Skin Immunology Flashcards

(44 cards)

1
Q

what are the components of the immune system

A

innate (non-specific)

adaptive (specific)

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2
Q

what is the innate immunity

A

no memory
non specific
first line

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3
Q

what is the adaptive immunity

A

memory
high specific e.g. antibodies
tolerance
self-limiting

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4
Q

what is hypersensitivity

A

over-reaction to antigen

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5
Q

what is immunodeficiency

A

infection not controlled

tumours may form

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6
Q

what is autoimmunity

A

react to host tissue

chronic inflammation

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7
Q

what is the keratin layer also known as

A

Stratum Corneum

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8
Q

what is keratinocytes (KC) role in the immune system

A

Sense pathogens via cell surface receptors and help mediate an immune response
Produce AMPs that kill pathogens
Produce cytokines and chemokines

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9
Q

what can go wrong with KC

A

KC activated by UV/sunlight and sensitisers e.g. allergic contact dermatitis
High levels of AMP in psoriasis cases

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10
Q

what are langerhans cells

A

APC characterised by Birbeck granule (tennis racket)

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11
Q

what are the role of langerhans cells

A
  • act as sentinels in the epidermis
  • process lipid Ag and microbial fragments and present them to effector T cells
  • activate T cells
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12
Q

what type of T cells are in a majority in the epidermis

A

CD8+ T cells

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13
Q

true or false - only CD8+ T cells are found in the dermis

A

false

both CD8+ and CD4+ cells are found in the dermis

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14
Q

what diseases are CD4+ T helper cells associated with

A

TH1 (psoriasis)
TH2 (atopic dermatitis)
TH17 (psoriasis and atopic dermatitis)

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15
Q

where are T cells produced

A

bone marrow

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16
Q

where are T cells sensitised

A

Thymus

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17
Q

what do Th1 cells do

A

Activate macrophages to destroy microorganisms

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18
Q

what do Th2 cells do

A

help B cells to make Ab

19
Q

what are Th cells derivates of

20
Q

what are cytotoxic cells responsible for

A

killing infected cells directly

important protection against viruses and cancer

21
Q

what dendritic cells are found in the dermis

A

Dermal DC

Plasmacytoid DC

22
Q

what do dermal DC cells do

A

involved in Ag presenting

secreting cyto/chemokines

23
Q

what do plasmacytoid DC cells do

A

produce IFN alpha

24
Q

what are preformed mediators of mast cells

A

tryptase, TNF, histamine

25
what is responsible for MHC
Chromosome 6
26
what class of receptor is found on all cells
Class I
27
what class presents to T helper cells
Class II
28
what class of receptor is only found on APC
Class II
29
what class presents endogenous Ag
Class I
30
what class presents exogenous Ag
Class II
31
what class presents to cytotoxic T cells
Class I
32
what is MHC responsible for
Immunological recognition & transplant rejection. | Control the immune response through recognition of ‘self’ and ‘non-self’.
33
in psoriasis, what does KC do under stress
release factors that stimulate pDC to produce IFNα | release IL-1β/IL-6 and TNF
34
what happens after DC are activated
migrate to skin draining lymph node to present to and activate T cells
35
T cells secrete interleukins in psoriasis - what happens next
Stimulates KC proliferation, AMP release and neutrophil-attracting chemokines
36
what mutations are linked with atopic eczema
mutation in fillagrin gene | decrease in AMP in skin
37
what are autoimmune skin diseases
psoriasis vitiligo SLE
38
acquired immunodeficiency causes of skin disease
AIDS Malignancy Diabetes
39
what antibody mediates Type 1 hypersensitivity
IgE
40
what is the process of IgE allergy
- exposure to allergen causes production of IgE - it binds to FceR1 receptor on MAST CELLS - later exposure, causes rapid cross linking of the receptors, signal transduction and DEGRANULATION of mast cells
41
what antibodies mediated type II and III hypersensitivity
IgG | IgM
42
what type of hypersensitivity is responsible for transplant rejection
Type II
43
what type of hypersensitivity is an Arthus reaction
Type III
44
what is type IV hypersensitivity
cell mediated Th1 cells | delayed hypersensitivity