Immunology Flashcards

1
Q

What are some of the physiological functions mucosal tissue?

A
  • gas exchange
  • food absorption
  • sensory activities
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2
Q

Why is the gut naturally immune suppressed?

A
  • you don’t want to over-react to non-harmful substances
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3
Q

What is Peyer’s patch?

A

-group of lymphoid tissues found in the ileum of the small intestine

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4
Q

What are Peyer’s patches covered in?

A
  • epithelial cells and contain specialised cells called M cells
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5
Q

What are M cells?

A
  • found on Peyer’s patches
  • have characteristic membrane ruffles - microvilli
  • increase surface area –> good at absorption
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6
Q

What is found in the germinal centre of the Peyer’s patch?

A
  • T cells
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7
Q

How can dendritic cells sample antigens from the lumen of the gut?

A
  • they can extend processes across the epithelial layer

- don’t only need to be in peyer’s patches

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8
Q

Where does the immune response occur in mucosa immunity

A
  • lamina propria
  • layer of loose connective tissue
  • present with many different immune cells
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9
Q

What are standard homing receptors in the gut?

A
  • CCR7
  • CCR9
  • CCR10
  • L - selectin
  • Think of it as post codes, directs lymphocytes to a specific location
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10
Q

Name of the lymph nodes associated with the gut?

A
  • mesenteric lymph nodes
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11
Q

What is the most common immunoglobin in the gut?

A
  • IgA

- DIMERIC!

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12
Q

Why does the IgA have secretory components?

A
  • as a protection, to prevent it being broken down
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13
Q

Why might a baby experience immunodeficiency from 6 months?

A
  • maternal immunoglobulins gone
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14
Q

Atypical inflammatory bowel disease in a child?

A

-CGD –> Chronic Granulomatous Disease

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15
Q

How is a food allergy initiated?

A
  • type I hypersensitivity
  • imitated by cross linking of allergen, specific IgE on the surface of mast cell with the specific allergen
  • memory response
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16
Q

For an anaphylaxis reaction the allergen must be intravenous?

True or False?

A
  • TRUE

- Food - oral absorption into the blood

17
Q

What is coeliac disease?

A
  • gluten sensitive enteropathy
  • genetically liked, immune disorder
  • incurable (stop eating gluten)
  • no IgE involved –> not an allergy
  • T cell mediated
18
Q

How do you diagnose Coeliac Disease?

A
  • biopsy
  • serology (IgA)
  • no gluten, no antibody
  • IgA defence screening
19
Q

What is Crohn’s disease?

A
  • focal and discontinuous inflammation with deep and eroding fissures
  • mediated by Th1 CD4+ T cells
  • granulomas
20
Q

What is Ulcerative colitis?

A
  • restricted to rectum and colon
  • starts in rectum and moves proximally
  • no granulomas
  • no treatment –> anti-inflammatory and immunosuppression
21
Q

What are the 2 distinct immunological groups in the gut?

A
  • intraepitelial lymphocytes

- lamina propria lymphocytes