L12- Adaptive Immune Response Part 2 Flashcards

1
Q

T cells mature in the thymus whereas B cells are mature in tissues following contact with antigens, name two key lymphoid tissues where lymphocytes accumulate

A

Lymph nodes
Spleen
MALT

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2
Q

The T cell receptor is the part of the lymphocyte which is recognising the presenter antigen and MHC molecule, what other complex is necessary for activation of the T cells?

A

CD3 complex

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3
Q

Which T cells recognise peptides presented by MHC class 1 molecules?

A

Cytotoxic T cells (CD8+)

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4
Q

Which T cells respond to

a) extracellular microbes
b) intracellular microbes

A

a) cd4+ T cells

b) cd4+ and cd8+ T cells

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5
Q

4 signals produced by the interaction of an APC and a T cell are necessary for fulll activation of the T cel the first is between the TCR and the peptide and MHC molecule, the second is the presence of the CD3 complex, what are the last two?

A

Activation of CD28 on T cells by B7 and release of cytokines

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6
Q

Naive CD4+ cells can become one of four fates, what are they?

A

Th1 - activation of CD8 cells, recruitments of macrophages and B cell activation
Th2 = B cell activation, eosinophil activation, mast cell activation
Th17 - nuetrophil recruitment and activation
Treg - tolerance

Dependent on the cytokines released from T cells

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7
Q

Cell mediated immunity is defence against IC and EC pathogens (bacteria, viruses and fungi). Upon this kind of infection cytokines cause naive CD4+ cells to differentiate into TH1 cells. What does this cause?

A

Activation of CD8+ cells
Recruitment of macrophages and activation
B cells are stimulated to produce igG or IgA

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8
Q

Upon a parasitic infection, naive CD4+ cells differentiate into Th2 and Th17 cells what are the actions of these?

A

Th2 activates B cells to produce IgE
Activates eosinophils and mast cells
Th17 - recruits and activates neutrophils

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9
Q

What kind of cell do some naive Cd4+ cells always differentiate into upon infection?

A

Treg cells to suppress the immune response

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10
Q

What two molecules are released by cytotoxic T cells to kill infected MHC class 1 APC’s?

A

Perforin and granzyme

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11
Q

Antibodies are made up of a light chain and a heavy chain, the area in which peptides bind to them is the B cell receptor specifically the CDR which is highly variable, B cells can recognise microbes in their native state, I.e. they don’t require APC’s. They can be activated by microbes directly or by T helper cells.

The three signals that are require for efficient B cell activation are
1) activation by peptide binding B cell
2) T helper cells presenting peptide to MHC class molecules on B cell
And….

A

3) CD40L on Th cell binding CD40 on B cell this causes a heavy chain switch so that the B cell starts producing the correct immunoglobulin to the pathogen (IgM production is T helpher cell independent)

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12
Q

Which immunoglobulin (antibody) is produced independent of T helper cells?

A

IgM when B cells differentiate to plasma cells

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13
Q

Which immunoglobulins can be made as a result of T helper cells by B cells

A

IgG, IGA, igE

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14
Q

The ratio of IgG to IgM will tell us whether the infection has occurred before and what stage it is in. What can we tell from a High IgM:IgG ratio?

A

That the patient hasn’t had the infection before and it is in the early acute phase

Explanation - hasn’t had it before because otherwise IgG would quickly rise due to presence of B memory cells

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15
Q
What action do the following immunoglobulins have
a) IgA 
B) IgM
C) IgG
D) IgE
A

a) mucosal immunity (e.g. in breast milk)
b) complement activation
c) neonatal immunity/ toxin neutralisation
d) parasitic immunity

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16
Q

DiGeorge syndrome is an immue deficiency resulting from impaired thymic development. Why is B and T cell function affected?

A

T cells mature in the thymus and T helper cels are necessary for B cell activation