Lymphatics term 1 Flashcards
Erythropoiesis
creating RBCs
Myelopoiesis
granulocyte (neutrophils, basophils and eosinophils)
Thrombopoiesis
platelets
Lymphopoiesis
lymphocytes (T and B cells) - ADAPTIVE
Foetus 0-2 months
yolk sac
Foetus 2-7 months
liver and spleen
Proliferation neutrophil pool stage (ProNP) 1
Myeloblast, Progranulocyte, Myelocyte
Maturation neutrophil pool (MatNP) 2
Metamyelocyte, band neutrophil, segmented neutrophil
final stage (storage neutrophil pool) SNP
released into marrow sinusoids
CNP (circulating neutrophil pool)
neutrophils not mature - sampled during blood collection
MNP (marginated neutrophil pool)
ready to exit circulation and migrate into tissues - tissue neutrophil pool
monopoiesis
stem cell to monocyte/macrophage
MALT
mucosal associated lymphoid tissue
SCF
stem cell factor
adaptive immune system
B and T cells
innate immune system
basophils, neutrophils, monocyte, platelets, RBCs
B cells
bone marrow - plasma cells
T cells
thymus - CD8 killer or CD4 helper
maturation pathway
gene rearrangement, lineage commitment, education and functional maturation
B cell
Naive proteins, antibodies
T cells
degraded proteins bound by MHC, cytokines
antibody chain
Light VJC heavy VDJC
T cell receptor
alpha VJC beta VDJC
T cells - mutation or class switch?
no somatic mutation no class switch
B cells - mutation or class switch?
Both do
B lineage
to immunoglobulin genes
T lineage
to T cell receptor genes
MHC I
CD8
MHC II
CD4
SCID
severe combined immunodeficiency
band neutrophil
immature and released by bone marrow in time of need
First law of immunology
B cell receptors - detect whole antigen on pathogen surface in ECF
T cell receptors - detect antigen fragments (peptides) on surface of other cells (MHC molecules)
Second law (infection sites)
CD8 MHC I cytoplasm Intracellular infections
CD4 MHC II extracellular fluid Extracellular infections
MHC I
three alpha domains, beta 2 stabilises acting as a scaffold protein
MHC II
alpha and beta chain - 2 of each subunits.
MHC I pathway
presentation of intracellular antigens and peptides from viral proteins in the cytoplasm. Proteosome digests viral proteins (recycling unit).
Antigen in cytoplasm - (proteasomal degradation) - peptide fragment - to ER - where MHC I synthesised and peptide loaded - MHC I via Golgi to surface detected by CD8
MHC II pathway
presentation of extracellular proteins via APCs (macrophage, B cell, dendritic cell).
MHC II in ER by invariant chain chaperone protein - globular head preventing binding of endogenous peptides - CLIP protein left on peptide binding groove
Foreign antigen endocytosed, lysosomes (antigen - peptides) by acid proteases, MIIC compartment (MHC and endocytotic merge), CLIP removed and foreign antigen replaces it, MHC II to surface - CD4
How are MHC genes are inherited
co-dominant 3x each parent
T cells journey
surveillance to secondary lymph nodes, express cell adhesion molecules and travel thro HEV and interact with dendritic cells in LN paracortex. CD4 inspect MHC II and CD8 MHC I and if no recognition leave in efferent lymph - thoracic ducts - bloodstream
TCR:CD3
converts binding to signal
innate
antigen non-specific
adaptive
antigen specific
ciclosporin
immunosuppressant blocking T cell activation
naive T cells need co-stimulatory signals
‘danger signal’ via PRRs. CD80/86 molecules expressed which amplifies TCR recognition signal. Ligation CD28 - accelerator.
CD8
killer and memory
CD4
TH1 ,TH2 ,Treg , TH3
CD8 killer
leave secondary tissue and reenter circulation and target inflamed endothelium - seek and destroy virus infected cells in tissue.
Signal 1
CD4
Signal 2
CD80/86 CD28
Signal 3
CD4 T cell differentiation - cytokine response to PRRs
CD4
TH1 via MHC II interaction with TCR. T cells secrete cytokines - IFN-gamma - HULKIFY macrophages. important for vesicular infections
TH1
cell-mediated immunity
TH2
antibody mediated immunity
CD4 TH17
pro-inflammatory - epithelial and mucosal surfaces
Regulatory T cells
prevent immune response getting out of control - downregulates CD28 and expresses CTLA-4 (brake)
Thymic (natural) Tregs - nTregs
self reactive T cells that have escaped negative selection and suppressive in nature. Produces IL10
Peripheral (induced) T regs
from naive CD4 T cells in secondary tissue - end of immune response and IL10
TH3
produced in MALT and produce regulatory cytokines (TGF-beta) - IgA and proinflammatory response in tissues
recognition signal
TCR: MHC I peptide
Danger signal
CD28:CD80/86
Titre
greatest dilution of serum where antibodies can still be detected
glycoproteins
2 identical heavy and 2 identical light chains linked by disulphide bonds
Fab portion
antibody specific