Phagocytosis and Immunogenicity Flashcards

1
Q

Which molecules are secreted during phagocytosis?

A

-Reactive oxygen and nitrogen species (ROS and RNS) generate free electrons (O(-), H2O2, NO) to kill pathogens

-protective mechanism by host and some pathogens:
-> Catalase and glutathione (GSH) converting H2O2 to H2O

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2
Q

What are common Immunodeficiencies in the innate immune system?

A

-Complement activation: genes and pathways
-C4 defects: failure to activate complement (no C2/C4 )
-Entire Alternative pathway failure

-for bacterial/fungal infections:
often due to defects in late complement components C5–C9 and MBL formation

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3
Q

What are the outcomes of NK-cell deficiencies (innate)?

A

-susceptibility to viral infections and cancer
-occur in lymphoid lineage development or NK development
itself
-

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4
Q

How do innate Immunodeficiencies impact the adaptive immune system?

A

-Mendelian susceptibility to mycobacterial diseases
-usually in IFN signaling (Cytokines) or receptor pathways
-leads to problem in getting rid of intracellular bacterial infections (like mycobacteria)

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5
Q

Innate Immunodeficiencies in Granulocytes:

A

Chronic granulomatous disease
-> Defect in NADPH oxidative pathway (to generate ROS)
-> antifungal/antibacterial drugs needed

Chediak-Higashi syndrome
-> disorder of lysosomal storage and transport leading to o recurrent bacterial infections
-> antibacterial treatments or bone marrow transfusion

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6
Q

What is the structure of Immunoglobins?
(Ab, or B-cell receptors with transmembrane domain)

A
  • two identical heavy chains and two identical light chains connected by disulfide bonds
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7
Q

How is the heavy chain generated?

A

-Through recombination of the Heavy-chain gene V, D, J, and C segments -> producing single expressed VDJ segment

-Eight CH regions for different isotypes (IgM, IgD, IgG, IgA, and
IgE)

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8
Q

How is the light chain generated?

A

-Light-chain genes include V, J, and C segments with 2 types: lambda and kappa
-T cell receptors have a similar composition

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9
Q

What is the meaning of Central Tolerance?

A

– The deletion of lymphocytes in the primary lymphoid organs

for B-cells: Bone marrow
for T-cells: Thymus

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10
Q

What is the meaning of peripheral Tolerance?

A

-occurs outside bone marrow and thymus
Outcomes are:
-apoptosis of the self-binding lymphocyte
-state of anergy: functionally inactivated
- production of inhibitory lymphocytes (pTreg) suppressing the immune response

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11
Q

What is an epitope?

A

-the specific binding sites of single TCRs and BCRs
Any part of an Ag can be an epitope

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12
Q

What are T-cell and B-cell epitopes?

A

T-cell receptor
-typically a fragment of the linear protein polypeptide chain

B-cell receptor: bind the 3D protein
-can be linear or conformational
1. Conformational: Determinant lost after denaturation
2. Lineal: Ig binds to determinant in denatured protein only or Ig binds the determinant in native or denatured protein
3. new determinant created by proteolysis

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13
Q

Explain T-dependent B-cell responses

A

-require help from T cells
BCR binds to Ag -> ingest it and displays a piece on MHC-II to T-helper cell
-> secretion of cytokines by T-helper cell

-often for peptide PAMPs
-T-cells helps the B-cell to switch Isotypes (from M,D to D,A,E)

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14
Q

Explain T-independent B-cell responses

A

-exposure to multivalent/polymerized Ag is required to activate B-cells without the help of T-cells (binding of a few PAMPs won’t activate a B-cell)

-also for non-peptide PAMPs (lipids, carbohydrate, nucleic acid)

-> TI-1 Ag includes bacterial cell wall components and LPS binding to PRRs (TLR) and BCR
-> TI-2 Ag. crosslink a large number of BCR

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15
Q

How does the body react to incompatible blood transfusions?

A
  • Attachment of antibodies to donor blood -> triggering complement proteins
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16
Q

What type of molecules are blood group Ag?
Difference between blood groups A and B?

A

Carbohydrates,
N-acetyl-galactosamine on antigen A, missing on Ag B

17
Q

Describe different types of allergies

A

Type 1: Ag causes crosslink between IgE-bound mast cell and basophils -> release of granules -> vasoactive mediator

Type 2: Ab (IgM, IgG) mediates cell destruction through complement activation or antibody-dep.-mediated-cytotoxicity (ADCC) -> often on red blood cells

Type 3: Ab-Ag complex induce complement activation -> and massive neutrophile recruiting -> huge inflammatory response

Type 4: delayed-type hypersensitivity (DTH): sensitized T-cell release cytokines activating macrophages or Tc cells -> tissue damage

18
Q

What is the difference between type II hypersensitivity and autoimmunity?

A

In type II hypersensitivity antibodies are against non-self targets on cells (Transfusion reaction)
In autoimmunity, B cells detect self-antigens and produce auto-antibodies

19
Q

Why is screening for maternal Rh factors important?

A

Rh-negative maternal blood develops antibodies when the fetus is Rh-positive during 1st pregnancy

In 2nd pregnancy with Rh-positive fetus blood -> the mother’s antibody binds the fetus’s red blood cells and activates the complement system

20
Q

How can drugs cause Hemolytic Anemia?

A

-drugs can bind non-specifically to proteins on RBC membranes
stimulating antibody production -> Ab on red blood cells activates the complement system

-f.e. Penicillin

21
Q

How can drugs cause T cell response, in addition to antibody response?

A

Other compounds like penicillin can covalently (permanently)
attach to proteins and change the structure of the protein
-> That protein is no longer self and can also generate Tcell response

22
Q

How does Urushiol in poison ivy cause Dermatitis?

A

Modified proteins (by Urushiol?) are taken up by DCs, carried to regional lymph nodes, and presented on MHC class II -> TH1 formation

-Th1 returning to the skin, activating macrophages -> release of inflammatory cytokines, lytic enzymes, ROS causing tissue damage

23
Q

What is the benefit of Conjugated vaccines?

A

A conjugated vaccine improves immunogenicity and
outcome
-> a molecule causing a weak immune response, coupled with an antigen with a strong immune response

thereby stimulating the preferred immune response to the weak molecule

example: H. influenza vaccine coupled with tetanus toxoid -> activates T-cells and induces B-cell memory