More Immunology Lecture Notes from Old Notes Flashcards
1
Q
What does MHC stand for?
A
Major Histocompatibility Markers
2
Q
What are the purpose of MHC?
A
They help the cells of your body distinguish them as self
3
Q
MHC I
A
A self marker
Contains a binding site for a protein fragment which the cell is producing
Red Blood Cells lack MHC I markers since they lack nuclei and cannot produce proteins; therefore red blood cells can be transfused
4
Q
T/F: Red blood cells lack MHC I markers
A
T; since they lack nuclei and cannot produce proteins
5
Q
Why do RBC lack MHC I markers?
A
They lack nuclei and cannot produce proteins; therefore, red blood cells can be transfused
6
Q
MHC II
A
Incorporate protein fragments from protein that were consumed by the cell
These are foreign proteins
Only presenter cells such as Phagocytic cells contain MHC II markers
7
Q
Incorporate protein fragments from protein that were consumed by the cell
These are foreign proteins
Only presenter cells such as Phagocytic cells contain these:
A
MHC II
8
Q
Non-specific immune response
A
The defending cell are non-specific in what they attack
9
Q
Specific Immune Response
A
Defending cell attacks one specific type of foreign invader
10
Q
Antigen
A
A specific non-self molecule that is recognized
They have antigenic determination sites
Ex: Chicken pox virus is the antigen, proteins on the viral coat that are recognized are the determination sites
11
Q
Virus
A
Non-living
They are made up of nucleic acid surrounded by a protein coat
They cannot make copies of themselves on their own; they need to invade other cells and get those cells to make more viruses
There are DNA and RNA viruses
Virus first has to attach to your cell and insert its DNA into the host cell’s chromosome
12
Q
If a virus is RNA based it is
A
Retrovirus
13
Q
T/F: As virus takes over a cell and makes new viral proteins it will insert fragments into the cell’s MHC I marker, thus making the cell recognized as a foreign object
A
T
14
Q
How does a retrovirus work?
A
A retrovirus inserts RNA, reverse transcribes and inserts into host genome thus forcing host cells to make copies of it
15
Q
Phagocytic White Blood Cell
A
Monocytes become macrophages:
They are the “big eaters”
They are located in blood, lymph as well as tissue spaces
Some can hang out in specific organs giving them specific names
These cells can reshape and squeeze through a tiny opening: Diapedesis
16
Q
Diapedesis
A
The outward movement or passage of blood cells through pores in intact vessel walls
17
Q
How do phagocytic cells work?
A
Endocytosis
Chemotaxis
18
Q
Endocytosis with phagocytic cells
A
Membrane of phagocytic cell surrounds and envelopes foreign entity
Membranes join and pinch off, forming a vacuole within
Digestive enzymes do their work on the vacuole: the enzymes are packaged in lysosomes, the lysosome will merge with the food vacuole, exposing the digestive enzymes to the vacuole; if lysosome explodes it can cause inflammation
As the entity is broken down to basic unites (amino acids, etc) it can be taken up to the membrane and released into the cell for use
19
Q
Phagocytes move via
A
Pseudopods (fake legs)
20
Q
Chemotaxis
A
Chemical communication attracting other phagocytes to area
21
Q
Do the cells of our specific immune system get rid of foreign invaders?
A
No the cells of our specific immune system do NOT get rid of foreign invaders but make them easy for nonspecific cells to do their job
22
Q
Specific Immune Cells
A
Lymphocytes; B-Cells, T-Cells
23
Q
Lymphocytes are non-specific or specific?
A
Specific Immune Cells
24
Q
Are B-Cells specific or non-specific?
A
Specific Immune Cells
25
Are T-Cells specific or non-specific?
Specific Immune Cells
26
Where do B-Cells start?
They mature in the bone marrow and stay there
27
Where do T-Cells start?
They mature in the bone marrow and go to the thymus gland
28
How do specific immune cells work?
These cells have immune receptors on their membrane that corresponds to an antigen on a pathogen
During development of B and T cells they start producing these immune receptors
The number of non-self molecules is potentially limitless
Binding of antigen to immune receptor on lymphocyte causes it to be activated; the cell starts to divide and make copies of itself: Clonal Formation
29
Describe the Immune Receptor Structure
Immune receptors have 2 copies of 2 different length proteins
The part that binds to an antigen is comprised of a portion of heavy chain and light chain:
Heavy chain: stem part is in membrane of B-cell
Light chain; variable region: varies from different immune receptors
30
Which are the most abundant classes of antibodies?
