Immunology Flashcards

0
Q

What are some key components of the adaptive immune system?

A

cellular components, T lymphocytes (cell-mediated immunity)

antibody-producing B lymphocytes (humoral immunity), referred to as B cells

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1
Q

What are some major components of the innate immunity system?

A
  • physical barriers, such as skin and mucous membranes
  • cells: neutrophils, macrophages and dendritic cells
  • complement system
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2
Q

“Humoral Immunity”?

A

Antibody-producing B lymphocytes

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3
Q

Cell-mediated immunity?

A

T lymphocytes

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4
Q

What is passive immunity? Examples?

A

Provided by preformed antibodies from a source outside of the body.
Antibodies in mothers’ milk for breast-fed infants
Administered antitoxins for tetanus or botulinum toxins
Administered antibodies to the Hep B or rabies virus

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5
Q

What is active immunity?

A

Body’s intrinsic mechanism to fight infection. Slower onset than passive immunity, but has capacity for immune memory.
Components include lymphocytes and other immune cells, and lymphoid organs.

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6
Q

What are some primary lymphoid organs of the immune system?

A

Bone marrow, thymus

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7
Q

Secondary lymphoid organs?

A

spleen, lymph nodes.

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8
Q

Why can chemotherapy of radiation treatment result in leucopenia, and therefore immunosuppresion?

A

Bone marrow damage

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9
Q

What process occurs in the bone marrow?

A

Hematopoiesis- Production of WBC and RBC

Maturation of B cells

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10
Q

Where do T cells mature?

A

Thymus: site of T cell differentiation, maturation and selection

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11
Q

One third of patients with a thymoma have what secondary condition?

A

Autoimmune disorder, such as myasthenia gravis

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12
Q

Patients without a spleen have an increased susceptibility to what kinds of bacteria?

A

Encapsulated bacteria: H. influenzae, S. pneumoniae, N. meningitidis

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13
Q

What does the red pulp of the spleen consist of?

A

RBC storage and turnover

Contains rich vasculature with splenic cords of Billroth and fenestrated capillaries (sinusoids)

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14
Q

What occurs in the white pulp of the spleen?

A

Immune cell interaction.

Blood flows into white pulp through central arteriole surrounded by PALS of T Cells

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15
Q

Where are the marginal zones located in the spleen? What is contained in the marginal zone?

A

Surrounds both the PALS and lymphocytic follicle and separates white and red pulp.
APC in the marginal zone ingest pathogens by phagocytosis, present to nearby lymphocytes

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16
Q

WHERE ARE T CELLS FOUND IN THE LYMPH nodes?

A

paracortex between the follicles and medulla

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17
Q

The right lymphatic duct drains what?
What drains all other body parts?
Where is the fluid returned to get back into circulation.

A

The right arm and right half of the head and neck.
Thoracic Duct.
R lymphatic duct -> right subclavian vein ; Thoracic duct -> left subclavian vein

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18
Q

What are some examples of peripheral lymphoid tissue?

A

GALT (Gut-associated lymphoid tissue, includes tonsils, appendix, and Peyer patches of intestines)
MALT (mucosal-assoc. lymphoid tissue)
BALT (broncial-associated lymphoid tissue)

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19
Q

Phagocytic Cells?

A

Neutrophils, macrophages, dendritic cells

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20
Q

Neutrophils are _____ cells present in _____ inflammatory responses. They contain ________ granules for killing pathogens, which is noted for its ability to catalyze the production of __________ ions.

A

myeloid; acute; myeloperoxidase; hypochlorite

21
Q

Macrophages are derived from _______ that leave the _______ and differentiate in response to cytokines.

A

monocytes; bloodstream

22
Q

Where are dendritic cells located?

A

Engulf antigens in epithelia of sin, gastrointestinal and respiratory tracts

23
Q

APCs?

A

Macrophages
Dendritic Cells
B cells

24
Q

Following phagocytosis of extracellular pathogens, APCs digest pathogen into peptides within what?
Peptides are then loaded on to what?

A

phagolysosomes.

Loaded onto MHC II molecule within the endosome

25
Q

Natural killer cells contain lytic granules that attack and kill virus-infected or cancerous cells that lack what?

A

MHC Class I

NK cells lack specific antigen receptors

26
Q

What is Antibody-dependent cellular cytotoxicity? (ADCC)

A

Binding of antibody constant region to NK cell and eosinophils surface receptors triggers the release of lytic granules.

