Development of Lymphocytes Flashcards

1
Q

What 8 cell types make up the innate immune system?

A
➝ neutrophils
➝ macrophages
➝ monocytes
➝ NK
➝ dendritic cells
➝ eosinophils 
➝ basophils
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2
Q

What 3 cell types make up the adaptive immune system?

A

➝ B cells
➝ T cells
➝ plasma cells

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3
Q

What are 2 conditions and 1 drug that can affect B cells?

A

➝ Congenital agammaglobulinaemia
➝ common variable immunodeficiency (CVID)
➝ rituximab

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4
Q

What are 2 conditions and 3 acquired reasons that can affect T cells?

A

➝ SCID
➝ DiGeorge syndrome
➝ HIV/chemotherapy/novel biologics

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5
Q

What are the 8 ways that a lymphocyte can be classified?

A
➝ Morphology 
➝ lineage 
➝ function
➝ phenotype
➝ specificity 
➝ type of receptor 
➝ differentiation
➝ their products
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6
Q

What are the two key features of adaptive immunity?

A

➝ Specificity and memory

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7
Q

Describe the basic tenet of adaptive immunity?

A
➝ one cell has one specificity
➝ one B cell has one Ig 
➝ one T cell has one TCR 
➝ selection and expansion of the clone
➝ retention in memory of clonal progeny
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8
Q

How much time does the primary response take to peak?

A

➝ A couple of weeks

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9
Q

What is the difference between the primary and secondary response?

A

➝ it is quicker and peaks at a higher level

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10
Q

What precursor do B and T cells come from?

A

➝ Common lymphoid precursor

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11
Q

What happens to T cells after they are made from the lymphoid precursor?

A

➝ They are programmed in the thymus

➝ They are distributed among lymphoid organs

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12
Q

What is the defining feature of a lymphocyte?

A

➝ The receptor

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13
Q

Describe the receptor on an alpha beta T cell?

A

➝ alpha chain and a beta chain

➝ the top region is highly variable

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14
Q

What adds to the diversity of the lymphocyte receptors?

A

➝ genetic reshuffling

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15
Q

What are the 4 ways the immune system recognises pathogens?

A

➝ It looks like a pathogen
➝ their presence is associated with damage
➝ the pathogens have been seen before
➝ it is not β€˜self’

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16
Q

What are DAMPs?

A

➝ damage associated molecular patterns

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17
Q

How does the immune system set up a system to recognise things it has not seen before?

A

➝ It has so many different combinations that one of them has to be the right one

18
Q

What is the issue with having such a vast array of possible receptors for detecting pathogens?

A

➝ The precursor frequency of the right cell will be low

➝ you can start recognising β€˜self’ by chance

19
Q

Which MHC binds to CD8 T cells?

A

➝ MHC I

20
Q

Which MHC binds to CD4 T cells?

A

➝ MHC II

21
Q

What does every cell in the body express?

A

➝ MHC-I

22
Q

What is the function of MHC-I ?

A

➝ peptides that the cell is producing are presented on MHC-I to show T cells that the proteins produced are normal and not viral

23
Q

What do viruses do to MHC-I and how is this overcome by the immune system?

A

➝ They downregulate MHC-I

➝ CD8 cells recognise the lack of MHC and kill the cells

24
Q

What are the three issues with the massive possibility approach?

A

➝ You can recognise self by accident
➝ you can recognise everything as being foreign
➝ you can be underactive

25
Q

What types of selection occur in the thymus?

A

➝ positive and negative

26
Q

What is positive selection (T cells)?

A

➝ In order to work it has to bind to MHC

➝ if it doesn’t bind at all the cells die by neglect

27
Q

How does negative selection of T cells occur ?

A

➝ There are cells in the thymic medulla that express tissue specific antigen e.g colonic antigen, thyroid antigen
➝ if those are recognised the cell is killed by negative selection

28
Q

What is the end result of the selection process in the thymus?

A

➝ You end up with cells that can recognise MHC but won’t recognise thyroid cells, joint cells etc.
➝ these produce naive cells because they haven’t recognised antigens yet

29
Q

How is positive selection of B cells done?

A

➝ Identifies immature B cells with completed antigen receptor gene rearrangement
➝ functional membrane Ig molecules (BCR) provide survival signals

30
Q

How does receptor editing occur in B cells?

A

➝ If high avidity self-recognition the receptor editing changes BCR specificity
➝ reactivation of RAG genes produces new Ig light chain
➝ if still reactive it rearranges λ light chains

31
Q

How does negative selection occur in B cells?

A

➝ If they are still auto-reactive the immature B cells with high-affinity self-recognition die by apoptosis in the bone marrow or the spleen

32
Q

What do B cells need to express when they mature?

A

➝ IgM and IgD

33
Q

How do you test for naive T cell levels in the blood?

A

➝ Give people labelled glucose with deuterium in it
➝ remove the T cells
➝ if they have been dividing during the period where the label has been given they will have the label
➝ naive cells do not pick up the label and flat lines occur

34
Q

What is the doubling time of TEM (effector memory) and what does this mean about their lifespan?

A

➝ 15 days

➝ short lived

35
Q

What is the doubling time of TCM (central memory) and what is their turnover like?

A

➝ 48 days

➝ turnover at a significant rate

36
Q

What is the lifespan of Treg cells like?

A

➝ short lived population

➝ need continual replenishment

37
Q

What do activated B cells become?

A

➝ Plasma cells

38
Q

What organ has a key role in antibody generation?

A

➝ the spleen

39
Q

What happens if the spleen is removed?

A

➝ increases the risk of infection

40
Q

What is a key marker of tissue resident memory cells?

A

➝ CD69+

41
Q

What is a key driver of immune senescence?

A

➝ CMV infection

42
Q

What happens during immune senescence?

A

➝ telomere shortening
➝ change in functional attributes
➝ accumulation of CD57+ cells