CD4 T Cell Effects (Exam 3) Flashcards

1
Q

What kind of T cell is polarized and activated in response to microbes living in phagosomes of macrophages? What cytokine do they secrete?

A

Th1 cells
IFN-y

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2
Q

In response to a microbe in a phagosome of a macrophage, Th1 cells secrete IFN-y which has what effect?

A

activates macrophage to kill microbe

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3
Q

(T/F) Th1 cells directly kill microbes in phagosomes of macrophages by secreting IFN-y.

A

False - activate macrophage which directly kills it

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4
Q

Th1 cells are stimulated to respond to microbes in phagosomes of macrophages when APCs secrete what cytokine?

A

IL-12

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5
Q

What cells respond to microbes NOT in phagosomes, but are the cytoplasm of infected cells? How do they respond?

A

CTLs (CD8+ cytotoxic T cells)
direct killing of infected cell

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6
Q

What are the 3 phases of the cell-mediated immune response (T cells)?

A
  1. induction phase
  2. migration phase
  3. effector phase
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7
Q

In the induction phase of cell-mediated immunity, _____ present antigen to T cells which leads to their proliferation and differentiation. These cells enter ________.

A

APCs
circulation

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8
Q

During the migration phase of cell-mediated immunity, circulating T cells bind to activated _________ on endothelial cells which bring them to the infection site.

A

adhesion molecules

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9
Q

During the effector phase of cell-mediated immunity, T cells recognize specific antigen and secrete _______ which causes what response?

A

cytokines
activate phagocytes + inflammation

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10
Q

What happens to T cells which are not specific for antigen that arrive at the infection site?

A

return to circulation

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11
Q

List 2 functions of Th1.

A
  1. classical macrophage activation
  2. bind complement / opsonization of IgG
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12
Q

List 5 functions of Th2.

A
  1. produce IgE
  2. repair tissues
  3. mast cell degranulation
  4. barrier immunity (GI)
  5. activate eosinophils
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13
Q

In terms of Th2 and its function in GI barrier immunity, what two specific things does it do?

A

mucous secretion
peristalsis

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14
Q

Th2 functions in tissue repair via _______ macrophage activation which causes ________ and ________.

A

alternative
collagen synthesis
fibrosis

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15
Q

List 3 functions of Th17.

A
  1. activate neutrophils/inflammation
  2. secrete antimicrobial peptides
  3. increase mucosal barrier
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16
Q

What is the role of IL-12 in cell-mediated immunity? Which T helper cell develops?

A

APCs secrete IL-12 which stimulates Th1 development

17
Q

What happens to T cells that recognize their specific antigen at the infection site?

A

retained at site to stimulate inflammation & killing of microbes

18
Q

What happens to T cells which are not specific for antigen that arrive at the infection site?

A

return to circulation via lymphatic vessels

19
Q

What is the role of CD40-CD40L?

A

binding –> stimulate APC to secrete IL-12 = differentiation of Th1

20
Q

What is the role of IFN-y? What is it produced by?

A

activates macrophages to kill phagocytized microbes

produced by Th1 cells

21
Q

When macrophages become activated, they produce _______ and _______ which kill the microbes in their phagosomes.

A

nitric oxide
lysozyme

22
Q

_____ cells facilitate tissue repair by secreting ____ and ____, activating macrophages to express enzymes which promote collagen synthesis and fibrosis.

A

Th2
IL-4 + IL-13

23
Q

What happens when activated macrophages cannot eradicate an infection?

A

continued cytokine and GF production –> tissue injury –> fibrosis

24
Q

What is the hallmark of chronic delayed type of hypersensitivity reactions or DTH?

A

fibrosis

25
Q

When macrophages cannot eradicate an infection, chronic cytokine signals cause macrophages to take on appearance of ______ cells and fuse to make ________ cells.

A

skin epithelial cells
multinucleated giant cells

26
Q

Term for nodules of inflammatory tissue created by chronically activated macrophage clusters when an infection cannot be eradicated.

A

granulomas

27
Q

What immune response is predominant in helminth infections?

A

Th2 effector T cell response

28
Q

Of the Th2 effector T cell response to helminth infection, ___ and ___ cytokines produce IgE and ____ activates eosinophils which bind to the worm to release granules and destroy its integument.

A

IL-4 + IL-13
IL-5

29
Q

What are 2 types of memory T cells?

A

central memory T cells
effector memory T cells

30
Q

Where do central memory T cells go? Effector memory T cells?

A

central: lymph nodes
effector: peripheral tissues

31
Q

Match each to the appropriate memory T cell type:

  1. immediate vs. limited effector functions
  2. rapid proliferation vs. no proliferation
A

Central: limited effector function, rapid proliferation

Effector: immediate effector function, no proliferation