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Immunology
Immune responses
144
Immunology
Graduate
01/17/2014

Additional Immunology Flashcards

 


 

Cards

Term
activates macrophages and Th1
Definition
IFN-gamma
Term
suppresses Th2
Definition
IFN-gamma
Term
has antiviral and anti tumor properties
Definition
IFN-gamma
Term
acute phase proteins
Definition
CRP, complement, goaculation factors, ferritin
Term
classical pathway
Definition
IgG or IgM mediated
Term
alternative pathway
Definition
microbe surface molecules
Term
C1-4 function
Definition
viral neutralization
Term
C3b function
Definition
osponization
Term
C3a and C5a
Definition
anaphylaxis
Term
C5a fxn
Definition
Nt chemotaxis
Term
C5b-9 fxn
Definition
cytolysis by MAC
Term
C1 esterase inhibitor and DAF fxn
Definition
prevent complement activation on self cells
Term
C1 esterase inhibitor deficiency
Definition
hereditary angioedem; ACEI CI in these pts
Term
C3 deficiency
Definition
severe, recurrent pyogenic sinus and respiratory tract infections
Term
recurrent Neisseria bacteremia, complement deficiency
Definition
C5-8
Term
complement deficiency with increased type III HSR
Definition
C3 deficiency
Term
DF deficiency
Definition
PNH
Term
endogenous pyrogen
Definition
Il1 and Il6
Term
activates endothelial cells to express adhesion molecules
Definition
Il1
Term
stimulates production of APP
Definition
IL6
Term
cytokine chemotactic factor
Definition
IL8
Term
induces T into Th1
Definition
IL12
Term
activates NK
Definition
IL12
Term
mediates septic shock
Definition
TNF-alpha
Term
activates endothelium
Definition
TNA-alpha
Term
leukocyte recruitment and vascular leak
Definition
TNF-alpha
Term
growth and differentiation of bone marrow
Definition
IL3
Term
cytokines secreted by macrophages
Definition
IL1, IL6, IL8, IL12 and TNF-alpha
Term
secreted by all T cels
Definition
IL3
Term
secreted by TH1
Definition
IL2 and IFN-gamma
Term
growth of T cells
Definition
IL2
Term
secreted by Th2
Definition
IL4, IL5 and IL10
Term
differentiation into Th2
Definition
IL4
Term
promotes growth of B cells
Definition
IL4 and IL5
Term
class switching to IgE and IgG
Definition
IL4
Term
Class switching to IgA
Definition
IL5
Term
growth and differentiation of eosinophils
Definition
IL5
Term
modulates inflammatory response
Definition
IL10
Term
inhibits TH1
Definition
IL10
Term
secreted by Treg
Definition
IL10
Term
activates TH2
Definition
IL10
Term
IFN mechanism
Definition
induce the production of a ribonuclease that inhibits viral protein synthesis by degrading viral mRNA
Term
T cell surface proteins
Definition
TCR, CD3 and CD28
Term
B cell surface proteins
Definition
IgD, IgM, CD19-20, CD40, MHCII, B7
Term
macrophage cell surface proteins
Definition
CD14, CD40, MHCII, B7, Fc and C3b receptors
Term
NK cell surface proteins
Definition
CD16, CD56
Term
anergy
Definition
self reactive t cells become nonreactive without cosimulatory molecule
Term
superantigens
Definition
cross-link beta region of the T cell receptor to the MHC class II results in uncoordinated release of IFN-gamma from Th1 and subsequent release of IL1, IL6 and TNF-alpha from macrophages
Term
examples of ag variation
Definition
salmonella (2 flagellar variants), borrelia (relapsing fever), N gonorrhea (pilus protein), influenza, trypanosomes (programmed reaarrangement)
Term
passive immunity
Definition
preformed antibodies, rapid onset, short span, ex IgA in breaks milk, antitoxin RSV monoclonal Ab
Term
active immunity
Definition
exposure to foreign Ag, slow onset, long-lasting, natural infection, vaccines, toxoid
Term
live attenuated vaccine
Definition
microorganisms los pathogenicity but retains capacity for transient growth within inoculated host; cellular respone
Term
pros and cons of live attenuated
Definition
pro= stronga dn life-long immunity
con = may revert to virulent form
Term
live attenuated vaccine examples
Definition
measles, mumps, polio (sabin), rubella, varicella, yellow fever, intranasal flu
Term
inactivated/killed vaccine
Definition
pathogen is inactivated; maintaining epitope structure on surface Ag is important for immune respond; humoral immunity
Term
pros and cons of inactivated vaccines
Definition
pro = stable and safer
con = weaker immune respone, need boosters
Term
examples of inactivated vaccines
Definition
cholera, influenza, hep A, polio (salk) rabies
Term
Type I HSR
Definition
anaphylactic and atopic, free Ag cross-linked IgE on made cell -> vasoactive amines act at post capillary venues, develops rapidly
Term
Type II HSR mechanisms
Definition
1- opsonize or activated by C'
2- Ab recruit Nt and macrophages
3- bind cell receptor and inhibit function
Term
type III HSR
Definition
