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Immunology Exam 2
Dr. V's and Dr. Trobridge's Exam
142
Immunology
Professional
03/29/2012

Additional Immunology Flashcards

 


 

Cards

Term
Fast response, low affinity, predominantly IgM
Definition
T cell independent antigen responses
Term
Interaction between B cells and CD4 T cells, provides additional specificity via MHC class II, takes weeks, provides multiple isotypes, high affinity and large amounts
Definition
T cell dependent antigen responses
Term
Immunodeficient patients who lack T cells
Definition
Still mount a thymus-independent antibody response
Term
responses to LPS or to bacterial DNA via Toll-like receptors
Definition
TI-1 antibody responses
Term
requires extensive crosslinking, typically via repetitive molecules present at high density on the pathogen
Definition
TI-2 antibody response
Term
Most antibody responses
Definition
T cell dependent
Term
Activation of T cell dependent antibody responses
Definition
Occur in secondary lymphoid tissues (e.g. lymph node)
Term
T cell dependent responses: Cell that brings antigen to the lymph node
Definition
Dendritic cells
Term
Interaction of what cells in T cell dependent antibody responses
Definition
B cell and CD4 helper T cell
Term
Types of cells produced after activated B cells receive signals to differentiate and expand
Definition
Plasma B cells or memory cells
Term
T cell dependent antibody response: Activated T cell after CD4 T cell/B cell interaction expresses:
Definition
CD40Ligand
Term
T cell dependent antigen response: After activated T cell expresses CD40Ligand, the B cell responds by expressing:
Definition
ICAM-1
Term
Cytokine secreted by CD4 T helper cell to promote B cell expansion and differentiation to a plasma B cell
Definition
IL-4
Term
Medullary cords
Definition
where the CD4 T cell and B cell pair move from the T cell zone of the lymph node into.
Term
Type of cell, specialized antibody production factories- no surface Ig, no MHC class II. Results in terminal differentiation and locks in the isotype.
Definition
plasma cells
Term
In the germinal center follicular dendritic cells make cytokines that promote:
Definition
rapid expansion, isotype switching and somatic hypermutation
Term
Where isotype switching and affinity maturation occur
Definition
In a lymph node germinal center
Term
centrocytes
Definition
non dividing B cells in a germinal center
Term
centroblasts
Definition
rapidly dividing B cells in the germinal centers
Term
Affinity maturation
Definition
the increase in affinity of the antigen binding sites of antibodies as a result of somatic hypermutation of the re-arranged immunoglobulin region and selection for B cells with high affinity BCRs
Term
Isotype switching
Definition
the process by which a B cell changes the class of immunoglobulin it makes. It involves somatic recombination between the heavy chain constant region to the existing variable region
Term
What determines antibody isotype?
Definition
The cytokines provided by CD4 helper T cells
Term
Patients who lack CD40L
Definition
cannot isotype switch. Have abnormally high levels of IgM in their blood (hyper IgM syndrome)
Term
What determines the choice of B cell activation becoming a plasma cell or memory B cell?
Definition
The cytokines provided by CD4 T cells
Term
iccosomes
Definition
immune complex bundles that can retain antigen long-term in follicular dendritic cells
Term
Isotype differences allow:
Definition
targeting to different tissues, differential binding of complement, binding to different effector cells
Term
Delivery of antibody to tissues:
What is the first antibody to be made?
Definition
Pentameric IgM
Term
Pentameric IgM:
Definition
allows efficient complement activation, but the large size restricts tissue penetration
Term
What antibodies are made after IgM to be delivered to the tissues?
Definition
IgG and monomeric IgA
Term
IgG and monomeric IgA:
Definition
Higher affinity due to affinity maturation, allows an antibody with only 2 binding sites to be effective, IgG is actively transported from the blood into tissues by FcRn
Term
FcRn
Definition
responsible for the transfer of passive humoral immunity from the mother to the newborn and is expressed in various tissues in adults
Term
What protects mucosal surfaces?
