Selkirk & Dionne - Immunology Flashcards

1
Q

Definition of an antigen, B-cell receptor and T-cell receptor?

A

Antigen: Any molecule that is recognized by the immune system as foreign, specifically by lymphocyte receptors - can be any type of molecule protein, carbohydrate, lipid, etc.

B cell receptors: antibodies/immunoglobulins that are membrane bound or soluble –> immunoglobulins that are membrane bound are receptors but can also be secreted

T cell receptors (TCR): Receptors that are solely membrane bound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Why study the immune system? Why is it important?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are two major challenges facing people’s health related to the immune system?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are some examples of different types of vaccines?

A

Different types of vaccines developed to counter infection

  1. Whole organism - killed/inactivated (eg heat/formaldehyde)
  2. Whole organism - live attenuated (passage/genetic alteration)
  3. Subunit (purified product)
  4. DNA/RNA (encodes selected protein antigen)

Both Whole organism vaccines were initially used and quite effective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Have vaccines been succesful at treating/reducing disease incidence?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the different physical barriers to infection? What are some examples of mechanical, chemical and microbiological methods employed by these barriers against infection?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the innate immune system?

A

Innate immunity – Cells and components of the immune system which act without prior exposure to the pathogen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the complement system and what is it’s cascade?

A

Complement – a cascade of proteolytic enzymes which promote inflammation and cytotoxicity/

Apart from recruting effector cells, complement can form a membrane attack complex which inserts in the membrane of microorganisms to eliminate them - important for the initiation of immunity

Inflammation is another effect of activating complement

Cascade

  1. Presence of bacterial cell surfaces will induce cleavages and activation of complement fragments.
  2. One complement fragment binds to bacterium whereas the other acts as a chemo-attractor for effector cells
  3. Complement receptor binds to bacterium with bound complement fragment
  4. Effector cells perform phagocytosis - killing the bacteria cell + Chemo-attract fragment attracts further effectors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is inflammation? Outline the inflammatory response created when there is a cut in the skin

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are cytokines and chemokines?

A

Cytokine: secreted protein which changes the behavior/response of neighboring cells  think of them as short range hormones

Cytokines otherwise known as Interleukins (messages between leukocytes) – classified by numbers, e.g. IL-4, IL-5

Chemokine (specific cytokine) : Chemoattractant cytokine – attracts specific classes of cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Differences between the innate and adaptive immune system?

A

Innate and adaptive immunity work in concert to control or eliminate pathogens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does this graph show? What can we takeaway?

A

Red –> no immune response (infection grow exponentially)

Green –> Only innate immune system (intial response but lacks adaptive immunity to help clear pathogen)

Yellow –> innate and adaptive working properly

Primary (first) infection cleared by combination of innate and adaptive immunity

Innate immunity initiates first and is required to prime the adaptive immune response, whereas adaptive immunity required (generally) for pathogen clearance

Both are necessary and work together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the receptors expressed by macrophages called and what type of molecules do they recognize?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are Toll-like receptors?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the adaptive immunity?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Outline the general life cycle of B lymphocytes?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is Haematopoiesis and what organs are responsible for carry out this role?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the composition of immune cells in the blood?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are NK cells?

A

NK cells - specific type of lymphocyte known as a natural killer cell – even though it is a lymphocyte it is part of the innate immune system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Outline the different lineages that a Haematopoietic stem cells gives rise to?

A

Haematopoietic give rise to different lineages

a) Lymphoid Lineage
b) myeloid lineage

Lymphoid - Differentiation to B-cells (plasma or memory cells) or NK or T cells

Myeloid - includes White blood cells and red blood cells

a) Erythroid Progenitor gives rise to
- Erythrocyte – Red blood cells

Platelets - fragments of cells involved in blood clotting

b) Granulocyte-macrophage progenitor give rise to
- Mast cells
- Neutrophil, Eosinophil and basophil
- Macrophage and dendritic cell

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

From a Haematopoietic stem cell, what determines the cell’s fate?

