Imm: Exam III Flashcards

1
Q

Topic 9

What are histocompatibility (transplantation) antigens?

A

antigens on tissues and cells that determine rejection when grafted between genetically different individuals

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2
Q

Topic 9

What are major histocompatibility antigens?

A

antigens that cause very strong immune response

most important in rejection; encoded by MHC

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3
Q

Topic 9

What is the major histocompatibility complex (MHC)?

A

Collection of genes arrayed within long continuous stretch of DNA on chromosome 6 in humans, 17 in mice;
presents peptides

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4
Q

Topic 9

MHC class I is expressed on...
MHC class II is expressed on...
A

I: (glycoproteins) expressed on the surface of nearly all nucleated cells

II: only professional antigen presenting cells

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5
Q

Topic 9

What is the structure of MHC class I?
What is the structure of MHC class II?
A

I: alpha chain ( alpha1, alpha2, alpha3 ) and beta2 microglobulin

II: alpha chain ( alpha1-2 ) and beta chain ( beta1-2 )

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6
Q

Topic 9

MHC class I presents peptide antigens to Tc or Th cells? CD8 or CD4?

MHC class II presents peptide antigens to Tc or Th cells? CD8 or CD4?

A

I: Tc cell ( cytotoxic T cells ) CD8 cells

II: Th cell ( helper T cells ) CD4 cells

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7
Q

Topic 9

____ sends negative signals to natural killer ( NK ) cells

A

MHC class I

Protects nucleating cells from being killed by them

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8
Q

Topic 9

What is the MHC property of polygeny?

A

Multiple MHC genes within one individual for some function

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9
Q

Topic 9

What is the MHC property of polymorphism?

A

multiple varients of the same allele in a population

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10
Q

Topic 9

What is the MHC property of codominant expression?

A

All loci are always expressed; opposite of B cells

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11
Q

Quiz 5

Which of the following cell types does NOT express MHC class I?

a) hepatocyte
b) dendritic cell
c) erythrocyte
d) lymphocyte
e) neutrophil

A

c) erythrocyte

because no nucleus

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12
Q

Quiz 5

MHC class II molecules are made up of two polypeptide chains called _______, whose function is to bind peptides and present them to _______ T cells:

a) alpha (α) and beta (β); CD8+
b) alpha (α) and beta (β); γ:δT cells.
c) alpha (α) and beta2-microglobulin (β2m); CD8+
d) alpha (α) and beta (β); CD4+
e) alpha (α) and beta2-microglobulin (β2m); CD4+

A

d) alpha (α) and beta (β); CD4+

* Note: C would be correct if asking about MHC class I

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13
Q

Quiz 5

The peptide-binding groove of MHC class I molecule is composed of the following extracellular domains:

a) α2: α3
b) α1: β1
c) α1: α2
d) β1: β2
e) α2: β2

A

c) α1: α2

* Note: B would be correct if asking about MHC class II

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14
Q

Quiz 5

Which of the following describes the sequence of events involved in processing of protein antigens that will be presented as antigenic peptides with MHC class I?

a) endogenous protein → proteasome → TAP 1/2 → endoplasmic reticulum → MHC class I → plasma membrane
b) TAP 1/2 → proteasome → MHC class I → endoplasmic reticulum → plasma membrane →endogenous protein
c) proteasome → TAP 1/2 → MHC class I → endoplasmic reticulum → endogenous protein → plasma membrane
d) plasma membrane → TAP 1/2 → proteasome → MHC class I → endoplasmic reticulum →endogenous protein
e) endoplasmic reticulum → proteasome → endogenous protein→ MHC class I → TAP 1/2 → plasma membrane

A

a) endogenous protein → proteasome → TAP1/2 → endoplasmic reticulum → MHC class I → plasma membrane

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15
Q

Quiz 5

Human major histocompatibility complex (MHC) genes are NOT….

a) clustered in one region of chromosome #6
b) allelic excluded
c) polygenic
d) co-dominantly expressed
e) highly polymorphic

A

b) allelic excluded

* When one allele of a gene is expressed while the other allele is silenced

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16
Q

Topic 10

A T cell receptor ( TCR ) has:

  • 2 polypeptide chains, ____ and _____
  • a _____ (top) and ______ a region (bottom)
  • together, this makes the ____
  • also has a cytoplasmic tail that reaches through the ____ region into the _____

Bank: cytoplasm, antigen binding site, alpha, variable region (V), constant region (C), beta, transmembrane

A

A T cell receptor ( TCR ) has:

  • 2 polypeptide chains, alpha and beta
  • a variable region (V) (top) and a constant region (C) region (bottom)
  • together, this makes the antigen binding site
  • also has a cytoplasmic tail that reaches through the transmembrane region into the cytoplasm
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17
Q

Topic 10

Similarities between TCRs and BCRs:

  • Both are members of _____
  • TCR (T cell receptor) resembles the ___ portion of a BCR (B cell receptor)
  • The alpha chain: Ig ___ chain
  • The beta chain: Ig ___ chain
  • TCR V domain resembles Ig ____ and TCR C domain resembles Ig ______
  • Interchain disulfide bond: Ig ___

Bank: C domain, light, Ig superfamily, Fab, hinge, heavy, V domain

A

Similarities between TCRs and BCRs:

  • Both are members of Ig superfamily
  • TCR resembles the Fab portion of a BCR
  • The a chain: Ig light chain
  • The b chain: Ig heavy chain
  • TCR V domain resembles Ig V domain and C domain to one of the Ig C domains
  • Interchain disulfide bond: Ig hinge
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18
Q

Topic 10

Differences Between TCRs and BCRs; in TCRs:

  • V-J joining can occur on __ chain due to unique RSS structure
  • _____ less stringent for α chain than β chain
  • Multiple ___ chains can appear on the same T cell
  • No somatic mutation, No ______
  • Always ____
  • Bind to ____, instead of antigen alone
  • α:β T cell receptor and ____ T cell receptor

Bank: β, membrane bound, antigen/ MHC complex, allelic exclusion, α, isotype switching, γ:δ

A

Differences Between TCRs and BCRs:

  • V-J joining can occur on β chain due to unique RSS structure
  • Allelic exclusion less stringent for α chain than β chain
  • Multiple α chains can appear on the same T cell
  • No somatic mutation, No isotype switching
  • Always membrane bound
  • Bind to antigen/MHC complex, instead of antigen alone
  • α:β T cell receptor and γ:δ T cell receptor
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19
Q

Topic 10

Hyperviable Regions (HV) / CDRs:

  • CDRs determine TCR’s ____
  • TCR’s antigen/ MHC binding site has ____ CDRs
  • TCR repertoire is generated by ______
  • Creates a ____

Bank: TCR gene rearrangement, binding specificity, 6, loop

A

For hyperviable Regions (HV) / CDRs:

  • CDRs determine TCR’s binding specificity
  • TCR’s antigen/ MHC binding site has 6 CDRs
  • TCR repertoire is generated by TCR gene rearrangement
  • Creates a loop
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20
Q

Topic 10

TCR Diversity:

  • Like B cell receptors, TCRs can bind virtually to any existing ____ associated with MHCs

How is diversity generated?
1) Multiple TCR ______

2) Recombination signal sequences (RSS) and ____ recombinase
3) Gene rearrangement follows the same 12/23 (aka _____) rule
4) ______: P- and N-nucleotide additions (TdT)

Bank: peptide antigens, one turn/two turn, gene segments, junctional flexibility, RAG-1/2

A

TCR Diversity:

  • Like B cell receptors, TCRs can bind virtually to any existing peptide antigens associated with MHCs

How is diversity generated?
1) Multiple TCR gene segments

2) Recombination signal sequences (RSS) and RAG-1/2 recombinase
3) Gene rearrangement follows the same 12/23 (aka one turn/two turn) rule
4) Junctional flexibility: P- and N-nucleotide additions (TdT)
* TCR diversity is generated in a similar way as BCRs

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21
Q

Topic 10

Human TCR Gene Loci

  • The human T cell receptor gene has an alpha and beta chain locus
  • The alpha chain locus has ___, ___, and ___ segments
  • The beta chain has ___, ___, ___, and ___ segments (like the ___ chain)

Bank: D, D, C, C, J, J, V, V, light, heavy

A

Human TCR Gene Loci

  • Has an alpha and beta chain locus
  • The alpha chain locus has V, J, and C segments
  • The beta chain has V, J, C, and D segments (like the light chain)
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22
Q

Topic 10

TCR Gene Rearrangement

  • Order of TCR gene rearrangement: _______, _______, ______, (_____), _____
  • Alpha chain locus: In order to make functional, any of the ___ segments can join any of the ___ segments
  • Beta chain locus: In order to make functional, a _____ is made

Bank: germline DNA, DJC arrangement, T cell receptor protein, recombination, J, (transcription, splicing, translation), V, rearranged DNA

A

TCR Gene Rearrangement

  • Order of TCR gene rearrangement: germline DNA, recombination, rearranged DNA, (transcription, splicing, translation), T cell receptor protein
  • Alpha chain locus: In order to make functional, any of the V segments can join any of the J segments
  • Beta chain locus: In order to make functional, a DJC arrangement is made
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23
Q

Topic 10

Comparison of TCR
and BCR Diversities

  • In the ___ cell receptor, there is more ____: more palindromic nucleotide addition and more junctional diversity

Bank: rearrangement, T, B,

A

Comparison of TCR
and BCR Diversities

  • In the T cell receptor, there is more rearrangement: more palindromic nucleotide addition and more junctional diversity
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24
Q

Topic 10

RSS:

  • V-J Joining Is Allowed in TCR ____-chain Locus
    (RSS Difference)
  • The one turn two turn rule makes ____ joining possible
  • In the alpha-bata chain, the one turn two turn rule is applicable because a ___ can attach to a ___ ( ___ VJ binding occurs)
  • In the k-H chain, the one turn two turn rule is not applicable because a ___ cannot attach to a ____ ( ___ VJ binding occurs)

Bank:
no, yes

J23, J23, V23, V23, J12, J12, V12, V12

V to J, alpha to beta, D to C

alpha, beta

A

RSS:

  • V-J Joining Is Allowed in TCR beta-chain Locus
    (RSS Difference)
  • The one turn two turn rule makes a V to J joining possible
  • In the alpha-bata chain, the one turn two turn rule is applicable because a V23 can attach to a J12 (VJ binding occurs)
  • In the k-H chain, the one turn two turn rule is not applicable because a V23 cannot attach to a J23 (no VJ binding occurs)
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25
Q

Topic 10

Beta chain rearrangement:

  • ___ possible attempts overall
  • ___ attempts can be made to achieve a productive rearrangement of the beta chain locus on each _____
  • After a ____ rearrangement to C2, the transcription of functional beta-chain ____ can begin

Bank:
One, two, three, four

productive, unproductive

homologous chromosome, different chromosome

tRNA, mRNA, rRNA

A

Beta chain rearrangement:

  • Four possible attempts overall
  • Two attempts can be made to achieve a productive rearrangement of the beta chain locus on each homologous chromosome
  • After a productive rearrangement to C2, the transcription of functional beta-chain mRNA can begin
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26
Q

Topic 10

TCR Binding:

  • TCR binds the _____
  • TCR always binds to the peptide associated with ___
  • Binds in a ___ epitope (when the proteins that are bound by the antibody are all in a row)

Bank:
Discontinuous, Linear

MHC molecules

MHC & Peptide Complex

A

TCR Binding:

  • TCR binds the MHC & Peptide Complex
  • TCR always binds to the peptide associated with MHC molecules
  • Binds in a linear epitope (when the proteins that are bound by the antibody are all in a row)
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27
Q

Topic 10

The two classes of T cell receptors:
αβ (alpha beta) TCR and γδ (gamma delta) TCR

  • ____ T cells express αβ TCRs
  • ____ T cells express γδ TCRs
  • ___ structure, encoded by ___ genes
  • ____ have/has a V (top) and C (bottom) region

Bank:

Same, Different

Most, Some

Both, αβ, γδ

A

The two classes of T cell receptors:
αβ (alpha beta) TCR and γδ (gamma delta) TCR

  • Most T cells express αβ TCRs
  • Some T cells express γδ TCRs
  • Same structure, encoded by different genes
  • Both have a V (top) and C (bottom) region
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28
Q

Topic 10

Gene Structures of γ (gamma) and δ (delta) Gene Loci

  • The number of gene segments of γ and δ genes are much ____
  • __ gene locus is located within the __ gene locus
  • ___ is sometimes used by α-chain gene rearrangement
  • Chromosome __ has an alpha and beta chain locus
  • Chromosome __ has a γ chain locus
  • γ: like the Ig ___ chain and the _____, there is no ___ segment

Bank:

7, 14

light, heavy, MHC alpha chain

V, J, C, D

Vδ, Vγ

δ, α

smaller, larger

A

Gene Structures of γ (gamma) and δ (delta) Gene Loci

  • The number of gene segments of γ and δ genes are much smaller
  • δ gene locus is located within the α gene locus
  • Vδ is sometimes used by α-chain gene rearrangement
  • Chromosome 14 has an alpha and beta chain locus
  • Chromosome 7 has a γ chain locus
  • γ – like the Ig light chain and the MHC alpha chain, there is no D segment
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29
Q

Topic 10

The link between alpha chain and δ ( delta ) chain:

  • _______ of an alpha chain always _____ the linked δ ( delta ) chain locus
  • How does this happen? During rearrangement, the alpha chain completely loops out of the δ ( ___ ) chain locus
  • This is the reason why there is far less of the γ ( ___ ) and δ ( delta ) chains compared to the alpha and beta chains

Bank:

Recombination, Transport, Rearrangement

delta, lambda, gamma

Increases, decreases, eliminates

A

The link between alpha chain and δ ( delta ) chain:

  • Rearrangement of an alpha chain always eliminates the linked δ ( delta ) chain locus
  • How does this happen? During rearrangement, the alpha chain completely loops out of the δ ( delta ) chain locus
  • This is the reason why there is far less of the γ ( gamma ) and δ ( delta ) chains compared to the alpha and beta chains
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30
Q

Topic 10

γδ (gamma delta ) T Cells:
Their function is not fully understood…

  • May function as a part of _____, like B-1 cells
  • More important in ____ embryonic development
  • Can be activated ____ infection
  • Involved in ____; function of inflammation
  • Due to spectrum of _____ secreted, may serve regulatory role to attract αβ T-cells

Bank:

cytokine mapping, tissue repair, immune response

early, middle, late, post-

with, without

T cells, cytokines, B cells

adaptive immunity, innate immunity

A

γδ (gamma delta ) T Cells:
Their function is not fully understood…

  • May function as a part of innate immunity, like B-1 cells
  • More important in early embryonic development
  • Can be activated without infection
  • Involved in tissue repair; function of inflammation
  • Due to spectrum of cytokines secreted, may serve regulatory role to attract αβ T-cells
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31
Q

