Week1 Flashcards

(100 cards)

1
Q

Are these found in Adaptive or Innate immunity?

1) Lymphocytes
2) Phagocytes
3) Dendritic cells
4) Antibodies
5) Complement
6) NK cells

A

1 and 4 are adaptive, while all the others are innate.

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2
Q

___ immunity is defense against extracellular microbes. However, once the microbe gets inside the cell, ___ immunity is the defense mechanism used

A

Humoral, cell mediated

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3
Q

___ lymphocytes are the only ones that make antibodies, so they are the cells that mediate humoral immunity

A

B

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4
Q

___ cells help B lymphocytes to produce antibodies and help phagocytes to destroy ingested microbes.
___ cells kill harboring intracellular microbes
___ cells are hematopoietic stem cells

A

CD4+ T cells (Helper T cells)
CD8+ T cells (Cytotoxic T lymphocytes)
CD34+

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5
Q

The effector cells in the B lineage (Effector cells are produced once a Naive lymphocyte binds to its specific antigen) are antibody secreting cells called ___

A

Plasma cells

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6
Q

Which cells are used in innate immunity that kill microbes intracellularly?

A

Natural Killer cells

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7
Q

Name the TLC receptor:

1) LPS (Lipopolysaccharide)
2) Bacterial flagellin
3) Bacterial lipopeptides (two different combinations)
4) dsRNA
5) ssRNA (two different combinations)
6) PGN (Bacterial peptidoglycan)
7) CpG DNA

A

1) TLR-4 (Remember, gram negative means a thin peptidoglycan layer causes the stain to leak out)
2) TLR-5
3) TLR-1 & TLR-2 or TLR-2 & TLR-6
4) TLR-3
5) TLR-7 or TLR-8
6) TLR-2 (Remember, gram positive means a thick peptidoglycan wall so the stain does not leak out)
7) TLR-9

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8
Q

One of the most important transcription factors activated by TLR signals are ___

A

Nuclear factor kB (NF-kB)

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9
Q

The PRR __ works to deliver LPS to the TLR-__ receptor. Next, the adaptor protein ___ binds the TLR and activates ___ to phosphorylate ___, which goes on to initiate a kinase pathway, which phosphorylates and activates ___. Next, IKB is phosphorylated, which leads to its degradation and therefore ___ is released, which enters the nucleus as a transcription factor. Now ___ are expressed, which are synthesized in the cytoplasm and released via the ER.

A

CD14, 4, MyD88, IRAK4, TRAF6, IKK, NF-kB, cytokines

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10
Q

Monocytes are found in the __ and macrophages are found in ___

A

blood, tissue

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11
Q

Classically activated (M1) macrophages are induced by __ or ___. Once activated, the macrophages release __, ___, and/or ___ which go on to promote inflammation, enhance adaptive immunity, and phagocytosis and killing of bacteria and fungi.

A

TLR-ligands or cytokines (specifically IFN-gamma aka interferon-gamma)
Cytokines, Phagocyte oxidase (ROS), iNOS (Nitric oxide)

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12
Q

Macrophages ingest microbes and produce ___, which activates Natural killer cells (NK) to secrete ___, which in turn goes back and activates the macrophages to kill the ingested microbes (so its a giant loop)

A

IL-12, IFN-gamma

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13
Q

In order to not destroy healthy cells, NK cells express an inhibitory receptor that binds to ___ on healthy cells

A

Class 1 MHC

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14
Q

In the complement innate immune system, the alternative pathway and lectin pathway (mannose-binding to lectin) all end up cleaving the plasma protein ___. Then, ___ coats microbes and promotes the binding of these microbes to phagocytes in a process called ___. Also __ and __ act as chemoattractants, which cause neutrophils and monocytes to be recruited (which causes inflammation). Finally, complement proteins form ___ which cause lysis of the microbe (Consist of C5b. C6, C7, C8, and C9).

