Lecture 25+26 Flashcards

1
Q

What are the effector cells

A

Lymphocytes: B cells, T cells, and Natural killer

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2
Q

Where do T- lymphocytes differentiate?
what proteins do they express?
what are the subclasses of lymphocytes?

A

T-lymphocytes differentiate in the thymus
they express CD-3 and T-cell receptors (TCR)

T-cell receptors: recognize antigen attached to identification molecules (MHC molecules)

subclasses are:

T-helper cells (Th1 and Th2)
they recognize antigens presented by antigen presenting cells (APC)
express CD4

cytotoxic lymphocytes (CTL)
recognize antigens presented on cancer or viral infected cells
express CD8

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3
Q

How to activate T-helper cells?
what do they synthesize?
roles?

A

they activate by the MHC-Ag complex (between T-cell and APC)

TH1:
recognize Ag presented by APC
control intracellular pathogens

TH2:
recognize Ag presented by APC
initiate antibody mediated immune response for extracellular pathogens

they both synthesize interleukins

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4
Q

How are CTL’s activated and what do they target?

A

they are activated when MHC I-Ag and CTR bind

Kill target cells- cancer cells, viral infected cells, parasites, transplanted cells, cells infected with intracellular microorganism.

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5
Q

NK cells?

A

innate immunity
kill target cells similar to CTL
can release granzymes and perforins

express Fc marker: – recognize the Fc region of antibodies coating target cells

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6
Q

B-lymphocytes
what proteins do they express?
what type of immunity?

A

participate in humeral immunity

express antigen bindings site, B cell receptor, and MHC II

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7
Q

sub types of B-lymphocytes?

how are they activated?

A

plasma cells: production and secretion of antibodies
Memory B cells: respond to second encounter with the same antigen

activation by BCR - Ag complex

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8
Q

endogenous antigen pathway?

A
  1. Antigen proteasomal degradation
  2. Formation of Ag -MHC I complex(rER)
  3. Translocation of complex via Golgi
  4. Presentation of Ag -MHC I on plasma membrane followed by CD8⁺ (CTL) recognition
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9
Q

Exogenous antigen pathway?

A
  1. MHC II assembly in rER
  2. Translocation of MHC II to membrane
  3. MHC II displayed on cell surface
  4. Endosomal endocytosis of MHC II
  5. Exogenous Ag endocytosis
  6. Proteolytic degradation of Ag
  7. Formation of Ag –MHC II complex
  8. Display of Ag -MHC II complex on cell surface followed by CD4⁺T helper recognition
  9. Lysosomal degradation of failed of Ag-MHC II recognition
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10
Q

Innate response vs adaptive response

A

Innate or non-specific:
uses neutrophils, macrophages, mast cells, and NK cells
fast and non-specific
does not produce memory cells

Adaptive response or specific immunity:
Depends on initial recognition of antigens by B and T cells
slower and more specific response
produces memory cells

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11
Q

antibody mediated immunity vs cell mediated immunity?

adaptive

A

antibody:
used helper T cells, B cells, and plasma cells
release Ab that act on pathogen

cell-mediated:
specific T-cells
use granzymes and perforins

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12
Q

Diffuse lymphatic tissue?

A

non encapsulated accumulations of lymphocytes and other free cells (plasma cells, eosinophils, fibroblasts)

protects the body from antigens

initial immune response

located in the lamina propria (subepithelial tissue)

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13
Q

What cells are found in the lymphatic nodule

A
lymphocytes 
reticular cells (fibers) 
dendritic follicular cells (APC) 
macrophages (phagocytic and APC)  
follicular dendritic cells (lack MHC-II)
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14
Q

All about the thymus?

A

location- superior mediastinum
primary lymphoid organ
no afferent lymphatics

origin: 3rd pharyngeal pouch

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15
Q

what makes up the thymus?

A

cortex: immature T-lymphocytes and ERC

medulla: mature T-cells and ERC
inner medulla: lymphocytes are less concentrated

epithelial reticular cells- support cells and held together by desmosomes

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16
Q

Blood thymus barrier

A

found only in the cortex of the thymus

function:
prevent immature T-cells from contacting antigens

17
Q

Hassall’s corpuscle

A

found only in the medulla of the thymus

made up of ERC

18
Q

what are the parts of the lymph node?

A

capsule: DCT

outer cortex: abundance of B-lymphocytes and has lymphatic nodules

inner cortex (paracortex): lots of T-cells

medulla: cords and sinuses
cords: mainly B-cells, plasma cells, reticular cells
sinuses: contain lymph

hilum: blood vessels and nerves

19
Q

lymph movement through the lymph node?

A

afferent lymphatic vessels

subscapular (cortical) sinus

trabecular sinus

medullary sinus

efferent lymphatic vessel

20
Q

About the spleen?

A

location: left-posterior abdominal wall
origin: mesoderm
function: filtration of old blood cells

21
Q

What does the parenchyma of the spleen consist of?

A
red pulp: 
contains cords of cells (cords of billroth) 
sinusoid capillaries 
surrounds the white pulp
function: remove damaged blood cells 

white pulp:
lots of lymphocytes
lymphatic nodules (splenic nodules/malpighian corpuscles)
a central artery surrounded by lymphocytes goes through the white pulp

trabeculae: passage of blood vessels into parenchyma

22
Q

marginal zone

A

This zone filled with lymphocytes, along with APCs (antigen presenting cells and macrophages)

first come into contact with antigens

23
Q

Waldeyer’s ring

A

contains the lingual tonsils, pharyngeal tonsils, and palatine tonsils

24
Q

Defect in the development of the 3rd & 4th branchial

pouches & arches??

A

leads to the absence of the thymus gland

can be seen in DiGeorge syndrome

25
Q

Lymphadenopathy

A

swelling of the lymph nodes

follicular hyperplasia: increase in the number and size of cortical lymphoid follicles (humeral response)

paracortical hyperplasia: expansion of the paracortical zone due to viral infection

sinus hyperplasia: Medullary sinuses are extremely prominent- draining necrotic tumor