Lecture notes Flashcards

1
Q

What’s the two major classes of PRR’s and what is their difference in function?

A

Endocytic PRR’s cause phagocytosis independent of opsonization through antibodies or IC. They can also clear apoptopic bodies, antigen presentation etc. Signalling PRR’s cause downstream signalling to facilitate in inflammation as in production of cytokines, chemokines, etc.

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

Give some examples of receptors for both of the two major PRR’s classes

A

Endocytic PRR’s examples are scavenger receptors and C-type lectin receptor. Signalling PRR’s examples are toll like receptors, NOD like receptors.

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

Give five examples on what the innate immune system can do

A

Release cytokines, proteases, ROS, adapt the adaptive immunity through antigen presentation and phagocytosis of infected cells and apoptopic bodies.

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

How does clearance of inflammation happen 5 examples:

A

Desensitization and downregulation of receptor activity, production and release of anti-inflammatory cytokines such as IL-10 and TGF, apoptosis of pro-inflammatory cells as well as immune cells having short half time life, upregulation of anti-inflammatory molecules such as IL-1b antagonist.

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

What is the most common type of allergic response?

A

Type 1 which is Th2 mediated.

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

What happens and why during late phase of allergy response?

A

Eosinophils is recruited and they are part of the late phase response as they are not normally circulating in tissue but recruited to site after memory T and B cells specific for the antigen cause release of cytokines and activation of degranulization and histamine release of granulocytes.

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

How does adaptive immunity get it’s variation in general?

A

Through MHC molecules being polymorphic, polygenic and co-dominantly expressed which makes them very idnevidual, somatic recombination of TCR and B cell receptors.

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

What characterizes memory T cells?

A

They are found in the peripheral tissue, can self proliferate but slowly and is less dependent on costimulation to be activated.

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

What does Cd8 and CD4 cells do?

A

CD8 cells cause lysis in tumor or viral infected somatic cells and Th cells has many functions such as activating different parts of the innate immune response, causing isotype switching in B cells, etc.

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

How does Tregs regulate inflammation give examples

A

Release of anti-inflammatory cytokines such as TF and IL-10, cause apoptosis in effector T cells by releasing granzymes and creating perforin pores, cause metabolic disurption, cell to cell interaction and deorive them of cytokines, inhibit dendritic cell function and antigen presentation, inhibit T cell porliferation and surrvival etc.

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

What is the fate of naive B cells what can they end up as?

A

After recognition of antigen, Th cells interaction or other stimuli they can become mature plasma B cells that are antibody producing, undergo isotype switching as they start off as IgD or IgM, turn into Bregs or memory B cells.

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

What are the functions of the 4 different isotypes of B cells antibodies?

A

IgM complement activation, IgG opsonization, phagocytosis, neonatal immunnity due to longer half life, complement activation, IgE mast cell activation, IgA mucosal immunity and protection of baby as it’s transferred through breast milk.

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

What do the antibody consist of and what is it’s function

A

The light chain binds to antigens and the heavy chain binds to FC and complement receptors.

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

Give examples of the antibodies function

A

IgG and IgA can neutrilize pathogens, IgG can opsonize pathogens and sensitize them for NK killing, IgG and IgM can activate the complement system and IgE can cause mast cell activation.

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

How do we get antibody variation?

A

Hypermutation of B cells, VDJ recombination and addition of nucleotides in each heavy and light chain.

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

What are the checkpoints during B cell development?

A

First check point is if they can develop a pre-recptor so one light and heavy chain that is functional, then if they can develop and bind with the whole receptor and also if they are self reactive.W

17
Q

What happens in the lymph nodes for B cells?

A

They meet dendritic cells and T cells and in the germinal center they proliferate, hypermutate and isotype switch and in the light zone memory B cells and plasma cells are formed and then enter the blood stream.

18
Q

What are some other subclasses of B cells except plasma, memory etc?

A

Innate B cells are more fast acting but has no memory, Bregs regulate inflammation and cause inhibition of pro-inflammatory cytokines, Th1 and Th17 and CD8 cells but promotes IL-10 and Tregs-

19
Q

What does the BBB consist of?

A

Tight junctions, glial and lamina endfeet.

20
Q

Describe the sickness effect

A

COX2 leads to fomration of PGE2 that can bind to receptors in the hypothalamus and brains tem and cause loss of apetite, withdrawal, tiredness etc

21
Q

Describe the inflammatory reflex

A

Peripheral inflammation acts on the vagus nerve that signals to the brain stem that signals back on the vagus nerve until it reaches the celiac ganglion in the spleen which is androgenic and it releases acetylcholine to the splenic neuron that signals and release norepinpehrine to cholinergic T cells in the spleen that release acetylcholine that inhibits inflammation of the macrophages

22
Q

What happens when under acute stress the symphatetic nervous system is activated

A

Activation of the symphatetic nervous system under acute stress generally cause recruitment of immune cells from the bone marrow to the peripheral tissues, enhances inflammation etc

23
Q

What happens when the HPA axis is activated?

A

CRF is released from the hypothalamus to the pituitary gland blood circulation which causes release of ACTH to the general blood stream that reached the adrenal cortex in the kidneys that cause release of colesterol that acts on GCR found on almost all tisues and acts anti-inflammatory in a wide variety of ways and give negative feedback to the inflammation

24
Q

What are the 4 types of autoimmunity?

A

1.IgE mediated reactions
2. Autoantibodies
3. Immune complexes
4. T cell mediated autoimmunity

25
Q

What does NSAIDS do?

A

Anti-inflammatory by inhibitng COX1/2

26
Q

What does glucocorticoids do?

A

Binds to GCR that translocate to the nucleus and inhibit gene expression of pro-inflammatory signalling. Decreases proliferation of T cells, inhibits antigen presentation, reduces number of circulating neutrophils and lymphocytes, reduce histaine release, COX inhibito, reduce prostaglandins, reduces complement system activation etc. However has very bad side effects on metabolism, childrns development etc.

27
Q

How does immunosupressors work?

A

Alkylating agents cause cross links and DNA damage and thus apoptosis and antimetabolites insert themselves and ucleotides cause mutations and thus induces apoptosis. Work on rapidly diviindg cells such as T cells proliferating for example. However has side effects such as sterility, liver damage, toxic for bone marrow cells etc.

28
Q

What are some examples of targeted immune modulating treatments?

A

Anti-CD20 causing B cells depletion and IL-1b antagonist.