Immunology Flashcards

1
Q

What is the immunesystem

A

A complex orchestration of molecules, cells, tissues and organs to protect against:
Microbial pathogens including bacteria, viruses, parasites
Tumor cells

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2
Q

What are the two lines of defence

A

Innate, first line of defence

Adaptive, second line of defence

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3
Q

What is active immunity vs passive immunity

A

Active: antigens enter body and trigger immune systems, provides long term protection

Passive: antibodies pass from mother to:
Foetus across the placenta,
Infant in breast milk
Provides short term protection

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4
Q

What is the role of a neutrophil

A

Principle phagocytic cell of innate immunity
Rapidly migrate to infection site, ingest microbes by phagocytosis, release oxygen free radicals, degranulate releasing proteins with microbicidal properties

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5
Q

What is the role of the eosinophils

A

Important defender against multicellular parasites and have a role in allergy and asthma

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6
Q

What is the role of the basophils

A

Involved in inflammatory allergic reaction

Release histamine

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7
Q

What is the role of moncytes

A

Circulate in blood, bean shaped nuclei, precursors of tissue macrophages
Effectors of inflammatory response to microbes
Kills pathogens via phagocytosis, free radical production, myeloperoxidase and inflammatory cytokines

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8
Q

What is the role of macrophages

A

Derived from blood monocytes
Participate in innate and adaptive immunity
Phagocytosis, microbicidal mechanisms, antigen presentation to other cells

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9
Q

What is the role of the dendritic cells

A

Process and present antigens on their cell surface to T-lymphocytes to initiate specific immune responses

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10
Q

What is the role of the mast cell

A

Similarities with basophils, release histamine, close association with allergy and inflammation

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11
Q

What are B-lymphocytes

A

Produce antibodies
Present antigens to other cells
Can produce long lived memory cells
Need two signals to be activated: antibody/antigen interaction acne other T-cells or inflammatory mediators

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12
Q

What are T-lymphocytes

A

Plays critical role in development and regulation of cell mediated immunity
Influences the activities of other cells
Able to kill virally infected and tumour cells
Generate long lived memory cells

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13
Q

What are natural killer cells

A

Generally considered part of the innate immune response
Release cytokines (IFN-y and IL-2) and granzymes and trigger apoptosis in target cell
Kill infected cells which do not express foreign surface antigen
Respond rapidly
Involved in tumour immunosurveillance

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14
Q

Where is the primary lymphoid tissue and what happens there

A

Bone marrow: b-lymphocytes
Thymus gland: t-lymphocytes
Development and maturation of lymphocytes

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15
Q

Where is the secondary lymphoid tissue and what happens there

A

Lymph nodes, spleen, tonsils, appendix, adenoids, Peyer’s patches in ileum, bronchial associated lymphoid tissues
Mature lymphocytes encounter antigens/pathogens

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16
Q

What are key components of innate immune system

A

Mechanical barriers: skin and mucus membrane
Physiological: stomach acid and fever response
Chemical mediators: plasma proteins
Phagocytic leukocytes
Natural killer cells

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17
Q

What are the two types of adaptive immune system

A

Humoral immunity mediated by antibodies produced by B lymphocytes
Cell-mediated immunity effected by T lymphocytes

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18
Q

How does a vaccination work

A

Exposure to antigen -> activation -> clone formation -> formulation of plasma cells and memory cells -> Plasma cells secrete antibodies into circulation -> memory cells store information until the next exposure to the same antigen

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19
Q

What are the 5 types of immunoglobin and what are their roles

A
IgM
IgG
IgA
IgE
IgD
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20
Q

What are the roles of IgM

A

Main antibody of primary response, best at fixing complement, monomer form serves as B cell receptor

