ImmunoSero Lec (Midterms - Soluble Mediators) Flashcards

1
Q

Part of the innate system that helps phagocytic cells to clear pathogens, lyse foreign cells, opsonize and tag invaders for clearance, direct the adaptive immune system to the site of infection.

A

Complement system

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

Amplify inflammatory response having 30 soluble and cell bound proteins

A

Complement system

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

Heat labile substance present in normal nonimmune serum

A

Complement system

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

Complement activation is also considered pro-inflammatory in its ability to (3)

A
  1. Increase vascular permeability
  2. Recruit monocytes and neutrophils
  3. Trigger secretion of regulatory molecules that amplify the immune response
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In the pro-inflammatory role, this serves as an important link between innate and adaptive immunity

A

complement protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

A complex series composed of 30 soluble and cell bound proteins that interact in a very specific way to enhance host defense mechanisms against foregin cells including serum proteins, serosal proteins, and cell membrane receptors

A

Complement protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

This is where most plasma proteins are synthesized except C1

A

Liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

C1 are components which are mainly produced by these cells.

A

Intestinal epithelial cells

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

Tissue composition of Factor D of Alternative Pathway

A

Adipose tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Nobel prize laureate which elucidated their nature

A

Jules Bordet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Coined the term “complement” because it complements the action of antibody in destroying microorganisms.

A

Paul Erlich

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

3 Complement pathways

A
  1. Classical
  2. Alternative
  3. Mannose Binding Lectin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Originally called the properdin system, because the protein properdin was thought to initiate this pathway. However, it is know that properdin’s major function is to stabilize a key enzyme complex formed along the pathway.

A

Alternative Pathway

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

Oldest pathway which is another antibody-independent means of activating complement proteins.

A

Mannos Binding Lectin Pathway

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The major constituent of the MBL Pathway that adheres to mannose found mainly in the cell walls or outer coating of bacteria, viruses, yeast, and protozoa.

A

Mannos- (mannan-) binding lectin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Naming system

  1. Designated as “b”
  2. Designated as “a”
A

b: larger fragment
a: smaller fragment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

In this complement protein, “a” is designated as the larger fragment while “b” is the smaller fragment.

A

C2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Number of proteins triggered by antigen-antibody combination in the Classical Pathway

A

9 (C1-C9)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Immunoglobulins involved in the Classical Pathway

A

IgM, IgG1, IgG2, and IgG3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Initiation of Classical Pathway

A
  1. Antibody binding to the pathogen
  2. C1 protein binding to the FC receptor of antibody
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Most efficient because it has multiple binding sites thus it takes only one molecule attached to two adjacent antigenic determinants to initiate the cascade.

A

IgM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Number of IgG molecules that must attach to antigen within 30 to 40 nm of each other before complement can bind.

At least how many IgG molecules would it tkae to ensure that it is close enough to initiate such binding?

A

2 IgG molecules;
At least 1000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Within the IgG group, IgG3 is the most effective, followed by these two:

A

IgG 1 then IgG2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Stablizes C1q, C1r, and C1s.

A

Calcium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

First complement component of the classical pathway to bind.

A

C1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

The ________________ unit is the part that binds to antibody molecules, whereas the ____________________ subunits generate enzyme activity to begin the cascade.

A

C1q;
C1r and C1s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Composed of 6 strands that forms the 6 globular heads with collagen tailed portion. This structure has been likened to a bouquet with six blossoms extending outward

A

C1q

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

As long as this is present in the serum, C1r and C1s remain associated with C1q

A

calcium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Recognizes the fragment crystallizable region of two adjacent antibody molecules.

A

C1q

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

At least how many globular heads of C1q must be bound to initiate the classical pathway?

