Etc. Flashcards

1
Q

FcRn

A

Neonatal Fc receptor that transports Abs from the mom to the fetus. It protects IgGs from intracellular catabolism.

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2
Q

Types of Fc receptors (4)

A

FcyRI (CD64) - high affinity, phagocytosis and cell activation.
FcyRII (CD32) - low affinity, feedback inhibition.
FcyRIII (CD16) - low affinity, Ab-dependent cell-mediated cytotoxicity (NK cells only).
FceRI - high affinity, cell activation (mast cells)

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3
Q

Most efficient opsonization mechanism:

A

IgG3 and IgG1 binding FcyRI (CD64)

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4
Q

Polymorphism in FcyRIIB gene is linked to:

A

Systemic lupus erythematosus

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5
Q

Antibody-dependent cellular cytotoxicity (ADCC)

A

Ab binds FcyRIII on NK cells, caused cross-linking, NK kills target cell.

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6
Q

C5 convertase equals what in the alternative pathway?

A

C3bBb3b

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7
Q

C5 convertase equals what in the classical pathway?

A

C4b2a3b

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8
Q

CR1 (CD35) function

A

A high affinity receptor for C3b and C4b

Promotes phagocytosis and clearance of immune complexes.

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9
Q

CR2 (CD21) function

A

High affinity for C3d, C3dg and iC3b.

Enhance B cell responses.

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10
Q

How does EBV enter B cells?

A

Via CR2 and remains latent for life.

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11
Q

CR3 (Mac-1)

A

An integral that functions as a receptor for iC3b.
Also involved in the recruitment of leukocytes to infection.
CR4 functions similarly.

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12
Q

Factor I

A

Cleaves C3b and C4b.

Inhibition.

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13
Q

Factor H

A

Binds C3b and displaces Bb.

Cofactor for factor I.

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14
Q

MCP

A

Cofactor for factor I-mediated cleavage of C3b and C4b.

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15
Q

DAF

A

Causes dissociation of C3 convertase.

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16
Q

C1 INH

A

Terminated classical activation.

17
Q

CD59 and plasma S protein

A

Inhibit MAC formation.

18
Q

Microbes on which complement is activated become coated with what?

A

C3b, iC3b or C4b and are phagocytosed.

19
Q

What complement fragments induce acute inflammation?

A

C5a, C4a, C3a.

20
Q

C3d binds what on B cells?

A

CR2 (CD21)

21
Q

C1q, C2 and C4 deficiencies are associated with:

A

SLE

22
Q

C3, propirden, and factor D deficiency is associated with:

A

Pyogenic bacterial infections

23
Q

C5, C6, C7, C8, C9 deficiencies cause:

A

Neisseria bacteria infections

24
Q

what Igs does an infant have access to?

A

IgG from mom via placenta

IgA via brest milk

25
Q

Transcytosis

A

Process of transports Abs from milk across gut epithelium.

26
Q

First level of resistance to infections by infants depends on:

A

Activity of the phagocytic system.

27
Q

Reasons IgG is most protective:

A
Higher acts in blood.
binds avidly to Ag.
Activates complement system.
Good at opsonizing.
Relatively small and penetrates easily to tissues.
28
Q

Timeline of fetal Ab production

A

Some IgM is produced in utero.
IgG is produced at high levels after birth.
At 6 mo old, mom’s Abs are gone and newborns are on their own.

29
Q

Tfh secrete what? Causing what?

A

IL-21 which is needed for GC development (isotype switching, affinity maturation, Ab production) and generation of plasma cells.
IFN-y or IL-4 which controls isotope switching.

30
Q

Tfh express:

A

ICOS
PD-1
IL-21
Bcl-6

31
Q

CD40 engagement induces:

A

AID