A

C3, C3b, opsonization (Antibodies can also be classified as opsonins), C3a and C5a, membrane attack complexes (MACs)

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15
Q

Acute phase proteins such as __ which recognize microbial carbohydrates or __ that recognize phosphorylcholine are induced rapidly by cytokines after infection

A

MBL (Mannose-binding lectin), CRP (C-reactive protein)

MBL initiates the complement cascade and CRP opsoninize the microbe

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16
Q

Septic shock results from reduced blood pressure and thrombus formation due to excess of __

A

TNF

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17
Q

1) When neutrophils and monocytes are recruited to the site of infection and the complement system kicks in, this kills ___
2) When TLR and other sensors as well as cytokines are activated, they normally kill ___
3) Type 1 interferons and natural killer cells kill ___

A

1) Extracellular bacteria
2) Intracellular bacteria
3) Viruses

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18
Q

Which cytokine acts in the innate immune system as an anti-inflammatory cytokine?

A

IL-10 (Interleukin-10, which inhibits production of IL-12)

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19
Q

1) Which cytokine is the main activator of acute phase protein synthesis in the liver?
2) Which cytokine is the main activator of a fever?
3) Which cytokine regulates activation of endothelial cells?
4) Resistance to viral infection?
5) Proliferation of NK cells
6) Proliferation of T cells
7) Control inflammation
8) Recruits neutrophils, basophils, and T cells to site of infection
9) Activates NK cells

A

1) IL-6
2) IL-1
3) TNF (Produced mainly by macrophages)
4) IFN-alpha and IFN-beta
5) IL-15 (They cause T and NK cells to proliferate)
6) IL-2
7) IL-10 and TGF-beta
8) IL-8
9) IL-12

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20
Q

Leukocytosis is a ___ in WBCs and leukopenia is ___ in WBCs

A

Excess, Reduction

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21
Q

Two types of cells display TLRs, the ___ lie dormant until a microbe is sensed and therefore takes a few hours to become activated, where as ___ cells are normally active and can release their contents immediately upon coming in contact with a microbe.

A

Macrophage, Mast cell

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22
Q

Mast cells secrete ___, which causes vasodilation and increased capillary permeability to allow neutrophils and other cells to come help kill the microbe. They also secrete the chemokine ___, and this allows neutrophils (and also eosinophils) to learn where to go to the infection

A

Histamine, IL-8

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23
Q

Giemsa stain is used for blood smears.
In the Giemsa stain, mast and basophil cells are stained ___ and Eosinophils are stained ___
There are two types of granules in neutrophils, specific granules are stained with __ dyes and Azurophilic dye are stained with ___

A
Blue (Methylene blue), Red (Eosin an acidic dye) 
Neutral dyes (neutrophils), azure (lysosomes)
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24
Q

Name the cell that is attracted by the listed chemotactic ligands

2) fMLF/fMLP (N-formylmethionyl-lecuyl-phenylalanine)
3) Transforming growth factor - B (TGF-B)
4) IL-8
5) Macrophage inflammatory protein- I (MIP-alpha and Beta)
6) Monocyte chemotactic protein- I (MCP-1)

A

2) Neutrophils
3) Macrophage
4) Neutrophils
5) Monocytes
6) Neutrophils????