A

two

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Binding for IgG and IgM respectively

A

IgG - CH2 region
IgM - CH3 region

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Once this complement is activated, the recognition stage ends

A

C1s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

This complement is extremely specific because its only known subtrate is C1s

A

C1r

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

A complement that has a limited specificity with it only subtrates being C4 and C2

A

C1s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Formed by C4a + C2b

A

C4b2a (C3 convertase)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Second-most-abundant complement protein with a serum concentration of approximately 600 ug/mL.

A

C4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

C1s cleaves C4 to split off how many amino acid fragment called C4a?

A

77-amino-acid fragment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

C4b binds mainly to antigen in cluster that are within this radius of C1

A

40 nm radius

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

First amplification step in the cascade (The Activation Unit)

A

C4b binds to antigen in cluster that are within 40 nm radius of C1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

For every one C1 attached, approximately how many molecules of C4 are split and attached?

A

30

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Closely associated with the gene for factor B (alternative pathway) on Chromosome 6

A

C2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

True or False.

C2 has a short half-life that serves to keep the reaction localized.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Written as C4b2a to indicate that complex is an active enzyme by which its half-life is estimated to be between 15 seconds - 3 minutes.

A

C3 convertase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Major and central constituent of the complement system

A

C3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

a powerful opsonin

A

C3b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Most significant step in the entire process of complement activation

A

Cleavage of C3 to C3b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Half-life estimation of C3b if not bound to antigen.

A

60 microseconds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Written as C4b2a3b

A

C5 convertase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

When this attaches to the cell membrane, formation of the (MAC) Membrane Attack Complex begins.

A

C5b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Most significant biological consequences of the complement system.

A

Splitting of C5 and the cleavage of C3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Forms the Membrane Attack Complex

A

C6-C9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

The MAC is the complex of

A

C5b-C6-C7-C8-C9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

In MAC, if the complex is soluble in circulation, it is called …

A

sC5b-9

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

Functional pore size of completed MAC unit which would allow ions to pass in and out of the membrane.

A

70 to 100A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

This form of IgM is found in plasma

A

Planar form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

Form of IgM that will bind to the cell

A

Staple form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

Recognition unit

A

C1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

activation unit

A

C2, C4, and C3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

Forms the membrane attack complex

A

C5b, C6-C9

60
Q

Activated by recognition of surface moieties that are found on pathogens and are independent of antibodies

A

Lectin pathway

61
Q

Proteins that bind carbohydrates (manose)

A

Lectin

62
Q

One key lectin binds to mannose or related surgars in this manner.

A

Calcium-dependent manner

63
Q

Plays an important role as a defense mechanism in infancy, during the intercal between the loss of maternal antibody and the acquisition of a full-fledged antibody response to pathogens.

A

Lectin Pathway

64
Q

Acute phase protein produced in the liver that binds to mannose or related sugars

A

MBL

65
Q

Bacteria that has mannose in their cell wall

A

Neisseria
Candida
Salmonella

66
Q

Its deficiency is associated with neonatal pneumonia and sepsis.

A

MBL

67
Q

MBL-associated serine proteases

A

MASPs

68
Q

The most common MASP because it will be the one to cleave C4 and C2 to form the C3 convertase

A

MASP-2

69
Q

Non-antibody initiated pathway that is slower than the classical pathway and stabilizes the C3 convertase.

A

Alternative pathway

70
Q

First step in Alternative Pathway

A

Conversion of C3

71
Q

In plasma, this is not stable.

A

Native C3

72
Q

> A serine protease
Its only substrate is bound Factor B
Lowest (2 ug/ml)
It cleaves Factor B into two pieces: Ba and Bb

A

Factor D

73
Q

> Alternative pathway convertase
Capable of cleaving additonal C3 into C3a and
C3b

A

C3bBb

74
Q

Has a high affinity for C5 and exhibits C5 convertase activity

A

C3bBb3bp

75
Q

True or False.

C3bBb cannot cleave C5, and is only efficient at cleaving C3.

A

False. C3bBb can also cleave C5, but it is much more efficient at cleaving C3.

76
Q

Where all the pathways meet.

