Immunology Flashcards
Scientist who discovered cross-immunity
Edward Jenner
Scientist who discovered phagocytosis
Elie Metchnikoff
Scientist who discovered monoclonal antibody
George Kohler and Cesar Milstein
Scientist who discovered antibody structure
Gerald Edelman and Rodney Porter
Scientist who discovered specificity of serologic reaction (SSR)
Karl Landsteiner
Scientist who discovered antibody diversity
Susumu Tonegawa
Reason behind the complement pathway name “classical pathway”
1st to be studied (or first discovered in 1900)
Skin, mucous membrane, secretions, normal flora
1st line of defense
Mast cells, neutrophils, macrophages
2nd line of defense (cellular)
Complement, lysozyme, interferon
2nd line of defense (humoral)
3rd line of defense
Adaptive immunity / antibodies
NK cells and phagocytes. What type of immunity
Innate / natural / nonspecific cellular immunity
Complement and lysozymes. What type of immunity
Innate / natural / nonspecific humoral immunity
B cells, plasma cells, T cells. What type of immunity
Adaptive / acquired / specific cellular immunity
Antibodies and cytokines. What type of immunity
Adaptive / acquired / specific humoral immunity
Infection. What type of immunity
Active natural
Vaccination. What type of immunity
Active passive
Colostrum. What type of immunity
Passive natural
Infusion of serum/plasma. What type of immunity
Passive artificial
HLA-A, -B, and -C. What HLA class
HLA Class I
HLA-DN, -DO, -DP, -DQ, -DR. What HLA class
HLA Class II
C2, C4, TNF, Factor B. What HLA class
HLA Class III
Alpha chain + B(2) microglobulin
HLA-I
Alpha chain + Beta chain
HLA-II
B cell, antigen presenting cell. What HLA
HLA-II
HLA that presents antigen to CD8
HLA-I
HLA that presents antigen to CD4
HLA-II
Immunoglobulin with monomer structure in the serum, dimer in the secretory
IgA
Pentamer immunoglobulin
IgM
Molecular weight of IgM
900k Da
Sedimentation coefficient of IgM
19S
IgG serum half life
23 days
Immunoglobulin best in complement fixation
IgM
IgG best in complement fixation
IgG 3
IgG best in crossing the placenta
IgG 1
Recurrent pyogenic infections and glomerulonephritis. What complement deficiency
C3
Complement associated with autoimmune diseases
C2
Disseminated neisserial infections. What complement deficiency
C5, C6, C7, C8
Hereditary angioneurotic edema (HANE). What complement deficiency
C1 INH
PNH (paroxysmal nocturnal hemoglobinuria). What complement deficiency
DAF (decay accelerating factor)
Most severe complement deficiency
C3
Most common complement deficiency
C2
IgE. What hypersensitivity reaction
Type I
IgG and IgM. What hypersensitivity reaction
Type II and Type III
T cells. What hypersensitivity reaction
Type IV
Immediate and anaphylactic hypersensitivity reaction
Type I
Delayed and cell-mediated hypersensitivity reaction
Type IV
Effector cells are basophil and mast cells. What hypersensitivity reaction
Type I
Effector cells are T-cells and macrophage. What hypersensitivity reaction
Type IV
Deposits of Ag-Ab complexes. What hypersensitivity reaction
Type III
Penicillin, hives, asthma, itching, hay fever. What hypersensitivity reaction
Type I
Serum sickness, Arthus reaction, SLE, RA. What hypersensitivity reaction
Type III
Poison ivy, contact dermatitis, tuberculin/mantoux test. What hypersensitivity reaction
Type IV
Grave’s disease and Myasthenia gravis. What HLA
HLA B8
HLA-B27
Ankylosing spondylitis
Celiac disease and Type I DM. What HLA
HLA B8, -DQ2, -DQ8
HLA-DR4
Rheumatoid arthritis
HLA-DR3
SLE
Anti-smooth muscle antibody (ASMA) is associated with
Chronic active hepatitis
Anti-glomerular basement membrane antibody
Goodpasture syndrome
Anti-microsomal antibody
Hashimoto’s thyroiditis
Anti-mitochondrial antibody
Primary biliary cirrhosis
Anti-DNP, Anti-CCP, Rheumatoid factor
Rheumatoid arthritis
Anti-dsDNA, Anti-Smith
Systemic lupus eythematosus
Anti-Scl-70
Scleroderma / sclerosis
Anti-neutrophilic cytoplasmic antibody (ANCA)
Wegener’s granulomatosis
Anti-myelin sheath antibody
Multiple sclerosis
Tumor marker: Placental ALP
Lung cancer
Tumor marker: Alpha-fetoprotein (AFP)
Hepatocellular and testicular cancer
Tumor marker: Bence-Jones protein (BJP)
Multiple myeloma
Tumor marker: CA-125
Ovarian cancer
Tumor marker: CA-153, CA 549, HER-2/neu, Cathepsin-D
Breast cancer
Tumor marker: CA 19-9
Colon / gastric / pancreatic cancer
Tumor marker: Calcitonin
Familial medullary thyroid carcinoma
Tumor marker: CEA (carcinoembryonic antigen)
Breast and colorectal cancer
Tumor marker: CYFRA 21-1
Lung or breast cancer
Tumor marker: hCG (human chorionic gonadotropin)
Testicular cancer
Tumor marker: NPA, BTA
Urinary bladder cancer
Hyper IgE, eczema, recurrent skin and lung infections are characteristics of
Job’s syndrome
200 - 499 / uL CD4 count. What stage of HIV infection
Stage 2 (intermediate)
Normal CD4 T-cell count
500 - 1300 / uL
<200 / uL CD4 count. What stage of HIV infection
Stage 3 (advanced)
Most common immunodeficiency
Selective IgA deficiency
Absence of B cells and all immunoglobulins
Bruton’s agammaglobulinemia (x-linked hypogammaglobulinemia)
Triad of thrombocytopenia: SMALL platelets, eczema, and immunodeficiency
Wiskott-Aldrich syndrome (WAS)
Absence of thymus gland and T cells
DiGeorge syndrome