Immunity to Cancer Flashcards
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What do MHC molecules do?
Major histocompatibility complex.
They display internally processed antigens inside a cell.
MHC 1: self-protein
MHC 2: only on cells of the immunity
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What processes are involved in the innate, and adaptive immunity?
Innate: Phagocytosis, opsonisation, complement system
Adaptive: T/B cell proliferation, antibody production
Which type of T cells bind to MHC class I, and which binds to MHC class II?
MHC class I: cytotoxic T cells
MHC class II: T helper cells
What are RAG1 and RAG2 genes?
They are recombinant activating genes which repair double stranded DNA breaks in lymphocytes (T/B).
What happens if RAG1/RAG2 genes are knocked out?
We can breed animals so they don’t repair these lymphocyte damages, and so T/B/NK cells are eradicated.
This hence induces carcinogenic induced tumours in these animals.
What are RAG knockout mice more prone to?
Spontaneous tumours.
What is associated with melanoma, bladder, colon, lung, pancreatic, and kidney tumours?
Immunosuppression (due to the drugs taken post-surgery), which increases cancer risk.
These are non-viral cancers.
Experimentally, what is the immune response of carcinogen induced tumours, spontaneous animal tumours, and viral/UV associated tumours?
Which one of these tumours is also a very good candidate for vaccines?
Carcinogen induced tumours: weakly immunogenic, does not produce a strong immune response
Spontaneous animal tumours: weakly immunogenic, as above
Viral/UV: strongly immunogenic, very good candidates for vaccines e.g. HPV for cervical/oral cancers
What surrounds a tumour?
Mononuclear cell infiltrates (immune system cells), e.g. activated T/NK cells, and macrophages
What are the 2 classifications of tumours, based on their patterns of expression?
- Tumour specific antigen (TSA): tumour itself produces the antigens
- Tumour associated antigen (TAA): tumour creates a system where whatever its making is associated with the antigens
What can T cell recognition of these tumour cells be induced from?
- Over-expression of self-protein
- Expression of oncogenic virus antigens, e.g. HPV
- Expression of antigen from an oncogene/mutated suppressor gene
- A mutated self protein
Which T lymphocyte recognises tumour antigens?
Cytotoxic T cells.
What can poor natural killer cell function lead to in cancer?
Poor NK cell function = future metastasis (fragments of the cancer migrating to other parts of the body)
What can the absence of NK cells lead to?
An increase of spontaneous tumours.
What is the process in which NK cells kills tumour cells?
- NK cell releases granzymes, which produce caspases
- This induces apoptosis of the NK cell
- Fas ligand generated which binds to the receptors on the tumour cell and causes nuclear destruction (apoptosis)