Dr. Fernandez Flashcards

1
Q

which signals from the thymus drive T cell development

A

NOTCH, IL-7

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2
Q

NOTCH leads to

A

protease cleavage of intracellular domain–> soluble domain removes repressive transcription factors and turns on expression of genes

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3
Q

IL-7 is secreted by ____

A

thymic stromal cells

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4
Q

role of IL-7

A

drives survival, proliferation, differentiation

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5
Q

where does positive selection occur

A

cortex

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6
Q

where does negative selection occur

A

medulla

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7
Q

what happens in positive selection

A

binding of TCR to thymic MHC is tested–> if it binds cell survives and thymocyte maturation continues. If weak or no binding–> apoptosis

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8
Q

what happens in negative selection

A

removes T cells that strongly bind to self peptides, AIRE expression plays a role in negative selection

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9
Q

what is AIRE

A

autoimmune regulator

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10
Q

what cell types help mediate negative selection

A

dendritic cells and macrophages

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11
Q

functional changes with dendritic cells

A

endocytosis, morphological changes in lymph nodes, maturation

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12
Q

what pathways do dendritic cells use to process and present antigens

A

micropinocytosis, macropinocytosis

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13
Q

only ____ cells contribute to the activation of naive T cells

A

dendritic

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14
Q

what are 3 processes that help T cells enter lymph nodes during infection

A

T cell adhesion molecules interact w/ adhesion molecules on the vascular endothelium in lymph node, chemokines direct T cells to enter lymph node, T cell squeezes thru endothelial cells

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15
Q

___, ____, and ___ are involved of homing T cells into lymph nodes

A

naive T cell L-selectin, LFA-1, CCR7

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16
Q

T cell ____ and dendritic cell ____ are needed for T cells to assess antigens

A

T cell LFA-1 and dendritic cell ICAM-1

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17
Q

first signal required for T cell activation

A

TCR recognition of antigen and MHC, CD4/CD8 co-receptors binding to MHC

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18
Q

second signal required for T cell activation

A

co-stimulatory: T cell CD28 receptor binding to B7 ligand on dendritic cell

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19
Q

what suppresses T cell activation

A

CTLA-4

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20
Q

how does CTLA-4 suppress T cell activation

A

it competes with CD28 for B7 ligand; it has a higher binding affinity for CD28

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21
Q

what does CTLA-4 play a role in

A

tolerance to self-antigens

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22
Q

TCR/co-receptor/co-stimulatory signals lead to activation of ___

A

a series of kinases

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23
Q

what are the primary kinases involved in T cell activation

A

LCK and ZAP70

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24
Q

what does LCK do

A

phosphorylates the intracellular chains of the CD3 zeta chain (ITAMS) and then ZAP-70 docks on

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25
what does ZAP70 do
docks to the phosphorylated targets of LCK on CD3 zeta chain, phosphorylates LAT
26
what happens when ZAP70 phosphorylates LAT
recruits several proteins including PLC (phospholipase C gamma)
27
what does PLC do
it is a phospholipase that leads to induction of transcription factors driving T cell proliferation and activation
28
____ is the localized area of contact between a T cell and an interacting cell where signals are transduced and cytokines are exchanged
synapse
29
what is the main cytokine secreted by activated T cells that drives proliferation and differentiation
IL-2
30
expression of IL-2 is induced by ___
NFAT transcription factors
31
____ is the target of tacrolimus and cyclosporine
NFAT
32
cytokine receptors rely on ____ to phosphorylate and activate downstream signaling
JAK (janus kinase)
33
the IL-2 receptor signals via ____
JAK/STAT
34
how do cytotoxic T cells kill target cells
they release cytokines at the synapse--> only infected cells, cytotoxins enter the cytoplasm of the target cell and lead to apoptosis
35
_____ are serine proteases released by cytoplasmic granules within cytotoxic T cells leading to caspase activation
granzymes
36
____ is a pore-forming cytolytic protein
perforin
37
____ is a detergent-like protein that associated with membrane and creates holes in the target cell membrane
granulysin
38
cytotoxic T cells secrete ____
IFN-gamma
39
what does IFN-gamma do
inhibits viral replication, more MHC, macrophage activation-->clearance
40
during apoptosis, cell shrivels and retains its contents forming small cell fragments called ___
apoptotic bodies
41
apoptotic bodies are cleared by _____
phagocytes
42
2 mechanisms cytotoxic T cells can induce apoptosis
cytotoxin-induced caspase activation, FASL caspase activation
43
5 types of CD4 cells
TH1, TH2, TH17, TFH, Treg
44
role of TH1
help with response to bacterial or viral infections
45
transcription factor for TH1
T-bet
46
cytokines released by TH1
IFN gamma, IL-2
47
role of TH2
help basophils, mast cells, eosinophils, and B cells; no inflammation; IgE production
48
transcription factor for TH2
GATA3
49
cytokines released by TH2
IL-4, IL-5
50
role of TH17
response to fungal infections
51
transcription factor for TH17
ROR gamma T
52
cytokines released by TH17
IL-17, IL-22
53
role of TFH
maintain germinal centers via CD40L and cytokine secretion; involved in class switching
54
transcription factor for TFH
Bcl-6
55
cytokines released by TFH
IL-21
56
transcription factor for Treg
FoxP3
57
cytokines released by Treg
TGF-beta, IL-10
58
TH1 polarization is ____ immunity and dominated by ____
cell-mediated immunity, dominated by effector cells
59
TH2 polarization is ____ immunity and dominated by ____
humoral immunity, dominated by antibody response
60
TH1 polarization in mycobacterium leprae
tuberculoid leprosy; chronic inflammation damages skin and peripheral nerves but dissemination of bacteria is suppressed
61
TH2 polarization in mycobacterium leprae
lepromatous leprosy; large amounts of pathogen-specific antibody are made; bacteria disseminates throughout body; gross tissue damage that becomes fatal
62
CD4 T cells can secrete _____ to compensate and drive proliferation
IL-2
63
M1 macrophage
proinflammatory, pathogen clearance
64
M2 macrophage
anti-inflammatory, repair and healing
65
TH1 cells help which macrophage
M1
66
TH2 cells help with which macrophage
they help transition from M1 to M2 to help with repair
67
effector TFH cells help ___
B cells make antibodies
68
mechanisms to suppress immune system
Tregs, CTLA-4, PD1, lack of B7, immunosuppressive factors