IgG and IgM
31
Where is IgA antibody associated?
In saliva and mother's milk
32
Where is IgE antibody associated?
Involved in inflammation response and allergy
33
Where is IgD antibody associated?
Rare floating freely in blood because the D is the constant region that inserts into B-cell membrane, therefore these are the immune receptors on its surface; it is used for the insertion of protein into the membrane of B-cell
34
Job of Plasma cells
Secrete immune receptors (antibodies) into the bloodstream;
Gamma globulins are another name for antibodies
Immunoglobulins are another name for antibodies
Plasma cells are antibody manufacturing plants
35
What is an antibody's primary job?
To bind to the markers on an antigen allowing for macrophages to easily eat the antigen
36
Which is the first antibody the body produces?
The body first produces IgM and then changes to IgG production
37
Why does the body change IgM production to IgG?
This change is mediated by chemicals that induce the plasma cells to change its constant region, thereby changing the class of antibody
38
What function do antibodies serve?
Neutralization
Agglutination
Precipitation
Complement Fixation
39
Explain neutralization as applies to antibody function
Antibodies prevent foreign particles from doing damage by coating them, preventing virus or bacteria from entering your cell; Antibodies do NOT kill antigens
40
T/F: Antibodies kill antigens
FALSE
41
Explain Agglutination as applies to antibody function
Clumping of cells together;
| Antibody bins to multiple virus/bacteria making them clump and preventing them from roaming freely in the blood
42
Explain Precipitation as applies to antibody function
Some foreign particles are too small such as foreign proteins which are soluble
Antigen stick to these particles to make them clump and insoluble. This makes the antigen precipitate out
43
Opsinozation
The process that makes it easier for phagocytic cell to engulf the antigen coated with antibodies
44
How do antibodies help with opsinozation
There is a macrophage binding site at the ends of the constant region of the antibody which is why antibodies make phagocytosis occur more effectively
45
Explain Complement fixation as applies to antibody function
Complement proteins: group of plasma proteins produced by the liver
There is a complement binding site on the constant region of the antibody where complement proteins complex bind
When antibodies bind to a cell membrane they become aligned and clump together, complement proteins come and bind to 2 antibody causing them to release their complement proteins (know as an attack complex) which insert into the membrane to form a large pore disrputing the continuity of the cell membrane; the cell will lyse as its content are poured out, this only works for cellular pathogens such as bacteria (no virus or foreign porteins)
Phagocyte will come to clean up the garbage
46
T/F: Plasma cells produce 2,000 antibodies/second
True but they only last 3-4 days. We have clones of them so long as pathogen is around they will continue dividing. Once pathogen is gone, the B-cell will have nothing to stimulate it and it doesn't undergo clonal formation anymore
47
Explain how Active Immunity works
At the end of an infection, many B-cells remain in body as memory cells
These B-cells were never converted into plasma cells at the end of infection
Next time the same pathogen is encountered the memory cells were immediately stimulated and turned into plasma cells and antibodies were immediately dumped into the bloodstream and the pathogen is neutralized and killed before it even has a chance to make one sick
These B-cells have perfect or near perfect fit
This is known as active immunity
48
On first exposure to a pathogen or primary infection...
There is time needed for clonal formation
| IgM secreted 1st, IgG secreted several days later
49
On secondary infection....
Memory cells are present
| IgG is secreted in abundance immediately
50
How does Active Immunization work?
In Active Immunization we inject the viral protein coat but not the DNA/RNA into a person; the coat has the markers, but if DNA/RNA is not present then you cannot get sick
51
Why are some viruses hard to build active immunity to?
Some viruses mutate very quickly; such as the flu
52
How does Passive Immunization work?
The direct injection of antibodies into a person
This does not give you active immunity b/c once the antibodies are gone you can get sick again because memory cells were never formed
53
Why do we get passive immunity?
Some pathogens are so deadly that you cannot wait for an immune response to build up. Need antibodies ASAP
54
T/F: Mother gives antibodies to the child
T, mom gives baby antibodies across the placenta in the womb
| Antibodies (IgA) are also transferred through the mother's milk
55
What are Antigen Presenting Cells (APC) & Explain their function?
