Immunology Flashcards
What part of a lymph node would enlarge during a viral infection?
Paracortex
What cell is found in the PALS of the white pulp of the spleen?
Tcells
What happens in the marginal zone?
where APCs present blood borne antigen
What immunoglobulin is decreased post-splenectomy?
IgM
Which two additonal bacteria are encapsulated and arent in your mnemonic?
E. coli
GBS
Which pharyngeal pouch does the thymus develop from?
3rd
What type of Tcells are in the cortex?
Immature T cells
What type of Tcells are in the medulla?
mature T cells
What type of viral nucleic acid do innate immune cells respond to?
ssRNA
Which HLA loci correspond to MHC One?
A/B/C
Which HLA loci correspond to MHC Two?
DP/DQ/DR
What MHC event activates NK Cells?
loss of MHC One
In what organelle is antigen loaded onto MHC One? Via what protein?
rER
TAP transporter
In what organelle is antigen loaded onto MHC Two?
acidified endosome
Which HLA-Haplotype is associated with hemochromatosis?
HLA-A3
What condition is associated with HLA-B27?
PAIR
What HLA haplotype is associated with Pernicious anemia?
HLA-DR5
Which HLA haplotype is associated with Graves?
DR3
Which four cytokines activate NK cells?
IL2
IL12
IFN-α
IFN-β
Which CD molecule on NK cells mediates ADCC?
CD16
What is the function of CD16?
binds Fc of IgG
Where does positive Tcell selection occur?
cortex
Where does negative Tcell selection occur?
medulla
What is positive selection?
Capable of interacting with MHC
What is negative selection?
removes cells that bind MHC too much
Which CD molecules does an immature Tcell express?
CD4 and CD8
Which interleukin induces a TH1 response?
IL-12
Which interleukin induces a TH2 response?
IL-4
Which two cytokines induce a TH17 cell?
TGF-β
IL-6
What the the costimulatory molecules for Tcells?
B7 and CD28
What is the costimulatory molecule for Bcells?
CD40L
Do Tcells contain B7 or CD28?
CD28
Which cell secretes CD40L?
CD4
Which two interleukins inhibit a TH1 response?
IL4 and IL10
Which cell secretes IL12?
macrophages
Which CD molecule is unique to Tregs? What is this?
CD25
α-chain of IL2R
What is the txn factor for Tregs?
FOXP3
Which two cytokines do Tregs produce? What is the function of these cytokines?
IL10 and TGFβ
anti-inflammatory
What part of an antibody fixes complement?
Fc
Does the heavy or light chain contribute to both the Fab and Fc portion of an antibody?
Heavy
Does the Fc or Fab part of an antibody has carbohydrate side chains?
Fc
Which portion of the antibody determines its isotype?
Fc
What is the function of Tdt?
addition of nucleotides to DNA during recombination
What type of lymphocytes express IgM and IgD on their surface?
Mature Bcells
What is the most abundant immunoglobulin isotype in serum?
IgG
When is IgA a monomer?
circulation
When is IgA a dimer?
secreted
Which immunoglobulin isotype picks up a secretory component?
IgA
Is IgM a monomer when secreted or when on Mature Bcell?
Mature Bcell
Is IgM a pentamer when secreted or when on Mature Bcell?
secreted
Which two cell types can IgE bind?
basophils and mast cells
Which immunoglobulin is found in the lowest concentration in the serum?
IgE
What type of component must antigens have in order to be presented by MHC?
peptide
What are the two major functions of CRP?
opsonin
fix complement
Which two acute phase reactants are down-regulated during an immune response?
Albumin
Transferrin
Which complement protein is the main opsonin?
C3b
Which complement proteins mediate anaphylaxis?
C3a/C4a/C5a
Which complement protein is a chemoattractant for netrophils?
C5a
What are the two main opsonins?
IgG and C3b
Which complement protein can help clear immune complexes?
C3b
Which CD molecule is DAF?
CD55
What activates the alternative complement pathway?
spontaneous
microbial surfaces
What complement protein is activated by the alternative complement pathway?
C3b
What activates the lectin pathway of complement? Specifically?
microbial surfaces
mannose
What activates the classic complement pathway?
antigen-antibody complexes
Which version of C5 joins the MAC?
C5b
What condition causes Hereditary Angioedema?
C1 Esterase Inhibitor
C3 deficiency would predispose one to what type of infections?
severe pyogenic sinus and respiratory
A deficiency in what complement protein would predispose one to immune complex diseases?