Topic 10

T Cell Receptor
Complex

  • Like BCRs, besides αβ chains, T cell receptors also have other proteins to form a ______
  • TCR complex has 6 proteins: ___, ___, ___, __, ___, ____ (order matters here, read left –> right)
  • The proteins used in this complex are collectively called ___
  • CD3 = unique marker for ____
  • Makes signal transduction ___

Bank:

T cells, B cells

alpha, beta, gamma, lambda, omega, epsilon, epsilon, delta

TCR complex, MHC complex

occur, not occur

CD3, CD4, CD8

A

T Cell Receptor
Complex

  • Like BCRs, besides αβ chains, T cell receptors also have other proteins to form a TCR complex
  • TCR complex has 6 proteins: epsilon, delta, alpha, beta, gamma, epsilon 2
  • The proteins used in this complex are collectively called CD3
  • CD3 = unique marker for T cells
  • Makes signal transduction occur
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32
Q

Topic 10

CD4 and CD8 co-Receptors

  • CD4 has _ external domains, CD8 has _ external domains
  • CD4 is expressed on __ cells, CD8 is expressed on __ cells
  • CD4 binds to ____, CD8 binds to ____
  • Both reach into the _____ and are anchored there

Bank:

MHC I, MHC II

1, 2, 3, 4, 5

cytoplasm, transmembrane region

Tc, Th

A

CD4 and CD8 co-Receptors

  • CD4 has 4 external domains, CD8 has 2
  • CD4 is expressed on Th cells, CD8 is expressed on Tc cells
  • CD4 binds to MHC II, CD8 binds to MHC I
  • Both reach into the cytoplasm
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33
Q

Topic 10

T cell co-receptors:

  • The T cell co-receptors are the ___ T cell and the ___ T cell
  • They _____ the
    TCR/ MHC/ Peptide Complex
  • They do this by binding Ig-like domains of ____ molecules

Bank:

neutralize, destroy, stabilize

alpha, beta, delta, gamma, CD8, CD4

MHC, TCR, BCR

A

T cell co-receptors:

  • The T cell co-receptors are the CD8 T cell and the CD4 T cell
  • They stabilize the
    TCR/ MHC/ Peptide Complex
  • They do this by binding Ig-like domains of MHC molecules
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34
Q

Topic 10

T cell development

  • T cell ____ travel from the _____ to develop in the ____
  • Then, ____ T cells leave the ___ and travel to _____ lymphoid tissues

Bank:
bone marrow, thymus, thymus, primary, secondary, precursors, mature

A

T cell development

  • T cell precursors travel from the bone marrow to develop in the thymus
  • Then, mature T cells leave the thymus and travel to secondary lymphoid tissues
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35
Q

Topic 10

T Cell Development, Activation and Differentiation

  • 4 main phases: _______, ______, _____/ _____, _____ (in order)
  • _____ T cells go to the infection site

Bank:

activation, early development, differentiation, effectors, maturation

mature, effector, young, old

A

T Cell Development, Activation and Differentiation

  • 4 main phases: early development, maturation, activation/ differentiation, effectors
  • Effector T cells go to the infection site
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36
Q

Topic 10

T cell development:

  • The T cell develops in the ____
  • Thymus is on top of the ____ and has two regions: ____ and ______
  • In the thymus, T cells are called _____
  • Lack of T cells can develop ______
  • _______: cannot make B cells so T cells can’t be made either ( immune system effected = no hair )

Bank:

naked rat, nude mice, immunocompromised organism

phagocytes, erythrocytes, thymocytes

HIV, DiGeorge syndrome, cancer

stomach, heart, liver

bone marrow, thymus, secondary lymphoid tissues

origin, V domain, medulla, C domain, cortico

A

T cell development:

  • The T cell develops in the thymus
  • Thymus is on top of the heart and has two regions: cortico and medulla
  • In the thymus, T cells are called thymocytes
  • Lack of T cells can develop DiGeorge Syndrome
  • Nude mice – cannot make B cells so T cells can’t be made either ( immune system effected ) ( no hair = nude mouse )
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37
Q

Topic 10

Early T cell development

  • _____ stem cells arrive in
    thymus through HEV from
    blood and enter the ______
  • Cortical epithelial cells provide key signals that trigger stem cells to proliferate and differentiate to T cell precursors (_______)
  • IL- _
  • Ligand for Notch- _

Bank:

phagocytes, erythrocytes, thymocytes

CD4, CD8, CD34+

cortex, nucleus, epithelium

5, 6, 7, 8

1, 2, 3, 4,

A

Early T cell development

  • CD34+ stem cells arrive in
    thymus through HEV from
    blood and enter cortex
  • Cortical epithelial cells provide key signals that trigger stem cells to proliferate and differentiate to T cell precursors (thymocytes)
  • IL-7
  • Ligand for Notch-1
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38
Q

Topic 10

Early T cell development pt 2

  • Thymocytes stop proliferating and TCR
    ___ -chain genes rearrange (so do __ & __ genes)
  • β-chain (or γ/δ chains) are ______.
  • New β-chains combine with a 33-KD
    ______: pre-Ta chain and form pre-T-cell receptor (pre-TCR)
  • Both α:β T cells and γ:δ T Cells are from
    common _____

Bank:

glycoprotein, phagocyte, erythrocyte

hosts, cells, progenitors

repressed, killed, expressed

omega, beta, alpha, epsilon, gamma, delta

A

Early T cell development pt 2

  • Thymocytes stop proliferating and TCR
    beta-chain genes rearrange (also γ&δ genes)
  • β-chain (or γ/δ chains) is expressed.
  • New β-chains combine with a 33-KD
    glycoprotein: pre-Ta chain and form pre-T-cell
    receptor (pre-TCR)
  • Both α:β T cells and γ:δ T Cells are from
    common progenitors
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39
Q

Topic 10

Early T cell development pt 3

  • Double ______ thymocytes
    ______ βγδ gene loci.
  • Although it seems random to
    go to αβ T cells or γδ T cells,
    ___ T cells are preferred.

Bank:

positive, negative

repress, rearrange, kill, express

αβ, γδ

A

Early T cell development pt 3

  • Double negative thymocytes
    rearrange βγδ gene loci.
  • Although it seems random to
    go to αβ T cells or γδ T cells,
    αβ T cells are preferred.
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40
Q

Topic 10

Pre-T cell receptor

  • Heterodimers form a ______
  • The superdimer + __ Cell Receptor
    Complex forms a ______ pre-T cell receptor
  • This is done by _______
  • Autosignaling is when no extra ____ is bound to the receptor

Bank:

ligand, protein, dimer

T, B, alpha, beta

autosignaling, dimerization, recombination

double dimer, superdimer

functional, nonfunctional

A

Pre-T cell receptor

  • Heterodimers form a superdimer
  • The superdimer + T Cell Receptor
    Complex forms a functional pre-T cell receptor
  • This is done by autosiganling
  • Autosignaling is when no extra ligand is bound to the receptor
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41
Q

Topic 10

The Assembly of Pre-TCR

  • The assembly of Pre-TCR sends _____ signals
  • The signals can:
    * make the cell become _____ for TCR alpha-chain locus arearrangements
      * \_\_\_\_\_\_ expression of CD4 and CD8 co-receptors 
     * \_\_\_\_ additional TCR beta-chain locus arearrangements (\_\_\_\_\_\_\_)
      * Stimulate \_\_\_\_\_\_

Bank:

permissive, nonpermissive

stimulate, stop, start

1, 2, 3, 4, multi-

allelic exclusion, isotope switching

proliferation, signaling

A

The Assembly of Pre-TCR

  • The assembly of Pre-TCR sends multi- signals
  • The signals can:
    * make the cell become permissive for TCR alpha-chain locus arearrangements
    * stimulate expression of CD4 and CD8 co-receptors
    * Stop additional TCR beta-chain locus arearrangements (allelic exclusion)
    * Stimulate proliferation
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42
Q

Topic 10

Pre-T Cells Rearrange α, γ, and δ Gene Loci

  • If α gene is selected, the cell will become ______ double + αβ T cells
  • If __ and __ genes are selected, the cell will become __ T cells
  • Again, __ T cells are preferred.

