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Review for final.
immunology ch. 1-12
94
Medical
Undergraduate 1
05/04/2010

Additional Medical Flashcards

 


 

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Term

Where in the electrophoretic pattern are Ig's found?

 

Definition
When subject to electrophoresis @ pH 8.6 they will appear mostly in the gamma region
Term
Describe the basic structure of an Ig.
Definition
4 chain polypeptide units that consist of 2 heavy chains and 2 light chains held together by disulfide bonds
Term
What part of the Ig has Ag binding capacity? What is it's makeup?
Definition
FAB fragment. 1 L chain and 1/2 H chain
Term
Which region of the Ig is responsible for specificity? What is another name for this region.
Definition
variable region aka the Ag recognition unit
Term
What is the difference btwn Kappa and Lambda?
Definition
kappa is a monomer and makes up 2/3 of all light chains; lambda is a dimer and makes up 1/3 of all light chains
Term
why are monoclonal Ab's used in lab tests so frequently?
Definition
they are engineered to bind to a single, specific Ag---thus, offering greater specificity
Term
Give 4 factors that influence immune response.
Definition
age, dose of the immunogen, route of innoculation, & genetic capacity
Term
Give 4 traits of immunogens
Definition
1. macromolecular size 2. chemical composition and molecular complexity 3. foreigness 4. the ability to be processed and presented w/MHC molecules
Term
Determinant site on an Ag
Definition
epitope
Term
nonimmunogenic by itself, but can become so if bound to a larger carrier molecule
Definition
hapten
Term
additive that helps immunogens stay in circulation as long as possible giving Ab's more time to build and produce an immunity
Definition
adjuvant
Term
determines if body accepts or rejects transplanted organs/tissues; activates tcells by flagging Ag's
Definition
MHC molcules
Term
How is it that the 2 Ag binding sites are able to operate independently
Definition
the hinge region allowing flexibility of the sites
Term
complement plays a major role in the inflammatory response to foreign Ags. List 4 immunologic fx's of comp.
Definition
1.opsonization 2.chemotaxis 3. cell lysis 4. anaphlatoxis
Term
Fruit->Apple->Granny Smith..."kines"
Definition
Cytokines->Lymphokines->Interleukins
Term
autocrine stimulation of cytokines
Definition
affects the same cell that secreted it
Term
paracrine stimulation of cytokines
Definition
affects target cell in close proximity
Term
term describing cytokines that have systemic effects
Definition
endocrine
Term
a single cytokine has many different actions; affects activities of more than one kind of cell, and can also have multiple effects on the same cell
Definition
pleiotrophy
Term
What IL initiates proliferation of T&B cells, stimulation of LAK cells and cytotoxicity of NK cells
Definition
IL2
Term
IL that demonstrates antiviral activity by inhibiting viral protein synthesis
Definition
IFN alpha type 1
Term
IL that differentiates hematopoetic stem cells (cell precursors)that are not yet committed to a specific lineage
Definition
IL3
Term
IL that is secreted by cells such as macrophages, Nk cells, T&B cells, and serves as a primary defense against malignant growth in the body
Definition
TNFB
Term
IL that enhances proliferation and differentiation of B cells
Definition
IL6
Term
IL that promotes the growth and differentiation of eosinophils and activation of mature eosinophils to kill parasites more effectively
Definition
IL5
Term
Where in the body is complement synthesized
Definition
liver
Term
deficiencies of complement may result in what 2 effects on the imune system
Definition
increased susceptibility to infections; accumulation of immune complexes w/ possible AI manifestations
Term
classical or alternative complement pathway? activated by immune complexes (IgG & IgM)
Definition
classical
Term
classical or alternative complement pathway? activated by microbes (viruses, fungi, bacteria)
Definition
alternative
Term
classical or alternative complement pathway? activated by lipopolysaccharides + polysaccharides
Definition
alt.
Term
classical or alternative complement pathway? activated by Ag-Ab complexes
Definition
classical
Term
classical or alternative complement pathway? binding occurs in numerical order more or less
Definition
classical
Term
classical or alternative complement pathway? involves c3 at beg. and mid. of pthwy
Definition
alt.
Term
classical or alternative complement pathway? involves B & D protein
Definition
alt.
Term
name the 3 stages of the classical comp cascade (units of)
Definition
recognition unit, activation unit, MAC
Term
list sequence of protiens in the classical cascade
Definition
C1,4,2,3,5,6,7,8,9
Term
list the sequence of proteins in the alt. comp cascade
Definition
C3,5,6,7,8,9
Term
at what protein do classical and alt pthwys become similar
Definition
C5
Term
what is the name of the enzyme produced bythe activation unit
Definition
C5 convertase
Term
what protein is in greatest quantity in the complement cascade
Definition
C3
Term
what 2 chemicals must be present to activate complement
Definition
Ca++ and Mg++
Term
give 2 fx's of cell bound regulators
Definition
1. control the proliferation of complement products 2. assist in the desruction of foreign particles that originally triggered complement
Term
what protects cells from bystander lysis
Definition
DAF
Term
when C3 is cleaved off and deposits on healthy cells activating complement and lysis of a healthy cell is called
Definition
bystander lysis
Term
give 3 negative effects of complement activation in the body & examples of such diseases
Definition
tissue damage-SLE, GP, MG
excess comp deposits-pulmonary & hemolytic edema
tissue particles can clog glomeruli causing glomerular nephritis
Term
cause and manifestation of paroxysmal nocturnal hemoglobinuria
Definition
missing DAF, cells are subjects to bysatnder lysis when resting and complement is triggered
