Lymphocytes Flashcards

1
Q

There is immune ___ and immune ____.

A

Protection
Pathology

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2
Q

Most pathogens enter the body through ___ ____ of the digestive, respiratory, and reproductive tract. It is a thin and ____ layer epithelium. ___ ____ are encapsulated lymph nodes in the gut that drain the gut lymph.

A

Mucosal surfaces
Permeable
Peyer’s patches

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3
Q

Lymphocytes are ___ and ___. They are part of the ____ immune system.

A

T cells
B cells
Adaptive

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4
Q

B cells have receptors on their surface called ____ (Ig) and recognizes pathogens

A

Antibodies

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5
Q

CD4+ helper T cell have receptors on their surface that recognize ____ presented by MHC class II from an antigen presenting cell or infected cell. They produce factors that help ___ cells and ___ __ cells.

A

Peptide
B
CD8+ T

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6
Q

CD8+ cytotoxic T cell ___ infected cells. They have receptors on their surface that recognize ____ presented by MHC class I.

A

Kill
Peptide

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7
Q

B lymphocytes mature in the ___ ___. They reside in ___ ___, ____, and blood. Each B cell expresses a unique __ ___ receptor (BCR) which is the ____ receptor.

A

Bone marrow
Lymph nodes
Spleen
B cell
Antigen

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8
Q

During infection, only B cells with the antigen-specific BCR clonally expand and secrete _____, which is critical for protection. After clearance, some B cells are long lived and have ___.

A

Antibody
Memory

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9
Q

An ____ is a secreted BCR by an activated B cell. Two identical ___ chains and two identical ___ chains. The ends of the chains combine to form a ___ ___. This region (fab fragment) is the antibody ____ site. The ___ region is constant with no variation and binds FcR on innate cells.

A

Antibody
Heavy (H)
Light (L)
Variable (V) region
Binding
Fc

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10
Q

An ____ is anything that stimulates an adaptive immune response and binds BCR

A

antigen

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11
Q

___ ___: lymphocytes that express a self-reactive antigen receptor (BCR or TCR) are deleted during development

A

Central tolerance

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12
Q

VDJ recombination occurs in immature B and T cells to generate a unique ___ or ___. Each cell ____ expresses a unique receptor allowing for limitless recognition. This is unique is each person.

A

BCR
TCR
randomly

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13
Q

Central tolerance ____ most potentially harmful lymphocytes but is imperfect causing _____.

A

Deletes
Autoimmunity

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14
Q

B cells mature in the bone marrow. ___ ___ occurs in the bone marrow where immature B cells bound to self are removed. ____ of mature B cells to the lymphoid organs and become activated by foreign antigens.

A

Negative selection
Migration

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15
Q

Activated B cells give rise to ___ cells and ____ cells.

A

Plasma
Memory

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16
Q

_____ diseases can be due to the failure to delete all self-reactive lymphocytes

A

Autoimmune

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17
Q

Diagram of B cell development:

A
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18
Q

____ B cell is mature and circulates in the blood and secondary lymphoid organs (____ ____ and ____) and have never encounter antigen. They are not activated.

A

Naive
Lymph nodes
Spleen

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19
Q

Clonal selection theory:
1. Each lymphocyte bears a unique ___ or ___
2. Interaction between ___ and receptor is specific and required for lymphocyte activation and differentiation
3. All daughter cells from a single lymphocyte express the same ___ ___.
4. After clearance, most lymphocytes die but a few persist and form ____ that lasts for years

A

BCR or TCR
antigen
Antigen receptor
Memory

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20
Q

A small number of genes can become millions of different receptors through ____ ____. Random joining of gene segments ____ (heavy) or ___ (light) creates a unique variable region. Heavy and light chains combine with a ____ region.

A

VDJ recombination
V-D-J
VJ
Constant

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21
Q

Antibody isotypes:

A

IgM, IgG, IgA, IgE, IgD

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22
Q

Ig class is determined by change in ___ ___ (isotope switching) in B cells during immune response

A

Constant region

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23
Q

____ is the first antibody secreted after primary infection. It activates classical complement pathway. Weak opsonin meaning receptors can’t bind Fc

A

IgM

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24
Q

____ is the most abundant in serum after secondary response. Most abundant in plasma. Crosses placenta. Two antigen binding sites .