Bank:

αβ, γδ

alpha, beta, gamma, delta

CD4/CD8, CD34+/CD38+

A

Pre-T Cells Rearrange α, γ, and δ Gene Loci

  • If α gene is selected, the cell will become CD4/CD8 double + αβ T cells
  • If γ and δ genes are selected, the cell will become γδ T cells
  • Again, αβ T cells are preferred.
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43
Q

Topic 10

Immature T cells

  • The successful assembly of TCR ends the _______ development
  • _______ are CD4 and CD8 double positive

Bank:

early T cells, late T cells, immature T cells, mature T cells

A

Immature T cells

  • The successful assembly of TCR ends the
    early T cells development
  • Immature T cells are CD4 and CD8 double
    positive
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44
Q

Topic 10

T Cells Prefer __-Receptor to __-Receptor

Why?
1) γ:δ receptors require __ independent productive gene rearrangements, while Pre-T receptors only need __

2) β chain gene structure allows __ rearrangements
3) A successful α-chain gene rearrangement completely _____ δ-gene segments

Bank:

γδ, αβ

1,2,3,4

eliminates, adds

A

T Cells Prefer αβ-Receptor to γδ-Receptor

Why?
1) γ:δ receptors require two independent productive gene rearrangements, while Pre-T receptors only need one

2) β chain gene structure allows four rearrangements
3) A successful α-chain gene rearrangement completely eliminate δ-gene segments

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45
Q

Topic 10

Why does the B chain rearrange 4 times?
Due to the _____ joining structure

Bank: VDJC, alpha beta

A

Why does the B chain rearrange 4 times?

Due to the VDJC joining structure

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46
Q

Topic 10

The _____ chain locus can sustain many attempts at a functional rearrangement. This makes it more successful

Bank: alpha, beta, gamma, delta

A

The alpha chain locus can sustain many attempts at a functional rearrangement

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47
Q

Topic 10

Rearrangement of ___ genes always eliminates ___ genes

Bank: alpha, beta, gamma, delta

A

Rearrangement of α Gene Always Eliminate δ Gene

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48
Q

Topic 10

Early development of T cells

  • T cells are developed in the _____
  • At the end, immature double ____ T cells are made

Bank:

lymphnode, thymus, heart

positive, negative, alpha

A

Early development of T cells

  • T cells are developed in the thymus
  • At the end, immature double positive T cells are made
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49
Q

Topic 10

Gene Expression in T Cell
Development

  • _____: Initiator
  • _____: Trans-acting T-cell-specific transcription factor
  • _____: an early lymphoid-specific transcription factor and a putative mediator for T cell commitment
  • _____: regulates CD4 vs.
    CD8 maturation
Bank:
GATA-3
Th-Pok
Ikaros
Notch-1
A

Gene Expression in T Cell
Development

  • Notch-1: Initiator
  • GATA-3: Trans-acting T-cell-specific transcription factor
  • Ikaros: an early lymphoid-specific transcription factor and a putative mediator for T cell commitment
  • Th-Pok: regulates CD4 vs.
    CD8 maturation
50
Q

Topic 10

T cell maturation

  • _____ selection: Survival of thymocytes bearing receptors binding to self peptide/MHCs
    (_____; ________)
  • _____ selection: Elimination of thymocytes bearing high-affinity receptors for peptide/MHCs
    (_______)

Bank:

positive, negative

MHC restriction, self-tolerance induction, single CD4 or CD8 T cells

A

T cell maturation

  • Positive selection: Survival of thymocytes bearing receptors binding to self peptide/MHCs
    (MHC restriction; single CD4 or CD8 T cells)
  • Negative selection: Elimination of thymocytes bearing high-affinity receptors for peptide/MHCs
    (self-tolerance induction)
51
Q

Topic 10

Positive Selection

  • Occurs in the ____; Here, thymocytes interact with ______.
  • Failure to bind to self MHC leads to _____
  • _____ selection determines self MHC restriction, therefore it focuses on self MHC
  • _____: Similar to Receptor Editing in Ig light chain rearrangement, continuing α–chain gene rearrangement increases the chance for positive selection.
  • ________: unique to thymus to make self peptide for positive selection

Bank:

TCR editing, Thymoproteasome, apoptosis, positive, negative, cortical epithelial cells, cortex,

A

Positive Selection

  • Occurs in the cortex; Here, thymocytes interact with cortical epithelial cells.
  • Failure to bind to self MHC leads to apoptosis
  • Positive selection determines self MHC restriction, therefore it focuses on self MHC
  • TCR Editing: Similar to Receptor Editing in Ig light chain rearrangement, continuing α–chain gene rearrangement increases the chance for positive selection.
  • Thymoproteasome: unique to thymus to make self peptide for positive selection
52
Q

Topic 10

  • Positive Selection Determines Expression of Either ____ or _____

Bank: positive, negative, CD4, CD8, CD34+, alpha chain, beta chain

A

Topic 10

  • Positive Selection Determines Expression of Either CD4 or CD8
53
Q

Topic 10

Negative selection

  • Negative selection is after positive selection and takes place in the _____.
  • _____ (DC) or macrophages bearing class I & II MHC interact with thymocytes (Thymocytes with high-affinity receptors for self peptide/self MHC die through apoptosis)
  • The focus of ____ selection is self peptides
  • Negative selection generates _____.

Bank:
self tolerance, medulla, dendritic cells, cortex, positive, negative, negative

A

Negative selection

  • Negative selection is after positive selection and takes place in the medulla.
  • Dendritic cells (DC) or macrophages bearing class I & II MHC interact with thymocytes (Thymocytes with high-affinity receptors for self peptide/self MHC die through apoptosis)
  • The focus of negative selection is self peptides
  • Negative selection generates self tolerance.
54
Q

Topic 10

Autoimmune Regulator ( AIRE )

  • ______ antigens ( such as insulin ) are also tested as self antigens in thymus.
  • A subpopulation of epithelial cells in the ____ of the thymus produce the transcriptional factor AIRE, which selectively express these tissue specific antigens ______.
  • Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy ( _____ )

Bank:
tissue specific, peptide specific, APECED, cortex, medulla, permanently, temporally

A

Autoimmune Regulator ( AIRE )

  • Tissue specific antigens ( such as insulin ) are also tested as self antigens in thymus.
  • A subpopulation of epithelial cells in the medulla of thymus produce transcriptional factor: AIRE, which selectively express these tissue specific antigens temporally.
  • Autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy ( APECED )
55
Q

Topic 10

Mature T cell generation in thymus

  • ____ T cell development:
    • β-Chain gene rearrangement
    • Pre-TCR
    • α-Chain gene rearrangement
    • Double positive immature T cells
  • T cell maturation
    • ____ selection: self MHC restriction and single positive (CD4 or CD8) T cells
    • _____ selection: elimination of self-reactive T cells ( ______ )
  • _____ T cells are single positive, self-MHC restricted,
    self antigen tolerated

