The Immune System: Cells, Functional Anatomy and Lymphocyte Homing Mechanism Flashcards

(50 cards)

1
Q

Purpose of immune system

A

protecction against pathogens

viruses

bacteria

fungi

protozoa

worms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which of the following. cells is NOT part of the immune systerm

Macrophages

Basophi;s

Epithelial cells

Lymphocytes

A

ALL OF THE ABOVE ARE PART OF THE IMMUNE SUSTEM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The key cellular actors

A

Sentinel Cells in the tissues
Dendritic cells, macrophages, and mast cells

Circulating phagocytes and granulocytes
Neutrophils, monocytes, and eosinophils
(also natrual killer cells (actually lymphocytes)

Lymphocytes
B and T cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Immune response to influenza virus

inflammation (innate immunity)

A

1) Pathogen evades physical and chemical barriers
2) Tissue resident macrophages sense presence of pathogens via TLR receptors
3) Macrophages secrete cytokines including chemoattractants (CXCL8 or IL8) Which indue neutrophoil trafficking to inflammatory site

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Migration of DCs to lymphoid organs

A

Dendritic cells are activated when they recognise certain characteristic features of microbes

Once activated, DCs migrate to regional lymphoid tissue to initiate lymphocyte (adaptive immune) response

Note free antigen is also delivered to lymphoid organs through the lymphatic system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Activation of lymphocytes

A

B and T lymphocytes with different antigen specificities circulate through lymphoid organs (including the lymph node)

Free antigen can activate antigen-specific B cells

Activated dendritic cells activate antigen specific T cells

CALLED CLONAL SELECTION

Activated lymphocytes divide and expand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

B lymphocute effector functions

A

activated B cells produce antibody. Antibodies circulate, bind to microbial antigens, and have anti-microbial activities

These include: neutralization, opsonization, and complement actication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

T lymphocyte effector functions

A

T cells come in 2 flavors: hyelper T cells and cytotoxic T cells

Cytotoxic T cells migrate back to the site of infection and kill microbe infected cells

Helper T cells either

a) stay in lymphoid organs and help B cells differentiate into antibody-producing cells, or
b) migrate to site of infection and help activate macrophages to become more effective phagocytes

Helper T cells are a major source of cytokines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Macrophage: initiators of the immune response

A

Sentinels in tiessie, express pattern recognition receptors that recognize pathogens

Specific pathogenic stimuli can lead to differential responses by macrophages

Major function: ingest and kill microbes

after activation, secrete cytokines that induce specific responses to clear specific pathogens

Induce repair or wounded tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Major function of macrophages

A

ingest and kill microbes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
A

Macrophage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
A

Monocyte

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Monocytes

A

Bean or U shaped nucleus with abundant cytoplasm

2-8% of circulating WBCs

become macrophages in tissues

phagocytosis, antigen presentation, microbial killing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Monocytes differentiate into…

A

activated macrophages

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
A

Neutrophils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Neutrophils

A

Multilobes nucleus (PMN); granules do not stain with acidic or basic stains

60-70% of EBCs

Major functions: phagocytosis, bacterial killing

Filled with granules that have microbial properties

Immediate responders to inflamed tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Major function of neutrophils

A

phagocytosis and bacterial killing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q
A

Eosinophils

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Eosinophils

A

Bilobed nucleus, granules stain with acidic dye (eosin)

2-4% of WBCs

Remove foreign material bound to antibody

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
A

Mast cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Mast cells

A

IgE crosslinking induces mast cell degranulation

granules contain histamines and other cytokines that previde anti-helminth or allergic repsonses

mostly resides in tissues

22
Q

Innate response to helminths (worms)

A

Involve innate cells that contain granules containing inflammatory and antimicrobial mediators

same mediators as allergic reactions

(eosinophils and mast cells)

23
Q
24
Q

Basophils

A

bilobes nucleus obscured by granules that stain with basic dyes (hematoxylin)

