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Exam 3
Exam 3 questions chapters 11-15
119
Immunology
Undergraduate 4
06/23/2012

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Cards

Term
Although ______ cells do not prevent initial T cel activation they inhibit a sustained response and prevent chronic and potentially damaging immunopathology
Definition
Tregs
Term
As cells go through cycles of mitosis, their ______ get shorter
Definition
telomeres
Term
Cellular ______ is a state where cells enter a cell cycle of arrest
Definition
senescence
Term
Control mechanisms exist in the body returns the immune system to a resting state when the ________ is no longer present
Definition
??????
Term
CD4+ Treg cells play a vital role in the prevention of _____ diseases
Definition
autoimmune
Term
CD8+ Treg cells can down regulate both _____ cell and _____ cell responses and also control CD4+ responses to superantigen
Definition
TH1 and TH2
Term
Deficiencies of NK T Cells have been reported in human autoimmune diseases such as:
Definition
Rheumatoid arthritis, psoriasis, ulcerative colitis
Term
Expression of the anti-apoptoptic molecule _______ makes cells more resistant to cell death
Definition
BC1-2
Term
Two methods on how the central nervous system can modulate immune functions:
Definition
-sympathetic innervation
-direct release
Term
How can antibody to a specific antigen increase body's ability to produce more antibody of higher affinity?
Definition
????????
Term
One important control of the immune system is mediated by corticosteroids, endorphins, and enkephalins which are released during stress and are _________ to the immune system
Definition
suppressive
Term
One way IgG can suppress the immune response to a particular antigen is to bind to it and make it unavailable to the ________
Definition
??????
Term
Passive administration of IgG antibody w/ antigen will _____ the immune system
Definition
suppress
Term
Passive administration of IgM antibody together with antigen _______ the immune system
Definition
enhances
Term
Specific IgG can inhibit B cell differentiation by cross-linking the antigen receptor with the ________ receptor
Definition
Fc
Term
T cells are able to suppress the production of IgE by producing _______
Definition
??????/?
Term
T cytotoxic cells are highly specific and will only kill target cells which have the same _________ as those expressed in the thymus in which the T cell matured
Definition
???
Term
T or F: genes within the MHC play a fundamental role in influencing the response against infectious agents
Definition
true
Term
T or F: stressful conditions lead to enhanced immune function
Definition
False
Term
T or F: The immune response is governed by the MHC and some genes outside the MHC
Definition
True
Term
T or F: The majority of antigen-specific cells die at the end of an immune response leaving a minor population of T & B cells to survive and give rise to memory population
Definition
True
Term
T or F: The route of administration of antigen has been shown to influence the immune response
Definition
True
Term
The interplay between the neuroendocrine system and the immune system is unidirectional
Definition
False
Term
T or F: The response of high and low responders to parasitic infection correlates with the amount of antibody they make.
Definition
??
Term
What MHC Class I gene is reduced risk of malaria associated with?
Definition
HLA-B*5301
Term
What class are the immune response genes linked to the MHC?
Definition
???
Term
when an antibody response is induced by antigen, this antibody will in turn invoke an __________ response to itself
Definition
anti-idiotypic
Term
Why wait to vaccinate a child for measles/mumps until after typically a year?
Definition
Maternal IgG remains high for time after birth
Term
Very large doses of antigen often result in specific T cell and sometimes B cell _______
Definition
tolerance
Term
An example of an adjuvant is:
Definition
aluminum hydroxide
Term
Give an example of an immune privileged site in humans
Definition
testes, eyes, CNS
Term
T or F: corticosteroids have been shown to inhibit Th1 cytokine production while sparing Th2 responses
Definition
true
Term
T or F: strains of mice with different MHC haplotypes are about the same in their ability to mount an antibody response to specific antigens
Definition
False
Term
Th1 cells are associated with cell-mediated inflammatory reactions and Th2 cells are associated with strong antibody and ______ responses
Definition
allergic
Term
Certain cytokines and their attendant antibody subclasses are associated with intestinal diseases such as
Definition
Crohn's disease
Term
different endothelia produce distinctive blends of ______
Definition
chemokines
Term
Give a reason why blood-brain barrier helps keep CNS a priveleged site:
Definition
It shields CNS from immune reactions
Term
Hepres simplex virus infects sensory neurons and causes cold sores. Why might a CTL response be inappropriate for controlling such an infection?
Definition
It could kill a neuron, which cannot be replaced
Term
Migration of leukocytes into different tissues of the body is dependent on the ____ _____ in each tissue.
Definition
vascular endothelium
Term
T or F: IELs have alpha beta chains
Definition
True
Term
T or F: tissue cells can activate their local resident lymphocytes regardless of the specific antigen that is the target of the immune response
Definition
True
Term
T or F: direct interactions between cells of the tissue can modulate immune responses
Definition
True
Term
T or F: Undamaged neurons will lift the local immunosuppression to allow an immune response to develop
Definition
False
Term
What does the local environment do to the function of astrocytes in the CNS?
Definition
astrocytes are required to induce special properties of brain endothelial cells
Term
What factors limit development of immune reactions in the CNS?
Definition
low level of leukocyte traffic in CNS, blood-brain barrier, no conventional lymphatic drainage system
Term
what type of immune response is suited to the gut & mucosal surfaces?
Definition
Production of IgA antibodies
Term
Which are an immunological priveleged site?
Definition
