CSIM 1.13 - Introduction to Immunology 2 Flashcards

1
Q

What anatomical sites may be defined as central lymphoid tissue?

A

Bone marrow

Thymus

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2
Q

Where to T-cells mature?

A

Thymus

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3
Q

What anatomical sites may be defined as peripheral lymphoid tissue?

A

Lymph nodes
Spleen
Mucosa associated lymphoid tissue (Payer’s patch)

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4
Q

Where is the thymus located?

A

In the thorax (anterior mediastinum)

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5
Q

Describe the physical changes observed in the thymus during life?

A

Enlarges during childhood (active)

Post-puberty it in-volutes (reduction in functioning mass)

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6
Q

How is the thymus defined histologically?

A

Distinctive outer cortex

Inner medulla

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7
Q

What is Di-George’s syndrome?

A

Hereditary condition resulting in an inability to fight infections (immunodeficiency) in association with absence of parathyroid/thymus.

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8
Q

Where do T-cell progenitors first start maturing within the thymus?

A

Cortex - (Sub-capsular region)

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9
Q

The Interactions between which cells play an important part in the development of maturing T-cells?

A

T-cell receptor and MHC peptide complexes displayed by the thymus corticle epithelial cells

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10
Q

The initial developing T-cell displays which receptors?

A

CD4
CD8
T-cell receptor

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11
Q

How are CD8 receptor expressing T-cells created?

A
T-cells with receptors able to recognise MHC-class 1 receptor are given survival and maturation signals
Eventually they stop expressing CD4 receptors and only maintain CD8
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12
Q

How are CD4 receptor expressing T-cells created?

A
T-cells with receptors able to recognise MHC-class 2 receptor are given survival and maturation signals
Eventually they stop expressing CD8 receptors and only maintain CD4
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13
Q

Describe central tolerance (negative selection)?

A

Thymocytes which recognise MHC-1//MHC-2 too avidly are given signals which drives them to apoptosis
Thymocytes responding to self-peptide antigens are also eliminated in the process

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14
Q

Where do lymphocytes begin to interact?

A

Lymph nodes: dendritic cells, T-cells, B-cells

Antigen presentation and Antigen recognition

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15
Q

Where are lymph nodes not present?

A

CNS

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16
Q

Within lymph nodes where do macrophages and plasma cells collect?

A

Medullary cords

17
Q

Within lymph nodes which specific area is T-cell dense?

A

Para-corticle area

18
Q

Within lymph nodes which specific area is B-cell dense?

A

Primary lymphoid follicle (once activated B-cell proliferation and maturation occurs here - Affinity maturation)

19
Q

What is required for dendritic cell activation from senescent form?

A

Inflammation

20
Q

Describe the clonal theory of selection?

A

One lymphocyte may have many copies of a receptor although this receptor is specific to one particular antigen only (lock and key)

21
Q

What is the fate of B-cells once activated by specific T-cells with the same antigen recognition?

A

Some become IgM secreting plasma cells
Some migrate to the B-cell rich areas of the lymph node (germinal centres) and intense proliferation occurs forming progeny with high affinity for antigen (affinity maturation)

22
Q

What are the products of germinal centres?

A

IgE
IgA
IgG
Memory B-cells

23
Q

Name the four classes of pathogens that the immune system protects against and give examples of conditions caused by each?

A
  1. Extracellular bacteria/parasites/fungi - Pneumonia + Tetanus
  2. Intracellular bacteria/parasites - Leprosy + Leishmansiasis + Malaria
  3. Viruses (Intracellular) - Small pox + Flu + Chicken pox
  4. Parasitic worms (Extracellular) - Ascariasis + Schistosomiasis