Immunology 2 - lectures 6-9 Flashcards

(44 cards)

1
Q

What are the 5 most important cytokines secreted by activated macrophages and what does each do?

A

1) IL-6; lymphocyte activation (inflammatory cytokine)
2) TNF-alpha; most potent immune cell / endothelium activator
3) IL-1B; most potent immune cell / endothelium activator (product of inflammasome)
4) CXCL8; PMN recruiter (chemokine)
5) IL-12; T-cell / NK cell recruiter.

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2
Q

What are most potent cytokines made by an activated macrophage and what is their general method of action?

A

TNF-alpha and IL-1beta; induce expression of ICAM-1 and selectins, promote vascular permeability.

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3
Q

How do IL-1beta/ IL-6 / TNF-alpha affect the following organs during sepsis?

1) liver
2) bone marrow endothelium
3) hypothalamus
4) fat, muscle
5) dendritic cells

A

1) promotes release of acute-phase proteins (C-reactive protein, mannose-binding lectin), leading to activation of complement opsonization.
2) neutrophil mobilization to increase phagocytosis
3) increase body temp to decrease viral and bacterial replication
4) protein and energy mobilization to increase body temp.
5) TNF-alpha causes migration to lymph nodes and maturation to initiate adaptive immune response.

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4
Q

What does IL-6 do on liver?

A

causes production of C-reactive protein, fibrinogen, mannose-binding lectin, hepcidin (CRP opsonizes bacteria, routinely measured clinically).

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5
Q

How do IL family signal?

A

via JAK-STAT pathway

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6
Q

How do TNF family signal?

A

via NF-kB (inflammatory gene expression) and caspase pathways (programed cell death).

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7
Q

What signals allow dendritic cells and naive T cells to ‘find’ the T cell zone of the lymph node?

A

Both express CCR7 (chemokine receptor) which ‘follow’ CCL19 and CCL21 chemokines produced in T cell zone.

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8
Q

What signals allow naive B cells to ‘find’ the B cell zone of the lymph node?

A

naive B cells express CXCR 5 (chemokine receptor) which ‘follow’ CXCL13 chemokine produced in B cell zone.

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9
Q

What proteins get upregulated in activated DCs?

A

1) CCR7 - navigates to lymph node.

2) B7.1 and B7.2 (also called CD80 and CD86) - co-stimulator for naive T cells.

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10
Q

What proteins facilitate DC / T cell binding?

A

T cell expresses LFA-1, DC expresses ICAM-1. low-affinity binding becomes high-affinity via ‘inside-out signal’ in T-cell if TCRs recognize MHC-presented peptide.

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11
Q

When naive T cells recognize antigen via TCR-DC connection, what signal cascade leads to proliferation?

A

CD3 via tail ITAM (immunoreceptor tyrosine activation motifs), proteins adjacent to TCR which recruit a tyrosine kinase (ZAP-70 in T-cells) which activates NF-kB via phospholipase 3 cascade (DAG/IP3) . Also need B7.1/7.2 on DC to bind CD28 on T-cell for full co-stimulation.

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12
Q

How are CD4 T-cell subsets defined?

A

By cytokines and other factors secreted by DCs during T-cell education. Specifically:
TGF-beta -> Treg cells.
IL-12 -> Th1 cells
IL-6 -> T-fh cells

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13
Q

Th1 cells

1) How are they activated
2) what is the primary cytokine they secrete
3) what is the effect of the secretion?

A

1) IL-12
2) IFN-gamma
3) activation of infected macrophage.

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14
Q

Th2 cells

1) How are they activated
2) what is the primary cytokine they secrete
3) what is the effect of the secretion?

A

1) IL-4
2) IL-4
3) activate eosinophils, plasma cells and mast cells to target helminths (cells too large to phagocytose), eventually tamps down its own production.

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15
Q

Th17

1) How are they activated
2) what is the primary cytokine they secrete
3) what is the effect of the secretion?

A

1) TGF-beta and IL-6
2) IL-17
3) activate neutrophils, particularly in the gut.

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16
Q

Tregs

1) How are they activated
2) what is the primary cytokine they secrete
3) what is the effect of the secretion?

A

1) TGF-beta
2) TGF-beta and IL-10
3) surpress immune response

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17
Q

Where do B-cells develop and mature?

A

develop in the bone marrow, mature in the lymph nodes and spleen.

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18
Q

How does the B-cell produce unique BCR?

A

1) production of heavy chain via DJ and VDJ rearrangements (using RAGs and TdT, gives 1/9 chance of successful rearrangement per chromosome).
2) viable heavy chain traffics to cell-surface, pairs with surrogate light chain
3) tonic signaling causes cell to stop HC rearrangement, proliferate and begin LC rearrangement.

19
Q

What protein is down regulated to insure allelic exclusion during B-cell development?

A

tonic signalling at pre-BCR and BCR stages reduce expression of RAG genes and target RAG-2 for proteosomal degradation. HC locus access is also reduced.

20
Q

Where do the following 3 processes occur in the lymph node?

1) B cell activation
2) B cell proliferation
3) B cell differentiation into memory and plasma cells and class switching.

A

1) T-cell zone (via activated T helper cell)
2) Germinal center dark zone (via somatic hypermutation)
3) Germinal center light zone

21
Q

In what part of the antibody gene does somatic hypermutation occur and what is the critical enzyme?

