Cell-Mediated Immunity (Lecture 5) Flashcards

1
Q

B Cell Differentiation

For most antigens, B cell activation necessitates binding of the ____ to the cell’s antigen receptor and interaction between the ____ cell and a ____ cell.
This requires ____ contact between the cells and expression of membrane and secreted molecules (____) by the T cell that bind to receptors on the B cell.

A
antigen
B
T
physical
cytokines
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2
Q

B Cell Differentiation

B cell activation is a ____-step process initiated by binding of antigen to the B cell antigen receptor (antibody)

B cell: expresses BOTH ____ and ____; ____ APC; can take up the antigen that it’s ____ for, internalize via RM endocytosis, and present the antigen as a ____ molecule; now a T cell can come along and provide step 2, must recognize the peptide in associated with class II, and the molecules (CD) reciprocally expressed, induces T cell to secrete ____ to bind the B cell which fully activates the B cell

B cells are unique > the only example where ____ in antigens that they’ll process and present; all other APC are nonspecific, anything they bind and get within cytoplasm (pro APC), or any cell that is made inside of it; no specificity whatsoever

common in ____ responses to antigens

remember, B cells also express ____, so cyto T cells can also attack infected B cells

A

two
MHC class I
II
professional

specific
class II
cytokines

specificity
memory

MHC class I

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3
Q

B Cell Differentiation

Binding of antigen to membrane ____ results in the delivery of biochemical signals that initiate the ____ process.

A

immunoglobulin

activation

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4
Q

B Cell Differentiation

there are antigen-dependent and indepedent stages of lymphocyte development

indepedent of presence of antigen > everything occurring in ____ > undergoing series of differentiation events [the ____ of segments of DNA that encode light/heavy chain proteins] so they can produce Ab molecules that can be express on cell surface; express ____ and ____ molecules before they leave BM; any B cell that has affinity for self receptor (autoreactive), it is induced to undergo ____ in bone marrow > only cells that get out should be capable of binding foreign antigens

when B cells leaves BM > everything else is dependent on presence of antigen; activation of B cell can require the presence of ____ or can be independent of ____ (activated directly)

independent: activation by ____ antigen > crosslink ____ receptors on same cell (mimics both signal one and two) > differentiates into ____ that secretes ____ (limited to illiciting production of IgM, not the greatest immune response) (this is typically the first thing to occur relative to the ____ response)

A
bone marrow
random rearrangement
IgM
IgD
apoptosis

T cell
T cell

polysaccharide
multiple
plasma cell
IgM
humoral
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5
Q

B Cell Differentiation

T dependent types of antigen: B cell interacts via ____ (desiginated here as TH2, TH1 can also do this) > B cell induced to undergo ____ > differentiate into ____, and a subpopulation into ____; the plasma cells can undergo ____ > stop producing IgM and class switch to unique isotypes of Ab (cytokines that mediate this are ____, ____ or ____; these cytokines secreted by T cells fine tune the humoral immune response, at mucosal > IgA, parasite > IgE , systemic EC > IgG)

A
Helper T
proliferation
plasma cell
memory cell
class switching
Tfh
Th1
Th2
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6
Q

Functions of TH1 and TH2 Cells

Induction of Class Switching in B cells

default pathway in absence of T cell help > ____; in presence of T cell > IgM, IgG, IgA, IgE

***____ (produced by Th1 subset of cytokine) will induce class switching to ____

***____ (Th2 derived cytokine); class switching to ____

A

gamma interferon
IgG
IL4
IgE

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7
Q

Function of Tfh Cells in Mucosal Immunity

secondary lymphoid is found underlying mucosal tissue; in gut > ____ patches

in peyer’s patches, are areas that are involved in T cell and B cell activation > large number of ____ helper T cells > secrete ____ > induces class switching of cells to produce ____

A

peyer’s
follicular
TGFbeat
IgA

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8
Q

Function of the TH17 Subset

Th17 secretes large number of cytokines, secretes ____ (pro-inflam molecule); ____ is an inducer of inflammation

associated with ____ of inflammatory reactions; can affect biology of endothelial, fibroblasts, epi cells and macrophages [these all express receptors]; these cells then secrete more ____ molecules (do not need to know all these other molecules) > which then results in recruitment of ____ recruitment > therefore, Th17 immunity against ____ infection (macrophages via phago and neutrophils via phago)

the downside of this mechanism? when proinflam molecules are unregulated > play important role in ____ responses; and they can also play a role in ____

A

IL17
TNF-alpha

upregulation
pro-inflam
granulocyte
extracellular bacterial

chronic inflammation
AIDs

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9
Q

Function of the Treg Subset

Generally act to ____ immune reactions.

