Lecture 7/8: Humoral Response/Effectors Flashcards

1
Q

2 co-stimulators for B cells

A
  1. Ag + C3d to CR2
  2. Ag + PAMP to TLRs
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2
Q

B cell signal transduction path

A
  1. Ag -> memb. Ig crosslinking
  2. Tyr kinase action
  3. Downstream TF translocation
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3
Q

ITAMs and ITIMs

A

Immunoreceptor Tyr-based Activating/Inhibiting Motifs

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4
Q

Initial Ab response vs memory response

A

Initial = IgM, few IgG, low/slow
Memory = IgG, faster/higher/longer

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5
Q

Outcomes post-B cell activation

A

Not mutually exclusive
1. Increase survival/proliferation
2. Th interaction (Ag presentation)
3. Increase cytokine receptors
4. Migration from follicle to T cell zone (more CCR7)
5. Ab secretion (plasma cell generation)

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6
Q

Localization of class-switched B cells

A

Memory (long-lived, years):
- IgG: bone marrow
- IgA: mucosal tissue
- IgE: submucosa (resp, GI) + skin
Plasma (short-lived, days)
- IgM: spleen, LNs, mucosa, peritoneal cavity

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7
Q

Cells of the lymph node

A

DCs, B cells, T cells

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8
Q

Lymph node zonation

A

DCs from lymphatics, B/T from circulation
T cells: parafollicular T cell zone via CCR7
B cells: follicles via CXCR5

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9
Q

B cell activation + affinity maturation process

A

1a. DC w/ Ag to T cell zone -> Th recognition
1b. B cell recognizes Ag B cell zone -> migration to T cell zone
2. Initial T-B interaction
3. Extrafollicular focus: Th x plasma cell interaction
4. Germinal center rxn (Ef T/class-switched B move to GC):
- Follicle DC, Tfh, Bgc, memory B, plasma cells -> optimal Abs (B proliferation, class-switch, affinity maturation, somatic hypermutation)
5. High affinity plasma + memory cell exit

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10
Q

Germinal center cells and functions

A
  • Tfh: CD40L, cytokines -> B cell activation
  • DCf: special DC -> B cell activation
  • B cells: secrete Abs, present Abs -> T cells, MHC II APC to T cells
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11
Q

Ig isotypes and functions

A

IgM: complement activation
IgG: FcR-based phagocytosis, complement activat., neonatal placenta immunity
IgE: mast cell degranul. (IL-4/-13 C-switch)
IgA: mucosal immunity (epithelial transport)

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12
Q

Mechanism for class-switching

A
  1. Activation Induced Deaminase alters Ig DNA, bringing VDJ region close to other Fc regions
  2. Splicing VDJ to new Fc
  3. Transcript. + transl. to new Ab
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13
Q

Somatic hypermutation

A

Process of additional V region recombination in affinity maturation; high affinity B cells are then selected for

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14
Q

Polyclonal vs monoclonal Abs

A

Polyclonal = typical immune response; multiple clones -> different Abs for different Ags on intruder
Monoclonal Abs derived from 1 B cell clone: no affinity maturation, no difference in Ag detection (consistent response useful for diagnostics/therapy)

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15
Q

Hyper-IgM syndrome

A

CD40L or AID defects impair class-switching so Abs mostly remain IgM

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16
Q

T dependent vs T independent Abs

A

Dependent: class-switched, high affinity, memory B cells

Independent: no class-switching, mostly low affinity IgM from short-lived cells; important for non-peptide Ags

17
Q

What’s the advantage of conjugate vaccines?

A

Binds peptide Ags to non-protein Ags enabling T dependent activation

18
Q

What downregulates the Ab response?

A

Ab-Ag complex binding B cell Ig and Fc receptor -> Ig has ITAM, some FcRs have ITIMs -> blocking BCR signaling; slows Ab production but keeps memory cells

19
Q

IgG functions

A
  • Microbe/toxin neutralization
  • Opsonization
  • Classical complement activation
  • NK cell ADCC
  • Neonatal immunity via FcRn
  • B cell activation feedback inhib.
20
Q

IgM functions

A
  • Classical complement activation
21
Q

IgA function

A
  • Mucosal immunity
22
Q

IgE function

A
  • Activate mast cells, helminth immunity
23
Q

Neonatal Fc receptor (FcRn)

A

mφ’s, endothelial cells
1. IgG binds FcRn in endosomes
2. FcRn-IgG complexes sorted to recycling endosomes
3. IgG released back to EC space
-> cross-membrane transport

24
Q

How does IgG stick around for so long?

A

IgG Fc increases its half life; typically 4-6 weeks with FcRn recirculation

25
Q

How do Igs neutralize microbes?

A

Mainly done by IgA
- Blocks penetration of epithelial barrier
- Blocks bind./infection of cells
- Blocks toxin binding to cell receptor

26
Q

How does Ig opsonization work?

A

FcRs on phagocyte allow Ig to act as bridge

27
Q

How does IgG enable ADCC?

A

IgG binds Ags and NK cell CD16 leading to apoptosis

28
Q

Th2 secretory functions

A
  • IL-4 -> IgE class switch
  • IL-4/-13 -> M2 mφ activation, GI mucus secretion
  • IL-5 -> eosinophil activation
29
Q

IgA function

A

1st line adaptive immunity for host + newborn
- Poly-Ig receptor binds IgA for transcytosis to secrete to breast milk, lumens

30
Q

Complement cascade effect

A

1 enzyme cleaves many more of next component

31
Q

Complement process

A
  1. C3 -> C3a, C3b (inflam., opson.+phagocytose)
  2. C5a -> inflam.
  3. C6-9 -> MAC for lysis
    Classical activation IgG or IgM
32
Q

Complement anaphylotoxins

A

C3a, C4a, C5a: responsible for anaphylactic shock

33
Q

Complement effector pathway

A
  1. Complement binds cell surface
  2. C3 convertase forms
    - C3b binds pathogen (opsin)
    - C3a anaphylotoxin
  3. C5 convertase made
    - C5a anaphylotoxin
    - C5b recruits C6-9 (MAC)
34
Q

Complement regulation

A

Multiple regulatory factors:
- C1 inhibitor blocks C1 protease
- Decay Accelerating Factor (DAF) blocks C3 convertase formation
Excess C1 activity -> increased bradykinin -> edema

35
Q

Complement tickle

A

Complement is always produced at low levels

36
Q

Hereditary angioedema periodic swelling

A

C1 inhibitor deficit

37
Q

Paroxysmal Nocturnal Hemoglobinuria (PNH)

A

Decay Accelerating Factor (C3 convertase inhibitor) deficit