5 - B and T cell Devo Flashcards

1
Q

All lymphoid neoplasms (B and T cells) are derived from _____ ______ _____ and are ______.

A

All lymphoid neoplasms (B and T cells) are derived from transformed single cells and are clonal.

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2
Q

B and T cells undergo what type of rearrangement?

A

Antigen receptor gene rearrangement. This almost always occurs before transformation.

Thus, the clonal malignant B or T cells can be identified by their unique antigen receptors.

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3
Q

How can we identify malignant T or B lymphocytes in a patient?

A

By analyzing the antigen receptor genes.

And, if a large population of clonal cells is present, this information can be used to differentiate clonal neoplasms from polyclonal pathologic processes.

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4
Q

In what primary/generative lymphoid tissue do B and T cells develop?

A

B lymphocytes are generated in the bone marrow.

T lymphocytes are generated in the thymus.

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5
Q

What are the two functions of the antigen receptos of B and T cells?

A
  1. Bind epitopes in a highly specific manner
  2. Trigger responses in the lymphocytes in which they are expressed
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6
Q

Describe how T and B cell antigen receptors bind chemically different epitopes?

A

BCRs bind non-degraded antiens of many types (proteins, lipids, carbs, and nucleic acids)

TCRs bind complexes of MHC molecules and peptides (degraded proteins)

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7
Q

Are immunoglobulins membrane bound or secreted? Are TCRs membrane bound or secreted?

A

Immunoglobulins may be membrane bound of secreted.

TCRs are membrane bound but NOT secreted.

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8
Q

How does antibody (immunoglobulin) recognize its antigen? What is responsible for it’s effector function?

A

Via the variable (V) region of heavy and light chains of membrane Ig.

The constant region (C) of the secreted Ig mediates the effector function.

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9
Q

How does the TCR recognize its antigen? What is responsible for it’s effector function?

A

Antigen is recognized by the variable (V) regions of the alpha and beta chains.

TCR does not perform effector funcitons.

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10
Q

What are the names of the green regions on the immunoglobulin?

A

Blue box is the variable region where the antigen binding occurs on the N terminus.

C terminus is the constant where theeffector function lies.

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11
Q

What is the structure of the B cell antigen receptor?

A

There are 5 different classes (isotypes) that are functionally different due to constant region differences.

Light chains are either kappa or lambda (does not change during class switching).

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12
Q

Each immunoglobulin variable region (heavy and light chain( have 3 regions of what?

A

Hypervariability (complementary-determining (CD) regions).

These are contact sites for the epitope in the antigen binding site.

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13
Q

What is the function of:

  • IgA
  • IgD
  • IgE
  • IgG
  • IgM
A
  1. IgA: mucosal immunity
  2. IgD: Naive B cell antigen receptor (transiently expressed)
  3. IgE: Mast cell activation (immediate hypersensitivity) and defense against helminths/parasites
  4. IgG: opsonization, complement activation, ADCC, neonatal immunity, feedback inhibition of B cells
  5. IgM: naive B cell antigen receptor, complement activation
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14
Q

What are isotypic differences?

A

Differences in the heavy chain and constant regions.

If an animal is immunized with human Ig, it will generate an antibody response to the non-self protein. Abs direct againt common epitopes on a given isotype will react with the same isotypes from any human. For example, anti-IgG Abs will react with all human IgG molecules.

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15
Q

What are allotypic differences?

A

Small differences due to polymorphisms in the heavy chain constant regions (differences between people)

These are generally single amino acid interchanges. They may also serve as epitopes. Antibodies will be present that will react specifically with allelic variants. For example, individual A may have an allelic variant in his IgG heavy chain that is not present in person B. Antisera that distinguish the IgG from these two people are called anti-allotypic. Anti-allotypic antibodies are common in pts with RA.

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16
Q

What are idiotypic differences?

A

Differences in antigen binding (specificity)

Epitopes associated with the variable regions of antibodies are unique to a given antibody; these are the antigen-binding regions of the antibody. Antiodies reactive with these epitopes are called anti-idiopathic and may be used to identify B cells from an individual with a B cell tumor.