A

C3

77
Q

> Inactivates C1 by binding to the active sites of C1r and C1s

> Inactivates MASP-2 binding to the MBL-MASP
complex

A

C1 inhibitor (C1-INH)

78
Q

A serine protease that inactivates C3b and C4bs only when bound to these regulators:

C4 binding protein (C4BP)
Complement receptor type 1 (CR1)
Membrane cofactor protein (MCP)
Decay-accelerating factor

A

Factor 1

79
Q

Causing the cessation of the classical pathway

A

When C4BP attaches to cell-bound C4b (it can dissociate it from C4b2a complexes)

80
Q

Also known as CD35, which is a large polymorphic glycoprotein found mainly on peripheral blood cells, including neutrophils, monocytes, macrophages, erythrocytes, eosinophils, B lymphocytes, some T lymphocytes, and follicular dendritic cells.

A

Complement receptor type 1 (CR1)

81
Q
A
82
Q

Ability of cells to bind complement coated particles

A

Immune adherance

83
Q

Also known as CD46; found on virtually all epithelial and endothelial cells except erythrocytes

A

Membrane cofactor protein (MCP)

84
Q

> third main receptor, and it has a wide tissue distribution

> found on peripheral blood cells, on endothelial cells and fibroblasts, and on numerous types of epithelial cells

> capable of dissociating both classical and alternative pathway C3 convertases

A

Decay-accelerating factor

85
Q

Its presence on host cells protects them from bystander lysis and is one of the main mechanisms used in discrimination of self from nonself, because foreign cells do not possess this substance.

A

DAF

86
Q

Acts by binding to C3b, preventing the binding of Factor B and as a cofactor that allows Factor I to break down C3b

A

Factor H

87
Q

Accelerates the dissociation of the C3bBb complex because when this binds to C3bBb, Bb becomes displaced.

A

Factor H

88
Q

Vitronectin

A

S protein

89
Q

CD59, also acts to block formation of the MAC and is widely distrubuted in all cells.

A

Membrane Inhibitor of Release Lysis (MIRL)

90
Q

Biological functions of Complement Proteins

A
  1. Amplifying the inflammatory response
  2. Antigen presentation
  3. B cell activation
  4. Immunologic memory
91
Q

Effector molecules that causes increased vascular permeability, contraction of smooth muscle, and release of histamine and mast cells.

A

Anaphylatoxin

92
Q

Most potent anaphylatoxin

A

C3a and C5a

93
Q

Direct cells to the source of antigen concentration

A

Chemotaxin

94
Q

Most common chemotaxin

A

C5a

95
Q

Most common complement deficiency

A

C2

96
Q

Most serious complement deficiency

A

C3

97
Q

These individuals may be more prone to recurrent streptococcal and staphylococcal infections.

A

C2-deficient individuals

98
Q

Individuals with this deficiency are prone to developing severe, recurrent life-threatening infections with encapsulates bacteria and may also be subject to immune complex diseases which can be lodged in the kidney and result in glomerulonephritis

A

C3 deficiency

99
Q

Its deficiency is associated with lupuslike syndrome

A

C4 deficiency

100
Q

Its deficiency has no known disease association

A

C9 deficiency

101
Q

Its deficiency is associated wtih neisseria infections

A

C5-C8
Properdin

102
Q

Its deficiency is associated with paroxysmal nocturnal hemoglobinuria

A

DAF and MIRL

103
Q

Its deficiency is associated with recurrent pyogenic infections

A

Factor H or Factor I

104
Q

Its deficiency is associated with pneumococcal diseases

A

MASP-2

105
Q

Its deficiency is associated with hereditary angioedema

A

C1INH (C1 inhibitor)

106
Q

Cells are subject to lysis by means of the bystander effect once the complement system has been triggered

A

DAF Deficiency

107
Q

Acquired autoantibody

A

C3NeF (C3 Nephrotic Factor)

108
Q

Medium used for radial immunodiffusion into which specific antibody is incorporated.

