7-Disorders of the immune System 2 Flashcards

1
Q

humoral immunity

A

antibodies made by B lymphocytes/plasma cells

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2
Q

other names for neutrophils

A

granulocytes, polymorphonuclear granulocytes (PMNs, Polys)

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3
Q

what is a band cell?

A
  • an early neutrophil

- the level of these will rise in bacterial infections

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4
Q

which cellular markers identify T-lymphocytes?

A

CD2, CD3

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5
Q

types and percents of peripheral lymphocytes

A
  • B Lymphocytes 10-20%
  • Natural Killer cells: 10-15%
  • 60-70% T-lymphocytes (also in lymph nodes and spleen)
    • 60% of those are CD4+ and 30% are CD8+ (of CD3+? cells)
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6
Q

T cell antigen receptor binds to:

A

CD3 complex

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7
Q

TCR

A

somatic gene rearrangements (?)

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8
Q

T cell proliferations:

A
  • (mono)clonal=neoplastic (potential for malignancy)

- polyclonal=non-neoplastic

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9
Q

CD4+ helper T cells

A
  • secrete cytokines
  • 60% of CD3+ T cells
  • TH1 induce cellular immunity
  • TH2 induce humoral immunity
  • CD4 bind MHC class II for antigen presentation
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10
Q

CD8+ suppressor T cells

A
  • cytotoxicity
  • 30% of CD3+ T cells
  • CD8 binds MHC class I for Ag presnetation
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11
Q

CD4/CD8 ratio

A

~2:1

-HIV infection destroys CD4 cells; ratio <1

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12
Q

where are B lymphocytes predominately found?

A

bone marrow, lymph nodes, spleen, tonsils

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13
Q

When B lymphocytes are stimulated by antigens, =

A

they form plasma cells

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14
Q

What are the CD markers for B cells?

A

CD19, CD 20, CD21

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15
Q

what virus infects B cells? and what disease does it cause?

-what medication is used to treat it?

A
  • EBV
  • infectious mononucleosus
  • rituximab (anti-CD20 against B cell malignancies)
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16
Q

Dendritic/Langerhans’ cells are Ag presenting, what class of MHC?

A
  • MHC class II
  • they are NOT phagocytic
  • Fc receptors trap Ags and immunologic memory
17
Q

where are dendritic cells found?

A

in lymphoid tissue

18
Q

where are langerhans’ cells found?

A

in epidermis

19
Q

Antibody-dependent cell-mediated cytotoxicity (ADCC)

A

associated with NK cells

20
Q

CD16=

A

Fc receptor to target IgG-coated cells

-NK cells

21
Q

which type of cells are large granular (azurophilic) lymphocytes?

A

NK cells

22
Q

Which cells are the first line of defense?

A

NK cells

-they lyse tumor, virus-infected cells without previous sensitization

23
Q

Medication: Herceptin (trastuzumab)

A
  • anti-breat cancer antibody
  • admin IV
  • coats tumor cells that have Her-2 on membrane
  • NK cell recognizes Fc regions and destroys tumor cells by ADCC
24
Q

which cytokine is associated with chemotaxis?

A

IL-8, and eotaxin

25
Q

Medication: Rituxan (rituximab)

A

anti-CD20 for B-cell malignancy

26
Q

Medications: Remicade (infliximab) and Enbrel (etanercept)

A

-anti-TNF-alpha for rheumatoid arthritis, inflammatory bowel disease

27
Q

histocompatability genes (Ags)

A

-chromosome 6

28
Q

medications for type I hypersensitivity

A
  • antihistamines
  • leukotriene receptor antagonists (LTRA): montelukast and zafirlukast
  • epinephrine
  • steroids (inhaler)
  • methylated xanthines (theophylline)
29
Q

urticaria

A

hives

30
Q

type II hypersensitivity

A
  • antibody dependent
  • target Ags on cell membranes
  • complement-mediated reactions (blood transfusions, Rh factor with mom and baby)
31
Q

type III hypersensitivity

A
  • immune complex mediated
  • activation of complement;
  • accumulation of granulocytes that cause damage
  • systemic
  • local (arthus reaction)
32
Q

farmer’s lung is what type of hypersensitivity?

A

Type III (immune complex mediated)

  • more specifically, it’s local (arthus reaction)
  • acute immune complex vasculitis with tissue necrosis
33
Q

Type IV hypersensitivity

A
  • cell mediated
  • delayed hypersensitivity by CD4+ cells
  • granuloma
  • transplant rejection
  • cellular cytotoxicity by CD8+ cells
34
Q

A positive TB skin test is an example of what type of Hypersensitivity?

A

Type IV