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Immuno Exam2
L12-14
60
Immunology
Graduate
01/31/2011

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Cards

Term
A graft or transplant from one location to another on the same person.
Definition
autograft
Term
graft or transplantation from one person to another who is synergistic to the donor
Definition
isograft
Term
transplantation from one person to a genetically dissimilar person of the same species
Definition
allograft
Term
graft between a donor and a recipient of a different species
Definition
xenograft
Term
This type of rejection occurs within a few hours. Its caused by antibodies to incompatible MHC molec and activation of complement.
Definition
hyperacute rejection
Term
This type of rejection begins within a few days and mostly happens to patients who havent been previously sensitized to transplant antigen
Definition
acute rejection
Term
What is the cause and mechanism of acute rejection?
Definition
cause: TC mediated immunity as a result of mismatch of HLA

mechanism: infiltration of lymphoctyes and macrophages. Destruction of cells by phago and cytotoxic TC
Term
This type of rejection occurs months or years after the transplant.
Definition
Chronic rejection
Term
What is the cause and mechanism of chronic rejection? Is there a treatment available?
Definition
cause: activation of CD4 TC followed by macro activation, CTL activation, antibody, and complement.

mechanism: lymphoid proliferation and formation of lymphoid follicles occur within the transplanted organ.

therapy is useless
Term
How many MHC alleles does each person have?
Definition
12
Term
What is the most potent transplantation antigen?
Definition
MHC 2 molec
Term
Which type of TC is predominant in allograft rejection?
Definition
Th1
Term
This drug inhibits lymphocyte gene expression, down regulates adhesion receptors, inhibits phago, ect.
Definition
corticosteroids
Term
This drug is a purine antagonist
Definition
antimetabolites
Term
These drugs are monoclonal antibodies against CD3 and Il-2
Definition
blocking agents
Term
These drugs are the most widely used. They interfere with gene transcription in TC of things like Il-2, il-4, IFN-y
Definition
cyclosporine
Term
Similar to cyclosporine but not.
Definition
FK 506
Term
This process destroys many cells but especially TC
Definition
total lymphoid radiation
Term
What are 6 main characteristics of cancer cells?
Definition
loss of regulatory control, immortalized, autonomous growth, metastatic growth, monoclonal origin, self/self-like.
Term
Over 50% of cancers have a mutation of what gene?
Definition
p53
Term
Which type of Ig normally bind to tumor cells and initiate ADCC?
Definition
IgG
Term
What is the single most important end line immune defense mechanism against tumors?
Definition
CD8 TC recognizing tumor antigens through HLA 1 molec
Term
These cells are obtained from the peripheral blood of cancer patients, grown with Il-2, and then put back into the same patient
Definition
lymphokine-activated natural killer cells (LAK)
Term
This cytokine attracts and activates macrophages to the area of an antigen. It also upregulates HLA 1 and 2 expression
Definition
IFN- y
Term
What are the two possible outcomes of the adaptive immune response?
Definition
sterilizing and non-sterilizing (like herpes)
Term
________ pathogens live within host cells out of necessity. _________ pathogens can live in or outside the host cell
Definition
obligate intracellular, facultative intracellular
Term
Which cells are the first to respond to an extracellular pathogen?
Definition
macrophages, granulocytes, and PMN (neutrophils)
Term
This innate factor restricts access to iron and lysozyme
Definition
transferrin
Term
This cytokine produced by NK cells are important in controlling the replication of intracellular pathogens
Definition
IFN-y (interferon "interferes" with pathogen replication)
Term
This type of interferon is produced by any nucleated cell upon being infected with a pathogen.

What is the purpose of this type of interferon?
Definition
"non-immune" or type 1 interferon, aka a/b IFN

When they bind to a cell, they induce a resistant state within that cell. It also alerts host cells to the presence of a pathogen
Term
Are interferons toxic to viruses or other intracellular pathogens?
Definition
nope
Term
adaptive immunity to intracellular pathogens is primarily mediated by what?
Definition
T cells!
Term
Which type of interferon is produced by cells of the immune system?
Definition
IFN - y, aka "immune interferon" aka type 2
Term
List the cells that release IFN - y in descending order of quantity
Definition
CD4, NK, CD8
Term
Which two cytokine signals combined result in a heightened state activation for macrophages?
Definition
IFN -y and TNF - a
Term
The hallmark of parasitic infections in ppl is the production of what?
Definition
IgE
Term
Many helminths tend to induce ________ and suppress _______
Definition
Th2 (this makes sense because remember that a lot of IgE is present during infection and Th2 cells are the ones that stimulate Ig differentiation), Th1
Term
endotoxins are produced by which type of bacteria?
Definition
gram negative
Term
This type of response is useless in combating the effects of LPS
Definition
antibody response (too many different types of LPS exist for antibody to be helpful)
Term
Why might antibody not be that helpful in combating an exotoxin response
Definition
neurotoxins are usually produced at levels too low to induce an antibody response
Term
Can a toxoid that induces antibody be formed for an exotoxin?
Definition
yup
Term
This type of toxin induces very broad biological activity
Definition
endotoxin
Term
Which type of hypersensitivity rxn involves TC?
Definition
FOUR!
Term
hemolytic disease of the newborn is what type of hypersensitivity?
Definition
2
Term
susceptibility of certain ppl to natural sensitization by environmental allergens
Definition
atopy
Term
the process of inducing an immune response resulting in an adverse effect
Definition
sensitization
Term
What are the three main phases of type 1 rxns?
Definition
sensitization, activation, effector phase
Term
which types of cells tend to line the skin, mucosa,and connective tissues?
Definition
mast cells and IgE B cells
Term
This type of Fc receptor is found on mast cells and basophils. Is it high or low affinity?
Definition
FceRI - high affinity
Term
Which cells are the main effectors of type 1 hypersensitivity rxns?
Definition
mast cells
Term
How many IgE molec must an allergen bind to initiate a response?
Definition
2
Term
name the preformed mediators
Definition
histamine, seratonin, eosinophil chemotactic factor of anaphylaxis, and heparin
Term
oxidation of arachidonic acid by what results in leukotriene formation?

What about formation of prostoglandins and thromboxanes?
Definition
lipoxygenases, cyclooxgenases
Term
What are the 3 newly synthesized mediators
Definition
leukotreines B, C, D, prostoglandins, and thromboxanes
Term
Which test measures total IgE, which measures specific IgE?
Definition
total: RIST
specific: RAST
Term
this drug stabilizes the mast cell membranes
Definition
cromolyn sodium
Term
these drugs prevent the arachidonic pathways
Definition
corticosteroids
Term
This drug reverses the effects of histamine
Definition
epinephrine
Term
This drug is humanized anti-IgE antibody
Definition
omalizumab (xolair)
Term
this drug is a leukotriene receptor antagonist
Definition
singulair
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