testes, brain, hamster cheek pouch
Term
An unusual pathological consequence of some virus interactions with weakly _____ ________ is antibody-dependent enhancement of virus infections (ADE)
Definition
neutralizing antibody
Term
Define Viremia
Definition
virus enters bloodstream and has access to rest of the body
Term
define virion
Definition
entire viral particle, consisting of capsid + nucleic acid
Term
How does interferon prevent neighboring cells from becoming infected by viruses from infected cells?
Definition
interferon alpha-beta activates antiviral mechanisms in neighboring cells, enabling them to resist viral infections
Term
list steps involved in viral replication:
Definition
1) virus attachment
2) penetration of cell
3) limitation of host cell function
4) viral chromosomes copied
5) assembly of viruses
6) release of viruses from host cell
Term
T or F: An absence of T cells renders the host highly susceptible to virus attack
Definition
True
Term
T or F: complement is not considered to be a major factor in the defense against viruses
Definition
False
Term
T or F: generally viruses contain RNA and some DNA
Definition
True
Term
T or F: Prions are virus particles that contain only RNA
Definition
True
Term
T or F: Virtually all cells in the body express MHC Class II molecules making this an important mechanism for identifying and eliminating virus-infected cells
Definition
True
Term
T or F: viral infection may provoke autoimmunity
Definition
True
Term
Viruses can sometimes evade destruction by changing their surface antigens by antigenic ________ caused by mutations
Definition
shift
Term
Influenza viruses can make major changes in the surface antigens by antigenic shift caused by ________
Definition
mutations
Term
Some herpesviruses carry Bcl-2 homolog which prevents ________ of infected cells, thereby preserving the life of the infected cell and favoring virus persistence/latency.
Definition
apoptosis
Term
During the latent period, HIV can exist as a ________, integrated within the host's genomic DNA.
Definition
provirus
Term
Which are normally infected by HIV viruses?
Definition
Th cells, B cells, Erythrocytes,
Term
Which responds first to viral infections?
Definition
NK cells
Term
Which responds last to viral infections?
Definition
Antibodies
Term
_________ are cationic proteins with antibiotic-like properties
Definition
Defensins
Term
__________ kill the majority of bacteria following a multistage process of chemotaxis, attachment, uptake, and killing.
Definition
Phagocytes
Term
How does antibody neutralize diphtheria toxin?
Definition
blocks attachment of binding portion of the molecule to the target cells
Term
Six ways microbes can avoid action of complement:
Definition
-outer capsule
-secrete decoy proteins
-degrade complement w/ enzyme
-can't attach to membrane
-membrane is blocked,
-use of lytic complexes
Term
Most pathogens cause disease by:
Definition
local invasion together, w/ toxins production
Term
4 ways a phagocyte can attach to an organism for phagocytosis:
Definition
-lectins exist on organism
-complement
-FC sites
-toll-like receptors
Term
T or F: Cell-mediated immunity is apparently the basis of resistance to mycosis.
Definition
???
Term
T or F: Human and murine macrophage are the same with regards to how and what they can kill by phagocytosis
Definition
False
Term
T or F: If cytokine release is sudden and massive, several acute tissue-damaging syndromes can result and these are potentially fatal.
Definition
True
Term
The damage associated with the Shwartzman reaction is caused by______
Definition
cytokines
Term
What does Limulus assay detect?
Definition
lipopolysaccharide (LPS)
Term
what is adjuvant?
Definition
bacterial component meant to evoke stronger T and B cell mediated responses along with antigen
Term
Which type of bacteria are most susceptible to killing by complement?
Definition
Gram negative
Term
Why is candida infections a common problem with individuals who have AIDS?
Definition
??????
Term
Why is recognition of heat shock proteins by T cells thought to be helpful to the immune response?
Definition
Enhances presentation of antigen via Class I MHC CD8 pathway
Term
Four types of cell walls found on bacteria:
Definition
-gram positive
-gram negative
-mycobacteria
-spirochetes
Term
Example of a bacterial disease that is not caused totally or in part by toxin release by the microbe:
Definition
-leprosy
-TB
Term
Commensals can limit pathogen invasion through the production of antibacterial proteins termed _______
Definition
colicins
Term
Il-1, TNF, and IL-6 initiate the acute phase response, increasing the production of _____ components
Definition
complement
Term
Give example of a new generation adjuvant
Definition
-MPL
-CpG motifs
Term
______ is a mammalian iron-binding protein released by neutrophils to sequester iron from pathogens
Definition
Lactoferin
Term
Persistent macrophage recruitment and activation can result in _____ formation
Definition
granula
Term
Excessive cytokine release can lead to ______ shock
Definition
endotoxin
Term
Four categories of immunologically compromised individuals most likely to get fungal infections?
Definition
-patients with untreated AIDS
-patients with cancer, or undergoing chemotherapy
-transplant patients on immunosuppressants
-patients on long term corticosteroids
Term
T or F: T cell mediated immunity is critical for curing fungal infections
Definition
False
Term
_________ activated by IL-3 and GM-CSF have an enhanced ability to kill schistosome larvae
Definition
eosinophils
Term
Both IgE and eosinophils, the hallmarks of worm infections, are controlled by cytokines secreted by _________ cells
Definition
TH2
Term
Define antigenic variation as it relates to parasites:
Definition
Some parasites are able to change their surface antigens
Term
Eosinophils do little in the way of phagocytosis, but the kill worms that are too large to phagocytized by releasing a toxic substance called _______ onto the surface of the parasite
Definition
major basic protein (MBP)
Term
Give an example of a protozoan parasitic infection of each of the following locations: gut, blood erythrocytes, macrophages (liver and spleen), and muscle:
Definition