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25
What two cytokines activate nitric oxide synthase that can be used to phagocytose microbes?
TNF and IFN-gamma
26
___ are cationic proteins (+ charge aka basic) that are released from granules that contain lots of arginines (R) to kill microbes
Defensins
27
___ cells are the major lymphocytic cells responsible for Antibody-dependent cellular cytotoxicity (ADCC). Also, how do these cells kill the microbes?
NK cells (Macrophages and neutrophils can also participate in ADCC) Releasing perforins that poke holes in the cell membrane (Cytotoxic T cells also kill using perforin)
28
Most bacteria and viruses have a mannose-tailed glycan (this is their ___) that is recognized by a manose receptor in our normal cells (aka their ___; small side note: It is mainly macrophages or dendritic cells that display a mannose receptor). The cell does not specifically determine what the microbe is, just the fact that it is not a normal cell that should be found in the body
PAMP (Pathogen Associated Molecular Pattern) | PRR (Pattern Recognition Receptor)
29
Unlike B cells which can identify protein, carb, lipid, and nucleic acid antigens, T cells can only identify ___ antigens
Protein (peptides)
30
Macrophages or Mast cells release the cytokines __ and __ when an invasion has begun. You could also look at this by saying pattern recognition receptors (PRRs) release the cytokines ___ and ___ (Since macrophages and mast cells have PRRs.
IL-1 and TNF
31
Name the CDs associated with the leukocytes 1) T Cell 2) B Cell 3) Dendritic Cell 4) NK Cell 5) Stem Cell (HSC) 6) Macrophage/Monocyte 7) Granulocyte
Name the CDs associated with the leukocytes 1) T Cell 2) B Cell 3) Dendritic Cell 4) NK Cell 5) Stem Cell (HSC) 6) Macrophage/Monocyte 7) Granulocyte 1) 3,4,8 2) 19,20 3) 11c,123 4) 56 5) 34 6) 14,33 7) 66b
32
What cell has a major role in parasites? | What cell has a major role in allergies?
Eosinophils | Basophils
33
What three cytokines do macrophages produce a lot of?
TNF, IL-1 (TNF and IL-1 give an example of why macrophages are associated with chronic inflammatory and auto immune diseases) IL12, and IL23 (There are much more, these are just some examples)
34
What chemoattractants cause neutrophils to migrate? | What chemoattractants cause monocytes/macrophages to migrate?
IL-8, fMet, C5a, C3a leukotrienes (belong to the group eicosinoids) Do these work for both of them?s MIP-1alpha and MIP-1beta, and MCP
35
The most important opsonin is __, but the other two are __ and ___
iC3b, C4b, and C5b
36
What two cytokines initiate nitric oxide synthase?
TNF and IFN-gamma
37
NK cells have their activity increased by IL-__, IL-__ and ___
15,12, type 1 INF
38
__ cells do not require that the cell recognizes and MHC molecule on the target cell
NK
39
Cell-mediated immunity is mediated by __ lymphocytes and Humoral Immunity by __ lymphocytes
T (for extracellular pathogens), B (for intracellular pathogens)
40
___ collects antigens from epithelium and connective tissue and __ collects antigens from the blood
Lymph nodes, spleen
41
What are the three professional APCs (Antigen Presenting Cells)? What are the non-professional APCs? Also, what do both of these ^ activate T cell wise? Also, what kind of MHCs do each of these express?
Dendritic cells, macrophages, and B-cells (technically) - activate THCs and CTLs - MHCs 1 (bind only to CTL and 2 bind only to THC) Any nucleated cell in the body - activate only CTLs - MHCs 1 only
42
MHC molecules are membrane proteins on APCs that display ___ for recognition by T lymphocytes
Peptide (remember, T cells can only see peptides (proteins)
43
``` Proteins in the cytosol of any nucleated cell (including professional APCs) are all processed by cytoplasmic organelles and displayed by class __ MHCs Extracellular proteins are internalized by specialized APCs and processed in endocytic vesicles and displayed by class ___ MHCs ```
1 | 2
44
1) In the class 1 MHC pathway, what organelle/organelles degrade the proteins? Also, how are these peptides eventually expressed on the cell surface of an APC? 2) Same questions for 2 MHC pathway ^
1) Proteasome, peptides are brought into the ER by TAP and then MHC I binds to peptides in the ER 2) Endosomes or phagosomes, MHC II is transferred to the vesicle containing to degraded proteins and then binds with the peptides (the invariant chain prevents the MCH II molecules being synthesized in the ER from binding to the MHC I molecules)
45
