Regulating Acquired Immunity Flashcards

1
Q

What is tolerance

A

Removing/stopping responses which are auto immune responses. Eg tcr binding self ag

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2
Q

Are all self ag like insulin present in the thymus?

A

No they are tissue specific

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3
Q

How do you negatively select for self ag which aren’t present in thymus

A

Tf AIRE

overrides tissue specific ag and allows expression of eg insulin in the thymus for T cell negative selection

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4
Q

What would aire deficiency cause

A

Possible Autoimmune responses when T cells leave thymus and not negatively selected for a self ag

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5
Q

B cells undergo receptor editing instead of apoptosis sometimes after negative selection. Do T cells?

A

Yes T cells can also rearrange their tcr a chain to make them non self reactive = built tolerance

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6
Q

When do B cells become anergic (a type of tolerance mechanism)

A

If they don’t respond to MULTIVALENT self antigens in bone marrow but recognise self ag

Downregulate their bcr

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7
Q

How do T cells become anergic

A

If receive no signal 2 in periphery via co stimulators like B7

Some apc don’t have this

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8
Q

Why do some apc not present co stimulators like B7 causing T cell anergy

A

For them to produce B7 etc they need pamps detection on prr

If the cell is not infected it won’t receive pamps and therefore no costimulator for signal 2

(Reminder MHC always presenting a peptide but not necessarily ag)

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9
Q

What is immunological ignorance

A

Ag not presented at a sufficient level for b/t cell stimulation = tolerance

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10
Q

What are immunological privilege sites

A

Areas where immune cells can’t respond to ag bc of barriers and suppressive cytokines eg bbb and the eye / cns

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11
Q

Why is T cell tolerance eg via anergy or receptor editing more important than B cell

A

Auto reactive B cells need T cell help via t/b conjugates for stimulation which they won’t receive if no T cells available

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12
Q

What are natural t regs made from

A

T cells which escaped death after negative selection in the medulla

They got converted into t regs which block action of other self reactive T cells = tolerance

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13
Q

Which tf kept T cells negatively selected alive to become natural t regs instead

A

Fox p3

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14
Q

What induces fox p3 and therefore production of t regs

A

Tgf b

And

Retinoic acid

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15
Q

What is the different between induced IT reg cells and natural reg cells

A

It reg cells are from cells escaping negative selection in the periphery via fox p3

They also block action of self reactive T cells

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16
Q

What happens if you have no t reg cells

A

Autoimmune diseases eg ipex mutation to fox p3

17
Q

What do t regs release which is suppressing ie stops apc

A

Il 10 and tgf b

18
Q

B regs also exist, how do they work

A

Also release il 10 which is a suppressive cytokine suppressing apc

19
Q

What is it called when polarisation of T cells is correct for the correct type of pathogen

A

Quantitatively appropriate

20
Q

Can CD8 also be t regs

21
Q

What is not needed anymore after T cell polarity

A

Co stimulators

22
Q

How do th1 promote their own proliferation

A

Releasing ifn y which induces them in signal 3 (and il 2 release)

23
Q

How to th1 activate macrophage killing ‘foamy cells’

A

They have cd40L which binds to cd40 xo stimulator on macrophages and signals

24
Q

Other than macrophages what other cells do th1 activate

A

NK and cd8

25
How do th1 kill ill macrophages
Fas ligand
26
Which cytokine induces th2 and is released by th2
Il4
27
What does th2 do
Eosinophil and mast cell stimulation (both have granules) Also Ige switching
28
What T cells are induced by tgf b
T reg and th17
29
What T cells are induced by il 6
Tfh and th17
30
What are th17 for
Attract cells like neutrophils to kill fungi mainly
31
How is effector type determined by pathogen
Pathogen determines pamps Pamps determine signals down prr Apc will produce diff cytokines eg il 6 if it’s a fungi to stimulate th17
32
How does th1 and th2 work antagonistically
Production of Gata 3 tf for th2 production blocks tf T bet which induces th1 Vice versa Gata 3 Vs T bet
33
What cells are also inhibited by th1 and th2 responses
Th 17
34
Which cells do t reg inhibit
Th1,2,17
35
What would happen if polarisation didn’t occur for th2
Th2 would cause excessive allergy responses if not blocked by T bet
36
Why is t reg important in pregnancy
Baby have foreign ag which would be attacked by mother’s CD4 and 8 if t regs didn’t suppress apc via il 10 and tgf b