Definition
dimeric IgA
Term
Infants obtain mucosal protection from:
Definition
passively transferred dimeric IgA from breast milk
Term
Antibodies that bind to pathogens and prevent attachment to host cells
Definition
neutralizing antibodies
Term
Antibodies that bind toxins and prevent the attachment of toxins to target cells
Definition
neutralizing antibodies
Term
The Fc(gamma)RI receptor targets:
Definition
macrophages to antibody-bound pathogens
Term
The Fc(gama)RIII receptor allows:
Definition
NK cells to kill cells by antibody dependent cell-mediated cytotoxicity
Term
IgE binds with high affinity to FceRI on:
Definition
mast cells, eosinophils and basophils
Term
IgE coated mast cells protect by:
Definition
causing ejection of pathogens via sneezing/coughing/vomiting/diarrhea
Term
The Fc(alpha)RI receptor binds monovalent IgA expressed on:
Definition
macrophages and NK cells
Term
Fc(alpha) RI receptor facilitates:
Definition
the phagocytosis of lysis of pathogens coated with IgA
Term
Mucosal surfaces are protected by mucus containing:
Definition
glycoproteins, peptides, enzymes, secretory IgA
Term
Mucus protects epithelial cells by:
Definition
Traps particulates including viruses and bacteria and detoxifies epithelial cell layer
Term
GI immune system must:
Definition
eliminate pathogenic organisms and control commensal bacteria
Term
GALT
Definition
gut associated lymphoid tissues
Term
Mesenteric lymph nodes
Definition
defend the gut
Term
Peyer's patches
Definition
local lymph nodes that protect the small intestine
Term
Peyer's patches contain _______ B cell follicles, also T cell areas and dendritic cells
Definition
5-200
Term
Peyer's Patches have specialized epithelial cells called
Definition
Microfold (M) cells. These DO NOT secrete mucus and are specialized for uptake of micro-organisms/antigens
(also lack a thick extracellular glycocalyx)
Term
What makes GALT immune responses distinct from skin/muscle lymph node-mediated responses
Definition
content of lymphoid cell, hormones, and immunomodulatory factors
Term
During fetal development GALT differentiates from spleen and other lymph nodes by:
Definition
different chemokines, different receptors for TNF cytokine family
Term
Uptake of microorganisms from gut lumen to GALT by M cells:
Definition
Take up antigen by phagocytosis/endocytosis

Antigen is transported through M cells in vesicles, bound by dendritic cells which present the antigen to T cells
Term
Uptake of microorganisms from gut lumen to GALT by dendritic cells:
Definition
Extend processes across epithelial layer to capture antigen from the gut lumen
Term
Immune response in healthy gut: T cells are stimulated to become effector cells specific for:
Definition
pathogenic and commensal micro-organisms and food antigens
Term
Activated CD4 T cells in gut activate:
Definition
B cells to become plasma cells that secrete dimeric IgA
Term
Immune responses in gut: specialized mucosal macrophages and dendritic cells lack:
Definition
toll-like receptors, these cells reduce inflammatory responses
Term
Intra-epithelial CD8 lymphocytes are abundant in gut: 1 per about ___ epithelial cells
Definition
10, (containe cytotoxic granules)
Term
B and T cells activated in mucosa lose the ability to:
Definition
enter non-mucosal secondary lymphoid tissues from the blood
Term
Humans with no IgA
Definition
are mostly healthy
Term
Intestinal epithelial cells contribute to immunity
Definition
express NOD proteins that bind bacterial products like muramyl dipeptide and activate NFkB signaling
Term
Intestinal helminthes
Definition
Provoke TH2 CD4 mediated responses
Term
Most humans have ongoing helminth infections that induce a TH2 response to:
Definition
produce IL-13 to repair damaged tissue, produce Il-5 to recruit and activate eosinophiles, drive B cell IgE production, recruit mast cells
Term
3/4 of the immune systems resources are dedicated to:
Definition
protecting mucosea
Term
Immunological primary response
Definition
clears infection, prevents short term re-infection, establishes long-term memory to provoke a stronger secondary response
Term
Immunological secondary response
Definition
circulating affinity-matured, isotyped-switched antibodies, expanded clones of specific B and T cells, often clears infection before symptoms occur
Term
Clonal expansion of B, T cells during primary infection
Definition
