Immunology Flashcards

1
Q

Identify differences between innate and adaptive immunity

A

Innate Immunity: Present from birth, it is the first line of defense against pathogens. It includes physical barriers (e.g., skin), chemical barriers (e.g., antimicrobial peptides), and innate immune cells (e.g., neutrophils, macrophages, natural killer cells).
Adaptive Immunity: Develops after exposure to specific pathogens. It consists of specialized cells, including B cells and T cells, which produce antigen-specific responses to target and eliminate specific pathogens.
other differences include
Innate immunity is non-specific, while adaptive immunity is highly specific.
Innate immunity lacks memory, while adaptive immunity possesses immunological memory.
Innate immunity has a rapid response, while adaptive immunity has a slower response.
Innate immunity provides immediate but general protection, while adaptive immunity provides specific and long-lasting protection.

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2
Q

Describe the sequence of events that leads to acute inflammation

A

1.Vasodilation and increased vascular permeability cause redness, warmth, and swelling.
2.Immune cells are recruited and activated through adhesion and diapedesis.
3.Phagocytosis by neutrophils and macrophages destroys pathogens.
4.Tissue repair involves cell proliferation, angiogenesis, and extracellular matrix remodelling.
5.Inflammation resolves as anti-inflammatory signals are released.

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3
Q

What is the activation and function of macrophages

A

Activation: Macrophages can be activated by various stimuli, including microbial products, cytokines (such as interferon-gamma), and immune complexes. They can also be activated during tissue injury or inflammation.
Function: Macrophages play a critical role in innate immunity and are involved in phagocytosis, antigen presentation, and cytokine production. They engulf and destroy pathogens, present antigens to initiate an adaptive immune response, and secrete cytokines to regulate inflammation and immune responses.

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4
Q

What is the activation and function of Neutrophils

A

Activation: Neutrophils are primarily activated by microbial products and inflammatory mediators, such as bacterial toxins and cytokines like interleukin-8 (IL-8).
Function: Neutrophils are the most abundant type of white blood cells and act as the first line of defense against bacterial and fungal infections. They are highly efficient at phagocytosis and can release antimicrobial substances to kill pathogens. Neutrophils also play a role in initiating inflammation and recruiting other immune cells to the site of infection.

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5
Q

What is the activation and function of complement

A

Activation: The complement system can be activated through three main pathways: the classical pathway (triggered by antibodies binding to pathogens), the alternative pathway (activated spontaneously or by certain bacterial surfaces), and the lectin pathway (activated by pattern recognition molecules binding to pathogens).
Function: Complement proteins can opsonize pathogens, promoting their phagocytosis by immune cells. They can also directly kill pathogens by forming a membrane attack complex (MAC) that creates pores in the pathogen’s membrane. Additionally, complement activation can induce inflammation, attract immune cells, and regulate adaptive immune responses.

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6
Q

What is the functions of Interleukin 1 (IL-1), Interleukin 6 (IL-6), Tumor Necrosis Factor alpha (TNF-a)

A

IL-1: It promotes inflammation, activates endothelial cells, induces fever, and stimulates the production of acute-phase proteins.
IL-6: It plays a role in inflammation, stimulates the production of acute-phase proteins, and regulates immune cell differentiation and activation.
TNF-a: It is a potent pro-inflammatory cytokine that triggers inflammation, promotes cell death (apoptosis), and regulates immune cell activation and migration.

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7
Q

What is the activation and function of NK cells

A

Activation: Natural Killer (NK) cells can be activated by various signals, including the absence or downregulation of MHC class I molecules on target cells and the binding of activating receptors to ligands on infected or tumor cells.
Function: NK cells are a type of cytotoxic lymphocyte that plays a crucial role in innate immunity and early defense against viral infections and tumor cells. They can directly kill infected or transformed cells without prior sensitization and can also produce cytokines to regulate immune responses.

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8
Q

What is the activation and function of mast cells

A

Activation: Mast cells can be activated by various stimuli, such as allergens, immunoglobulin E (IgE) antibodies, complement proteins, and cytokines like IL-33.
Function: Mast cells are primarily involved in allergic reactions and immune responses against parasites. Upon activation, they release histamine, cytokines (such as IL-4 and IL-13), and other mediators that promote inflammation, vasodilation, and recruitment of other immune cells to the site of infection or allergy.

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9
Q

What is the function of Chemokines

A

Chemokines are small proteins that play a crucial role in immune cell migration and positioning. They act as chemoattractants, guiding immune cells to specific sites within tissues. Chemokines are involved in inflammation, immune surveillance, and the formation of lymphoid organs. They bind to specific chemokine receptors on immune cells, triggering cell movement and directing the immune response to the appropriate location.

