Lecture 33 Flashcards

1
Q

What type of antibody-producing cells dominate the primary B cell response?

A

Most IgM-producing cells (some IgD) come from the primary focus.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Where do some B cells go during the primary response to improve their antibody characteristics?

A

To the germinal center, where they undergo somatic hypermutation and class switching late in the response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Do memory B cells produce IgM in the secondary response?

A

Yes, some memory B cells still make IgM.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the most common antibody isotype produced by memory B cells during the secondary response?

A

IgG (some also produce IgA and IgE).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What process allows antibodies to increase in affinity during repeated immunization?

A

Somatic hypermutation and affinity maturation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Can memory B cells re-enter the germinal center?

A

Yes, they can re-enter to undergo further affinity maturation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What type of surface immunoglobulin isotype do memory B cells express?

A

Class-switched isotypes, such as IgG.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What molecules are expressed at higher levels on memory B cells compared to naïve B cells?

A

MHC class II, CD40, and receptors for survival and proliferation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Why do memory B cells present antigen more efficiently than naïve B cells?

A

Because they express higher levels of MHC II and CD40, helping them interact more effectively with TFH cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Where do memory B cells circulate and reside after activation?

A

They circulate through the blood and reside in the spleen and lymph nodes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What happens to most effector T cells after a pathogen is cleared?

A

At least 90% die by apoptosis, leaving behind antigen-specific memory T cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How are naïve, effector, and memory T cell subsets distinguished in mice?

A

By their surface markers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Are memory T cells phenotypically closer to naïve or effector T cells?

A

Effector T cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What makes memory T cells easier to activate than naïve T cells?

A

They require less co-stimulation and express unique receptors (e.g., high levels of CD28).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Do memory T cells still need contact with p:MHC for activation?

A

Yes, but they are more sensitive and respond faster than naïve T cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What happens to memory T cells upon reactivation?

A

They become effector T cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Where are central memory T cells (TCM) found and what do they do?

A

They reside in/travel between secondary lymphoid tissues and are rapidly reactivated upon antigen exposure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the differentiation potential of TCM cells?

A

They can differentiate into various subsets depending on the cytokine environment.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Where do effector memory T cells (TEM) travel and function?

A

They move to and between tertiary tissues, contributing to first-line defense and quickly regaining effector function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What distinguishes tissue-resident memory T cells (TRM)?

A

They are permanent residents in previously infected tissues and respond quickly upon reinfection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Where are CD8+ TRM cells commonly found?

A

In multiple tissues.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What factors influence whether a T cell becomes a memory T cell?

A

Cytokines (IL-7, IL-15), Notch1, and the strength of antigen interaction.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the role of IL-7 in memory T cell development?

A

It promotes survival by increasing expression of Bcl-2, an anti-apoptotic factor.

24
Q

What happens to IL-7 receptor alpha (IL-7Rα) during effector T cell differentiation?

A

It is downregulated but retained or reacquired by cells fated to become memory T cells.

25
Q

Are memory CD8+ T cells or CD4+ T cells more abundant?

A

Memory CD8+ T cells.

26
Q

Do memory CD8+ T cells need help from CD4+ T cells?

A

Yes, for their longevity.

27
Q

What does it mean to “immunize” someone?

A

To make someone or an animal resistant to a particular infectious disease or pathogen.

28
Q

What are the two ways protective immunity can be achieved?

A

Active immunization and passive immunization.

29
Q

What is passive immunity?

A

Temporary adaptive immunity from transferring immune products (like antibodies) from an immune person to a nonimmune one.

30
Q

What are two examples of passive immunity?

A

Monoclonal antibody therapy for SARS-CoV-2 and antibodies in breastmilk passed from mother to newborn.

31
Q

What is active immunity?

A

Adaptive immunity induced by natural exposure to a pathogen or by vaccination.

32
Q

What does passive immunization involve?

A

The delivery of pre-formed antibodies.

33
Q

In what situations is passive immunization especially useful?

A
  1. In individuals with immune deficiencies
  2. For exposure to life-threatening toxins or venoms
  3. For exposure to fast-acting pathogens that outpace natural immune response
34
Q

Does passive immunization activate the host’s own immune system?

A

No, it does not activate the natural immune response.

35
Q

Does passive immunization generate memory responses?

A

No, it does not generate immune memory, so protection is not long-lasting.

36
Q

What is ZMapp therapy and what is it used for?

A

A passive immunization using 3 monoclonal antibodies, used against the Ebola virus.

37
Q

What can prevent the activation of naïve B cells in a nonimmunized animal?

A

Passive transfer of antibodies.

38
Q

How does passive antibody transfer affect early childhood vaccinations?

A

Maternal antibodies acquired via placenta or breastfeeding can block activation of the infant’s naïve B cells.

39
Q

What is “original antigenic sin”?

A

The phenomenon where, after an effective immune response, memory cells are reused instead of activating new naïve cells that could target different epitopes.

40
Q

What is the goal of active immunization?

A

To induce immunity and immune memory.

41
Q

How can active immunization be acquired?

A

Through natural exposure (e.g., chickenpox parties) or artificial exposure (e.g., vaccination).

42
Q

What is a vaccine?

A

A deliberate exposure to a non-dangerous form or component of a pathogen to induce a specific immune response with memory.

43
Q

What type of immune responses do vaccines aim to elicit?

A

Both B cell and T cell responses.

44
Q

What is the role of adjuvants in vaccines?

A

They enhance the immune response to a vaccine.

45
Q

Why might adjuvants be needed if an antigen is a weak stimulator?

A

To promote local inflammation and recruit more immune cells

To slow down antigen release and prolong immune interaction

46
Q

What are adjuvants?

A

Chemicals added to vaccines to boost immune responses.

47
Q

What type of immune response does Alum promote?

A

TH2 responses.

48
Q

What is MF59 and how does it work?

A

An oil-in-water emulsion adjuvant that slows antigen delivery.

49
Q

What is AS04 and what type of response does it encourage?

A

Alum + TLR4 agonist; promotes TH1 responses.

50
Q

What are attenuated vaccines?

A

Vaccines made from viruses with multiple mutations that prevent productive infection in healthy individuals.

51
Q

Why are attenuated vaccines not always safe for immunocompromised individuals?

A

The attenuated virus may still cause disease in people with weakened immune systems.

52
Q

Why do attenuated vaccines act as their own adjuvants?

A

They contain PAMPs (pathogen-associated molecular patterns) that naturally trigger immune responses.

53
Q

What is the social contract of immunization?

A

Healthy individuals agree to vaccination for personal and societal benefit, despite no guarantee of benefit or safety.

54
Q

Are vaccines 100% effective or 100% safe?

A

No, vaccines are neither 100% effective nor 100% safe.

55
Q

What is herd immunity?

A

When a large portion of the population is immune, reducing the likelihood that a susceptible person will encounter an infected individual.