First Aid, Chapter 2 Cells Involved in Immune Responses, Epithelial Cells Flashcards

1
Q

What is the mnemonic for layers of the epidermis?

A

Layers of the epidermis: Before Signing Get Legal Counsel

Stratum Basale
Stratum Spinosum
Stratum Granulosum Stratum Lucidum
Stratum Corneum

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2
Q

What general roles do epithelial cells play?

A

Epithelial cells form a type of tissue that lines the surface of structures throughout the body, serving in innate and acquired host defense as both a barrier and an effector (secretory) tissue.

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3
Q

What cross-linked protein is present in the layers of epithelial cells that make up the skin epidermis?

A

Layers of keratinized epithelial cells make up the skin epidermis and contain an extensively cross-linked protein called transglutaminase.

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4
Q

What are the adhesion molecules in epithelial cells?

A

Defined by the expression of certain adhesion molecules called e-cadherins.

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5
Q

How are epithelial cells attached to adjacent epithelial cells?

A

Attached to adjacent epithelial cells by tight junctions, intermediate junctions, and desmosomes (which contain e-cadherins).

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6
Q

How are epithelial cells attached to the extracellular matrix?

A

Attached to extracellular matrix via hemidesmosomes (which use integrins for adhesion instead of cadherins).

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7
Q

What proteins do epithelial cells contain that bind keratin fibers?

A

Contain filament-associated proteins, which bind keratin fibers called filaggrins.

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8
Q

Describe the passage of IgA from binding to epithelial cells to being secreted.

A

Oligomeric IgA binds to a polymeric immunoglobulin receptor on epithelial cells, is transported through the cell, and secreted, while still attached to part of the receptor called the secretory component.

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9
Q

What are the functions of epithelial cells?

A
  • Forms primary barrier against pathogens.
  • Secretes numerous mediators used in defense, including cytokines, chemokines, growth factors, mucous, and antimicrobials. -Removes potential pathogens via beating motion of cilia.
  • Also functions in absorption and diffusion of liquids and gases.
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10
Q

Name examples of pathogens that exploit epithelial receptors to initiate function and which receptors they exploit.

A

o Rhinovirus/ICAM-1
o Influenza/Glycans
o Adenovirus/Integrins and CD80/CD86

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11
Q

What do epithelial cells produce in response to house dust mite inhalation? What does this attract?

A

Airway epithelial cells produce CCL2 and CCL20 in response to house dust mite inhalation, which attracts monocytes and immature DCs to the lung.

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12
Q

What cytokines do epithelial cells secrete to activate DCs and prime the Th2 response?

A

Produce thymic stromal lymphopoietin (TSLP), GM-CSF, IL-25 and IL-33, which share the propensity to activate DCs that prime Th2 and coordinate the subsequent immune response.

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13
Q

What cytokines are released from bronchial epithelial cells in response to allergen exposure?

A

IL-33 and other members of the IL-1 family of cytokines, such as IL1α, IL-1β and IL-36γ (IL-1F9), are released from bronchial epithelial cells in response to allergen exposure.

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14
Q

Suppression of which innate molecules in epithelial cells contributes to atopic dermatitis?

A

Suppression of β defensins and cathelicidin due to the expression of IL-4 and IL-13 may contribute in the pathogenesis of atopic dermatitis.

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15
Q

Which chemokines produced by keratinocytes are responsible for homing T cells to the skin? What are the corresponding receptors on the T cells?

A

Keratinocytes produce CCL17 (TARC) and CCL22 (MDC). Skinhoming T cells express cutaneous lymphocyte antigen (CLA) and CCR4 and CCR10.

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16
Q

Study note: Be able to look at an immunofluorescence and know the most likely bullous skin disorder and target antigen.

A

Look at images.

17
Q

What is seen on direct IF in pemphigus vulgaris? What is the target antigen? What is the location?

A

Direct IF: Intercellular IgG and IgM
Target antigen: Desmoglein 3
Location: Desmosome

18
Q

What is seen on direct IF in pemphigus foliaceous? What is the target antigen? What is the location?

A

Direct IF: Intercellular IgG
Target antigen: Desmoglein 1
Location: Desmosome

19
Q

What is seen on direct IF in bullous pemphigoid? What is the target antigen? What is the location?

A

Direct IF: Linear IgG at BMZ (basement membrane zone)
Target antigen: BP 230 (BPAg1) or BP180 (BPAg2)
Location: hemidesmosome

20
Q

What is seen on direct IF in pemphigoid gestations (formerly herpes gestations)? What is the target antigen? What is the location?

A

Direct IF: Linear IgG at BMZ (basement membrane zone)
Target antigen: BP 230 (BPAg1) or BP180 (BPAg2)
Location: hemidesmosome

21
Q

What is seen on direct IF in dermatitis herpetiformis? What is the target antigen? What is the location?

A

Direct IF: Granular IgA in dermis
Target antigen: Transglutaminase
Location: subepidermal

22
Q

What is seen on direct IF in linear IgA dermatosis? What is the target antigen? What is the location?

A

Direct IF: Linear IgA at BMZ (basement membrane zone)
Target antigen: BP 180 (BPAg2)
Location: hemidesmosome