Lecture 1: PT 2Adaptive and Innate Immune Responses Flashcards

1
Q

Q: What is the main function of the innate immune system in infections?

A

A: It provides an immediate “knock-down” of pathogen load to delay or prevent activation of the adaptive immune system.

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2
Q

Q: Why is activating the adaptive immune response a last resort?

A

A:

It’s energy-intensive

It creates immunological memory (which can become problematic if directed at self-antigens → autoimmune disease)

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3
Q

Q: What are the key functions of APCs?

A

A:

Trap/process antigens

Migrate to lymph nodes

Express high levels of MHC I & II

Provide co-stimulation (CD80/86)

Secrete cytokines (e.g., IL-12)

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4
Q

Q: What are plasmacytoid dendritic cells known for?

A

A: Secreting large amounts of interferon-γ → strong antiviral effect

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5
Q

Q: What triggers APCs to migrate?

A

A: Chemokines, cytokines, and downregulation of adhesion molecules that keep them in place

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6
Q

Q: What are High Endothelial Venules (HEVs)?

A

A: Specialized blood vessels in lymph nodes that allow naive lymphocytes to enter the node using L-selectin and integrins.

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7
Q

Q: How do immune cells exit blood vessels and enter tissues?

A

A: Via adhesion molecule interactions on activated endothelium:

P-selectin/E-selectin → rolling

ICAM-1/VCAM-1 → firm adhesion

PECAM-1 (CD31) → transendothelial migration

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8
Q

Q: What is “lymph node shutdown”?

A

A: When antigen-presenting cells activate matching lymphocytes, the lymph node temporarily halts entry/exit to allow expansion of specific immune cells.

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9
Q

Q: What are the 4 phases of adaptive immunity?

A

A:

Recognition

Activation (proliferation & differentiation)

Execution (effector function)

Control (self-limitation & apoptosis)

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10
Q

Q: What are the 3 signals needed for T cell activation?

A

A:

TCR binds antigen on MHC (I or II)

CD28 binds CD80/86 (co-stimulation)

Cytokine signal (e.g., IL-12 → Th1, IL-4 → Th2, IL-6/IL-23 → Th17)

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11
Q

Q: What is CTLA-4 (CD152)?

A

A: A negative regulator (“brake”) that binds CD80/86 and limits T cell activation to prevent overactivation

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12
Q

Q: What keeps T cells alive during the immune response?

A

A: IL-2 and CD28/CD80 interactions upregulate Bcl-2 and Bcl-XL (anti-apoptotic proteins)

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13
Q

Q: What causes T cell apoptosis post-infection?

A

A: Loss of IL-2 and co-stimulation when APCs stop presenting antigen

Q: What T cells survive?
A: Memory T cells (2–5% of activated population)

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14
Q

Q: How long do peptides stay on MHC?

A

A: Long duration (slow “off rate”) due to non-covalent but tight binding

Q: How many peptide-MHC complexes are needed to activate a T cell?
A: Only ~0.1% of all MHC molecules need to be peptide-loaded

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15
Q

Th17
induced by
produces
target
function

A

IL-6 + TGF-β + IL-23
IL-17, IL-22
Neutrophils
Bacteria, fungi

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16
Q

Th1
induced by
produces
target
function

A

IL-12 + IFN-γ
IFN-γ
Macrophages
intracellular microbes

17
Q

Th2
induced by
produces
target
function

A

IL-4
IL-4, IL-5, IL-13
Eosinophils, B cells
Helminths, allergy

18
Q

Q: How do B cells recognize antigens?

A

A: Through BCRs (membrane-bound IgM), which bind native, unprocessed antigens

19
Q

Q: What are the two B cell activation types?

A

A:

T-dependent: Requires CD4+ T cell help (CD40-CD40L + cytokines) → class switching (IgM → IgG)

T-independent: Responds to polysaccharides/lipids → mostly IgM, short-lived, no memory

20
Q

Q: What is affinity maturation?

A

A: Process where repeated antigen exposure leads to higher affinity antibodies via somatic hypermutation and class switching

21
Q

Q: What cytokines drive class switching?

A

A:

IFN-γ → IgG2a

IL-4 → IgG1, IgE

TGF-β → IgA

All stimulate IgM