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10
Q

What is the cell type difference between B cell receptors and T cell receptors

A

Cell Type: BCRs are found on the surface of B cells, whereas TCRs are found on the surface of T cells.

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11
Q

What is the difference in receptor structure of B cell receptors and T cell receptors

A

BCRs are composed of membrane-bound immunoglobulin molecules consisting of heavy and light chains. TCRs are composed of either alpha and beta chains or gamma and delta chains.

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12
Q

What are the difference in activation requirements for B cells and T cells

A

B cells can be activated by the direct binding of antigens to BCRs. T cells, on the other hand, require binding of TCRs to antigen-MHC complexes, along with co-stimulatory signals, for activation.

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13
Q

What is the difference in functions of B cell and t cells

A

Upon activation, B cells differentiate into plasma cells, which secrete soluble antibodies specific to the recognized antigen. Activated T cells can differentiate into cytotoxic CD8+ T cells or helper CD4+ T cells, which perform various effector functions in immune responses

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14
Q

What are 3 functions of MHC molecules

A

Antigen Presentation, Immune Surveillance, Self-Tolerance

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15
Q

Where do T cells develop

A

T cells develop in the thymus gland, which is a small organ located in the upper chest area behind the breastbone.

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16
Q

What are the main stages of T cell development

A

a) Commitment: Hematopoietic stem cells commit to becoming T cells.
b) Differentiation: Progenitor cells migrate to the thymus and differentiate into immature T cells.
c) Positive and Negative Selection: Immature T cells undergo a process called positive and negative selection in the thymus to ensure they have functional T cell receptors (TCRs) that can recognize foreign antigens but not self-antigens.
d) Maturation: Selected T cells mature and differentiate into distinct subsets, such as helper T cells (CD4+) and cytotoxic T cells (CD8+).

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17
Q

What is the significance of T cells in the immune system

A

T cells play a crucial role in adaptive immune responses. They are responsible for recognizing and eliminating infected or abnormal cells, activating other immune cells, and coordinating immune responses. T cells are essential for both cell-mediated immunity, carried out by cytotoxic T cells, and humoral immunity, supported by helper T cells.

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18
Q

What happens during positive selection of T cells?

A

Positive selection occurs when immature T cells with TCRs that can weakly recognize self-antigens presented by major histocompatibility complex (MHC) molecules receive survival signals. These T cells are allowed to mature and continue development.

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19
Q

What happens during negative selection of T cells?

A

Negative selection eliminates immature T cells that strongly recognize self-antigens presented by MHC molecules. This process helps to prevent the development of self-reactive T cells that could cause autoimmune reactions.

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20
Q

What are some subsets of T cells

A

Helper T cells (CD4+),Cytotoxic T cells (CD8+) , Regulatory T cells (Tregs), Memory T cells and Natural Killer T cells (NKT cells)

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21
Q

What is the function of helper T cells

A

cells play a central role in coordinating immune responses. They can differentiate into different subsets

22
Q

What is the functions of Cytotoxic T cells (CD8+)

A

Cytotoxic T cells are specialized in killing target cells. They recognize and destroy cells infected with intracellular pathogens, such as viruses or intracellular bacteria. They also play a role in eliminating cancer cells and cells presenting abnormal antigens, such as those from transplanted organs.

23
Q

What is the functions of Regulatory T cells

A

T cells help maintain immune homeostasis and prevent excessive immune responses. They suppress the activity of other immune cells, including T cells and antigen-presenting cells, helping to control inflammation and prevent autoimmune reactions.

24
Q

What are the functions of the Memory T cells

A

Memory T cells provide long-lasting immunity against previously encountered pathogens. They respond more quickly and robustly to antigen re-exposure, leading to a faster and more effective immune response compared to the primary response

25
Q

What are the functions of the Natural Killer T cells (NKT cells)

A

NKT cells bridge the gap between innate and adaptive immunity. They can rapidly produce cytokines and have cytotoxic activity, contributing to immune responses against infections, tumors, and autoimmune diseases.

26
Q

What is the structure of antibodies

A

Antibodies, also known as immunoglobulins (Ig), have a Y-shaped structure.
They consist of two identical heavy chains and two identical light chains held together by disulfide bonds.

27
Q

What are the variable and constant regions of antibodies

A

The variable regions, found at the tips of the Y-shaped structure, are responsible for antigen binding and recognition.
The constant regions, located towards the base of the Y, provide structural stability and interact with other components of the immune system.

28
Q

What are the antigen binding sites on antibodies

A

Each antibody has two antigen-binding sites located at the tips of the variable regions.
These sites are specific to the shape and structure of antigens and allow antibodies to recognize and bind to specific antigens.