21
Q

What are the roles of IgG

A

Main blood antibody of secondary responses
Neutralizes toxins
Opsonization

22
Q

What are the roles of IgA

A

Secreted into mucus, tears, saliva, colostrum

23
Q

What are the roles of IgE

A

Antibody of allergy and anti parasitic activity

24
Q

What is the role of IgD

A

B cell receptor

25
How do antibodies work
Label invading organisms to be destroyed by other parts of immune system, this is opsonisation
26
What is the major histocompatibility complex
Inherited T cells only recognise antigens as complexes with MHC molecules Peptides are presented on the surface of of antigen presenting cells in association with the MHC Allows immune cells to discriminate between normal antigens and foreign ones
27
What are MHC class I molecules
Present on almost every cell in the body Present endogenous antigens that are synthesised in the cytoplasm on the surface Displayed to cytotoxic T cell lymphocytes (CD8+) If foreign the cell is killed otherwise it is spared
28
What are MHC class II molecules
Only present on specialised antigen-presenting immune cells: macrophages, dendritic cells and B cells Present exogenous antigens that originate extracellularly from foreign bodies This is recognised by helper T cell lymphocyte (CD4+) The binding stimulates development of antibody-producing B cells against the antigen
29
What are the types of immune system disorders
Autoimmunity Hypersensitivity reactions Immunodeficiencies
30
What is the function of the complement cascade
Membrane attack complex produced to stab at invading pathogens Produce anaphylatoxins Prime pathogens for phagocytosis by macrophages and neutrophils (opsonisation)
31
What are the three types of complement activation pathways
Classical Lectin or mannose-binding Alternative
32
What is the classical pathway
Activated by antigen-antibody complexes Complement factors are serine proteases Limited proteolysis
33
What is the Lectin or mannose-binding pathway
Involves mannose-binding lectin which binds sugars (mannose) found on the surface of pathogens but not on mammalian cells MBL binds with MASP 1 and 2 which activate C2 and C4, rest of pathway is as it was in classical
34
What pathogens trigger the mannose-binding pathway
Yeast such as Candida albicans Viruses such as HIV and inluenza A Bacteria including Salmonella and Streptococci Parasites such as Leishmania
35
What is the alternative pathway
Involves auto-activation of C3 to C3a and C3b which occurs constantly at a very low rate Upon contact with bacteria auto-activated C3b binds factor B and properdin which rapidly activates more C3 and activates C5
36
What are the anaphylatoxins
C3a, C4a and C5a By-products of C3-5 during complement activation Trigger degranulation of endothelial cells, mast cells and phagocytes Cause smooth muscle contraction and enhance vascular permeability C3a and C5a also act as chemoattractants; they attract and activate neutrophils
37
What is opsonisation by C3b
C3b renders bacteria more susceptible to phagocytosis C3b is cleaved to iC3b on the bacterial surface The macrophage cell membrane contains receptors for iC3b, facilitating phagocytosis of the bacteria by the macrophage
38
What are the roles of the hyperactive macrophages
Become hyperactive when stimulated by IFN-y and lipopolysaccharide (LPS) produced by gram-negative bacteria Hyperactive macrophages stop proliferating, become larger and increase they rate of phagocytosis Hyperactive macrophages produce cytokines: tumour necrosis factor (TNF) which can kill tumour cells and virus-infected cells, and interleukin-1 (IL-1)
39
What are the three stages of macrophage activation
Resting Primed Hyperactive
40
What is produced as a result of B-cell maturation
B-cell matures into plasma cell which allows for production of large quantities of antibody
41
What cells can present antigens to T-cells
Monocytes Macrophages B cells Dendritic cells
42
What are the three types of T-cells
Helper: Activate B cells, activate phagocytes and help other T cells Killer: cytotoxic T lymphocytes, effective at attacking viruses Regulatory: not fully understood, regulate against self destruction
43
What are the CD3 CD4 and CD5 molecules
CD3 is associated with T cell receptor to make the CD3/TCR complex CD4: helper CD8: cytotoxic
44
What is MHC and its two types
Glycoprotein present on cell surfaces that help differentiate self from non-self Plays crucial role in T cell activation ``` MHC II (helper) MHC I (cytotoxic/ killer cells) ```
45
What are the Th1 and Th2 cytokine roles
Th1: activate cell mediated immunity Th2 are responsible for antibody production
46
What is autoimmune disease
Occurs when self tolerance against a body antigen is broken
47
What are examples of autoimmune conditions
``` Organ specific: Thyroid disease Type 1 diabetes Pernicious anaemia Some skin conditions ``` Non-organ specific: Systemic lupus erythematosus (SLE)
48
What is anergy
T- cells become temporarily unresponsive to all signals due to lack of co-activation