More Lecture 1 Flashcards

(34 cards)

1
Q

SLC

A

Surrogate light chain

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2
Q

Function of surrogate light chain
1)
2)

A

1) Act as a generic light chain to bind to recombined heavy chain
2) Complex with heavy chain and scaffolding molecules to send ‘success’ signal

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3
Q

What does the IgH-SLC complex with to form pre-BCR?

A

Ig alpha and Ig beta (heterodimer)

There are two Ig alpha and Ig beta heterodimers

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4
Q

What bears the pre-B cell receptor?

A

Pre B cell

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5
Q

When does the B cell receptor form?

A

Immature B

Once light chains combine with heavy chains

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6
Q

What does the B cell receptor complex with the send success signal?

A

Ig alpha and Ig beta

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7
Q

Function of BLNK protein

A

Adaptor protein in transduction of pre-BCR success signal

Allows other proteins to bind to it

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8
Q

Function of Bruton’s tyrosine kinase

A

Signalling molecule in transduction of pre-BCR success signal

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9
Q

What do mutations in Bruton’s tyrosine kinase result in?

A

~85% of cases of agammaglobulinaemia

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10
Q
Symptoms of agammaglobulinaemia
1)
2)
3)
4)
5)
A

1) No, or little serum antibodies of any type
2) Functional T cells
3) No B cells
4) Recurrent infections (mostly strep pneumoniae, haemophilus influenzae)
5) Repeated otitis in children, sinusitis in adults

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11
Q

Mean age of agammaglobulinaemia diagnosis

A

3 years

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12
Q

Why don’t symptoms of agammaglobulinaemia appear at birth?

A

Antibodies from mother that cross placenta protect baby

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13
Q

Cause of X-linked agammaglobulinaemia

A

Mutation in Bruton’s tyrosine kinase

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14
Q

Mutations in Bruton’s tyrosine kinase

A

Over 600 identified

Maintained in population by de novo mutation

No single mutation occurs in over 3% of cases

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15
Q

Symptoms of adenosine deaminase deficiency

A

No T cells
No B cells
No NK cells

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16
Q

Symptoms of gammaC chain deficiency

A

No T cells
B cells
No NK cells

17
Q

Symptoms of JAK3 deficiency

A

No T cells
B cells
No NK cells

18
Q

Symptoms IL7R deficiency

A

No T cells
B cells
NK cells

19
Q

Symptoms of RAG deficiency

A

No T cells
No B cells
NK cells

20
Q

Symptoms of artemis deficiency

A

No T cells
No B cells
NK cells

21
Q

Which stage of lymphocyte development does adenosine deaminase allow?

A

Lymphoid-primed multipotent progenitor to early lymphoid progenitor

22
Q

Which enzyme allows progression from lymphoid-primed multipotent progenitor to early lymphoid progenitor?

A

Adenosine deaminase

23
Q

Which enzymes allow progression from early lymphoid progenitor to T and B cells?

A

RAG1/2, Artemis

24
Q

Which step of lymphocyte development do Rag and Artemis allow?

A

Early lymphoid progenitor to T cell or B cell

25
Which step of lymphocyte development do gammaC and JAK3 allow?
Early lymphoid progenitor to T cell and NK cell
26
Which enzymes allow progression from early lymphoid progenitors to NK cells and T cells?
gammaC, JAK3
27
Which enzyme allows progression from early lymphoid progenitor to T cell?
IL7R
28
Which step of lymphocyte development does IL7R allow?
Early lymphoid progenitor to T cell
29
Treatment for agammaglobulinaemia without B cells
Purified IgG from alcohol fractionation of donated blood
30
Methods of purified IgG delivery 1) 2)
1) 400-600mg/kg once every month | 2) 100-150mg/kg self-administered every week
31
Normal IgG levels
12g/L
32
Levels of IgG aimed for in treatment
5g/L at trough
33
Half life of IgG
21 days
34
Cost of intravenous Ig treatment for agammaglobulinaemia without B cells
$50,000 per year