Immuno USMLE Flashcards
a secondary lymphoid organ that has many afferents & 1 or more efferents. It is encapsulated, with trabeculae.
lymph node
fxs of lymph node (3)
1) filtration by macrophages
2) storage/proliferation of B and T cells
3) antibody production
this part of the lymph node is the site of B-cell localization and proliferation.
follicle
these follicules have pale central germinal centers and are active.
secondary follicles
this part of the lymph nodes consists of closely packed lymphocytes and plasma cells and sinuses that communicate with efferent lymphatic and contain reticular cells and macrophages
medulla
this part of the lymph node houses T cells. It is the region of the cortex between follicles and medulla. It contains high endothelial venules through which T and B cells enter from the blood. In extreme cellular immune response (i.e., viral) the this becomes greatly enlarged.
paracortex
paracortex is not well developed in pts with this syndrome
DiGeorge syndrome
this duct drains the right arm and right half of the head
right lymphatic duct
this duct drains the right arm and right half of the head
right lymphatic duct
this duct drains everything besides the right arm and right half of the head
thoracic duct
these are long vascular channels in red pulp with fenestrated “barrel hoop” basement membrane. Macrophages are found nearby.
sinusoids of the spleen
these cells are found in the periarterial lymphatic sheath (PALS) and in the red pulp of the pleen.
T cells
these cells are found in the follicles within the white pulp of the spleen
B cells
this is the site of T-cell maturation.
thymus
mneu: think of the Thymus as “finishing school” for T cells. They arrive immature and “dense” in the cortex; they are mature in the medulla.
the thymus is from the epithelium of this branchial pouch.
3rd
In the thymus, the cortex is dense with this type of T cells; while the medulla is pale with this type of T cells and epithelial reticular cells and Hassall’s corpuscles.
immature
mature
In the corticomedulary junction only T cells with MHC restriction are chosen, this is called?
then only T cells that are non-reactive to self are chosen.
what is this called
positive selection
negative selecton
this type of T cell produces IL-2 & gamma interfereon in order to activate macrophages and Tc cells
Th1 cells
this type of T cell produces IL-4 & IL-5 to help B cells make Ab
Th2 cells
B=2nd letter of the alphabet
State whether this is a fx of B (Ab mediated immunity) or T (Cell mediated immunity) cells:
Host defense against infection (opsinize bacteria, neutralize toxins & viruses)
Ab mediated immunity (B cells)
State whether this is a fx of B (Ab mediated immunity) or T (Cell mediated immunity) cells:
Host defense against Mycobacterium tuberculosis, virus infected cells, and fungi.
Cell mediated immunity (T cells)
State whether this is a fx of B (Ab mediated immunity) or T (Cell mediated immunity) cells:
Host defense against Mycobacterium tuberculosis, virus infected cells, and fungi.
Cell mediated immunity (T cells)
State whether this is a fx of B (Ab mediated immunity) or T (Cell mediated immunity) cells:
Allergy (e.g., hay fever, type I hypersensitivity)
B (Ab mediated immunity)
State whether this is a fx of B (Ab mediated immunity) or T (Cell mediated immunity) cells: Allergy to poison oak, type IV hypersensitivity
Cell-mediated immunity (T cells)
State whether this is a fx of B (Ab mediated immunity) or T (Cell mediated immunity) cells:
Autoimmunity
B cell (Ab mediated immunity)
State whether this is a fx of B (Ab mediated immunity) or T (Cell mediated immunity) cells:
Graft & tumor rejection
T cell(Cell mediated immunity)
State whether this is a fx of B (Ab mediated immunity) or T (Cell mediated immunity) cells:
help and supression of Ab response
T cell(Cell mediated immunity)
MHC stands for
major histocompatibility complex
give the 3 class I genes
A,B,C
give the 3 class I genes
A,B,C
give the 3 MHC class II genes
DP,DQ,DR
this type of MHC has 1 polypeptide, with B2-microglobin
Class I
this type of MHC has 2 polypeptides, with an alpha and a beta chain
class II
this type of cells have MHC II & MHC I proteins
APCs (e.g., macrophages & dendritic cells)
This class of MHC are the main determinants of organ rejection
class II
this type of Ag loading occurs in RER (viral Ag)
MHC I
this type of Ag loading occurs in acidified endosome
MHC II
Give the 2 T-cell glycoproteins
CD4
CD8
helper T cells have CD_, which binds to MHC II on APCs
4
mneu: product of CD & MHC =8
Cytotoxic T cells have CD__, which binds to MHC I on virus infected cells
8
mneu: product of CD & MHC =8
this is a cluster of polypeptides associated with a T-cell receptor. It is important in signal transduction
CD3 complex
give the 3 Ag presenting cells
1) macrophage
2) B cell
3) dendritic cells
in this type of T cell activation:
1) foreign body is phagocytosed by APC
2) Foreign Ag is presented on MHC II and recognized by TCR on Th cell
3) “Costimulatory signal” is given by interaction of B7 & CD28
4) Th cell is activated to produce IL-2 and gamma-interferon
Th activation
In this type of T cell activation:
1) Endogenously synthesized (viral or self) proteins are presented on MHC I and recognized by TCR on Tc cell
2) IL-2 from Th cell activates killing of the virus infected cell.
