Lecture 2 Flashcards

1
Q

what are inductive sites?

A

places where antigens are picked up and presented to naive b and T cells.

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2
Q

what are effector sites?

A

where stimulated cells travel to and mediate their function

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3
Q

what is malt?

A

mucosal associated lymphoid tissues, they are the inductive sites within some mucosa

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4
Q

what are examples of effector sites?

A

the lamina propria, exocrine glands and surface epithelia.

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5
Q

do lungs have malt?

A

they have malt in early days of life which later disappears

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6
Q

epithelial cells are polarised, what does this mean?

A

they have a specific membrane and lipid composition and cellular features.

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7
Q

what is the outer surface of epithelial cells called and what does it face?

A

called the apical membrane and it faces air (skin, lungs) or fluid-filled organ cavities (the lumen of the gut)

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8
Q

what are some potential features of the apical membrane?

A

it may have cilia (movement) or be highly folded forming microvilli to increase the surface area.

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9
Q

what are the inner surfaces of epithelial cells and what do they rest on?

A

basolateral membranes rest on ecm called the basal lamina

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10
Q

what is transcytosis?

A

vesicular mediated transport of internalised material of endogenous (e.g. SIgA) or exogenous (microbes) origins. from apical -> basolateral or basolateral -> apical.

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11
Q

what do m cells (microfold cells) do?

A

they take up things from the apical side such as antigens.

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12
Q

what are the three main malt tissues and where are they found?

A

NALT- nasopharynx, respiratory and digestive tract
BALT- respiratory tract
GALT- digestive tract

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13
Q

why is there no malt in the urogenital tract?

A

to aid reproduction as the embryo is seen as a foreign body.

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14
Q

what is a problem of the mucosal immune response?

A

there’s a physical barrier between the mucosal antigens and the immune effector cells.

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15
Q

what two ways can antigens be sampled by specialised cells?

A

m- cell antigen uptake via endocytosis or phagocytosis, followed by transcytosis.
cross-epithelium dendritic cells can sample antigen from the lumen of the mucosa via cellular extensions.

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16
Q

what occurs after antigens are sampled?

A

IgA and IgM are transcyotsed into the lumen of mucosa where they contribute to pathogen elimination.

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17
Q

what happens when b and T cells are stimulated?

A

they migrate into the draining lymph node, and from there reach the vascular system so now they can go to any site.

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18
Q

why is there a specific homing system?

A

if there’s an antigen found in the small intestine, peyer’s patch for example, the immune cells repopulate any length of the small intestine, even colon, preventing further infections.

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19
Q

what recruits lymphocytes to epithelial cells?

A

chemokine recruit the lymphocytes and the receptors on epithelial cells take up the lymphocytes, allowing them to migrate across the tissue.

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20
Q

which immune system is the NALT connected to?

A

both the mucosal and systemic so live vaccine through the nose induces a systemic and mucosal immune response.

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21
Q

where do intraepithelial lymphocytes (IEL) sit?

A

right next to the epithelial cells.

22
Q

what’s the function of type a: alphabeta cytotoxic T cells?

A

they’re active against virus and other intracellular pathogen infected cells.

23
Q

what is the function of type b: alpha alpha CD8 cells?

A

they’re acute against stressed and infected cells, and cells with altered growth. involved in celiac disease.

24
Q

what produces the polymeric immunoglobulin receptor?

A

epithelial cells

25
Q

what two abbreviations are used for the polymeric immunoglobulin receptor?

A

PIgR, SC: secretory component

26
Q

what antibodies are present at mucosal surfaces?

A

IgA (polymeric-dimeric), the most abundant Ig overall in human mucosa
IgM (polymeric-pentameric)
IgG and IgD

27
Q

what is secretion of antibodies at mucosal surfaces mediated through?

A

transporter dependent mechanisms

transudation and exudation mechanisms

28
Q

what are examples of transporter dependent mechanisms?

A

polymeric immunoglobulin receptor (transports PIgA, PIgM)

FcRn Mhc-1 like protein (transports IgG)

29
Q

what is the structure of SIgA?

A

it is dimeric with one secretory component.

30
Q

what happens when the PIgR interacts with B cells?

A

There’s secretion of secretory IgA, two antibodies joined by a J chain and has a secretory component.

31
Q

what is the function of the pIgR?

A

transports polymeric IgA and IgM from basolateral to apical membranes unidirectionally.

32
Q

what is the function of neonatal FcRn receptor?

A

it transports monomeric IgG from both basolateral to apical and apical to basolateral membranes- bidirectional.

33
Q

what cells express neonatal FcRn receptors?

A

placental endothelial cells, epithelial cells at mucosal surfaces.

34
Q

is there more immune cells at mucosal or systemic sites?

A

there’s more at mucosal

35
Q

what are the Ig proportions at mucosal surfaces?

A

IgA~80%
IgM~13%
IgG~6%
IgD~1%

36
Q

what are the only two IgG dominant mucosal sites?

A

Respiratory tract ~81% IgG

Genital tract ~70% igG

37
Q

what happens once the SIgA reaches the apical surface?

A

there’s cleavage of the pIgR and release of the secretory Ig at apical face of epithelial cells.

38
Q

What up regulates sIgA transcyotosis and what down regulates it?

A

unregulated by microbiota and during lactation, down regulated in IBD patients.

39
Q

what are the four functions of sIgA at mucosal surfaces?

A

secreted IgA on the gut surface can bind and neutralise pathogens and toxins
IgA is able to bind to and neutralise antigens internalised and in endosomes.
IgA can export toxins and pathogens from the lamina propria while being secreted
Binding of IgA to dectin-1 on m cells allows transport of antigen to DC-SIGN+ dendritic cell.

40
Q

what is il-10?

A

an important anti-inflammatory cytokine.

41
Q

what are mutations in il-10 and il10R associated with?

A

very early onset inflammatory bowel disease.

42
Q

what are the components of the GALT?

A

peyer’s patches and isolated lymphoid follicles, appendix is also included.

43
Q

what does the NALT consist of?

A

the lymphoid tissue of Waldeyer’s pharyngeal rings including the adenoids and the tonsils. scattered isolated lymphoid follicles may also occur.

44
Q

what does the BALT consist of?

A

its not generally detectable in normal lungs of adult humans

45
Q

what immune responses are induced by the NALT?

A

induces both cytotoxic T lymphocytes (CTL) and immunoglobulin responses, (sIgA, IgG).

46
Q

what are the m cells in the NALT important for?

A

antigen sampling

47
Q

what is Waldeyer’s ring?

A

the tonsils and adenoids forming a ring of lymphoid tissues.

48
Q

how is it ensured that the microbiota does not break the mucosal barrier?

A

there’s minimised contact with epithelial cells.
there’s rapid detection and killing of those bacteria that breach the barrier
minimised exposure to the systemic immune system

49
Q

what happens to mice that lack sIgA?

A

have an increased number of bacteria penetrating the intestinal mucosa and draining lymphoid tissues.

50
Q

how do Clostridium spp and Bacteroides fragilis benefit us?

A

they produce butyrate which induces Treg cell production.

51
Q

How do segmented filamentous bacteria, lactobacilli benefit us?

A

They have bacterial flagellum which stimulates IgA production and Th17 differentiation.