17
Q

What is the structure of a T cell antigen receptor?

A

Two chains: an alpha and a beta chain.

Only a single constant resion and a single variable region.

Variable region forms the antigen binding site.

18
Q

What is the difference between affinity and avidity?

A

Affinity: magnitude of binding interaction between single receptor and ligand

Avidity: binding activity between multiple receptors and ligands

19
Q

How is receptor diversity generated?

A

Rearrangement of genomic gene segments!

Although the expressed proteins are different, the rearrangement process for Ig and TCR is very similar.

20
Q

What is the sequence of Ig and TCR gene rearrangement events?

A
21
Q

The somatic gene recombination processes are mediated by what enzymes?

A

An enzyme complex made up of Rag-1 and Rag-2 proteins.

22
Q

What are the mechanisms of diversity in antigen receptors?

A
  1. Combinatorial: random rearrangement causes the diversity of antigen receptors
  2. Junctional diversity: random nucleotide additions or subtractions
  3. Mix and match pairing or light and heavy chains: Immunoglobulin light and heavy chains have to come together and the way they mix and match can add to the level of diversity. Same is true in the TCR with the alpha and B chains.
  4. Somatic hypermutation (Ig affinity matruation - doesn’t actually generate new specifities, inceases antigen binding affinity).
23
Q

What is allelic exclusion? Explain how it works.

(PS I’m so sorry for this card being so long, I’m only human).

A

Makes sure that one cell only makes one type of receptor.

Example: if the first Ig heavy chain recombination event occurs on the maternal chromosome and is sucessful, the heavy chain genes on the paternal chrom will not rearrange and the cell will express the maternal gene product only. If the first rearrangement is not sucessful, rearrangement of the heavy chain genes on the paternal chromosome will occur. If successful, the paternal heavy chain gene product will be expressed. If neither is expressed, the cell will die.

Expression of the heavy chain gene product of EITHER the maternal or paternal chromosome, but NOT both is called allelic exclusion. This ensures clonal specificity.

24
Q

What happens if there are mutations in the recombination enzymes such as VDJ recombinase, RAG-1 and RAG2?

A

This results in the failure to make T or B cells.

Causes severe combined immunodeficiency disease (SCID).

25
Q

What interleukin helps maintain progenitor lymphocytes?

A

IL-7

26
Q

What are the 5 steps in the maturation of lymphocytes?

A
  1. Proliferation
  2. Pre-B/T antigen receptor expression
  3. Proliferation
  4. Antigen receptor expression
  5. Positive and negative selection
27
Q

What are the 7 steps in the maturation and selection of B lymphocytes?

A
  1. Stem cell
  2. PRo-B
  3. Pre-B
  4. Immature B
  5. Mature B
  6. Peripheral lymphoid tissues
  7. Activated B cells secrete antibodies
28
Q

What is negative selection of B cells?

A

The process of removing or functionally inactivating B cells with autoreactive receptors.

29
Q

T cell maturation and selection occurs in the _______? Where does positive and negative T cell selection occur?

A

Thymus!

Positive selection occurs in the cortex of the thymus, negative selection primarily occurs in the medullary region of the thymus.

30
Q

Describe positive and negative selection of T cells?

A

Positive: thymocytes reactive with self MHC are expanded following interaction with self-MHC peptide complexes in the thymus.

Negative: self-reactive thymocytes are eliminated, either physaically or functionally, following interaction of the T cell antigen receptor with self MHC-peptide complexes.

31
Q

The majority of thymocytes co-express what two markers?

A

CD4 and CD8

As they further mature, they become either CD4 or CD8 cells

32
Q

Nearly all lymphoid neoplasms are derived from ____ cells and are thereby ______.

A

Single cells and are thereby clonal.

33
Q

How can clonal malignant B or T cells be identified?

A

By their unique antigen receptors.

This is because lymphocyte antigen receptor gene rearrangement almost always occurs prior to malignant transformation.

34
Q
A