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Immunology Exam 2
Flash cards for exam 2.
177
Immunology
Professional
02/13/2013

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Term
Cells of adaptive immunity (2)
Definition
Lymphocytes: 1) B cells, 2) T cells
Term
Primary lymphoid organs (2)
Definition
1) Thymus, 2) bone marrow
Term
Thymus makes
Definition
T cells
Term
Bone marrow makes (4)
Definition
1) Myeloid components, 2) dendritic cells, 3) NK cells, 4) B cells
Term
Secondary lymphoid organs (3)
Definition
1) Lymph nodes, 2) spleen, 3) MALT
Term
Sites where antigens are concentrated and immune responses initiated
Definition
Secondary lymphoid organs
Term
Central tolerance
Definition
Avoidance of autoimmunity
Term
Pre-T cell CD status: _CD4 and _CD8 and _TCR [fill in with - or +]
Definition
=-CD4 and -CD8 and -TCR
Term
Immature T cell CD status: _CD4 and _CD8 and _TCR [fill in with - or +]
Definition
=+CD4 and +CD8 and +TCR
Term
Cytotoxic T cell CD status: _CD4 and _CD8 and _TCR [fill in with - or +]
Definition
=-CD4 and +CD8 and +TCR
Term
Helper T cell CD status: _CD4 and _CD8 and _TCR [fill in with - or +]
Definition
=+CD4 and -CD8 and +TCR
Term
Once mature, T cells go where
Definition
Secondary lymphoid organs
Term
Two histological parts of the thymus
Definition
1) Medulla, 2) cortex
Term
Thymus cortex has what kind of T cells and what density
Definition
High density of early T cells
Term
Thymus medulla has what kind of T cells and what density
Definition
Low density of mature T cells
Term
Bone marrow sites (6)
Definition
1) Long bones, 2) pelvis, 3) ribs, 4) sternum, 5) vertebrae, 6) skull
Term
Is bone marrow ordered or random mix of cell types
Definition
Random mix
Term
Immature B cells have what immunoglobins
Definition
IgM
Term
Mature B cells have what immunoglobins
Definition
IgM & IgD
Term
Lymph node: primary lymphoid folicle contains mostly what cells
Definition
B cells
Term
Lymph node: medullary cords contain mostly what cells
Definition
Macrophages & plasma cells
Term
Lymph node: paracortical area contains mostly what cells
Definition
T cells
Term
People without spleens are more susceptible to what
Definition
Blood-borne infections
Term
Spleen: which has the task of filtering: red or white pulp
Definition
Red pulp
Term
Spleen: which has the task of immunity: red or white pulp
Definition
White pulp
Term
Spleen: cells in red pulp
Definition
Macrophages
Term
Spleen: cells in white pulp
Definition
1) T cells, 2) B cells
Term
MALT: similar structure to what
Definition
Lymph nodes
Term
MALT: specialized function
Definition
Secrete IgA to mucosal surface
Term
Where is MALT found (4)
Definition
1) Upper airway, 2) lower airway, 3) small intestine, 4) large intestine
Term
Examples of MALT & vaccines (2)
Definition
1) Flumist & upper airway, 2) Sabin polio vaccine & GI tract
Term
B cells remain in follicles because
Definition
Follicular dendritic cells secrete CXCL13
Term
B cells remain in follicles because of what receptor
Definition
CXCR5 [that binds with CXCL13]
Term
T cells remain in T cell zones because
Definition
Reticular cells secrete CCL19 & CCL21
Term
T cells remain in T cell zones because of what receptor
Definition
CCR7 [that binds with CCL19 & CCL21]
Term
Routes of entry of lymphocytes into lymph node (2)
Definition
1) Blood and extravasation, 2) afferent lymphatic vessels
Term
Where do lymphocytes extravasate into lymph nodes & MALT
Definition
High endothelial cells in post-capillary venules
Term
Lymphocytic blood extravasation mediated by
Definition
Integrins & selectins
Term
X-linked agammaglobulinemia (XLA)
Definition
Cannot produce antibodies from B cells due to dysfunctional BTK gene
Term
Do people with XLA acquire immunity from vaccines
Definition
No
Term
What routine treatment do XLA patients require
Definition
Immunoglobin transfusions
Term
Regions of heavy chain locus (4)
Definition
1) V, 2) D, 3) J, 4) C
Term
Regions of light chain locus (3)
Definition
1) V, 2) J, 3) C
