Lecture 9 Flashcards

1
Q

Complement Cascade

A

2x activation pathways:
1. Alternative pathway: recognising structures on pathogen surfaces.
2. Classical Pathway: Antigen-antibody complexes. T –>Y shape, change in CH2 shape configuration, so complements can be activated by binding to that
Antibodies have 2x activating sites, so can enhance phagocytosis via crosslinking things. bringing molecules together and glutinate things. Forms a lattice. Phagocytic cell ingest alot of bacteria at one time instead of having to do them individually
Activation, leads to early components forming enzyme (C3 convertase)
Enzyme cleaves C3 into 2x components (C3a and C3b) via enzymatic cleavage
C3a affects BV permeability + attracts neutrophils (vasodilation and chemotaxis)
C3b is chemically reactive, which covalently links to anything close by (bacterial surface and others) opsinises them, enhancing phagocytosis. Also focuses on late components of complements, assembling into membrane pores/ attaches and punctures holes in membrane. Leading to membrane lysis

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2
Q

Lymphadenopathy and Splenomegaly

A

“Lymphadenopathy”= lymph nodes and adenoid tissue being swollen
“splenomegaly”= spleen being larger than normal - protrodes down past rib cage
can feel spleen protruding
Lymphocytosis= more than normal number of lymphocytes
-not many granulocytes or monocytes, some lymphocytes but also some larger than normal lymphocytes, and strange smear cells (not losing cells. is containing abnormal cells)
Lucapenia = fewer than normal number of lymphocytes
smear cells= something is occurring in generation of blood cells.
Smear cells are cells which break when smeared on glass slides as are more fragile (kinda an artfact but highlights abnormality)
Hints at problem with development of lymphoid lineage in bone marrow, resulting in overloading of immature (potentially tumorous) leukemic lymphocytes,
-likely to be lymphocyte leukemia
a) variety of ways to see changes in development of blood and immune system, by monitoring what is in our circulation
b) swollen lymph nodes and splenomegaly, not because having lots of immune responses. more that has alot of immature cells infiltrating secondary lymphoid organs causing them to swell as now packed with largely non-functional tumorous cells derived from bone marrow

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3
Q

Indications of having swollen nodes

A

could indicate infection
could indicate something wrong with immune system development/leukemic state (blood cell production problem in bone marrow(spilling over in circulation))

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4
Q

Why do we need more than antibodies to deal with infectious agents?

A
  1. Viruses grow inside cells.
  2. Inaccessible to antibodies
    viruses infect and grow within cells. Antibodies may be able to neutralise prior to entering host cells. but once in cell, the antibodies cannot get through the membrane and reach them
    e.g. Hepatitis B infection, likes to infect hepatocytes (liver cells) due to object on surface which they bind to and enter from.
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5
Q

Humoral Immunity

A

Product of B cells
Involve antibodies
Effective against antigens Outside viruses (in fluids, on surface, in Extra cellular spaces between cells)
-viruses and toxins (stop attachment)
-extracellular bacteria (enhance phagocytosis, activate complement)

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6
Q

Cell-mediated Immunity

A

“T-cell mediated immunity”
Product of T cells
No antibodies
Effective against Intracellular antigens (displayed on cell surfaces) - recognise cell surface changes which indicate changes inside the cell
-virus infected cells
-tumour cells (changes gene expression to become unrestricted growth- can sometimes be shown on surface (not always))
-transplanted organs (surface on transplanted tissue HLA antigens which T cells are really good at recognising)

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7
Q

Classes of T Lymphocytes

A
  1. cytotoxic (killer) T cells (have CD8 on surface, works with t cell receptor to stabilise binding of what t cell receptor is recognising)
  2. helper T cells (have CD4 on surface works with t cell receptor to stabilise binding of what t cell receptor is recognising)
    - dont use Antibodies
    - dont use Immunoglobulins
    - comprable set of genes forming T cell receptors-AB (have variable and constant regions) anchored into membrane. How t cells recognise things. Alpha and Beta as have 2x chains. variable regions are the same on all receptors of a t cell
    - CD3 marker/complex of proteins on surface. Transmembrane proteins. Link to T cell receptor. when binds, changes telling inside of cell that binding has occurred. Transduction mechanism.
    - T cells recognise changes on surface of cells which resemble changes on the inside of the cell
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8
Q

How do you count the number of t cells within a blood sample?

