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Immunology Lab Final
Serial Dilutions. Antibody Reactions. WBC Separation and Analysis. Flow Cytometry. ELISA. hCG and Precipitation. HLA Typing. Autoimmunity.
81
Immunology
Undergraduate 3
04/26/2012

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Term
Immunology
Definition
The study of all aspects of host defense against infection and of adverse consequences of immune responses.
Term
Innate Immunity
Definition
The early phases of the host response to infection… in which a variety of innate resistance mechanisms recognize and respond to the presence of a pathogen. … present in all individuals at all times, does not increase with repeated exposure.
Term
Acquired Immunity
Definition
The response of antigen-specific lymphocytes to antigen, including the development of immunologic memory. Also called the “adaptive” response.
Term
Antigen
Definition
Any molecule that can bind specifically to an antibody. “antibody generators”.
Term
Immunogens
Definition
Antigens that can induce antibody production.
Term
Antibody
Definition
A protein that binds specifically to a particular substance – its antigen. …produced by plasma cells in response to infection or immunization.
Term
Immunoglobulin
Definition
Each antibody molecule has a unique structure that enables it to bind to its corresponding antigen, but all antibodies have the same overall structure and are known collectively as immunoglobulins or Ig’s.
Term
Serology
Definition
The study of antibody-antigen interactions in vitro; the science of the preparation, use and properties of serum.
Term
Adaptive Immune Response
Definition
- Has memory.
- Long lasting.
- Has specificity.
- Executed by T lymphocytes and antibodies that are produced by B lymphocytes.
- Commonly initiated by macrophages and dendritic APC's.
Term
Innate Immune Response
Definition
- Has no memory.
- Short lived.
- Physical barriers (skin and mucosa)
- Used by the host to immediately defend itself.
- Determine the quantity and quality of many adaptive immune responses.

Soluble factors:
- Cytokines
- Chemokines
- Complement
- Antimicrobial peptides

Cells:
- Monocytes
- Macrophages
- Dendritic cells
- Natural killer cells
- Polymorphonuclear leukocytes (neutrophils)
Term
Is the innate immunity specific, or non-specific?
Definition
Non-specific.
Term
Anatomic barriers of the innate immunity:
Definition
Skin.
Mucus membranes:
- Normal flora.
- Mucus.
- Cilia.
Term
Physiological barriers of the innate immunity:
Definition
Temperature.
pH.
Complement.
Term
Phagocytic/Endocytic barriers of the innate immunity:
Definition
Macrophages.
Monocytes.
Term
Four cardinal signs of inflammation (innate immunity):
Definition
Rubor (redness).
Tumor (swelling).
Calor (heat).
Dolor (pain).
Term
Neutrophil
Definition
[image]
Term
Basophil
Definition
[image]
Term
Eosinophil
Definition
[image]
Term
Monocyte/Macrophage
Definition
[image]
Term
Humoral and Cell-Mediated Immunity are part of:
Definition
Adaptive/Acquired (Specific) Immunity
Term
Classes of antibodies:
Definition
IgG.
IgM.
IgD.
IgE.
IgA.
Term
IgG
Definition
Highest serum concentration; can cross placenta, can fix complement.
Term
IgA
Definition
Low serum concentration; monomers and dimers; high concentration in mucosal linings, saliva, tears (1st line of defense).
Term
IgE
Definition
Low concentration in serum, binds to mast cells and basophils causing degranulation; allergy.
Term
IgM
Definition
Largest Immunoglobulin; pentamer; 1st antibody in immune response; greatest efficiency at fixing complement.
Term
IgD
Definition
Low serum concentration; expressed on B cells during differentiation with IgM.
Term
Fab portion:
Definition
Variable region of the antibody. Target binding.
Term
Fc portion:
Definition
Constant region of the antibody. Effector functions.
Term
In vivo:
Definition
- Reactions/experiments carried out within a living organism.

- Immune response, protection, allergic reactions.
Term
In vitro:
Definition
- Reactions/experiments using living cells or cellular components performed outside the intact organism.

- Known antibodies can be used to recognize antigen in unknown sample.

