Immunology Flashcards

1
Q

Compare innate and adaptive immune system?

A

Innate=
- Much earlier development evolutionary
- everyones is the exact same
- quick to react

Adaptive=
- very specific response
- slower than innate
- Has a memory is can give immunity
- changes over time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the classical pathway of activating the complement system?

A
  • Microbe is bound to the antibodies (bacteria bound to antibody)
  • c1q proteins can detect the binding of the antibodies to the microbe
  • the c1q will then bind to the antibody:microbe complex and this causes c1q to become activated
  • once c1q is activated, it cleaves c4 into c4a and c4b
  • c4b will bind to the microbe itself
  • c2 will bind to c4b
  • the activated c1q cleaves off c2 into c2a and c2b
  • c2b remains stacked to c4b and forms an enzyme called the c3 convertase (c4bc2b)
  • c3 converts cleaves c3 into c3a and c3b which have3 effector actions
  • c3a is a small inflammatory peptide that leads to inflammation.
  • c3b binds itself to the cell surface of the microbes which is helpful as it aids the macrophages to easily identify and eat the bacteria- acts as a tag.
  • c3b will also bind to c5 allowing c3 converts to cleave c5 into c5a and c5b.
  • c5a is also an inflammatory peptide that leads to inflammation
  • c5b recruits c6, c7 and c8 and binds to the bacterial membrane surface
  • between 8-16, c9 protein come and bind to the complex to form a pore in the bacterial membrane.
  • if enough holes are created the contents will leak out- membrane attack complex (MAC)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the lectin pathway of activating the compliment system?

A
  • Mannose-binding lectin (MBL) is a protein that can identify the mannose sugar on bacteria as mannose is only found in bacteria and not human cells. therefore if mannose is present, bacteria is present.
  • mannose-binding lectin binds to mannose
  • mannose binding protein associate serine protease 2 (MASP-2) cleaves c4 into c4a and c4b
  • c2 binds to c4b
  • MASP-2 will then cleave the c2 bound to c4b into c2a and c2b
  • c4b and c2b together form the enzyme c3 convertase
  • c3 convertase cleaves c3 into c3a and c3b
  • c3a is a small inflammatory peptide that leads to inflammation.
  • c3b binds itself to the cell surface of the microbes which is helpful as it aids the macrophages to easily identify and eat the bacteria- acts as a tag.
  • c3b will also bind to c5 allowing c3 converts to cleave c5 into c5a and c5b.
  • c5a is also an inflammatory peptide that leads to inflammation
  • c5b recruits c6, c7 and c8 and binds to the bacterial membrane surface
  • between 8-16, c9 protein come and bind to the complex to form a pore in the bacterial membrane.
  • if enough holes are created the contents will leak out- membrane attack complex (MAC)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the symptoms of inflammation?

A
  • rubor- redness
  • dolour- pain
  • calor- heat and fever
  • tumour- swelling
  • loss of function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What happens to leukocytes in the bloodstream?

A
  • They become attached to the chemotractins which flows the flowing of the leukocytes.
  • they have then been captured and roll slowly until they become adhered to the endothelial cell layer
  • they are then pushed through small groups in the endothelial layer (transmigration) and migrate into the tissue.
  • this leads to swelling and release of prostaglandins causing pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the three stages of inflammation?

A
  • 1st stage: Vasodilation= Mast cells or macrophages that detect the presence of bacteria release histamine, kinin, prostaglandin and leukotrienes
  • The release of histamine leads to vasodilation- the blood vessels dilate, more blood rushes to the site of inflammation bringing more cells to the site swell hence redness and swelling.
    -these cells migrate (via chemotaxis) and marinate into the tissue
  • diapedesis occurs- phagocytes force between the endothelium cells of the blood vessels and migrate into the tissue
  • 2nd stage= once the phagocytes (neutrophils and macrophages) are migrating into the tissue, they will destroy the micro-organisms and any myuated o dead cells via phagocytosis
  • 3rd stage: tissue repair- dead and damaged cells are rebuilt and replaced.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe the process of phagocytosis:

A
  • Plasma membrane engulfs the microbe and brings it inside the phagocyte in a phagosome ( a phagocytic vesicle)
  • digestive enzymes are in the cell in vesicles called lysosomes
  • lysosomes fuse with the phagosome to form a phagolysosome
  • these enzymes digest the bacteria/microbe b
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do we have on all of our cells that infected cells don’t?

A

MHC-class 1 protein is found in all human cells except RBC.
These virally infected cells don’t have MHC-class1 proteins own the cell surface so inhibitory receptors of the natural killer cell cant bind to them and be engaged so the NK cell will kill it.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What its humoral immunity?

A
  • Immunity driven by b-cells
  • b-cells produce and release antibodies which neutralise extracellular microbes and ensure they are identified and killed.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is cell-mediated immunity?

A
  • Driven by t-cells
  • Helper t-cells release cytokines to activate macrophages to kill off microbes (helper t-cells ant kill themselves they activate other cells to )
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the purpose of the MHC class 1 protein?

A
  • found on every body cell except RBC- acts as a marker for ourselves to tell us that the cell belongs to out body.
  • They also find antigens and present them towards the. cell surface of t-cells. t-cells can only bind to an antigen if presented by a MHC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What cells do MHC class 1 proteins interact with?

