ETA Infectious diseases Flashcards
Somatic recombination
- happens during B cell development in bone marrow
- process in which recombination happens in the heavy and light chain genes in the V region of antibody
- V, (D), J segments are present in multiple copies in B cells
- different V, D, J in heavy chains / different V, J in light chains
are selected randomly during V(D)J rearrangement - deletion of intervening seq and re-ligation of remaining gene segments
- by V(D)J recombinase
-
multiple combinations of light and heavy chains to form different V regions during development
=> create a large diversity of antibody molecules (with diff antigen binding sites)
significance of somatic recombination
- reduces no of genes needed to code for large no of different antibody molecules
- variety of antibody molecules -> able to bind to wide variety of pathogens
Class switching
- after exposure to antigen
- process where same V region of heavy chain is rearranged
- to associate with different C regions of heavy chain
- e.g. lgM -> lgE: C region of heavy chain of lgM gene is removed, retaining only that of lgE gene
- DNA recombination in the heavy chain between switch regions
- result in the generation of antibodies of different isotopes
- also has ability for subsequent switching with any downstream C region of heavy chain
somatic hypermutation
- after exposure to antigen
- V regions of heavy and light chain genes undergo mutations
- allowing coding for antibodies with increased affinity for binding to antigen
significance of class switching
- diverse responses to the same antigen
-> antigen specificity retained due to same V region of heavy chain
-> but different effector activity through different combinations of C region of heavy chain - allows for specific response at different times in the course of an infection
-> e.g. different classes of lg for different functions, ability to continue switching to respond to later infections
possible deductions about effector functions of different antibodies based on info given
- presence of antigen-binding sites
-> have a role in neutralisation / opsonisation / agglutination of viruses / enhancing phagocytosis by phagocytes
-> the antibody with a large no of antigen-binding sites (e.g. 10) is best used for agglutination of viruses - when the antibody is produced (produced early vs later on)
-> if antibody persists in the body, it provides sustained immunity to virus - where antibody is secreted into
-> if antibody is secreted into external fluids (e.g. tears, mucus), antibody prevents entry of pathogen via eyes or nose - whether antibody can cross the placenta
-> if antibody can cross the placenta, it can provide immunity to the fetus
reason why antibody acts against antigen A but not antigen B
- antibody has a specific antigen-binding site
- with each antibody having a different 3d conformation
- this particular antibody has a complementary shape to antigen A
justification for why antibodies could be useful for prevention and treatment of disease
- (in context of qn) block mode of action of bacteria/virus
- e.g. agglutination of bacteria prevents them from colonising intestine, bacteria release less toxin
- needs to be given at early stages
- considered passive immunity
- which acts beside the immune system
- leading to a quicker recovery
how size and shape of antibodies relate to their modes of actions and functions
- antibodies have 2 antigen-binding sites
- which has a shape that is complementary to antigen
=> thus allowing it to bind to antigen - antibodies are **large*
=> thus allowing it to have several binding sites / interact with other cells
how size and shape of antibiotics relate to their modes of actions and functions
- has a a shape complementary to active site of enzyme
- has a small size, which allows them to interfere with enzymes
=> thus allowing them to function as enzyme inhibitors,
and prevent growth/protein synthesis/cell wall synthesis
1st line of defence of immune system
non-specific external barriers
- natural physical and chemical surface barriers that limit the entry of microorganisms into the body
- operates regardless of exact nature of invader
2nd line of defence of immune system
innate immunity
- functions
- mediates initial immediate protection against infections
- instructs adaptive immunity system to respond to diff microbes in ways that are effective for combating these microbes
inflammatory response (innate immunity)
1a. mast cells at site secrete histamine and other mediators that
- dilate surrounding blood vessels -> increase in local blood flow
- make vessels more permeable -> exudation of plasma proteins
(i.e. proteins like complement system can leak out of blood vessels into surrounding tissue)
b. Injured tissues and macrophages at the site release chemokines, which recruit immune system cells to site
2a. Recruitment of Natural Killer (NK) cells
-> destroy virus-infected cells
b. Recruitment of neutrophils and macrophages (phagocytes)
-> remove pathogens via phagocytosis
-> release chemokines which …
c. Recruitment of dendritic cells (phagocytes)
-> remove pathogens by phagocytosis
-> act as antigen-presenting cells (APCs) to activate helper T cells, cytotoxic T cells and B cells by showing the antigens to the adaptive lymphocyte populations
note: all these cells release chemokines, thus recruit more immune system cells to site
fever (innate immunity)
- function: occurs to combat large-scale infections
- key steps:
- results in elevated body temp
-> increased activity of phagocytes - stimulates virus-infected cells to ** produce interferon**
-> stimulation of **NK cells ** - causes cells to multiply more quickly
-> faster onset of adaptive immune response
- results in elevated body temp
3rd line of defence of immune system
adaptive immunity
- function
- specific immune response that functions to greatly enhance the antimicrobial mechanisms of innate immunity