Cells which have engulfed the antigen and digested it and put pieces of it on the MHC II Markers
You are now displaying markers of the antigen on your MHC II Markers
It might go to lymph node and then "present" this marker to a B cell
If the B cell matches up then it will bind and the B cells will be stimulated and undergo clonal formation; when the B cells are activated so are T cells
Both phagocytes and B cells can be presenter cells
56
T/F: Only presenting cells have MHC II markers?
T; all other body cells have MHC I markers "Self Markers"
57
T/F: When B cells are activated, T cells are also simultaneously activated
T
58
Purpose of T cells when virus infects
When a virus invades your cells, the cell will be forced to make viral proteins; the fragments of these proteins will be placed into the MHC I markers and therefore your body cell are now marked with foreign proteins
Some T cells may have immune receptors to match this foreign shape and undergo clonal formation upon contact
59
What are the 2 types of T-cells?
T-Cytotoxic Cells
| T-Helper Cells
60
Describe T-Cytotoxic Cells
Kills body cells with foreign MHC I marker
Their immune receptors alone cannot bind to foreign protein fragment on MHC I marker; a second marker on the cytotoxic t cell called CD8 is required to work in conjunction with the immune receptor in order to bind properly
Kills body cell by causing the cell to lyse and fragment
These cells give off cytokines
Before secreting cytokines, the T cells must first undergo clonal formation, becoming immunocompetant by binding to infected cell and becoming stimulated; the offspring of clonal formation often have better fit to foreign proteins, causing greater stimulation and more secretion of cytokines
After chemicals are secreted and corrupted body cells are killed, memory cells will remain (Active Immunity)
61
T/F: T-cytotoxic cells bind directly to foreign protein fragments on MHC I marker
False
T-Cytotoxic cells immune receptors alone cannot bind to foreign protein fragment on MHC I marker
A second marker on the Cytotoxic T-Cell called CD8 is required to work in conjunction with the immune receptor in order to bind properly
62
How do T-Cytotoxic cells kill body cells
Cause cell to lyse and fragment
Perforin is the chemical that binds to cell membrane, forming holes and making it blow up
Causing cell to undergo apoptosis = cell suicide
63
Apoptosis
Cell suicide
64
T-Cytotoxic cells give off what chemical?
Cytokines- chemicals given off by one cell that trigger response in neighboring cell (Paracrine System); this is a general term, there are many types of cytokines
65
Cytokines
Chemicals given off by one cell that trigger response in neighboring cell
66
Function of T-Helper Cells
Helps the system by secreting cytokines
Cytokines are responsible for triggering many of the stages in the immune response such as clonal formation and formation of plasma cells
67
What are the markers of T-Helper cells
Immune receptor - binds to foreign protein
| CD4 - binds to MHC II
68
What is Interleukin 1?
Many cytokines are called Interleukins
Interleukin 1 is given off by presenter cell to the helper T cell;
This stimulates the helper cell to start clonal formation and is necessary for continuation of clonal formation (becoming immunocompetant)
69
Do B-Cells & Helper T Cells kill infected body cells?
No but they are very important to the immune response
70
What is Interleukin 2?
Given off by helper T-cell
Stimulates phagocytic cells to become more phagocytic and also stimulates immunocompetant T-cells (other helper cells or cytotoxic cells)
71
What is Interleukin 4?
Given off by helper t cells
| Acts on plasma cells to start making IgE and IgG
72
What is IgE antibody associated with (may have been asked already)?
Moves through blood and tissue fluids and are incorporated into mast cells
73
Given off by helper T-cell
Stimulates phagocytic cells to become more phagocytic and also stimulates immunocompetant T-cells (other helper cells or cytotoxic cells)
Interleukin 2
74
Given off by helper t cells
| Acts on plasma cells to start making IgE and IgG
Interleukin 4
75
What are Mast Cells?
