Case Studies Linked to Tumour Immunology - Tut 6 Flashcards

1
Q

What are the cardinal features of adaptive immunity responses?

A
  1. Specificity
  2. Diversity
  3. Memory
  4. Clonal Expansion
  5. Specialisation
  6. Contraction and Homeostasis
  7. Non-reactivity to self
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2
Q

What describe what specificity means in relation to the adaptive immune response?

A

ensures that the immune response to a microbe (or non-microbe) is targeted to that microbe (or antigen)

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3
Q

What describe what diversity means in relation to the adaptive immune response?

A

enables immune system to response to a large variety of antigens

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4
Q

What describe what memories means in relation to the adaptive immune response?

A

Increases ability to combat multiple or repeat infections by the same microbe/antigen

is the basis of how vaccines works

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5
Q

What describe what “clonal expansion” means in relation to the adaptive immune response?

A

increase number of antigen-specific lymphocytes to keep pace with microbe

exponential increase

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6
Q

What describe what specialisation means in relation to the adaptive immune response?

A

generate responses that are optimal for defence against different types of microbes

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7
Q

What describe what contraction & homeostasis means in relation to the adaptive immune response?

A

Allows immune system to recover from one response so it can effectively respond to newly encountered antigens

ability to switch on and off immune response

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8
Q

Non-reactivity to self

A

Prevents injury to the host during responses to foreign antigens

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9
Q

How do B-lymphocytes recognise antigens and what effect do they cause?

A

B-lymphocyte recognises antigen as it binds to receptors and precipitates

forms an Ag-An complex

This can then either bind to;

a. macrophage which causes the neutralisation of the microbe via phagocytosis
b. complement system and activates it

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10
Q

How do Helper T lymphocytes recognise an antigen and what effect/s doe this stimulate?

A

Helper T cells bind to a microbial antigen presented by antigen-presenting cell

causes production of cytokines to occur which;

a. Activates macrophages = neutralisation of microbe via phagocytosis
b. activates inflammation via neutrophils
c. activation (proliferation and differentiation) of T and B cells

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11
Q

How do Cytotoxic T lymphocytes (CTL) recognise an antigen and what do they activate?

A

CTLs bind to an infected cell expressing a microbial antigen

and causes the killing of the infected cell

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12
Q

How do regulatory T lymphocytes recognise an antigen and what effect do they cause?

A

Tregcells cause the suppression of other lymphocytes

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13
Q

What are the 5 phases of the adaptive immune response?

A
  1. Recognition of the antigen
  2. activation of lymphocytes
  3. Elimination of antigen
  4. Response contraction (homeostasis)
  5. Memory
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14
Q

What typically occurs during the contraction (homeostasis) phase of the adaptive immune response?

A

response contracts decline as antigen-stimulated lymphocytes undergo apoptosis which restores homeostasis

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15
Q

What is a cutaneous melanoma?

A

Cutaneous = skin

Melan = melanocyte, MALIGNANT non-epithelial, non-mesenchymal neoplasm

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16
Q

What is meant by hypermetabolic foci?

A

fast-growing via metabolism of molecules

17
Q

What is ipilimumab?

A

Is an Anti-CTLA-4 antibody

which inhibits the inhibition of the Tcell

aka removes “the brakes” of the immune system

18
Q

What is the abscopal effect?

A

is when the effect of treatment occurs far from the site of action (i.e. radiation therapy was applied to the paraspinal mass but regression of tumour occurred in the liver as well)

Xray irradiation

  1. cell killed via irradiation
  2. antigen-presenting cells (APC) presents tumour antigens to CD8+ T-cells
  3. CD8+ T-cells circulate through the body destroying both directly irradiated and “abscopal” tumours
19
Q

Is combination therapy better or worse? Why?

A

Better in certain cases. In one we were provided radiotherapy in combination with Anti-CTLA-4 drugs reduced metastasis the most

20
Q

What does SABR stand for?

A

Stereotactic ablative radiotherapy (SARB)

21
Q
A