lecture 1 Flashcards
from where do your white blood cells and erythrocytes arise?
A single stem cell: Long Term-HSC (haematopoetic stem cell)
Each of us has a population of haematopoetic/blood producing stem cells which sit, as adults, in our bone marrow.
Occasionally one will develop into a Short Term -HSC and that cell is active in generating all of the white blood cell types that are in your body.
In order to produce this variety of WBCs, the individual HSC has to undergo a number of branching points and decisions.
Every day you are making millions of WBCs… a continuous process that goes on throughout your life.
LT-HSC > ST-HSC > LMPP (Lymphoid-primed Multipotent Progenitor) > ELP (Early Lymphoid Progenitor) > T cell/NK cell/B cell
Where does immune cell development occur?
adult bone marrow
What selects a B-lymphocyte?
The antigen
What recognises the antigen?
Surface bound immunoglobulin/B cell antigen receptor. Once recognised the Ig will change form so that it can be released from the cell in a soluble form to move through the bloodstream.
What is Burnet’s theory of Clonal Selection?
The idea that one B-cell is selected out of billions of B-cells. This cell then differentiates and proliferates.
What happens to a B-cell that is not recognised by an antigen?
B-cells are quiescent unless stimulated to respond, so the B-cell will do nothing and eventually die to be replaced by a new cell if not recognised by an antigen.
In what way are B cells different?
Superficially all B-cells appear the same. The major difference is the composition of its receptor, which is unique to each B cell. On a single B-cell all the receptors are the same.
How many antigens are B cells capable of recognising?
As a population, they are capable of recognising every possible antigen in the universe, as individuals they are capable of recognising only one.
Do B cells act on their own?
No - they often need instructions from CD4 T cells to proliferate and differentiate. This is a safety mechanism to ensure that the immune system does not just fire off at the earliest possible option because they do create a lot of damage.
How does B cell recognition of antigen change with time?
The B cell introduces mutations into the binding sites thus creating antibodies with stronger affinity for the antigens over time. This is one of the B cell’s most dangerous features.
The nature of the antibody will also change.
What are possible reasons for a failure to respond to an infection?
- No B-lymphocytes
- No CD4 T-lymphocytes
- No B or T lymphocytes
- No signal from the CD4 to the B cell
- Failure of the B cell to respond to the T cell signal
What are primary immune deficiencies?
There are 8 classes of PIDs defined by the IUIS spanning the adaptive and innate immune systems.
PID are a large group of disorders (>200) that result in recurrent infections and that are NOT caused by other diseases, treatments, or environmental exposure to toxins.
Mostly genetic disorders and most are diagnosed in children under 1 year.
What are examples of Combined T and B cell deficiencies?
- Severe combined immunodeficiency disorder (SCID)
- Complete DiGeorge syndrome
- CD40 and CD40L deficiencies (HIGM)
What are examples of Antibody deficiencies?
- CD40 and CD40L deficiencies (HIGM)
- Ig deficiencies (X-linked agammaglobulinaemia, XLA; X-linked lymphoproliferative disease, XLP, selective IgA deficiency)
- Common Variable Immunodeficiency (CVID)
Why do some of these deficiencies appear in more than one category?
Defects in some molecules principally effect antibody formation, but they have secondary effects in other systems. (CD40 and CD40L deficiencies) : appear in both T and B deficiences, and antibody deficiencies.