Week 4 Flashcards

1
Q

T cell responses are self-MHC limited

A

T cell receptors only recognize antigens when presented by self-MHC; killer T cells in mouse will only recognize and kill infected cells in which antigen is presented by self-MHC

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2
Q

Development and selection of T lymphocyte

A

Immature T cell in thymus with double positive expression
Positive selection- checks all T cells for ability to recognize peptides self-MHC molecules, and those that don’t do not get a survival signal
Negative selection- T cells that have high affinity for peptide/self-MHC complex do not receive a survival signal.
Mature T cells go into thymic medullary

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3
Q

Signal transduction in T cell receptor

A

alpha/beta chain harbor antigen binding site, non-covalently associated epsilon, gamma, zeta, and delta subunits (CD3), receptor activation triggers downstream cascade that results in the gene regulation of cytokines

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4
Q

Signal transduction in B cell receptor

A

Antigen binds to IgM receptor, C3d attached to antigen binds to CD21 (complement receptor), ITAMs are phosphorylated in the cytoplasmic region of the IgM associated alpha and beta chains, SyK recruitment, upregulate transcription factors NF-kB, NFAT, c-myc, AP-1
Effector functions- clonal proliferation (mitosis), increased expression of cytokine receptors, secretion of IgM, migration out of lymphoid follicles

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5
Q

T cells and cytokines responsible for humoral response

A

B cell presents antigen/MHC and expresses costimulatory B7 molecule for CD4 T cell activation; T cell expresses CD40L and cytokines for B cell class switching, affinity maturation, switch to secretion, memory cells

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6
Q

Effector functions of antibodies

A

neutralization, opsonization, phagocytosis, antibody-dependent cytotoxicity, complement activation

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7
Q

Effector functions of different Ab isotypes

A

IgM- serves as BCR on naive B cells, low affinity and can be fixed by complement
IgD- found on naive B cells as a membrane bound receptor, not secreted
IgG- opsonization for phagocytosis, activation of the classical pathway of complement, antibody-dependent cell-mediated, neonatal immunity, feedback inhibition of B cell responses by crosslinking the BCR with inhibitory FC receptors expressed on B cells
IgA- mucosal immunity, secreted across mucosal epithelium onto mucosal surfaces, neonatal immunity, and secreted into breast milk
IgE- mediates antibody dependent cytotoxicity by eosinophils in the immune response against extracellular parasites, and is involved in the regulation of mast cell reponses

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8
Q

Regulation of complement system

A

C1 inhibitor- serine protease inhibitor that directly inhibits C1r and C1s
Factor I- inactivates C3b
Factor H- directly inhibits function of the alternative C3 convertase by binding C3b and displacing Bb
Delay-accelerating factor- expressed on endothelial and epithelial cells as GPI linked proteins that inhibit the formation of C3 convertase

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9
Q

TCR/CD3 complex

A

TCR alpha/beta chains have short cytoplasmic domains, the CD3 peptide (gamma, delta, epsilon, zeta) associated with TCR provides the signal transduction function, each contains an ITAM that gets phosphorylated to recuirt ZAP70 which is a downstream effector that eventually leads to upregulation of transcription factors

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10
Q

Understand the role of CD4/CD8 co-receptors, adhesion molecules (e.g. LFA-1) and co-stimulatory molecules (e.g. CD28 and CD40L) in the regulation of T cell activation

A

CD4/CD8 co-receptors are in very close proximity with TCR-antigen complex, expresses a tyrosine kinase p56Ick that promotes phosphorylation of ITAM and recruitment of ZAP70

CD28- expressed on all T cells and binds to B7 ligands expressed on activated antigen presenting cells, increases expression of cytokine and genes related to clonal expansion and differentiation
CD40L- expressed on T cells, CD40 found on dendritic cells, B cells, and macrophages, binding enhances antimicrobial activity of macrophages and upregulation of B7, and increases IL12, 23 expression
LFA-1- adhesion molecule to maintain TCR-antigen interaction, binds to ICAM-1

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11
Q

Understand the general features of cell mediated immune responses and delayed-type hypersensitivty

A

Cell mediated immunity

1) activation of macrophages by interferon gamma secreted by TH1 cells and GM-CSF and IL17 secreted by TH17 cells
2) lysis of infected cells by CD8+ CTL

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12
Q

Understand role of Th-1 derived cytokines in the regulation of DTH responses

A

naive CD4 cells in the lymph node get activated by antigen and up-regulate E/P selectin ICAM/VCAM-1 and CXCL10 to leave via efferent lymphatic vessel into site of inflammation using selectins and chemokine receptors, extravasate into inflamed tissue, interact with antigen, and secrete interferon gamma
DTH- macrophage accumulation at side of antigen challenge (perivascular)

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13
Q

Effects of cytokines on macrophage function

A

Activation of macrophages by CD4 effector cells: interferon gamma, upregulation of MHC and costimulatory molecules, secretion of IL12, TNF, chemokines, and IL1 by macrophage

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14
Q

Activation and differentiation of CTL’s

A

APC brings processed antigen presented by MHC Class I to naive CD8 cell along with co-stimulatory molecules, cytokines IL-2 and IFNgamma are needed to achieve activation, proliferation and differentiation