Term
assay that measure the comp cell lysis- qualitative measuring fxal ablities of comp.
Definition
lytic assay, most common is CH50
Term
give 3 possible reasons for decreased levels of comp in the lab
Definition
1. decreased production 2. overconsumption 3. in vitro consumption
Term
how is complement inactivated invitro
Definition
heated to 56degreesC for at least 30 mins
Term
what is the difference between precipitation and agglutination
Definition
A-uses a particulate Ag (already bound to something) P-uses a soluble Ag
Term
epitopes on the Ag combine with Fab site on Ab. This depends on what 2 characteristics of the Ab?
Definition
affinity & avidity
Term
define affinity; what does the strength of attraction depend on?
Definition
the initial force of attraction that exists btwn an Ab&Ag; depends on the specificity of Ab for the particular Ag
Term
define cross reactivity
Definition
Ab's capable of reactivation Ag's that are structurally similar to the original Ag that induced it's production
Term
define advidity
Definition
represents the sum of all attractive forces btwn an Ag & Ab
Term
define advidity
Definition
represents the sum of all attractive forces btwn an Ag & Ab
Term
define advidity
Definition
represents the sum of all attractive forces btwn an Ag & Ab
Term
zone with Ag deficiency and Ab excess; retest in a few days giving Ag levels time to rise
Definition
prozone
Term
zone with Ag excess & Ab deficiency; dilute out Ag to reach ZOE
Definition
postzone
Term
precipitation rxns can be measured by turbidity and nephlometry, define these
Definition
turbidity measures cloudiness of a solution
nephlometry measures the light scattered at a particular angle
Term
passive immunodiffusion involves ag&ab combination w/o electrical current, name 2 types of passive immunodiffusion
Definition
radial id& ouchterlony dbl diff
Term
ouchterlony dbl diff pattern of crossed lines means
Definition
non ID
Term
ouchterlony dbl diff fusion of 2 lines w/a spur means
Definition
partial ID
Term
ouchterlony dbl diff fusion of lines that form an arc means
Definition
serologic ID
Term
serum protein electrophoresis yeilds 5 bands upon separation of protein. How many bands may be seen after immunoelectrophoresis?
Definition
btwn 25-40 protein bands
Term
name the 2step process in agglutination
Definition
sensitization and lattice formation
Term
which Ig is most efficient at agglutination
Definition
IgM
Term
List 3 environmental conditions which can affect lattice formation and enhancement techniques to detect agglutination in vitro
Definition
pH, temp, & ionic strength
-adding low ionic strength saline
-adding sticky protein such as albumin
-centrifuation-packs cells together
Term
optimal temp for IgG & IgM; optimal pH
which is the cold Ig; which is warm Ig
Definition
IgG: 30-37degreesC warm
IgM: 4-27degreesC cold
pH 6.7 & 7.2
Term
figure that represents the relatie strength of an Ab; it is the reciprocal of the highest dilution which a +rxn occurs
Definition
titer
Term
agglutination rxns are graded from neg to 4+ after centrifugation; grade the rxns:
1. smooth suspension
2. one solid clump
3. several lrg clumps
4. barely discernable clumps
5. numerous sm clumps
Definition
1. neg
2. 4+
3. 3+
4. 1+
5. 2+
Term
give 3 reasons why latex particles used extensively in aglutination test kits?
Definition
they wont lyse
inexpensive
long shelf life
Term
the sandwich assay involves what 3 parts?
Definition
1. solid phase Ab 2. patient Ag 3mass enhancement substrate
Term
what is the limiting factor in assays where a separation step is required
Definition
washing
Term
give 3 advantages of agglutination rxns
Definition
fast
sensitive
can yeild valuable information when interpretted correctly
Term
false neg or + agg rxn
-rheumatiod factor
Definition
pos
Term
false neg or + agg rxn
improperly stored reagents
Definition
neg
Term
false neg or + agg rxn
undercentrifugation
Definition
neg
Term
false neg or + agg rxn
-overcentrifugation
Definition
+
Term
false neg or + agg rxn
cross reactivity& presence of heterophile Ab
Definition
+
Term
false neg or + agg rxn
prozone phenomenon
Definition
neg
Term
what is considered a significant rise in titer to classify an infection as being current
Definition
4 fold rise in titer; serial dilution
2 doublings 8-32
Term
what is a ligand? what are some examples of ligands measured in the lab?
Definition
analyte; substance being measured
-hormones-drugs-bacteria Ags-tumor markers
Term
list 4 types of labels used in immunoassays
Definition
1.fluorescent 2. radioactive
3. chemiluminescent 4. enzyme
Term
how will results be affected by incomplete washing?
Definition
false increase & nonspecific binding
Term
how will results be affected by incomplete washing?
Definition
false increase & nonspecific binding
Term
how will results be affected by incomplete washing?
Definition
false increase & nonspecific binding
Term
EIA has replaced RIA in the lab. list 5 advantages of EIA testing
Definition
cheap, naturally occur, easy to find, long shelf lif, inexpensive equipment
Term
EIA has replaced RIA in the lab. list 5 advantages of EIA testing
Definition
cheap, naturally occur, easy to find, long shelf lif, inexpensive equipment
Term
name 2 common enzyme labels
Definition
horseradish peroxidase & alkaline phosphotase
Term
what is the difference btwn heterogenous and homogenous immunoassay?
Definition
hetero-requires a separation step
homo-no separation step
Term
which results in false + & false neg
sensitivity & specificity
Definition
sensitivity-false +
specificity- false -
Term
in sandwhich technique the enzyme activity is directly proportional to amt of ag in the test sample. is this competitive or noncompetitive assay?
Definition
non
Term
give 2 common fl. labels
Definition
flourescein and rhodamine
Term
why are isotope undesirable in the lab
Definition
they are radioactive posing a health hazard
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