BLOCK 2 DR. SMITH Flashcards

1
Q

What is VDJ recombination ?

A

Defining feature of the adaptative immune system that results in great antibody variability allowing us to be able to respond to many different antigens.

VDJ recombination occurs in germline DNA.

It produces a very unique variable regions in heavy & light chains of Ab.

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2
Q

What is junctional diversity ?

A

Nucleotides can be added or deleted at the junctions of cut DNA during recombination, which results in changes in antigen binding sites.

Allows for even more diversity.
80% of Ig molecules have this extra step.

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3
Q

What is somatic hypermutation ?

A

Mutations that occur in V genes of H or L chains over the life of the B cell, usually after activation/proliferation.

Adds even more diversity.

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4
Q

In BCR, heavy chains undergo VDJ recombination whereas light chain undergo ?

A

VJ recombination only.

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5
Q

What is the role of RAG enzymes ?

A

Binds to the recombination signal sequence (RSS), creates nick in the DNA, forms hairpin loop on coding segment.
Performs the recombination itself.

Without these RAG enzymes, you don’t have mature B & T cells, only precursors.

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6
Q

What is the role of TdT enzyme ?

A

Further processing and addition/substraction of nucleotides on coding ends creating** junctional diversity.**

Without TdT, you still have an immune response, but not as good as someone who would have this junctional diversity (additional protection).

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7
Q

B cells originate from ?

A

Bone marrow

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8
Q

Pre-B cells have what special feature ?

A

Recombined heavy chains

Use surrogate light chain & Ig alpha & Ig beta for signal transduction. The surrogate light chain appears to serve to form an IgM-like complex on the surface of pre-B cells which signals that a productive heavy chain rearrangement has taken place, and gives a signal to the cell to commence light chain rearrangement.

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9
Q

Pre-B cells becomes an Immature B when ?

A

Heavy chain and light chain is fully recombined and full membrane IgM present (functional BCR).

If it binds correctly, then signals to promote survival are sent, allelic exclusion of light chain occurs and subsequent shut down of RAG activity.

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10
Q

Mature B cell co-expresses ?

A

Membrane IgM & IgD

Maturation occurs either in the bone marrow or the spleen. The mature B cell is still naive.
Right after getting out of the bone marrow and spleen is the only moment where B cells are going to express 2 different types of receptors. Shortly after, IgD will be loss (never seen in serum).

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11
Q

What is allelic exclusion?

A

A process by which only one allele of a gene is expressed while the other allele is silenced. This phenomenon is most notable for playing a role in the development of B lymphocytes, where allelic exclusion allows for each mature B lymphocyte to express only one type of immunoglobulin.

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12
Q

Hereditary inability to make Ab due to absence of BTK causing the B cell to be stuck in the pre-B phase :

A

Agammaglobulinemia

The specialized precursor cells that produce gammaglobulins, fail to develop or function properly leading to the deficiency in the number of mature B cells.

Recurrent infections usually with extracellular bacterial infections.

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13
Q

If the rearrangment of kappa light chain fails to express a functional, or generates a potentially harmful self-reactive receptor, then recombination is attempted on the lambda light chain. What is this process called ?

A

Receptor editing

B cells only can do this.

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14
Q

What is isotype switch and who can do it ?

A

Mature B cell, only if they recieve a signal from T cells and specific cytokines, can undergo a final step of maturation in the germinal center where they will undergo recombination again and switch isotype and then will become a plasma cell that will only secrete this isotype for the rest of its life.

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15
Q

CD4+ T cell interact with ?
CD8+ T cells interact with ?

A
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16
Q

Heterodimers of a & b chains alone are unable to leave the ER for cell surface expression. The heterodimer associated with 4 invariant transmembrane proteins to form the T cell receptor complex (CD3 and zeta chains) :

A
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17
Q

CD4 & CD8 T cells co-receptors function to ?

A

Stabilize the TCR/peptide/MHC complex
Facilitate signal transduction (kinase cascade)
Define the function of a T cell has helper T cell or Killer T cell

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18
Q

Heavy chains and light chain analogues in TCR:

A

Beta chain (heavy chain analogue)
alpha chain (light chain analogue)

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19
Q

BCR or TCR can only bind antigenic peptides and MHC residues ?

A

TCR

The hypervariable region (CDR) of the TCR variable region interact with the peptide bound in the peptide binding groove of a MHC molecule.
Every MHC can bind to multiple types of peptides, but the TCR are specific to the MHC+ peptide complex.

