Acquired Flashcards

(39 cards)

1
Q

Cells of lymphoid cycstem

A

T (CD4 and CD8)
B
NK

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2
Q

What is the process of formaiton of T cells

A

Produced in bone marrow
Migrate to Thymus where they mature

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3
Q

How do T cells mature?

A

Development of T cell receptor
- Cell surface bound protein structure that binds to antigen

TCR binding results in T cell activation and proliferation

TCR testing in thymus - if autoactive - rearrange TCR or undergo apoptosis (clonal deletion)

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4
Q

What can activate a T cell

A

MHC antigens
Antigen presenting cells
Antigen processing

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5
Q

What are MHC class I cells? What do they present to?

A

Expressed on all cells

Present to CD8+ T cells

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6
Q

What are MHC class II cells? What do they present to?

A

Expressed on selected cells such as APCs

Present to CD4+ T cells

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7
Q

What are MHC antigens called in uhmans?

A

HLA human leukocyte antigens

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8
Q

What do MHC class I cells do

A

Found on all cells and continuously present broken down peptides .
Constantly proving to the immune system that it is a healthy cell

If a cell becomes infected or a tumour it will start presenting foreign peptides on MHC I molecules stimulating CD8 cells to destroy it

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9
Q

What is cross presentation

A

Presentation of exogenous material on MHC I receptor

Occurs when APC takes up a cell that contains foreign antigen

Material broken down and presented on MHC II receptor but some debris peptide enters cytoplasm and this is presented on MHC I

CD8 activated and responds

MEchanism of graft rejection

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10
Q

What are MHC class II molecules?

A

Presented by specialised APCs which take up exogenous pathogens, phagocytose them and present peptide products.

MHC II molecule bind with peptide and travel to cells urface

Antigen/MHC presented to T lymphocytes

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11
Q

How does MHC maximise immunity?

A

Polygenic - several different MHC class I and II genes

Polymorphic - multiple variants of each gene increasing potential number of peptide combinations that can be presented

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12
Q

What is alloreactivity?

A

Recognition of non-self tissue from the same species as foreign

2 methods:
1. Recognition of foreign HLA molecule
2. Recognition of presented tissue derived peptide as pathogenic

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13
Q

What are APCs

A

Dendritic cells
- Myeloid - produce IL12
-Plasmycytoid produce IFN 1

MAcrophages

B cells

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14
Q

CD8 vs CD4 T cells

A

CD8 recognise MHS class I molecules presented antigens

CD4 recognise MHC class II presented antigens

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15
Q

What do CD8 T cell granules contain

A

Membrane disrupting proteins - perforin, granulysin
Serine proteases - granzymes

Lysosomal eznumes

Stored effector molecules - FasL - binds to Fas expressing cells to induce apoptosis

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16
Q

What in the role of CD4 cells?

A

Secreting cytokines to upregulate responses

17
Q

What do Th1 cells secrete?

A

IFN - gamma
- Activates macrophages, enhancing antigen presentation to T cells, increasing phagocytosis

IL-12
Drive DC activation and presenation

Express CD40 stimulatory molecule - amplifies response

18
Q

What do Th2 cells secrete

A

IL4, IL5 IL6

IL13
Stimulate antibody production and mucous secretion

19
Q

What do Th17 cells secrete

20
Q

What CD4 cells are involved in allergy and parasitic infections

21
Q

What is IL 17

A

Potent neutrophil chemoattractant

22
Q

What is a cytokine

A

Cell derived soluble mediator

23
Q

What are anti inflammatory cytokines?

A

IL10
TGF beta

Downregulate CD4 cell responses

IL4 (antagonises IFN-ga)

24
Q

What are functions of cytokines?

A

Cytotoxic - TNFa
Growth factors - IL4 for B cells
Synergistic to enhance response - IL1 enhances IL8
Clonally expanding cells - IL2 promotes expansion of activated CD4
Cell attractants/chemokines IL8 attracts neutrophils

25
What are effects of TNFa
Pro-inflammatory Activate PolyMorphoNuclear leucoytes Cytotoxic for target cell Antiviral properties Anticoagulant Modulate haematopoiesis p55 and p75 receptors
26
Function of IL1
Raise body temperature in response to infectionW
27
Wat is the function of IL2
Clonal expansion of activated R cell
28
What is the function of IL4
Th2 cytokine secreted by mast cells and Th2 cells Activates B cells to differentiation for the process of antibody production
29
What is the function of IL8
Chemokine Attracts neutrophils SEcreted by monocytes, macrophages, T cells, epithelial cells
30
What are interferons?
Pro inflammatory Immunomodulatory Antiviral IFN alpha/beta Can be used in chronic hepatitis and MS IFN gamma upregulates expression of MHC class II on cells secreted by Th1 Activates macrophages and induces NK activity
31
Formation of B cells
Derived from haemopoietic stem cells in bone marrow Mature in Bone marrow Undergo gene rearrangement and receptor testing for autoantigen specificity - if autoactive - gene editing by RAG genes or clonal deletion
32
What happens when B cells are activated
Mature into Plasma cells Memory cells
33
What is the function of plasma cells
Produce antibodies - bind to pathogen and disable - opsonize pathogen for phagocytosisW
34
5 classes of antibody
IgA, IgD, IgE, IgG, IgM
35
What is structure of antibody?
Y shaped two heavy chains and two light chains Variable region at two distal arms of Y which bind to antigen Constant region that does not bind - activates effector cells and complement
36
What fragments can Ig be cleaved into ? Enzyme?
Papa-in Fab fragments - antigen binding containing V variable region Fc fragments - crystallizable and contain C constant region
37
How can B cells be activated
B cell takes up foreign material and presents it on MHC II antigens Activated Th2 cell recognises peptide and releases IL4 - activates B cell Unprocessed antigens (Thymus independent antigens) - significant cross linking of B cell receptors
38
What is affinity maturation
Increased affinity for antigen presented results in proliferation of B cell and production of new antibody B cell that has reduced affinity will lack stimulation and will undergo apoptosis
39
What is the first antibody produced by plasma cell?
IgM