Tc activation
_______ part of L & H chains recognize Ag.
variable
_______ part of H chain of IgM & IgG fixes complement
Constant
_______ chain contributes to Fc and Fab fractions
Heavy
_____ chain contributes only to Fab fraction
light
This fragment of Ab is constant, has a carboxy terminal, is complement-binding (IgG & IgM only) and has carbohydrate side chains
Fc fragment
Abs do many things to aid in host defense. This method of host defense refers to when Ab promotes phagocytosis. image. p.184
opsonization
Abs do many things to aid in host defense. This method of host defense refers to when Ab prevents bacterial adherance. image. p.184
neutralization
Abs do many things to aid in host defense. This method of host defense refers to when Ab activates compliment, enhancing opsinization and lysis. image. p.184
complement activation
Ab diversity is generated by:
1) random ______ of VJ (light chain or VDJ (heavy chain) genes)
2) random ______ of heavy chains with light chains
3) Somatic __________
4) addition of DNA during _________ by terminal deoxynucleotidl transferase
recombination
combination
hypermutation
genetic recombination
mature B lymphocytes express ______ & _____ on their surfaces.
IgM & IgD
mature B lymphocytes express IgM & IgD on their surfaces may differentiate by isotype switching (mediated by cytokines and CD40 ligand) into plasma cells that secrete ____,____ or _____
IgA, IgE, or IgG
this immunoglobin isotype is the main Ab in secondary response. It is the most abundant. It fixes complement, crosses the placenta, opsonizes bactera, & neutralizes bacterial toxins & viruses
IgG
This immunoglobin isotype prevents attachment of bacteria and viruses to mucous membranes, it does not fix complement. It can be a monomer or dimer. It is found on secretions. It picks up secretory component from epithelial cells before secretion.
IgA
this immunoglobin isotype is produces in the primary response to an antigen. It fixes complement but does not cross the placenta. The Ag receptor is on the surface of the B cells. It can be a monomer or pentamer.
IgM
this immunoglobin isotype is found on the surface of many B cells and in serum. Its fx is unclear.
IgD
this immunoglobin isotype mediates immediate (type I) hypersensitivity by inducing the release of mediators from mast cells and basophils when exposed to allergen. It mediates immunity to worms. It is the lowest Ig isotype in serum
IgE
This is an Ig epitope that differs among members of the same species. It can be on light or heavy chain
allotype (polymorphism)
This Ig epitope is common to a single class of Ig (5 classes determined by the heavy chain)
Isotype (IgG, IgA, etc.)
Isotype=iso (same) common to same class)
This Ig epitope is determined by the Ag binding site
Idiotype (specific for a given Ag)
Idiotype=idio (unique)
hypervariable region is unique
This important cytokine is secreted by macrophages. It stimulates T cells, B cells, neutrophils, fibroblasts, and epithelial cells to grow, differentate, or synthesize specific products. It is an endogenous pyrogen
IL-1
mneu: HOT T-BONE stEAk IL-1: fever (HOT) IL-2: stimulates T cells (T) IL-3: stimulates BONE marrow IL-4: stimulates IgE (E) IL-5: stimulates IgA (A)