S7 Adaptive Immune System Part 2 Flashcards

1
Q

When do antigen presenting cells mature?

A

When they ‘capture’ an antigen

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2
Q

Where in lymphoid tissue do T cells become activated, B cells become activated and where do they meet?

A
  • parafollicular cortex (T cell zone)
  • lymphoid follicle (B cell zone)
  • edge of follicle
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3
Q

Where are B and T lymphocytes produced? Where do they mature?

A

Produced in bone marrow

T cells - mature in thymus
B cells - mature in tissues following contact with the antigen

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4
Q

Where do B and T lymphocytes accumulate?

A

In lymphoid tissues e.g. MALT, lymph nodes and spleen

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5
Q

What are the main 3 lymph nodes?

A
  • cervical (neck)
  • axillary (armpit)
  • spleen (inguinal)
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6
Q

What is lymphadenopathy?

A

Swelling that occurs in lymph nodes/tissues/etc when B and T cells are activated by the antigen and start proliferating

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7
Q

How are antigens recognised by T lymphocytes?

A

Antigens are recognised by T cell receptors (TCR)

  • CD4+ T cells recognise peptides presented by MHC class II molecules
  • CD8+ T cells recognise peptides presented by MHC class I molecules
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8
Q

What is a T cell receptor (TCR) like?

A
  • alpha and beta chains (variable region)
  • CD3 complex
  • accessory molecules - CD4 or CD8
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9
Q

How are T lymphocytes activated?

A

By co-stimulation

* a co-stimulatory protein is needed to fully activate a T cell

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10
Q

What activates CD4+ T cells to produce the different variants?

A

Activated by chemical mediator e.g. IL-12/4/1/6/10 or TGF-beta

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11
Q

What do TH1 CD4+ T cells cause stimulated by IL-12?

A
  • CD8+ T cells to differentiate
  • macrophage recruitment and activation
  • stimulates B cells to produce IgG or IgA

This is cell mediated immunity (against extracellular pathogens - bacteria, viruses, fungi)

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12
Q

What do TH2 CD4+ T cells cause stimulated by IL-4?

A
  • stimulate B cells to produce IgE
  • activate eosinophils to kill pathogens
  • activates mast cells against allergies

This is humoral immunity (against extracellular pathogens - parasites, worms)

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13
Q

What do TH17 CD4+ T cells cause stimulated by IL-1/6?

A
  • recruitment and activation of neutrophils
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14
Q

What do THreg CD4+ T cells cause stimulated by IL-10/TGF-beta?

A
  • tolerance

* immune suppression

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15
Q

What is required to activate effector CD8+ T cells?

A

TH1 (for activation of effector CD8+ T cells from naive CD8+ T cells)

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16
Q

If an unaffected cell has MHC I molecules presenting self-antigens will this be detected by cytotoxic lymphocytes?

17
Q

How are antigens recognised by B lymphocytes?

A

By B cell receptors (BCR) which are membrane bound antibodies and are unique and specific for each cell

18
Q

What types of antigen to B lymphocytes recognise?

A
  • macromolecules (proteins, polysaccharides, lipids, nucleic acids)
  • small chemicals
19
Q

What is required for activation of B lymphocytes?

A

Multiple signals

  1. BCR engagement - signal transduction
  2. TCR engagement - this is antigen specific
  3. Cytokine release
20
Q

Why do you need T helper cells involved in B lymphocyte activation?

A

If didn’t have T helper cells, would only be able to produce IgM antibodies, T helper cells are involved in the switching of antibody production to e.g. IgG due to the CD40L on T cells

21
Q

Production of which antibodies is thymus-dependent?

A

IgG, IgE and IgA

22
Q

Why do we have booster vaccinations?

A

To increase the amount of IgG (better protection than IgM) - in secondary response

23
Q

How can you tell if exposure to an infection is acute of chronic?

A

By the type of antibody present

  • acute - more IgM
  • chronic - more IgG
24
Q

What is the role of antibody IgA?

A

Involved in mucosal immunity e.g. GI tract and respiratory tract immunity

25
What is the role of antibody IgM?
Complement antibody This is the first antibody produced
26
What is the role of antibody IgE?
Immunity against helminths and allergies
27
What should you consider/assess when looking for signs of an adaptive immune response?
* portal of entry * is there a fever? * any acute phase reactions e.g. CRP * neutrophil number? * phagocyte function? * lymphadenopathy * lymphocyte number and function serology
28
What medical achievements have been derived from studying the adaptive immune response?
* disease prevention - vaccines * immunoglobulin therapies for those with immune deficiencies * immediate protection - antibody transfer (passive immunisation) e.g. for rabies * diagnostic tests (antibody based) - for infectious diseases, autoimmune diseases and blood type and HLA types
29
DiGeorge syndrome is an immune deficiency resulting from an impaired thymic development. Which immune components will be affected in these patients?
T cell and B cell function | Need T cells to fully activate B cells
30
What is the type of CD4+ T cells that respond to intracellular pathogens by recruiting and activating phagocytic cells?
TH1
31
If a patient doesn’t have CD40L on their T cells (due to a mutation), what antibody will they most likely produce in response to Staphylococcus aureus?
IgM
32
Which MHC molecule expresses the viral peptides of varicella zoster virus?
MHC I
33
How would you check if someone has had chickenpox before?
Serology for varicella zoster virus antibodies (IgG)
34
Which factors from the adaptive immunity will be used against the virus?
CD8+ T cells (cytotoxic T cells) | Activated by TH1 cells