Chapter 7 adaptive immunity Flashcards

1
Q

adaptive immunity

A

3rd line of defense. Consist of lymphocytes and antibodies (serum proteins). SLOW
Specific and inducible (lymphocytes and antibodies don’t exist in large #’s until infection), long-lived and systematic and provides long term protection. Has memory.

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2
Q

antigen

A

molecular targets of antibodies an lymphocytes on surfaces of microbes, cells or tissues. Binds with antibodies or antigen receptors on B and T cells

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3
Q

immunogen

A

molecule that binds to receptors AND INDUCES IMMUNE RESPONSE`

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4
Q

Hapten

A

low molecular weight molecules, too small to induce an immune response but if combines with larger molecules will (poisin ivy)

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5
Q

T cells mature in the ______

B Cells mature in the ______

A

thymus

bone marrow

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6
Q

what is immunocompetent?

A

Right after leaving primary lymphoid organs b& t cells are immunocompetent (can respond) but haven’t been exposed to antigen so are naïve. They migrate to secondary lymphoid organs (lymph nodes and spleen, tonsils, adenoid). More circulating lymphocytes are T cells than B cells

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7
Q

humoral immunity vs. cellular immunity

A

antibodies circulating in blood vs effector T cells defend against intracellular pathogens (viruses) and abnormal cells like cancer

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8
Q

cellular diversity

A

production of B and T cells primarily before birth and throughout life that have the capacity to recognize almost any foreign antigen

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9
Q

clonal selection

A

after exposure to an antigen it’s processed by a phagocyte, these express the processed antigen on their surfaces and present this to the lymphocytes. Differentiation occurs after a series of other events and occurs in peripheral lymphoid organs. Final products include plasma cells that produce antibody, effector T cells help (helper T) that kill targets (killer T) or regulate immune response (treg), memory B and T cells

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10
Q

Somatic recombination

A

multiple DNA combinations that can encode BCrs

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11
Q

Development of B lymphocytes

A

Stem cells in bone exposed to hormones and cytokines that induce proliferation and differentiation into B cells

b) B cell receptor is developed—this is a complex of antibody bound to cell surface involved in intracellular signaling. Role is to recognize antigen and communicate that info to cell’s nucleus
i) BCRs for immunocompetent cells are mIgM with or without IgD antibodies
c) >90% of developing B cells are sent back to bone marrow where they undergo apoptosis due to being autoreactive (in autoimmune disease or hypersensitivities). Also known as clonal deletion or CENTRAL TOLERANCE
d) Peripheral tolerance occurs in tissues (T-regulatory lymphocytes)

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12
Q

development of T lymphocytes

A

a) Stem cells from bone marrow migrate to thymus where they are driven to gain receptors and undergo cell division (d/t influence of thymic hormones and cytokine IL-7)
b) Exit through blood vessels and lymphatics as immunocompetent T cells and live in the secondary lymphoid organs.
c) Most TCR (t cell receptors) consists of and alpha and beta protein chain and a CD3 signaling molecule.
i) CD4 and CD8—on immature cells are both. Once mature they retain only one or the other.
ii) CD4 develop into t helper cells
iii) Cd8 develop into T-cytotoxic (killer) cells
iv) Central tolerance for T cells occurs in the thymus

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13
Q

if a T cell hold onto CD8 it is a

A

T-cytotoxic (killer) cells

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14
Q

if a t cell holds onto CD 4 it is a

A

t helper cells

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15
Q

What is a major histocompatability complex (MHC)?

A

these present the antigens and can be class 1 or 2

(1) Class 1—on all nucleated cells (except RBCs)—present ENDOGENOUS antigens—recognized by Tc cells
(2) Class 2—only on APCs (macrophages, dendritic cells and B lymphocytes—present EXOGENOUS antigens). –recognized by T helper cells

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16
Q

what are the antigenic presenting cells (APCs)

A

B cells, macrophages, dendritic cells

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17
Q

APCs have which MHC class

A

Class 1 & class 2 so can present endogenous & exogenous antigens.

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18
Q

3 intercellular signals that cause clonal selection effector cells to be formed

A

antigen-specific recognition through TCR or BCR complex, activation of intercellular communication, response to specific groups of cytokines. If missing 1 of these events a protective immune response won’t be produced

19
Q

What are effector cells

A

Th, Tc and plasma cells (antibodies)

20
Q

explain what must happen for a Th cell to be activated and thus to form effector cells

A

Activation requires 6 steps:

  1. recognize/bind by TCR on Th
  2. CD4 on Th of MHC class 2 strengthens binding
  3. CD3 and CD4 activate intracellular signaling pathways
  4. adhesion molecules/costim. Signals further activates Th cell (most important is B& protein on APC and CD28 on Th)
  5. IL1 secreted by APC
  6. IL2 secreted by Th (without this cell can’t mature into functional helper cell)

Many different types of Th cells. Th1, Th2, Th17 or treg.

21
Q

what are superantigens?

A

manipulate APC+Th interaction to detriment of individual. Bind to TCR + MHC2 and activate Th cells–?overproduction of inflammatory cytokines and causes systemic inflammatory reaction like fever, low bp and possibly shock. Ex. Staph aureus and strep pyogenes.

