Basics Flashcards
where are b cells found in lymph nodes
follicle
germinal centres
where are t cells found in lymph nodes
paracortex
where are MO found in lymph nodes
medullary sinuses - commincate with efferent lymphatics
where are plasma cells found in lymph nodes
medullary cords
what part of a lymph node is underdeveloped in digeorge syndrome (not velocardiofacial syndrome)É
paracortex
splenic dysfunction makes susceptibility to what moos increase?
encapsulated
- strep pneumonia
- h influenza
- n meningities
- e coli
- salmonella
- klebsiella
- GBS
where are T cells found in the spllen?
periarteriolar lymphatic sheath in the white pulp of the spleen
where are B cells found in the spleen
follicles in the white matter
where are apcs found in the spleen?
marginal zone between the white and red matter
describe what you see post-splenectomy?
howell-joly bodies - nuclear remnants
target cells
thrombocytosis - no sequestration no destruction
lymphocytosis - no sequestration
where is the thymus derived from
third pharyngeal pouch
what is a Hassall corpuscle
containes epithelial reticular cells
found in medulla
Remember Dr G first term, first small group room
loci of MHC I
HLA-A
HLA-B
HLA-C
loci of MHC II
HLA-DR
HLA-DQ
HLA-DP
what type fo antigen does MHC I expresse
endogenous (viral and self)
what type of antigen does MHC II express?
exogenous (bacterial)
hotdog MHC - Dr Young imm second term KBT
MHC II - alpha and beta, two transmembrane, invariant chain. ag in RER
gyro MHC - Dr Young imm second term KBT
MHC II - alpha, b2 macroglobulin, one transmembrane, ag in acidified endosome (degrades invariant chain)
crosses epithelium by transcytosis
IgA
C reactive protein
positive/upregulated acute phase protein
opsonin; fixes complement and favilitates phagocytosis
Ferritin
positive/upregulated acute phase protein
binds and sequesters iron to inhibit microbial iron scavenging
Fibrinogen
positive/upregulated acute phase protein
coagulation factor; promotes endothelial repair; correlates with ESR
Hepcidin
positive/upregulated acute phase protein
prevents release of iron bound by ferritin - anaemia of chronic disease
what is elevated in anaemia of chronic disease
ferritin and hepcidin