Development of Lymphocytes Flashcards

1
Q

What 8 cell types make up the innate immune system?

A
โž neutrophils
โž macrophages
โž monocytes
โž NK
โž dendritic cells
โž eosinophils 
โž basophils
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2
Q

What 3 cell types make up the adaptive immune system?

A

โž B cells
โž T cells
โž plasma cells

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3
Q

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

A

โž Congenital agammaglobulinaemia
โž common variable immunodeficiency (CVID)
โž rituximab

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4
Q

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

A

โž SCID
โž DiGeorge syndrome
โž HIV/chemotherapy/novel biologics

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5
Q

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

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

What are the two key features of adaptive immunity?

A

โž Specificity and memory

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7
Q

Describe the basic tenet of adaptive immunity?

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

How much time does the primary response take to peak?

A

โž A couple of weeks

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9
Q

What is the difference between the primary and secondary response?

A

โž 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

โž Common lymphoid precursor

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11
Q

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

A

โž They are programmed in the thymus

โž They are distributed among lymphoid organs

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12
Q

What is the defining feature of a lymphocyte?

A

โž The receptor

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13
Q

Describe the receptor on an alpha beta T cell?

A

โž alpha chain and a beta chain

โž the top region is highly variable

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14
Q

What adds to the diversity of the lymphocyte receptors?

A

โž genetic reshuffling

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15
Q

What are the 4 ways the immune system recognises pathogens?

A

โž It looks like a pathogen
โž their presence is associated with damage
โž the pathogens have been seen before
โž it is not โ€˜selfโ€™

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16
Q

What are DAMPs?

A

โž 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

โž 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

โž The precursor frequency of the right cell will be low

โž you can start recognising โ€˜selfโ€™ by chance

19
Q

Which MHC binds to CD8 T cells?

A

โž MHC I

20
Q

Which MHC binds to CD4 T cells?

A

โž MHC II

21
Q

What does every cell in the body express?

A

โž MHC-I

22
Q

What is the function of MHC-I ?

A

โž 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

โž They downregulate MHC-I

โž CD8 cells recognise the lack of MHC and kill the cells

24
Q

What are the three issues with the massive possibility approach?

A

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

25
What types of selection occur in the thymus?
โž positive and negative
26
What is positive selection (T cells)?
โž In order to work it has to bind to MHC | โž if it doesn't bind at all the cells die by neglect
27
How does negative selection of T cells occur ?
โž There are cells in the thymic medulla that express tissue specific antigen e.g colonic antigen, thyroid antigen โž if those are recognised the cell is killed by negative selection
28
What is the end result of the selection process in the thymus?
โž You end up with cells that can recognise MHC but won't recognise thyroid cells, joint cells etc. โž these produce naive cells because they haven't recognised antigens yet
29
How is positive selection of B cells done?
โž Identifies immature B cells with completed antigen receptor gene rearrangement โž functional membrane Ig molecules (BCR) provide survival signals
30
How does receptor editing occur in B cells?
โž If high avidity self-recognition the receptor editing changes BCR specificity โž reactivation of RAG genes produces new Ig light chain โž if still reactive it rearranges ฮป light chains
31
How does negative selection occur in B cells?
โž 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
What do B cells need to express when they mature?
โž IgM and IgD
33
How do you test for naive T cell levels in the blood?
โž Give people labelled glucose with deuterium in it โž remove the T cells โž if they have been dividing during the period where the label has been given they will have the label โž naive cells do not pick up the label and flat lines occur
34
What is the doubling time of TEM (effector memory) and what does this mean about their lifespan?
โž 15 days | โž short lived
35
What is the doubling time of TCM (central memory) and what is their turnover like?
โž 48 days | โž turnover at a significant rate
36
What is the lifespan of Treg cells like?
โž short lived population | โž need continual replenishment
37
What do activated B cells become?
โž Plasma cells
38
What organ has a key role in antibody generation?
โž the spleen
39
What happens if the spleen is removed?
โž increases the risk of infection
40
What is a key marker of tissue resident memory cells?
โž CD69+
41
What is a key driver of immune senescence?
โž CMV infection
42
What happens during immune senescence?
โž telomere shortening โž change in functional attributes โž accumulation of CD57+ cells