gut: Giardia lamblia

blood erythrocytes: Plasmodium

Liver/spleen: entameba histolytica

muscle: trichinella spiralis

Term
Give two mechanisms by which some parasites resist destruction by complement
Definition
-shedding of surface coating that will activate complement
-has surface coating bearing a glycoprotein that resembles DAF, which limits complement reaction
Term
How can immunosuppression by a parasite benefit both the parasite and the host?
Definition
???
Term
How do endothelial cells act as part of the immune system to parasitic infections?
Definition
????
Term
How many are killed each year by malaria?
Definition
1-2 million
Term
In general, cell-mediated responses are more effective against _______ parasites, while antibody is more effective against _________ parasites in blood and tissue fluids.
Definition
intracellular
extracellular
Term
Name some ways parasites suppress the immune system to avoid destruction:
Definition
-tegument thickens
-thicker cuticles
Term
Phagocytosis by ________ is important against the smaller parasites and its effectiveness is markedly enhanced by antibodies and complement C3b
Definition
??????
Term
Regarding parasitic infections, TH1 cells appear at the onset of infection and secrete ______ while TH2 cells prevail later on and help produce __________
Definition
IFX
Antibodies
Term
T or F: As a general rule, parasites are host specific
Definition
true
Term
T or F: as a general rule, a person's antibody level to malaria is a good indicator of the individual's level of protective immunity to the disease
Definition
False
Term
T or F: Immunosuppression caused by parasites can cause people to become especially susceptible to bacterial and viral infections
Definition
true
Term
T or F: In some circumstances, secretion of cytokines may harm the host
Definition
true
Term
T or F: it is the intent of an infecting parasite to kill the host
Definition
false
Term
T or F: many of the symptoms of malaria such as fever, anemia, diarrhea, and pulmonary changes are most likely caused by the immune system releasing too much TNF
Definition
true
Term
T or F: neutrophils are an important in controlling and eliminating parasites
Definition
false
Term
T or F: only IgE antibodies are involved in fighting parasitic infections
Definition
false
Term
T or F: platelets are not involved in fighting parasitic infections
Definition
False
Term
T or F: some parasites are able to change their surface antigens during their life cycle to keep one step ahead of specific antibody production by the host
Definition
true
Term
t or f: cells are fundamental to the control of parasite multiplication
Definition
?/???
Term
T or F: walling off parasites by granuloma formation that cannot be completely eliminated may result in more tissue damage than allowing them to go on
Definition
true
Term
TH1 cells are better at dealing with _____ parasites and TH2 cells with ______
Definition
????
Term
The most important source of TNF are the ______
Definition
macrophages
Term
Recruitment of eosinophils to fight worm infection of the gut is mediated by T cells releasing a specific factor called _______
Definition
eosinophil-stimulating promotor (ESP)
Term
What are some of the major obstacles in developing vaccines against parasites?
Definition
-rapid changing antigens
-autoimmunity
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