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Foundations Exam 2 > Intro to Immunology > Flashcards

Intro to Immunology Flashcards

1
Q

____ is the reactive portion of an antigen

A

epitope: chemically reacts with antibody to form antigen-antibody complex aka immune complex

fun fact: antigen = anti[body] gen[erator]

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2
Q

cells of hematopoietic origins can be phenotypically characterized by the pattern of ____ markers expressed at any given time

A

CD markers (cluster of differentiation) - cell membrane molecules, defined by the reference monoclonal antibody to which they bind

many CD molecules, cells express more than one CD marker:
- helper T (CD4): CD3+, CD4+
- killer T (CD8): CD3+, CD8+
- Tregs: CD3+, CD4+, CD25+

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3
Q

what CD markers are expressed on helper T, killer T, and T regulatory cells?

A

helper T: CD3+, CD4+
killer T: CD3+, CD8+
Treg: CD3+, CD4+, CD25+

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4
Q

how is immune tolerance achieved

A

under conditions that suppress immune system - NOT simple absence of immune response

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5
Q

3 functions of macrophages and DC cells

A
  1. phagocytosis
  2. secrete cytokines
  3. antigen presenting (APC cells)

*develop in bone marrow but acquire specific functions later within tissues

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6
Q

match:
B, T lymphocytes, natural killers
with
innate, humoral, cell-mediate immunity

A

natural killers: innate immunity (also considered lymphocytes)

B lymphocytes: mediate humoral immunity

T lymphocytes: mediate cell-mediated immunity

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7
Q

what are the antigen-presenting cells, and in what immune response do they participate?

A
  1. DC (dendritic cells) - initiate T cell response (*only cells that can initate T cell response alone)
  2. macrophages - present to T cells, which activate macrophages to kill microbe (cell-mediated immunity effector)
  3. follicular dendritic cells - display to B lymphocytes in humoral immune response
  4. B cells - display to T lymphocytes, which activate B cell antibody production (humoral immunity)
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8
Q

what are the effector cells (elimination of antigens) of the immune system? (3)

A
  1. T lymphocytes (CD4/CD8)
  2. macrophages (derived from monocytes)
  3. granulocytes (neutrophils, eosinophils)
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9
Q

what immune cells develop from:
1. myeloid progenitor
2. lymphoid progenitor

A
  1. myeloid: megakaryocytes, erythrocytes, granulocytes, monocytes (-> macrophage)
  2. lymphoid: T cells, B cells, NK (natural killer) cells

*note that DC (dendritic cells) are from both

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10
Q

These immune cells respond to interleukin-12 (IL-12) produced by macrophages, and secrete interferon-y (IFN-y) to activate macrophages. They work at the boundary of the innate and adaptive immune systems. What is?

A

natural killer (NK) cells

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11
Q

how is antigen receptor diversity generated to be able to deal with endless amount of mutating/evolving pathogens?

A

V-(D)-J Recombination of TCR/BCR genes - requires recombination activating genes (RAG1 and RAG2)

V and J segments are cut and pasted (fused) together in random/messy fashion

(D/diversity segment is not always present, but goes through recombination when it is there)

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12
Q

function of RAG1 and RAG2

A

recombination activating genes - essential for TCR/BCR diversity via V-(D)-J Recombination

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13
Q

structure of TCR compared to antibody (be specific)

A

TCR (in membrane): heterodimer - alpha and beta chain, variable and constant region of each chain (constant region closest to cell membrane)

antibody (secreted): Fab heterodimer contains antigen-binding site - light and heavy chain with variable and constant region of each, Fc region (constant fragment) interacts with Fc receptors on innate immune cells or with complement system

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14
Q

role of Fab and Fc region of antibodies?

A

Fab contains antigen-binding site (light and heavy chains with variable and constant region)

Fc (constant fragment) interacts with innate immune cells and complement system

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15
Q

what happens in Type 1 diabetes?

A

random generation of antigen receptors can lead to autoimmunity

Type 1 diabetes: T cells attack/kill insulin producing beta cells within Islets of Langerhans

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16
Q

central tolerance vs peripheral tolerance (in the immune system)

A

central tolerance: removal of self-reactive clones - occurs in thymus (T cells) and bone marrow (B cells)

peripheral tolerance:
1. ignorance - hide self-antigens
2. anergy - shut down self-reactive clones
3. suppression - suppress self-reactive clones

17
Q

contraction phase of immunological memory

A

immune cells initially produce a lot of themselves, during contraction phase they reduce their number (to prevent too strong of an immune response)

18
Q

2 primary sites of immune system activation

A
  1. lymph nodes
  2. spleen
19
Q

match:
1. exogenous antigen, endogenous antigen
with
2. MHC I, MHC II
with
3. CD4, CD8 T cells
with
4. virus, bacteria
with
5. all cells, APC only

A

exogenous antigen (bacteria) —> MHC II —> CD4 T cells
only present on APC

endogenous antigen (virus) —> MHC I —> CD8 T cells
present on all nucleated cells

[remember that MHC is a self-protein that binds an antigen peptide - MHC-peptide complex marks the cell as infected and activate T cells]

20
Q

all nucleated cells express MHC[I/II], but only APC cells express MHC[I/II]?

what are the profesional APC?