A

Agarose gel

109
Q

This serves as the antigen in radial immunodiffusion.

A

Serum

110
Q

Radial immunodiffusion is commonly performed for this complement

A

C3

111
Q

Routinely measured in most clinical labs

A

C3 and C4

112
Q

Measures concentration according to the amount of light scattered by a solution containing a reagent antibody and a measured patient sample

A

Nephelometry

113
Q

Test with high degree of accuracy

A

Nephelometry

114
Q

Measurement of C1 inhibitor (C1-INH)

A

ELISA

115
Q

Measures the amount of patient serum required to lyse 50% of a standardized concentration of antibody-sensitized sheep erythrocytes

A

CH50

116
Q

Tested by doing a serial dilution adding it to sensitized sheep red blood cells.

A

CH50

117
Q

Tubes in CH50 are then incubated at what temperature?

A

37C

118
Q

Best screen for complement abnormalities

A

ELISA

119
Q

alternative pathway assay

A

AH50

120
Q

Added to the buffer for AH50

A

Magnesium Chloride & Ethlylene Glycol Tetraacetic Acid (EGTA)

121
Q

Can detect C3bBbP or C3bP

A

ELISA

122
Q

In one test system, what coats the strip for classical, alternative, and mannose-binding lectin pathway?

A

Classical -IgM
Alternative - lipopolysaccharide
Mannose-binding Lectin - mannose

123
Q
A
124
Q

If not tested within 1 to 2 hours, serum should be

A

frozen or placed on dry ice

125
Q

Both the CH50 and AH50 are low

A

Terminal pathway

126
Q

CH50 low, AH50 normal

A

Classical Pathway

127
Q

CH50 normal, AH50 low

A

Alternative

128
Q

secrete specific antibodies

A

B lymphocytes

129
Q

secrete soluble mediators, such as interleukin-2 (IL-2) and other ILs, granulocytemonocyte, colony-stimulating factor (GM-CSF), interferon-γ (IFN-γ) and tumor necrosis factor-β (TNF-β)

A

T lymphocytes

130
Q

lymphocytes that secrete IFN-α 4

A

NK lymphocytes

131
Q

secrete IFN-α, IL-1, and other ILs, TNF-α, and GM-CSF and monocyte colony-stimulating factor (M-CSF)

A

Monocytes an macrophages

132
Q

Induces fever, proinflammatory

A

IL-1

133
Q

Induces production of CRP

A

IL-6

134
Q

Potent stimulator of neutrophils in chemotaxis

A

IL-8

135
Q

Enhances NK cell function

A

IL-12

136
Q

Mediate actopms between leukocytes

A

Interleukins

137
Q

Interferes with viral replication

A

Interferon

138
Q

Principal mediator of the acute inflammatory response to gram-negative bacteria & other infectious microbes

A

Tumor necrosis Factor

139
Q

TNF produced by macrophages, lmphocytes and NK cells when encountering bacteria, viruses, tumor cells, toxins and complement protein C5a

A

TNF-a

140
Q

TNF produced by CD4 and CD8 positive cells after
exposure to specific antigen

A

TNF-Beta

141
Q

a cytokine that interacts with a tyrosine kinase membrane receptor, the protein product of the cellular oncogene c-kit

A

Stem cell factor

142
Q

may also play a role in** sustaining the viability and proliferative capacity of immature T cells** in the thymus and mast cells in mucosal tissues

A

Stem cell factor

143
Q

provide a link between the lymphoid and hematopoietic systems

A

Colony stimulating factor

144
Q

identified as products of virally transformed cells

A

Transforming Growth Factor

145
Q

It inhibits the proliferation and differentiation of T
cells and the activation of macrophages

A

Transforming growth factor

146
Q

These factors were found to induce phenotypic transformation in nonneoplastic cells

A

Transforming Gtowth Factor