Term
Pre-pro-B cell CD status: _CD19 and _CD10 and _CD20 and _TdT [fill in with - or +]
Definition
=-CD19 and +CD10 and -CD20 and -TdT
Term
Pro-B cell CD status: _CD19 and _CD10 and _CD20 and _TdT [fill in with - or +]
Definition
=+CD19 and +CD10 and -CD20 and +TdT
Term
Pre-B cell CD status: _CD19 and _CD10 and _CD20 and _TdT [fill in with - or +]
Definition
=+CD19 and +CD10 and +CD20 and +TdT
Term
Immature B cell CD status: _CD19 and _CD10 and _CD20 and _TdT [fill in with - or +]
Definition
=+CD19 and -CD10 and +CD20 and -TdT
Term
RAG means what
Definition
Recombination Activating Gene
Term
RAG1/2 do what
Definition
Bind recombination signal sequences (RSS's) after making dsDNA breaks
Term
TdT does what
Definition
Add nucleotides to RAG breaks
Term
RAG1/2 & TdT expressed in what cells and when
Definition
Developing B & T cells
Term
RAG1/2 are what kind of enzyme
Definition
Endonucleases
Term
TdT means what
Definition
Terminal Deoxynucleotidyl Transferase
Term
Which enzyme adds in randomness between antibody segments
Definition
TdT
Term
Order in which IgH are joined
Definition
D+J → V+DJ
Term
Which is rearranged first: IgH or IgL
Definition
IgH
Term
While IgH is rearranged, what is used for the light chain
Definition
VpreB & λ5
Term
Each cell has how many IgH loci
Definition
2
Term
Each cell has how many IgL loci
Definition
4 (2 κ and 2 λ)
Term
If the first IgH rearrangement is unsuccessful, then what happens
Definition
IgH rearrangement of second allele
Term
If the second IgH rearrangment is unsuccessful, then what happens
Definition
Apoptosis
Term
Name/type/description of a B cell after IgH is rearranged
Definition
Pre-B cell
Term
Name/type/description of a B cell after IgL is rearranged
Definition
Immature B cell
Term
Steps of B cell development (4)
Definition
1) IgH rearrangment, 2) Pre-BCR checkpoint, 3) IgL rearrangement, 4) negatie selection
Term
Which has a higher probability of succeeding: IgH or IgL rearrangment
Definition
IgL since invested already with successful IgH rearrangement
Term
Order of alleles in IgL rearrangement
Definition
Both κ → both λ
Term
Receptor editing
Definition
Re-induction of locus rearrangement in self-reactive cells
Term
Which cells can undergo receptor editing
Definition
B cells
Term
Which loci can undergo receptor editingl
Definition
IgL
Term
Strong BCR engagement without costimulation leads to
Definition
State of anergy
Term
B-1 cells are apart of which system: innate, humoral, or adaptive
Definition
Humoral only, not adaptive
Term
B-1 cells are critical for imediate/early what
Definition
T-independent antibody response
Term
Are B-1 cells found in adults
Definition
Yes
Term
Are B-2 cells able to do T-independent antibody response
Definition
Yes
Term
Are B-1 cells able to do T-dependent antibody response
Definition
No
Term
Marginal zone B cells: T-independent or T-dependent response
Definition
T-independent
Term
Follicular B cells: T-independent or T-dependent response
Definition
T-dependnet
Term
Which is missing in neonates: marginal zones or follicular
Definition
Marginal zones
Term
Receptors expressed by mature B cells (4)
Definition
1) BRC, 2) TLR, 3) cytokine, 4) chemokine
Term
What binds the IgM antibody to the cell membrane ("adapter protein")
Definition
CD79a/b
Term
Co-receptor complex on B cells (3)
Definition
1) CD19, 2) CD21, 3) CD81
Term
T-independent response: repetitive structures or protein component
Definition
Repetitive structures
Term
T-dependent response: repetitive structures or protein component
Definition
Protein component required
Term
Which responds early: T-independent or T-dependent
Definition
T-independent
Term
Which has low affinity: T-independent or T-dependent
Definition
T-independent
Term
Which responds later: T-independent or T-dependent
Definition
T-dependent
Term
Which has high affinity: T-independent or T-dependent
Definition
T-dependent
Term
Classic Type I T-independent antigen
Definition
Lipopolysaccharide [Gram-negative, remember?]
