Cell mediated immunity (year 2) Flashcards

1
Q

what is required for antibody to be produced?

A

T and B cells

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2
Q

if antibody can’t be produced what can this lead to?

A

higher mortality rates and great susceptibility to disease

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3
Q

what are T and B cells?

A

circular cells with T cell receptors (TCR) and B cell receptors (BCR) on them

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4
Q

what are the three main regions on the receptors?

A

constant, variable and transmembrane

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5
Q

what are the two forms of T cell receptors?

A

alpha/beta heterodimers

gamma/delta heterodimers

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6
Q

where are alpha/beta heterodimers found?

A

they are membrane bound and the classic MHC class I or II

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7
Q

where are gamma/delta heterodimers found?

A

these are non-membrane bound and bind to free specialised antigens - lots found in cattle

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8
Q

what letter do B cell receptors resemble and what is this structure similar to?

A

Y - an antigen

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9
Q

where does T cell selection occur?

A

in the thymus

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10
Q

what does MHC stand for?

A

major histocompatibility complex

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11
Q

describe the process of T cell selection

A

arrive as double negative - lack CD4/CD8
T cells get given both CD4 and CD8 surface markers so are now double positive
T cell then undergoes positive selection in response to whether they recognise MHC (the way antigen is presented)
they then undergo negative selection in response to whether they recognise self-proteins
finally move into the medulla where they become single positive for either CD4 or CD8

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12
Q

what does MHC do?

A

presents the antigen to a host T cell

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13
Q

how is MHC classified?

A

class I and II

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14
Q

which class of MHC does CD4+ T cells recognise?

A

class II

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15
Q

which class of MHC does CD8+ T cells recognise?

A

class I

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16
Q

on what cells in MHC class I expressed?

A

all nucleated cells except RBCs, platelets and nerve cells

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17
Q

what cells express MHC class II?

A

all professional antigen presenting cells

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18
Q

give examples of some professional antigen presenting cells (APCs)

A

dendritic cells
macrophages
B cells

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19
Q

MHC shows heterozygosity. what significancy does this have?

A

there is huge genetic diversity which can lead to disease resistance

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20
Q

where is the MHC complex assembles?

A

inside the cell, it is then transported to the surface where T cells can recognise the proteins

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21
Q

what determines if the antigen is presented as class I or II?

A

the route of entry

22
Q

what antigens are presented as as class I?

A

intracellular pathogens that directly enter the cytosol and undergo endogenous antigen processing

23
Q

what antigens are presented as class II?

A

extracellular pathogens that enter the cells via endocytosis or phagocytosis and undergo exogenous antigen processing

24
Q

describe the process of exogenous antigen processing

A
extracellular pathogens enter the cell and are processed via the endocytic pathway, the peptides are then presented by MHC class II molecules
these are recognised by T cell receptors of CD4+ T helper lymphocytes and cytokines are secreted which enhances the humeral (antibody) and cellular immune responses
25
describe the process of endogenous antigen processing
intracellular pathogens are processed via cytosol and proteasome and the resulting peptides are presented by MHC class I these are recognised by T cell receptors of CD8+ T cytotoxic lymphocytes cytokines are then secreted which enhances cell mediated immunity
26
what are the 3 types of T cell?
cytotoxic CD8 T helper 1 CD4 T helper 2 CD4
27
lymphocytes express thousands of identical receptors unique for what?
a single epitope
28
cytotoxic T lymphocytes are restricted to which MHC class?
class I - they are CD8 positive
29
what do cytotoxic T cells do?
kill cells that are infected with intracellular pathogens
30
T-helper lymphocytes are restricted to which MHC class?
class II - they are CD4+
31
what is the role of T-helper cell 1 (Th1)?
proinflammatory - activates cytotoxic T lymphocytes to kill intracellular pathogens
32
what is the role of T-helper cell 2 (Th2)?
anti-inflammatory - stimulate antibody production and switching
33
what is Th0?
an undifferentiated T helper cell
34
what can Th0 differentiate into?
Th1, Th17 and Th2
35
what drive Th0 differentiation?
cytokines
36
what are cytokines?
soluble protein messengers of the immune system
37
what T helper cells are involved in cell mediated immunity?
Th1 and Th17
38
what factors dictate the type of cellular immune response?
type of pathogen (intra/extracellular) | cytokine microenvironment
39
what is a cytokine microenvironment?
small localised part of a lymph node, spleen or intestine
40
what microorganisms will cause Th0 to differentiate into Th1?
bacteria and viruses
41
what microorganisms will cause Th0 to differentiate into Th1?
bacteria and fungi
42
what microorganisms will cause Th0 to differentiate into Th2?
helminths, yeast, bacteria
43
name the effectors released from CD8 cells
``` IFN-gamma TNF-beta perforin granzymes fas ligand ```
44
name the effectors released from Th1 cells
``` IFN-gamme IL-3 IL-2 TNF-alpha TNF-beta ```
45
name the effectors released from Th2 cells
``` IL-4 IL-5 IL-10 IL-13 CD40-ligand ```
46
Th1 and Th2 have antagonistic mechanisms, what are these?
Th1 - IFN-gamma antagonises Th2 | Th2 - IL-4 and IL-13 antagonises Th1
47
why is the antagonism of Th1 and Th2 a problem?
often with responses are needed to clear an infection so the first pathway that is triggered needs to be over come
48
what happens once antigen is presented?
clonal expansion
49
describe the process of clinical expansion
the single T/B cell proliferates the cells enlarge and stop migrating chromatin becomes less dense to allow protein synthesis within a few hours lymphoblasts have formed lymphoblasts give rise to 2-4 daughter cells each day producing memory lymphocytes and effector cells
50
what cells need activation to survive and which don't?
effector cells do | memory cells don't