Bank:

positive, negative, early, late, post-, self expression, self tolerance, immature, mature

A

Mature T cell generation in thymus

  • Early T cell development:
    • β-Chain gene rearrangement
    • Pre-TCR
    • α-Chain gene rearrangement
    • Double positive immature T cells
  • T cell maturation
    • Positive selection: self MHC restriction and single positive (CD4 or CD8) T cells
    • Negative selection: elimination of self-reactive T cells ( self tolerance )
  • Mature T cells are single positive, self-MHC restricted,
    self antigen tolerated
56
Q

Topic 10

T Cell Development Is a Very
Expensive Process

  • Less than ___% of the T cells survive the processes and become mature T cells
  • Mature (naïve) CD4+ T helper cells (TH) or mature (naïve) CD8+ cytotoxic T cells (TC) circulate for years for antigens
    (_______)

Bank:
1, 3, 5, 7
Thymus involution

A

T Cell Development Is a Very
Expensive Process

  • Less than 5% of the T cells survive the processes and become mature T cells
  • Mature (naïve) CD4+ T helper cells (TH) or mature (naïve) CD8+ cytotoxic T cells (TC) circulate for years for antigens
    (Thymus involution)
57
Q

Topic 10

T cell activation by dendritic cells

  • Naïve T cells are activated by DCs: the ______ cells

Bank:
professional antigen
presenting, dendritic, nucleated

A

T cell activation by dendritic cells

  • Naïve T cells are activated by
    DCs: the professional antigen presenting cells
58
Q

Topic 10

Dendritic Cells Use Different Ways to Process and Present Different _____

Bank: peptides, proteins, antigens

A

Dendritic Cells Use Different Ways to Process and Present Different antigens

59
Q

Topic 10

Naïve T Cells Enter Lymph Nodes via _____ and ____

A

Naïve T Cells Enter Lymph Nodes via Blood and Lymph

60
Q

Topic 10

T Cell and Dendritic Cell Interaction

1) Naive T cell binds dendritic cell with ____-affinity LFA-1 ICAM-1 interactions
2) Subsequent binding of __ cell receptors sends a signal to LFA-1
3) Conformational change in LFA-1 increases _____ and prolongs cell contact

Bank: low, high, B, T, affinity, flexibility

A

T Cell and Dendritic Cell Interaction

1) Naive T cell binds dendritic cell with low-affinity LFA-1 ICAM-1 interactions
2) Subsequent binding of T cell receptors sends a signal to LFA-1
3) Conformational change in LFA-1 increases affinity and prolongs cell contact

61
Q

Topic 10

What does SMAC stand for?

  • c-SMAC = ____
  • p-SMAC = _____
A

Immunological Synapse
SupraMolecular Activating Complex (SMAC)

  • c-SMAC = central
  • p-SMAC = peripheral
62
Q

Topic 10

T Cell Activation & Differentiation:

Steps

1) ______
2) ______
3) ______

  • T cell activation starts with their ____ complex binding with processed peptide/MHC complex (Signal #1) and co-receptor
  • T cells’ survival needs co-stimulatory signals: ______ (Signal #2)
  • T cells’ differentiation requires cytokines from ____ (Signal #3)

Bank: Activation, CD28/B7, Differentiation, Survival, TCR-CD3, APC

A

T Cell Activation & Differentiation:

Steps

1) Activation
2) Survival
3) Differentiation

  • T cell activation starts with their TCR-CD3 complex binding with processed peptide/MHC complex (Signal #1) and co-receptor
  • T cells’ survival needs co-stimulatory signals:
    CD28/B7 (Signal #2)
  • T cells’ differentiation requires cytokines from APC (Signal #3)
63
Q

Topic 10

T cell activation (signal 1)

  • In a resting T cell, the ITAMs of the CD3 complex (are/ are not) phosphorylated
  • Binding of MHC to the T cell receptor leads to ITAM phosphorylation by ___
  • ____ binds phosphorylated xi ( ξ )-chain ITAMs and is phosphorylated by Lck

Bank: Lck, ZAP70

A

Topic 10

T cell activation (signal 1)

  • In a resting T cell, the ITAMs of the CD3 complex are not phosphorylated
  • Binding of MHC to the T cell receptor leads to ITAM phosphorylation by Lck
  • ZAP70 binds phosphorylated xi ( ξ )-chain ITAMs and is phosphorylated by Lck
64
Q

Topic 10

Naive T cell recognition of __________ presented by a dendritic cell initiates pathways of ______ that leads to clonal expansion and differentiation

A

Naive T cell recognition of specific antigens presented by a dendritic cell initiates pathways of signal transduction that leads to colon expansion and differentiation

65
Q

Topic 10

T cell survival (signal 2)

  • Co-stimulatory signal:
    ___ to ___

Production of ____ and (low or high) affinity IL-2R

Bank:
CD4, CD8, CD28, CD34, B7
IL-2, IL-7

A

T cell survival (signal 2)

  • Co-stimulatory signal: CD28 to B7
  • Production of IL-2 and high affinity IL-2R
66
Q

Topic 10

____ and ___ are key factors for T Cell Survival

IL-2, IL-2R, IL-7

A

IL-2 and IL-2R Are Key Factors for T Cell Survival

67
Q

Topic 10

T Cell Co-Stimulation or Anergy

  • Antigen recognition by a naïve T cell in the absence of co-stimulation leads to the T cell becoming nonresponsive (___)
  • Microbial components enhance co-stimulatory molecule (__) expression by DC, macrophage and B cells
  • Protein immunization always comes with microbial components (____)

Bank: B7, adjuvants, anergic

A

T Cell Co-Stimulation or Anergy

  • Antigen recognition by a naïve T cell in the absence of co-stimulation leads to the T cell becoming nonresponsive (Anergic)
  • Microbial components enhance co-stimulatory molecule (B7) expression by DC, macrophage and B cells
  • Protein immunization always comes with microbial components (Adjuvants)
68
Q

Topic 10

  • CTLA-4 Sends Negative Signal
  • Expressed by activated __ cells
  • Activation: Signals from the T cell receptor and the ____ costimulaotry receptor
  • Inhibition: __ is preferentially bound by CTLA4 and no longer engages CD28

Bank:
T, B
CD28, CD4, CD8
B7, TCR

A
  • CTLA-4 Sends Negative Signal
  • Expressed by activated T cells
  • Activation: Signals from the T cell receptor and the CD28 costimulaotry receptor
  • Inhibition: B7 is preferentially bound by CTLA4 and no longer engages CD28
69
Q

Topic 10

Cytokine Profile (Signal #3) Differentiates ____ T_ Cells

Bank: CD4+, CD8+, CD34+
Tc, Th

A

Cytokine Profile (Signal #3) Differentiates CD4+ Th Cells

70
Q

Topic 10

Naïve CD8+ T Cell Are
Activated in Two Ways:

1) DC presents virus-deprived peptides to naive ___ T cell
2) DC presents virus-deprived peptides to ___ effector cell
- Depends on the __ expression on DCs

Bank: CD4, CD8, B7

A

Naïve CD8+ T Cell Are
Activated in Two Ways:

1) DC presents virus-deprived peptides to naive CD8 T cell
2) DC presents virus-deprived peptides to CD4 effector cell
- Depends on the B7 expression on DCs

71
Q

Topic 10

Cell-Mediated Effector Responses

  • ______: antigen non-specific
  • ______: antigen specific
  • ______: antigen specific

Bank:

Innate Immunity

Adaptive immunity

Both innate and adaptive immunities

A

Cell-Mediated Effector Responses

  • Innate Immunity: antigen non-specific
  • Innate and adaptive immunities: antigen specific
  • Adaptive immunity: antigen specific
72
Q

Topic 10

TH-1 Cells

  • Activates _____: generation, transportation, activation

Bank: phagocytes, dendritic cells, macrophages

A

TH-1 Cells

  • Activates macrophage: generation, transportation, activation
73
Q

Topic 10

TH-2 cells

  • Orchestrate the defense against ___ that colonize the tissues and surfaces of the
    human body.
A

TH-2 cells

  • Orchestrate the defense against parasites that colonize the tissues and surfaces of the
    human body.
74
Q

Topic 10

TH-17 cells

  • Recruit and activate ____
  • Respond to _____ of extracellular bacteria and fungi
  • Produce ____, ____
  • _____ antimicrobial peptide production
  • Involved in chronic inflammatory reactions and ___ reactions

Bank: alpha chain, beta chain, IL-22, IL-17, infections, neutrophils, stop, stimulate, autoimmune

A

TH-17 cells

  • Recruit and activate neutrophils
  • Respond to infections of extracellular bacteria and fungi
  • Produce IL-17, IL-22
  • Stimulate antimicrobial peptide production
  • Involve in chronic inflammatory reactions and autoimmune reactions
75
Q

Topic 10

TFH Cells

  • Help ___ cell development in germinal center: Isotype switching and _______
  • _____ other T cells
  • Improves _______

Bank: Cross regulate, T, B, affinity maturation, somatic hypermutation

A

TFH Cells

  • Help B cell development in germinal center: Isotype switching and Somatic hypermutation
  • Cross regulate other T cells
  • Improves affinity maturation
76
Q

Topic 10

Treg

  • ______ Regulator of Immune Responses
  • A subset of ____ T cells
  • Express cell surface ____
    and transcriptional repressor protein ____
  • Make ____ and TGF-β

Bank:

FoxP3, positive, negative, CD25, CD4, CD8, CD34+, IL-10, IL-22, TGF-beta, TGF-alpha

A

Treg

  • Negative Regulator of Immune Responses
  • A subset of CD4 T cells
  • Express cell surface CD25
    and transcriptional repressor protein FoxP3
  • Make IL-10 and TGF-β
77
Q

Topic 10

Cytotoxic T Lymphocytes (CTLs)

  • Formation: _____
  • Two ways of target cell killing:
    1) _____ ( fragmentins ) pathway
    2) _____ pathway
  • Target cell destruction = ______

Bank: cytotoxins, conjugate, alpha chain, beta chain, Fas/ FasL, apoptosis

A

Cytotoxic T Lymphocytes (CTLs)

  • Formation: conjugate
  • Two ways of target cell killing:
    1) Cytotoxins ( fragmentins ) pathway
    2) Fas/ FasL pathway
  • Target cell destruction = apoptosis
78
Q

Topic 10

Natural Killer (NK) Cells

  • Not antigen specific: ____
  • INF-a & -b, IL-12 & TNF-a ____ NK cells activity
  • Inhibited by IL-10
  • Effector functions:
    1) cell ____, similar to CTLs
    2) cytokine ____: INF-γ
  • Killing/ No killing is determined by the balance of inhibitory and ____ receptor

Bank:
secretion, killing, expression

innate immunity, adaptive immunity

primary, activating

stops, slows down, enhances

A

Natural Killer (NK) Cells

  • Not antigen specific: innate immunity
  • INF-a & -b, IL-12 & TNF-a enhances NK cells activity
  • Inhibited by IL-10
  • Effector functions:
    1) cell killing, similar to CTLs
    2) cytokine secretion: INF-γ
  • Killing/No killing is determined by the balance of inhibitory and activating receptor
79
Q

Topic 10

NK cells are inhibited by healthy cells via
_______________

NK cells are activated by viral infected cells via _______________

A

NK cells are inhibited by healthy cells via
inhibitory receptors

NK cells are activated by viral infected cells via activating receptors

80
Q

Quiz 6

The interaction of CD28 on T cells with B7 (or CD80) on antigen presenting cells provides important signals for T cells’ ____

a) maturation
b) differentiation
c) proliferation (survival)
d) activation
e) apoptosis

A

c) proliferation (survival)

81
Q

Quiz 6

There are significant differences between B cell receptors (BCRs) and T cell receptors (TCRs). Which statement below is INCORRECT?

a) TCR β genes allow four rearrangements
b) There is no somatic mutation and no isotype switching for TCR genes
c) There is no allelic exclusion of TCR β gene expression
d) TCRs are always membrane bound
e) TCRs bind to peptide/MHC complex

A

c) There is no allelic exclusion of TCR β gene expression

82
Q

Quiz 6

Which of the following statements about Notch 1 is correct?

a) Notch 1 is expressed on cortical epithelial cells in thymus.
b) In the absence of Notch 1 expression, T cells can complete their differentiation.
c) The intracellular domain of Notch 1 is a transcriptional factor that initiates early T-cell development, like Pax-5 for B-cell development.
d) Notch 1 is expressed by both T cells and B cells.
e) Notch 1 is not expressed by T cells, nor B cells.

A

c) The intracellular domain of Notch 1 is a transcriptional factor that initiates early T-cell development, like Pax-5 for B-cell development.

83
Q

Quiz 6

Which statement below is INCORRECT?

a) Positive selection determines self MHC restriction.
b) Negative selection removes foreign peptide/self MHC reactive T cells.
c) Positive selection determines CD4+ T cells or CD8+ T cells.
d) Negative selection removes self peptide/self MHC reactive T cells.
e) Positive selection and negative selection make single positive (CD4 or CD8) T cells that are foreign peptide/self MHC reactive.

A

b) Negative selection removes foreign peptide/self MHC reactive T cells.

84
Q

Quiz 6

The area of contact between membranes of a T cell and an antigen-presenting cell, where a clustering of protein–protein interactions occur, is called a(n)_________.

a) immunoreceptor tyrosine-based activation motif (ITAM)
b) polarization
c) cross-presentation center
d) T cell zone
e) immunological synapse

A

e) immunological synapse

85
Q

Topic 11

Leukocyte Migration

  • Immune cells need to move to different sites:
    • __ cells: from bone marrow to secondary lymphoid
      tissue
    • __ cells: from thymus to secondary lymphoid tissues

Bank: T, B

A

Leukocyte Migration

  • Immune cells need to move to different sites:
    • B cells: from bone marrow to secondary lymphoid
      tissue
    • T cells: from thymus to secondary lymphoid tissues
86
Q

Topic 11

What Determines Where Leukocytes Go?

  • Chemokines and chemokine receptors: ____
  • Cell adhesion molecules (CAM): ______

Bank: Extravasation, Chemotaxis

A

What Determines Where Leukocytes Go?

