Immunology Flashcards

1
Q

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innate vs adaptive immune system

A

Innate:
- Physical barriers: epithelium (e.g., skin, mucous membranes)
- Secreted effector proteins and complement system
- Antigen-presenting cells, Natural killer cells, Granulocytes
- toll-like receptors (TLR): pattern recognition receptors that recognize pathogen-associated molecular patterns (PAMPs) and lead to activation of NF-kB

Adaptive:
- B cells, T cells (helper T cells, cytotoxic T cells)
- Immunoglobulins (IgA, IgM, IgG, IgD, IgE)

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2
Q

immune cell terminology

A

granulocytes:
mast cell, eosinophil, basophil, neutrophil

agranulocytes:
lymphocytes (NK cells, T-cells, B-cells), monocytes (–> macrophages)

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3
Q

immune cell lineage (from multipotential hematopoietic stem cell AKA hemocytoblast)

A

Common myeloid progenitor:
- megakaryocyte ==> thrombocytes
- erythrocytes
- myeloblasts ==> basophil, neutrophil, eosinophil, monocyte (–> macrophage)

Common lymphoid progenitor:
- natural killer cell (large granular lymphocyte)
- small lymphocyte ==> T-lymphocyte, B-lymphocyte (–> plasma cell)

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4
Q

cells of the innate immune system

A

monocytes/macrophages:
- monocytes (blood stream) become macrophages (tissues)
- phagocytosis, cytokine production, antigen presentation
- secrete pro-inflammatory cytokines: IL-1, TNF-a

neutrophils:
- provide extra support to macrophages
- phagocytosis only
- attracted by chemotaxins: IL-8, C5a

natural killer (NK) cells:
- kill infected human cells, produce IFN-y to activate macrophages
- destroy human cells with reduced MHC I

eosinophils, mast cells, basophils:
- contain granules with destructive enyzmes
- activated by IgE antibodies
- release of toxic substances to kill parasites
- mast cells in tissue, basophils in blood stream

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5
Q

respiratory burst (oxidative burst)

A
  • part of innate immune system
  • activation of the NADPH oxidase complex generates and releases ROS (free radicals) that destroy the pathogens in phagosomes
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6
Q

Pattern recognition receptors (PRRs)

A
  • part of innate immune system
  • recognize PAMPS (pathogen-associated moelcular patterns) and activate immune response
  • Toll-like receptors (TLRs): activate the NF-κB pathway (proinflammatory cytokines, adhesion molecules) or IRFs (interferon regulatory factors, antiviral)
  • Nucleotide-binding oligomerization domain-like receptors (NLRs): activation of NOD-like receptors → upregulation of NF-κB → ↑ transcription of proinflammatory cytokines (e.g., IL-1β, IL-18)
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7
Q

complement system

A
  • can be activated by innate OR adaptive immune system
  • amplifying cascade
  • alternative pathway, classical pathway, lectin pathway:
    C3 ==> C3a (inflammation) ==> C3b (opsonization, phagocytosis) ==> C5a (inflammation) ==> C6-9 (MAC formation, lysis of microbe)

major functions of complement:
1. opsonization and phagocytosis
2. complement-mediated cytolysis (MAC)
3. stimulation of inflammatory reactions, destruction of microbes by leukocytes

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8
Q

cardinal signs of inflammation

A
  • heat
  • redness
  • swelling
  • pain
  • loss of function

caused by a combination of vasodilation, vascular leakage, tissue damage

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9
Q

leukocyte extravasation (innate)

neutrophils

A
  1. rolling: leukocyte rolls along inner surface of vessel via binding of E-/P-selectin on endothelial cells
  2. crawling/arrest: tight binding of integrins with intercellular adhesion molecules (ICAM) on endothelial cells
  3. extravasation: diapedesis (passage of cell through blood vessel wall), transendothelial migration via binding of PECAM-1 between endothelial cells
  4. migration: leukocyte travels through interstitium to phagocytose foreign material
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10
Q

