Cell mediated immunity Flashcards

1
Q

What are MHCs?

A

Major Histocompatability complexes are proteins on the cell surface that present antigens

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2
Q

Where is the gene for MHC located?

A

Short arm of chromosome 6

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3
Q

Where are MHC class 1 found?

A

Expressed on all nucleated cells

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4
Q

Which proteins make up the MHC class 1?

A

HLA- A, HLA -B, HLA-C

HLA-E, HLA-F, HLA-G

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5
Q

Which MHC is found on the placenta?

A

Predominately HLA-G

Also HLA-C, HLA-E, HLA-F

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6
Q

Which MHC class is suppressed in pregnancy?

A

MHC class II

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7
Q

Which proteins make up MHC class II?

A

HLA-DR, HLA-DQ, HLA-DP

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8
Q

Where are MHC class II proteins expressed?

A

On antigen presenting cells

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9
Q

What are the specialised antigen presenting cells?

A

Macrophages, dendritic cells, B cells

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10
Q

Which cells are leucocytes derived from?

A

Myeloid progenitor cells

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11
Q

What is the role of CRP?

A

An acute phase serum protein that coats pathogens to promote opsonization

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12
Q

Where is CRP produced?

A

In the liver

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13
Q

How does sickle cell disease alter ESR levels?

A

They decrease

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14
Q

How does heart failure alter ESR levels?

A

They decrease

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15
Q

How does Polycythaemia alter ESR levels?

A

They decrease

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16
Q

What kind of molecule is a cytokine?

A

A glycoprotein

17
Q

Which cytokines are produced by Th1 cells?

A

IFN-gamma and IL2

18
Q

Which type of immunity do Th1 cells promote?

A

Cell mediated immunity via macrophages and CD8 cells

19
Q

Which type of immunity do Th2 cells promote?

A

Humoral immunity via B lymphocytes

20
Q

Which cytokines promote Th1 cell development?

A

IFN-gamma and IL2

21
Q

Which cytokine promotes Th2 cell development?

A

IL-4

22
Q

Which MHC do T-helper cells act on?

A

MHC-2

23
Q

Which T-helper cells are promoted in pregnancy?

A

Th 2 - humoral immunity

24
Q

Which T helper cells are down-regulated in pregnancy?

A

Th-1 cell mediated immunity

25
Q

Which cytokine is suppressed by HLA-G in pregnancy?

A

IFN-gamma (a Th1 promoter)

26
Q

Which pathogens do eosinophils attack?

A

parasites

27
Q

Which MHC does NK cells bind to?

A

MHC-1

28
Q

Which cytokines stimulate NK cells?

A

IL-1 and IFN-gamma