A

Lineage differentiation and development is controlled by transcription factors

Expression of these transcription factors is influenced by the environment - e.g. cytokines mediates the way in which the precursor cells differentiate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are small lymphocytes, plasma cells, dendritic cells and mast cells?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are dendritic cells?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What are the roles of NK cells, Neutrophils, Monocytes and Macrophages?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Macrophages Visualization?
26
What does opsonisation mean?
Opsonization is coating a pathogen with a molecule that facilitates its uptake, e.g. antibodies and complement
27
How do macrophages normally respond to the presence of pathogens (2 things)?
28
Outline the role of Neutrophils in response to infection
29
What are eosinphils, basophils, Megakaryocyte and Erythrocytes?
30
What is the primary/central lymphoid tissue?
**Primary** (or central) lymphoid tissues - where lymphocytes develop (produced, mature and selected), this happens in… **Bone marrow** - Naïve B-cells released by Bone marrow + T-cells start in bone marrow but move to the Thymus **Thymus** – bi-lobed organ at the top of the chest - development of T-cells
31
What are the secondary/peripheral lymphoid tissues?
**Secondary (or peripheral) lymphoid tissues** - where adaptive immune responses initiated and lymphocytes maintained - **lymphocytes are activated + maintained in the secondary tissues** _Where are these secondary lymphoid tissues found?_ 1. **Lymph nodes** - Located all-over but specifically at sites of potential infection – drain mucosal sites 2. **Spleen** 3. **Mucosa-associated lymphoid tissue** (MALT) - Peyer’s patches (Gut) - Tonsils - Appendix - BALT – Bronchus (lungs)
32
How are immune cells circulated through the body?
33
Role of the primary lymphnoid organs?
34
Outline the development of T-cells from the bone marrow to their presence in secondary lymphoid tissues
35
Outline the cellular organisation of the thymus
Cellular organization of the thymus Bi-lobed organ, lying over heart and major blood vessels
36
What is the trend in T-cell production as we age?
37
What does Cluster of Differentiation (CD) refer to? What is it used for?
38
Outline the first stage of development/maturation of T-cells in the thymus, whereby T-cells form 'double-negative’ thymocytes.
39
After creating double negative t-cells in the thymus, how do we end up with mature t-cells?
Research how we go from double negative to double positive
40
Where in the thymus do we get positive and negative selection of thymocytes? Why are these processes important?
41
How is +ive selection in the thymus thought to happen?
CD8 or CD4 selection? **Instructive model**, signals received through CD4 shut off the CD8 gene and cause the cell to differentiate into a Th, while signals received through CD8 shut off CD4 expression and induce Tc differentiation. According to the instructive model, the cell could go equally easily down either pathway and the first strong enough signal decides its fate. **Stochastic model**, the cell is somehow randomly committed to becoming either a Tc or a Th before positive selection. If it gets the correct signal during positive selection, it proceeds down its predetermined pathway; if it doesn't get signaled through the correct co-receptor, it dies.
42
How is -ive selection thought to happen in the thymus?
43
Provide a general summary of T-cell maturation and differentiation in the thymus
44
Once B-cells and T-cells have matured and entered circulation, where do they go?
45
What is the general structure of a lymph node?
46
If a dendritic cell picks up an antigen in a peripherical tissue (site of infection), what does it do next?
47
How do Naive T and B lymphocytes enter into the lymph node?
48
How does activation of naive lymphocytes in the lymph node occur?
49
Outline the proces of B cell activation via specialised Follicular Dendritic Cells
50
How do lymphocytes cirulate through the body?
51
What is the structure and role of the spleen?
52
Where are secondary lymphoid tissues normally found?
53
What are Peyer’s patches (GALT)?
54
How could you divide up a immune response in accordance to time since the begining of infection?
55
What does the immediate immune response entail (0-4 hours)?
56
What does the early induced response entail (4-96 hours)?
57
What does the adaptive immune response (late) entail (\>96 hours)?
58
What key event has to take place to intiate the innate immune response?
59
What are the four different mechanisms by which innate immune system detects foreign organisms?
60
What makes a good PAMP (pathogen associated molecular patterns)?
61
What are some bacterial PAMP examples? What PAMPs are common in gram +ive, -ive and mycobacteria?
62
What fungal PAMPs are detected by the innate immune system?
63
What are the two different broad categories of PPRs (pattern recognition receptors) and what role does each type play?
64
What are Phagocytic receptors (PRRs) and what do they do?
65
What are signalling receptors (PRRs) and what do they do?
66
Provide three examples of Signalling PRR’s in animals + what type of cells usually express them?
67
What is the structure of Toll-like receptors?
68
What two feature characterize TLRs?
69
Of TLRs 1-9, what is their localization in the cell? What are the consequences of receptor activation?
70
What proteins do cell surface TLRs normally signal via?
71
Role of NFκB in TLR’s downstream signalling?
