W3 Immune memory Flashcards

1
Q

What is the difference between a long lived plasma cell and a memory B cell?

A

Long lived plasma cells - consistently secrete low levels of antibodies even after the first infection is tackled, these antibodies act immediate on the second infection.
Memory B cells - must be reactivated on second infection by coming into contact with the antigen.

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

Where can memory cells be found?

A

Circulate in the blood and lymphoid tissue, log lived plasma cells often return to the bone marrow.

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

What is a primary immune response?

A

First time an individual’s immune system sees an antigen either by infection or vaccination.

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

What is a secondary immune response?
How is this different to a primary immune response?

A

When an individuals immune system sees a pathogen for a second onwards time.
The cells are antigen experienced and have immunological memory.
Response is quantitativly (amount) and qualitativly (quality) better, meaning often fewer or no symptoms.

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

What is meant by a safe dose of a pathogen?

A

Purposfully given in a manageable way, does not cause illness or death, such as a vaccine.

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

How long do memory cells often last?

A

Long lived plasma cells and antibody concentration remains at a higher level for longer, reducing by less than 25% over more than 30 years.
CD4 cells memory decreases faster reaching half life around 22 years.
CD8 cell memory is lost quicker again reaching half life at around 22 years.

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

How are short lived plasma cells produced?

A

A follicle B cell with a presented antigen is actived by a FH t-cell.
B cell proliferates and immediately some cells differentiate inot short lived plasma cells produce IgM antibody to give a faster response to infection
These plasma cells are produced before somatic hypermutation and often die later in the response by apoptosis.

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

How are long lived plasma cells produced?

A

After short lived plasma cells are produced the activated B cell enters the germinal centre, the cell undergoes somatic hyper-mutation and proliferates rapidly into large amounts.
B cells with higher affinity antibodies are activated by T helper cells hence selected for.
These will differentiate into plasma cells or memory B cells and leave the germinal centre.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

When does class switiching recombination occur for B-cells?

A

In the germinal centre, after the production of short lived plasma cells.
During the process / before the production of long lived plasma cells.

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

What are some characteristics of memory B cells?

A

Higher affinity for antibody than plasma cells - as undergoes further somatic hypermutation and affinity maturation by re-entering germinal centres
Produces class switched antibody.
Produces antibody faster
Higher levels of MHC2 and costimulatory molecules to attract helper T cells.

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

What type of class switched antibody do long lived B cells produce?

A

IgG and IgA

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

What are the two different types of memory T cells?

A

Two types, Central and effector memory T cells

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

How do memory T cell develop?

A

Naive T cell is activated by a dendritic cell to become an effector cell.
Some effector cells directly become memory cells (no action in 1st response = anergic as cannot respond to antigen)
Some effect cells carry out their function then die by apoptosis or become memory cells by becoming quiescent (dormant).

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

What are some features of central memory cells?

A

Have a CCR7 receptor.
Remain in lymph nodes so can move to any part of the body on secondary infection.
Behave similar to naive cells.
Not commited to Th1 or Th2 cell.
Long lived precursors can take longer to respond.

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

What are some key features of effector memory cells?

A

Reside in area of tissue where first infection occured
Immediate expansion on re-infection within this site
Express receptors for inflammatory chemokines so can be recruited to inflammation sites rapidly.
Committed to a lineage, Th2 Th17 etc
Produce cytokines quickly.
Have a CCR5 receptor.

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

What is meant by trained imunity?

A

When the innate immune system shows short term memory.
Can be caused by epigentic or metabolic reprogramming to cause enhanced effector functions.
Innate cells will give a large response such as production of more cytokines, more neutrophil migration.
Based on the idea that in the short term after an innate response the body may still be in an area where is is likely to be exposed to the pathogen again.

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

How is the innate system trained memory different to the adaptive system memory?

A

Trained immunity is shorter lived and properties eventually return to normal as if the memory never occured
Adaptive memory is longer lasting and cells do not return to normal.

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

What type of immunity should a vaccine trigger?

A

Vaccines needs to trigger an adaptive immune response to produce memory B cells and hopefully memory T cells.
This means the method used must be pathogenic enough to survive the innate response but not too pathogenic to causes illness.

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

What is the problem with the purpose and use of vaccines and how is this tackled?

A

The most vulnerable such as very young and very elderly have the most to gain from vaccination, however they are often immunocompromsied so have a least effective response to a vaccine
This is tackled by herd immuniy by vaccinating the majority the pathogen is less likley to spread to the vulnerable.

20
Q

What are the requirements when designing a vaccine?

A

Must be safe - not cause illness or death
Protective - against effect of pathogen
Give sustained protection - years.

21
Q

What considerations should be made when designing a vaccine?

A

Low cost per dose
Biological stability - different temperatures etc
Ease of administration
Low side effects.

22
Q

What is important to not about the side effects after a vaccination?

A

Side effects means an immune response has been raised, not that the patient has the disease.

23
Q

What are the five different types of vaccine?

A

mRNA vaccines
Live attenuated vaccines
Subunit or toxoid
Synthetic or conjugated
Whole inactivated pathogen.

24
Q

What type of pathogens have a live attenuated vaccine?

A

Rotavirus and MMR
- common style used as virus can still replicate so causes a strong stimulation to the immune response.