A

IgG

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25
____ is a dimer. Found on Mucosal surfaces. Secreted into milk. Trans-endocytose epithelial cells
IgA
26
____ binds to FcR on mast cells. Causes release of inflammatory mediators after crosslinking. Defense of parasites. Mediator of allergy.
IgE
27
____ has no known function. Co-expressed with IgM on naive mature B cells
IgD
28
Diagram of antibody isotype locations:
29
All naive B cells express ___ and ___ on the cell surface. During an immune response, help from ____ T cells instruct activated and antigen-specific B cells to switch ____ regions.
IgM IgD CD4 Constant
30
Antibody functions: Neutralization of pathogen
31
Antibody functions: Antibody dependent cell cytotoxicity (ADCC)
32
Antibody functions: Opsonization
33
Antibody function: Inflammation
34
Antibody functions: Activation of the classical complement pathway
35
____ ___: follicles in lymph nodes during an immune response. They have different zones. ____ zone is proliferating cells (centroblasts) undergo somatic hyper mutation. ____ zone is hypermutated resting B cells (centrocytes) and follicular dendritic cells. ____ zone is mutated B cells and Tfh cells. Stimulation by Tfh plasma or memory cell transformation.
Germinal center Dark Light Mantle
36
____ ____ is the process of generating higher affinity antibodies by mutation of the V region and selection during an immune response
Somatic hypermutation
37
Somatic hyperpermutation does not affect the DNA, therefore it is restricted to B lymphocytes and there is no transfer to ____. Somatic hypermutation does not occur in T cells but it does require ____ help.
Offspring CD4
38
Somatic hypermutation occurs in ____ ___.
Germinal centers
39
Kinetics of the antibody response to SARS-CoV-2:
40
____ help is required for isotope switching and somatic hypermutation
CD4
41
Diagram of T dependent and T independent B cell responses:
42
Activated helper T cell expresses ____ and secretes cytokines. B cells are activated by ____ engagement and cytokines. This leads to B cell ____ and ___.
CD40L CD40 Proliferation Differentiation
43
44
Roles that antibodies play in the clinic: 1. ____ testing: evidence of antibodies indicate prior exposure to an infection 2. ____: anti-CD20 treats leukemia and lymphoma. Anti-TNF treats autoimmune diseases. Anti-IL-6 treat cytokine release syndrome 3. ____
Diagnostic Immunotherapy Vaccinations
45
Primary exposure has both quantitative and qualitative effects on antigen specific B cells:
46
Primary exposure has both quantitative and qualitative effects on antigen specific B cells:
47
Primary exposure has both quantitative and qualitative effects on antigen specific B cells:
48
Antibody isotypes in serum throughout human development:
49
Review
50
T lymphocytes mature in the ___. They reside in ___ ___ and ___ and blood. Each T cell expresses a unique ____ but it is not excreted like BCRs.
Thymus Lymph nodes Spleen TCR
51
Two major subsets of T lymphocytes:
CD4 Helper T cells CD8 cytotoxic T cells
52
____ is generated by VDJ recombination during T cell development. It is on the surface with ___ complex.
TCR CD3
53
TCR recognizes peptide ___ ____.
MHC complexes
54
Picture of TCR:
55
The major histocompatibility Complex (MHC) is ____, encoded by multiple genes and it is ____ meaning genes can have various alleles.
Polygenic Polymorphic
56
Human versus pathogen MHC:
57
MHC binds peptides for presentation to __ ___.
T cells
58
Human MHC molecules are called Human ____ ____ (HLA). They are the most ___ gene family in humans.
Leukocyte Antigen Polymorphic
59
MHC (HLA) proteins are the major determinants of graft ____. This is why you need a match for donors, looking for similar HLA genes. These genes are ____.
Rejection Inherited
60
____ tells a T cell whether a cell is self versus non-self.
MHC
61
MHC presents both ___ and ___ peptides. MHC is only on the cell surface if it has ___ in its binding groove.
Self Foreign Peptide
62
T cell development: Rule of 8: 2 x 4 = 8 1 x 8 = 8
MHC II is recognized by CD4 MHC I is recognized by CD8
63
T cell development:
64
T cell maturation establishes ___ ____. There needs to be a balance of recognition strength to be able to recognize own ____ but too strong will result in _____ T cells an autoimmunity
