immunology Flashcards

1
Q

CD4+ T cell activation

A
  • signal 1: MHCII presents antigen to CD4+
  • signal 2: B7 on APC binds CD28 on CD4+
  • activated CD4+ cell divided into 2 subesets: TH1 and TH2
  • TH1: secretes IFN-gamma – activiates macros and CTL –> kill intracell organisms (cell-mediated immunity)
  • TH2: secrete IL-4, IL-5, IL-6, IL-13 –> recruits eosinophils for parasite defense and promotes IgE production by B cells (humoral immunity)
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2
Q

CD8+ T cell activation

A
  • signal 1: MHC I presentation to CD8+ cell
  • signal 2: IL-2 from CD4+ TH1 cell
  • CTL kill virus-infected cell, neoplastic and donor graft cells by inducing apoptosis
  • CTL secrete perforin and granzyme –> perforin creates pore for granzyme to enter cell and activate apoptosis
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3
Q

B cell activation

A
  • Helper T cell activation: B cell antigen presentation to CD4+ T cell via MHCII (signal 1)
  • CD40 receptor on B cell binds CD40L on helper T cell (signal 2)
  • Helper T cell then secrete IL4 and IL5 to mediate B-cell class switching, affinity maturation and Ab production
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4
Q

IgA

A
  • prevents attachment of bacteria and viruses to mucous membranes
  • released into secretions and breast milk
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5
Q

IgG

A
  • main Ab in delayed response to Ag
  • fixes complement, crosses the placenta, opsonizes bacteria, neutralizes bacterial toxins and viruses
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6
Q

IgM

A
  • produced in immediate response to Ag
  • fixes complement
  • monomer on B cells or pentamer when secreted
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7
Q

IgD

A
  • mature B lymphocytes epxress IgM and IgD on their surfaces –> differentiate in germinal centers of LNs by isotype switching (mediated by cytokines and CD40L) into plasma cells that secrete IgA, IgE or IgG
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8
Q

IgE

A
  • binds mast cells and basophils –> cross-links when exposed to allergen –> type I hypersensitivity
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9
Q

complement overview

A
  • innate immunity
  • Classic pathway- C1 binds IgG or IgM that is bound to Ag (GM makes classic cars)
  • Alternative pathway- microbial products directly activate complement
  • Mannose-binding lectin pway- activated by mannose on microbe surface
  • all result in production of C3 convertase –> C3a and C3b –> C5 convertase –> C5a and C5b –> C6-9 –> MAC
  • C3a, C4a and C5a = anaphylatoxins –> mast cell degranulation, HA-mediated vasodilation and increased permeability
  • C5a also chemotactic for neutrophils
  • C3b binds bacteria (opsonin for phagocytosis)
  • C3b and IgG are the 2 primary opsonins in bacterial defense
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10
Q

IL-1 through IL-6

A
  • IL-1: fever (hot)
  • IL-2: stimulates T cells
  • IL-3: stimulates Bone marrow
  • IL-4: stimulates IgE production
  • IL-5: stimulates IgA production
  • IL-6: simtulates aKute-phase protein production

all secreted by macros

Hot T-bone stEAK

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11
Q

IL-8

A
  • secreted by macros
  • major chemotactic factor for neutrophils

“clean up on aisle 8!”

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12
Q

IL-12

A
  • secreted by macros
  • induces differentiation of T cells into Th1 cells
  • activates NK cells
  • also secreted by B cells
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13
Q

TNF-alpha

A
  • secreted by macros
  • mediates septic shock
  • activates endothelium
  • causes leukocyte recruitment and vascular leak
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14
Q

interferon alpha and beta

A
  • innate host defense against RNA and DNA viruses
  • glycoproteins synthesized by virally infected cells to warn neighboring cells and prime them for viral defense
  • when a virus infects a primed cell they undergoapoptosis –> interrupts viral amplification
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15
Q

B and T cell markers

A
  • B cells: 19,20,21
  • T cells: 3, 4(TH cells), 8 (CTL)
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16
Q

type I hypersensitivity

A
  • immediate hypersensitivity
  • IgE-mediated
  • protective against helminths
  • atopic/allergic indvs develop this response to inappropriate stimuli
17
Q

type II hypersensitivity

A
  • Antibody-mediated
  • tissue-specific autoantibodies opsonize or activate complement, recruit inflamm cells, interfere with cellular fucntion
  • ex: autoimmune hemolytic anemia (vs RBC proteins), acute rheumatic fever (vs strep cell wall Ag that crossreacts with myocardium), goodpasture (vs type IV collagen in BM of kidneys and alveoli), ITP (vs platelet Ag), Myasthenia gravis (vs AChR), Graves (vs TSH receptor), T2DM (vsinsulin receptor), Pernicious anemia (vs IF)
18
Q

Type III hypersensitivity

A
  • Immune complex-mediated
  • self or foreign Ag bound to Abs –> activate complement
  • ex: SLE (dsDNA antigen and others), PSGN (strep cell wall Ag), Arthus rxn (any injected protein = Ag), polyarteritis nodosa (HBV Ag)
19
Q

Type IV hypersensitivity

A
  • Cell-mediated/delayed type
  • mediated by T cells
  • ex: TB test (vs tuberculin and mycolic acid), contact dermatitis, Hashimoto (vs thyroid Ag), MS (vs myelin basic protein), RA (vs Ag in joint synovium), T1DM (vs islet cell Ag), Celiac (vs gliadin)
20
Q

apoptosis

A
  1. Intrinsic pway: inactivation of bcl-2 –> cytoC leaks from inner mitochondrial matrix –> activation of caspases
  2. Extrinsic pway: FAS ligand binds FAS death receptor on target cell –> activates caspases
  3. Cytotoxic CD8+ T cell-mediated pway: CTLs secrete perforins –> pore formed in target cell membrane –> granzyme from CTL enters cell –> activation of caspases