72
How do the innate and adaptive immune system recognize the presence of viruses?
73
Role of endosomal TLRs in viral detection & response (innate immune system)?
74
Outline how endosomal detection of viruses via TLRs takes place?
75
Why do antiviral TLR’s depend on recognising endosomal nucleic acid?
Viruses are detected as **nucleic acids in the wrong place** because they’re otherwise indistinguishable from host --\> create from host proteins Futhermore, extracellular animal viruses are basically never in the form of exposed nucleic acids So one needs to 'catch' the virsu when it uncoats in the endosome
76
Outline the activation of IRF3, in response to endosomal TLR activation
Endosomal pathways activate a second transcription factor, IRF3 IRF3 is key transcription factor in engaging the antiviral response in mammals Endosomal (primarily) TLR activation triggers a signalling pathway that results in **phosphorylation of IRF3 using TBK-1** (activated by TRIF), facilitating dimerization and nuclear localisation of IRF-3, where it drives transcription of its target genes (but not completely exclusive to endosomal pathways) **Key target is type 1 interferons** (specific class of antiviral cytokines)
77
What proinflammatory cytokines and chemokines are produced in response to TLR-NFκB activation?
78
What is the mechanism behind controlling IL-1 expression?
79
Why is the presence of cytosolic/intracellular bacteria a problem?
80
How are cytosolic bacteria recognized by the host cell?
81
Explain how NLRs help create the inflammasome complex and how that drives production of IL-1β and how it fits into the bigger picture of TLR/IL-1R activation?
82
What are the two inputs required for IL-1 amplification?
1. Extracellular signal (microbes) --\> TLR, IL-1R and TNFR --\> priming step producing pro-IL-1 & inactive NLRP3 2. Intracellular signal (microbes, ROS production, K+ efflux) --\> inflammasome activation
83
How does viral detection in the cytosol take place? What are the three classes of sensors?
84
Outline the different segments of a RIG-I like receptor? What downstream targets does it act on?
85
What are the specific viral RNA structures that are recognized?
86
What effect does TNF (cytokine) have? (secreted by macrophages and DCs)
87
What is the main target for Type-1 Interferon?
88
What cells are responsible for the production of Ifnα, Ifnβ and Ifnλ?
89
What are the consequences of Type-1 interferons?
90
Why do T cells that have not recognise any antigens leave the lymph node? Are there still other sites of antigen presentation?
Lymphocytes are constantly being circulated why? Because many of them will not get activated in their lifetime so to keep the system “unclogged” and moving there is constant circulation via the circulation and lymphatic system Lymph node is suited for antigen presentation but if they are not activated they are simply re-circulated
91
How do type-1 interferons enhance expression of tumour-associated surface antigens?
Ordinary Transcriptional mechanism - drives Stat TF heterodimer into the nucleus to drive expression of tumour associated antigens
92
Do B cells enter the lymph nodes using the same mechanism as T cells?
Yes, same mechanism but they tend migrate to a different site in the lymph node
93
If a target is too big to phagocytose, what can Eosinophil and Basophils do?
Eosinophil and Basophil don’t typically perform phagocytosis - Macrophages are the professionals But…. If the target is too big there are several mechanisms different effector mechanisms - Eosinophil binds to foreign invader and releases the contents of their secretory granules - Neutrophils can release extra-cellular traps
94
Difference between Phagocytosis and endocytosis?
Size of molecule taken up – phagocytosis is in relation to larger entities (cells) whereas endocytosis is normally associated to smaller molecules
95
How is heat produced as a side effect of inflammation?
Heat production due to **circulatory (warmer) loss** into tissues - heating up the tissue Alternatively... **Fever** - Systemic inflammatory heat production - cytokines signalling to the hypothalamus to set the body temperature higher --\> heat production via brown fat cells
96
What happens to complement C3 after it gets activated by random hydrolysis but there is no pathogen nearby to bind to?
C3 has a short half-life if cleaved via random hydrolysis
97
Can neutrophils recognise 3Cb via a 3Cr receptor and clear opsonized bacteria or is it just the role of Macrophages?
Primarily Macrophage role
98
Do cells express all 10 TLRs at once? Does it depend on the cell type to some extent?
TLR is cell type dependant But macrophages are critical for surveillance will express many/ if not all 10 TLRs at once
99
Is IL-1B mainly produced by immune cells?
Yes IL-1B receptors are widely expressed but the production is mainly confined to immune cells
100
What is the complement system?
101
Does the complement system require antibodies to function?
102
What are the names of the complement proteins in the complement system?
Complement components have a defined nomenclature, from the days when they were named as proteins from serum **C1-C9** are **classical complement components** **B, D, H, I** are **regulatory factors** that also play key roles When complement factors are cleaved, the products get a letter appended: so **C3 is cleaved to C3a and C3b** Complexes are often described by putting these names together: so C3bBb is a complex of a fragment of C3 and a fragment of B
103
Which complement pathway is the most common in the complement system?
