Immunology Flashcards
What can keratinocytes produce in response to pathogens?
AMPs which directly kill pathogens
Cytokines & chemokines
What are Birbeck granules characteristic of?
Langerhans cells
Main type of T cell in epidermis
CD8
T cell type in dermis
CD4 & CD8
CD4 types associated w/ inflammation
Th1 - psoriasis
Th2 - atopic dermatitis
Th17 - psoriasis & atopic dermatitis
Purpose of Th1 cells & chemical mediators released
Activate macrophages
IL2, IFNgamma
Purpose of Th2 cells & chemical mediators released
Help B cells make Ab
IL4, IL5, IL6
Which type of dendritic cell in the dermis is found in diseased skin? Which chemical mediator does it release?
Plasmacytoid dendritic cell (pDC)
IFNalpha
What are mast cells in the dermis activated by?
IgE, physical trauma, certain drugs, micro-organisms
MHC class I presents (endogenous/ exogenous) antigens?
Endogenous
Class II presents exogenous
Which 3 things in the body can psoriasis affect?
Skin, nails, joints
What fraction of psoriasis pts have joint disease?
1/3
Immunopathogenesis of psoriasis
- Keratinocytes under stress
- Chemical signals activate DC, which migrate to the local draining lymph nodes to present to and activate T cells
- These T cells are drawn back from the circulation and attracted to the dermis by chemokines and secrete IL-17A/17F/22
- CD8 cells also contribute to the pathogenesis
- Dermal fibroblasts become involved, which release keratinocyte and epidermal growth factors
Which gene mutation is atopic eczema associated with?
Fillagrin - associated w/ severe/early onset disease
AMP is reduced/increased in skin in atopic eczema?
Reduced