Immunology Flashcards

1
Q

whatasinvolved in the innate immune response

A

anti microbial proteins, complement, mast cells, macrophages, inflammation

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2
Q

whatasinvolved in the innate immune response

A

anti microbial proteins, complement, mast cells, macrophages, inflammation

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3
Q

what are the physical barriers to protect the eye

A

tears (flushing, anti adhesive mucosal layer), blink reflex, eyelashes

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4
Q

what are the chemical protective properties of tears

A

lysozome, antibacterial lipis, secretory IgA, complement, IL-6,8 and MIP

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5
Q

what immune cells are in the eye

A

neutrophils (attracted by chemotaxis)
macrophages (phagotcytosis of damaged cells)
conjunctival mast cells (vasoactive mediators)

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6
Q

where do you get langerhan cells

A

specific to skin and eyes (corneo-scleral limbus)

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7
Q

what is the role of langerhans

A

principle antigen presenting cell in the external eye

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8
Q

what are the physical barriers to protect the eye

A

tears (flushing, anti adhesive mucosal layer), blink reflex, eyelashes

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9
Q

what are the chemical protective properties of tears

A

lysozome, antibacterial lipis, secretory IgA, complement, IL-6,8 and MIP

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10
Q

what immune cells are in the eye

A

neutrophils (attracted by chemotaxis)
macrophages (phagotcytosis of damaged cells)
conjunctival mast cells (vasoactive mediators)

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11
Q

where do you get langerhan cells

A

specific to skin and eyes (corneo-scleral limbus)

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12
Q

what is the role of langerhans

A

principle antigen presenting cell in the external eye

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13
Q

what is the only part of the eye with lymphatic drainage

A

conjunctiva

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14
Q

describe the lymphoid system of the conjunctiva

A

(lymphoid is a tissues that produces lymphocytes)
has specialised endothelial venules for regulated migration of lymphoid cells

diffuse lymphoid populations (CD4+ & CD8+, T cells, IgA secreting plasma cells

mucosa associated lymph tissue (MALT)

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15
Q

what cells work as antigen presenting cells in the conjunctiva

A

denditic cells

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16
Q

where are langerhans in the eye

A

peripheral cornea

17
Q

what is the immune environment of the cornea and sclera

A

not much- avascular, no lymph, only langerhans

18
Q

what is the immune system of the lacrimal gland and drainage system

A

gland has more plasma IgA and CD8+ cells than conjunctive
has T cells in small groups

in drainage system there is diffuse lymphoid tissue and follicles in MALT

19
Q

how does anterior chamber associated immune deviation work

A

T and B cells that produce non complement fixing antibodies

inhibiting of B and T cells that produce complement fixing antibodies

decreased expression of MHC 1 molecules, dont express MGV 2

cornea lack blood vessels and lymph

20
Q

the eye is an immune privilege site- what does this mean

A

able to tolerate the introduction of antigens without eliciting an inflammatory immune response

21
Q

what are the other immune privilege sites

A

brain/CNS, testes, placenta/ foetus, eyes

22
Q

where in the eye is immune privileged

A

cornea, anterior chamber, lens, vitreous cavity, subretinal space

23
Q

how does the eye have immune privilege

A

has blood tissue barrier
has no lymphatic drainage
have molecules that inhibit the response of immune cells
anterior chamber has immune deviation (systemic form of tolerance of to a foreign antigen)

24
Q

what is the purpose of anterior chamber associated immune deviation

A

protects eyes and visual axis from the collateral damage of an immune response by suppressing future response to infection

25
how does anterior chamber associated immune deviation work
T and B cells that produce non complement fixing antibodies inhibiting of B and T cells that produce complement fixing antibodies
26
what is sympathetic opthalmia
Rare, bilateral, granulomatous uveitis due to trauma (more common) or surgery (less common- usually after multiple procedures) to one eye thought to be caused by autoiimune immune reaction to ocular antigens exposed during the trauma/ surgery downside of immune privilege
27
what cells mediate sympathetic ophthalmia
T cells
28
what are the types of hypersensitivity reactions
1- immediate 2- direct cell killing 3- immune complex mediated 4- delayed
29
what type of sensitivity are allergies- mediated by what cell
type 1- mast cells.
30
describe type 1 hypersensitivity reactions
B cells after meeting antigen release antigen specific IgE antibodies allergen is cleared if re-encountered allergen binds to IgE coated mast cells and there is immediate release of vasoactive mediators (histamine)
31
what is chemosis
oedema of the conjunctiva
32
what mediates type 2 hypersensitivity reactions
anti body mediated cytotoxicity - macrohpages/ NK cells - complement (membrane attack complex)
33
what is ocular cictricial pemphigoid
autoimmune conjunctivitis (type II reaction)- causes blistering and scarring of the conjunctiva
34
how do you treat ocular cicatricial pemphigoid
steroids
35
what type of hypersensitivity is autoimmune corneal melting
type 3 (immune complex mediated)
36
how is autoimmune corneal melting treated
sterorids
37
what cells mediate type 4 (delayed) hypersensitivity
T helper cells activated by pathgens colonal expansion re-exposure attracts macrophages
38
what causes corneal graft rejection
vascularisation of the host cornea reaching the donor tissue
39
name two eye side effects of steroids
cataracts, glaucoma