Immunology Flashcards

1
Q

Described the electomagnetic spectrum from shortest wavelength to longest wavelength.

A

Radiowaves> microwaves > infared >visible> UV > xrays > gamma rays

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2
Q

IL1 is secreted by ___ and has ___ effects.

A

IL1 secreted by macrophages, b cells and keratinocytes.
Target(s): Endothelium
Effects: Fever (endogenous pyrogen), Inflammation, Increased Vascular Permeability by activating endothelium to express adhesion molecules; induces chemokine secretion to recruit leukocytes.

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3
Q

IL2 is secreted by ___ and has ___ effects.

A

IL2 secreted by T cells, causes T cell differentiation

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4
Q

IL3 is secreted by ___ and has ___ effects.

A

IL3 secreted by T cells, causes maturation of multple immature hematopoietic cell lineages

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5
Q

IL4 is secreted by ___ and has ___ effects.

A

IL4 secreted by Th2 cells, causes isotype switching to IgE

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6
Q

IL5 is secreted by ___ and has ___ effects.

A

IL5 secreted by Th2 cells, causes eosinophil activator, Increases IgA secretion

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7
Q

IL6 is secreted by ___ and has ___ effects.

A

IL6 secreted by T and B cells
Target(s): T-Cell, B-Cell
Effects: Endogenous pyrogen. Causes fever and stimulates production of acute phase proteins.

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8
Q

IL8 is secreted by ___ and has ___ effects.

A

IL8 secreted by macrophages.
Target(s): Neutrophil
Effects: Major chemotactic factor (“Clean up on aisle 8.” Neutrophils are recruited by IL-8 to clear infections)

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9
Q

IL10 is secreted by ___ and has ___ effects.

A

Secreted by Treg and macrophages.
Target(s): TH1
Effects: Down-regulates the expression of TH1 cytokines, MHC class II antigens, and costimulatory molecules.

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10
Q

IL12 is secreted by ___ and has ___ effects.

A

Secreted by Macrophages, dendritic cellls
Target(s): TH1, NK Cell
Effects: Induces T cell differentiation into TH1 cells. Increases IFN-gamma, TNF-alpha production.

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11
Q

TNF alpha secreted by ____ and has ____effects.

A

Secreted by macrophages. Targets endothelium and mediated septic shock.

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12
Q

IL 22 and 23 does what?

A

Promotes proliferation and differentiation of Th17 cells.

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13
Q

IFN-gamma secreted by ___ and has ___ effect.

A

IFN-gamma secreted by T-cells and NK cells. Causes macrophages activation, differentiation of Th1 cells and downregulation of Th2 pathway.

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14
Q

TLR2 is triggered by ___.

A

TLR2 is triggered by Lipopeptides from gram positive bacteria (p acnes). Bacterial lipopolysaccharides binding is dependent on TLR2.

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15
Q

TLR 3 is triggered by ___.

A

Viral ds RNA

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16
Q

TLR 5 is triggered by ___.

A

Bacterial flagellin

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17
Q

TLR 7 is triggered by ___.

A

Viral ssRNA and the synthetic ligand imiquimod

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18
Q

Classical complement pathway activated by ___. How does it work?

A

Ab-antigen complexes. It works by. C1q binds to Fc portion of the IgM and IgG (not IgG4). Activates C1r/c1s. C1s cleaves C4 and C2 forming C4b/C2a (C3 convertase). C3 convertase cleaves C3 into C3a and C3b. C3b joins wiht C4b2b to form C5 convertase

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19
Q

Alternative complement pathway activated by ___. How does it work?

A

Activated by LPS. Causes low level of C3 cleavage. C3b binds to bacterial cell surface structures and binds factor B. Factor B cleaved by factor d into Ba and Bb. Bb and C3b forms C3 convertase, which is stablized by properidin.

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20
Q

Lectin complement pathway activated by ___. How does it work?

A

Activated by mannose-binding lectin protein, a plasma protein that binds to cell’s surface polysaccharides. Causes cleavage of C4 and C2.

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21
Q

Anaphylactoxins

A

C3a and C5a

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22
Q

MAC subunits

A

C5b, C6, C7, C8, C9

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23
Q

B cell markers/receptors include:

A

CD19, CD20 and CD79a

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24
Q

What co-stimulatory molecules do T cells need on their APC?

A

CD28 binds to B7-1/B7-2 on APCs.
CD2 (LFA2) binds to LFA-3 (CD58) on APCs.
LFA1 bind to ICAM-1 on APCs.

