Immunity to Tumors 1 Flashcards

1
Q

How does the immune system prevent tumors

A

eliminate oncoviruses, prevent establishment of inflammatory envionment, identify and eliminate tumor cells on the basis of their expression of tumor-specifc antigens

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2
Q

What are the three steps in cancer immunoediting

A

elimination, equilibrium, escape

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3
Q

T/F: Immune compromised individuals have a higher risk for cancer

A

True

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4
Q

What two factors can cause earlier and aggressive cancers

A

immune-system deficiency and genetic predisposition to cancer

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5
Q

What are the three possible outcomes for tumor cells in the equillibrium stage

A

eradicated, persist but not progress, escape

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6
Q

How are ways mutations can keep tumor cells alive

A

evasion of recognition, killing or control by the immune system

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7
Q

What features of an immunosuppressive tumor microenvironment

A

tumor cells inhibit the function of effector immune cells, recruit regulatory immune cells

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8
Q

Where is CD28 located,B7

A

T cell, Target cell

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9
Q

What are outcomes of TCR antigen binding

A

transcirptional regulation, cytokine expression, cell proliferation, cell killing

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10
Q

What are the inhibitory checkpoint molecules

A

PD1 and CTLA-4

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11
Q

How dose the PD-1/PD-L1 pathway inhibit

A

prevents excessive stimulation and maintains the immune tolerance to self-antigens through negatively regulating the immune response

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12
Q

How does the CTLA-4 pathway inhibit

A

Has a greater affinity than Cd28, modulate activation through a series of phosphorylation events

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13
Q

T/F: PD-1/PD-L1(2) prevents the interaction between TCR/MHC and B7/CD28

A

False: PD-1/PD-L1(2) prevent the signalling directly NOT the interaction

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14
Q

T/F: CTLA4 causes indirect regulation through failing to aid in stimulation by out competing CD28

A

True

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15
Q

How does anti-PD-1 allow for destruction of T cells

A

Anti-PD1 binds PD-1, inhibiting it, causing the signals from TCR/MHC and B7/CD28 to properly propagte causing destruction of the cell

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16
Q

What is a CAR

A

Chimeric Antigen Receptor

17
Q

What are the steps to make T-cell therapy

A

T cells are isolated from the patient, T cells are engineered to express CARs that recognize cancer cells, modified T cells are grown and expanded in culture, modified T cells are infused into patient

18
Q

What is on the outside of the T cell CAR

A

A variable heavy chain, a variable light chain, a linker, and a single chain variable fragment

19
Q

What do CARs bind

A

Tumor Associated Antigen, CD19

20
Q

What does CAR target that is linked to develoopemtn and progression of certain aggressive types of breast cancer

A

(HER2)

21
Q

What cancers are mesothelin associated with

A

all mesotheliomas and pancreatic adenocarcinomas, 70% of ovarian cancers, 50% of lung adenocarcinomas

22
Q

What is transduction

A

foreign DNA is introduced into a cell by a viral vector

23
Q

How does Lentiviral transduction lead to CAR

A

virus genome with the CAR gene is intergrated into host cell genome possibly causing CAR to be produced

24
Q

What happens once CAR T cells interact once they are back in the body

A

CAR binds to the antigen and causes the T cell to be activated allowing the killing of cells expressing the tumor antigen