22
Q

What are Tc cells?

A

cytotoxic T cells Tc cell TCR recognizes antigen presented by MHC class1 molecule on surface of APC, binds to CD8 on Tc cell, activates signals on Tc cell

iTc lmphocytes—adheres to antigen presented by MHC 1 and CD8
Induces apoptosis

Cell mediated immunity

23
Q

B cell clonal selection

A

(i) Immunocompetent B cell is also an APC and expresses surgace mIgM and mIgD BCRs.
(ii) BCR can react with antigens that haven’t been processed (unlike T cells). Also has surface CD21 which is a receptor for opsonins. BCR+CD21activated B cell. They have MHC class 1 but present antigens on MHC class 2 to activate Th cells.
(iii) Plasma cells are activated B cells that produce antibodies and can detect the identical antigen as the BCR.

24
Q

memory cells

A

B & T cells differentiate into long lived cells. Remain inactive until exposure. These will become new plasma cells or effector T without the cell interactions described as above.

25
Q

what is humoral immunity?

A

antibodies in the plasma (antibodies aka immunoglobulin)

26
Q

5 types of Ig?

A

5 classes: IgG, IgA, IgM, IgE, IgD (IgG and IgA also have subclasses)

27
Q

IgG

A

most abundant ab—during pregnancy this crosses the placenta, best as opsonin

28
Q

IgM

A

Largest ab—pentamer—1st antibody produced during initial response to antigens. Best at activating complement

29
Q

IgD

A

part of BCR antigen receptor

30
Q

IgA

A

in blood and body secretions- primary secretory immune system antibody, prevents attachment

31
Q

IgE

A

normally at low concentrations, very specialized and mediator of ax responses and against parasitic infection. Causes allergies if produced against environmental antigens. Also attracts eosinophils to parasite.

32
Q

explain antibody class switch

A

major component of B cell maturation. Causes change in antibody production from one class to another

i) During clonal selection B cell develops into antibody secreting plasma cell. Has option of becoming secretor of IgM or changing to IgG, IgA or IgE
ii) IgM and IgD are produced early by B cells and used as cell membrane receptors
iii) Type of antibody produced is under control of the Th cytokines

33
Q

describe the structure of an antibody

A

iv) 2 portions of an antibody: 2 Fabs (antigen binding fragments) and 1 Fc (crystalline fragment).
(1) Fab has recognition sits
(2) Fc is for biological function—activates innate immunity (complement and phagocytes)

34
Q

What is the area on the antigen called where the antibody will bind?

A

epitome

35
Q

What is the area on ant antibody called where the antigen will bind?

A

Paratome

36
Q

how antibodies work

A

i) can bind to the antigen sites so they can’t attach to host cells
ii) can cause agglutination (clumping) or precipitation (making antigen into soluble precipitate)
iii) If protecting against a toxin released by bacteria antibodies called antitoxins can bind to toxins and prevent interaction with host
iv) Antibody is an opsonin—Fc attaches to phagocytes so can be destroyed
v) Monoclonal antibodies (clones of antibodies for use in dx test and therapy)

37
Q

describe the secretory immune system

A

i) Protects external surfaces (lacrimal and salivary glands, lymphoid tissue in breasts, bronchi, intestines and GU tract)
ii) Plasma cells in above sites secrete antibodies in bodily secretions to prevent infection
iii) Includes IgA primarily but also IgG and IgM

38
Q

describe passive immunity

A

lymph tissues connected so antigens in mom’s gut induce secretion of spec. ab in breast milk. Colostrum can protect against infections that enter through GI tract of newborn. They don’t provide systemic immunity. However, antibodies that pass through placenta before birth provide passive systemic immunity

39
Q

describe the 2 types of immune response

A

g) Primary immune response—5-7 days after exposure to ab production of IgM and IgG
i) Antibody serum sample is called a titer. High titer means more antibodies.
h) Secondary immune response: rapid production of lg amounts of a from memory cells. IgM produced but will have MORE IgG.

40
Q

what are natural killer cells?

A

lymphoid cells in innate and adaptive immunity. No antigen specific receptor. Id protein changes on cells with ca or viruses. They express Fc receptors for IgG, IgG binds to ca cell, Fc receptor on NK cell binds to IgG and kills cells (antibody dependent cell cytotoxicity)

41
Q

what are lymphokine secreting T cells?

A

i) Th1 activate macrophages example is interferon y
ii) Th2 secrete cytokines that activate macrophages and secrete cytokines that recruit phagocytic cells to inflammation

BOTH ARE PRO INFLAMMATORY

42
Q

what are Treg cells?

A

suppress the immune response and maintain tolerance against self-antigens.

i) Important in destroying autoreactive t-cells.
ii) Peripheral tolerance—Treg cells produce imunnosupressive cytokines reducing proliferation

43
Q

adaptive immunity peds considerations?

A

can’t produce all classes of ab. IgM is produced in utero, limited IgA, IgG after birth

44
Q

adaptive immunity gero considerations?

A

diminished t-cell function and reduced ab responses. Thymus undergoes involution, decreased ability to mediate T-cell differentiation.