A

All T cells have a CD3 marker

therefore you stain for the CD3 to count all the CD3 positive cells/t cells

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9
Q

How do you count the number of cytotoxic (killer) t cells?

A

All Killer T cells contain a CD8 marker.

stain for CD8 to count for all the CD8 positive cells/cytotoxic t cells

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10
Q

How do you count the number of helper t cells?

A

Alh Helper T cells contain a CD4 marker.

stain for CD4 to count for all the CD4 positive cells/helper t cells

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11
Q

T cell antigen recognition

A
  1. Only recognise Peptide antigens (fragments of proteins/10-20 aa)
  2. Only recognise peptides when presented on the surface of cells with specific antigen presenting molecules (class I/II HLA molecule, associated with Killer and helper t cell recognition respectively)- Human Leukocyte Antigen as found in high concentrations on blood cells
    When virus is replicating, it is producing new proteins, some of those proteins will be broken down during cellular metabolic processes, and some peptide fragments will appear on the cells surface associated with HLA molecules
    -Both fundamentally Peptide presenting molecules on the surface of cells, which show peptide antigens to T cells
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12
Q

Classes of HLA

A

HLA = Human Leukocyte Antigen
found in high concentration on blood cells (and many other cells)
Both fundamentally Peptide presenting molecules on the surface of cells, which show peptide antigens to T cells
2x classes:
Class 1: presents peptides to cells with CD8 (cytotoxic/killer T cells)
Class 2: presents peptides to cells with CD4 (helper T cells)
-derived from HLA genes

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13
Q

HLA genes and their products

A

Major Histocompatibility Complex/Genes (HLA in humans)
“histo”=tissue
-discovered during tissue transplants
-some people’s immune system’s resisted tissue transplants more than others
-HLA is what was recognised in the rejection
-very strongly recognised HLA’s were called “major”
HLA are derived from HLA genes, which are made up of 3 classes
-Class I (3x genes. HLA-B, -C, -A. code for Class I HLA. each codes for single polypeptide molecule. Associated with B2-microglobulin)
-Class II (3x genes. HLA-DP, -DQ, -DR. each codes for two polypeptides. Alpha and Beta molecules)
_Class I and II code for structures which present peptides to T cells (HLA) transmembrane surface molecules. Cell surface antigen presentation structures
-Class III in between. Antigen Processing

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14
Q

Properties of HLA

A

cell surface antigen(small peptide fragments form inside of cells) presentation structures
Class I (HLA-B, -C, -A):
1. Found on virtually al nucleated cells (varying conc.) (not RBC)
2. co-dominant (both transcribed and translated from mum and dad)
3. Polymorphic (many allelles within human population)
4. Present peptides to CD8 T Cells (cytotoxic T cells)

Class II (HLA-DP, -DQ, -DR)

  1. Found on B cells and specialised APCs(antigen presenting cells: dendritic cells, monocytes, macrophages)
  2. Co-dominant (express both maternal and paternal haplotypes)
  3. Polymorphic
  4. Present peptides to CD4 cells (helper T cells)
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15
Q

Antigens and Class I MHC

A

Class I MHC (HLA-A, -B, -C)
Always have peptide fragment associated with it from the metabolic processes associated with the cell (as proteins are broken down and recycled) - showing a sample of the peptides that cell is making/breaking down at any one time
Virus infection, takes over some ribosomes, and starts making some of its own proteins. some will get broken down in cells metabolic processes and appear on surface
-therefore during a virus infection there will be a slightly different distribution of peptides on surface
-potentially recognisable by CD8 bearing cells
Cell could also change the genes that is it transcribing and translating as is becoming tumorogenic- immune system can recognise this change by what is being mirrored on outer surface of the cell
Endogenous Pathway:Pathway of processing peptides and cell surface presentation of what is occurring Inside the cell