- Known antigen can be used to identify the presence of antibodies in unknown sample
- Labeling/tagging antibodies, enzymes, fluorescent molecules, etc.
Term
Red Cell description:
Definition
Carry oxygen.
No nucleus.
Term
Job of Platelets:
Definition
Homeostasis.
Term
Job of Monocytes and Macrophages:
Definition
Phagocytosis.
Term
Neutrophil description:
Definition
Multi-lobed nucleus.
Toxic granules.
Term
Basophils are associated with:
Definition
Allergic reactions.
Term
Eosinophils are associated with:
Definition
Parasitic infections.
Asthma.
Term
Lymphocytes are:
Definition
T and B cells (Acquired Immunity)
Term
LSM
Definition
Lymphocyte Separation Medium.
Term
Other reagents used for density gradient separation:
Definition
Percoll.
Ficoll.
Histopaque.
Term
Flow Cytometry:
Definition
An instrument for making cell-based fluorescent measurements.

Method for quantitating cellular or structural components of a cell using fluorescent antibodies or probes.

Analysis of tens of thousands of cells in minutes.
Term
Uses for Flow Cytometry:
Definition
Immunophenotyping.
Sorting of Special Cell Types.
Apoptosis Analysis.
Cell Cycle of Transfected Cells.
Cell Viability Assays.
Cell Cycle Analysis.
Proliferation Analysis.
Cell Counting and Enumeration.
Term
Fluorochromes:
Definition
FITC - Green.
PE - Yellow.
perCP - Red.
Term
Why is "blocking" important in flow cytometry?
Definition
To avoid false positives.
Term
Compensation (Flow Cytometry):
Definition
Important technique to remove fluorescent cross talk between different detector [color] channels.


Signals from “neighboring” fluorochromes can bleed into nearby channels - this must be accounted for to avoid false positives.
Term
Antibody labeling - Direct labeling:
Definition
Uses one antibody that has a fluorochrome conjugated directly on it. One step staining. Easier.
Term
Antibody labeling - Indirect labeling:
Definition
Uses two antibodies. The first is “against” a specific antigen on the cell. The second antibody is fluorochrome-labeled and is “against” the first. More complicated.
Term
Agglutination:
Definition
A 2-step process (sensitization and lattice formation) where particulate antigens aggregate to form larger complexes when specific antibodies are present. Either the antigen or antibody is soluble, and the other is insoluble.
Term
Affinity:
Definition
Fit and strength of the antibody-antigen bond – between the Fab portion of an Ig molecule and an epitope – (how specific is the antibody for the antigenic epitope?)
Term
Avidity:
Definition
Stability of the antibody-antigen complex (once the antibody-antigen lattice is formed, how tightly does it hang on? – the sum of the affinities of each epitope with its antibody)
Term
hCG structure:
Definition
- Two subunit molecule (alpha and beta)
- alpha is NOT unique to hCG
- also shared with luteinizing hormone (LH), follicle stimulating hormone (FSH), and thyroid stimulating hormone (TSH)
- beta IS unique to hCG
Term
Precipitation:
Definition
The combination of soluble antigen with soluble antibody to produce insoluble complexes.
Term
Prozone:
Definition
Excess of antibody, not enough antigen to bind to them all.
Term
Zone of equivalence:
Definition
All antigen and antibody bound to each other.
Term
Postzone:
Definition
Excess of antigen - not enough antibodies to bind all of the antigen.
Term
Factors affecting precipitation (binding of Ag to Ab)
Definition
Affinity of Ab.
pH.
Ag and Ab valence.
Electrolyte concentration.
Temperature.
Zone of equivalence, prozone or postzone.
Term
Electrophoresis techniques:
Definition
Rocket Immunoelectrophoresis.
Immunoelectrophoresis (IEP).
Counter Immunoelectrophoresis (CIEP).
Immunofixation Electrophoresis.
SDS-PAGE & Western Blot.
Term
Causative agent of Syphilis:
Definition
Treponema pallidum.
Term
Syphilis - Type of bacteria:
Definition
Spirochete.
Term
Syphilis - Routes of Transmission:
Definition
Sexual contact.
Blood transfusion.
Placental transfer.
Term
Syphilis - Incubation period:
Definition
10 days to 3 months, average 3 weeks.
Term
How many stages of Syphilis?
Definition
Four.
Term
Syphilis - Primary Stage:
Definition
- Formation of chancre where syphilis entered the body.
- Non-bleeding, painless lesion.
- Increase in lymphocytes, macrophages at site of entry.
- Identification by darkfield microscopy of lesion fluids.
- Spontaneously “heal” without treatment.

