Immunochemistry Flashcards

1
Q

Multiple myeloma

A

1 type of Ig produced in large quantities

  1. Paraproteinemia
  2. Lytic bone lesions
  3. Spontaneous fractures
  4. Inc. beta2 microglobulin
  5. Hypercalcemia, Hypercalcuria
  6. Anaemia
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2
Q

Bence Jones proteinuria

A
  • Monoclonal light chains excreted in urine due to asynchronous production of H, L chains
  • B-J proteins ppt b/w 45-60 C
  • May block kidney tubules causing renal failure
  • +ve Bradshaw test
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3
Q

Heavy chain disease

A
  • incomplete synthesis of H chains
  • gamma chain: hepatosplenomegaly, lymphadenopathy
  • alpha chain: abdominal lymphoma, malabsorption
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4
Q

Waldenstrom’s macroglobulinemia

A
  • malignant proliferation of IgM
  • mostly in males
  • IgM form aggregates…inc. serum viscosity…recurrent bleeding
  • +ve Sia’s test
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5
Q

Amyloidosis

A
  • amyloid deposits in liver, kidney

- Congo red stains deposits

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6
Q

Type 1 hypersensitivity

A
  • IgE
  • pollen, dust
  • Allergen cross links IgE on membranes of mast cells and causes degranulation
  • Rhinitis, asthma
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7
Q

Type 2 hypersensitivity

A
  • IgM or IgG
  • Complement system or ADCC
    ex: transfusions, Rh incompatibility
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8
Q

Type 3 hypersensitivity

A
  • Ag-Ab complexes deposited in organs

ex: glomerulonephritis

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9
Q

Type 4 hypersensitivity

A
  • CD4 T cell mediated
  • produce cytokines
  • delayed type hypersensitivity
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10
Q

Normal Th count vs HIV Th count

A

Normal - 400cumm

HIV - <300cumm

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11
Q

Real time PCR HIV particles count

A

<5000/mL - good prognosis

>100000/mL - very bad prognosis

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12
Q

RT inhibitors

A
Zidovudine
Zidanosine
Zalcitabine
Stavudine
Lamivudine
Abacavir
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13
Q

Protease inhibitors

A

Saquinavir
Ritonavir
Indinavir
Nelfinavir

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14
Q

IgG

A
  • gamma type L chains
  • Secondary immune response
  • crosses placenta
  • Rh immunization
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15
Q

IgM

A
  • Macroglobulins
  • J chaped chain
  • Agglutinates bacteria
  • cannot cross vascular barriers
  • Primary response
  • Natural Ab
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16
Q

IgA

A
  • Dimer
  • Seromucous secretions
  • stabilised by secretory piece
17
Q

IgE

A
  • allergy, hypersensitivity
  • anchor on mast cells, basophils
  • cause degranulation releasing histamine, SRS
  • Vasodilation, bronchoconstriction, hypotension
  • Helminthic infections
18
Q

Microphages examples

A

PMNL
Neutophils
Eosinophils

19
Q

Macrophages examples

A

Reticuloendothelial cells

Monocytes

20
Q

Features of adaptive immunity

A
  1. Specificity
  2. Diversity
  3. Memory
  4. Homeostasis
  5. Discrimination
21
Q

Major activities of T lymphocytes

A

Cell mediated immunity

  1. Against infections
  2. Rejection of transplants
  3. Tumor cell destruction
  4. Helper function
  5. Suppressor function
  6. Production of cytokines, lymphokines
  7. Delayed type hypersensitivity
22
Q

Antibodies destroy target cells by

A
  1. Complement system
  2. ADCC cytotoxicity
  3. Agglutination
  4. Opsonization
23
Q

Antigen Presenting Cells

A
  1. Macrophages
  2. Dendritic cells
  3. B cells
24
Q

Order of activation of complement factors in classical complement pathway

A
C1
C4
C2
C3 - C3a
C5 - C5a
C6 + C7
C8 + C9
25
Q

Order of activation of complement factors in alternate complement pathway

A
Properdin
D
B
C3 - C3a
C5 - C5a
C6 + C7
C8 + C9
26
Q

C1 esterase inhibits

A

C1s
Plasmin
Kallekrein
Hagemen factor

27
Q

Interleukins

A
  • lymphokines
  • secreted by leukocytes
  • they are growth factors targeted to cells of haemopoeitic origin
28
Q

Interferons

A
  • in response to pathogens or tumors
  • allow communication b/w cells
    1. Activate immune cells
    2. Inc. recognition of Ap by inc. APC
    3. Inc. ability of host to resist infection
  • Muscle pain, fever
29
Q

IFNs for treatment

A

IFN b 1a, IFN b 1b - Multiple sclerosis
IFN a 2b - recurrent melanomas
IFN a - Hepatitis B, C

30
Q

Cytokines act as:

A
  1. Messengers
  2. Soluble mediators
  3. Regulatory proteins
  4. Effectors
31
Q

Types of cytokines

A
  1. Colony stimulating factors
  2. IFN
  3. ILs
  4. TNF
  5. Chemokines