provides many short-lived effector cells, also provides long-lived memory B and memory T cells
Term
Compared to naive cells, memory cells are:
Definition
more sensitive to infection, more easily activated, more abundant for each previously encountered pathogen
Term
Primary response antibodies;
Definition
Primarily IgM, low affinity
Term
Secondary response from memory B cells
Definition
IgG, IgA,IgE isotype switched from IgM, High affinity via somatic hypermutation, 10-100x more pathogen-specific clones than primary response
Term
In secondary responses, Naive B Cells:
Definition
are actively suppressed (only memory B cells participate)
Term
Antibody-antigen complexes from memory B cells bind an inhibitory receptor found only on naive B cells:
Definition
Fc(gamma)RIIB1
Term
L-selectin:
Definition
low in memory T cells
Term
CD44
Definition
high in T memory and effector cells
Term
CD45RA
Definition
naive only
Term
CD45RO
Definition
memory and effector
Term
type of cells in innate immunity not subject to positive and negative selection in thymus
Definition
gamma:delta T cells
Term
type of cells in innate immunity that do not recognize peptide-MHC complexes
Definition
gamma:delta T cells
Term
Primarily one type of gamma:delta T cells in blood:
Definition
Vgamma9:Vdelta2
Term
gamma:delta T cells recognize:
Definition
phosphoantigens from a variety of phatogens including malaria
Term
Gamma:delta cells contribute to an inflammatory response by producing
Definition
IFN gamma and TNF alpha
Term
Gamma:delta cells can respond to a primary infection without
Definition
requiring clonal expansion (more are present for any given clone compared to alpha:beta T cells)
Term
NK lymphocytes are important for:
Definition
viral immunity
Term
NK lymphocytes do not rearrange:
Definition
Ig gens or TCR genes
Term
NK lymphocytes are more common with
Definition
T cell:
similar surface proteins, similar effector function as CD8 cytotoxic T cells
Term
NK lymphocytes
Definition
an ononuclear cell that lacks CD3 and expresses CD56 adhesion molecule
Term
CD56 low
Definition
predominate in blood and are strongly cytotoxic
Term
CD5 high
Definition
predominate in secondary lymphoid tissue and are weakly cytotoxic but strong secretors of cytokines
Term
NK complex locus
Definition
lectin-like
Term
leukocyte receptor complex lucus
Definition
Ig-like
Term
NK cells are regulated by combination of:
Definition
inhibitory and activating signals
Term
Stages of B cell development in bone marrow
Definition
HSC--> Lymphoid progerator-->Pro-Bcell -->Pre-Bcell --> Immature B cell with BCR enters blood
Term
Problems with DNA editing in B cell development
Definition
DNA editing can lead to non-functional protein or tumor cell
Term
B cells mature in
Definition
secondary lymphoid tissue
Term
immature B cells are drawn into sec. lymph tissue by:
Definition
cytokines
Term
immature B cells move to B cell are of lymph node to interact with:
Definition
follicular dendritic cell
Term
Naive mature B cell encounters antigen in:
Definition
T cell area of lymph node
Term
central tolerance for B cells undergos one of three fates:
Definition
Edit genes for light chain of BCR, dies by apoptosis, becomes anergic
Term
Peripheral tolerance (after B cell enters blood) may still be self reactive to something that it doesn't see in bone marrow. If it responds to antigen while immature:
Definition
dies by apoptosis, becomes anergic, but cannot edit BCR
Term
B-1 cells are produced during:
Definition
fetal development
Term
B-1 cells are self-renewing and located primary in
Definition
peritoneal and pleural cavities
Term
B-1 cells are innate like and produce "natural antibodies" that recognize:
Definition
common microbial constituents especially polysaccharide antigens, recognize ABO blood antigens
Term
Thymocytes
Definition
immature T cells in thymus
Term
Stages of T cell development
Definition
HSC in bone marrow, common lymphoid progenitor, moves to thymus --> DN thymocyte , double positive thymocyte, single positive mature T cell
Term
Double negative thymocyte
Definition
no CD4, no CD8. Beta chain gene for TCR rearranges, VDJ recombination and junctional diversity
Term
Double positive thymocyte
Definition
both CD4 and CD8, rearranges genes for alpha chain of TCR (VJ), positive selection, negative selection
Term
single positive mature T cell
Definition
CD4 or CD8, T cell leaves thymus into blood
Term
Positive selection
Definition
