immunology Flashcards

1
Q

what are 5 main components of the innate immune system

A
mechanical barriers
physiological - stomahc acid, fever etc
chemical mediators
phagocytic leukocytes
natural killer cells
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2
Q

what are the main points of the innate immune system?

A

first line of defence
produce local redness and swelling associated
non-specific response

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3
Q

what are the 3 pathways of complement activation?

A

classical, lectin or mannose binding pathway and alternative pathway

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4
Q

what is different about the mannose binding pathway?

A

involves manose bidning lectin which binds sugars on the surface of proteins to MASP 1 and 2

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5
Q

what is different about the alternative pathway?

A

it has autoactivation of C3 when in contact with bacteria

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6
Q

what does the complement do to help fight of pathogens

A

produce MAC to stab invading pathogens
produce anaphylatoxins
opsinisation of pathogens for phagocytosis by macrophages and neutrophils
attract neutrophils to the site of infection - complement products of C5a

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7
Q

what is the role of phagocytes in the immune system?

A

include macrophages, dendritic cells and neutrophils
they engulf pathogens by phagocytosis and express MHC II (macrophages) to make APC
secrete interleukin 1 and tumour necrosis factor (TNF)

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8
Q

what do neutrophils do in the immune system?

A

reside in the blood
activated and attracted to the site of infection
they have a double mechanism to bind to the blood vessel

neutrophils attack F-met peptides and once activated become phagocytotic and produce TNF

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9
Q

what do natural killer cells do in the immune system?

A

produce cytokines

destroy infected cells - uses fas ligand to bind to fas on target cell inducing apoptosis

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10
Q

where are B cells made?

A

derived from pluripotent hematopoietic stem cells in the bone marrow

lymphoid lineage

mature in lymph nodes

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11
Q

where are T cells made?

A

derived from pluripotent hematopoietic stem cells in the bone marrow

lymphoid lineage

mature in the thymus

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12
Q

how are B cells activated?

A

binding of antigen to receptors on the cell surface which causes the cell to divide and proliferate
a second signal is often needed

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13
Q

what is the main roles of B cells?

A

antibody production
activation of Tcells
activation of innate immunity

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14
Q

how are T cells activated?

A

antigen presented with MHC class I or II and CD80

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15
Q

what is the function of T cells?

A

release cytokines

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16
Q

what do cytokines do?

A
chemoattraction
autoactviation
augmentation of inflammation
stimulation of Ab production by B cells
activate macrophages
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17
Q

what is the role of BCR?

A

transduction and mediating internalization

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18
Q

what is the role of TCR?

A

responsible for recognising fragments of antigen as peptides bound to MHC

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19
Q

what is the role of CD4?

A

receptors on T helper cells that bind to MHCII

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20
Q

what is the role of CD8?

A

receptors on T cytotoxic cells that bind to MHCI

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21
Q

what is the role of CD28?

A

expressed on T cells, provide co-stimulatory signals required for T cell activation

22
Q

what is the role of CD80?

A

co stimulatory molecule for T cell activation

23
Q

What is the role of T cytotoxic cells?

A

have CD8 receptors which recognise MHC I

they destory cells by releasing enzymes which distrupt the cell membrane

24
Q

what is the role of T helper cells?

A

have CD4 receptors which redcognise MHC II
activate B cells
activate phagocytes
produce Th1 and Th2 cytokines - they augment cell mediated and humoral immunity

25
Q

what is the role of MHC I?

A

present endogenous antigens synthesised int he cytoplasm

display on surface membrane to CD8 receptors on cytotoxic cells

26
Q

what is the role of MHC II?

A

Present exogenous antigens from extracellular material

displays antigen to CD4 receptors on t helper cells

27
Q

what antibody types are monomers?

A

IgG, IgE and IgD

28
Q

what does IgG do?

A

neutralises toxins
opsinisation
main Ig in the blood

29
Q

what does IgE do?

A

antibody of allergy and antiparasitic activity

30
Q

what does IgM do?

A

main antibody of primary responses

good opsiniser

31
Q

what does I gA do?

A

secreted into mucus, tears and saliva preventing entrance of pathogens

32
Q

what does IgD do?

A

found on B cell membrane

helps cell division

33
Q

what type of antibody is a dimer?

34
Q

what type of antibody is a pentamer?

35
Q

how does immune memory work?

A

B cells remember antigen and when confronted a second time with the same antigen the ab response in much quicker

36
Q

how does vaccination work?

A

relies on introduction of pathogenic source

immune response develops and provides long lasting immunity

booster injection may be needed

37
Q

What is antibody switching?

A

immature B cells produce IgD and IgM

when activated B cells switch Ig class depending on location and function

38
Q

how is diveristy of antibodies generated?

A
the variable region of the antibody
made up of the building blocks:
V (varible) gene
D (diveristy) gene 
J (joining) gene
somatic mutations changes affinity
39
Q

what is autoimmunity?

A

missdirected adaptive immune repsonse
= loss of self tolerance
hypersensitivity reactions = over reaction of adpative immuen response
immunodeficiencies = components of immuen system are absent or defective

40
Q

what is clonal deletion, during the development of B or T cells?

A

if developing B or T cells recognise self antigen they will be triggered to die, so this clone of cells is deleted

41
Q

during T cell activation, which moleucles on the T cell recognise the Ag/MHC complex and 2nd signall on the antigen presenting cell?

A

T cell receptor (CD4 or CD8) recognise Ag/MHC and CD28 recognises the 2nd signal - CD80

42
Q

what are the 3 main types of T cell?

A

cytotoxic T cell
T helper cell
Regulatory T cell

43
Q

which antibdy class is common on mucosal surfaces such as in the GI tract and respiratory tract?

44
Q

what molecule that is expressed on endothelial cells in repsonse to cytokines released by hperactive macrophages binds to a ligand on the surface of neurophils

45
Q

which cytokines are released by hyperactive macrophages?

A

TNF and IL-1

46
Q

what is required to stimulate primed macrophages to become hyperactive?

A

IFN-y and LPS (lipopolysaccharide from gran negative bacteria)

47
Q

what is the difference between resting and primed macrophages?

A

primed macrophages express more MHC class II and take up larger objects by phagocytosis

48
Q

where would you expect to find iC3b?

A

on the surface of a bacterial cell

49
Q

oligmers of which protein form the pore through bacterial membranes as part of the membrane attack complex

50
Q

which pathway is activated by the sugars on pathogens such as bacteria, yeast and certain parasites?

A

lectin or mannose binding pathway

51
Q

autoactivation of which complement protein is involved in the alternative pathway of complement activation

52
Q

viral peptides are loaded onto…….

A

MHC class I molecules