Immunology 1.4 C* Flashcards

1
Q

MIC

A

MHC class I-related chain

for infected cells that have had their receptors down regulated by viruses, NK cells recognize these and kill the cell.

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2
Q

LAD

A

leukocyte adhesion deficiency

inability of leukocytes to migrate into sites of infection: history of overwhelming infections. often lethal.

early symptom** delayed loss of umbilical cord***

no PMNs and macros in sites of infection.
higher levels in blood.

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3
Q

type 1 interferons

A

antiviral response that results in cells having a higher level of resistance to infection than unactivated cells.

response driven by JAC STAT pathway.

Main effect: resistance of viral replication, and infection.

recognized by NK cells.

immunomodulatory.

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4
Q

type 2 interferons

A

produced by Nk cells. AKA gamma interferon.

Activates Macrophages.

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5
Q

what induces liver to produce acute phase proteins?

A

IL-6

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6
Q

acute phase proteins

A

manose binging lectin,

c- reactive protein

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7
Q

c-reactive protein

A

opsonin, induces phagocytocis

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8
Q

C’ functions

A

opsonization and phagocytocis- binds C3b, recognized by phagocyte, then its eaten.

stimulation of inflammatory reactions- recruits and activates leukocytes by C5a and C3a

complement mediated cytolysis- recruits components, forms pore, osmotic lysis of microbe.

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9
Q

C’ tags are permanent

A

true

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10
Q

C3 convertase

A

cleaves C3 so that it can tag bacteria for destruction.
C3a, part of C3 will then recruit phags

AKA C3bBb

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11
Q

covalent likage to substrate

A

form a covalent bond, permanently marking it.

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12
Q

3 ways that complement is activated

A

Classical - least important.
Lectin - activated by acute phase proteins. has to go to liver first.
Alternative - doesn’t need antibody, most important. first to act.

they all lead to cleavage of C3 to C3a and b. C3b can also cleave C3 to make more C3a

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13
Q

C1-9 with 4 out of line.

A

the classical pathway
lectin pathway doesn’t use C1

alternative activates C3 directly.

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14
Q

amplification

A

C3 cleavage

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15
Q

Alternative pathway

A

main way to activate complement.
C3 cleavage driven by:

Factor B- forms C3bBb complex aka C3 convertase

Factor D- cleaves B when bound to C3b to Ba and Bb

Properdin- stabilizes complexes formed by other factors. positive regulator. accelerator.

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16
Q

regulation of C3 activation

A

Factor H+

Factor I- inhibitor, slows down consumption of C3
^^^ if missing this then you are more susceptible to encapsulated bacteria.

17
Q

C5

A

initiates assembly of membrane attack complex in solution

activated by C5 convertase, activates terminal part of complement

18
Q

MAC

A

membrane attack complex.

formed by complement, poly 9 forms the pores.

19
Q

C8 deficiency

A

recurrent Neisseria infections to to lack of MAC

20
Q

C3 mutations

A

no complement response!!!!!

severe, recurrent infections

21
Q

C5 mutations

A

increased complement activation, deplete C3, recurrent infections.

22
Q

C1inh mutation

A

angioedema

23
Q

MBL

A

member of the collectin family of proteins
uses specific set of MASP proteases
cleaves C4, then C2.

24
Q

Classical C3 convertase

A

C4bC2b

25
Q

calssical pathway

A

utilizes bound antibody

need to bind multiple arms of C1.

26
Q

best antibody for activation of c’

A

IgM

27
Q

CR1

A

major activation receptor for macros and PMNs

28
Q

immune complex disease

A

lack CR1 or liver receptors
inability to clear bloodstream of immune complexes

kidney is site of deposition. Nephritis.

29
Q

regulation of complement

A
  1. specific activation
  2. short half life
  3. regulation
30
Q

C1 inhibitor

A

serine protease inhibitor. SERPIN family.

also helps regulate clotting

31
Q

Hereditary HAE

A

C1 deficiency

32
Q

DAF

A

decay acclerating factor

cell surface membrane of host, dissociates C2b

33
Q

CD59

A

inhibits formation of MAC

34
Q

Paroxysmal nocturnal hemoglobinuria

A

missing CD59

complement induced RBC lysis. via random activation of MACs on RBCs

acquired. CD59 just goes missing.

PIGA - x linked

35
Q

Familial Atypical Hemolytic Uremic Syndrome

A

associated with lack of control of converts activation.

means complement cascade is always activated.

missing Factor H, factor I, mutation in C3, increased C3 consumption.

36
Q

what is controlled most carefully?

A

C3 convertase. its generation and stability.

37
Q

which is a most common infection with complement deficiencies?

A

Neisseria species