Self tolerance Cells Self-reactive
65
The affinity model of T cell selection:
66
If TCR is not rearranged properly during VDJ recombination, the cell dies by programmed ___.
Apoptosis
67
_____ syndrome is a deficiency in CD4+Foxp3+ regulatory T cells. it is X linked. Absence in transcription factor Foxp3 required for regulatory T cells. These cells are critical to develope tolerance to self antigens. Patients die within 1 to 2 years.
IPEX
68
Immunize early in life because as we age, the ___ reduces in size and output. We must then heavily rely on immune memory for protection in later years
Thymus
69
MHC class I is expressed by all nucleated cells. Any cell can get infected, and ____ T cells bind and kill infected cells. Both self and foreign peptides can be presented. MHC I loads peptides synthesized from ___ the cell
CD8 Inside
70
MHC class II is only expressed by ___ ___ cells like macrophages, dendritic cells, and B cells. It presents peptides from proteins that have been ___ ___ from extracellular space. The antigen presenting cell helps instruct the type of helper cells that ____ T cells become
Antigen presenting Taken up CD4
71
How are adaptive immune responses initiated? ____ cells in tissues take up antigen and migrate via the lymphatics to the draining lymph nodes.
Dendritic
72
Dendritic cells are critical for the ___ of the immune response by ____ naive T cells in the draining lymph nodes.
Initiation Priming
73
Dendritic cells upregulate ____ and costimulatory molecules ___ and migrate to lymph nodes to activate T cells.
MHC B7
74
Infection causes ___ to bind pattern recognition receptors. PAMPS induce expression of ____ on antigen presenting cells. B7 binds ___ on naive T cells. CD28 signaling promotes T cell ____.
PAMPs B7 CD28 Activation
75
The innate immune system converts ____ (infection) signals into activation signals for the adaptive immune system
Danger
76
TCR signaling and costimulation are both required for T cell ____. Signal 1: _____, naive T cells need to bind peptide:MHC Signal 2: ____, naive T cell also needs CD28 signaling to proliferate
Activation Specificity Context
77
Activated T cells express a high affinity IL-2 receptor alpha (____).
CD25
78
____ promotes T cell proliferation, T cell survival, expand only those T cells that have encountered antigen, CD4 production of IL-2 helps CD8 cells, activated T cells also produce IL-2 so they can act in both an Autocrine and Paracrine manner
IL-2
79
IL-2 diagram:
80
Activated CD8 T cells differentiate into ___ T cells. They produce ____, protect against cancer. They produce ____ to induce apoptosis. They produce ___ to poke holes in the membrane of target cells.
Effector IFN-gamma Granzymes Perforin
81
CD8 T cells are regulated by co inhibitory receptors ___ and ___
PD-1 CTLA-4
82
CD4 helper T cells can differentiate into different subsets depending on signals from the ___ response.
Innate
83
CD4 T cells are essential for inducing CD8 T cell ___ and better B cell ___.
Memory Responses
84
Vaccine examples:
85
Isotype class switching is changes in the ____ region of the antibody. The isotype that results is dependent on the type of ___ that stimulated an immune response
Constant Antigen
86
Does isotype class switching alter the specificity of the antibody?
No
87
Class switching does effect how the antibody ____, not what antigen it reacts to
Functions
88
Tfh cell stands for:
T follicular helper cell
89
Somatic hypermutation does not occur in ____, only B cells
T cells
90
Review:
91
Generally, we don’t need __ ___ for viral clearance. We do need __ ___ for viral clearance. The diagram below all occurs in the germinal center.
B cells T cells
92
Positive selection of T cell:
Can it see self?
93
Alternative selection of T cells:
Is it binding MHC I or MHC II? Making it CD8 or CD4
94
Negative selection of T cells:
Is the binding too strong to self? If yes, it gets deleted
95
Activation of T cells requires 3 signals:
MHC-TCR B7-CD28 Cytokines: IL-12, IL-1, IL-6
96
Clinicians administer IL-12 for:
Autoimmune disease. IL-12 will increase the number of T regulatory cells and therefore decrease the number of problematic T cells
97
CD8 T cells use the same mechanisms as ___ ___ cells. They also produce ____
Natural killer IFN-gamma
98