Immunology Flashcards

1
Q

Define immunity

A

State of possessing sufficient biological defenses to provide protection from invading pathogens

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2
Q

What kind of diseases are caused by an overactive immune system?

A

Allergies and autoimmune diseases

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3
Q

What are the primary lymphoid tissues?

A

Bone marrow and thymus

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4
Q

What are the secondary lymphoid tissues?

A

Spleen, tonsils, lymph nodes

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5
Q

What is the structure and function of the spleen?

A

White pulp - Maturation of WBCs (B/T lymphocytes)
Red pulp - Breakdown of RBCs, rich in macrophages
Capsule

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6
Q

What are the GALTs?

A

Tonsils, adenoids, appendix, Peyer’s patches

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7
Q

What are the primary antigen presenting cells?

A

Dendritic cells

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8
Q

How does innate immunity function?

A

Recognition of pathogen-associated molecular patterns (PAMPs) which trigger macrophages to phagocytose the microbe

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9
Q

How does adaptive immunity function?

A

Antigens specific to the pathogen are identified and bound by B-lymphocytes which causes maturation and antibody production. Antibodies bind to the antigens and enable macrophages to identify foreign molecules and engulf them

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10
Q

How does the complement system function in innate immunity?

A
Opsonisation
Lysis of pathogens
Chemotaxis
Inflammation
Cell activation
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11
Q

How does the complement system function in adaptive immunity?

A

Augments the antibody response
Promotes T-cell response
Elimination of self-reactive B-cells
Enhancement of immunological memory

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12
Q

How does the complement system function in the disposal system?

A

Clearance of immune complexes and apoptotic cells

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13
Q

How does the complement system indicate infection?

A

Increased [C-proteins] in blood tests

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14
Q

Define Chemotaxis

A

Movement of an organism or cell towards a chemical stimulus

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15
Q

Define Extravasation and diapedesis

A

Extravasation - Forcing blood or lymph out of a vessel into surrounding tissue
Diapedesis - Neutrophils crossing between tissue and blood through the endothelium

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16
Q

What are the 3 branches of the complement system?

A

Classical pathway - Antibody binding
Lectin pathway - Mannose-binding lectin pathway
Alternative pathway - Pathogen surfaces

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17
Q

Which proteolytic enzymes are activated in the classical pathway?

A

C1, C2 and C4.

C4 causes the cleavage of C3

18
Q

Which proteolytic enzymes are activated in the mannose-binding lectin pathway?

A

MLB, MASP, C2 and C4.

C4 causes the cleavage of C3

19
Q

Which proteolytic enzymes are activated in the alternative pathway?

A

B and D.

D causes the cleavage of C3

20
Q

What happens once C3 is cleaved?

A

Coating of microbes leading to phagocytosis
Recruitment of inflammatory cells
Activation of C5, C6, C7, C8 and C9 leading to cell lysis via formation of the membrane attack complex

21
Q

What are the bodily physical defences of diseases?

A

Physical barriers - Skin, Mucous membranes, endothelial cells
Mechanical defences - Skin shedding, Mucouciliary escalator, Excretions, blinking
Microbiome

22
Q

What are the bodily chemical defences?

A
Enzymes + chemicals in bodily fluids
Antimicrobial peptides
GI tract digestive enzymes
Plasma protein mediators
Cytokines
Inflammation-eliciting mediators
23
Q

What are the bodily cellular defences?

A

Granulocytes

Lymphocytes

24
Q

What are the main macrophage receptors expressed on its cell surface?

A
Mannose receptor
Lipopolysaccharide receptor
CD11b/CD18 receptor
Scavenger receptor
Glucan receptor
25
What do toll-like receptors (TLRs) do?
Recognise a vast array of PAMPs
26
What are the types of antibody and how do they appear in the body?
``` IgA - Dimer with J-chain linker IgD - monomer IgE - monomer IgG - monomer IgM - Pentamer ```
27
What are the features of IgG?
Most common antibody Found both intra and extra-vascularly Facilitate phagocytosis of pathogens Transferred from mother to foetus
28
What are the features of IgA?
2nd most abundant antibody Intravascular localisation Present in breast milk, tears and saliva
29
What are the features of IgM?
Activates the complement cascade | Is teh first antibody produced upon pathogen identification
30
What are the features of IgD?
Function on lymphocyte surfaces
31
What are the features of IgE?
Present on basophils and mast cell surfaces | Secreted in allergy response
32
How is antibody variability achieved?
VDJ recombination
33
What are the 2 types of T-cell and their functions?
T helper cell - stimulates B-cells to produce antibodies and induce phagocytosis by macrophages T killer cells - to kill infected cells
34
How to T-cells become activated?
They come into contact with an antigen-presenting cell and present peptide fragments (10-20AA) on their cell surface
35
Which receptor is present on each T-cell?
CD4+ on T helper cells | CD8+ on T killer cells
36
Which major histocompatibility complex (MHC) binds which T-cell?
Class 1 MHCs bind to CD8+ T-killer cells | Class 2 MHCs bind to CD4+ T-helper cells
37
Where are MHC class 1 proteins found?
On almost every nucleated cell surface
38
Where are MHC class 2 proteins found?
Antigen presenting cells (B-cells, dendritic cells)
39
What happens when the CD4+ receptor is bound?
Cytokines are reeased which stimulates T-killer cell activation
40
What are the 2 subtypes of T-helper cell and what do they secrete?
Th1 - gamma-interferon, IL-2 | Th2 - IL-4, IL-5
41
What do T-killer cells secrete?
IL-2 and gamma-interferon
42
What are the other t-cell subtypes and their functions?
Suppressor T-cells - suppress the immune system function Natural killer T-cells - Immunosurveillance cytotoxic cells gamma-delta-T-cells - Embryonic T-cell population