Name the receptors that each cell expresses 1) Macrophages 2) Dendritic cells 3) T cells 4) B cells 5) RBCs 6) Granulocytes
1) MHC 1 and 2 2) MHC 1 and 2 3) TCR and MHC 1 4) BCR and MHC 1 and MHC 2 5) None 6) MHC 1
46
Antigens bind to the __ region of antibodies and the __ region of antibodies determines the effector properties of the antibody and allow it to change shape to optimally bind antigen. Cleaving with Papain will result in ___ Cleaving with Pepsin will result in ___
FAB, FC (Just remember I only learned about papain) - 2 FAB and 1 FC Pepsin - 1 F(ab')2
47
Name the antibody associated with the function (For type IgG, name the specific subtype) 1) Mast Cell activation (Also defense against parasites) 2) Opsonization 3) Mucosal Immunity 4) Anaohylactic shock 5) Neonatal Passive immunity (through breast milk) 6) Complement activation 7) Feedback inhibition of B cells 8) Naive B cell antigen receptor 9) Neonatal immunity (through placenta) 10) ADCC (antibody-dependent cellular cytotoxicity)
1) IgE (It seems that this can lead to degranulation of all granulocytes) 2) IgG1 3) IgA 4) IgE 5) IgA 6) IgG 3 or IgM 7) IgG 4 8) IgM 9) IgG (no number given) 10) IgG 3
48
__ is the most abundant antibody in the blood and ___ is the most abundant antibody in the body (blood and tissue)
IgG, IgA
49
Anaphylactic shock (also referred to as immediate hypersensitivity) is caused by which antibody? and what is released that causes this?
IgE, histamine released by mast cells
50
Antibodies are composed of two identical __ and ___. On the heavy chain, there is a __ that allows the antibody to be flexible to allow for optimizing antigen binding
Heavy and light chains, Hinge region
51
What type of cells make up the epidermis (derived from the ectoderm)? Also, what layer do immune cells live in
Stratified squamous keratinized epithelium | Dermis (derived from the mesoderm)
52
What causes Bullous Pemphigoid Antigens (BPAG)? What specific hemidesmosome transmembrane proteins are mutated? What antibodies are secreted during this infection?
When the epidermal layer can not stay connected to the dermis BPAG (or technically Plectin and Integrin but we didn't go over that much) IgG
53
There are three plexuses (part of the vasculature) in the dermis/hypodermis. To retain heat, you would want to keep blood in the bottom two plexuses called ___ and ___, but to loose heat you would force the blood into the plexus closest to the surface called ___
Subcutaneous plexus (hypodermis) and Cutaneous plexus (dermis), subpapillary plexus (dermis).
54
Which layer of the epidermis secretes lamella bodies?
Stratum Granulosome (results in formation of impermeable lipid-containing membrane that protects from water)
55
__ filaments, aggregated by ___, interact with the inner side of the plasma membrane to form cell envelopes
Keratin, filaggrin,
56
What transcription factor is involved with melanoctyes? Also, what layer are melanocytes found in?
MITF | Stratum basale
57
Antigen presenting dendritic cells are located in the ___ layer and called ___ cells
Stratum Spinosum, Langerhan Cells
58
___ results in large plaques (from an inflammatory response due to initiation of langerhan cells) and the thickening of the stratum corneum. Also, excess proliferation of the keratinocytes from the stratum basale to the corneum layer occur
Psoriasis
59
Ichthyosis Vulgaris (dry skin) results from a mutation in ___
filaggrin
60
___ granule contain the two proteins __ and ___ which help take up the antigen into the langerhan cell
Birbeck, Langerin, CD1a
61
___ cells are mechanoreceptors connected to a myelinated nerve fiber in the dermis. They are located in the stratum basale layer (also associated with basal lamina)
Merkel
62
___ cleaves fibrinogen to make fibrin
Thrombin
63
From clonogenic keratinocytes in the follicular __ region of the hair follicle, you can get regular ___ cells, cells that line the ___ glands, and cells that give rise to a component of the hair at the dermal papilla. Hair forms in the stratum ___ layer
bulb, basal cells, sebaceous stratum
64
Sebaceous glands produce the oily lipid ___, which is secreted by __
sebum, holocrine
65
The process of leukocytes transmigrating through the endothelium from the blood into the tissue is called ___
Diapedesis
66
Two pathways fro macrophages to be activated, classically and alternatively. 1) What activates the classical pathway? 2) What does this activate macrophage go on to produce? 3) What activates the alternative pathway? 4) What does this active macrophage go on to produce?