Treg responsible for turning the helminthic response ____; block ____, block production of ____ by B cells, inhibit ____ responses, block production of secretion of mucus; too much immune response > tissue destruction

***Q: ____is produced by regulatory T cells; importance of IL10 it inhibits the activation of ____ responses
(TH2 also inhibits the activation of the TH1 subset)

A
down modulate
off
vasodilation
IgE
TH2

IL10
TH1

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10
Q

Effector Functions of TH1 Cells

main functions associated with TH1: fine tuning the response to best address the infection

1) activate macrophages (via ____)
2) ***secrete ____ > class switching to ____ > IgG induce activation of ____ cascade, act as ____ (induce activity of phagocytic cells)
3) enhance killing of IC bacteria by neutrophils via secretion of ____ and ____ (do not memorize #3)

A
gamma interferon
gamma interferon
IgG
opsonins
lymphotoxin
TNF
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11
Q

Immunity Against Intracellular Bacterial Infections

Acquired immune responses to microbes that reside within the phagosomes of phagocytes are mediated by ____ specific for microbial antigens. Cytokines produced by ____ are of particular importance.

Examples include:
• Mycobacteia
• Salmonella typhimurium
• Listeria spp.

bacteria living in phagosomes have figured out ways to survive: inhibit ____ of phagosomes w/ lysosomes, or if fusion occurs, they inhibit ____ responsible for killing (the others besides listeria)

some bacteria will try to escape the phagosome and enter the cytoplasm; difficult types of infection to eliminate (____ is an example)

A
T cells
Th1 helper T cells
fusion
mechanism
listeria
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12
Q

Immunity Against Intracellular Bacterial Infections

the cell processes and present some of bacterial antigen on cell surface that can now be recognized by CD4+ T cells (the Th1 subset is involved in the activation of the cell)

once the cell is activated; TH1 cells secretes ____, and the cell becomes activated > fusion of phagosomes with lysosomes > phagolysosomes, the ingested bacteria are degraded and killed

the red dots are mycobacterial cells in the micrograph; once activated, there are few red dots left

experiment:
infected diff types of cells with listeria (which enters the cytoplasm); incubate the cells for different periods of time in conjunction with T cells and even the media produced by T cells

mixing T cells with macrophages resulting in activated ____, the level of bacterial killing is very efficient > almost ____ of the bacteria are killed over the course of this experiment; in order for a macrophage to kill an IC bacterium > requires interaction with ____

A

gamma interferon
macrophages
100%
T cells

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13
Q

Effector Functions of TH1 Cells

____ serves as APC, processes bacterial antigens in class II molecules > presents to ____ cell, secretes gamma interferon, binds to surface of macrophage, and induces activation of the ____, results in fusion of phagosomes and lysosomes > enhanced killing of bacterial cells

what also occurs:
genes encoding \_\_\_\_ molecules are upregulated, express more class II moelcules on surface, more effectively process and present bacterial antigens to \_\_\_\_ > exactly what you want happening because the macrophages need help in removing IC bacteria

will also upregulate ____ molecules (____) > recruit additional inflam cells to site where it is activated (acts as an ____ of inflammatory response) (will want it to be turned off by Treg eventually)

A

macrophage
CD4+
macrophage

class II
T cells

pro-inflam
TNFalpha
amplifier

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14
Q

Immunity Against Intracellular Microbial Infections

bacteria contained within phagosomes are eliminated when phagosomes fuse with lysosomes; but the bacteria in the ____ are unaffected > their antigens can now be processed and presented via MHC ____ and then targeted by ____ cells

