Immunology, Serology and Blood Banking Flashcards
antibody heterogeneity: variations between light and heavy chains; constant regions of all antibodies and kappa and lambda light chains
isotypes
antibody heterogeneity: species-specific variations in the constant domains of heavy or light chains; different alleles of heavy chains
allotypes
antibody heterogeneity: variation in the variable region; produced by a single clone of cells
idiotypes
links multiple monomers of IgM and IgA
joining (J) chain
predominant serum antibody, approximately 75% of immunoglobulins in the blood
only Ig that crosses placenta
produced in secondary (anamnestic) antibody response
IgG
IgG subclasses
IgG1, IgG2, IgG3, IgG4
IgG subclasses that activate the classical complement pathway
IgG1, IgG2, IgG3
five monomers linked together by a J chain and interchain disulfide bonds
10% of total serum Ig
first antibody produced against an immunogen
produced in high levels in the primary response
best activator of the classical pathway of complement only one molecule is required
IgM
2 forms of IgA
serum IgA
secretory IgA
IgA: single Ig molecule; antigen clearance and immune regulation
serum IgA
IgA: dimer held together by a J-chain; block attachment of viruses, bacteria and toxins to host cells
secretory IgA
2 subclasses of IgA
IgA1 and IgA2
accounts for 15-20% of total serum antibody
IgA
primarily a cell membrane surface component of beta-lymphocytes
short half-life (2-3 days)
IgD
responsible for allergic (type 1 hypersensitivity) reactions
Fc portion binds to receptors on mast cells and basophils
once attached to mast cells, binding to an allergen triggers degranulation of the cell and release of allergic mediators, such as histamine and leukotrienes
elevated concentrations are often found during parasitic infections
IgE
identical antibodies that are produced from a single clone of plasma cells
found in individuals with multiple myeloma
produced in industry by fusing an antigen-sensitized, splenic beta-lymphocyte with non secreting myeloma cell thus creating an immortal cell line that secretes an antibody of a single idiotype
monoclonal antibodies
quantitation on antibodies
radial immunodiffusion
nephelometry
turbidimetry
immune system: responsible for non specific response
phagocytosis of invaders
present immunogens to T helper cells, the first step in an immune response
release cytokines that affect other cells’ activities
myeloid cells
myeloid cells in the peripheral blood
monocytes
myeloid cells in the tissue
macrophage
macrophages have these on their surface
major histocompatibility complex class II
complement receptors
antibody Fc receptors
granulocytes: 60-70% of WBCs in circulation; phagocytosis and contributes to inflammatory response
neutrophils
granulocytes: 1-3% of circulating wbcs; mediate IgE allergic response
eosinophils
granulocytes: 0-1% of circulating wbcs, has receptors for IgE and granules responsible for allergic reactions
basophils
20-40% of circulating wbcs
lymphocytes
20% of circulating lymphocytes
express surface molecules such as CD19 and CD20
mature in the bone marrow
b cells