Self, Non-Self Discrimination Flashcards

(56 cards)

1
Q

What is the site for central tolerance?

A

Thymus for T cells

Bone marrow for B cells

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2
Q

What is the site for peripheral tolerance?

A

Secondary lymphoid organs

Peripheral tissues

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3
Q

What are the mechanisms that induce tolerance?

A

Deletion
Anergy
Ignorance
Regulation

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4
Q

Which uncommitted progenitor gives rise to the development of B cells?

A

Common lymphoid progenitor (CLP)

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5
Q

Where do B cells develop?

A

Bone marrow

Also in neonatal spleen and liver

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6
Q

When does the generation of new B cells end?

A

Continues through life

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7
Q

What is the configuration of the BCR in a CLP?

A

In germline configuration

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8
Q

What happens in BCR development during the early pro-B cell stage?

A

DJ heavy chain rearrangement

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9
Q

How are genes chosen to make a BCR/TCR?

A

Enzymes come in and randomly chop DNA

Recombined via RAG

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10
Q

What happens in BCR development during the pre-B cell stage?

A

Heavy mu chain produced by combining V, D, and J segments

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11
Q

How many chances does a pre-B cell get to make a functional heavy mu chain?

A

2 because of 2 alleles

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12
Q

What happens to a pre-B cell that cannot make a functional heavy mu chain?

A

Die

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13
Q

How is a pre-B cell saved from death?

A

Heavy mu chain tested for functionality by pairing with surrogate chains > pre-BCR
Functional pre-BCR signalling engaged by dimerisation/oligomerisation - no Ag needed

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14
Q

What is the significance of pre-BCR testing?

A

Important checkpoint for transition of pro-B cell to pre-B cell

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15
Q

What enzyme is needed for pre-BCR signalling, and what disease occurs when this enzyme is not present?

A

Bruton’s tyrosine kinase

Disease: Bruton’s X-linked agammaglobulinaemia

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16
Q

How many chances does an immature B cell get to make a functional light chain?

A

4 because of 2 loci: kappa and lambda - on 2 alleles

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17
Q

Do BCRs on a B cell express both a kappa and lambda light chain?

A

No, only one type is used by a single B cell = isotypic exclusion

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18
Q

What is the transition between a small pre-B cell to an immature B cell?

A

Light chain and heavy chain forming IgM

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19
Q

What is the default response of lymphocytes during development?

A

To die - must be actively saved from apoptosis via signals

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20
Q

How does central tolerance of B cells work?

A

No self reaction in bone marrow > migrate to periphery > mature B cell
Multivalent self molecule binding > clonal deletion/receptor editing > apoptosis/generation of non-autoreactive mature B cell
Soluble self molecule binding (smaller signal) > migrates to periphery > anergic B cell
Low-affinity non-cross-linking self molecule binding > migrates to periphery > mature B cell (clonally ignorant)

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21
Q

Are there any self-reactive B cells in the periphery?

A

Yes, a little bit of self-reactivity goes through because of low signal or low affinity binding

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22
Q

Why is an anergic state of lymphocytes maintained in the periphery?

A

In case receptor strongly recognises foreign molecule

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23
Q

Is B cell central tolerance of equal stringency as T cell central tolerance?

A

No, B cell tolerance less stringent

24
Q

By when does the thymus fully develop?

A

Fully developed by birth

25
When does the thymus start to involute?
During puberty
26
What effect does DiGeorge syndrome have on the thymus?
Thymic aplasia because 3rd and 4th pharyngeal arches don't develop properly
27
Does T cell development continue throughout life?
Yes, but it sharply drops during puberty when thymus starts to involute
28
What are the three main fates of thymocytes entering the thymus?
Alpha/beta T cells Gamma/delta T cells Invariant NKT cells
29
What are alpha/beta T cells?
Conventional T cells | Further differentiate into CD4 helper T cells and CD8 killer T cells
30
What are gamma/delta T cells?
Primarily located in epithelial and mucosal sites Don't have CD4 and CD8 Don't undergo positive and negative selection Produced earlier in embryonic development than conventional T cells
31
What happens to double negative (DN)1 thymocytes?
TCR genes still in germline configuration
32
What happens to DN2 thymocytes?
Become responsive to IL-2 | Beta chain rearrangement starts
33
What happens to DN3/4 thymocytes?
Rearrangement of beta chain continues | Pre-TCR testing determines whether cell expresses CD4 and CD8
34
What happens to double positive (DP) thymocytes?
Rearrangement starts at alpha chain locus | Single beta chain can associate with many different alpha chains
35
How many times can a thymocyte try and make a functional beta chain?
2 times because of 2 alleles
36
What is positive selection?
Ensures thymocytes can recognise and bind to MHC | Determines whether or not cell will be CD4 or CD8
37
Which cells do thymocytes bind to in negative selection?
Professional antigen presenting cells expressing self-Ag
38
What is negative selection?
Thymocytes that recognise self-Ag strongly are deleted
39
What does death by neglect involve in the thymus?
Thymocytes bind too weakly to MHC so they die because of too weak a signal
40
What is the role of Tregs in peripheral tolerance?
Have intermediate self-reactivity | Suppress function of other T cells
41
What do Tregs express?
CD25 | Foxp3
42
What do Tregs secrete?
IL-10 | TGF-beta
43
What is the defect in immunodysregulation polyendocrinopathy X-linked syndrome (IPEX)?
Foxp3
44
What happens to mice who don't express Foxp3, and what does this illustrate?
Develop autoimmune diseases | Removing just one peripheral tolerance mechanism causes autoimmunity > peripheral tolerance important
45
What are the symptoms of Grave's disease?
``` Tachycardia Loss of weight Heat intolerance Exophthalmos = abnormal protrusion of eyeballs Sleep disturbances Hot flushes Agitated nervousness ```
46
How is Grave's disease mediated?
Autoimmune Abs produced against TSH receptor on thyroid gland > stimulates thyroid to produce hormone Thyroid hormones shut down TSH production but have no effect on autoAb production > excessive thyroid production > hyperthyroidism
47
How is myasthenia gravis mediated?
Ab blocks Ach receptor at NMJ
48
What are the symptoms of myasthenia gravis?
Progressive weakness following diurnal pattern
49
Why does decreasing the amount of Ach activity at the NMJ have such profound effects?
Small minute changes in fine control muscles have large effects Eg: levator palpebrae superioris > person can't keep eye open when looking up after a while
50
What is the treatment in severe cases of myasthenia gravis?
Can elute Abs from blood but it's not Ag specific | Danger of becoming vulnerable to other infections and diseases
51
What is multiple sclerosis (MS)?
Loss of myelin sheath through autoimmune process Debilitates nerve conduction Can affect any part of CNS > people present with variety of symptoms
52
Which immune cell is believed to be implicated in MS?
Th17 cells
53
What is one possible treatment in development for MS?
Trying to trap autoreactive T cells in periphery
54
What is molecular mimicry?
Pathogen derived Ags resemble self tissues
55
What are two examples of where molecular mimicry occurs?
Rheumatic feveer | Guillain-Barre syndrome
56
What are some possible environmental risk factors that cause tolerance failures?
``` Industrialisation Small family sie Affluent, urban homes Stable intestinal microflora High antibiotic use Low/absent helminth burden Good sanitation > low orofaecal burden ```