Immunology Flashcards
What are the 3 polymorphonuclear leukocytes?
- Neutrophils
- Eosinophils
- Basophils
What are the 3 mononuclear leukocytes?
- Monocytes
- T-cell
- B-cell
What do monocytes differentiate into?
Macrophages.
What do T-cells differentiate into?
- T-regs
- T-helper cells (CD4) (Th1 and Th2)
- Cytoxic T cells (CD8)
What do B-cells differentiate into?
Plasma cells.
What other immune cells should we be aware of?
- Mast cells (migrant granulated cell)
- Natural killer cell (lymphocyte family)
- Dendritic cell (antigen-presenting cells in tissues)
Where is complement secreted?
The liver.
What are the 3 modes of action for complement?
- Direct lysis
- Attract more leukocytes to site of infection
- Coat invading organisms
How do antibodies circulate in the blood?
- Bound to B-cells
- Free in plasma
Which part of the antibody is responsible for antigen binding?
- Fab regions
- Variable in sequence
- Bind to specific antigens
Which part of the antibody is responsible for antigen elimination?
- Fc region
- Constant sequence
- Binds to complement, Fc receptors on phagocytes and natural killer cells
What are the 5 classes of antibodies?
- IgG (most abundant in serum and tissues)
- IgA
- IgM
- IgD
- IgE
Describe the structure of IgG antibodies.
- Monomer
- 2 heavy chains (bind to B cell)
- 2 light chains (bind to antigen)
Describe the structure of IgA antibodies.
- Mostly a monomer
- Can be a dimer (20% in humans)
- Held together by a J chain and a secretory unit
Describe the structure of IgM antibodies.
- Pentamer (formation dependant on J chains)
- Monomeric form bound to B cells
Where are IgG antibodies mainly found?
Most abundant serum antibody.
Where are IgA antibodies mainly found?
Mucous secretions - known as secretory IgA (sIgA).
Also found in serum.
Where are IgM antibodies mainly found?
Largely in blood as they are too large to cross vascular endothelium.
Where are IgD antibodies mainly found?
The mature form are mostly found bound to mature B cells.
Where are IgE antibodies mainly found?
50% in blood, the rest are bound to mast cells and basophils.
What are IgG antibodies responsible for?
- Main antibody in the adaptive immune response
- Secondary/memory responses
- Crosses placenta
What are IgA antibodies responsible for?
- First line of defence
What are IgM antibodies responsible for?
- Initial contact with antigen (principal immune response)
- 10 sites for antigen binding (mopping up antigens in blood supply)
What are IgD antibodies responsible for?
- No effector functions have been identified (it does bind to antigens)
what are IgE antibodies responsible for?
- Binds to basophils and mast cells which express a high affinity IgE-specific receptor
- Stimulates histamine release from basophils and mast cells
- Hypersensitivity reactions and defence against parasitic infections
Describe the mechanism of action of antibodies.
- Direct attack on the invader
- Activation of complement system
Describe the mechanism of action of direct attack (antibodies).
- Agglutination (antigen-presenting particles are bound together)
- Precipitation (molecular complex is so large it comes out of solution)
- Neutralisation (antibodies cover the toxic sites)
- Lysis
What are cytokines?
Proteins secreted by immune and non-immune cells.
What is the action of interferons?
Induce a state of viral resistance in uninfected cells and limit the spread of viral infection.
Give the 3 types of interferons.
- IFN⍺
- IFNβ
- IFN𝛾
Which cells secrete interferons?
Virus-infected cells secrete IFN⍺ and β.
Activated Th1 cells secrete IFN𝛾.
What do interleukins do?
- Can be pro-inflammatory (IL1) or anti-inflammatory (IL10)
- Can cause cells to divide, differentiate and secrete factors
What do colony-stimulating factors do?
Direct the division and differentiation of bone marrow stem cells (leukocyte precursor).
What do tumour necrosis factors do?
Mediate inflammation and cytotoxic reactions (TNF⍺ and β).
What are chemokines?
~40 proteins that direct the movement of cells from the blood stream to the tissues
Define innate immunity.
- Primitive
- Instinctive response
- Does not require immune recognition by lymphocytes
- No long-lasting memory
- Integrated with adaptive immunity
What are Pattern Recognition Receptors (PRRs)?
Receptors on immune cells that detect the presence of PAMPs.
What are Pathogens Associated Molecular Patterns (PAMPs)?
Pathogen-specific molecules that can be detected by PRRs.
What are toll-like receptors (TLRs)?
A type of PRR, that recognise structurally conserved molecules derived from microbes.
What are the components of innate immunity?
- Physical and chemical barriers (eg. skin)
- Phagocytic cells (neutrophils and macrophages)
- Blood proteins (complement and acute phase proteins)
What are the 3 features of inflammation?
- Increased blood supply
- Increased vascular permeability
- Increased leukocyte extravasation
Which cells detect the presence of antigens in the blood?
Monocytes and neutrophils.
Which cells detect the presence of antigens in tissues?
Macrophages and dendritic cells.
What are the 3 activation pathways for complement?
- Classical (antibody binds to microbe)
- Alternative (complement binds to microbe)
- Lectin (activated by mannose-binding lectin bound to microbe)
What are the three ways complement can act on microbes?
- Lyse microbes directly through the action of MAC (membrane attack complex)
- Chemotaxis
- Opsonisation (make them easier to phagocytose)
Describe the 3 ways phagocytosis can be initiated.
- Antibodies bound to antigens on microbe can bind to antibody receptors
- C3b opsonised on microbe binds to complement receptor
- Mannose receptors bind to carbohydrates on bacteria wall
What are the 3 steps to phagocytosis?
- Binding
- Engulfment
- Phagosome formation
What are the 2 pathways in neutrophils and macrophages?
- Oxygen-dependent
- Oxygen-independent
Describe the oxygen-dependent pathway in neutrophils and macrophages.
- Uses reactive oxygen intermediates (ROI)
- Superoxide ions are converted to H2O2 then to a hydroxide free radical
Describe the oxygen-independent pathway in neutrophils and macrophages.
- Enzymes (eg. lysosome)
- Proteins (eg. defensins inserted into the membrane of the microbe)
- pH
What are the 3 possible outcomes after phagocytosis?
- Debris gets secreted by the phagocytic cell
- Cell components converted to energy
- Antigens get presented on cell surface via MHC class II receptor
(MHC = major histocompatibility complex)
Why is adaptive immunity required?
- Microbes can evade innate immune responses
- Intracellular viruses and bacteria evade innate immunity
- Memory of specific antigens allows a faster response