Regulating Acquired Immunity Flashcards

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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

A

Yes

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
Q

How do th1 kill ill macrophages

A

Fas ligand

26
Q

Which cytokine induces th2 and is released by th2

A

Il4

27
Q

What does th2 do

A

Eosinophil and mast cell stimulation (both have granules)

Also Ige switching

28
Q

What T cells are induced by tgf b

A

T reg and th17

29
Q

What T cells are induced by il 6

A

Tfh and th17

30
Q

What are th17 for

A

Attract cells like neutrophils to kill fungi mainly

31
Q

How is effector type determined by pathogen

A

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
Q

How does th1 and th2 work antagonistically

A

Production of Gata 3 tf for th2 production blocks tf T bet which induces th1

Vice versa

Gata 3 Vs T bet

33
Q

What cells are also inhibited by th1 and th2 responses

A

Th 17

34
Q

Which cells do t reg inhibit

A

Th1,2,17

35
Q

What would happen if polarisation didn’t occur for th2

A

Th2 would cause excessive allergy responses if not blocked by T bet

36
Q

Why is t reg important in pregnancy

A

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