The “alternative” complement pathway The most general/common complement pathway is called the alternative complement pathway - central protein in this pathway is C3 C3 is ordinarily present at high concentrations in serum
104
What reaction does C3 undergo at a small frequency? Outline the mechanism
105
What role does C3 cleavage play in the alternate complement pathway?
106
Where in the C3 protein does the thioester bond hydrolysis take place (which two residues)?
107
After activation of 3C in presence of a generic bacterium, what happens?
108
When we get amplification of 3CBb on the surface of a bacterium, what does this refer to (process)?
109
What higher order complexes form in the alternate complement pathway?
110
What are the respective functions of C5a and C5b?
111
Outline the mechanism by which membrane attack complex (MAC) is formed?
112
Summarize the alternative complement pathway (all the different mini-pathways)
113
What is the classical complement pathway?
The “classical” complement pathway: **a role for antibody** **The “alternative” pathway** (initiated by spontaneous C3 hydrolysis) drives 80-90% of successful complement activation **The “classical” pathway** affords a mechanism for complement to be activated by specific antibodies  it helps to recruit complement to the bacteria - Explains why previous exposure to bacteria increases the efficiency of the mechanism - An example of adaptive immunity using innate immune mechanisms to promote microbial killing – Recurring theme the adaptive immune system uses innate mechanism as an effector to kill foreign invaders
114
What antibody gets involved in the classical complement pathway?
115
Classical complement pathway - What Complement protein binds to the antibody + consequence of binding?
116
Classical complement pathway - After C1 binding, what is the next player(s) to get involved?
117
Classical complement pathway - Upon C4bC2a binding, what happens next? Hint - What other pathway is recruited?
118
How does the complement pathway facilitate phagocytosis by macrophages/recruiting innate-immune system?
119
Does the classical complement pathway only rely on antibodies?
**The mechanisms of the “classical” pathway generalises to other circulating receptors (not only antibodies)** - The best studied example of this is the MBL (mannose-binding lectin) pathway **MBL binds mannose** (on the surface of some bacteria, fungi, protozoa, but not animal cells), recruits **MASP1** and **MASP2** (MBL-associated serine proteases; analogous to C1r and C1s) **MASP1/2 cleave and activate C4, then C2**, as in the classical pathway – **feeding back into the C3 alternative pathway** These mechanism are important but are less frequently used for activating complement
120
What is the key central protein in the complement pathway?
121
Why is it important to control the complement pathway?
122
Outline the role of regulatory factors: H, I, P, CD46 in controlling the complement pathway
123
How do we know complement is important?
- We can examine people that lack complete functioning complement system - Several bacteria have developed mechanisms to avoid it
124
What are the consequences of complement deficiencies?
**1. People who lack C1q or C2** (specific to classical pathway) have **autoimmune disease** – potentially due to failure to clear complexes of cell debris with antibodies? **2. People who lack C3** are susceptible to infections with many pyogenic bacteria, mostly gram-negative but also some gram-positive 3. **People who lack MAC components** (C5-C9) are similar, slightly weaker phenotype, particularly susceptible to Neisseria meningitidis Shows us that phagocytosis and MAC can compensate for each other when one is lacking but this is less likely for Neisseria meningitidis infection
125
How do bacteria evade complement-mediated killing?
Large number of mechanisms to evade complement 1. Polysaccharide capsules 2. Inhibition of antibody binding – prevent classical pathway 3. Mimickry of host cell surfaces 4. Hiding inside host cells
126
How do bacterial capsule impair complement?
Polysaccharide Capsule is common is bacteria that can cause blood infections 1. **Capsule (dense) excludes efficient diffusion of C3 to bacterial surface**—so that activated C3 is mostly exposed to capsule - Consequently, C5 convertase is bound at capsule surface, efficiency of membrane attack is severely diminished 2. Diffusion within the capsule is inefficient—so that the **effective distance between activated C3 convertase complexes is high**, reducing the effectiveness of amplification - Diffusion barrier 3. **Capsule also inhibits phagocytosis**, both by increasing the effective size of the bacterium and by making it hard to effectively bind its surface (main) - mucus like capsule – hydrated Polysaccharide
127
Are capsules still a targetted by complement and antibodies?
For many bacteria (e.g. Streptococcus pneumoniae, Haemophilus influenzae) serovars are defined by antibody specificity for specific capsule compositions - **Capsular polysaccharides are recognized as non-host** (because there are antibodies) - **Capsular polysaccharides are diverse**, even within very tight bacterial groupings indicating a selective pressure.... meaning that antibody binding to capsule is still unfavourable – mostly likely indicating that complement activation at the capsule still hurts the bacteria but not as effective
128
How does Streptococcus pyogenes mimics the host - avoiding the immune system?
129
How does Neisseria meningitidis uses mimickry and interference to avoid the immune system?