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20
Q

Were do T cells mature ?

A

In the thymus

Pro-T cells proliferate in response to Il-7 secreted from stromal cells of the thymus. Pro-T cells are double negative meaning they do not yet express CD4 or CD8 on their cell surfaces. Some cells rearrange their beta chain (VDJ recombination) at this point and become pre-TCR.

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21
Q

Pre TCR b chain protein expressed on the cells surface in association with an invariant protein, pro-Ta, that works as a surrogate. If this process is successful you then get rearrangement of :

A

alpha chain & allelic exclusion

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22
Q

Omenn syndrome results from ?

A

Missense mutations in RAG genes.

Basically, you have limited T cell repertoire.

Presentation : erythroderma, failure to thrive, hepatomegaly & splenomegaly, î lymph nodes, diarrhea, î eosinophil count. NK function is okay.
B cell deficit also. Bone marrow transplant is only option.

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23
Q

What stage of T cell that both expresses CD4 & CD8 can undergo positive selection ?

A

Double positive T cells

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24
Q

Positive selection in the cortex of the thymus refers to what process ?

A

Cell lineage comittment occurs :
ensures ability of T cell to bind to MHC I or II.

Mediated by CDR1 & CDR2 in TCR ‘‘caressing the shoulders’’ of MHC.

T cells with the affinity for MHC class I molecules will have CD8 marker retained and T cells with affinity for MHC class II will have CD4 retained.

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25
Q

T cells that survive positive selection (5%) now undergo negative selection in the :

A

Medulla of thymus

T cells with a TCR that binds moderately to a self-MHC molecule on APC are signaled to survive, mature and enter the peripheral population. T cells that bind too tightly to self MHC class molecules on APC of thymus (CDR3 binding) are signaled to die. This process is not perfect however, 10% may escape this negative selection and cause auto-immunity.

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26
Q

2-10% of T cell pool who does not undergo selection and migrate as CD4- and CD8- cells to epithelial tissues in skin, intestines and lungs ?

A

gamma delta T cells

They recognize non-peptide antigens
They are NOT MHC restricted
They are important early in adaptative immune response
In general, limited diversity but help with broad response

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27
Q

Distinctions between B cells and T cells

A
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28
Q

Which MHC is expressed by all cells in our body?

A

MHC class I

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29
Q

Which MHC is expressed by APCs?

A

MHC class II

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30
Q

HLA-A, HLA-B & HLA-C are associated with what MHC?

A

Class I

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31
Q

HLA-DP, HLA-DQ and HLA-DR are associated with what MHC?

A

Class II

2 letters

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32
Q

HLA helps you determine genetic susceptibility to certain autoimmune diseases. HLAB27 is an important one, associated with what condition ?

A

Ankylosing spondylitis

33
Q

Has 3 extracellular domains (a1, a2 & a3) and non-covalent association with B2 immunoglobulin ?

B2 immunoglobulin is a member of the Ig superfamily

A

MHC class I

Peptide binding domains accomodates 8-9 AA residues.

34
Q

CDR is the same as :

A

Hypervariable region

35
Q

Internally derived protein-peptides are degraded by proteasomes and carried to the **ER **by what protein in the context of MHC class I presentation ?

A

TAP protein

Endogenous antigens are catabolized in the cytoplasm.

36
Q

Has alpha and beta chains, and no B2 microglobulin as well as a larger binding site which accomodates 13-25 AA residues ?

A

MHC class II

37
Q

Loading of exogenous Ab happens in the endosome and an invariant chain (CLIP) is required to stabilize the MHC within the ER and facilitate routing of endosomes to the surface. What MHC are we talking about here ?

A

MHC class II

Exogenous antigens are catabolized in acid compartments.

38
Q

What is cross-presentation?

A

Specialized DC can endocytose antigen, but express it on class I MHC. Now they can interact with naive T cells, activate CD8 effector T cells for destruction of the pathogen.

This process is essential for activation of naive T cells. Helpful when a non-APC cell is infected with a virus.

39
Q

Post cross-presentation by dendritic cells, naive T cells become ?

A

Effector T cells.
Effector T cells can then help B cell make antibodies.

40
Q

Cellular immunity is mediated by

A

T cells

Required for effective response to cellular pathogens
Required for T dependent An response

41
Q

Lymphocyte meeting spot ?