A

cytoplasm
class I
class I
cytotoxic CD8+ T

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15
Q

Immunity Against Intracellular Bacterial Infections

mycobacterium tuberculosis > inhibits ____ formation

microbes taken up into phagosomes, but m. tuberculosis has figured out a way to prevent fusion with lysosome

TH1 tries to activate the macrophage, but cannot be effective bc the ____ is inhibited; overtime: continually inhibited by T helper cells > formation of multinucleated giant cells (____) > overtime they get bigger and bigger > in the center: multi-nucleated giant cells, all have mycobacterium inside of them; on periphery is a layer of ____ cells, and on the outside are ____ cells (trying to stimulate macrophage to kill the bacterium within)

T cells contain infection within granuloma, but there are always viable organisms within; if the person becomes immune and T cells become ____, bacteria is released into tissue and infection > formation of ____ in this case

no symptoms other than a ____ test and a ____ when they undergo the test; but they have the potential of reactivating the ____

A
phagolysosome
phagolysosome
granuloma
epitheloid
helper T cells

immune
tuberculosis

+ TB test
+ chest x-ray
disease

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16
Q

Delayed-Type (Type IV) Hypersensitivity

Three Phases

1) ____ exposure to antigen: induction of the response; macrophage gobbles up the bacterial cell/protein > processes and presents protein in context of ____ (must be a professional APC); peptides presented to T cells, provides signal #1 and #2 for the ____; undergoes proliferation, some cells will diff into effector ____ cells, others will diff into ____ cells (secondary responses to the antigen)
2) re-exposure to antigen: generation of ____ cells; mature ____ cells
3) go to site where antigen has been deposited, activated by present of antigen and secrete ____ that accumulate inflammatory cells

takes ____ hours for 2) and 3) > called a delayed-type reaction (as opposed to immediate via IgE activation of mast cells)

A
primary
self-class II
CD4+
effector TH1
memory

effector T
CD4+ TH1

cytokines

24-48

17
Q

Delayed-Type (Type IV)
Hypersensitivity

can also see them in context of ____

some people are allergic to haptens, posion ivy, nickel and chromate

allergic to latex; mediated by ____ (earlier), lesions on hands is manisfestations in response to proteins found on latex

A

allergies

type I hypersensitivity

18
Q

Effector Functions of TH2 Cells

IL4 > ____ via plasma cells***

____ and ____ cells*** in relation to infection by helminths

production of IL5 > upregulation of production of ____ in bone marrow, and their activation, and collectively in context of this and IgE: helminthic functions are dealt with effectively

TH2 subset is important in activating ____ (differently than TH1 subset)

A
IgG
IgE
mast
eosinophils
macrophages
19
Q

Roles of Th Subsets in Antimicrobial Immunity

KNOW THIS TABLE; do not need to know diseases, and only cytokines he mentioned

don’t forget about Treg subset

include: production of TGFbeta by Tfh

do not need to know the roles in diseases, or any cytokines he didn’t mention in lecture

A

YA

20
Q

Transplant Rejection

Types of Transplants

between the same person = ____

between members of same species that aren’t genetically identical = ____

between species = ____

A

syngeneic
allogeneic
xenogeneic

21
Q

Allografts in Dentistry

buy bone from cadavers = ____

A

allograft

22
Q

Xenografts in Dentistry

dead cow/pig = ____

A

xenograft

23
Q

Patterns of Graft Rejection

three patterns of graft rejection

(1 and 2 involved with ____ HC, 3 is ____ HC)

1) hyperacute: no longer a problem bc of all the cross-matching and blood matching they do in transplants; would have antibodies that would recognize antigens on the grafted tissues > activate ____ and ____ and destroy vasculature (antibody-medaited response)
2) acute: what happens in the skin graft experiments; T cells (____ and ____) recognize ____ molecules > once activated, cyto T cells kill the cells of the transplanted organ, and then helper induces ____ reaction; and then production of antibody and get involved (but mostly cell-mediated)
3) chronic: takes ____ days to manifest itself; involved with activation of ____ cell response; involved with ____ complex antigens

A

major
minor
complement
neutrophils

CD4+
CD8+
non-self MHC
inflammatory

60
helper T
minor histocompatability complex