130
How does Staphylococcus adopt mutliple mechanisms to avoid the immune system?
131
What are the two principal ways that Antibodies combat infection/effector mechanisms?
132
Whart is the structure/components of a generic immunoglobulin/antibody molecule?
Basic structure of antibodies is a **4 chain unit** – 2 identical H chains (5 types) and 2 identical L chains (2 types) --\> a single lymphocyte (plasma cell) produces one type of antibody Each chain unit has a variables domain and constant domain(s) - Generally, 3 C domains in H chain, some have 4 Note - Heavy chain type defines Antibody Class/sub-class – Why? The heavy chain interacts with cells in different ways **Each immunoglobulin (Ig) domain is about 110 amino acids** – stabilized by S-S bond + 4 chain units held together by S-S bonds
133
Are anitbody molecule bifunctional?
Antibodies are bifunctional molecules, mediating a) **antigen binding** – Variable domains b) **Various biological activities** such as complement fixation, cell binding, crossing tissues e.g. placenta, mucosal epithelium - **Constant domains**
134
What did papain and pepsin digestion of antibodies reveal about their function?
135
What specific region in VL and VH provides specificity in binding?
136
When the variable domains are folded, what happens to the CDR regions?
137
What type of interactions are formed between CDRs and the antigen?
138
Do protein antigens contain multiple epitopes? How are these epitopes categorized?
139
What is meant by polyclonal antibodies and monoclonal antibodies?
**Polyclonal** - antibodies which recognize different epitopes **Serum antiboides are polyclonal** - The normal response to infection/antigen exposure is polyclonal since antibodies from multiple cells/clones of cells have been produced each with own binding specificity and binding affinity **Monoclonal** - antibodies made by a single plasma cell are IDENTICAL in sequence – bind one epitope with specific affinity The precise specificity of Monoclonal Abs gives multiple diagnostic/therapeutic uses - targeting drugs to particular sites in the body
140
Originally, how were monoclonal antibodies produced?
Originally monoclonal antibodies were created by 1. Injecting antigen into mice 2. Removing spleen plasma cells 3. Hybridize with myeloma cells to form hybridomas (immortalize) 4. Dilute the solution so that when plated into a well you have a single cell per well - isolate monoclonal antibodies Nowadays, it easier to engineer them genetically
141
When using antibodies for treatment of diseases, what should we keep in mind?
142
What are the different immunoglobulin classes?
143
Does each antibody isotype has specialized functions?
144
What happens during B cell activation once it has been presented a new foreign antigen?
145
Outline the changes that take place on the antibody level during a primary and secondary infection
146
What is the general structure of IgG subclasses (1-4)?
147
Examine the table of that highlights similarities and differences between the IgG subclasses
148
What is the structure of the secreted pentameric form of IgM?
149
Where is IgA normally found and what form is it in?
150
Outline the process by which dimeric IgA gets produced and secreted into the mucosal sites?
151
Outline how cross-linking of IgE antibodies on basophils or mast cells causes degranulation
152
Do Fc receptors have different structures and cellular distributions?
153
What are the different responses when a Fc receptor binds to a antibody bound to pathogens/antigens?
154
What was the theory presented by Dreyer and Bennetts model (1965)?
- V-region and C-region encoded by separate genes which create one protein - Went against one gene = one polypeptide dogma - Hundreds or thousands of V genes and single copy C genes - No direct evidence, without precedent in biology
155
Why did Tonegawa and Hozumi (1976) win a Nobel Prize (generation of immunoglobulin diversity)?
**Tonegawa and Hozumi** (1976) - 1987 Nobel Prize Used restriction endonucleases to prove **gene rearrangement to provide wide degree of diversity observed**
156
What chromosome are the genes for antibody heavy and light chains found on?
157
How many gene segments are present for heavy and light chain variable regions?
**DNA sequence encoding a V region is assembled from 2 or 3 gene segments** **Light chain** V region encoded by **V (variable) and J (junctional) gene segments** **λ chain** has roughly 30 variable gene segments and 4 junctional gene segments which are arranged in tandem with constant regions --\> L is the leader peptide to acts as a signal peptide **κ chain** has roughly 35 variable gene segments, 5 junctional gene segments and one constant gene segment **Heavy chain** V region encoded by **V, D (diversity) and J gene segments** Locus contains 40 variable gene segments, 6 junctional gene segments, 9 constant gene segments and 23 diversity gene segments - **VJ (light chain) or VDJ (heavy chain)** gene segments must **first be selected and assembled to produce an exon** that can be transcribed - Gene segments for **Constant regions (C) and Leader peptide (L) are ready to be transcribed**
158
Explain how recombination of variables regions in both heavy and light chains takes place and which gene segements are responsible for CDR1-3?
159
How does recombination of gene segements create combinatorial diversity?
160
What allows the recombination of the V, D and J segements to take place?
161
What enzymes are responsible for the recombination that gives rise to combinatorial diversity? Outline a general mechanism of action?