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16
Q

Endogenous Pathway

A

“Endo”= inside
Pathway of processing peptides and cell surface presentation of what is occurring (made and broken metabolically) inside the cell

17
Q

Cytotoxic T cell Antigen Recognition

A

CD8 bearing Cytotoxic t cells, have t cell receptors which bind to the Peptide
- this alone is insufficient to activate T cell
CD8 also required to bind to conserved non-polymorphic region of class 1 HLA molecules which is the Same on all HLA’s
-required to get enough binding affinity to trigger T cell

18
Q

Why do CD8 T cells only recognise peptides presented by Class I HLAs?

A

as CD8 only binds to the conserved non-polymorphic region of class 1 HLA molecules

19
Q

Cytotoxic T cell clonal activation

A

similar to b cells
secondary lymphoid organs generate immune responses
CD8 molecules committed to specific binding site on AB t cell receptors.
Peptide presented in class I MHC + binding with CD8. Send signal informing that it has recognised an antigen and do you want to respond.
-same for B cells.
-Doesnt respond just to antigen. requires helper signals. Asks for help by changing surface and expressing novel receptors for helper signals.
-if gets right helper signal, does same as B cell. Grows and divides/differentiates into 2x effector populations
a) cytotoxic effector cells, have same receptor structure of original t cell. But can leave 2 lymphoid organs, and travel around body, looking for cells showing same peptide. Find, bind, and release short range toxic molecules killing what it is bound to)- antigen specific
b) memory cells (similar to b cells), small, with t cell receptor Cd8 and Cd3. enriched number. longer lived. recirculate and seed into all lymphoid organs to distribute memory. Respond quicker, less requirement for help- fast, bigger and sustained responses, that are antigen specific)

20
Q

Helper T cell Lineage

A

CD4 and recognise peptide presented by Class II MHC/HLA
Presented on B cells and Specialised Antigen presenting cells (dendritic cells, macrophages, and monocytes)
-able to ingest antigens through phagocytosis or pinocytosis. Process and break down antigenic fragments, and associate/present them on Class II MHCs
Recognition:
T cell recognises the Peptide
CD4 molecule stabilises and increases affinity of that binding by recognising non-polymorphic conserved regions on Class II (found on all Class II)

21
Q

Helper T cell Clonal activation

A

CD4 specific for certain antigen binding site
antigens presented on Class II MHC presented to Helper T cells in the secondary lymphoid organs. If has affinity, gets signal that has bound
-Doesnt respond straight away, as needs to have correct context
awaits correct helper signals, to ensure that antigen is dangerous and does need to respond
-activated cell grows, divides and differentiates into 2x populations
1. Helper effector population,(doesnt make antibodies or kill) goes around looking for cells to help expressing the same antigens on their surface. Upon recognition of these, become activated to secrete cytokine hormones (either activate or switch of cells) - control immune responsiveness in an antigen specific manner
-memory cells, with same qualities as b and CD8 memory cells

22
Q

What ensures that the activation of t cells is valid and nescessary?

A

T cell doesnt respond straight away after binding with specific antigen
Awaits helper signals to ensure correct context
-ensures that antigen is dangerous and that the helper t cells does actually need to respond

23
Q

What are the 2x requirements of lymphocyte acitvation?

A
  1. recognise Antigen (binding to receptor) First acitvation signal (signal 1)
  2. receive appropriate helper signals - cell asking for additional help to ensure context of antigen is one they need to respond to
    - Helper (inducer) cells
    - secretes Soluble mediators (cytokines and hormones)
    - or Co-stimulator responses, which have surface interactions