A

Lymph nodes

Naive T cells can enter a lymph node either by blood or afferent lymph vessel coming from an upstream lymph node. They patrol all lymph nodes, looking for one which has a ‘‘their’’ antigen. If the APC presents an antigen that is specific to it, the naive T cell will be activated and then leave as an effector T cell via the efferent lymphatic or bv.
T lymphocytes enter secondary lymphoid organs, attracted by IL-7.
CCR-7 receptor allows Naive T cells to extravasate into the lymph node following CCR7 chemokine gradient of DCs.

42
Q

3 steps of T cell activation :

A
  1. TCR recognition
  2. Co-stimulation
  3. Cytokine signaling
43
Q

What is the role of Zap-70 ?

A

Upon interaction of TCR & MHC, zeta chains recruit zap-70 which phosphorylates adaptor proteins and basically activates many downstream pathways.

Zap-70 deficiency would result in low T cell response & recurrent infections in pts.

44
Q

Signal 1,2 & 3 require to happen for a little while in order to activate the T cell response. What proteins are expressed by each cell, allowing for the generation of the immune synapse?

A

T cell express LFA
APC express ICAM
interaction between these 2 allow the immune synapse to be created.

45
Q

What mineral is necessary for T cell signaling to occur properly?

A

Calcium

Dyfunction in CRAC channel would result in immunodeficiency.
Calcium binding to regulatory protein calmodulin activates downstream enzymes (basis of calcineurin inhibitors).
The final effect of this signaling pathway is secretion of IL-2 mRNA which is essential for T cell differentiation & proliferation. (*IL-2 is signal 3).
Poor calcium influx into the cell would be a way to measure T cell activity.

46
Q

The naive T cell expresses what co-receptor which will interact with B7.1/7.2 of APCs ?

A

CD28

47
Q

Effector T cells express what co-receptor which binds with CD40 on macrophages and B cells, boosting the macrophage killing and inducing class switching respectively?

A

CD40L

48
Q

'’Redbull’’ for T cell proliferation ?

A

IL-2
Secretion of IL-2 switches the affinity of the IL-2 receptor on T cells from low to high.
Note that high affinity IL-2 receptors on T cells are also known as CD25.

49
Q

Exposure to infectious agents would cause highest T cell number after how many days ?

A

7 days

We make more CD8 than CD4

Once the inx is under control, T cells will die off or will be inactivated and become memory T cells in a process called Contraction.

50
Q

Presence of IL-2R (CD25) would be an indication of ?

A

Naive T cell proliferation

Il-2 starts being secreted as soon as 3h after antigen recognized. The switch from low to high affinity IL-2 receptors on T cells usually occurs 12h after encountering the antigen.

51
Q

You get an effector T cell approx how long after antigen is encountered in the body?

A

1 day.

52
Q

CD40L same as :

A

CD154

53
Q

T Lymphocytes only react with peptide antigens. What happens when you have lipid and glycolipid antigens ?

A

CD1 presentation.

CD1 is the equivalent of MHC which can bind lipids/glycopeptides and present it to T cells. It binds the lipid portion of the antigen and exposes the polar region for T cell interaction. CD1 can present to Ab OR gamma delta T cells (CD1 a,b,c) and/or NKT cells (CD1d).

CD1 molecules present foreign and self lipids to diverse T cells and natural killer T (NKT) cells. Whereas the clonally restricted diverse T cells mediate adaptive immunity to microbial lipid antigens, the invariant subset of NKT cells mediates innate immune responses, responding rapidly and en masse.

Similar to MHC class I, it has a b2 microglobulin complex.

54
Q

What are NKT cells ?

A

Heterogenous group of T cells that share properties of both T cells and NK cells. (0.2 % of T cell population)
They recognize an antigen presenting molecule (CD1) that bind foreign lipids and glycolipids.

NKT cells are activated very early in an immune response and are capable of activating a variety of cell types, but lack immunological memory. As such, NKT cells appear to belong to the innate rather than the adaptive arm of the immune system

CD1d restricted*

55
Q

What are superantigens ?

A

NOT processed and presented to T cells. Intact molecule binds the MHC class II and crosslinks it with b chain of CD4+ T cell. causing T cells to divide and differentiate into effector T cells who release cytokines (IL-2, TNF-a, IL-1b).
Because the number of T cells that share Vb domains is high (10% of all T cells), large numbers of cells may be activated at the same time, regardless of antigen specificity leading to massive systemic disruption and clinical features similar to septic shock.