Are derived from basophils in blood and they move to tissue spaces and reside there, becoming mast cells
May have a variety of IgE antibodies that it put into its membrane
They are not lymphocyte, they don't have immune receptors but they can acquire them in the form of IgE antibodies
When a mast cell encounters an antigen that binds to one of its acquired receptors it secretes:
Histamine
Heparin
Prostaglandins
76
Histamine
Potent Vasodilator
Get a lot of blood to the are and more fluid leaks out of capillaries, forming tissue fluid. This causes inflammation as the area swells up with fluid
77
Heparin
Prevents clotting
78
T/F: Any IgE antibodies the body makes can be incorporated into its membrane, not just one type
True
This allows mast cells to react to a wide variety of antigens
Mast cells will secrete chemical once it gets into contact with ntigen
79
The inflammation response
Vasodilation caused by Histamine which causes more leakage & inflammation in the area
Increase in capillary permeability; things like antibodies, clotting factors, complement proteins and antigens can now go through capillaries
Leukocytosis
80
Inflammation via Mast cell
Mast cells release heparin, prostaglandins, and histamine
81
T/F: Neutrophils have toll-like receptors (TLR) which bind to classes of markers on bacteria/fungi worms (non-specific to bacterial species)
T
| This aids in phagocytosis
82
Haptens
Are small molecules that can illicit an immune response if it binds to normal proteins
83
What causes a fever?
A fever is the resetting of the thermostat of the body
The body's thermostat is the hypothalamus
Some chemicals are given off by white blood cells that act as pyrogens that can reset the thermostat
At that point you will feel cold because your body temperature is below the "new" thermostat setting
84
B-Cells, Macrophages, and Dendritic cells are all
Antigen Presenting Cells; they are all phagocytic
85
In first exposure to antigen what are the major component of immune response
Macrophages
86
In second exposure what are the major component of the immune response?
B-Cells since immunity is built up from first exposure
87
What do dendritic cells present to?
T-helper cells (CD4 binds to MHC II)
| Cytotoxic T-cells (CD8 binds to MHC I)
88
T/F: Do dendritic cells put fragments of antigen on both MHC I and MHC II markers
True
Cytotoxic T cells and Helper T cells then bind to their respective markers
The MHC I binding is temporary and done only during the presentation process
89
What is the main purpose of dendritic cells?
To present to other WBC; they are common in connective tissues of body
They are useful presenters in viral infections and tumors and cancers
90
Interferons
A type of cytokine
They're not lymphokines, they're produced by the body cells that have been infected by a virus
Interferon will act on neighboring cells which inhibit viral uptake by neighboring cells
91
Red Blood Cells
Have no nucleus, ER, ribosomes or any protein manufacturing capabilities; therefore they cannot be infected by a virus
Have no MHC I markers since they cannot make it
They do have surface markers on them
92
What are the types of markers on a red blood cell?
If cell only has A markers its type A
If cell only has B markers its type B
If it has both its type AB
If it lacks all markers its type O
93
What are the genotypes of blood?
```
AA - Type A
AO - Type A
BB - Type B
BO - Type BO
AB - Type AB
OO - Type O
A & B are co-dominant alleles where O denotes the absence of either A or B
```
94
What antibodies do each red blood cell type have?
They make antibodies towards what they have never been exposed to
Type A has anti-B antibodies premade
Type B has anti-A antibodies premade
Type AB lacks antibodies so its called the universal recipient
Type O have both A & B antibodies so called the universal donor
95
What happens to a person with Rh - blood if they are given Rh + blood?
The Rh+ blood given is treated as an antigen and triggers an immune response which produces antibodies against the Rh+ marker
Creates active immunity
The transfused blood will be wiped out
If you are Rh+ you can receive either Rh+ or Rh- blood
If you are Rh- you can only receive Rh-
96
T/F: If you are Rh+ you can receive either Rh+ or Rh- blood?
T
97
T/F: If you are Rh- you can only receive Rh-
T
98
T/F: Antibodies can cross the placenta during gestation and immunize the developing fetus (passive immunity)
T
99
If the mother is Rh- and the fetus is Rh+ then...
Some Rh+ cells may enter the mother and she will develop an active immunity to the Rh marker (factor)
The baby is fine when its born but the mother now has anti-Rh antibodies in her body. These can pass through the placenta to affect the 2nd fetus in the future
If the second child is also Rh+ then it can cause erthroblastosis fetalis, the 2nd baby might die in development or have severe anemia at birth
100
Rhogam
Name of the antibody shot used to passively immunize the mother against Rh marker prior to birth
