Mucosal Immunity Flashcards

1
Q

What are the physiological functions of the mucosal tissue

A

Gas exchange
Food adsorption
Sensory activities
Reproductions

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2
Q

Do afferent or efferent vessels go into a lymph nide

A

Afferent

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3
Q

Where are immune responses induced

A

in organised lymphoid tissues in Peyer’s Patches

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4
Q

Where are immune responses carried out

A

Scattered lymphoid cells in lamina propria and sub epithelial cells

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5
Q

What are Peyer’s patches covered by

A

Follicle- associated epithelial layer containing specialized cells called M cells which have characteristic membrane ruffles

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6
Q

What do Peyer’s patches contain

A

Dendritic cells
Focciles
B cells
T cells

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7
Q

How do M cells take up the antigen

A

Via antigen sampling
Epithelial cells secrete chemokines which attracts lymphocytes and Dendritic cells (CCR6 and CCR1)
Endocyosis/ Phagocytosis
Tranocytosis
Antigen binds to dendritic cell and activates T cell

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8
Q

How can dendritic cells capture antigen

A

Extend processes from epithelial layer to lumen of the gut

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9
Q

What cells are found in the epithelial layer

A

CD8 T cells

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10
Q

What cells are found in the lamina propria

A
CD4 T ells
CD8 T cells
Dendritic cells
Plasma cells
Macrophages
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11
Q

How do T cells enter Peyer’s patches

A

From blood vessels directed by the homing receptors CCR7 and L selectin

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12
Q

When do T cells in Peyer’s patch become activated

A

When antigen is transported across M cell and become activated by dendritic cell

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13
Q

How do activated T cells drain

A

Via mesenteric lymph nodes to the thoracic duct and return to blood stream

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14
Q

What receptors do activated T cells express which home them to the lamina propria and epithelium of the small intestine

A

CCR9 and a4:b7

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15
Q

What do gut homing receptors bind to

A

MAdCAM-1

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16
Q

Is MAdCAM specific to the gut

A

No also found in the vasculature of other mucosal sites

17
Q

What does breast milk allow

A

Passive immunity

18
Q

Proportions of antibodies found in the gut

A

IgA (80%) - important in preventing infection
IgM (15%)
IgG (5%)

19
Q

What is unusual about IgA in the gut

A

It is in its dimeric form

20
Q

What are the 2 IgA subunits bound by

21
Q

What does IgA bind to, to travel through epithelial cell

A

poly-Ig receptor

22
Q

What can IgA do

A

Bind and neutralise pathogens
IgA can bind and neutralise antigen in cell (in endosome)
IgA + Antigen + Secretory compound = export pathogen/ antigen out of lamina propria into lumen

23
Q

What are the majority of intraepithelial lymphiocyes

A

90% T cells

90% CD8+

24
Q

What anchors intraepithelial lymphocytes

25
What do activated CD8 T cells possess
full killing machinery
26
What happens when a virus infects mucosal epithelial layer
``` Infected cell displays viral peptide to CD8 IEL via MHC class 1 Activated IEL kills infected epithelial cell by perforin/ granzyme and Fas dependent pathways ```
27
What is the default response of the immune system
Not to react
28
What is most inhibited in maintaining the balance between protective immunity and homeostasis
Down regulate T cells
29
What is IBD in simple terms
An inappropriate response to normal mucosa of the gut
30
In the presence of commensal bacteria production of what inhibits dendritic cell maturation
PGE2 TGF-B TSLP
31
What happens when invasive microorganisms penetrate epithelium to activate dendritic cells
Activated dendritic cells express strong co-stimulatory ligands and induce CD4 T cells to differentiate into effector TH1 and TH2 cells
32
Explain the mechanism of food allergy
Type 1 hypersensitivity reaction initiated by crosslinking of allergen specific IgE on surface of mast cells
33
What type of reaction is a food alergy
Type 1 hypersensitivity
34
How is type 1 hypersensitivity reaction initiated
Crosslinking of allergen specific IgE on surface of mast cells - released histamine
35
What can a food allergy lead to
vomiting diarrhea prutusis urticaria