A

CD8 + positive t-cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What cells do MHC class 2 proteins interact with?

A

CD4+ Positive t-cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Describe the MHC class 2 pathway…

A
  • If an antigen is taken up by endocytosis into a cell, it will be enclosed in a endocytic vesicle
  • The vesicle enters the cell and the antigen will be broken down into different proteins
  • MHC class 2 complexes are produced in the endoplasmic reticulum in the cell which are released in a vesicle also
  • the two vesicles fuse and the protein will bind to the MHC complex and is transported to the cell surface ready to engage with a cd4+ t-cell.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the MHC class 1 pathway…

A
  • occurs when a microbe is infecting the cell
  • the microbe is not inside a vesicle this time
  • microbial proteins are made inside the cells cytoplasm
  • MHC class 1 complexes are produced in the endoplasmic reticulum
  • MHC class 1 will bind some of the free proteins and a MHC:protein complex is made and transported to the cell surface and presents itself to CD8+ t-cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where are t-cells produced?

A

In the bone marrow
- then migrate to the thymus to mature
- mature t-cells will eventually leave the thymus bbd go to secondary lymphatic organs and enter the blood, lymph nodes and spleen.

17
Q

What are the three outcomes of t-cell development?

A

When t-cells first enter the thymus, they are not yet CD4 or CD8
- They will then have both CD4 and CD8 on the cell surface- they have to only be one so undergo positive and negative selection

  • cells are exposed to different MHC complexes, if a cell reacts well with class 1 it will become CD4+ and if class 2 CD8+. = POSITIVE SELECTION
    Will move and become proper cells in the body

BUT
- if t-cell doesn’t recognise the MHC complex with antigen at all, they cant become activated won’t bind or become selected and will die via apoptosis

  • also, if the t-cell is bound too strongly to the MHC complex, they may become activated by the MHC complex alone in the absence of an antigen- this can cause tissue damage = NEGATIVE SELECTION - undergo apoptosis
18
Q

What are the two types of helper cells, CD4+ t-cells can differentiate into?

A
  • Th1
  • Th2
19
Q

How is a Th0 cell differentiated into a Th1?

A
  • Activated dendritic cells release interleukin-12
  • IL-12 will trigger differentiation of Th0 to Th1
  • Th1 will release other cytokines- interferon gamma and TNF (tumour necrosis factor) and Il-2
20
Q

How is a Th0 cell differentiated into a Th2?

A
  • Activated mast cells, will release Interleukin 4
  • Il-4 triggers differentiation of Th0 to Th2
  • Th2 will release IL-4, IL-5, and Il-10
  • IL-4 creates a positive feedback loop
21
Q

How do cytotoxic t-cells (CD8+) cells kill infected cells?

A
  • CD8+ cells are presented an antigen by Mac class 1 complex
  • The t-cell stimulates the antigen
  • t-cell releases IL-2 and starts to proliferate, making more cytotoxic cells. this requires help from cd4= T-CELLS TO RELEASE CYTOKINES THAT DRIVE THIS MULTIPLICATION
  • the cytotoxic t-cells then find the infected cells, bind to them via MHC class 1 and kill them by 2 methods:
  1. releasing perforin or granzymes that create holes in the target cell and kill it
  2. engage a FAS receptor on the cell surface of target cell. The FASl ligand binds causing the target cell to undergo apoptosis .
22
Q

What are the five classes of antibodies?

A

IgA
IgD
IgE
IgG
IgM

23
Q

What is the part of the antibody that can bind to an antigen?

A

The variable region- consists of the following fragments:
- V
- D
- J

24
Q

What is an allergic reaction?

A

An unwanted inflammatory and immune response.

25
Q

What are the 4 types of allergic reaction?

A

Type 1- immediate or anaphylactic hypersensitivity- allergy (igE antibody) e.g. asthma, hay fever
type 2- antibody-dependent cytotoxic hypersensitivity (IgM or IgG) e.g. anaemia
type 3- complex mediated hypersensitivity (IgG or IgM)
type 4- cell0mediated hypersensitivity

26
Q

How does an allergy hypersensitivity reaction happen?

A
  • If an antigen becomes an allergen, IgE antibodies are produced which triggers an allergic response.
  • Mast cells have a lot of IgE receptors on their cell surface, that IgE antibodies bind to. An allergic reaction will only be seen if IgE is exposed to an allergen a second time
  • Antibody binding to the allergen activates the mast cell
  • the mast cell will release granules that contain histamine
  • the release of histamine causes a hypersensitivity reaction e.g. diarrhoea, vomitting, wheezing, increased mucus
27
Q

What is an anaphylactic shock?

A
  • A whole body, severe allergic reaction
28
Q

What are the treatments for an anaphylactic shock?

A
  • Epinephrine- given by an injection to open airways
  • Give IV fluids- supports heart and circulatory systems
  • Antihistamines and corticosteroids- decreases symptoms
29
Q

What do mast cell stabilisers do and give examples

A

Decrease the release of histamine from mast cellsne.g. Cromolyn and Nedocromil

30
Q

Where is the control of activity for breathing located?

A

Pre-bötzinger complex in the medulla oblongata in the brain.

31
Q

Where is the control of activity for breathing located?

A

the pre-botzinger complex in the medulla oblongata in the brain.