immense complexes acitvate complement which attract neutrophis which release lysosomal enzymes
Term
serum sickness
Definition
type III in which ab to the foreign proteins are produced. IC form and are deposited in membranes where they fix complement
Term
arthus reaction
Definition
local type III; intradermal injection of Ag induces ab which form ag-ab complexes in the skin; edema, necrosis and activation of complement
Term
type IV HSR
Definition
delayed type; t cells encounter Ag and then release lymphokines
Term
anaphylaxis
Definition
type I
Term
hay fever
Definition
type I
Term
ecema
Definition
type I
Term
hives
Definition
type I
Term
asthma
Definition
type I
Term
hemolytic nemia
Definition
type II
Term
pernicious anemia
Definition
Type II
Term
ITP
Definition
type II
Term
erythroblastosis fetalis
Definition
Type II
Term
goddpstures
Definition
Type II
Term
acute hemolytic transfusion reations
Definition
type II
Term
rheumatic fever
Definition
type II
Term
bullous pemphigoid
Definition
type II
Term
pemphigous vulgaris
Definition
type II
Term
grave's
Definition
type II
Term
myasthenia gravis
Definition
type II
Term
SLE
Definition
type III
Term
RA
Definition
type III
Term
PAN
Definition
type III
Term
post-strep GN
Definition
type III
Term
MS
Definition
type IV
Term
type I dm
Definition
type IV
Term
hypersensitiviey pneumonitis
Definition
type III
Term
guillain barree
Definition
type IV
Term
hashimotos
Definition
type IV
Term
GVH
Definition
type IV
Term
PPD
Definition
type IV
Term
contact dermatitis
Definition
type IV
Term
blood allergic reaction
Definition
type I HSR against plasma proteins in transfused blood
Term
blood anaphylactic reaction
Definition
severe reaction, IgA deficient individuals must receive blood products that lack IgA
Term
blood FNHTR
Definition
type II HSR; host Ab against donor HLA ag and leukocytes
Term
blood HTR
Definition
type II hsr, intravascular hemolysis. ABO blood group incompatibility or extravascular hemolysis
Term
ANA
Definition
SLE, nonspecific
Term
anti-dsDNA
Definition
SLE
Term
anti-smith
Definition
SLE
Term
antihistone
Definition
Drug-induced lupus
Term
anti-IgG
Definition
RA
Term
anticentromere
Definition
CREST scleroderma
Term
anti-Scl70
Definition
diffuse scleroderma
Term
anti mitochondrial
Definition
primary sclerosing cholangitis
Term
anti-gliadin
Definition
celiac
Term
anti-endomyseal
Definition
celiac
Term
anti-BM
Definition
Goodpasture
Term
anti-esmoglein
Definition
pemphigus vulgaris
Term
anti-microsomal
Definition
hashimoto
Term
anti-thyroglobulin
Definition
hashimoto
Term
anti Jo-1
Definition
polymyositis and dermatomyositis
Term
anti SSA
Definition
sjogren
Term
anti SSB
Definition
sjogren
Term
anti-U1 RNP
Definition
mixed CT disease
Term
anti smooth mm
Definition
autoimmune hepatitis
Term
anti-glutamate decarboxylase
Definition
type I DM
Term
c-ANCA
Definition
Wegener's
Term
p-ANCA
Definition
Churg-straus, microscopic polyangitis
Term
anti-TSH
Definition
graves
Term
MPO-anca
Definition
pauci immune crescentric GN
Term
anti-AchR
Definition
myasthenia gravis
Term
infections with no T cells
Definition
sepsis, CMV, EBV, VZV, resp/gi viruses, condida, PCP
Term
infections with no B cells
Definition
encapsulated (SSHiNN), enteroviral encephalitis, polio, GI giardiasis
Term
infections if no granulocytes
Definition
staph, psuedomoas, candida, ocardia, aspergillus
Term
infection with no complement
Definition
neisseria
Term
bruton's defect
Definition
BTK = tyr kinase gene -> blocks pro-B -> pre-B
Term
bruton's presentation
Definition
recurrent bacterial infections after 6 months
Term
brutons labs
Definition
normal pro-B, decreased number of B cells, Decreased Ig
Term
hyper-IgM
- defect
- presentaiton
- labs
Definition
- defective CD40L on Th cells, can't class switch
- severe pyogenic infections
- increased IgM, decreased other Ab
Term
Chronic mucocutaneous candidiasis
- defect
- presentation
Definition
- T cell dysfunction
- candida infections on skin and mucus membranes
Term
SCID
- defect
- presentation
- labs
Definition
- IL-2R defect, Adenosine deaminase deficiency; failure to synthesize MHCII
- recurrent viral, bacterial fungal and protozoal; no thymic shadow, no germinal centers,
- decreased IL2R -> decreased T cell activation
increased adenosine -> toxic to B and T cells
Term
CVID
- defect
- presentation
- labs
Definition
- B cell maturation, many causes
- can be acquired in 20s-30s, increased risk of autoimmune disease, lymphoma, sinopulmonary infections
- normal B cells, decreased plasma cells and Ig
Term
Ataxia telangiectasion
- defect
- presentaiton
- labs
Definition
- ATM gene which codes for DNA repair
- ataxia, spider angiomas, IgA deficiency
- decreased IgA
Term
Wiskott-Aldrich
- defect
- presentaiton