A

all nucleated cells: MHC I (endogenous antigens - viruses) —> CD8 T cells activated

APC (DC, macrophages, B cells): MHC II (exogenous antigens - bacteria) —> CD4 T cells activated

21
Q

antigens must be mixed with ____ to activate the immune system

A

adjuvant: agent that stimulates immune system but does not have a specific antigen effect itself

—> innate immune response precedes adaptive response

22
Q

pattern recognition receptors are a part of ____ immunity

A

pattern recognition receptors of INNATE immunity recognize pathogen-associated molecular patterns (structures shared by a class of microbes)

example: Toll-like receptors, mannose receptor, scavenger receptor

23
Q

function of Toll-like receptors (TLR1-TLR9)

A

receptors of innate immune system

recognize dsRNA, LPS, flagellin, CpG DNA, viral ssRNA, etc

24
Q

in the SARS-CoV-2 virus that causes COVID19, the viral _____ binds ____ on host cell membrane

A

viral RBD (receptor binding domain) binds ACE2 on host cell membrane

viral RBD is on top of viral spike protein

neutralizing antibodies that block RBD from binding ACE2 are therefore very effective

25
Q

what is different on a molecular level about the Pfizer and Moderna vaccines vs the J&J vaccine?

A

Pfizer/Moderna: 2 shots of mRNA + lipid-based nano particle that acts as adjuvant

J&J: 1 shot, no adjuvant - RBD expressed as viral vector, activates immune system

26
Q

4 steps of generating/harvesting polyclonal antibody

A
  1. inject antigen into animal (ex - rabbit)
  2. antigen activates B cells
  3. plasma B cells produce polyclonal antibodies
  4. obtain antiserum from animal containing polyclonal antibodies

polyclonal because different antibodies can recognize different epitopes of same antigen, so you get a mixed bag of antibodies

27
Q

general process of generating monoclonal antibodies (mAb) - 3 steps

A
  1. immunizing animal (mice) by injecting antigen
  2. fusing polyclonal B cells from spleen to immortal myeloma cells —> hybridomas
  3. hybridomas producing desired mAb are isolated and grown

mAb have known specificity and effect, vs mixed bag of polyclonal antibodies

28
Q

Rituximab

A
  • -mab ending indicates mAb (monoclonal antibody)

anti-CD20 —> eliminates B cells in non-Hodgkin’s lymphoma

29
Q

Ipilimumab

A
  • -mab ending indicates mAb (monoclonal antibody)

anti-CTLA-4 —> increases CD4 T cell response —> treats metastatic melanoma

30
Q

what are Keytruda and Atezolizumab used for

A

Keytruda: anti-PD1 mAb
Atezolizumab: anti-PD-L1 mAb

both used to treat types of cancer

31
Q

what technique is used for Complete Blood Count (detection of WBC in peripheral blood)

A

flow cytometry: based on scattering of light and emission of fluorescence which occur when a laser beam hits the cells moving in a directed fluid stream

32
Q

explain (simply) FACS, specific type of flow cytometry?

A

separation based on cell-surface markers

Upon binding of these cell surface molecules by specific fluorescence-conjugated antibodies, a detecting machine called flow cytometer/sorter is able to excite and detect the light signals of different fluorescent dyes that represent different molecule markers on the cells at the single cell level

33
Q

Recovery from Varicella confers lifelong immunity, by what mechanism?
a. lymphocyte clones with VZV-specific antibody receptors expand and persist lifelong
b. antibody molecules which bind VZV are stable and persist lifelong
c. VZV infection kills all cells susceptible

A

a. lymphocyte clones with VZV-specific antibody receptors expand and persist lifelong

34
Q

when cells, platelets, and proteins of the blood clotting system are removed, ____ becomes _____

A

plasma - CONTAINS clotting system

serum - does NOT contain clotting system

35
Q

cluster of differentiation (CD) was originally defined as a set of:
a. antibodies that will bind to epitopes on the same antigen
b. antigenic determinants coded for by different alleles of the same gene
c. epitopes that will bind the same monoclonal antibody

A

CD: antibodies that will bind to epitopes on the same antigen

36
Q

anti-tetanus antibodies in the plasma of an immunodeficient patient were derived from administration of pooled antibody

what type of immunity is this

A

passive immunity - receiving immune components from outside source

Foundations Exam 2 (42 decks)

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