Immunology Flashcards

1
Q

IgM

A
  • on naive B cells, expressed as receptor and soluble antibody
  • produced early in B cell pathway, activates classical complement path
  • receptor on naive B cells
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2
Q

IgG

A
  • expressed on activated B memory cells that have class switched
  • major type in blood, transfer across placenta
  • activate classical complement pathway
  • mediate neutralization and opsonization of pathogens
  • mediate antibody dependent cellular cytotoxicity
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3
Q

IgA

A
  • expressed on activated memory B cells that undergo class switching
  • produced in mucosal tissue and secreted into lumens of GI and respiratory tract
  • mediate pathogen neutralization
  • transferred in breast milk
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4
Q

IgE

A
  • expressed on active memory B cells that have class switched
  • defense against helminths
  • allergic responses
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5
Q

Th1 cells

A
  • recruit monocytes
  • IFN-gamma secretion
  • host defense against intracellular microbes
  • involved in inflammation
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6
Q

Th2 cells

A
  • recruit eosinophils
  • IL4,IL5,IL13 secretion
  • host defense against helminths
  • allergic reactions
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7
Q

Th3 cells

A
  • recruit neutrophils and monocytes
  • IL17 secretion
  • host defense against bacteria and fungi
  • inflammatory disorders
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8
Q

T Follicular Helper cells (Tfh)

A
  • produce IL21, IL4

- express CD40 and ICOS to help B cells proliferate and make high affinity, class switched antibodies

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9
Q

T regulator cell (Treg)

A

-inhibit immune responses via cell surface molecules of cytokines such as IL10

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10
Q

Interleukin 2

A
  • made by T cells
  • T cells: proliferation, increased cytokines synthesis, potentiates Fas-mediated apoptosis, promotes Treg development, survival
  • NK cells: proliferation, activation
  • B cells: proliferation, antibody synthesis (in vitro)
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11
Q

Interleukin 4

A
  • Source: CD4+ T cells (Th2), mast cells
  • B cells: Isotype switching to IgE
  • T cells: Th2 differentiation, proliferation
  • Macrophages: inhibition of IFN-gamma mediated activation
  • Mast cells: proliferation (in vitro)
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12
Q

Interleukin 10

A
  • inhibitor of cytokines
  • anti-inflammatory
  • produced by monocytes, Th2, mast cells, Tregs
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12
Q

Interleukin 8

A
  • Chemokine that recruits neutrophils (CXCL8)

- produced by macrophages, epithelial cells, endothelial cells

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14
Q

Interferon-gamma

A
  • source: T cells (Th1,CD8+ T cells), NK cells
  • B cells: isotype switching to opsonizing and complement fixing IgG subclasses
  • T cells: Th1 differentiation
  • macrophages: activation (increased microbicidal function)
  • various cells: increased expression of class I and class II MHC, increased antigen processing and presentation to T cells
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15
Q

Interleukin 17

A
  • source: T cells
  • endothelial cells: increased chemokine production
  • macrophages: increased chemokine and cytokines production
  • epithelial cells: GM-CSF and G-CSF production
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16
Q

TGF-beta (transforming growth factor)

A
  • source: T cells, macrophages, other cell types
  • B cells: inhibit proliferation, IgA production
  • T cells: inhibit proliferation and effector functions
  • Macrophages: inhibit activation, stimulate angiogenic factors
  • fibroblasts: increased collagen synthesis
17
Q

Central tolerance for B-cells occurs in the… and use which to mechanisms?

A
  • bone marrow
  • negative selection (actively killing)
  • receptor editing of the light chain in Ab
18
Q

How does peripheral b-cell tolerance occur in…

1) presence of t-cells
2) absence of t-cells

A

1) actively killed during clonal expansion via Fas-FasL mediated AICD, Fc receptor inhibition
2) decreased BCR expression leads to anergy of b-cell, decreased CXCR5 leaves to exclusion from lymphoid follicule

19
Q

T-cell central tolerance takes place in the…

20
Q

T-cell positive selection is…

A

when T-cell maturation occurs with binding to self-peptide and MHC determines CD4 or CD8

21
Q

Negative selection of T-cells

A

immature t-cells
that encounter high affinity self-peptide and MHC are actively killed (negative selection) and/or develop into natural Treg cells to suppress other T effector functions

22
Q

AIRE

A

This protein modulates interaction of self-peptide with MHC and it’s presentation to T-cells during central tolerance

Plays a role in preventing autoimmunity

23
Q

What are two ways that infection can lead to auto-reactivity?

A

1) Activation of APC that are presenting self-antigen already (as cryptic epitopes) are activated by the pathogen –> causes expression of costimulatory molecules –> self-reactive T-cell activation
2) Microbe may use the method of molecular mimicry which presents self-antigen like antigen to self-reactive t-cell –> activation –> autoimmunity
Activation of

24
Q

What are two mechanisms by which auto-immunity can progress?

A

1) Amplification of response by release of cytokines –> an increase in self-reactive clones number
2) Spreading of the epitope due to tissue injury –> more antigens presented –> more diverse self-reactive t-cells made

25
Histamine
- mediator of immediate allergic and inflammatory reactions - chemotactic factor for neutrophil,eosinophils, basophils, monocytes, and lymphocytes - stored in blood basophils and tissue mast cells, gastric mucosal cells, neurotransmitter vesicles - causes vasodilation and edema
26
H1 - Histamine receptor
- increases IP3/DAG (GPCR pathway) - acts on blood vessels, endothelial cells, sensory nerve endings, GI smooth muscle cells, bronchial smooth muscle, brain
27
H2 - histamine receptor
- increases cAMP pathway | - acts on gastric mucosa, blood vessels, smooth muscle cells, mast cells, cardiac muscle cells, brain
28
COX 1 and COX 2
COX 1=constitutive COX 2=inducible -both form different prostaglandins COX1: TXA2, PGI2, PGE2
29
PGE2
- produced by COX1 - classic inflammation symptoms: redness, swelling, pain - vasodilator in vascular beds
30
PGI2
- produced by COX1 - rapidly made following tissue damage and is a mediator of edema and pain with acute inflammation - vasodilator in vascular beds
31
TNF alpha
- produced by macrophages | - causes fever and chemotaxis
34
Attenuated vaccine
- Measles,Varicella,Sabin Polio,Mumps,Rubella | - all antigens are expressed, highly immunogenic, stimulates a broad immune response
35
Inactivated Vaccine
- Multiple antigens present, risks incomplete inactivation, requires boosting - Salk Polio, Influenza, Hep A
36
Subunit vaccine
- consists of purified components derived from pathogen - can induce specific immune responses against molecules involved in virulence/pathogenesis - poorly immunogenic without adjuvants - Toxins: tetanus, diphtheria, pertussis
37
Conjugate vaccine
- consist of purified components of a pathogen linked to a highly immunogenic carrier - allows for T-dependent antibody response - Hapten conjugated to carrier (Polysaccharide: S. Pneumococcus, Meningococcus, Haemophilus)
38
Virus-like Particle vaccines
- consist of viral structural proteins that when overexpressed are similar in structure to infectious virus - VLPs do not contain viral nucleic acid and are noninfectious - Safe, highly immunogenic, particle can be modified with adjuvants - example: HPV