27
Q

What are the three ways the complement cascade can be activated?

A

Classic Pathway
Alternative Pathway
Lectin Pathway

28
Q

Classic pathway of activating the complement cascade?

A

When C1 recognizes and binds the constant fragment of either IgG or IgM in an ANTIGEN-ANTIBODY COMPLEX

29
Q

Alternative pathway of Complement Cascade activation?

A

Activated C3 recognizes certain nonspecific antigens on microbial surfaces (e.g. endotoxin)

30
Q

Lectin Pathway of Complement Cascade activation?

A

Mannose-binding lectin (serum protein) recognizes carbohydrate antigens on the surface of microorganisms (e.g. encapsulated bacteria or viruses)

31
Q

Where do the three complement cascade activation pathways converge?

A

Generation of C3 convertase. It breaks down C3 molecules to enzymatically active C3b and anaphylatoxin C3a.

32
Q

C3a and C5a function as _______ and are responsible for the recruitment of inflammatory cells.
C5a also function as a _____ chemotactic factor

A

anaphylotoxins

neutrophil

33
Q

C3b is important in triggering what?

A

Phagocytosis of pathogens.

34
Q

The binding of C6 - C9 to C5b forms what?

A

Membrane attack complex (MAC) which perforates the pathogen’s cell membrane and causes major damage to cell.

35
Q

What regulatory proteins maintain control of the complement cascade?

A

C1 esterase inhibitor (C1INH): breaks apart C1 enzyme
-deficiency results in hereditary angioedema
Decay-accelerating factor (DAF, CD55): disrupts formation of C3 convertase
-Paroxysmal nocturnal hemoglobinuria

36
Q

Functions of T cells?

A

Directly kill target cells
Stimulate activation of macrophages
Help B cells produce antibody

37
Q

Cytotoxic T cells:
CD marker
Cytokine Requirements for Activation
Function

A

CD8
IL-2, IFN-gamma
Kill cells infected with virus or intracellular bacteria

38
Q

TH1 cells:
CD marker
Cytokine Requirements for Activation
Function

A

CD4
IL-12
Activate macrophages and Tc via IL-2 and IFN-gamma

39
Q

TH2 cells:
CD marker
Cytokine Requirements for Activation
Function

A

CD4
IL-4
Stimulate immunoglobulin production by B cells via IL-4 and IL-5

40
Q

TH17 cells:
CD marker
Cytokine Requirements for Activation
Function

A

CD4
IL-6, TGF-Beta
Produce IL-17 and IL-22 in response to extracellular bacteria and fungi

41
Q

Four major functions of antibodies?

A

-Opsonization: binding of Ig to microbial surfaces enhances phagocytosis
-Neutralization:
Complement Activation
ADCC

42
Q

Which Ig isotype DOES cross the placenta?

A

IgG

43
Q

Which iG isotype is the most abundant antibody in human serum?

A

IgG

44
Q

What four mechanisms can produce a diverse number of antibody molecules?

A

Somatic Recombination of VJ or VDJ genes (splicing)
Genetic Recombination
Random combinations of heavy and light chains
Somatic hypermutation

45
Q
IgM
Expressed By:
Structure:
Complement Fixation:
Function:
A

Mature B cell (surface or secreted)
Monomer or Pentamer (with J-chain)
Yes
Primary Response

46
Q
IgD
Expressed By:
Structure:
Complement Fixation:
Function:
A

Mature B Cell (surface)
Monomer
No
Functions as B-cell receptor for early immune response

47
Q
IgG
Expressed By:
Structure:
Complement Fixation:
Function:
A

Plasma cells (secreted; high concentration in serum)
Monomer
Yes
Important in SECONDARY responses; opsonization and neutralization

48
Q
IgA
Expressed By:
Structure:
Complement Fixation:
Function:
A

Plasma cells (secreted)
Monomer or Dimer (with J chain)
No
Prevents pathogen attachment to mucous membranes; found in secretions

49
Q
IgE
Expressed By:
Structure:
Complement Fixation:
Function:
A

Plasma Cells (secreted)
Monomer
No
Type 1 Hypersensitivity (induces mast cell degranulation); worm immunity

50
Q

What encodes the MHC proteins?

A

Human leukocyte antigen (HLA) genes