TBL 8 Flashcards

1
Q

how does the overall process of DC getting to the lymph node work ?

A
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2
Q

what are the roles of Th1 cells?

what signals activate them, and what do AB do they produce?

what type of pathogens are killed

A
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3
Q

what are the roles Th2 cells?

what signals activate them, and what do they produce?

with what AB can we block the action of this cell?

A

Dupe makes feel better when I have allergies x4!!

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4
Q

what are the roles Th17 cells?

what signals activate them, and what do they produce?

with what AB can we block the action of this cell?

clinical correlation?

A

Il 6, TNF beta, IL-23 differentiate these cells

RORyT = transcription factor

for extracellular pathogens

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5
Q

what are the roles Tfh cells?
what signals activate them, and what do they produce?

A

produces long immunological memory!

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6
Q

what are the roles Treg cells?

what signals activate them, and what do they produce?

A
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7
Q

what are the major mechanism of killing for CD8+?

A

“CD8 T cells ‘PFC’ the kill: Perforin, Fas-FasL, Cytokines.”

P stands for Perforin (which allows Granzyme entry).
F stands for Fas-FasL (the death receptor pathway).
C stands for Cytokines (such as TNF-α and IFN-γ).
By remembering “PFC,” which can stand for “Protective Forces of Cytotoxicity,”

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8
Q

central memory T cells vs effector memory T cells?

how does CCR7 and CCR5 play a role

which one contributes to the activation of B cells

A
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9
Q

cental tolerance vs peripheral tolerance?

what TF induces the tissue expression protein in the thymus?

what are the modes of killing in the peripheral tolerance?

A

peripheral tolerance is A TAP away!

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10
Q

what are the modes of killing in the peripheral tolerance? in deatail

A

immune privilage locations dont trigger immune response because mode of killing is very specific.

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11
Q

When infection has been cleared, the B and T cells must be cleared so they dont cause damage. How is that done with T cell?

A
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12
Q

How does Fas- FasL help attenuate the T cell response after infection has been cleared?

A
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13
Q

How does PD1-PD1L help attenuate the T cell response after infection has been cleared?

what does PD-1 inbit ?

and why is PD1L a problem?

what drugs can block PD1L?

A

T cell will die because it is the one receiving the ligand signal.

cancer cells express PD1L so they produce apotosis of T cells, so they dont get killed

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14
Q

what drugs can block PD1?

A

Nivolumab or Pembrolizumab

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15
Q

what are the immune checkpoint proteins ?

A

PD1 and CTLA-4

because they block activation of T cells

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16
Q

How does CTLA-4-B7 interaction help attenuate the response of T cells?

what drug is an analog of CTLA-4?

A

CTLA-4 normally competes with CD28 for binding to CD80/CD86, preventing T cell activation, and abatacept mimics this function.

Aba and Bela take the brake!!

(belatacept -also to supress)

17
Q

How does Cbl-B and T regulatory cells help attenuate the response of T cells?

A

Cbl-B —- CD3 and TCR get ubiquinized

Treg; make TNF beta and IL-10 which supress immune system

18
Q

Severe Combined Immunodeficiency (SCID):

A
19
Q

DiGeorge Syndrome

gene

A
20
Q

Acquired Immune Deficiency Syndrome (AIDS):

how does the virus enter the cell, through what cell markers?

A
21
Q

Familial Hemophagocytic lymphohistiocytosis

A

Perforin Deficiency

22
Q

Autoimmune lymphoproliferative syndrome (ALPS):

A

proliferatative= fast

23
Q

CAR-T cell therapy:

A

Yescarta (axicabtagene)

YES Car!!

24
Q

What do these drugs do?

Prednisone

mycophenolate mofetil

Tacrolimus, cyclosporin

A

Tacotruck has cyclo wheels and inhibits T cell activation.

25
Q

additional immunosupressive agents

  • T cell-depleting antibodies: anti-CD25 monoclonal antibody (Basiliximab), anti-CD3 monoclonal antibody
  • Pooled intravenous IgG (IVIG)
  • CTLA-4 Fc fusion protein (Belatacept)
A
26
Q

drugs that block Anti-PD1 and Anti-PD1L monoclonal antibodies

A

For PD-1 (Nivolumab, Pembrolizumab):
“PD-1: Nice Person.”**

Ni for Nivolumab.
Pe for Pembrolizumab.
These mAbs block PD-1 on T cells, allowing them to stay activated and fight cancer cells.

For PD-L1 (Durvalumab, Avelumab, Atezolizumab):
“Durable Aves at the Zoo.”**

Dur for Durvalumab.
Ave for Avelumab.
Z for Atezolizumab.
These mAbs block PD-L1 on cancer cells, preventing them from turning off T cells by binding to PD-1.

27
Q

drug that blocks CTLA-4 to for Melanoma?

A

Ipilimumab (I=inhibit) (Yervoy)