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25
LFA1 on what cell?
On T cell. Lymphocyte function-associated antigen 1 (LFA-1) is an integrin found on lymphocytes and other leukocytes.[1] LFA-1 plays a key role in emigration, which is the process by which leukocytes leave the bloodstream to enter the tissues. LFA-1 also mediates firm arrest of leukocytes.[2] Additionally, LFA-1 is involved in the process of cytotoxic T cell mediated killing as well as antibody mediated killing by granulocytes and monocytes
26
What is a leukocyte?
Neutrophils, eosinophils (acidophiles), basophils, lymphocytes, and monocytes
27
What inhibitory cell signaling occurs between T cells and APCs?
CTLA binds to B7-1 and B7-2 on APCs--> inhibition. Ipilimumab blocks CTLA4 allowing greater T cell activation.
28
T cells markers include:
CD2, CD3, CD4, CD8
29
What Ig activate complement?
IgM and IgG (except IgG4)
30
What is the only antibody that crosses the placenta?
IgG
31
Cell-mediated immunity is what TH response?
TH1. Delayed-type hypersensitivity reactions
32
Th1 differentiation requires stimulation by....
IL-12 and IFN gamma which activate the transcription factors T-bet, STAT1, STAT4
33
TH1 cells produce...
IFN-gamma (downregulated Th2), IL2, IL12, TNFalpha. Stimulate IgG2, IgG3
34
Humoral immunity is what TH response?
TH2
35
TH2 cells produce...
Produce IL4, IL5, IL6, IL10 (suppresses Th1) , IL13. Stimulate IgG4 and IgE class-switching
36
Th17 cells recruit what cells?
Recruit neutrophils that can destroy extracellular pathogens
37
Th17 produce what interleukins?
IL6, IL17, IL22, IL23, IL36, TNFalpha
38
Treg cells express what?
CD25 and transcription factor FOXP3
39
How do CD8 cells kill?
Perforin enables granyme ot enter the cytoplasm of the target cell Fas ligand on CD8 T cells binds Fas on target cell
40
Diseases associated with TH1
MS, psoriasis, DM1, tuberculoid leprosy, cutaneous leishmaniasis, sarcoid, delayed-type hypersensitivity reactions and CTCL
41
Diseases associated with TH2
Atopic dermatitis, helminthic infections, lepromatous leprosy, disseminated leishmaniasis, Sezary syndrome, scleroderma, systemic lupus
42
Diseases associated with Th17
asthma, multiple sclerosis, psoriasis, RA, transplant rejection, and allergic contact dermatitis
43
NK cell markers
CD2, CD56, CD16
44
What do NK cells secrete?
IFNgamma which have the phagocytic capability of macrophages
45
NK cells are activated by?
IL12, IL15, type 1 interferons
46
Monocytes have what cell markers?
CD 11, CD6, Fc receptor for IgG, MHC2
47
Eosinophilic granules contain what?
Major basic protein.
48
Mast cells express?
C-kit receptor (CD 117), Stem cell factor (ligand), CD34, CD 13
49
Preformed mast cell granules?
Histamine, Tryptase, heparin, chymase, cathepsin G, Carboxypeptidase
50
Synthesized mast cell granules?
Prostaglandin D2, Leukotrienes C, D, E4, and Platelet-activating factor
51
What cases mas cell degranulation?
Cross linking of FcRI-bound IgE, anti-FcRI antibodies, stem cell factor, neuropeptides (substance P), drugs (opiates, aspirin, vancomycin, curare, and polymyxin B), and radiocontrast media
52
What do the primary granules in neutrophils contain?
defensins, myeloperoxidase, lysozyme, proteinase-3, cathelicidin, catheprsin B/D
53
What do the secondary granules in neutrophils contain?
lactoferrin, lysozyme, alk phos, collagenase, phospholipase A
54
What are langerhan cell markers?
CD1a, S100, Langerin (birbeck granules), vimentin.
55
How do langerhan cells adhere to keratinocytes?
E-cadherins
56
What chromosome is the MHC locus on?
Chromosome 6
57
What cells express MHC1? What type of antigens?
All nucleated cells. Intracellular proteins (small proteins)
58
What cells express MHC2? What type of antigens?
APCs. Extracellular antigens (large proteins)
59
MHC associated with lupus?
HLA DR3
60
MHC associated with psoriasis?
HLA CW6
61
MHC associated with guttate psoriasis ?
HLA B17, B13
62
MHC associated with psoriatic arthritis?
HLA B27
63
MHC associated with behcets?
HLA B51
64
MHC associated with Chronic idiopathic urticaria?
HLA DR4, DRB4, DQ8
65
MHC associated with Pemphigoid gestationis?
HLA DR3, DR4
66
MHC associated with Pemphigus vulgaris?
HLA DR4, DRw6
67
MHC associated with DH?
HLA A1, B8, | DR3, DQ2
68
MHC associated with Lichen planus?
HLA B57, B8, | DR1, and DR10
69
MHC associated with Vitiligo?
HLA A33, B13 | HLA B44, DRB1, DR4
70
Thumb and 2,3rd fingers
Tuliposide,Lillies, garlic
71
Dyhidrosis of hands
Systemic contact dermatitis to nickel
72
Gloves
Thiuram
73
Axillary vault
Lyral, fragrance
74
Periaxillary skin
Formaldehyde disperse blue
75
Seaquiterpene lactose
Chrysanthemums, rageeed,daisy, artichoke, sunflower, chamomile
76
Balsam of Peru
Tupentine, colophony, vanilla, Cloves, cinnamon
77
Cutaneous signs of group a strep
Perinatal, vulvovaginosis
78
Griseofulvin reaction in kids
Facial rash. Use steroids. Continue to treat.
79
Terbinafine interactiins
Doxepin, betablocker, tca
80
Mino induced SLE
Anca
81
What do you use imatinib?
Myeloproliferative hypereosinophilic syndrome Fusion gene translocation. TK ACTIVATION Eos>1.5 for >6months DFSP
82
25
Credit for EM WITH PROCEDURE
83
24
Separate EM WITHIN GLOBAL PERIOD of procedure
84
59
For cheaper of the procedures
85
79
Separate procedure during surgery global period
86
When does global period start?
Post op day 1
87
Global periods 10day
Destruction, excision, simple to complex repairs
88
Global period 90 days
Adjacent tissue transfer, graft