These will determine outcome/response of lymphocyte

24
Q

Cytokines

A

Immunological hormones/hormones that immune system produces
-low molecule weight glycoproteins
-many made by activated/secreted by activated CD4 T cells and other cells
(Role to control things in immune and inflammatory responses, effecting which cells get activated, how many, and for how long)
-Regulate immune and inflammatory response
-Quality, Amplitude and Duration
“hormone which passes information between immune cell/leukocytes/WBC” = Interleukins
Hormones, therefore Produced Transiently (when needed)(effect cells by binding to their receptors) and locally (paracrine (close by where made) or Autocrine (acting back on receptors of the cells that made them), rather than endocrine(distant from where made)-some)
-Cytokine network has a spectrum of effect
-Multiple, overlapping actions depend on: (complex, non-linear interaction)
- Concentration
- Presence of other cytokines
- Type of receptive cell
- History of receptive cell
-some work beyond immune and inflammatory responses, effecting other physiology. Affect other systems (e.g. nervous system) and influence behaviour (e.g. sickness behaviour)(process that generally considered as manner of our body adapting to infectious process to deal with it)

25
Q

Interleukins

A

IL
some Cytokines
“between leukocytes”
-hormone which passes information between immune cells/leukocytes/WBCs

26
Q

Sickness Behaviour

A

“change in phsyciology and behaviour, to conserve energy and divert to immune system to deal with the sickness”
-Adaptive process, as long as short term
-illustration of cytokines working beyond bound of lymphocytes and macrophages
Cold or flu: what do you feel like doing
-No exercise, no social activity, no eating
Temperature rises
Pain sensitivity and Touch sensitivity (Hyperalgesic)
Wish to sleep more
Desire nurturing
Perceptions change (catastrophise and worry)
-cytokines manifest these symptoms and behavioural changes.
Promoted by immune cytokines (e.g. Interluekin-1)
-early innate immune controlling cytokine Interluekin-1

27
Q

Compromised Airway

A

Nut allergy potent allergic phenomena
-must be treated quickly
-constricted airways
-caused by class of antibodies specific for nut antigens
-most people dont have these
Vigorous, overactive response against Innocuous substances (allergic hypersensitivity)
Antibody class: Strong antibody IgE response.
-binds to basophil cells and mast cells. When IgE meets allergins, causes mast cells to release range of molecules, effecting BV permeability, throat, lungs
(dust mite, hayfever, excema other examples of allergic hypersensitivity, responding too well against things we dont need to respond to at all- havent control it properly)

28
Q

Fever and new murmur

A

Fever- maybe associated with infection
Splinter haemorrhages- bleeding under finger nails
Murmur in heart
Streptococcal antigens similar to heart antigens
HLA molecules sometimes present certain Step antigens to immune system. immune system responds, deals with infection, responds with receptors which cross react with antigens on heart valve’s muscle. ==> damage to muscle (usually valves)
= in some people, immune response to streptococcus damages heart valves - Mitral regurgitation. Replace if really bad
Result: Post-rheumatic heart disease (rheumatic fever)
-doesnt occur in everyone,as we dont all present the same shaped antigens, not exactly same HLA molecules
-HLA molecules influence how we might respond and what symptoms we experience

29
Q

What do HLA molecules influence?

A
  1. How we may respond to infection

2. What symptoms we may experience

30
Q

SLE/fatigue/pain and swelling

A

Malar (butterfly) rash - butterfly wings across bridge of nose
-inflammatory lesion. often indicative of Autoimmune condition
Blood sample. Look for antibody presence against soluble self components. - likely to have antibodies against antigens derived from nuclei of cells (ANA/antinuclear antibodies) . High conc.
Mild Proteinuria - proteins in urine (not normal)
- had ANA/made antibodies against own (nuclear) antigens. As cells are being broken down all the time, the soluble nuclear self antigens were available in body, and complexed with antibodies being made
Immune complexes (antigen-antibody) formed.
-Immune complexes activate complement cascade. Localise in small capillaries(in skin), activate complement.
Damage to tissues if activating alot of complement in a local site = inflammatory response/rash
Proteinuria= kidneys filter, have fine capillaries through glomeruli. immune complex can lodge there, activate complement, damage kidney glomeruli BV. Compromise kidney filtration, blood proteins in urine.
=Malfunction of kidney filtering
Damage to capillaries and tissues (e.g. kidneys and skin)
developing antibodies against own antigens isnt usual, but reasonably common way that immune system develops pathology through auto-immune phenomena