Regulation of the Immune Response Flashcards

1
Q

What is immunological tolerance?

A

Lack of response to a specific Ag

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2
Q

What are the two major mechanisms of tolerance induction?

A

deletion of reactive cells, inactivation of reactive cells (anergy)

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3
Q

What is clonal deletion? Where does it occur?

A

elimination of autoreactive T cells in thymus caused by tight association of T cell to MHC-presented antigen

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4
Q

Why do antigens presented from self-cells induce anergy?

A

Most self-cells don’t have B7-1 or B7-2 so Ag from them isn’t costimulated, preventing self-Ag recognition.

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5
Q

What is functional deletion?

A

deletion of function of T helper cells, causing loss of cytotoxicity of CTL and B cell antibody formation that require help

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6
Q

What are some mechanisms of functional deletion?

A

deletion of T helper specificity during selection, bias for inappropriate Th1 or Th2 response from production of certain cytokines (i.e. block Th1 cells with IL-10)

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7
Q

How does a regulatory T cell bind APCs? How is it activated?

A

CD4+ T cell binds B7 receptor on APC with CTLA-4, which is activated by the crosslinking of CD28 molecules

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8
Q

What are the 5 mechanisms of tolerance n in T cells?

A
  1. clonal deletion
  2. clonal anergy
  3. functional deletion
  4. regulatory T cells
  5. blocking of presentation or activation
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9
Q

What are the 3 mechanisms of tolerance in B cells?

A
  1. clonal deletion
  2. clonal anergy
  3. functional deletion
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10
Q

How do B cells become anergic?

A

Immature B cells expressing IgM are capped when exposed to polyclonal IgM or tolerizing Ag and the IgM internalizes. In mature B cells, re-expression occurs within 1-2 days, but immature cells don’t re-express surface Ig

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11
Q

How are B cells functionally deleted?

A

lack of T cell help for T-dependent B cells, presentation of TI-Ag in non-crosslinking form for TI Bcells

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12
Q

What affects whether an antigen induces maturity or tolerance?

A

form, amount or manner of presentation of the antigen

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13
Q

Is tolerance easier to induce in mature or immature cells?

A

Immature cells

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14
Q

How does the immunogenicity of an antigen affect induction of tolerance?

A

The stronger an immunogen the more stringent regime to induce tolerance

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15
Q

How does the dose affect immunogenecity of a substance?

A

need the optimal dose range, higher or lower doses usually induce tolerance

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16
Q

What is high dose tolerance?

A

very large quantity of immunogen can turn off response to it

17
Q

What is more immunogenic: aggregated material or disaggregated material? Why?

A

aggregated material, clumps and aggregates stimulate APC to phagocytose the antigen

18
Q

Tell whether each of the following routes of administration of antigen favors immune response or tolerance: subcutaneous, oral, IM, IV

A

immune respone: subcutaneous, IM

tolerance: oral, IV

19
Q

What is cyclophosphamide? What lymphocytes does it work on?

A

immunosuppressive drug, acts on T and B cells

20
Q

What cells mediate positive selection in the thymus? What is the cell transition at positive selection?

A

cortical epithelial cells, go from immature CD3- DN thymocytes to immature CD3+ DP thymocytes

21
Q

What cells mediate negative selection in the thymus? What is the cell transition at negative selection?

A

dendritic cell, immature CD3+ DP thymocytes to mature CD3+ SP thymocytes

22
Q

Why is immune regulation needed?

A

prevent uncontrolled proliferation of individual B or T cell clones, prevent indefinite response to one challenge to conserve resources for another

23
Q

What is the expression pattern of Tregs?

A

FoxP3+ , CD25 +, CD4 +

24
Q

What is regulatory tolerance?

A

T cell specific for self-Ag becomes regulatory, IL-10 and TGFb produced by Treg inhibitsother self-reactive T cells

25
What 6 diseases do Tregs have a role in controlling?
colitis, diabetes, MS, SLE, GVHD, graft rejection
26
What are mechanisms of regulation of Tregs?
direct contact with target cells, cytokine-mediated suppression of T cells
27
What type of immunity do proteins induce?
Humoral and CMI
28
Why can't polysaccharides and lipids induce CMI?
can't be presented by MHC molecules to T cells
29
What type of immune response do polysaccharides and lipds induce?
short-lived, IgM and some IgG response to capsule
30
What type of antigen can induce long-lived immunologic memory? How?
proteins/peptides via T cell activation
31
What is antigen blocking?
Ab sequesters Ag which prevents it from being recognized by other Ag-recognizing cells and thus from activating them
32
What does crosslinking of Ig and Fc receptors on the same B cell cause?
paralytic signal to the cell
33
What does crosslinking of two Igs on the same B cell cause?
proliferative signal
34
When do immune complexes augment B cell response? Which Ab type tends to enhance?
when they opsonize APCs, IgM
35
When do immune complexes inhibit B cell response? Which Ab type tends to inhibit?
when they crosslink on same B cell, IgG
36
How is Rh disease prevented?
prevent immune response by using high dose of antiRh Ab to prevent Rh+ from seeing mother's Rh- and forming immune reponse
37
What is a direct Coomb's test?
look to see if fetal RBC agglutinate when you add anti-human rabbit Ag--if yes, they are coated in maternal Ab take maternal serum and add Rh+ RBCs and rabbit Ag---if agglutinates, if Rh+ Ab exist