Mucosal Immunity Flashcards

1
Q

What are the physiological functions of the mucosal tissue

A

Gas exchange
Food adsorption
Sensory activities
Reproductions

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2
Q

Do afferent or efferent vessels go into a lymph nide

A

Afferent

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3
Q

Where are immune responses induced

A

in organised lymphoid tissues in Peyer’s Patches

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4
Q

Where are immune responses carried out

A

Scattered lymphoid cells in lamina propria and sub epithelial cells

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5
Q

What are Peyer’s patches covered by

A

Follicle- associated epithelial layer containing specialized cells called M cells which have characteristic membrane ruffles

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6
Q

What do Peyer’s patches contain

A

Dendritic cells
Focciles
B cells
T cells

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7
Q

How do M cells take up the antigen

A

Via antigen sampling
Epithelial cells secrete chemokines which attracts lymphocytes and Dendritic cells (CCR6 and CCR1)
Endocyosis/ Phagocytosis
Tranocytosis
Antigen binds to dendritic cell and activates T cell

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8
Q

How can dendritic cells capture antigen

A

Extend processes from epithelial layer to lumen of the gut

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9
Q

What cells are found in the epithelial layer

A

CD8 T cells

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10
Q

What cells are found in the lamina propria

A
CD4 T ells
CD8 T cells
Dendritic cells
Plasma cells
Macrophages
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11
Q

How do T cells enter Peyer’s patches

A

From blood vessels directed by the homing receptors CCR7 and L selectin

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12
Q

When do T cells in Peyer’s patch become activated

A

When antigen is transported across M cell and become activated by dendritic cell

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13
Q

How do activated T cells drain

A

Via mesenteric lymph nodes to the thoracic duct and return to blood stream

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14
Q

What receptors do activated T cells express which home them to the lamina propria and epithelium of the small intestine

A

CCR9 and a4:b7

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15
Q

What do gut homing receptors bind to

A

MAdCAM-1

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16
Q

Is MAdCAM specific to the gut

A

No also found in the vasculature of other mucosal sites

17
Q

What does breast milk allow

A

Passive immunity

18
Q

Proportions of antibodies found in the gut

A

IgA (80%) - important in preventing infection
IgM (15%)
IgG (5%)

19
Q

What is unusual about IgA in the gut

A

It is in its dimeric form

20
Q

What are the 2 IgA subunits bound by

A

J chain

21
Q

What does IgA bind to, to travel through epithelial cell

A

poly-Ig receptor

22
Q

What can IgA do

A

Bind and neutralise pathogens
IgA can bind and neutralise antigen in cell (in endosome)
IgA + Antigen + Secretory compound = export pathogen/ antigen out of lamina propria into lumen

23
Q

What are the majority of intraepithelial lymphiocyes

A

90% T cells

90% CD8+

24
Q

What anchors intraepithelial lymphocytes

A

ae:B7

25
Q

What do activated CD8 T cells possess

A

full killing machinery

26
Q

What happens when a virus infects mucosal epithelial layer

A
Infected cell displays viral peptide to CD8 IEL via MHC class 1
Activated IEL kills infected epithelial cell by perforin/ granzyme and Fas dependent pathways
27
Q

What is the default response of the immune system

A

Not to react

28
Q

What is most inhibited in maintaining the balance between protective immunity and homeostasis

A

Down regulate T cells

29
Q

What is IBD in simple terms

A

An inappropriate response to normal mucosa of the gut

30
Q

In the presence of commensal bacteria production of what inhibits dendritic cell maturation

A

PGE2
TGF-B
TSLP

31
Q

What happens when invasive microorganisms penetrate epithelium to activate dendritic cells

A

Activated dendritic cells express strong co-stimulatory ligands and induce CD4 T cells to differentiate into effector TH1 and TH2 cells

32
Q

Explain the mechanism of food allergy

A

Type 1 hypersensitivity reaction initiated by crosslinking of allergen specific IgE on surface of mast cells

33
Q

What type of reaction is a food alergy

A

Type 1 hypersensitivity

34
Q

How is type 1 hypersensitivity reaction initiated

A

Crosslinking of allergen specific IgE on surface of mast cells - released histamine

35
Q

What can a food allergy lead to

A

vomiting
diarrhea
prutusis
urticaria