keep only T cells with TCR that recognizes self MHC
Recognizes MHC I --> live and become CD8
Recognizes MHC II --> live and become CD4
DOens't recognize either --> dies
Term
Negative Selection
Definition
delete/kill any T cells with TCR that recognizes self antigen
TCR binds self peptide --> dies
TCR doesn't bind self peptide --> lives
Term
Central T cell tolerance
Definition
Thymus! =negative selection (kills T cell recognizing self antigen)
Term
Peripheral T cell tolerance
Definition
Lack of co-stimulation (lack appropriate signals and die) and Regulatory T Cells (subset of CD4 that suppress activation of other T cells that recognize self antigens)
Term
Activation of naive T cells occurs in:
Definition
secondary lymphoid tissues
Term
Cells that activate naive T cells:
Definition
professional antigen presenting cells (DC, macrophages, B cells)
Term
Dendritic cells that activate T cells express 3 types of receptors:
Definition
phagocytic receptors, pattern recognition recptors, toll-like receptors
Term
Dendritic cells (That activate T cells) become activated when:
Definition
something (pathogen) binds those receptors or by inflammatory mediators at site
Term
Activated dendritic cells move to lymph node and upregulate molecules needed to active T cells:
Definition
MHC and co-stimulatory molecules
Term
Signal 1 in T cell activation:
Definition
antigen recognition = TCR recognizes antigen
Term
Signal 2 in T cell activation:
Definition
co-stimulation (B7 protein on APC interacts with CD28 on T cell)
Term
IL-2 in T cell activation:
Definition
cytokine made by T cells
Term
Signal 2: costimulation- APC expresses _______ on cell surface and T cell expresses ________ on cell surface
Definition
B7 (B7.1 and B7.2); CD28
Term
Main effect of B7-CD28 interaction for T cell activation:
Definition
cause T cells to make IL-2
Term
without inflammation or binding of pathogen to dendritic cell, T cells:
Definition
cannot upregulate B7
Term
When T cell gets signals 1 and 2 from APC:
Definition
T cell makes high affinity IL-2 receptors, IL- binds high affinity receptor --> T cell divides --> many clones activated
Term
Main types of T effector cells
Definition
T helper cells, cytotoxic T cells, regulatory T cells, gamma-delta T cells
Term
T Helper cell subsets are all:
Definition
CD4
Term
T helper cell subsets make:
Definition
cytokines that help activate other immune cells
Term
TH1
Definition
Produce TH1 cytokines IFN(gamma)
Term
TH1 responses favor:
Definition
Activation of CTL and NK cells, activation of macrophages, production of specific antibody isotypes
Term
TH2
Definition
secrete TH2 cytokines: IL-4
Term
TH2 response favor:
Definition
generally more production of antibodies "humoral immunity", favor mast cell and eosinophil activation
Term
TH1 vs TH2 development is influenced by:
Definition
APC = cytokines secreted during T cell activation and other cytokines at site where T cells get activated
Term
TH1 cells interact with macrophages at site of infection: TCR binds:
Definition
MHCII peptide presented by macrophage, T cell gets signal 1, no signal 2 or IL-2 is necessary
Term
TH1 cells release IFNgamma which acts on macrophage to
Definition
increase activation (macrophage is better able to kill)
Term
TH2 interact with B cells to help them make Ab, B cells internalize antigens that are bound by their BCR -->
Definition
MHCII presentation of that antigen
Term
Activated TH2 cells that recognize the antigen will:
Definition
release cytokines to help B cell activation in LN/spleen
Term
For viruses, which immune response is favored?
Definition
THI (some TH2 get activated too)
Term
CD8 T cells needs what signals?
Definition
Signal 1, signal 2, and IL-2
Term
Once activated, CD8 T cells move to site of infection and need:
Definition
signal 1 from infected cell
Term
Killing mechanisms of CD8 T cells:
Definition
Perforin and granzyme; Fas/FasL = death receptor
Term
Fas/FasL
Definition
CTL express FasL, infected target cell expresses Fas, Binding of FasL to Fas stimulates target to undergo apoptosis
Term
CTL makes ______ to help macrophages get activated and caused infected cells to make more MHCI
Definition
IFN(gamma)
Term
MH1 inhibits:
Definition
NK cell activation
Term
T regs
Definition
Another CD4 population, suppress T cell activation/function (turn off activated T cells at endo f infection)
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