25
Q

How does a live attenuated vaccine work?
(traditional method)

A

The pathogen is isolated and cultured in human cells.
The pathogen is then used to infect a different animals cells (often a monkey).
Virus acquires mutations so better adapted to this host and less adapted to humans
This mutated version is then injected in the vaccine into a human.

26
Q

What is the new method that a live attenuated vaccine may work?

A

Isolate the pathogenic virus
Identify the virulence genes
Mutate or delete the virulence genes
Use mutated version in the vaccine.

27
Q

What are the advantages and disadvantages of a live attenuated virus vaccine?

A

+ immune recognition at multiple life cycle stages
+ long lasting immunity involving T cell memory
- could revert to a pathogenic strain
- may act as a virulent opportunist pathogen in immunocompromised patient
- need special storage conditions

28
Q

What type of pathogens have an inactive pathogen vaccination?

A

Flu and Polio

29
Q

What is the mechanism for making an inactive pathogen vaccine?

A

Isolate the live pathogenic organism.
Inactivate the pathogen with heat or formaldehyde.
Pathogen is structurally intact but dead or inactive so can’t replicate inside the body.
Inject in the vacine

30
Q

What are some pros and cons of an inactive pathogen vaccine?

A

+no pathogenic as can’t replicate
+ safe to use in immunocompromised people
+ easy to store and transport
- less effective than live so often requires booster
- does not induce CD8 cell immunity of an effective mucosal immunity
- failure to effectively inactivate the virus ay lead to a pathogenic strain.

31
Q

What is a conjugate vaccine?
What pathogen is an example of having a conjugate vaccine?

A

Conjugate vaccine includes an antigen for B cell response (polysaccharide) and an antigen for a T cell response (toxoid/protein). As some antigens don’t cause an effective response for both on their own, particularly in young children.
Meningitis C

32
Q

How does a conjugate vaccine work?

A

The B cell recognises the polysaccharide and takes up the whole molecule.
Presents the peptide/toxoid on the MHC2
The T cell recognises the toxoid and is stimulated to cause B cell activation and class switching.
B cell produces antibodies and memory cells develop.

33
Q

What are some advantages and disadvantages of a conjugate vaccine?

A

+ complete adaptive immune response
+ not pathogenic as only part of pathogen is used
+Can elicit protection in very young children
- Expensive to produce
- Don’t induce mucosal or CD8 cell immunity
- Need to be engineered to have a whole range of antigens to match different pathogenic strains.

34
Q

What is a pathogen component vaccine?

A

A vaccine containing only certain small parts of a vaccine.
Toxoid vaccines - tetanus
Subunit vaccine - whooping cough.

35
Q

What is a toxoid vaccine?

A

Bacteria cause harm through toxins.
Toxins are isolated, purified and inactivated.
The now called toxoid is reintroduced and causes an immune response without disease.

36
Q

What is a subunit vaccine?

A

Pathogenic bacteria are isolated
Specific protein that causes an immune response is isolated.
This antigen only is used in a vaccine.

37
Q

What are the pros and cons of pathogen components vaccines?

A

+ very safe no chance becomes pathogenic
+ easily stored and transported
-less effective at long lasting immunity
- Dont induce a CD8 or mucosal immunity
- Need to be engineered with a wide range of antigens to meet all pathogenic strains.

38
Q

What are DNA and RNA vaccines commonly used for?

A

COVID-19 and prostate cancer

39
Q

How does a DNA/RNA vaccine work?

A

Produce DNA/RNA strand that codes for viral antigen, insert into host cell.
Host cells expresses antigen on their surface
Activates a full immune response.

40
Q

What are the pros and cons of a DNA/RNA vaccine?

A

+ potentially effective against cancer
+ antigen presenting by MHC1 and MHC2 can trigger.
+ long term persistence of antigen
-Possibility of inducing tolerance if insufficient adjuvant given.

41
Q

What are adjuvants?

A

Compounds given alongside the antigen or pathogen within the vaccine to enhance the immune response.
E.g alum - clumps together so more noticeable
mineral salts or bacterial cell wall components
May give a danger signal, reduce the amount of antigen needed, aid delivery at mucosa.

42
Q

What are the new types of vaccine being developed?
What for?

A

Reverse Vaccinology - meningitis B vaccine
CAR T cells - leukemia
Dendritic cell vaccines - cancer and rheumatoid arthritis

43
Q

How does reverse vaccinology work?
Pros/cons

A

Examine the genome of the pathogen, select novel antigens
Synthetically produce antigens.
Test for effective immune response and antibody production
+ Quick development
+ No live organism
- Peptide may not bind to MHC
- Peptide needs to be large enough to bind to DCs

44
Q

What is the memory response to COVID-19?

A

Need to do more research (me)
May produce memory B and T cells.
Long lived plasma cells have been found in bone marrow
T-cell immunity was found at six months after the primary infection.

45
Q

How does CAR T cell therapy work?

A

Patient T cells are extracted
Virus is used to add DNA to T cells, so have a new antigen on their surface
Reinjected into host.
New antigen binds with higher affinity and more effectively to the cancer cell.

46
Q

How do dendritic cell vaccines work?

A

Dendritic cells are cultured in a lab (use patient own or stem cell derived from patient)
Dendritic cells are exposed to cancer cell antigens which they express on MHC2
Dendritic cells are injected back into he body where they travel to lymph nodes to activate lymphocytes.