162
How does the 12/23 rule prevent ‘D’ gene segment from being claved out?
‘D’ gene segment is flanked by nucleotide spacers that are 12 bases long --\> needs to be matched with a 23 nucleotide spacer from VH and JH to uphold 12/23 rule
163
What is junctional diversity?
**Junctional diversity** created by addition and subtraction of nucleotides at the joints between gene segments
164
Outline how junctional diversity arises via the creation of new palindromic nucleotides and the addition of nucleotides?
165
What is somatic hypermutation and how does it lead to even more diversity?
166
Explain how somatic hypermutation allows for the selection of B cells with the highest affinity antibodies?
**Process is called - AFFINITY MATURATION** If mutation is in antigen binding site (CDR) and increases affinity of binding, B cells with **high affinity receptors preferentially selected to mature to plasma cells** Illustrated experiment shows **mutations in CDRs following immunisation** - increase in mutations across all CDR regions the after 2 week following 1o immunization **Somatic mutation increases** number of **antigen specificities** to over 109 variants – once increased variation is created the antibodies with highest affinity are selected - extremely rapid evolution to keep pace with pathogen antigenic variation **How?** Highest affinity antibody on B-cell – more likely to bind/be selected against antigen during maturation
167
Once we have produced our Variable regions, how do we get our constant domain in our exon coding for our chain unit?
168
Using IgM and IgD as an example, explain how the cell adds/joins the constant domains to the variable domains?
169
Explain how a B cell produces immunoglobulin of a single specificity given that we have two allelic copies of the H and L chains (paternal and maternal)?
170
What 'general' process governs whether the antibody is membrane bound or secreted? When do B cells normally express MB and secreted antibodies?
171
What is the difference between membrane bound and secreted IgM?
172
What does antibody classs switching refer to?
173
In simple terms, what happens duroing class switching on the genomic level and what governs which class is produced?
174
Explain how the process of class switching takes place on the genomic level? Hint - switch sequences
175
Summary of changes in immunoglobulin genes during B cell development and maturation
176
In the context of B cell development when does combinatorial & junctional diversity + somatic hypermutations take place?
**Note** - high rate of proliferation of B-cells is coupled with somatic hypermutation – allows for affinity maturation – **Check**
177
What gets presented on the self-surface as an antigen?
Anything in abundance within the cell can be screened and be presented on the surface as an antigen - antigen presenting cells Intracellularly, there is no way to distinguish any foreign or self-antigen --\> everything is presented
178
In the cleavage of C3, what happens if c3b reacts with water instead of hydroxyl or amine group?
Binding to hydroxyl from water results in conformational change allowing for factor B binding to form active complex C3(H2O)Bb in solution but this is **less stable in comparison to being bound to a microbial surface** Most spontaneous C3 activation is non-productive most of the time - requires binding to microbial surface hydroxyl or amine to lead to productive amplification
179
How does factor D activate Bb?
Factor D is a serine protease - cleaves B and active serine protease Bb remains bound to C3
180
What is an example of indirect detection of microbes?
Any detection of infection that **does not rely** on direct detection of molecules (PAMPS) produced by microbes themselves, examples include… DAMP detection – danger signals from endogenous cells Damage detection
181
Why do we need multiple B-cell receptors to cross-link to their antigen to produce a response?
Basically, multiple B cell receptors required to bind to their target in order to induce a response - pass threshold to induce signal transduction pathway
182
What is the function of the secretory component that is left bound on IgA when it is secreted?
No concrete answer - potentially provides protection against enzymatic degradation and stabilization of the dimeric molecule
183
What determines whether Fc region of IgG binds to complement C1 complex or to Fc receptors on e.g. myeloid cells? Is it a stochastic event?
Yes, it is a stochastic event but the **proportion of receptors** at a particular target will influence the likelihood of binding
184
Why is the expression of Fc receptors lower in lymphoid cells than myeloids?
Purpose of Fc receptor - convert antibody-antigen binding into an effector mechanism Since myeloid cells carry out most of the effector mechanism this accounts for high expression of antibody receptor (Fc receptor) But Lymphoid cells do perform some effector functions – NK cells
185
Does AID convert C to U on ssDNA or RNA?
ssDNA during strand separation during transcription
186
What is the role of booster vaccine dose?
**Antibody level** - After the exposure to antigen we get antibody production which remains in circulation but eventually due to their half-life they will naturally decline But... Memory Cells – **Booster shot amplifies the number of memory cells by several orders of magnitude** - allows for the quick response and production of plasma cells upon re-exposure Likely also produces a further round of hypermutation and affinity maturation increasing the antibodies affinity
187