They are bypassing signal 1

They are predominantly bacterial in origin (staph enterotoxin and toxin-1 responsible for toxic shock syndrome)

56
Q

Help B cells proliferate
Help promote innate cell activities (make macro more killy)
Help T cells proliferate/differentiate into effector CTL

A

T helper cells

They are essential for a good Ab response.

57
Q

Subset of T helper lymphocytes that stay in the lymph nodes and hang out with B cells after being activated by the APC?

A

Follicular helper T cells.

Main player for activation of B cells and promotion of Ab production

Isotype switching & affinity maturation.

58
Q

Different fates of naive CD4+ T helper cells in the lymph nodes depending on cytokines present?

A

Th1
Th2
Th17
Tfh (follicular helper T cell)

59
Q

Intracellular microbes (mycobacteria) will promote differenciation of naive CD4 T cell into :

A

Th1 cell

60
Q

CD4 T cells differentiate into Th1 cells under influence of :

A

DC and NK cells will secrete IL-12 and IFN-y in response to intracellular microbes

61
Q

IL-4 drive differentiation of CD4 T cells into what in response to helminths?

A

Th2 cell

62
Q

Extracellular fungi and bacteria cause DCs to secrete what cytokines to induce proliferation of Th17 cells ?

A

IL-1
IL-6
IL-23
TGF-b

63
Q

Th17 secretes IL-17 and recruits :

A

Neutrophils

64
Q

Th1 cells secrete IFN-y, IL-2 and TNF-a and recruit/activate :

A

Macrophages
CD8 T cells

65
Q

Th2 activates eosinophils, mast cells & basophils and secrete :

A

IL-4
IL-5
IL-13

66
Q

Activation of what T helper cells may cause associated allergic response as a result of IgE activation ?

A

Th2 cells
secretion of IL-4 causes B cell to make IgE and subsequent degranulation of mast cells.

67
Q

IL4 and IL-13 secreted by Th2 cells are involved with :

A

Activation of M2 macrophage
î mucous secretion & peristalsis

68
Q

Secretion of Il-5 by Th2 cells is linked with activation of what granulocyte in response to helminth infection?

A

Eosinophils

69
Q

If a lot of Ab are being made, it is usually associated with what kind of T helper cells ?

A

Th2

70
Q

IL-17 secreted by Th17 cells will result in :

A

î inflammatory response (macro secrete IL-1, IL-6, TNF, CSF)
î neutrophil response
Antimicrobial peptides release

Antimicrobial peptides (defensins, cathelicidins).

71
Q

IL-22 secreted by Th17 cells role :

A
  1. Make epithelial cells better at their jobs (increase barrier integrity).
  2. Antimicrobial peptides (e.g. defensins)
72
Q

STAT 3 is involved in proliferation of what type of T helper cell ?

A

Th17

STAT 3 mutation would result in deficit in Th17 and bad protection against extracellular invadors (bacteria, fungi)

73
Q

What is HyperIgE syndrome aka Job syndrome ?

A

STAT 3 deficiency

Reccurent bacterial and fungi infections
They dont knwo why it is associated with increased IgE …

74
Q

Summary of all T cell associated cytokines

A
75
Q

Targets viruses, intracellular pathogens and tumor cells & is upregulated by Th1 activity?

A

Killer T cell (CD8+ T cell / cytotoxic T lymphocyte)

Th1 cells secrete IFN-y which stimulates CD8 T cell to release even more IFN-y.

76
Q

Mechanism of cell killing by Killer T cells ?

A

Activated CD8 cells kill target cells via apoptosis via release of cytotoxic granules. Biding of the TCR to the MHC class I triggers synthesis of perforins & granzymes, which are stored within the cytosol. Perforin assembles on target membranes, allowing delivery of granzymes into the target cell. Granzymes are a group of serine proteases that activate capases, leading to cell death. Direct cell-cell contact is critical for this system to function. CD8 cells can also induce apoptosis by ligation of Fas and Fas ligand, which are expressed on lymphocytes and on infected target cells and also involves activation of caspases.

Fas/FasL same as CD95/95L

77
Q

What cell provide moral support to killer T cells ?

A

Th1 cells via cross-presentation.
* Th1 = T helper cell type 1

78
Q

Effector T cells leave the lymph nodes via efferent vessels following what gradient ?

A

S1PR1

79
Q

Memory T cells require what cytokines for development ?

A

Il-7 & Il-15