A

In V(D)J regions of HC and LC, critical enzyme = activation-induced deaminase (AID).

22
Q

What process is responsible for class switching?

A

IgM to IgD due to RNA processing
IgM to IgG/IgA/IgE due to DNA rearrangement.
Activation-induced deaminase is the critical enzyme for rearrangements.

23
Q

What are the three mechanisms by which NK cells decide to kill host cells?

A

1) foreign proteins in cell membrane
2) MICA, MICB (cell surface distress proteins, MHC1-homologs without antigen)
3) Loss of MHCI expression

24
Q

What cytokines do CD8 cytotoxic T cells secrete?

A

IFN-gamma (activate macrophages)

TNF-alpha

25
How do NK cells and T cells mediate cell death?
1) exocytose perforins (C9 homologue and pore former) and granzymes, which cleave capsizes. 2) express FasL, engaging target cell fas causing apoptosis. Can also cleave FasL for secretion.
26
What proteins mediate tight cell adhesion between T cells, NK cells and targets?
LFA-1 on lymphocytes, ICAM-1 on target. | For T cells, TCR/CD8-MHC/Ag cluster centrally.
27
How are CD8 T cells activated?
CD4 T cells license dendritic cells (Dendritic cell presents antigen on MHCII and expresses CD40, which bind CD4 T via TCR and CD40L). Licensed DC binds CD8 T cell via MHCI and CD80/86, which interacts with CD28 on naive CD8 cell.
28
What are the four major signals (receptor and ligand) that NK cells use to decide whether to kill a host cell?
1) Presence of MHC I by Killer Ig-like Receptor (KIR). (cytoplasmic tail contains ITIM, dampening kill signal) 2) Presence of MICA / MICB by NKG2D receptor (provides activating signal similar to CD28) 3) Presence of IgG by Fc(gamma) Receptor III (cytoplasmic tail contains ITAM, increases signal) 4) TLR-3, TLR-7 recognizes viral RNA.
29
What are CD56bright NK cells, where are they, what do they do and how?
NK cells with no killing capacity, found primarily in the lymphoid tissue, rapidly produce IFN-gamma and TNF-alpha by same signal addition in regular NK cells.
30
Where is HEV located and who passes through them?
T cell zone (paracortex) of lymph node, B and T cells enter through them.
31
At what rate to T cells exit HEV?
30,000 per second
32
What signals in the germinal center lead B cells to class switch to IgE antibodies?
Requires T cell help: CD40L and IL-4 or IL-13 (Th2 cytokines)
33
What triggers Type I Hypersensitivity reactions?
Low-dose allergen exposure via mucous membrane triggers IgE production; secondary exposure leads IgE to bind antigen and mast cells to bind IgE Fc regions, releasing preformed granules containing histamine.
34
What are the immediate symptoms of a type I hypersensitivity reactions?
Histamine, tryptase, heparin release lead to smooth muscle constriction, vasodilation, vascular leak, GI motility, mucous secretion, sensory nerve activation.
35
What occurs during the early phase (minutes after exposure) of a type I hypersensitivity reaction?
Production of arachidonic acid products (leukotrienes, prostaglandins) leads to smooth muscle constriction, vasodilation, vascular leak, mucous secretion, neutrophil chemotaxis.
36
What occurs during the late phase (6+ hours) after a type I hypersensitivity reaction?
gene activation of cytokines leads to production of: 1) TNFalpha, recruits inflammatory cells 2) IL-3, IL-5, GM-CSK, causes eosinophil production 3) IL-4, IL-13, propagate Th2 response.
37
What cells trigger eosinophil attack, what toxins are produced, what do those toxins attack?
1) Triggered by Fc cross linking (IgA strongest, IgG, IgE weakest) 2) Eosinophils release major basic protein, eosinophil cationic protein, eosinophil-derived neurotoxin. 3) Toxic to helminths, also causes collateral tissue damage.
38
How do you treat a type I hypersensitivity anaphylactic reaction?
1) epinephrine injection followed by antihistamines. | 2) corticosteroids to prevent late phase response.
39
What is the molecular mechanism that causes a type II hypersensitivity reaction, what are the symptoms of this reaction?
molar equivalent of antigen and antibody leads to supramolecular lattice, which deposit in local blood vessel walls, fix complement, creating chemoattractive gradient for neutrophil recruitment, platelet binding and thrombosis formation, mast cell activation and histamine release.
40
What are the symptoms of a type II hypersensitivity reaction and when do they occur
Fever, lymphadenopathy, urticaria, joint pain, proteinuria; occurs about 2 weeks after introduction of long-lived antigen in a naive recipient.
41
What is a type iv hypersensitivity reaction?
Similar to type i (reaction occurs on re-exposure), but occurs 1-3 days after re-exposure, 'delayed type,' due to activation of T cells with a haptenylated native protein.
42
What are classic examples of type iv hypersensitivity reactions?
tuberculin test; allergic contact dermatitis (poison ivy); some drug rashes.
43
What is Bruton's Tyrosine Kinase Deficiency?
X-linked agammaglobulinemia, deficiency in enzyme in V-J rearrangement pathway. Leads to no circulating B cells.
44
What is Hyper-IgM syndrome?
Deficiency in T cell CD40L, B cell CD40 or B cell AID, leading to abundant low affinity IgM in syrup, no IgG, IgA, IgE. No affinity maturation.