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15
Q

Mech. of cell-mediated lysis

A

Perforin mediated cell lysis

FasL mediated apoptotic cell lysis

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16
Q

Mech. of central tolerance for both B and T lymphocytes

A

T cell- positive and negative selection in the thymus
B cell- negative selection with induced apoptosis, those that escape outside of the bone marrow undergo receptor editing (antigen binding site)

17
Q

Mech. of peripheral tolerance

A
Clonal anergy (T)- when naive T cell encounters self-antigen presented by self-MHC with no co-stimulatory signal, T cell becomes unresponsive, even if with reintroduction of antigen presented with co-stimulatory
Clonal anergy (B)- high exposure to self-antigen inhibits BCR and prevents B cell entry into lymphoid follicles
Clonal deletion- T cells that have high exposure to self-antigen in the periphery are induced to apoptose via FasL-fas binding and downstream cascade of apoptotic effectors 
Treg cells- arise from antigen- T cell interaction, expresses Foxp3, may exert effect via IL-10 and TGF-beta 
Other examples- Th1, Th2, and Th17 all cross-regulate each other
18
Q

Understand the pathophysiology of autoimmunity: genetic susceptibility, role of infection, and how loss of tolerance contributes, specific disease examples

A

Inappropriate stimulation of co-stimulatory molecules due to infection
Epitope spreading due to local infection
Molecular Mimicry
Mutation or dysfunction of regulatory molecules (Fas, Foxp3)
Age, sex, genetic factors (MHC variants)

19
Q

Mech. of treatment of autoimmunity

A

IV administration of soluble Ag, IV administration of Ag conjugated with apoptotic APC or PLG, Altered peptide ligands (prevent phosphorylation of CD3)

20
Q

Immunology and genetics of graft rejection

A

Graft rejection is mediated by T lymphocytes or antibodies

Allogeneic and some inbred circumstances lead to graft rejection

21
Q

Mech. of alloantigen presentation and recognition

A

T-cell recognition of alloantigen

1) Direct- allo-MHC or allo-MHC+peptide
2) Indirect- allo-MHC is phagocytized/chopped up into peptides, loaded onto donor MHC on donor APC

22
Q

Understand the effector mechanisms involved in hyperactute, acute and chronic graft rejection

A

Hyperacute-mediated by pre-existing Ab, bind to donor endothelial cells and cause Ab-mediated hemmorhage and thrombotic occlusion of the graft vasculature, IgM (ABO carbs) or IgG (other alloantigens)
Acute- CD8 cells reactive with alloantigens on graft endothelium, result in destruction of parenchyma and epithelium
Chronic- CD4 cells–> Macrophages–> Cytokines–> Smooth muscle proliferation around the vasculature supporting the donor tissue

23
Q

Methods used to limit graft rejection

A

Match ABO blood types
Cross match for pre-existing antibodies against donor
Match MHC alleles (kidney/liver)
Immunosuppression
Blocking of activity of co-stimulatory molecules

24
Q

Bone Marrow transplant

A
  1. Patient with defects in hemopoeietic system or disseminated tumors are treated with chemotherapy and radiation to deplete own lymphoid compartment and bone marrow
  2. Stem cells (mobilized or in bone marrow) of donor is grafted
  3. Host and recipient must be MHC and sex matched
    GVHD- when host T cells build an immune response against alloantigens of the host
    Acute- cell necrosis of skin, liver and GI tract
    Chronic- fibrosis of skin, liver and GI tract
25
Q

Tumor evasion

A

Antigen-loss variant of tumor cell
Mutations of MHC genes
Expression of immunosupressors (TGFbeta and PD-L1

26
Q

Chemical Mediators

A

Vasoactivators- histamine, secretion
Proteins- complement, kinins, cytokines/chemokines
Lipids- leukotrienes, prostaglandins, PAF

27
Q

IgE-antigen/C3a+ C5a

A

Histamine release from mast cells/basophils

1) arteriolar dilation with increased blood flow
2) contraction of venular endothelial clles
3) vascular permeability

28
Q

Released from membrane of leukocytes–> PAF

A

1) vasodilation
2) increased vascular permeability
3) adherence of leukocytes to vascular endothelium
4) chemotaxis
5) increased prostaglandin synthesis

29
Q

Membrane phospholipids

A

C5a–> Phospholipase A–> arachidonic acid

1) PGD/PGE/PGF–> vasodilation and potentiate edema
2) Leukotrienes–> vasodilation, inhibit neutrophil chemotaxis, stimulate monocyte adhesion

30
Q

Cytokine release

A

Activated macrophage/monocyte–> IL1–> NFkB–> MAPK

1) Endothelial synthesis of adhesion molecules, prostaglandins, nitric oxide
2) Endothelial retraction/increased vascular permeability
3) fever
4) fibrosis

31
Q

Chemokines

A

1) Arrest and firm adhesion
2) Integrin avidity
3) chemoattract for leukocytes

32
Q

Cytokine

A

TNF- responds to macrophages and lymphocytes, binds to TNFR1/2, NFkB, MAPK

1) CCL2- monocyte chemoattractant protein
2) CXC8- polymorphonuclear leukocyte attractant (neutrophils)