Week 2 - Innate and adaptive immunity Flashcards

1
Q

Define complemen

A

The process by which antibodies and phagocytic cells clear microbes and damaged cells from an organism, promoting inflammation and attacking the pathogen’s cell membrane

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2
Q

Name the 3 complement pathways and briefly outline each

A

Classical - antibody-antigen complex (C1 complement protein binds to complex, initiating the process)
MB-Lectin - Lectin binding to surfaces (made of carbohydrates)
Alternative - C3 protein differentiates between normal cells because of presence of sialic acid on terminal sugars and bacterial cells due to presence of manose terminal sugars on human cells.

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3
Q

Describe the 3 processes that can happen post complement activation

A

Recruitment of inflammatory cells - e.g neutrophils, monocytes, lymphocytes, T cells, mast cells NK cells

Opsonisation of pathogens - marking of pathogens for phagocytosis e.g addition of antibodies to make them sticky and easy to phagocytose

Killing of pathogens - 4 complement proteins form a membrane attack complex which creates a hole in cell wall of bacteria. Cell bursts

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4
Q

How would you simply describe complement

A

A cascade of reactions by proteins in the serum

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5
Q

Describe the structure of the neutrophil

A

Multi-lobed nucleus

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6
Q

What percentage of the WBCs are neutrophils

A

50-70%

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7
Q

What does a high percentage of WBCs imply

A

Presence of infection

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8
Q

What is the main role of neutrophils

A

Phagocytose and digest pathogens - phagosomes collect pathogens from surface and fuse with phagolysosome. Phagolysosome contains digestive enzymes which kill the pathogenW

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9
Q

What else to neutrophils release

A

Soluble mediators such as cytokines, chemokines and complement

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10
Q

Which line of defence are neutrophils

A

FIrst

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11
Q

Name some primary neutrophil granules found in neutrophils

A

Lysosomes
Myseloperodinase
Natural proteases
Acid hydrolyses

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12
Q

Name some secondary neutrophil granules

A

Lysozome
Collagenase
Lactoferrin
Cathespin B

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13
Q

What term describes the way that neutrophils are attracted towards and the pathogen in question

A

Chemotactic

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14
Q

What is another example of chemotaxis in action other than when moving towards pathogen

A

Identification of tissue damage

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15
Q

Name and describe the 4 stages that relate to the way that innate cells stop and enter the infected tissue

A

Rolling Adhesion -
E-selectin on surface of endothelium is identified by a protein on innate cell. Innate cell therefore slows down and attaches loosely

Tight binding -
Chemokine IL-8 is transcytosed across the endothelial cell. The receptor on the innate cell recognises the IL-8 chemokine and binds. Meanwhile, a stronger bond is produced between the LFA-1 and the ICAM-1 molecule

Diapedesis -
The innate cell pushes apart the tight junctions and moves into tissue

Migration -
The innate cell follows the source of the IL-8 chemokine, taking it to the site of infection

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16
Q

In what way can the macrophage better grasp bacteria

A

They can reorganise their actin structure to form pseudopodia which engulf bacteria that are then ingested into the cell

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17
Q

What is the main process that macrophages found in the tissue carry out

A

Retaining homeostasis - i.e digesting all the dead/dying cell material after apoptosis

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18
Q

Which cells are involved in inflammation

A

Those that derive from maturing monocytes

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19
Q

What are the primary lymphoid organs

A

Thymus and the bone marrow

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20
Q

What are the secondary lymphoid organs

A

Lymph nodes
Spleen

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21
Q

What are concentrated in lymph nodes

A

Antigens

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22
Q

Where is the site of immune response initiation

A

The lymph nodes

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23
Q

Where do naive T cells identify antigens and pass this information to B cells

A

The lymph nodes

24
Q

What are the two types of adaptive immunity

A

Cell-mediated and humoral

25
Which cells are involved in the innate immune response (6)
Mast cell NK cell Basophil Neutrophil Eosinophil Monocyte/macrophage
26
Which cells are involved in the adaptive immune response (2)
T lymphocyte B lymphocyte
27
Where in lymph nodes are T cells found
Cortex
28
Where in the lymph nodes are B cells found
Follicles
29
Describe the humoral immune response
An extracellular attack by antibodies caused by B cells which originate from the bone marrow
30
Describe the cell-mediated immune response
An intracellular attack by T cells which mature in the thymus
31
What is the B cell receptor composed of
An antibody
32
What is thought to make lymphoma such a common cancer
The instability of T and B cell receptor regions since the genetic code has to randomly change in order to cover the vast number of possible antigens
33
How is autoimmunity prevented in the primary lymphoid organs
Lymphocytes go through education to eliminate any self antigens
34
Roughly how many times daily do T cells and B cells circulate the lymph nodes
3 times per day
35
What are the 3 roles of the T helper cells
To tell B cells to make antibodies To tell cytotoxic T cells to kill other cells To direct inflammatory responses in tissue
36
What is the role of the cytotoxic T cell
To recognise and kill cells
37
In order for T helper cells to work, what 3 requirements must be met
Antigen presentation in the context of MHC Surface molecule costimulation Production of cytokines
38
Which MHC must be associated with the antigen in T helper-antigen presenting cell complexes, in order for it to activate T cells
MHC II
39
Which MHC is associated with cytotoxic T cells
MHC I
40
What does the V region of the antibody refer to
The variable region
41
What does the C region of the antibody refer to
Constant region
42
What is the other name given to antibodies (in the context of haematology)
Immunoglobulins
43
What 2 components are responsible for humoral immunity
Antibodies and b cells
44
What is the region of antigen called that the antibody attaches to
The epitope
45
Descrribe 4 effects that antibodies can have on pathogens
Opsonisation - making the pathogen sticky, therefore marking it for phagocytosis Neutralisation - antibody binds to virus and prevents it from entering it's own receptor, therefore it can no longer replicate and DIES Compliment activation - by the classical pathway Drive inflammation - via the complement cascade, inflammatory cells are recruited
46
Which fragment of the antibody binds to the antigen
The top right variable region
47
Which region of the lymph node is known as being the B-cell region
Follicle
48
Which region of lymph node is the T-cell region
Cortex
49
Name the monomer antibodies
IgD igE IgG
50
Name the dimer antibody
IgA
51
Name the pentamer antibody
IgM
52
Functional characteristic of the IgA antibody
Most prevalent in secretions
53
Functional characteristic of the IgD
Present on all B-cells
54
Functional characteristic of IgE
Parasitic infections and type 1 sensitivity
55
Functional characteristic of Ig G
The most abundant antibody and can cross the placenta
56
Functional characteristic of IgM
Largest and present on all B-cells
57
What is the first antibody to be produced upon infection
IgM