Immunology Flashcards

1
Q

in a systemic immunoglobulin response, which 3 Igs are the most abundant?

A

IgG = most abundant, then IgM, then IgA

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2
Q

in an intestinal Immunglobulin response, which 3 Igs are the most abundant?

A

IgA= most abundant, then IgM, then IgG

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3
Q

how many subunits does IgM have?

A

5- it is a pentamer

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4
Q

what is IgA present in?

A

breast milk and tears

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5
Q

how does IgA mediate mucosal immunity?

A

agglutinates and neutralises pathogens in the lumen and prevents colonisation on epithelial surface

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6
Q

in what form is IgA secreted

A

as dimers joined by a j-chain which is later internalised

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7
Q

where are many immune cells found in the GI tract?

A

Peyer’s Patches

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8
Q

once B cells produce IgA, where do they travel to?

A

travel to mesenteric lymph nodes, then thoracic duct, then back into small bowel where they undergo terminal differentiation into plasma cells

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9
Q

what molecules help return b-cells to gut?

A

a4B7-integrin bringing to MAdCAM-1

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10
Q

where are intestinal T lymphocytes principally produced in? (2)

A
  1. organised gut associated lymphoid tissue (GALT)

2. lamina propria -surface epithelium

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11
Q

what is an example of GALT?

A

Peyer’s patches

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12
Q

what cells does the lamina propria contain?

A

CD4 cells

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13
Q

what are the lymphocytes found in the surface epithelium referred to as and what are the most abundant?

A

intraepithelial lymphocytes (IELs) & CD8 cells

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14
Q

where does T cell sensitisation occur in?

A

Peyer’s patches

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15
Q

after T cells become sensitised in Peter’s patches, where do they go?

A

pass through mesenteric lymph nodes > thoracic duct > back to gut where end up in lamina propria or epithelium

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16
Q

recap: CD8 cells are also known as?

A

cytotoxic T cells

17
Q

recap: CD4 cells are ____ activated and protect against __ grade infection?

A

highly

low-grade

18
Q

what are the 4 main mucosal hypersensitivity issues that may cause disease?

A
  • genetic susceptibility loci e.g. IL-1B
  • imbalance of homing factors e.g. TH1
  • abundant effector t-cells
  • dendritic cell over activation