7. Adaptive Immunity Flashcards

1
Q

Name 4 types of antigen-presenting cells and where they are found

A

Dendritic cells - lymph nodes
Langerhans’ cells - skin
Macrophages - most tissues
B cells - lymphoid tissue

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2
Q

What is macropinocytosis?

A

Engulfing of soluble particles, such as by antigen presenting cells

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3
Q

What type of immunity is activated by antigen presenting cells when they capture, process and present extracellular microbes? What does this involve?

A

Humoral immunity - B lymphocytes antibodies, complement, phagocytosis

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4
Q

What type of immunity is activated by antigen presenting cells when they capture, process and present intracellular microbes? What does this involve?

A

Cell-dependent immunity - cytotoxic T lymphocytes, antibodies, macrophages

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5
Q

What is the major histocompatibility complex (MHC)? What else can it be called?

A

Complex antigen presentation occurs by

HLA

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6
Q

What is the main function of MHC class I? Where are the class I molecules found?

A

Present peptides from intracellular microbes

All nucleated cells

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7
Q

What is the main function of MHC class II? Where are the class II molecules found?

A

Present peptides from extracellular microbes

Dendritic cell, macrophages, B cells

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8
Q

How does the genetics of MHC class I and II ensure that there is an increased number of different MHC molecules in an individual and also increased presentation of different antigens/microbes?

A

Co-dominant expression

Polymorphic genes

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9
Q

What are the two main structural features of MHC class I and II molecules?

A

Peptide binding cleft with highly polymorphic residues

Broad specificity

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10
Q

What type of T cells are MHC class I recognised by?

A

CD8+

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11
Q

What class of T cells are MHC class II recognised by?

A

CD4+

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12
Q

What MHC class does the endogenous pathway present antigens on? Which cells does this occur on?

A
MHC class I
All cells with a nucleus
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13
Q

What MHC class does the exogenous pathway present antigens on? Which cells does this occur on?

A
MHC class II
Antigen presenting cells
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14
Q

Which class of MHC molecules are HLA-A, HLA-B and HLA-C?

A

Class I

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15
Q

In both antigen presenting pathways what peptides are presented?

A

Both self and non-self

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16
Q

What does susceptibility to infections depend on?

A

Types of MHC molecule - if you have the right one to present the microbe

17
Q

What can patients who are elite controllers or long-term nonprogressors do?

A

Control viral replication (high T cell count and low viral load)

18
Q

What makes a HIV-infected individual a slow progress or?

A

HLA typing leads to
MHC molecules presenting key peptides for the survival of the virus (unmutated)
So effective T cell response

19
Q

What makes a HIV-infected individual a rapid progressor?

A

Homozygote in HLA-1 alleles
MHC molecules presently mutated peptides (less critical for survival of virus)
Poor recognition by T cells, so poor T cell responses

20
Q

What is the major cause for organ transplant rejection?

A

HLA molecules not a close enough match between donor and recipient. Can lead to graft-versus-host reaction

21
Q

Name two autoimmune diseases that HLA molecules are thought to be associated with

A

Ankylosing spondylitis

Insulin-dependent diabetes mellitus

22
Q

What is needed other than just the right receptors for the correct MHC and antigen, on a naive T cell for the activation of the cell?

A

Costimulatory signals

23
Q

What class of MHC and therefore T cells activate cytotoxic T cells?

A

MHC class I and therefore CD8+ in the endogenous pathway (NB MHC class II will also be present) for intracellular microbes

24
Q

What does the activation of cytotoxic T lymphocytes result in?

A

Infected cell death

25
What is needed either than just recognition by a cytotoxic T lymphocyte of the MHC class I and antibody on the infected target cell to cause its death?
Perforins granzymes
26
What is the main antibody regulating allergies? What other functions does it have?
IgE | Immunity against helminths, mast cell degranulation
27
What is the role of IgM? Therefore is it higher or lower than IgG in the primary response to an infection?
Complement activation | Higher (NB will be the same amount produced in the secondary response)
28
What is the role of IgG? Therefore is it higher or lower than IgM in the secondary response to an antigen?
Enhances phagocytosis via opsinisation, activated complement, provides neonatal immunity, neutralises toxins/viruses Higher
29
Which MHC class activates B cells, isotype switching and then antibody production?
MHC class II (CD4+ naive T cells)
30
What is the immune function of IgA?
Mucosal immunity
31
Give two medical achievements derived from the study of the adaptive immune response
Disease prevention - vaccination | Immunoglobulin therapies - immune deficiencies