Inherited Immunodeficiencies Flashcards

(76 cards)

1
Q

Asplenia vulnerability

A

Encapsulated bacteria, esp. sepsis due to (no spleen macros to clean blood)

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2
Q

Asplenia treatment

A

Vaccinations against encapsulated bacteria; prophylactic antibiotics before dentist and @ first sign of infection

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3
Q

Phagocyte defects vulnerability

A

Clearing bacterial infections

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4
Q

Leukocyte adhesion deficiency vulnerability

A

widespread encapsulated bacteria infection

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5
Q

CGD defect

A

NADPH oxidase

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6
Q

CGD vulnerability

A

chronic fungal & bacterial infections; GRANULOMAS

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7
Q

MPO deficiency vulnerability

A

chronic fungal and bacterial infections

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8
Q

MPO deficiency cells affected

A

neutrophils (granules) and macrophages (lysosomes)

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9
Q

G6PD deficiency mech

A

impaired respiratory burst

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10
Q

G6PD deficiency vulnerability

A

chrobic bacterial and fungal infections; anemia from some agents

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11
Q

Chedak-Higashi defect

A

vesicle fusion in phagocytosis

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12
Q

Chedak-Higashi vulnerability

A

recurrent fungal and bacterial; granulomas

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13
Q

Kostmann syndrome is…

A

Neutropenia

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14
Q

Kostmann syndrome defect

A

G-CSF (granulocyte colony stimulating factor)

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15
Q

NK cell deficiencies - presentation

A

recurrent viral infections (esp. chickenpox/shingles)

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16
Q

NK cell defects - 3

A

cytoplasm granule formation; perforin; bone marrow NK cell development

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17
Q

NEMO - what is it?

A

protein required for NFkB activity, which is important for innate immunity and development)

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18
Q

NFkB - what is it?

A

transcription factor activated by TLRs

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19
Q

NEMO signs

A

developmental; deep-set eyes; fine hair; bad teeth; blistering

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20
Q

NEMO vulnerabilities

A

bacterial & viral infections, esp. mycobaterium avium

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21
Q

NEMO deficiency treatment

A

Biweekly inj of gamma glob; bone marrow transplant

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22
Q

Complement deficiencies - general vulnerability

A

extracellular bacteria

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23
Q

Complement receptor deficiency - general vulnerability and why

A

encapsulated bacteria (C3 depleted)

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24
Q

C1,C2,C4 deficiency vulnerability

A

Immune-complexes

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25
C3 deficiency vulnerability
encapsulated bacteria
26
C5-9 deficiency vulnerability
Neisseria
27
Factor D & Factor P deficiency vulnerability
encapsulated bacteria; Neisseria
28
Factor I deficiency vulnerability
encapsulated bacteria
29
DAF & CD59 deficiency vulnerability
autoimmune-like
30
C1INH deficiency leads to
HANE (systemic edema due to anaphylatoxin overproduction)
31
MBL deficiency vulnerability
recurrent severe infections
32
C1INH deficiency treatment
Monthly inj of C1INH
33
PNH - what is it?
Paroxymal nocturnal hemoglobinuria
34
PNH signs
autoimmune hemolytic anemia; red urine; thrombosis
35
PNH defect
glycophosphatidylinositol (needed by DAF and CD59 to regulate MAC)
36
PNH treatment
Bone marrow transplant; C5 monoclonal Ab helps too
37
Antibody deficiency treatment
Monthly inj of gamma globulin
38
Antibody deficiency vulnerability
Extracellular bacteria, especially encapsulated bacteria
39
XLA defect
BtK enzyme (needed for B cell dev)
40
XLA defect result
Almost no humoral immune system
41
Pre-BCR deficiency - part affected?
Gamma-5
42
Pre-BCR deficiency mech
B cell cannot generate BCR so undergoes apoptosis
43
X-linked IgM syndrome defect (2 causes)
CD40 ligand, or AID deficiency (needed for class switching)
44
X-linked IgM syndrome vulnerability
No class switching; vulnerable to intracellular bacteria
45
Selective IgA deficiency vulnerability
Healthy unless exposed to parasites
46
Selective IgG deficiency - IgG1
bacteria and viruses (ADCC issue)
47
Selective IgG deficiency - IgG2
Encapsulated bacteria (IgG2 role in complement)
48
Selective IgG deficiency - IgG3
Most common in adults
49
Selective IgG deficiency - IgG4
Unknown
50
CVID - describe
a group of ~150 primary immunodeficiencies that usually includes reduced antibodies
51
CVID - onset
Genetic, 20s or 30s
52
TAP deficiency mech
Low MHC I functionality so defective response to IC pathogens
53
TAP deficiency in number of these cells and why
CD8+ cells are low because not positively selected in thymus
54
CD8 alpha-chain defect is similar to
TAP deficiency
55
Nonsense mutation of perforin consequences
Low CTL levels, normal CD8+ levels, CTLs cannot cause apoptosis on targets
56
Can CD4+ defects cause SCID?
Yes
57
"Bare lymphocyte" MHC II issue
Lack MHC II expression and low CD4 cells...
58
Wiskott-Aldrich syndrome defect
Defect in cytoskeleton reorganizing needed for T cells to deliver cytokines to B cells and macrophages - "cell cross-talk deficiency"
59
Common gamma-chain defect
Impaired IL signaling - failure of T cell proliferation so no T cell effectors
60
JAK3 deficiency
No effector T cells
61
CD3 deficiency
Lack of CD4 and CD8 T cells - total T cell LOF
62
Omenn syndrome defect
Partially active RAG -> absent B cells; also no T cell function
63
Omenn syndrome symptoms
erythoderma; desquamation, alopecia...
64
DiGeorge syndrome defect
Chromosome 22 microdeletion
65
Complete DiGeorge defect
very few T cells
66
Complete DiGeorge treatment
thymic transplant
67
ZAP-70 defect
tyrosine kinase involved in TCR signaling is messed up, leading to no CD8 T cells but normal levels of nonfunctional CD4
68
APECED defect
AIRE - tf that regulates expression of thymic medulla negative selection proteins - develop autoimmune responses as a result
69
APECED presentation
hypoparathyroid; hypogonadism
70
IPEX defect
FoxP3 in CD4+ cells leads to no Treg function
71
IPEX presentation triad
1) watery diarrhea; 2) eczema; 3) DM type I
72
IPEX treatment
immunosuppression; bone marrow transplant
73
ALPS signs
Lymphadenopathy; splenomegaly; neutropenia; thrombocytopenia (low platelets)
74
ALPs possible mutations in...
Fas, FasL, or caspase 10
75
ALPs effects on immune cells
High CD4 and CD8 concentrations
76
ALPS stands for
Autoimmune lymphoproliferative syndrome