How are the high affinity antibodies selected for during Affinity maturation?
Through Equilibrium – antigen in limited supply, hence the cell with the highest affinity antibody is more likely to bind
188
Is the J chain part of the immunoglobulin or is it a distinct peptide that associate with it?
J chain is a distinct chain (different gene) but it is required for multimeric assembly in ER
189
General structure of TCR? What is their role?
190
What structure does the T cell receptor resemble?
191
How is TCR diversity created?
192
Similarities and differences between the process of diversity generation between TCR and antibodies?
193
What are the different components of the T-cell receptor?
194
Apart from the TCR complex, what other co-receptors are found on T-cells? What role do they play?
195
What MHC class do CD4 and CD8 recognize respectively?
196
What are the different roles that CD4 and CD8 T-cells perform?
197
Apart from the antigen specific signal, what other co-stimulatory signals are required for T-cell activation?
198
Are both main and co-stimulatory signals required to activate T-cells? Related to this, why do self-reactive T-cells that escape negative selection not become activated?
199
When a T-cell and a DC interact with eachother, what 'structure' is formed and how is it organised?
200
Explain the mechanism T-Cell signalling upon binding to MHC
201
Do both naive and activated effector T-cells require a co-stimulatory signal?
202
What role(s) do Effector Helper T cells (Th Cells) normally perform?
203
What are the different functional classes of CD4+ T cells? What factor determines their differentiation and what role do the following T-cells perform... a) Th1 b) Th17 c) Th2 d) Tfh e) Treg
204
What role do Cytotoxic T cells normally perform? What factors helps to regulate the strength of its response?
205
What role do γδ T cells perform? Do they need any co-receptors?
206
Compare αβ and γδ T cells 1. Site of development 2. Gene diversity/receptor diversity 3. Co-receptors 4. Target antigens 5. Region within the body with highest conc. 6. Activation
207
Is γδ receptor expression (V gene segments) is tissue-specific?
208
Example - What do Vγ9:Vδ2 T cells (γδ) recognize?
**Phosphoantigens** - Phosphorylated intermediates of isoprenoid biosynthetic pathway – e.g. HMBPP made by bacteria & parasites i.e. foreign antigen 1. HMBPP binds to CD277 (butyrophylin-3A1 (BTN3A1)) on tissues cells (structurally similar to B7 protein) 2. This is then presented and recognized by Vγ9:Vδ2 T cell receptor 3. γδ cell activation - Receptors of innate immunity
209
What is CD1? Hint - Type of Antigen presenting molecule
210
Example of CD1 and γδ recognition in action
211
Outline the structure of MHC class I and class II molecules?
212
What accessory molecules allow direct binding of T cells to class II and class I MHC molecules?
213
How are peptides being presented bound to MHC 1 and MHC 2?
214
Compare the peptide binding of class I and class II MHC molecules
215
How do peptides from antigens become processed and displayed in the MHC molecule at the surface of the cell?
Peptides destined for presentation by class II and class I mols come respectively from external (extracellular) or internal sources (intracellular)
216
In the MHC class I presentation pathway, what happens to the proteasome complex upon infection?
217
In the MHC Class I Pathway, how are Cytosolic proteins degraded in proteasome and transported into ER?
218
Outline the process by which peptides are loaded onto the MHC Class I - Dig deep goggins style lmao
219
How does peptide trimming of peptides on MHC Class 1 molecules found in the ER?
220
In simple terms, how are peptides loaded onto MHC class II molecules?
221
Give a detailed explanation of peptide loading onto MHC class II molecules?
222
Can MHC class I present external antigens? If so, how does this happen?
223
Once MHC displays antigen on the cell surface, can they now be recognized by T-cells?
224
Outline the peptide-MHC:T cell receptor complex upon T cell receptor binding?
225
How are MHC class I and II distributed across the cells in our body?
226
Are there different types of MHC Class I or Class II molecules?
227
Explain how MHC class I, II and III genes are organised
228
Are MHC genes highly polymorphic? What decides the MHC happlotype of an individual?
229
Where does the variation between MHC allotypes occur?
230
Do MHC class I and II peptides have a peptide binding motif's?
231
What is MHC restriction?
232
Do infectious diseases have a selective pressure on MHC diversity?
YEAHHH buddy
233
How are new MHC alleles created?
234
What are cytokines? What function do they play and how can they act on target cells?
235
Do most cytokines exhibit autocrine, paracrine and endocrine activity?
236
Do cytokines exhibit pleiotropic effects?
237
In the context of cytokines, what does redundant, synergistic or antagonistic refer to?
238
What are the 5 structurally distinct cytokine families?
239
What function do Haematopoietic cytokines play?
240
Explain the role of IL-2 in T-cell expansion/proliferation
241
Explain the mechanism of IL-2 in Proliferation and differentiation of activated T cells
242
How do TFH cells aid in the expansion of antigen-activated B cells in lymph nodes using cytokines?
243
Do cytokines from TH cells regulate B cell Ig class switching?
244
Do cytokine receptor families common features 1. Class I 2. Class II 3. IL-1 family 4. TNF receptor 5. Chemokine receptors
245
What commonalities do Class I cytokine receptor subfamilies have? 1. GM-CSF subfamily 2. IL-6 subfamily 3. IL-2 subfamily