Term
Classic Type II T-independent antigen
Definition
Capsular polysaccharide
Term
What is the costimulatus for classic type I T-independent antigens
Definition
LPS → TLR4
Term
What is the costimulatus for classic type II T-independent antigens
Definition
Not the capsular polysaccharide, must be from other pathways/molecules
Term
Classic Type I T-independent: which kind of immunoglobin
Definition
IgM
Term
Classic Type II T-independent: which kind of immunoglobin
Definition
IgM
Term
Common illnesses in T-independent deficient people (3)
Definition
1) Otitis media, 2) pneumonia, 3) meningitis
Term
Polysaccharide capsule with C3b attached is what type of antigen
Definition
Classic type II T-independent
Term
Are mature dendritic cells phagocytic: yes or no
Definition
No
Term
Are immature dendritic cells phagocytic: yes or no
Definition
Yes
Term
Classes of MHC
Definition
MHC Class I, MHC Class II
Term
Which MHC class presents to CD4 T cells
Definition
MHC Class II
Term
Which MHC class presents to CD8 T cells
Definition
MHC Class I
Term
What is the polymer structure of MHC class II molecules
Definition
Heterodimers
Term
CD80-CD26 or CD86-CD26 signalling: which cell has CD80/CD86
Definition
Denritic cell
Term
CD80-CD26 or CD86-CD26 signalling: which cell has CD26
Definition
CD4 T cell
Term
Effector subtypes of activated CD4 T cells (4)
Definition
1) Th1, 2) Th2, 3) Th17, 4) TFH [we don't have to know the types (except TFH), but this is just to remind you of them]
Term
Which effector subtype of activated CD4 T cells promotes T-dependent antibody responses
Definition
TFH
Term
Can T-independent antigens activate the innate immunity: yes or no
Definition
Yes
Term
Can T-dependent antigens activate the innate immunity: yes or no
Definition
No
Term
Which type of T cells does T-dependent response require
Definition
CD4
Term
Hapten
Definition
Chemicals that fit in antibodies but are not immunogenic
Term
How do you make haptens immunogenic
Definition
Attach them to immunogenic proteins
Term
Linked recognition
Definition
Linking a hapten to an immunogenic protein
Term
3 signals from dendritic cells to CD4+ T cells
Definition
1) Peptide on MHC class II to TCR on T cell, 2) CD80/86 on presenter to CD28 on T cell, 3) cytokines
Term
How do activated T & B cells meet each other
Definition
Co-expression of CCR7 and CXCR5 puts them mid-way between T cell zone & B cell zone
Term
When activated T & B cells meet, what CD's bind
Definition
CD154 on T cell and CD40 on B cell
Term
3 signals to B cell activation in T-dependent response
Definition
1) Intact antigen from dendritic cell, 2) CD154-CD40 from activated T cell, 3) cytokines
Term
Activated B cells do what (2)
Definition
1) Proliferate into plasma cells, 2) move to germinal centers [lot of things here]
Term
When B cells move to germinal centers, what do they do (4)
Definition
1) Proliferate, 2) isotype switching, 3) affinity maturation, 4) terminal differentiation
Term
Terminal differentiation of activated B cells (2)
Definition
1) Plasma cells, 2) memory B cells
Term
Zones within germinal centers (2)
Definition
1) Dark zone, 2) light zone
Term
What happens in the light zone of germinal centers
Definition
1) Selection, 2) affinity maturation
Term
What happens in the dark zone of germinal centers
Definition
1) Proliferation, 2) isotype switching, 3) somatic hypermutation
Term
Isotype switching
Definition
Changing the constant part of the IgG to another (μ, δ, γ, ε, α)
Term
When do B cells undergo isotype switching
Definition
Upon activation by Tfh cells
Term
Basic mechanism of isotype switching
Definition
Switch regions exposed → DNA loop excised → new constant region right after VDJ
Term
Does isotype switching involve Ig heavy chain: yes or no
Definition
Yes
Term
Does isotype switching involve Ig light chain: yes or no
Definition
No
Term
Does isotype switching alter antigen binding affinity: yes or no
Definition
No
Term
What is required for isotype switching
Definition
Activated B cell with continuous signalling from Tfh cells (CD154 & cytokines)
Term
After isotype switching, will there be anymore be IgM antibodies for that antigen: yes or no
Definition
Yes, isotype switching happens after proliferation so IgM and IgM/D/G/E/A exist
Term
Outcomes of somatic hypermutation (3)
Definition
1) No affinity change, 2) loss of binding affinity, 3) gain of binding affinity
Term
What happens to B cells that have a loss of binding affinity after somatic hypermutation
Definition
Apoptosis
Term
What happens to B cells that have a gain of binding affinity after somatic hypermutation
Definition
They proliferate and become the plasma & memory cells [WINNING!]
