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First Quiz Pt 2
First Quiz Pt 2
22
Pharmacology
Graduate
01/22/2015

Additional Pharmacology Flashcards

 


 

Cards

Term
B7 costimulators
Definition
located on APC, recognized by CD28 receptor on naive T cell. Don't express costimulators when its not a threat, APC is secreting cytokines which bind to the t-cell and influence it.
Term
Biggest secretor of cytokines
Definition
Adaptive: CD$+ T cells
Innate: dendritic and macrophages
Term
Interleukin-2 (IL-2)
Definition
First cytokine to be produced by CD4+ T cells, activation increases expression of high affinity IL-2 receptor on T cells
- Enhances ability of T cells to bind and respond to IL-2; autocrine cytokine action
Term
CD4+ effector T cells
Definition
activate phagocytes & B cells to:
- Expressing specific surface molecules (B7)
- Secreting cytokines (IL-12, important for t cell activation)
Term
CD40 ligand
Definition
Most important cell surface proteins involved in effector functions of CD4+ T cells. Transcribed in CD4+ T cells in response to antigen recognition and costimulation. Expressed on activated helper T cellsl. Binds to CD40 receptor on macrophages, B cells & dendritic cells.
CD40 ligand is on T cell, Binds to CD40 receptor on macrophages, B cells and dendritic cells
Term
TH1
Definition
Produce interferon gamma
- activates phagocytes to kill ingested microbes
- stimulates production of antibodies:
Promote ingestion of microbes by phagocytes
Term
TH2
Definition
produce cytokines IL-4 & IL-5
* IL-4: stimulates production of IgE antibody by B cells. Helps in activation of mast cells by protein antigens. Coats helminthes
* IL-5: activates eosinophils, destroys helminths
Term
TH17
Definition
Induce inflammation; destroys extracellular bacteria and fungi. May contribute to inflammatory diseases; i.e. rheumatoid arthritis.
* Cytokines IL-17 and IL-22; recruit leukocytes to sites of antigen recognition. Without these, people are susceptible to extracellular bacterial infections.
Term
Two types of cell-mediated immune reactions
Definition
* Release of cytokines by CD4+ T cells
- recruit and actiavte other leukocytes to destroy microbes.
* Killing of infected cells by CD8+ T cells: eliminates cellular reservoirs of infection, dont need helper t cells, act on their own.
Term
T cell migration
Definition
Two types of migration:
* Between blood and lymphoid tissue until they encounter dendritic cells displaying antigens.
* Back to sites of infections to kill microbes.
Term
Leukocyte migration is controlled by 3 protein families.
Definition
Selectins, integrins, chemokines
- Naive and effector T cells express different adhesion molecules
Term
Naive T cells home to lymph nodes
Definition
L-selectin and integrins on T cell bind ligands on high endothelial venules (HEV)
- chemokines expressed on HEV bind to receptors on T cells, enhancing integrin binding.
Term
Adhesion molecule expression for effector t cells
Definition
Effector T cells home to sites of infection in peripheral tissues.
* Mediated by E-selectin, P-selectin, integrins and chemokines secreted at inflammatory sites
Term
CCR7
Definition
really important receptor on lymphocytes, integrate with ligand on endothelium for tight binding.
Term
Role of TH1 cells in host defense
Definition
* Major function is activate macrophages: cd40 lignad - cd40 interactions. secrete cytokine interferon gamma.
Term
Activated Macrophages
Definition
Produce microbicidal substances that kill ingested microbes. Secrete cytokines that induce inflammation: tumor necrosis factor, interleukin-1 and interleukin 12.
Secrete chemokines that recruit leukocytes. Express more MHC molecules and costimulators.
Interferon gamma activates macrophages
IL-12 helps to further activate T cells, ultimately get better macrophages
Term
Innate/Adaptive Interactions
Definition
APCs that encounter microbes secrete IL-12;
Stimulates naive CD4+ T cells to differentiate into IFN gamma secreting TH1 cells. This in turn, enhances IFN gamma production, activating macrophages to kill ingested microbes.
Term
Role of TH2 cells in Host Defense
Definition
Doesn't stimulate macrophages
- IL-4 production
* stimulates production of IgE antibodies which bind Fc receptors on mast cells and eosinophils
* Production of IL-5
- actiavtes eosinophils
- contain granule proteins that kill helminthic parasites
- cytokines that inhibit classical macrophage activation
Term
Role of TH17 cells in host defense
Definition
Induce other cells to secrete cytokines important for recruitment of neutrophils (and monocytes) - leukocytes brought to site of infection
* stimulate production of defensins; anti-microbial substances, function like locally produced antibiotics. Produce cytokines that maintain function of epithelial barriers
Term
Effector Functions of Cytotoxic T cells (CTL)
Definition
Kill cells expressing MHC class I-associated peptides.
- recognize peptides
- form tight adhesions
* CTL releases granule contents
- perforins, granzymes, induce apoptosis
Term
Eradication of intracellular infections
Definition
Relies on cooperation by CD4 and CD8 T cells
- in some macrophage infected by intracellular bcaterium; some sequestered in vesicles phgaosomes, others escape into cytoplasm
* CD4+ t cells recognize antigesn from vesicular microbes: activate macrophage to kill microbes in vesicles.
* CD8+ T cells recognize antiges from cytoplasmic bacteria: kill infected cell, thus eliminating reservoir of infection
Term
Evasion of Cell-mediated Immunity
Definition
some bacteria and viruses resist effector mechanisms of cell-mediated immunity.
- many intracellular bacteria disrupt phagocytosis
* inhibit fusion of phagosome to lysosome
* create pores in phagosome
- Certain viruses prevent MHC class I antigen presentation
* inhibit production or expression of class I molecules
- Some viruses can produce inhibitory cytokines or decoy cytokine receptors
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