IMMUNOLOGY Flashcards
OBJECTIVES
Define and contrast the terms “innate or natural” and “acquired or adaptive” immune
responses.
2. Classify the immune cells and relate their structures and components to their functions
in innate and adaptive immunity.
3. Identify the primary and secondary lymphoid organs and explain their differentiation
4. Briefly compare and contrast the structure of the thymus, lymph node, spleen and
Peyer’s patch.
5. Describe briefly with the aid of diagrams, the recirculation of lymphocytes.
6. Categorise the terms “humoral”,“cell-mediated”, “active” and “passive”immunity.
7. Describe with the aid of a simple diagram, the basic structure of the immunoglobin
molecule, identifying the antigen binding site and Fc portion of the molecule.
8. Identify the various immunoglobin classes and subclasses in humans, and relate their
individual structures to their functions.
9. Explain antigen, immunogen and antibody.
10. Outline the principles of the generation of antibody diversity.
11. Compare and contrast the following receptors: MHC, BCR and TCR, by their
structures and functions.
12. Outline the developmental pathway of the B-lymphocyte in the bone marrow and its
further differentiation after antigen stimulation.
13. Differentiate between primary and secondary antibody responses, relating the
importance of isotoype switching, affinity maturation and immunological memory
processes.
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14. Outline the development of T-lymphocytes in the thymus and briefly describe positive
and negative selection.
15. Explain the differentiation of T lymphocytes into their various types and relate their
functional differences.
16. Illustrate the gene map of the Major Histocompatibility Complex. Draw simple
diagrams to illustrate the structure of MHC Class I and II molecules. Compare the
distribution of these molecules.
17. Outline the mechanisms for processing of antigens, the major APCs and their
locations.
18. Outline the stages of activation, proliferation and differentiation of T-lymphocytes in
response to presented antigen.
19. Describe the role of T-cells in cell-mediated cytotoxicity, macrophage activation,
delayed hypersensitivity and T-cell/B-cell co-operation.
20. Draw a simple diagram of the complement pathways. List the major functions of
complement giving examples of specific components mediating these effects.
21. Define an immune complex. Describe the role of immune complexes in antigen
clearance and the generation of inflammation. Outline the factors involved in the
removal of immune complexes.
22. Define the term “cytokine.” Describe the general properties of these molecules. List
the major cytokines involved in the acute phase response regulation of
haematopoiesis, phagocyte function and T-cell, B-cell and NK cell function.
HOW DOES INFECTION GET IN
INFECTION GETS IN BY PHYSICAL BARRIER: SKIN, PH ,CILIA
MOLECULAR BARRIER: COMPLEMENT, INTERFERON
PHYSICAL BARRIERS TO INFCETION
ADD IN PHOTO
WHAT ARE THE FORMATION OF LEUCOCYTES
PHOTO
HAEMATOPIOEIS CELLULAR DIFFERENTCIATION
PHOTO
MULTIPOTENTIAL HAEMATOPOIETIC STEM CELL
Responsible for blood and immune cells (white blood cells)
1)Multipotent
2) Ability to differentiate into all functional blood cells
3) Self-renewal
4) Ability to give rise to HSC without differentiation
COMMOM LYMPHOID PROGENITOR (CLP)
1-Earliest lymphoid progenitor cell
2-Gives rise to T, B and NK cells along with DCs
B LYMPHOCYTE- B CELL
1- Named ‘B’ cell due to its location
2-Produces antigen specific immunoglobulins, aka, antibodies, against invasive pathogens.
3- Also presents antigens and secrete cytokines.
T LYMPHOCYTE- T CELL
1- 2 LYMPHOCYTE CELL NAMED ‘T’ DUE TO ITS LOCATION OF MATURATION ( THYMUS GALND)
2-Various types exists with varying functions
3-Responsibilities include assisting B cells, production of cytokines, regulation of immune responses and killing of infected and cancerous cells
NATURAL KILLER CELLS NK CELL
1- Functions include
Killing of virally infected cells
Detecting and controlling early signs of cancer
2-Designated as ‘ Natural’ as they don’t priming to kill infected cells unlike T cells
COMMON MEYLOID PROGENITOR- CMP
Precursor of erythrocytes, thrombocytes, granulocytes,
monocyte-macrophages, dendritic cells, mast cells and osteoclasts
MAST CELL
Long lived tissue resident cells
Functions include defense in parasitic infections and role in allergic reactions
Releases cytokines and inflammatory mediators
MYELOBLAST
UNIPOTENT STEM CELL
DIFFERENTIATES INTO VARIOUS EFFECTOR CELLS
BASOPHIL
Plays a role in:
Allergic reactions
Preventing blood clotting
EOSINOPHIL
Plays a role in defense against parasites
NEUTROPHIL
PHAGOCYTOSIS
BACTERICIDAL MECHANISMS
MONOCYTE
Phagocytic cells found in the blood stream
Matures into macrophages upon migration to tissues
MACROPHAGE- MAC
Phagocytosis
Bactericidal mechanisms
Antigen presentation
DENDENTIC CELLS
Antigen presentation
Initiation of activation of B and T cells
LYMPHOID ORGANS
PHOTO
Broadly subdivided into
Primary/Central Lymphoid Organs
Lymphocytes are generated
Ag cannot enter in
Secondary/Peripheral Lymphoid Organs
Adaptive immune responses are initiated
Lymphocytes are maintained
Ag can enter in
PRIMARY LYMPHOID ORGANS
Primary 2 Bone Marrow and Thymus
B and T cells originate in BM
Only B cells mature there; precursor T cells migrate to the thymus and undergo maturation there.
Mature B and T cells enter the bloodstream and
migrated to secondary/peripheral lymphoid organs:
Antigen cannot enter into these organs
They atrophy with age
SECONDARY LYMPHOID ORGANS
Specialized to:
- trap Ag-bearing dendritic cells
- Allow initiation of adaptive immune responses
- Provide signals that sustain recirculating
Lymphocytes
- Antigen can enter in
- Increase in size with age
- Includes
- Lymph nodes
- Spleen
- GALT, BALT & MALT
SECONDARY LYMPHOID ORGANS
Lymph nodes:
- Located at points of convergence of vessels of the lymphatic system
- Afferent lymphatics carry Ag-bearing cells from infected tissues to the LNs
- In LNs, B cells are localized in follicles while T cells are diffusely distributed
- This organization promotes interactions between APCs and T cells and between activated Ag-specific T cells and B cells
upon encountering Ag.
SECONDARY LYMPHOID ORGANS
+ Spleen
+ Collects Ag from the blood
+ Gut-associated lymphoid tissue
+ Includes tonsils, adenoids, appendix and patches in the small intestine
+ In 3H\HU·V patches, Ag collected by specialized epithelial cells: multi-
fenestrated or M cells
+ Bronchial-associated lymphoid tissue
+ Protects the respiratory epithelium
+ Mucosal-associated lymphoid tissue
+ Protects other mucosa