Immune Deficiency 1a - Immune responses Flashcards

1
Q

Purpose of the Immune System?

A
  • detect, respond and eliminate pathogens
  • maintain tolerence to self, environmental antigens and paternal pregnancy antigens
  • induce memory to perviously encountered infection
  • Restore organ/tissue homeostasis (resolution of inflammation, repair injury)
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2
Q

Type of Immune responses to cell death vs cell stress?

A
  1. Cell death/damage → Microbial PAMP/Host DAMP → Type 1 + 3 immune response (Th1 and Th17)
  2. Cell Stress/ Tissue ‘pertubation’ → Host DAMP > Microbial PAMP → Type 2 Response (Th2)
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3
Q

Differences between Innate and adaptive immune system, and how they interact?

A

Innate :
- Rapid onset
- Germ line receptor to detect molecular structure of pathogen
- pathogen recognition is contact dependant on tissue damage and effector

Adaptive :
- Slower
- somatic reattachment of T and B cell receptor to recognise microorganism
- requires accessory signals (cytokines etc.)

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4
Q

Which Cytokines are made by CD4 Th1 cells, and what are their effectors?

A

these are Type 1 response
IFN -Y
TNF-Alpha
IL2
on Macrophages and CD8

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5
Q

Which Cytokines are made by CD4 TH17, and effectors?

A

Type 3 Response
IL 17 & 22 on Neutrophil and Epithelial Cells

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6
Q

Which Cytokines are made by CD4 T follicular cells, and effectors?

A

IFN-Y
IL17- A
IL-4
IL-21

On germinal centre B cells to promote class switching and antibody response.

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7
Q

Role of Dendritic Cells?

A

integrate lots of different responses and pathogen classes to induce distinct cell mediated immune responses

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8
Q

Type 1 Immune Response?

A

Against Intracellular pathogens e.g. TB and Viruses

  1. Dendritic Cells release INF-Y and IL12 to cause CD4 cells to differentiate into CD4 Th1 cells
    - interferon gamma release causes activation of CD8 T cells and macrophages
  2. DC act on B cells and T follicular helper cells
    - CD4–CD40L cross linking on GC B cells and CD4 TFh1 cells cause class switching to make B cells that produce IgG preferentially to IgA
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9
Q

Type 3 Immune response?

A

Against Extracellular Bacteria and fungi (HiB, Pneumococcus, candida)

  1. DC -> IL6 etc. Causes CD4 Th17 cell to release
    a. IL 17 - act on neutrophils
    b. IL 22 - boosts epithelial cell defenses
  2. IL 6 and 21 - same as Type 1 with class switching but IL 21 preferentially makes IgA
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10
Q

Type 2 Immune Response

A

**against ticks and parasites **

  1. DC cell : IL 4 activates CD4 cell into Th2 cell.
    - release of IL 4, 5 and 13 on basophils, eosinophils and mast cells
  2. DC bind to B cell and release IL 6 and 21, TFh2 cell binds to B cell causes class switch to IgE
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11
Q

Types of B cells : Innate like B Cells?

A

Spontaneous IgM Production, almost innate immune system

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12
Q

Types of B cells : Marginal Zone B Cells

A

specialized in responding to blood-borne pathogens and participate in the initial immune response to these pathogens, particularly those encapsulated with polysaccharides

  • T cell independant
  • IgM > IgG/IgA
  • limited memory and antibody affinity
  • found in spleen and GI tissue
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13
Q

Types of B Cells : Extra-follicular B cells

A

activated B cells that differentiate into antibody-secreting plasma cells outside the germinal centers. They are primarily involved in responding to T-cell-independent antigens and generating an initial rapid antibody response

  • Rapid production, class switch
  • exhibit memory
    -short lived
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14
Q

Types of B Cells : Germinal Centre B cells

A

central to the adaptive immune response. They are formed within germinal centers of secondary lymphoid organs, like lymph nodes and spleen

  • T cell dependant
  • take 5-7 days for production
  • class switch
  • memory
  • affinity maturation
    -long lived plasma cells
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15
Q

Immunoglobulin Structure?

A

2 Heavy and 2 Light Chains with 2 functional units:
1. Fab : binds to antigen
2. Fc : Effector Fucntion

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16
Q

Fab Subunit structural features:

A

Positive selection and glycosylation in LN germinal centreas
- Neutralisation of toxins

17
Q

Fc Subunit. - why do glycosylation patterns and subunits matter?

A

enhances specific function e.g. affinity to receptors, better phagocytosis or cytotoxic response

18
Q

Effector function is determined by the

A

Fc heavy chains

19
Q

What specifies antibody isotype?

A

Heavy chain

20
Q

Biological role of Fc region?

A
  1. Activation of complement (IgM > IgG > IgA)
  2. Clearance and elimination via opsonisation
  3. Transport and delivery of immunoglobulin across the body
    4 .Regulation of immune response (IgG/IgA) e.g. B cell activation