cytokines

A
  • cell signaling proteins that stimulate inflammatory response
  • chemokine: attracts immune cells (chemotaxis)
  • interleukins (IL-1, IL-2): travel between leukocytes
  • tumor necrosis factor (TNF): can cause tumor death
  • transforming growth factor (TGF): repair
  • interferons (Type I and II): Type I (alpha/beta) IFN interfere with viral replication, Type II (gamma) IFN activates macrophages
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11
Q

steps of phagocytosis

A
  1. engulfment
  2. phagosome acidification
  3. phagosome-lysosome fusion ==> phagolysosomes
  4. killing and digestion (ROS, NO, lysosomal enzymes)
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12
Q

MHC I and MCH II expressed by

A

MHC I: all nucleated cells

MHC II: only professional antigen-presenting cells (APCs)
- dendritic cells
- B lymphocytes
- macrophages
- thymic epithelial cells

MHC molecules bind only peptides
MHC molecules are membrane-bound

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13
Q

MHC I vs. MHC II

A

MHC I:
- originate from cytoplasmic proteins (Inside of cell)
- viral proteins ubiquitinated into peptides ==> peptides transported from cytoplasm into ER (TAP) where they are edited and loaded on MHC I ==> completed complex migrates to cell surface
- cross-presentation: endosomal antigens (usually MHC II) are secreted to cytoplasm –> MHC I pathway

MHC II:
- originate from extracellular proteins (phagocytosis by macrophages)
- lysosomal proteases degrade phagocytosed microbes into short papetides in phagolysosome ==> MHC II fuses with phagolysosome ==> completed complex migrates to cell surface

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14
Q

MHC and T cell relationship

A

CD8+ (cytotoxic) T cells = MHC I
CD4+ (helper) T cells = MHC II

1 x 8 = 2 x 4
- CD8+ T cells have 1 antigen-binding chain, have 1 letter after HLA (A, B, C)
- CD4+ T cells have 2 antigen-binding chains, have 2 letters after HLA (DP, DQ, DR)

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15
Q

diversity of antibodies and TCR

A
  1. DNA rearrangement/recombination of variable (V), diversity (D), joining (J) genes
    –> recombinase activated gene (RAG)
  2. junction diversity: enzymes semi-randomly add and remove nucleotides at the ends of different gene segments
    –> terminal deoxynucleotidyl transferase (TdT)

these genetically diverse regions encode the complementary determining region (CDR) loops involved in antigen recognition

CDR loops bind both MNC and peptide residues to TCR

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16
Q

maturation/selection of T and B cells

A

T-cells:
- mature in the thymus
- T cell selection occurs through interacting with thymic epithelial cells
- positive selection = mature naive T cell development + MHC restriction
- negative selection = central T cell tolerance
- no receptor editing for self-reactive T cells, only apoptosis

B-cells
- develop in the bone marrow
- self-reactive B cells undergo receptor editing or apoptosis (negative selection/central tolerance)

17
Q

overview of effector T-cell generation/responses

A
  1. dentritic cell phagocytoses microbe and activates
  2. DC migrates to lymph node
  3. naive T-cell activation, differentiation, expansion (CD4+ <-> MHC II, CD8+ <-> MHC I)
  4. effector T-cells migrate to infected area via chemokine/cytokine signaling
  5. effector T-cells encounter antigens on cells w/ intracellular microbes
  6. effector T-cell activation/function:
    CD4+ cells release cytokines to tell other cells what to do (inflammation, phagocytosis, killing of microbes);
    CD8+ cells directly kill infected cells
18
Q

naive T-cell activation requires what molecular interactions

A

2 structural signals:
1. MHC/antigen + TCR
2. costimulators: B7 (on APC) + CD28 (on T-cell)

1 cytokine signal:
tells T-cell what to differentiate into

19
Q

what cytokines promote differentiation of CD4+ T-cells: Th1, Th2, Th17, Tfh

A

Th1: IL-12, IFN-y
intracellular microbes
- dentritic cell secretes IL-12
- natural killer cell secretes IFN-y