C3
Which interleukin is an osteoclast activating factor?
IL1
Which cytokine mediates septic shock?
TNF-α
Which interleukin functions like GM-CSF?
IL-3
Which cytokine activates NK cells to kill virus infected cells?
IFN-gamma
Which cytokine increases MHC expression?
IFN-gamma
IL4 induces the class switching of what two immunoglobulins?
IgE and IgG
Which interleukin induces the growth of Bcells?
IL4
Which interleukin promotes the class switching to IgA?
IL-5
Which interleukin promotes the differentiation of eosinophils?
IL5
Which interleukin inhibits TH1 responses?
IL-10
Which type of nucleic acid can activate interferon?
dsRNA
What enzyme is produced in response to interferon?
RNaseL
What is the receptor for EBV?
CD21
What cell synthesizes and secretes B7?
Antigen presenting cells
Which three CD molecules are expressed on Bcells?
CD19/CD20/CD21
What is the unique marker for NK cells?
CD56
What two proteins are linked by superantigens?
β-region of TCR to class two MHC
What does CD14 bind?
LPS
What is the antigenic variation component of salmonella?
flagella
What does antigenic variation do for Borrelia?
relapsing fever
What is the antigenic variation component of Neisseria?
pillus
What causes major antigenic variation in influenza?
shift
What causes minor antigenic variation in influenza?
drift
Which four exposures can one receive pre-formed antibodies?
Tetanus
Botulism
HBV
Rabies
What are the live attenuated vaccines?
measles/mumps/rubella
polio (saban)
flu (intranasal)
varicella
yellow fever
What are the five inactivated vaccines?
Polio (salk)
Hepatitis A
Cholera
Rabies
Influenza (IM)
Which antibodies mediate Type Two Hypersensitivity Rxns?
IgM/IgG
What two things are attracted during a Type Three reaction?
complement and neutrophils
How long does it take for serum sickness to set in?
five days
What is the stain for an Arthus reaction?
fluorescence
What are the three main Type Four Hypersensitivity Rxns?
Transplant rejection
TB skin tests
Contact dermatitis
What type of immune reaction is Bullous Pemphigoid?
two
What type of immune reaction is Pemphigus Vulgaris?
two
What type of immune reaction is Guillain Barrie?
four
What type of immune reaction is MS?
four
An allergic Blood Transfusion Reaction is against what antigen?
plasma proteins in blood
What is the treatment for an allergic Blood Transfusion Reaction?
anti-histamines
What is the antigen for an anaphylactic Blood Transfusion Reaction?
IgA
What is the antigen during a Febrile nonhemolytic transfusion reaction?
HLA
What is the antigen during an Acute Hemolytic transfusion reaction?
ABO
What is the antigen during anti-phospholipid syndrome of Lupus?
cardiolipin
What is the antigen during Limited Scleroderma?
anticentromere
What are the two specific antibodies found in SLE?
anti-dsDNA
anti-smith
What is the antigen for anti-smith antibodies?
ribonuclear protein
What is the auto-antibody during T1DM?
anti-glutamate decarboxylase
What are the three main autoantibody during polymyositis and dermatomyositis?
anti-Jo
anti-SRP
anti-Mi-2
What are the two autoantibodies during Hashimoto?
anti-microsomal
anti-thyroglobulin
What is the autoantibody during Diffuse Scleroderma? Against what?
anti-SCL-70
DNA topoisomerase
What is the autoantibody during Mixed Connective Tissue Disease?
anti-U1-RNP
What are the two autoantibodies during Rheumatoid?
IgM to Fc of IgG
anti-citrullinated
Agranulocytosis predisposes a person to infection with which four bacteria?
Staph
Burkholderia cepacia
Nocardia
Serratia
What two fungi arise when a patient lacks Tcells?
Candida and PCP
IgA deficiency could lead to what bug?
Giardia
No granulocytes could predispose a person to infection by what two fungi?
Candida and aspergillus
Are recurrent bacterial infections indicative of Tcell or Bcell deficiency?
Bcell
Are recurrent fungal infections indicative of Tcell or Bcell deficiency?
Tcell
What is the inheritance pattern for Brutons agammaglobulinemia?
X-linked recessive
What is absent during Brutons agammaglobulinemia?
CD19 Bcell count
What two structures are missing during Brutons?
tonsils and lymph nodes
Which immunoglobulins are decreased during Brutons agammaglobulinemia?
all classes