5. Adaptive immunity Flashcards

(29 cards)

1
Q

What activates the adaptive immune response?

A

Antigen presenting cells which capture, process and present pathogen/tumour antigen to T cells.

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2
Q

Where are APCs usually located in the body?

A

Strategically located at pathogenic portals of entry:

  1. skin (SALT)
  2. mucosal membranes (GALT, NALT, BALT, GUALT)
  3. lymphoid organs (lymph nodes, spleen) - better organised to maximise interaction between APCs and B/T cells
  4. blood (plasmacytoid and myeloid DCs)
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3
Q

Name the 2 processes by which APCs capture pathogens.

A
  1. phagocytosis

2. macropinocytosis (soluble particles)

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4
Q

Which type of AI will be stimulated by APC recognition of extracellular vs intracellular pathogens?

A

Extracellular path. recognition stimulates humoral immunity:

  • antibodies
  • complement
  • phagocytosis

Intracellular path. recognition stimulates cell-dependent immunity:

  • cytotoxic T lymphocytes
  • antibodies
  • macrophages
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5
Q

Which APC type present to naïve T cells and where are these found?

A
  1. dendritic cells (mucous membranes, lymph nodes, blood)

2. Langerhans’ cells (skin epithelium)

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6
Q

Which APC type present to effector T cells and where are these found?

A
  1. macrophages (various tissues)

2. B cells (lymphoid tissues)

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7
Q

Why do macrophages present Ag to effector T cells?

A

required for proper phagocytosis

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8
Q

Why do B cells present Ag to effector T cells?

A

required for antibody production

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9
Q

Which cell surface molecule presents processed Ag to T cells?

A

MHC molecules - via peptide binding cleft

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10
Q

What are the 3 differences between Class I and Class II MHC molecules?

A

Class I

  • found on all nucleated cells (inc. APCs)
  • present peptides from intracellular pathogens
  • recognised by CD8+ T cells

Class II

  • found on DCs, macrophages and B cells (i.e. APCs)
  • present peptides from extracellular pathogens
  • recognised by CD4+ T cells
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11
Q

Name the chromosome and genes encoding MHC molecules.

A

HLA (Human Leukocyte Antigen) genes on chromo. 6:

  • Class I = HLA-A, HLA-B and HLA-C
  • Class II = HLA-DR, HLA-DQ and HLA-DP
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12
Q

Which 2 processes enhance MHC molecule diversity?

A
  1. co-dominant expression: both parental genes are expressed, increasing no. of different MHC molecules
  2. polymorphic genes: different alleles in different individuals - increases presentation of different Ag in a pop.
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13
Q

What are the 2 different antigen processing pathways?

A
  1. endogenous (all cells)

2. exogenous (APCs)

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14
Q

Describe the endogenous Ag processing pathway.

A

i) all viral/tumour Ag and self-Ag are tagged by ubiquitin and degraded by immunoproteasome
ii) peptides transported into ER via TAP1 & 2 (Transporter associated with Antigen Processing) and loaded onto matching MHC-I molecule
iii) MHC-I-Ag complex transported to membrane via vesicle and activates CD8+ T cell

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15
Q

Describe the exogenous Ag processing pathway.

A

i) exogenous Ag engulfed into vesicle and degraded by endolysosomal enzymes into peptides
ii) endosome fuses with exocytic vesicle which already contains MHC-II molecules and peptides bind to appropriate MHC-II groove by displacing CLIP
iii) MHC-II-Ag complex transported to membrane and activates CD4+ T cell

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16
Q

Why do T cells not respond to self-Ag?

A

trained not to react during development

17
Q

What is the difference between elite controller and rapid progressor HIV patients?

A

Elite controllers/long-term non-progressors: possess HLA genes encoding MHC molecules that present peptides key for virus survival (cannot be mutated)… effective CTL response… normal CD4 T cell count and low viral load

Rapid progressors: low diversity in HLA genes and encode MHC molecules that present less critical peptides that can be mutated… poor T cell recognition… poor CTL response

18
Q

What causes graft vs host reaction?

A

HLA molecule mismatch between donor and recipient… organ transplant reaction

19
Q

Name 2 autoimmune diseases associated with HLA type.

A
  1. insulin-dependent diabetes mellitus

2. ankylosing spondylitis

20
Q

Where do T cells mature?

21
Q

What is the Ag receptor on T cells and how is diversity in this generated?

A

T cell receptor - recognises MHC-Ag complex

via gene rearrangement

22
Q

Which co-receptors are required by T cells for MHC recognition?

A

CD3: involved in signal transduction (all T cells)

CD4: MHC-II recognition/signal transduction (TH cells and Treg cells)
CD8: MHC-I recognition/signal transduction (CTLs)

23
Q

Describe the activation of CD4+ TH cells by APCs.

A

i) MHC-Ag complex on APC recognised by TCR and CD4 on naïve TH cell (TH0)
ii) TH cell matures, enhancing activation, but full activation also requires co-stimulatory signals:
- interaction between CD80/86 on APC and CD28 on TH cell
- cytokine release from APC

24
Q

Which 2 cell types can TH0 give rise to according to pathogen type?

A
  • TH2 or TH17 if extracellular path.

- TH1 if intracellular path.

25
Which T cells will be activated in response to extracellular paths.? How will these act?
APC activates CD4+ TH2 cells and CD4+ TH17 cells. TH2 acts to: 1) activate eosinophils via IL-5 release... killing of parasites 2) activate B cells via IL-4 release... B cells undergo isotype switching... produce Ab... phagocytosis and complement 3) activate mast cells via IL-4 release... local inflammation and allergies (IgE) TH17 cells release IL-17... activates neutrophils... phagocytosis
26
Which T cells will be activated in response to intracellular paths.? How will these act?
APC activates CD4 TH1 cells and CD8 cells. TH1 acts to: 1) activate B cells via IFNy... B cells undergo isotype switching... produce IgG2-3... pathogen opsonisation, etc. 2) activate macrophages via IFNy... phagocytic activities... kill opsonised paths. 3) completes activation of CD8 CTLs Activated CD8+ cell matures into CTL... binds via TCR to MHC-I-Ag on infected cells (so no bystander effect)... releases perforin - creates pores in infected cell membrane, and granzymes - enter infected cell and activate apoptosis.
27
What is the role of the different Ab?
IgM: complement activation IgG: - Fc-dependent phagocytosis - complement activation - toxin/virus neutralisation - neonatal immunity (placental transfer) IgA: - mucosal immunity - breast milk IgE: - immunity against helminths - mast cell degranulation (allergies)
28
A high IgG:IgM indicates what kind of Ab response?
secondary resp.
29
What is the difference between the primary and secondary Ab resp.?
Primary - 1st exposure to Ag - rapid IgM production - less specific Secondary - subsequent exposure - faster and longer - stronger due to higher Ig affinity caused by isotype switching to IgG