Th2: IL-4
parasites
- mast cells, eosinophils secrete IL-4

Th17: IL-1, IL-6, IL-23, TGF-b
extracellular pathogens
- dentritic cell secretes IL-1, IL-6, IL-23, TGF-b

20
Q

differentiated CD4+ T-cells (Th1, Th2, Th17, Tfh) secrete which cytokines to target which cells/reactions

A

Th1: IFN-y
- IFN-y: macrophage activation
–> respiratory burst, cytokine secretion, increased expression of B7 costimulators and MHC molecules
- also CD40L (Th1) + CD40 (M) costimulator binding with macrophage

Th2: IL-4, IL-13, IL-5
- IL-4: B cell antibody production (IgE Ab) –> mast cell degranulation
- IL-4, IL-13: intestinal mucus scretion/peristalsis AND alternative macrophage activation (tissue repair)
- IL-5: eosinophil activation

Th17: IL-17, Il-22
- IL-17: neutrophil activation + leukocytes and tissue cell chemokines –> inflammation
- IL-22: epithelial cells –> increased barrier integrity

Tfh: IL-21
- IL-21: help B cells (plasma cells) produce high-affinity antibodies

21
Q

CD4+ T-cell cytokines

A
  • IL-2: T cell proliferation
  • Interferon-gamma (IFN-y): activation of macrophages (classical pathway)
  • IL-4: B cell switching to IgE
  • IL-5: activation of eosinophils
  • IL-13: B cell switching to IgE
  • IL-17: stimulation of acute inflammation
  • IL-21: B cell activation; Tfh differentiation
  • IL-22: maintenance of epithelial barrier function

skewed T cell reaction: cells that are activated by cytokines also produce same cytokines; forward feedback loop

22
Q

CD8+ cytotoxic T-cell mechanism of killing infected cells

A
  1. antigen recognition and binding to target cell
    –> CD4+ helper T-cells promote licensing of CD8+ T-cells via:
    1) cytokine production to stimulate CTL differentiation
    2) upregulation of APC costimulators/ cytokines to help CTL differentiation
  2. CTL activation, granule exocytosis: granzymes (activate apoptosis) and perforin (facilitates entry of granzymes into cytosol)
  3. apoptosis of target cell
23
Q

Antibody isotypes

A

IgM - located on B-cells as BCR, main/largest Ig, not specific (low affinity), first response to antigen, complement activation

IgG - found in blood serum, main Ig during secondary/memory response, opsonization of bacteria, complement activation
- opsonized microbe binds to phagocyte Fc receptors –> phagocytosis of microbe
- opsonized infected cell binds to NK cell –> killing of antibody-coated cell (cytotoxicity)

IgA - mucosal surfaces and bodily fluids (breastmilk), prevention of infection

IgE - bind to mast cells which release histamine, bind to basophils, allergic response

IgD - lets leave (not as important)

24
Q

humoral vs cell-mediated immunity

A

Humoral: B-cells, helper T-cells (CD4+)
- secretion of antibodies
- complement system

Cell-mediated: CD8+, NK cells
- direct killing of cells

25
Q

3 major types of B-cells

A
  1. B2: follicular B-cells (IgG, IgA, IgE), T-cell dependent (needs protein antigen)
  2. marginal zone B-cells (IgM)
  3. B1 cells: fetal development (IgM)
26
Q

Vaccine types

A

Live attenuated:
- Measles/mumps/rubella, varicella, rotavirus, influenza

Inactivated/killed: cell mediated response only with adjuvant
- Polio, hepatitis A, influenza

Subunit: cell mediated response only with adjuvant
- HPV, pertussis,, pneumococcal, meningococcal, zoster, influenza

Toxoid:
- Tetanus, diphtheria

Conjugate:
- Haemophilus influenzae, pneumococcal, meningococcal

RNA:
- COVID-19