The Immune System Flashcards

1
Q

What are the different components of innate immunity

A

Soluble factors such as antibacterial factors and complement system.
Cellular factors such as scavenger phagocytes

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2
Q

Name and describe different antibacterial factors

A

Lysozyme - These are enzymes present at mucosal surfaces which breakdown the cell wall of gram positive bacteria.
Lactoferrin - Protein found at mucosal surfaces. Bonds to iron, reducing the amount of soluble iron which inhibits the growth of bacteria

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3
Q

What are the different ways of activating complement pathways?

A

Classical pathway which is activated by antigen-antibody complexes.
Alternative pathways which is activated by pathogen surfaces.
Lectin pathways which is activated by lectin binding to pathogen. (least important pathways)

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4
Q

What occurs as a result of the complement pathway?

A
  • Recruitment of inflammatory cells,
  • Opsonization of pathogens
  • Killing of pathogens
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5
Q

Explain in more detail what occurs when the complement pathways is activated

A

C3 is activated into C3a (responsible for inflammation) and C3b (responsible for opsonization and phagocytosis). Activated C3 also activates C5 which leads to the membrane attack complex forming (causing lysis).

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6
Q

What are the primary cells of the innate immune system

A

-Macrophages,
-Neutrophils,
- Eosinophils,
- Basophils.

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7
Q

Describe features of macrophages

A

They have pattern recognition receptors (toll-like receptors) on the surface of the cell, which are activated by pathogens resulting in production of cytokines. They are responsible for clearance of pathogens, antigen presentation to T cells via MHC2 and produce cytokines to recruit other immune cells.
Called monocytes in the blood.

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8
Q

Describe features of Neutrophils.

A
  • Attracted towards bacterial products, chemokines and complement components.
  • Phagocytose and destroy bacteria
  • Can degranulate which causes the release of toxic granules (contain lots of DNA resulting in multilobed nucleus)
  • Die locally producing pus.
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9
Q

Describe features of eosinophils

A
  • Migrate in response to chemokines,
  • Degranulate causing the release of toxins onto the surface of parasites.
  • Produce cytokines which drives inflammation
  • Pathological role in allergy
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10
Q

Describe features of basophils (blood)/mast cells (in tissue)

A
  • Degranulate causing release of pre-formed granules containing cytokines and mediators (eg histamine),
  • Release cytokines to drive inflammation.
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11
Q

Describe features of dendritic cells.

A
  • Survey the contents of the extra cellular fluid.
  • Phagocytose pathogens but instead of destroying the pathogen it presents the antigen.
  • Migrate to lymphnodes where they will present the antigen
  • Antigen presentation to CD4 cells which activates the adaptive immune system.
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12
Q

Describe an overview of the adaptive immune system.

A

Two pathways:
Humeral immune response results in the activation of |B cells causing the release of antibodies.
Cellular immune response which results in the activation of CD4 T cells (helper T cells which direct B cells and CD8 T cells via production of cytokines) and CD8 T cells (Killer cells which targets intracellular pathogens like viruses).

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13
Q

Describe the structure and function of antibodies.

A
  • Consist of 2 light and 2 heavy chains. With a fab region which binds to antigen and the Fc region which binds to phagocytes.
  • They opsonise for phagocytosis, activate complement for lysis and neutralise toxins and pathogen binding sites.
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14
Q

Name and describe the different antibody isotypes

A

IgM - Main antibody in primary and early immune response. It has a low affinity but highly affective at complement activation
IgG - Main antibody of secondary immune response. Activates complement and opsonizes phagocytosis. Only antibody that crosses placenta so only antibody that is responsible for neonatal immune response.
IgA - Lines mucosal membranes and prevents the binding of pathogens (antiseptic paint)
IgE - High affinity for mast cells for has a role in allergy

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15
Q

What are the differences between primary and secondary immune responses

A

Primary (activation of B cells) - slower and smaller immune response. Primarily IgM then IgG.
Secondary - Faster and larger immune response. Occurs due to memory B cells which therefore respond faster upon secondary exposure to pathogen. IgG throughout response making it far more effective.

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16
Q

What are the functions of CD4 T cells.

A

Optimise B cell response:
- T cells directly stimulate the growth and development of B cells.
- Permits development into memory B cells,
- Triggers isotype switching from IgM to IgG, IgA and IgE.
- Causes affinity maturation

17
Q

Describe features of T cell receptors?

A

They are found on the surface of T cells and ONLY recognises antigens (only needs short peptide lengths) when it is presented by a MHC molecule

18
Q

How does the immune system prevent autoimmunity?

A
  • B cells develop in the bone marrow. If B cell strongly binds to self antigens in the bone marrow then the B cell dies via apoptosis before release.
  • T cells originates in bone marrow then migrate to thymus. Again, if strongly binds to self antigens then T cell dies via apoptosis in thymus
  • Activate of both B and T cells requires a co-stimulate (Danger signal) so without this, then the cell is likely to become anergic.
19
Q

What are the different MHC molecules and their features.

A

Class 1 MHC - Found on all nucleated cells and presents intracellular antigens only to CD8 T cells.
Class 2 MHC - Found only on antigen presenting cells and presents extracellular antigens only to CD4 T cells.

20
Q

What are the roles of different CD4 T cells?

A

They produce different combinations of cytokines in different contexts.
Th1 Cells - secrete interferon gamma. Activates macrophages
Th2 Cells - IL 4 (and others), Promote antibodies. host defence against helminth and allergies.
Th17 - IL-17 - Promote mucosal immunity and inflammatory disorders.
T regulatory cells - regulates function of other immune cells (can stop immune response)

21
Q

What are the primary and seconary immune organs?

A

Primary - Bone marrow and thymus.
Secondary - Lymph nodes, spleen, mucosal associated lymphoid tissue (MALT - mini lymphnodes)

22
Q

What are germinal centres?

A

Areas within a lymphnodes where replication of B/T cells occurs

23
Q

What is the important functions of the spleen?

A

Responded to encapsulated organisms and blood borne pathogens. It also removes dead/old RBCs