29
Q

What are the heavy and light chains of antibodies

A

Each antibody has two identical heavy chains and two identical light chains.
The heavy chains determine the antibody’s class or isotype (e.g., IgG, IgM, IgA, IgD, IgE), while the light chains are either kappa (κ) or lambda (λ) chains.

30
Q

What are the 5 different antibody isotypes

A

IgG, IgM, IgA, IgE, IgD

31
Q

What is does IgA do

A

Provides localized protection at mucosal surfaces.

32
Q

What does IgE do

A

Triggers mast cells and basophils to release inflammatory mediators.

33
Q

What does IgD do

A

Functions as a B cell receptor (BCR) for antigen recognition.

34
Q

What is class switching

A

Class switching, or isotype switching, is a process in B cells where the antibody’s constant region is changed while preserving the antigen-binding variable region. This allows B cells to produce antibodies of different isotypes, each with unique effector functions, while maintaining specificity for the same antigen.

35
Q

What is the function of antibodies

A

Antibodies are proteins produced by the immune system in response to foreign substances (antigens). Their main function is to recognize and bind to specific antigens, such as viruses or bacteria, marking them for destruction or neutralizing their harmful effects. Antibodies play a crucial role in immune defense by facilitating the clearance of pathogens, activating immune responses, and providing protection against future infections.

36
Q

What is Primary Immunodeficiency

A

Primary immunodeficiency refers to a group of inherited disorders characterized by defects in the immune system’s development or function

37
Q

What are examples of Primary Immunodeficiency

A

Severe Combined Immunodeficiency (SCID),Common Variable Immunodeficiency (CVID),

38
Q

What is Secondary Immunodeficiency

A

Secondary immunodeficiency refers to acquired conditions that result in a weakened immune system. It occurs as a result of external factors such as infections, medications, or underlying medical conditions

39
Q

What are some examples of Secondary Immunodeficiency

A

HIV/AIDS, Chemotherapy-Induced Immunodeficiency, Malnutrition and chronic kidney disease

40
Q

What is the antigen and immune reactant of Type I hypersensitivity

A

Antigen: Allergens (e.g., pollen, dust mites, certain foods)
Immune reactant: IgE antibodies

41
Q

What is the antigen and immune reactant of Type 2 hypersensitivity

A

Antigen: Cell surface antigens (e.g., blood group antigens, drug-membrane complexes)
Immune reactant: IgG or IgM antibodies

42
Q

What is the antigen and immune reactant of Type 3 hypersensitivity

A

Antigen: Soluble antigens (e.g., immune complexes, microbial toxins)
Immune reactant: IgG or IgM antibodies

43
Q

What is the antigen and immune reactant of Type 4 hypersensitivity

A

Antigen: Delayed hypersensitivity antigens (e.g., certain drugs, certain bacteria)
Immune reactant: T cells and cytokines

44
Q

What is autoimmunity

A

Autoimmunity refers to a condition in which the immune system mistakenly attacks and damages the body’s own healthy tissues and cells

45
Q

What are the Mechanisms to prevent autoimmunity

A

Central tolerance: Elimination or inactivation of self-reactive immune cells during their development in the thymus (T cells) or bone marrow (B cells).
Peripheral tolerance: Regulatory T cells (Tregs) suppress the activation of self-reactive immune cells, and mechanisms like anergy and deletion prevent their harmful response.

46
Q

What are examples of autoimmunity

A

Rheumatoid arthritis, Type 1 diabetes and Multiple sclerosis

47
Q

What is cancer immune surveillance

A

Cancer immune surveillance is a process in which the immune system recognizes and eliminates cancerous cells to prevent the development of tumours

48
Q

What are the two types of tumour antigens

A

Tumor-specific antigens (TSAs): Unique antigens found exclusively on tumor cells and not on normal cells. They arise from genetic alterations in the tumor cells.
Tumor-associated antigens (TAAs): Antigens expressed by both tumor cells and some normal cells, but at higher levels in tumor cells. They can be overexpressed, mutated, or aberrantly expressed proteins.

49
Q

What are the tumour escape mechanisms

A

Tumor escape mechanisms are strategies used by cancer cells to avoid detection and destruction by the immune system. They include downregulating antigen presentation, activating immune checkpoints, producing immunosuppressive factors, inducing immune cell dysfunction, acquiring genetic alterations, and exploiting immune privilege.

50
Q

A melanoma that fails to express major histocompatibility complex (MHC) molecules
can still prime a CD8 T cell response, because:

A

dendritic cells can phagocytose dying tumour cells

51
Q

What are some immunotherapies for tumour

A

Immune checkpoint inhibitors, CAR-T cell therapy, Cancer vaccines and immune system modulators