  • Chemokines and chemokine receptors: Chemotaxis
  • Cell adhesion molecules (CAM): Extravasation
87
Q

Topic 11

Chemokines

  • have two structures: CC and CXC
  • CC: 2 ____ cysteines near amino terminus; promote migration of ______
  • CXC: 2 cysteines separated by another amino acid; promote migration of ____

Bank:
adjacent, (lymphocytes, monocytes, and dendritic cells), neutrophils

A

Chemokines

  • have two structures: CC and CXC
  • CC: 2 adjacent cysteines near amino terminus; promote migration of lymphocytes, monocytes, and dendritic cells
  • CXC: 2 cysteines separated by another amino acid; promote migration of neutrophils
88
Q

Topic 11

Chemotaxis

  • Chemotaxis forms a _____, the (lower/ higher) the concentration gradient, that’s where the cell goes
A

gradient; higher

89
Q

Topic 11

Chemokine Receptor Mechanism

1) Chemokine ____ binds its receptor, forming a complex
2) Replacement of ____ activates the G protein and it dissociates from the receptor
3) Dissociates into alpha and _____ subunits; leads to ____

Bank:
chemotaxis, GDP, beta-gamma, CVCL8

A

Chemokine Receptor Mechanism

1) Chemokine CVCL8 binds its receptor, forming a complex
2) Replacement of GDP activates the G protein and it dissociates from the receptor
3) dissociates into alpha and beta-gamma subunits; leads to chemotaxis

90
Q

Topic 11

Chemokines and Chemokine Receptors

  • Guide _______ Homing
    1) Stromal cells and high endothelial venues (HEVs) secrete _____
    2) DC accept CCL21 and go to the lymph node via ____
    3) DC secrete ____ and ____. This attracts T cells to the lymph node
    4) B cells go to the lymph node
    5) B cells induce follicular dendritic cells, which secrete _____ to attract more B cells

Bank:
CXCL13, CCL18, CCL19, CCL21, lymphocytes, lymphatics

A

Chemokines and Chemokine Receptors

  • Guide Lymphocytes Homing
    1) Stromal cells and high endothelial venues ( HEVs) secrete CCL21
    2) DC accept CCL21 and go to the lymph node via lymphatics
    3) DC secrete CCL18 and CCL19. This attracts T cells to the lymph node
    4) B cells go to the lymph node
    5) B cells induce follicular dendritic cells, which secrete CXCL13 to attract more B cells
91
Q

Topic 11

Cell Adhesion Molecules (CAMs) (Addressin)

  • ___: heavily glycosylated proteins that bind to selectins
  • ___: heterodimeric
    proteins (α and β chain)
  • ___: variable Ig-like domains; bind to integrins

Bank:
ICAMS
Mucins
Integrins

A

Cell Adhesion Molecules (CAMs) (Addressin)

Mucins: heavily glycosylated proteins that bind to selectins

Integrins: heterodimeric proteins (α and β chain)

ICAMS: variable Ig-like domains; bind to integrins

92
Q

Topic 11

Lymphocyte Extravasation at _____ Lymphoid Tissues

  • High endothelial venules (HEVs):
    • Specialized vascular endothelium in ______.
    • Found in ____ secondary lymphoid organs.
    • Maintained under the influence of ______.
    • Express ____, mucins & ICAMs

Bank:
cytokines, postcapillary venules, Primary, Secondary, all, some, no, selectins

A

Lymphocyte Extravasation at Secondary Lymphoid Tissues

  • High endothelial venules (HEVs):
    • Specialized vascular endothelium in postcapillary venules.
    • Found in all secondary lymphoid organs.
    • Maintained under the influence of cytokines.
    • Express selectins, mucins & ICAMs
93
Q

Topic 11

Leukocyte Extravasation

1) _____: selectin to mucin: weak binding
2) _____: chemokine to chemokine receptor: integrin expression
3) _____: selectin to mucin + Ig-CAM to integrin: strong binding
4) _____: transmigration across the endothelial layer

Bank:
Activation, Adhesion, Diapedesis, Rolling

A

Leukocyte Extravasation

1) Rolling: selectin to mucin: weak binding
2) Activation: chemokine to chemokine receptor: integrin expression
3) Adhesion: selectin to mucin + Ig-CAM to integrin: strong binding
4) Diapedesis: transmigration across the endothelial layer

94
Q

Topic 11

Effector T Cells Express Different Membrane Molecules From _____ cells

Bank:
B, T, Naïve B, Naïve T

A

Effector T Cells Express Different Membrane Molecules From Naïve T cells

95
Q

Topic 11

VLA-4 Enables Effector T
Cells to Homing Infection Site

  • _____ cells express L-selectin, whose ligand ____ is highly expressed by endothelial cells of HEV and home secondary lymphoid tissues
  • _____ cells express integrin VLA-4, whose ligand ____, is highly expressed by endothelialcells of infected tissues and home Infected tissues

Bank:

Effector T, Naïve T, CD34, VCAM-1

A
  • Naïve T cells express L-selectin, whose ligand CD34 is highly expressed by endothelial cells of HEV and home secondary lymphoid tissues
  • Effector T cells express integrin VLA-4, whose ligand VCAM-1, is highly expressed by endothelialcells of infected tissues and home Infected tissues
96
Q

Topic 11

Lymphocytes adopt (the same/ different) trafficking patterns

A

Lymphocytes Adopt Different

Trafficking Patterns

97
Q

Topic 11

Mucus is (lightly/heavily/not at all) glycosylated

A

Mucus is heavily glycosylated

98
Q

Topic 11

Commensal Microorganisms (Hurt/ Help) the Host

A

Commensal Microorganisms Help the Host

99
Q

Topic 11

Innate Immune Responses of
the Mucosal Epithelia

  • ____ Barrier
  • Anti-microbial substances: ____, _____, etc.

Bank: defensins, physical, cytokines

A

Innate Immune Responses of
the Mucosal Epithelia

  • Physical Barrier
  • Anti-microbial substances: defensins, cytokines, etc.
100
Q

Topic 11

Pathogen Antigens Are Captured in Two Ways

1) M cell _____
2) DC _______
- Naïve T and B cells are activated in ____ (peyer’s patch, mesenteric lymph node, etc.)

Bank:
MALT, transcytosis, penetrating

A

Pathogen Antigens Are Captured in Two Ways

1) M cell transcytosis
2) DC penetrating
- Naïve T and B cells are activated in MALT (peyer’s patch, mesenteric lymph node, etc.)

101
Q

Topic 11

Mucosae has (innate / adaptive) immunity

A

Mucosae has adaptive immunity

102
Q

Topic 11

T Cells Are Transported to the _____ Area Through the _____

Bank: Cortex, Medulla, Lamina Propria, Mucosal

A

T Cells Are Transported to the Mucosal Area

Through Lamina Propria

103
Q

Topic 11

Antibodies are
transported to the
_____ area through
_____

Bank: Cortex, Medulla, Lamina Propria, Mucosal

A

Antibodies are
transported to the
mucosal area through
Lamina Propria

104
Q

Topic 11

Antibodies become attached
to mucus and ready to bind
to ___________

A

Antibodies become attached
to mucus and ready to bind
to pathogenic organisms

105
Q

Topic 11

Systemic Immunity vs
Mucosal Immunity

  • _______ Immunity: inflammation,
    turned on when infected.
  • _______ Immunity: limited
    inflammatory responses,
    always on.

