Immunity Flashcards

1
Q

What is a Peyer’s patch?

A

A specialised lymph node in the small intestine

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2
Q

what are peyer’s patches covered by?

A

epithelial layer

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3
Q

what does the epithelial layer covering peyer’s patches contain?

A

specialised cells called M cells which have characteristic membrane ruffles

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4
Q

how do M cells take up antigens?

A

by endocytosis and phagocytosis

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5
Q

how are antigens transported across M cells?

A

in vesicles and released at the basal surface

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6
Q

what happens once the antigen crosses the M cell?

A

antigen is bound by dendritic cells and activate T cells.

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7
Q

how else might an antigen be captured from the lumen in the gut?

A

dendritic cells can extend processes across the epithelial layer and capture antigens.

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8
Q

How do T cells enter Peyer’s patches?

A

from blood vessels, directed by the homing receptors CCR7 and L-selectin.

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9
Q

what happens to T cells once they are activated by dendritic cells in the peyer’s patches?

A

drain via mesenteric lymph nodes to the thoracic duct and return to the gut via the blood stream.

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10
Q

How does IgA leave the cell?

A

by endocytosis

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11
Q

what can secreted IgA on the surface do?

A
  • bind and neutralise pathogens and toxins
  • bind and neutralise antigens internalised in endosomes
  • export toxins and pathogens from lamina propria while being secreted
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12
Q

What are the lymphocytes that lie within the epithelial lining of the gut called?

A

Intra-epithelial lymphocytes (IELs)

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13
Q

what cells are mostly found in the IELs?

A

CD8 positive T cells

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14
Q

How do infected cells display viral peptides to CD8 IEL?

A

via MHC class I

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15
Q

how does activated IEL kill infected epithelial cells?

A

by perforin/granzyme and Fas-dependent pathways

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16
Q

what is type 1 hypersensitivity reaction initiated by?

A

cross-linking of allergen specific IgE on the surface of mast cells with the specific allergen.