<1% circulating WBCs

release histamine

may be involved in T cell responses

25
Lymphocytes
26
Lymphocytes
Sherical nuclei, small amount of cytoplasm 25-30% circ WBC B cells 25-30% of circ lymphocytes AR (antigen receptor) - Ig (immunoglobulin or antibody) T cells 65-75% of circulating lymphocytes AR= T cell receptor NK cells-innate-but look like lymphocytes
27
Lymphocytes are distinguished by their history of antigen exposure
Naive cells No prior antigen exposure or stimulation via receptors; T: TCR B:BCR Requires cytokine for survival T:IL7 B:BAFF Express cell surface proteins that facilitate migration to secondary lymphoid organs (SLOs) T and B: L selectin (CD62L) CCR7; B:CXCR5 Effector Antigen exposure via activation of antigen receptors leads to cellular proliferation (enlargement of cells) Acquire effector functions, including expression of cytokine (T) and antibody (B: plasma cell) Express cell surface proteins that facilitate migration to inflammatory sites (T) and bone marrow (PC)
28
Memory
maintains antigen specificity; long lived
29
Pathogen clearance takes advantage of different adaptive responses
Antibody is a molecule so it can circulate through blood, tissues, at mucosa Cell mediated is dependent on LN strucure and cytokine mediated On the L, you see that the virus is inside the affected cell. Have to kill of infected cell. Cytotoxic T cells kills of the infected cell T cell cant recognise free floating pathogen B cell produces antibodies that recognise free floating pathogen
30
True or false The anatomy of the immune response, ie where the immuneresponse occurs, is important for optimized immune responses
TRUE
31
Immune response is temporarily and spatially regulated
Innate immunity is the rapid response First responders: innate immunity. Rapid, nonspecific. Adaptive immunity Specialty physicians: adaptive immunity. Takes longer, specialy responses.
32
Hematopoesis: bone marrow
The process of turning stem cells into immune cells yolk sac/paraaortic mesenchyme (early fetal) -\> liver/spleen -\> bone marrow Stem cells mobilization: plerixafor (AMD3100)
33
Adaptive immunity: Lymphocytes B and T cells
Maturation of lymphocytes occurs in the bone marrow (B cells) and thymus (T cells) and involves theexpression of antigen receptors and the acquisition of functional/phenotypic characteristics of mature cells Naive lymphocytes recirculate between blood and secondary lymphoid organs
34
Where do B cells mature
bone marrow
35
where do T cells mature
thymus
36
T cell origins: Thymus
Thymus- a bilobes structure in the anterior thoracic cavity Cortex- maturation of thymocutes (TCR rearrangement and acquisision of mature phenotype) and development of tolerance Mature T cells migrate into medulla, enter curculation, seed secondary lymphoid organs
37
The lymphatic system
lymph is a plasma filtrate present in th einterstitium of tissues throughout body Lymph nodes are small nodular structures situated in chains along lymphatic vessels throughout the body. Lymphatic vessels drain lymph from the skin, mucosal surfaces, and internal organs through LNs, ultimately returning lymph back to circulation Antigen is carried to LNs via lymph
38
Lymph nodes are
small nodular structures situated in chains along lymphatic vessels throughout the body. Lymphatic vessels drain lymph from the skin, mucosal surfaces, and internal organs through LNs, ultimately returning lymph back to circulation
39
Lymph nodes: sites of adaptive immune activation
Afferent lymphatics carry lymph to the LN and efferent lymphatics carry lymph away from the LN... to the nect LN in chain ultimately lymph is delivered from the thoracic duct to the blood via anterior vena cava
40
Waht carries lymph to the LN
afferent lymphatics
41
What carries lymph away from LN
efferent lymphatics
42
Lymph is delivered from the thoracic fuct to the blood via
anterior vena cava
43
Fuctional segregation: B cell and T cekk areas of a lymph node
Cotrex: follicles- B cells, folicular DCs (CXCL13: CXCR5) Paracortex: T cells, DCs, HEVs (CCL19, CCL21: CCR7) DCs actually not dendritic cells
44
Spleen
LUQ of the abd, filters blood Red pulp-reticular stromal cells, macrophages, DC, RBCs in vascular sunuses- removed spent bloods cells and particulates from blood White pulp- B and T cells in follicles and PALS-major site of immunne respinse to blood borne antigens laive lymphocutes arrive via blood and home to T cells and B cell area based on chemokine signals (CCL19/21- secreted by PALS stoma, and CXCL13- secreted by folicular stroma)
45
White pulp functions to
mount immune responses to blood borne antigens
46
Cutaneous and mucosal immune systems
skin and mucosal surfaces are in continuous contact with the external environment High level exposure to pathogenic and nonpathogenic foreign antigens regional immune responses can occur at tissue associated lymohoid structures such as MALT ( mucosa associated lymphoid tissue) GALT (gut associated lymphoid tissue) BALT (bronchial associated lymphoid tissue) ect
47
How do immune cells get to all of the places that they need to go?
Lymphatic vessels and peripheral blood vessels
48
Leukocytes traffic using classes of cell-cell surface molecules
Leukocyte comes along with selectin ligand Rolling happens Bouncing/rolling happens by selectins. Allows them to slow down Integrin activation by chemokines Stable adhesion Migration through endothelium
49
Different selectins, chemokines, and integrins regulate LN versus inflammatory site homing
Naive T cell in high endothelial venule in LN has l selecin and CCR7 expressed on the molecule Activated T cell in peripheral shows different things on surface
50
Integrins
Humans with defects in integrins suffer from leukocyte adhesion deficiency (LAD). Immunodeficient. Therapeutics against integrins (Nataluzumab- anti VLA4) approved for use in multiple autoimmune disorders including MS and crohns dz Bent- low affinity Extended (high affinity)