246
How does sharing signalling subunit helps to explain redundancy of action and antagonism (competition) between cytokines in subfamily?
247
Outline the general model of signal transduction mediated by most class I (haematopoietin) and class II (interferon) cytokine receptors? How is this pathway controlled?
248
Do all Class I and Class II cytokine receptors have the same JAK/STAT signal transducers?
NAHHHHH m8
249
What role does the cytokine environment play in the activation and development CD4+ T cells?
250
How does the initial cytokine environment come about to manipulate T-cells activation and development?
Potential factors 1. Produced locally by lymphoid follicles 2. Innate response to microbes e. g. Bacteria have specific PAMPs that induce IL-12 and IFN-g e. g. Parasitic worm have specific PAMPs that induce IL-4 production or damage to epithelial cells leading to IL-4 release
251
Using two examples (Viruses/Bacteira + Worms), explain how the presence of specific pathogens manipulates the cytokine environment?
252
What are the two main factors to consider when it comes to the cytokine environment present?
Two main factors to consider 1. **Innate immunity** (response to specific pathogens) primes and guides adaptive immunity  e.g. Influencing the T-cell response 2. **Epithelial cells** also act as initial source of polarizing cytokine
253
Outline how TCR and cytokine receptor activation influence production of Th1 and Th2-promoting transcription factors resulting in T-cell differentiation?
254
What cytokines are produced by Th1 cells and what effect do they have?
255
What cytokines are produced by Th2 cells and what effect do they have?
256
Summary - What are TH1 and Th2 cells used for in the body? Under what circumstance are they normally expressed?
257
Do CD4+ T cells and CD8+ T cells have secrete different cytokine profiles?
YEAHHHHHH BUDDYYYYY
258
What are the two types of Cytotoxic Lymphoid cells?
259
How do virally infected cells induce NK cell cytotoxic activity?
260
Apart from being cytotoxic, how do NK cells activate macrophages cytotoxic activity?
261
How does antigen recognition in NK cells work? How does it know which cell to attack?
262
Do NK cells express a diverse range of activating & inhibitory receptors? Provide example
263
Provide an example for NK cells being activated by the innate immune system and the adaptive immune system
264
Outline the general mechanism by which CD8 T-cells and Nk cells induce apoptosis of a target cell
265
Can a single Tc and NK cells kill multiple targets?
Yes but.... Reset time - Killing of multiple cells requires re-synthesis of granules with lytic contents
266
Explain the importance of perforin for NK/Tc cell induced apoptosis and how the mechanism works
267
Outline the structure of perforin monomer and how the different regions aid in the formation of the perforin pore
268
What does the attached image show us (Note - CD8 T-cell in action)
269
What are granzymes?
270
What is one key target of Granzyme A?
271
How does granzyme B mimics caspases in order to induce apoptosis?
272
What is the main difference between cytotoxicity induced by myeloid cells and lymphoid cells?
273
What different modes of cytotoxicity are exhibited by Macrophages and neutrophils?
274
Explain the mechanism by which oxidative burst is used by neutrophils and macrophages to induce apoptosis and why this may result in death of the myeloid cell during the process?
275
How are defensins (oxygen-independant killing) are used by myeloid cells to inducing apoptosis?
276
How to nuetrophils induced cytotoxicity of a pathogen if it's too big too Phagocytose? Hint- NETs
277
How does Nitric oxide (oxygen dependant) induce toxicity and how is it produced?
278
How are the cytotoxic granules in Eosinophils different?
279
Takeaway message about Myeloid and lymphoid cell cytotoxicity?
1. There is significant redundancy in methods of cytotoxicity in myeloid and lymphoid cells - covers as many bases/situations as possible 2. Lymphoid cells and myeloid cells have different methods of inducing cytotoxicity 3. Lymphoid cells can be recycled whereas myeloid cells can not
280
During affinity maturation of antibodies, where do the mutations in the heavy chain go to?
Mechanism by which AID targets the CDR (hypervariable region)
281
Can anergic T cells become active again?
Yes, they can be active once entered into an anergic state
282
For a particular cytokine that has more than 1 effects on e.g. B cell, is it due to the binding to different isotypes of receptor?
Possible binding to different isotypes but it is likely that there are other signalling components at play
283
What is the missing-self hypothesis and where does it comes form? (Nk cells)
MHC I used by TCR to recognize self-cells - different class I MHC isotype is the cause of organ transplant rejection MHC I represent your **personal immunological signal** Missing self-hypothesis - refers to **virally infected cells decreasing MHC I expression to prevent recognition by cytotoxic T-cells** - This is where NK cells come in
284
In myeloid cells are there any mechanisms to detoxify HOCl when produced?
Nope not really according to Shelkirk - **will only reduce in levels by acting on targets** During an inflammatory response we get a build-up of macrophages and neutrophils which can create HOCl, resulting in tissue damage Myeloid cells limit this tissue damage by **phagocytosing the pathogens creating a barrier** to other cells/tissues but tissue damage is inevitable - Results in health complications even after infection - Long-term covid