Term
How is gain/loss of affinity after somatic hypermutation assessed
Definition
Competition for binding to limited antigen presented
Term
If a B cell undergoes somatic hypermutation and the Kd of the antibody becomes a smaller value, is it ___ [more or less] likely to survive
Definition
More likely [decrease in Kd means increase binding affinity]
Term
Where do plasma cells eventually go to
Definition
Bone marrow
Term
Secondary response
Definition
When a memory B cell encouters its antigen again
Term
Are memory cells isotype switched: yes or no
Definition
Yes
Term
Are memory cells ___ [high or low] affinity
Definition
High affinity
Term
Are memory cells long lived: yes or no
Definition
Yes
Term
Are memory cells: fixed location or circulating
Definition
Circulating
Term
What links heavy chains together
Definition
Disulfide bonds
Term
What is covalent modifications are done to the heavy chains
Definition
N-linked carbohydrates
Term
Name of the region in which the immunoglobin can flex
Definition
Hinge region
Term
What secondary structure is found in the "pocket" of the immunoglobin
Definition
Antiparallel beta sheets
Term
Proteolytic cleavage of an immunoglobin forms what domains (2)
Definition
1) Fab, 2) Fc
Term
What do Fc receptors detect
Definition
The constant end of immunoglobins
Term
Antigen
Definition
Any substance that interacts specifically with the binding site of an antibody
Term
Epitope
Definition
Part/region of antigen that makes contact with binding site of an antibody
Term
Constant region of immunoglobins dictates (3)
Definition
1) Multimerization, 2) tissue distribution, 3) effector function [complement, Fc receptors, ….]
Term
Where is IgM mostly found
Definition
Serum
Term
Where is IgG mostly found
Definition
Serum & tissue
Term
Where is IgE mostly found
Definition
Tissues bound to mast cells
Term
Where is IgA mostly found
Definition
Secrted across epithelia
Term
Where is IgD mostly found
Definition
Little secreted
Term
IgG subtypes (4; in order to most active with complement binding)
Definition
1) IgG4, 2) IgG2, 3) IgG1, 4) IgG3
Term
Multimerization of IgM
Definition
Pentamer
Term
Multimerization of IgA
Definition
Dimer
Term
Which immunoglobin is transferred across the placenta
Definition
IgG
Term
Which immunoglobin is transferred through breast milk
Definition
IgA
Term
Effector mechanisms of antibodies (5)
Definition
1) Agglutination, 2) neutralization, 3) classical complement, 4) Fc-mediated opsonophagocytosis, 5) cellular cytotoxicity
Term
Agglutination
Definition
Antibodies link microbes/particles together
Term
Advantages of agglutination of bacteria (2)
Definition
1) Blocks colony formation, 2) aggregates bacteria together [easier to find & destroy]
Term
Neutralization
Definition
Binding to active site of microbe/virus and prevents cellular entry
Term
Which immunoglobins can activate the classical complement pathway (2)
Definition
1) IgM, 2) IgG
Term
Immunoglobin activation of complement first attracts what
Definition
C1qrs
Term
Immunoglobin activation of complement leads to coating by what
Definition
C3b
Term
Which immunoglobins can activate Fc receptor-mediated opsonophagocytosis (4)
Definition
All but IgD: 1) IgM, 2) IgG, 3) IgA, 4) IgE
Term
Which opsonizing immunoglobin(s) can be phagocytosized by macrophages
Definition
1) IgG, 2) IgA, 3) IgM
Term
Which opsonizing immunoglobin(s) can be endocytosized by dendritic cells
Definition
IgG
Term
Which opsonizing immunoglobin(s) cause degranulation of mast cells
Definition
IgE
Term
Which opsonizing immunoglobin(s) cause degranulation of eosinophils
Definition
1) IgE, 2) IgG, 3) IgA
Term
Which cells can perform antibody-dependent cellular cytotoxicity (2)
Definition
1) Eosinophils, 2) NK cells
Term
What protein binds immunoglobins together
Definition
J chain protein
Term
Hinge region variability of the IgG's has what consequences (2)
Definition
1) Flexibility, 2) sensitivity to proteases → half-life changes
Term
What determines if IgA circulates in the blood or is excreted to epithelia surfaces
Definition
Presence of the J chain protein
Term
IgA chiefly functions as what effector mechanism
Definition
Neutralization
Term
How are mast cells activated via immunoglobins
Definition
Antigen-bound IgE binds to IgE receptor on mast cell
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