1) TLR-ligand binding, IFN-gamma 2) ROS, NO, Lysosomal enzymes (all to kill microbes). Also IL-1, IL-12, IL-23, and chemokines (causes inflammation) 3) IL-13, IL-4 4) IL-10 (anti-inflammatory) and TGF-B (a chemoattractant for fibroblast for wound repair and fibrosis).
67
NK cells don't kill our normal cells because they have two receptors, an activating receptor which produces __ and inhibitory receptor (KIR) which produces __. When there is a decreased expression of __ (which is normally binding to the inhibitory receptor when the cell is normal), the NK cell now knows that the cell has been infected and therefore kills it because PTK is no longer inactivated by PTP
PTK, PTP (phosphatase = remove phosphate to deactivate PTK), MHC 1
68
Complement system activated via the classical pathway (antibody dependent). First, Ig_ or Ig_ bind to microbe -> Then C __ cleaves C __ and C __ to make the "a" and "b" forms of both. C__ attaches directly to the microbe, and C __ attaches to that. This makes C__ convertase. C3 is cleaved into "a" and "b" parts and the C3__ part attaches to the microbe as well to create a microbe with 3 units now attached, which is called C5 convertase
M or G, 1, 2, 4, C4b, C2a, 3, 3b
69
MHC genes are ___ expressed MHC class 1 HLA proteins include __, ___, and __ and are ___ and the B2-microglobulin protein is __. MHC class 2 HLA proteins are encoded by the genes in the HLA ___ region
codominantly HLA- A,B,C, Polymorphic, the same in everyone
70
Name the chains for each MHC class and which chain binds CD8 or CD4 Also, which class binds longer proteins?
``` MHC 1 (Alpha 1,2,3 and B2m) and alpha-3 binds CD8 MHC 2 has 2 alpha and 2 beta and beta-2 binds CD4 ``` Class 2
71
In MHC II pathways, the invarient chain is cleaved when the MHC receptor gets into its vesicle after being transported from the ER, however, the __ fragment is left binding to the MHC complex. When the vesicle finally reaches the endosome with the microbes in it, __ cleaves the CLIP which allows the microbe to bind and MHC to express itslef.
CLIP (blocks binding of unwanted peptides to MHC II), HLA-DM
72
Which two Ig antibodies are displayed on B cells?
IgM and IgD
73
For B-cell receptors, the __ chains recognize antigens and the __ chains go the signaling (but, cant recognize any antigens) B cells are considered __ when they bind to an epitope that is repeated many times on a single antigen
Hc/Lc, Ig-alpha/Ig-beta Crosslinked
74
To activate B cells, what two things must occur in the thymus-dependent and thymus-independent pathways?
Both must have cross-linking (clustering of B cell's receptors and their associated signaling molecule) TD Ags - a co-stimulatory signal is given by helper T cells TI Ags - a co-stimulatory signal is given by a danger signal from other cells when fighting an infection
75
In the TD Ags, a helper T cell delivers the second signal (co-stimulation) by the ___ ligand and cytokines
CD40L (binds to CD40 on B-cell called a ligate)
76
If a carbohydrate or fat microbe entered the body, which B cells would be able to become active?
Only B cells that are activated by Thymus (T-cell) Independent mechanisms. This is because T-cell dependent activation must come from an activated helper t cell, but since CD4+ cells can only recognize peptides from the MCH II classes, not CD4+ cells will be activated and therefore they can't go on to activated B cells
77
An antibodies class is determined by the ___ region of its ___ chain. It is the ___ region that determines how the antibody will function
constant (FC), heavy Constant (Remember the variable region simply binds to the antigen and that can't change because its antigen specific)
78
Name if the antibody is a monomer, dimer, or pentamer and how many antigen binding sites each has 1) IgG 2) IgM 3) IgE 4) IgA 5) IgD
1) Monomer - 2 2) Pentamer - 10 3) Monomer - 2 4) Dimer - 4 5) Monomer - 2
79
As an example, monoclonal antibodies are created by fusing cells that make a specific antigen with a myeloma cell line (a cell line that does not die). The problem is in mice, they have different constant regions so when the antibodies are introduced into humans, they see it as foreign. To overcome this, we genetically engineer the grown antibodies to keep the same __ region (they still can cure whatever disease they were made to cure) but change the __ region so the human cells no longer see it as poisonous
FAB, FC
80
Which antibodies should be made to combat.. 1) Parasites? 2) A virus in your respiratory tract? 3) Stabbed big toe with a fence? 4) A cold?
