Chapter 7: Humoral Immunity Flashcards

1
Q

Difference between IgM on surface of B cell and secreted IgM?

A

IgM on surface of B cell is a monomer; secreted IgM is a pentamer (highest avidity)

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2
Q

How is the pentamer version of IgM held together?

A

By J chain synthesized by the cell

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3
Q

Because IgM is incapable of binding to Fc receptors, what are some major disadvantages?

A
  1. cannot act as an opsonin or;
  2. cannot act as a mediator of anti-body dependent cell-mediated cytotoxicity (ADCC)
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4
Q

Hyper IgM syndrome inheritance pattern?

A

X linked most commonly; can be acquired

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5
Q

Describe the Ig levels in those with Hyper IgM syndrome?

A

IgG, IgA, and IgE are low
IgM elevated

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6
Q

In addition to high numbers of IgM secreting plasma cells in those with X-linked hyper-IgM syndrome; what are there autoantibodies to found in the blood?

A

neutrophils, platelets, and red blood cells

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7
Q

What are some symptoms of X-linked hyper IgM syndrome?

A
  • patients fail to make germinal centers during a humoral immune response
  • children with this condition suffer recurrent respiratory infections, especially those caused by Pneumocystis jirovecii
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8
Q

What is the defect in hyper-IgM syndrome?

A

gene encoding the CD 40L, which maps to the X chromosome.

this causes failure of co-stimulatory signal needed for B cell response to T dependent ag. So only IgM is made

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9
Q

What are the 4 sub-isotypes of IgG?

A

IgG1, IgG2, IgG3, and IgG4

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10
Q

What are the major characteristics of IgG?

A
  • activates complement
  • acts as an opsonin, enhancing phagocytosis
  • neutralizes pathogen and toxins
  • mediates ADCC
  • can cross the placenta via receptor mediated transport
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11
Q

Where is IgA commonly produced?

A

in the submucosa more than in lymph or spleen

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12
Q

Is IgA secreted as a monomer or dimer?

A

dimer

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13
Q

What are the major functions of IgA?

A
  1. major protective defensed of the mucosal surfaces of the body
  2. Any pathogen that infects the mucosa will induce IgA production by secretion of TGF-B by infected cells and to lesser extent IL-5
  3. Functions as a neutralizing ab by inhibiting the binding of toxins or pathogens to the mucosa of the digestive, respiratory, and urogenital systems (sole function)
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14
Q

What are the 2 isotypes IgA forms?

A

IgA1 and IgA2

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15
Q

Can IgA activate complement?

A

no

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16
Q

Can IgA mediate ADCC?

A

no

17
Q

Can IgA act as an opsonin?

A

no

18
Q

What does MALT stand for?

A

mucosal associated lymphoid tissue

19
Q

What is MALT?

A

areas of the body where there is homing of specific memory cells to epithelial and mucosal surfaces leading to production of specialized lymphoid aggregations along these barriers

20
Q

What are some examples of MALT?

A

tonsils and Peyer’s patches;

numerous less well organized lymphoid accumulations in lamina propria

21
Q

Describe the secretory portion of the IgA.

A

Its part of the receptor with which secretory IgA binds to in the epithelia; then it is endocytosed and released to lumen bound to secretory component

Secretory component provides important transepilthelial transport; but also protects from proteloytic cleavage

22
Q

Can IgE activate complement?

A

no

23
Q

Does IgE act as an opsonin?

A

no

24
Q

IgE binds directly to Fcε receptors on what types of cells?

A

mast cells, eosinophils, basophils

25
Q

Be able to reproduce the biologic functions of ab isotypes? (Which ones can activate complement classical pathway, neutralization, opsonization, ADCC, placental transport, Naive B-cell ag receptor, memory B cell antigen receptor (one only), trigger mast cell granule release)

A

Reproduce chart

26
Q

Which of the following is unique to IgG?
A. Placental transport
B. Neutralization and complement activation
C. Triggering mast cell granule release
D. Neutralization and ADCC
E. Opsonization and crossing the placenta

A

E. Opsonization and crossing the placenta