- Enlarged lymph nodes.

- Many untreated cases progress to secondary stage.
Term
Syphilis - Secondary Stage:
Definition
Typically occurs 5 – 11 weeks after infection.

Systemic dissemination of organism via bloodstream.

Skin rashes (esp. palms and soles) – may or may not be distinguishable (usually non-itching). May resemble rashes from other diseases.

Fever, malaise, pharyngitis, weight loss, lymphadenopathy.

Secondary eruptions – mucous membranes (highly infectious).

Organism infecting many organs:
- Possibly CNS, bones, eyes.

Will spontaneously resolve without treatment.

Without treatment, progression to late stages.
Term
Syphilis - Latent Period (Stage three):
Definition
- Early latent period (0 – 4 years after infection)

No signs or symptoms, not infectious.
Positive treponemal and non-treponemal antibody tests.
Relapses into secondary stage may occur and patient becomes infectious.

- Late latent period
Subsequent to early latent period, indefinite duration.
Disease can be detected serologically.
Term
Syphilis - Tertiary Stage:
Definition
Typically occurs 2 – 40 years after initial infection.

CNS diseases.

Cardiovascular abnormalities.

Tumors in any organ (gummas).

Many other manifestations.
Term
Tests used to screen for Syphilis:
Definition
FTA-ABS.
RPR.
Term
Two major classes of Free Light Chains (FLC's):
Definition
Kappa and Lambda.
Term
Can Bence-Jones proteins be detected in urine with the dipstick method?
Definition
No.
Term
How are Bence-Jones proteins detected?
Definition
Urine Electrophoresis.
Term
Bence-Jones proteins are also known as:
Definition
Free Light Chains.
Term
Monoclonal Light Chain Proteinuria (Bence-Jones Proteinuria) is seen in:
Definition
Multiple Myeloma.
Waldenstrom's Macroglobulinemia.
Term
Waldenstrom Macroglobulinemia characteristics:
Definition
- Rare (~1500 diagnosed/year)
- Average age is 65.
- Median survival time: ~78 months.
- IgM overproduction (paraproteins).
- Paraproteins: normal or abnormal excess production of immunoglobulins or light chains by plasma cells.
- Bone marrow infiltration by plasma cells.
- Organomegaly is common.
- Lytic bony disease is NOT common.
Term
Multiple Myeloma characteristics:
Definition
- May start out as MGUS (monoclonal gammopathy of unknown significance)
- Plasma cell leukemia
- Median age 68 (M) and 70 (F)
- 5-year survival rate ~ 32%
- Usually IgG or IgA overproduction by malignant plasma cells
- Paraproteins: normal or abnormal excess production of immunoglobulins or light chains by plasma cells.
- Infiltration of bone marrow by plasma cells.
- Leukopenia, anemia, thrombocytopenia
- The cells may cause lytic lesions and lead to fractures of the bones.
- Organomegaly NOT usually seen.
Term
Lytic Lesions of the bone occur in what disease?
Definition
Multiple Myeloma.
Term
Autoimmunity:
Definition
An inappropriate immune response against self-antigens.
Term
Population that is affected by autoimmune diseases:
Definition
About 8% - 78% being women.
Term
Symptoms of Systemic Lupus Erythematosus (SLE):
Definition
Fatigue, fever, weight loss
Skin rashes (Butterfly Rash ~40%)
Photosensitivity
Arthritis
Glomerulonephritis
Anemia
Thrombosis
CNS involvement (headaches, seizures, psychoses)
Term
Butterfly Rash is a classic characteristic of what disease?
Definition
Systemic Lupus Erythematosus (SLE)
Term
A homogenous fluorescent staining pattern is a positive indicator for the presence of what disease?
Definition
Systemic Lupus Erythematusus.
Term
Symptoms of Rheumatoid Arthritis:
Definition
Painful red, swollen joints.
- Many joints may be affected.
Term
RF (Rheumatoid Factor) consists of:
Definition
IgM and IgG antibodies that bind the Fc portion of IgG antibodies.
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