Bank:
Mucosal, Systemic

A

Systemic Immunity vs
Mucosal Immunity

  • Systemic Immunity: inflammation,
    turned on when infected.
  • Mucosal Immunity: limited
    inflammatory responses,
    always on.
106
Q

Topic 12

Immunological Memory and Vaccines

  • ____ term memory: antibodies (IgG, IgA, IgE) for several months,
  • ____-term memory: plasma cells, B cells and T cells for years or life-time

Bank: Long, Short

A

Immunological Memory and Vaccines

  • Short term memory: antibodies (IgG, IgA, IgE) for several months,
  • Long-term memory: plasma cells, B cells and T cells for years or life-time
107
Q

Topic 12

Long-term Immune Memory

  • The maintenance of long-term memory (does/ does not) need the presence of pathogen
A

The maintenance of long-term memory does not need the presence of pathogen

108
Q

Topic 12

Cells of Immunological Memory (3)

Bank:
memory B cells, memory T cells, naïve T cells, long lived plasma cells, plasmids

A

Cells of Immunological Memory:

  • long lived plasma cells
  • memory B cells
  • memory T cells
109
Q

Topic 12

Memory B cells

  • Memory B cells are from clones of B cells making the (lowest/ highest) -affinity antibodies (IgA, IgG, IgE)
  • The number of memory B cells to an antigen is (less/ more) than naïve B cells to the same antigen
  • Memory B cells express (lower/ higher) levels of MHC II and co-stimulatory molecules
  • (Low/ High) levels of pathogen specific antibodies are maintained by long-lived plasma cells
A

Memory B cells

  • Memory B cells are from clones of B cells making the highest-affinity antibodies (IgA, IgG, IgE)
  • The number of memory B cells to an antigen is more than naïve B cells to the same antigen
  • Memory B cells express higher levels of MHC II and co-stimulatory molecules
  • Low levels of pathogen specific antibodies are maintained by long-lived plasma cells
110
Q

Topic 12

- \_\_\_\_\_\_\_\_\_\_ Are 
    the Only B Cells 
    Respond to 
    Re-Invasion of 
    a Pathogen
  • Naïve B Cells Express Negative _____ Receptor; Memory B Cells Don’t

Bank:
- memory B cells, memory T cells, FcγRIIBI, IgG

A
- Memory B Cells Are 
    the Only B Cells 
    Respond to 
    Re-Invasion of 
    a Pathogen
  • Naïve B Cells Express Negative FcγRIIBI Receptor; Memory B Cells Don’t
111
Q

Topic 12

Prevention of Hemolytic Anemia of the Newborn

RhD- mother carrying RhD+ baby:
1st preg) (Anemic/ Healthy) baby
2nd preg) (Anemic/ Healthy) baby

RhD- mother carrying Rhd+ baby with anti-Rh IgG:
All preg) (Anemic/ Healthy) baby

A

Prevention of Hemolytic Anemia of the Newborn

RhD- mother carrying RhD+ baby:
1st preg) Healthy baby
2nd preg) Anemic baby

RhD- mother carrying Rhd+ baby with anti-Rh IgG:
All preg) Healthy baby

112
Q

Topic 12

Memory T Cells Express ( Same/ Different) Surface Markers compared to other T Cells

  • _________: to secondary
    lymphoid tissue and
    be activated
  • _________: to infection
    sites and perform
    effector function
  • _________: long-term
    survival

Bank:
Effector T cells
Naïve T cells
Memory T cells

A

Memory T Cells Express Different Surface Markers compared to other T Cells

  • Naïve T cells: to secondary
    lymphoid tissue and
    be activated
  • Effector T cells: to infection
    sites and perform
    effector function
  • Memory T cells: long-term
    survival
113
Q

Topic 12

________: transfer of preformed antibodies or immune cells into recipients
no long-term memory

__________: stimulate immune responses against a pathogen with different agents related to the pathogen *Vaccination
*long-term memory

_______: When most of the population has antibodies; the disease can’t spread

Bank:
Active immunization
Herd immunity
Passive immunization

A

Passive immunization: transfer of preformed antibodies or immune cells into recipients
no long-term memory

Active immunization: stimulate immune responses against a pathogen with different agents related to the pathogen - Vaccination
long-term memory

Herd immunity: When most of the population has antibodies; the disease can’t spread

114
Q

Topic 12

Vaccination is a procedure in which the (adaptive/ innate) immune system is manipulated in an antigen-specific manner to mimic infection by a particular pathogen and stimulate protective immunity against it without causing the disease itself.

A

Vaccination is a procedure in which the adaptive immune system is manipulated in an antigen-specific manner to mimic infection by a particular pathogen and stimulate protective immunity against it without causing the disease itself.

115
Q

Topic 12

Live virus vaccine

  • _____: using live smallpox viruses
A

Variolation

116
Q

Topic 12

Viral Vaccine

_____________:
Mutating viruses to have no or less pathogenicity
(measles, mumps, polio, yellow fever)

A

Live-attenuated virus vaccine

117
Q

Topic 12

Attenuated Vaccine By Recombinant DNA Techniques

  • ______ is a vaccine against rotavirus generated from cattle viruses genetically modified
    with human viral genes
A

RotaTeg

118
Q

Topic 12

Viral Vaccines

  • ________:
    Using formalin, heat, irradiation to kill live viruses
    (influenza, rabies, polio
    Covid-19 (Kexing, China))
  • ________:
    Using antigenic viral components
    (hepatitis B virus)
  • ________
    (Covid-19: Pfizer and Moderna)

Bank:

Subunit vaccine

Killed (inactivated) virus vaccine

mRNA vaccine

A

Viral Vaccines

  • Killed (inactivated) virus vaccine:
    Using formalin, heat, irradiation to kill live viruses
    (influenza, rabies, polio
    Covid-19 (Kexing, China))
  • Subunit vaccine:
    Using antigenic viral components
    (hepatitis B virus)
  • mRNA vaccine
    (Covid-19: Pfizer and Moderna)
119
Q

Topic 12

Bacterial Vaccines-

__________:
Bacille Calmette-Guerin (BCG)
(Tuberculosis)

_________:
Pertussis (whooping cough)

_________:
Using inactivated bacterial toxins
(diphtheria and tetanus. DTP)

_____________:
Using purified bacterial capsular polysaccharides and conjugate protein (hapten/carrier)
(Haemophilus influenzae (meningitis))

Bank:
Live bacterial vaccine

Toxoid vaccine

Subunit and conjugate vaccine

Killed bacterial vaccine

A

Bacterial Vaccines-

Live bacterial vaccine:
Bacille Calmette-Guerin (BCG)
Tuberculosis

Killed bacterial vaccine:
Pertussis (whooping cough)

Toxoid vaccine:
Using inactivated bacterial toxins
diphtheria and tetanus. DTP

Subunit and conjugate vaccine: 
Using purified bacterial capsular polysaccharides and 	conjugate protein (hapten/carrier)
Haemophilus influenzae (meningitis)
120
Q

Topic 12

Conjugated Vaccine

  • __ cell becomes a plasma cell secreting anti-polysaccharide IgG

Bank:
B, T, Dendritic

A

Conjugated Vaccine

  • B cell becomes a plasma cell secreting anti-polysaccharide IgG
121
Q

Topic 12

Immunostimulating Complexes (ISCOMs)

1) ______ membrane antigens or antigenic properties
2) _____ delivery of antigen into cell

Bank:
Detergent-extracted
ISCOM

A

Immunostimulating Complexes (ISCOMs)

1) Detergent-extracted membrane antigens or antigenic properties
2) ISCOM delivery of antigen into cell

122
Q

Topic 12

Challenges of vaccines:

  • Vaccination can cause diseases
    * Pathogen related: _____ cases in Nigeria
    * Carrier related: ____?
  • No successful vaccines for ____ pathogens
  • Vaccine for ___ remains to be developed
  • Vaccine development faces greater public scrutiny

Bank:
autism, chronic, HIV, polio

A

Challenges of vaccines:

  • Vaccination can cause diseases
    * Pathogen related: polio cases in Nigeria
    * Carrier related: autism?
  • No successful vaccines for chronic pathogens
  • Vaccine for HIV remains to be developed
  • Vaccine development faces greater public scrutiny