Development of the Immune system Flashcards

1
Q

When does hematopoiesis begin and where and at what week where does it change to

A

Begins week 4 in yolk sac

week 16 bone marrow assumes primary task of hematopoiesis

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2
Q

At the end of the first trimester what immune tissues does the fetus develop

A

fetus produces neutrophils and other innate cells including macrophages, monocytes, DCs and NK cels

-all demonstrate immaturity/reduced functionality

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3
Q

Circulating components (eg. compliment) is how much lower in fetuses compared to adults

A

10-80% lower than in adults (+ diminished activity)

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4
Q

@ what week does t cells move to thymus and what type of CD cell do they usually turn into

A

as early as week 6 (abundant in second trimester)

antigen exposure tends to polrize fetal CD4 cells into tregs and Th2

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5
Q

When do b cells start developing

A

around 9 weeks

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6
Q

What type of b cell is more abundant in this age group and function

A

B1 cells- spontaneously secrete low affinity igM with limited antigen specificities

(as we age the proportion of b2 cells outnumber b1 cells)

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7
Q

How many months does it take for immune tissues to start to function normally

A

3-6 months

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8
Q

what is unique about neonatal t and b cells

A

exclusively naive as there is no antigen encounters (no memory, proliferates poorly etc)

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9
Q

what maternal antibodies cross to the placenta and at what week + what is the receptor that allows for the transfer

A

maternal IgG cross into the placents starting at week 13

neonatal fc receptors

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10
Q

How long do maternal antibodies provide protection for

A

for up to a year but start to decline after 3 m

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11
Q

what is the window of vulnerabiluty for neonates

A

3-12 month due to low IgG and still not being able to make enough of own

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12
Q

when should vaccines not be given prior to

A

before 2 m

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13
Q

immune system graduallys matures in strength up to what age

A

18ish

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14
Q

Compared to males what differences does the female immune system have

A

increased CD4 and B cells (+ antibody production)

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15
Q

Comparedd to females what diffeernces does the male immune system have

A

greater number of CD8 and tREG numbers

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16
Q

what disease has a bias towards females compared to males

A

autoimmune mc in females

17
Q

During pregnancy what cells change and what causes the change

A

As gestation progesses progesterone induce Th2 polarization (anti inflammatory)

18
Q

What is the reson for th2 polarization during pregnancy

A

Th2 is antiinflamtory and prevents immune damage to the fetus

-due to this woment are more susceptibke to severe infectious outcomes

19
Q

what minimizes/regulates the inflamatory respose the mother would have towards the fetus (2)

A
  • expression of non classical HLA antigens on the trophoblast
  • local immune supression mediated by uterine NK cells and tREGS
20
Q

when do significant and profound changes to the immune system take place

A

sig- 60 years

profound- 80 years

21
Q

what does thymic involuation cause

A

results in decreased output of naive t lymphocytes (decreased t cell repertoire)

22
Q

what is immunosenescence (deteriation of immune system) caused by (4)

A
  • thymic involuation
  • immune cell telomeres shorten
  • declien in hematopoiesis
  • decreased response to vaccines
23
Q

what is infoammaging

A

adaptve immune system declines with age and innate takes over and overcompensated causing chronic low grad inflammation

24
Q

What is the cytokines found with inflammaging (3)

A

c reactive protein
Il6
TNFa