell development are
localized in bone marrow but T cell maturation occurs in the thymus.

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11
Q

Thymus-
Cortex phases
Medulla phases.

A

Cells in the thymus can be divided into thymic stromal cells (epithelial cells, macrophages, dendritic cells) and cells of hematopoietic origin, derived from bone marrow (thymocytes).

The function of the thymus is to produce T lymphocytes.

The cortex is mainly composed of lymphoid cells (immature thymocytes) surrounded by a network of
cortical epithelial cells. The earliest phases in thymocyte development, T cell receptor gene
rearrangement and positive selection take place here.

The medulla consists of mature thymocytes,
medullary epithelial cells, macrophages and dendritic cells. The later phase of T cell development,
negative selection, takes place in the medulla.

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12
Q

positive selection

A

Positive selection: production of T cells whose receptors (TCR) can recognize antigens presented by
self MHC molecules. During this process, all other developing T cells (whose TCR cannot recognize
antigens presented by self MHC molecules) die by apoptosis before reaching maturity.

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13
Q

negative selection

A

Negative selection: the thymocytes that recognize self molecules (autoantigens) are deleted from the repertoire.

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14
Q

What happens if the bone marrow has a functional defect?

A

The amount of circulating blood cells is reduced (pancytopenia), severe and recurrent infections occur.

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15
Q

What happens if a baby loses his/her thymus in the course of a surgical procedure

A

It can affect the function of peripheral T cells and can lead to early senescence of the immune system.

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16
Q

M cells?

A
M cells (microfold cells): This is a specific cell type in the intestinal epithelium which can endocytose
protein and peptide antigens. Instead of digesting these molecules, M cells transport them into the
underlying tissue, where they are taken up by local dendritic cells and macrophages.
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17
Q

Immunophenotyping

A

Immunophenotyping is a technique used to study the protein expressed by cells. This technique is commonly used in basic science research and laboratory diagnostic purpose. This can be done on tissue section (fresh or fixed tissue), cell suspension, etc. An example is the detection of tumor marker, such as in the diagnosis of leukemia. It involves the labelling of white blood cells with antibodies directed against surface proteins on their membrane. By choosing appropriate antibodies, the differentiation of leukemic cells can be accurately determined. The labelled cells are processed in a flow cytometer, a laser-based instrument capable of analyzing thousands of cells per second. The whole procedure can be performed on cells from the blood, bone marrow or spinal fluid in a matter of a few hours.

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18
Q

multipotent hematopoietic stem cell- hemocytoblast

A

CD117 so called cKit.

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19
Q

common lymphoid progenitor-

A

cd34 and tDt

20
Q

NK CELL-

A

CD3- and CD56+

21
Q

T lymphocyte

A

CD3+

22
Q

B lymphocyte

A

CD19+

23
Q

common myeloid progenitor

A

CD34 and MPO

24
Q

myeloblast

A

CD25

25
Q

Macrophage

A

CD14

26
Q

eosinophil

A

fcepsilonRII

27
Q

neutrophil

A

CD15

28
Q

Basophil

A

Ic BB1

29
Q

erythrocyte

A

Glycophorin A

30
Q

megakaryocyte

A

CD41

31
Q

Th cells and subtypes

A

CD3+ and CD4+

32
Q

T cytotoxic cells

A

CD3+ and CD8+

33
Q

gamma delta cells

A

CD3+
gamma deltaTCR+
CD4-
CD8-

34
Q

natural killer T cells

A

CD3+

CD56+

35
Q

DIFFERENTIAL ANTIGENS OF T CELLS

A

Pro T- icCD3+
early thy- icCD3+
then the subsequent once lose icCD3+ and gain CD+3

36
Q

What is the consequence of a lymph node removal?

A

Lymhodema can develop because of the disturbance to the lymph drainage

37
Q

What is the consequence of a splenectomy (surgical removal of the spleen)?

A

Susceptibility to infections with encapsulated bacteria; the lack of memory cells leads to reduced immune memory

38
Q

MALT- mucosa associated lymphoid tissue

A

part of sec. lymphoid organs, contains
GALT: Gastrointestinal associated lymphoid tissue (tonsils, appendix, Peyer-patches)

BALT: Bronchoalveolar associated lymphoid tissue (lung parenchyme, bronchi )

Function: to accumulate the antigens

39
Q

What is the consequence of a tonsillectomy?

A

There is no direct immulogical consequence

40
Q

what are the basic laboratory tests of the immune cells?

A

Complete blood count with differential
Peripheral blood smear and bone marrow smear
Cytochemical reactions
Flow cytometry, immunohistochemistry
Cytogenetics, molecular genetics (See in Genetics and genomics)

41
Q

Complete blood count aims?

A

AIM:
Presence or absence of blood cell types
Ratio of cell types
Aberrant cell types

42
Q

Cytochemical reactions- PAS reaction and Esterase reaction with and without NaF inhibition

A

Pas Rxn: Although it stains the glycogen content of both myeloid and lymphoid cells, cellular origin
can be differentiated through their staining pattern. Cytoplasms of lymphoid cells show homogenous, while cytoplasms of myeloid cells show granulous colour after staining. PAS reaction may be helpful in the diagnosis of some cases of acute lymphoblastic leukemia (ALL) and some subtypes of acute myeloid leukemia (AML).

Cytochemical esterase reaction allows the distinction between myeloid cell types: monocytes and neutrophil granulocytes.

this reaction is the most suitable for identifying monoblastic leukemias.

43
Q

Flow cytometry distribution by the size and granularity

A

..

44
Q

Immunohistochemistry

A

Immunohistochemistry means the determination of antigens in tissue sections by the use of labeled
antibodies. Antigen-antibody interactions enable the specificity.

45
Q

communication between immune cells-

A
  1. Antigen presentation is based on the complex and direct interactions between APC and T
    lymphocytes. The direct „meeting” is absolutely necessary for T cell activation.
  2. The immune response is closely regulated by different soluble mediators derived from local
    cells. These substances (cytokines, prostaglandines, prostacyclines, biogen amines, etc) get
    through to their target cells via diffusion or through the lymphatic system or blood flow. The
    main soluble regulatory molecules in the immune system are cytokines.
  3. MVs mediated communications

MVs – also known as exosomes, ectosomes/microparticles, microvesicles or apoptotic bodies – can
derive from cells either by apoptosis or by processes under physiological conditions from several
activated cell types.