- labs
Definition
- X-linked recessive defect, progressive deletion of B and T
-WA Immunodeficiency, Thrombocytopenia, Eczema, Recurrent infections
Term
Digeroge
- defect
- presentaiton
- labs
Definition
- 22q11 deletion; failure of 3rd and 4th pharyngeal pouches
- hypocalcemia, recurrent viral/funcal infetions, heart and great vessel abnormalities
- decreased T cells, Decreased PTH, decreased Ca; absent thymic shadow on CXR
Term
LAD
- defect
- presentation
- labs
Definition
- LFA-1 on phagocytes
- delayds separation of umbilicus
- neutrophilia
Term
chediak higashi
- defect
- presentation
Definition
- AR, defect in LYST; microtubule dysfunction
- recurrent pyogenic infection, partial albinism, peripheral neuropathy
Term
IL-12 receptor deficiency
- defect
- presentation
- labs
Definition
- decreased Th1
- mycobacterial infections
- decreased IFN-gamma
Term
Hyper-IgE syndrome
- defect
- presentation
- labs
Definition
- failure to prdoce IFN-gamma and Nt can't respond to chemotactic stimuli
- coarse facies, staph abscesses, retained primary teeth, increased IgE, Dermatologic (eczema)
- increased IgE
Term
CGD
- defect
- presentation
- labs
Definition
- lack NADPH oxidase
- catalase positive organisms
- negative NBT test
Term
- autograft
- syngenetic graft
- allograft
- enograft
Definition
- from self
- identical twin or clone
- nonidnetical individual of same species
- xenograft
Term
hyperacute transplant rejection
- onset
-pathogenesis
- features
Definition
- within minutes
- Type II due to presence of preformed anti-donor Ab
- occlude graft vessels, causing ischemia and necrosis
Term
transplant rejection acute
- onset
- pathogenesis
- features
Definition
- weeks
- cell mediated due to CTLs reacting against foreign MHCs; reversible with immnosuppressants
- dense interstitial lymphocytic infiltrates
Term
transplant rejection chronic
- onset
- pathogenesis
- features
Definition
- months to years
- MHCI-nonself is perceived as MHCI-self presenting a non self Ag
- irreversible; vascular damage, fibrosis of graft tissue and blood vessels
Term
graft vs. host
- onset
- pathogenesis
- features
Definition
- varies
- grafted immunocompetent T cells proliferate in irradiated immunocompromised host and reject cells with 'foreign" particles leading to organ dysfunction
- maculopapular rach, jaundice, hepatosplenomegaly and diarrhea
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