Regulation of acquired Immune System Flashcards

lecture 7

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1
Q

Why is immune tolerance required?

A

To prevent autoreactivity caused by random BCR/TCR generation.

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2
Q

What happens to T cells that fail to recognise self-MHC?

A

They die by neglect (no positive selection survival signals).

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3
Q

What does negative selection of T cells in the thymus achieve?

A

It removes T cells that bind self-MHC + thymic peptides with high affinity.

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4
Q

What is the role of AIRE protein in T cell tolerance?

A

It allows expression of tissue-specific antigens (TSA) in the thymus, enabling deletion of self-reactive T cells.

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5
Q

What happens in AIRE deficiency?

A

It causes autoimmune syndromes like APECED.

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6
Q

What are the fates of immature B cells recognising self-antigens in bone marrow?

A

Clonal deletion, receptor editing, or anergy.

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7
Q

What is receptor editing in B cells?

A

A process where B cells rearrange their light chain genes to remove self-reactivity.

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8
Q

What is the function of Tregs?

A

Suppress immune responses to prevent autoimmunity.

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9
Q

What transcription factor is crucial for Tregs?

A

FoxP3.

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10
Q

What do regulatory B cells (Bregs) secrete, and why?

A

IL-10, to dampen immune responses and prevent autoimmunity.

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11
Q

What are TH1 cells responsible for?

A

Activating macrophages, NK cells, and cytotoxic T cells.

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12
Q

Which subset of CD4+ T cells promotes IgE production?

A

TH2 cells.

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13
Q

What do TH17 cells secrete and what is their function?

A

Secrete IL-17; recruit neutrophils for fungal infections and are implicated in autoimmunity.

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14
Q

What is the role of TFH cells?

A

Help B cells in germinal centres to produce antibodies.

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15
Q

What mechanisms ensure T cell anergy?

A

Signal 1 without signal 2 (no co-stimulation) leads to an unresponsive state.

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16
Q

What is immunological ignorance?

A

When antigens are not presented at sufficient levels to activate T cells.

17
Q

What are immune-privileged sites, and give examples.

A

Sites where antigens are sequestered from the immune system (e.g., eye, testis, CNS).

18
Q

Why are there subsets of CD4+ T cells?

A

To mediate specific responses tailored to different pathogens.

19
Q

Which cytokines promote TH1 responses?

A

IL-12 and IFN-γ.

20
Q

What cytokines are important for TH2 responses?

A

IL-4.

21
Q

What happens to CD8+ T cells after activation by APCs?

A

They develop into cytotoxic T lymphocytes (CTLs).

22
Q

What are the organisms that infect interstitial spaces, blood, and lymph?

A

Viruses
Bacteria
Protozoa
Fungi
Worms

23
Q

Name the organisms that infect epithelial surfaces

A

Neisseria gonorrhoeae
Mycoplasma spp.
Streptococcus pneumoniae
Vibrio cholerae
E. coli
Helicobacter pylori
Candida albicans
worms

24
Q

What organisms can infect cytoplasmic intracellular sites?

A

Viruses
Chlamydia spp.
Rickettsia spp.
Listeria monocytogenes
Protozoa

25
Q

Which organisms are responsible for infections in vesicular intracellular sites?

A

Mycobacterium spp.
Salmonella typhimurium
Yersinia pestis
Listeria spp.
Legionella pneumophila
Cryptococcus neoformans
Histoplasma