Immunology and biochemistry Flashcards

1
Q

What are the cells called in the keratin layer?

A

corneocytes from keratinocytes

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2
Q

Which proteins are found in the keratin layer?

A

Filaggrin
involucrin
keratin

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3
Q

What activates keratinocytes?

A

UV light and sensitisers like allergic contact dermatitis

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4
Q

What are AMPs?

A

Anti-microbial peptides which kill pathogens directly

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5
Q

True or False.

Keratinocytes produce cytokines and chemokines.

A

True

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6
Q

What is a Langerhans cell?

A

A dendritic cell which are antigen presenting cells

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7
Q

What kind of T cells are found in the epidermis?

A

mainly CD8+ cells

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8
Q

Where are CD4+ cells found?

A

The dermis

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9
Q

What kind of T helper cells are associated with psoriasis?

A

TH1

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10
Q

What cells are Birbeck granules found in?

A

Langerhans cell

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11
Q

What kind of T helper cells are involved in atopic dermatitis?

A

TH2

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12
Q

Psoriasis and atopic dermatitis have which T helper cells in common?

A

TH17

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13
Q

Where are T cells produced?

A

Bone marrow

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14
Q

Where do T cells mature?

A

thymus

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15
Q

What is an MHC?

A

major histocompatibility complex

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16
Q

What do CD8+ cells do?

A

Kill infected cells directly and so protect against viruses and cancers

17
Q

What do neutrophils do in the dermis?

A

they are circulating leukocytes attracted to tissue by chemokines

18
Q

What do mast cells do in the dermis?

A

Found in the barrier membranes.

Effectors of IgE mediated allergy.

19
Q

Where are class I MHC’s found?

A

almost all cells and they present antigens to cytotoxic T cells.

20
Q

Where are class II MHCs found?

A

Found on antigen presenting cells and present to T helper cells.

21
Q

Where can psoriasis affect?

A

Skin, nails, joints.

22
Q

What are the trigger factors for psoriasis?

A

mild skin trauma
HIV infection
psychological stress
certain medications e.g. beta blockers or lithium

23
Q

What is the immunopathogenesis of psoriasis?

A

When keratanocytes are under stress they stimulate the dendritic cells to produce interferon alpha.
The dendritic cells activate T cells when they migrate to the lymph node of the skin.

24
Q

What T helper cells are involved in the immunopathogenesis of psoriasis?

A

TH1 and TH17

25
What helps attract T cells to the dermis?
Chemokines
26
What releases keratanocytes and epidermal growth factors?>
Dermal fibroblasts
27
In what group of patients is atopic eczema most common in?
Children
28
Is atopic eczema lesional or non-lesional?
lesional
29
What causes a decrease in the AMP in skin?
A mutation in the fillagrin gene
30
Which cells are found in atopic eczematous lesions?
TH2 cells, dendritic cells, keratinocytes, macrophages and mast cells.
31
How are micro-organisms colonised in the skin?
Due to the defective skin barrier they can colonise more easily.
32
What immunoglobulin is involved in a type I hypersensitivity?
IgE
33
Which immune cell is connected to a type I hypersensitivity?
the allergen binds to the fixed chain epsilon R1 receptor on the mast cells.
34
Which antibodies are involved in type II and III hypersensitivities?
IgG, IgM
35
Give some examples of type II hypersensitivies
haemolytic disease of the newborn | blood transfusion recipients
36
What are examples of type IV hypersensitivities?
Mediated by TH1 cells. | A contact allergy such as nickel or chromate or certain drugs.
37
What immune cells are found in the epidermis?
Langerhans cells | T cells - especially CD8+
38
What immune cells are found in the dermis?
Dendritic cells Macrophages CD4+ cells NK cells