1) IgE 2) IgA (since they are secreted in the mucous) 3) IgG (because they can activate NK cells if its a virus or can kill bacteria via opsonization or complement activation) 4) IgA again
81
B-cells change their constant region by ___ and their antigen binding region by ___
Class switching, Somatic hypermutation
82
Which APC can travel to the lymph nodes when stimulated that an infection is occurring?
Dendritic cells
83
What composes the TCR complex that we normally talk about?
Alpha and Beta are main ones that recognize MHCs, where as Epsilon, Delta, Gamma, and Zeta are used for cell signaling
84
In order to activate T-cells, the signals sent by the TCR complex are not strong enough to reach the nucleus. In order to activate them, a co-stimulator is needed and this is accomplished by APC's presenting ___ which binds to ___ on T-cells to enhance the signal to the nucleus
B7, CD28
85
If a T-helper cell binds to an MHC 2 peptide on a APC, but the APC does not express B7, then the T-helper cell's CD28 (co-stimulator) is not activated and the THC is said to be ___
Anergic (receives a signal but the signal is not strong enough)
86
What are the main adhesion molecules expressed on T-cells and APCs and what class do they belong to?
``` T-cell = LFA-1 APC = ICAM-1 ``` Both are integrins (LFA-1 is integrin and ICAM-1 is integrin ligand)
87
Non-traditional TCR's have the subunits __ and __ are located in places that have contact with the outside world like epithelium, intestine, uterus, and lungs Also make note that these T-cells don't need APCs to be activated (unpresented antigen activation) which is nothing like normal T cells that need APC or they wont function
Gamma and delta (dont be confused with the gamma and delta subunits that are composed in the CD3 complex of traditional TCRs)
88
What type of receptors is Fc-gamma-RIIB, ITAMS? Also, what cells have them and are they activating or inhibiting?
``` Fc-gamma-RIIB = B cells (and myeloid cells) and inhibitory (has ITIMS) ITAMS = T cells (at least thats all we talked about) and activating ```
89
CD80 or CD86 is what? CD79a and CD79b is what?
B7 found on APCs that bind to CD28s on T-cells Alpha and Beta signaling subunits associated with BCR
90
If PIP2 is cleaved and then PDK eventually becomes active leading to ___ being phosphrylated, then you are going to have pro-survival aka incresed growth and cell wont die (by deactivating genes that make cells kill themselves like Bax and Bck and activating genes that make cells not kill themselves like Bcl-2).
AKT
91
If a T-cell does not have a co-stimulator such as B7 (CD80/86) bound, then only __ will be made and not __ or __. Therefore, the cell will become anergic (unresponsive)
NFAT, NF-kB or AP-1
92
For both BCRs and TCRs when an antigen is recognized, the two tyrosine kinase families __-__ are activated which lead to activation of PLC-gamma and Ras, which go on to activate AP-1, and/or NFAT, and/or NF-kB Name the 4 Src associated molecules Name the 2 Syk associated molecules
Src-Syk ``` Src = c-Src, Lyn, Fyn, Lck (for T-cells) (Lyn, Fyn, and Blk are for B cells) Syk = Zap-70 (for T cells), Syk (for B-cells) ```
93
Normally, B cells can become active when an free antigen binds to it. However, B-cells can have their activation enhanced when the complement fragment ___ binds to the microbe and the __ complex expressed from the B-cell binds to the fragment
C3d, CR2 (complement receptors)
94
Which pathway do chemokines utilize more of? and which types ALWAYS go through this pathway? Also, chemokines are the only ones to use which pathway that we talked about?
Jak-Stat (is downstream of cytokines) Type 1 and 2 GPCRs
95
NF-kB can be activated with trimeric receptors which is ___
TNF
96
We expect to see ___ shaped epithilial cells in airways, such as the nasalpharynx
pseudo stratified
97
What is the site of T-lymphocyte maturation?
The cortex of the thymus (the medulla of the thymus is the site of where T-cells are fully matured)
98
Where does the thymus blood barrier exist?
The cortex
99
The ___ cells in the thymus blood barrier of the cortex prevents the blood from going through to the cortex by binding to the capillaries. If the capillaries were not lined, antigens would be reaching ___ and that would be bad.
Epithelial-reticular cells, developing T-cells
100
Which pathways do the 2 acute phase proteins we discussed activate?
MBL activates the lectin complement pathway CRP (C reactive protein) activates the classical pathway since it opsonizes the bacteria