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Immunology
test II
48
Health Care
Professional
03/23/2008

Additional Health Care Flashcards

 


 

Cards

Term
Induces fever
Definition
IL1
Term
Secreted by various APCs
Definition
IL1
Term
Costimulates activation of helper T cells
Definition
IL1
Term
Stimulates ICAM expression on vascular endothelial cells
Definition
IL1
Term

A chemotactic that attracts WBCs

Definition
IL1
Term
Induces secondary cytokines, like chemokines & IL6
Definition
IL1
Term
Very similar to TNFa
Definition
IL1
Term
Induces proliferation of TH1 and supports the growth of TH1
Definition
IL2
Term
enhances the activity of NK cells & CTL
Definition

IL-2

remember that IL2 is produced by TH1 cells, & TH1 cells r involved w/ viruses &

bacteria

Term
T or F: A TH2 cell will have IL-2 receptors.
Definition
True. This is how it is inhibited by TH1.
Term
T or F: IL-4 & IL-5 are nearly identical
Definition
T
Term
promotes TH2 proliferation in addition to mast cell growth.
Definition
IL-4 & IL-5
Term
Involved with parasitic immunity
Definition
Anything made from TH2
Term
promotes the proliferation & differentiation of B cells.
Definition
IL-4 & IL-5
Term
eosinophil growth and function
Definition
IL5
Term
Induces an Ig class switch from IgG to IgE
Definition
IL-4 & IL-5
Term
What all does IL-6 do?
Definition
All the things TH2 does and wound healing
Term
produced by TH2 cells & Treg cells
Definition
IL-10
Term
suppresses cytokine production by macrophages & TH1 cells. It also suppresses MHC II.
Definition
IL-10
Term

What IL is a chemokine produced by macrophages & mast cells?

 

What is this IL a chemoattractant for?

Definition

IL8

 

neutrophils and T cells

Term
What cells are APCs?
Definition
All nucleated cells possess MHC I; therefore, all nucleated cells can be APCs, & all APCs present MHC I.
Term
All nucleated cells can make               & all nucleated cells have receptors for            ?
Definition
Every nucleated cell can make TNF-a, and every nucleated cell has a receptor for TNF-a.
Term
cytotoxic to tumor cells & well known for its involvement in both the acute phase response & its induction of cytokine secretion from inflammatory cells.
Definition
TNFa
Term
What is the acute phase response?
Definition
The acute phase response is an inflammatory response from the liver that is brought about by a septic response. It is a primary mediator of septic shock. TNF-a & IL-1 are similar in activity & noted for their involvement in septic shock & chronic inflammatory diseases.
Term
Produced by TH1 cells, CTL, & NK cells
Definition
IFN-y
Term
What does IFNy enhance the activity of ?
Definition
CTLs, NKs, & macs
Term
Antivirals used as pharmaceuticals?
Definition
IFNa & IFNb
Term
How do IFNa & IFNb work?
Definition
These antiviral pharmaceutics can make proteins in a cell that can inhibit the cell from proliferating
Term
inadvertantly have anti-cancer effects
Definition
IFNa & IFNb
Term
The major function of these cytokines is that they induce the MHC I on all somatic cells. They also activate macs and NKs.
Definition
IFNa & IFNb
Term
Cytokines control every aspect of the body's defenses. Name 3 things cytokines do
Definition

1) activate or deactivate phagocytes & immune defense cells

2) increase or decrease the function of immune defense cells

3) promote or inhibit a variety of nonspecific body defenses.

4) stimulate or inhibit the survival, proliferation, differentiation, and/or funciton of cells.

Term
produced by immune & non-immune cells
Definition
TGF-beta
Term
What is the major function of TGFb?
Definition
anti-inflammatory
Term
antagonizes TNF-a & IL-1
Definition
TGFb
Term
Stimulates hematopoietic & lymphoid cells, among others, to differentiate. Therefore, It also inhibits proliferation of these cells (only liver cells can proliferate & differentiate at the same time
Definition
TGF-beta
Term
Name 4 kinds of cytokines
Definition
chemokines, monokines, lymphokines, interleukins
Term
Name 3 ways in which we cope with cytokine pleiotropy
Definition

1)The expression of cytokine receptors can be regulated (eg, a naive T cell that hasn't been exposed to Ag, will not express IL2 receptor)

2) limited radius of effectiveness

3) they have short half lives (which is why they have a limited radius of effectiveness), b/c they are proteins and they get degraded quickly by serum proteases

Term
What do CSFs do? How are they important as pharmaceuticals? What else can they do?
Definition
They stimulate leukocyte formation in the bone marrow. They are used as pharmaceuticals for bone marrow transplants. They are also pro-inflammatory
Term

What are chemokines?

Definition
They are chemoattractant, adhesive, pro-inflammatory molecules that attract and stick to WBCs to promote inflammation. Their class names are based on their peptide structure. Their peptide structure reveals what types of WBCs they will attract and stick to. CXC is a class of neutrophil chemoattractants. If CXC has an amino terminus of ELR, it will attract neutrophils and be involved in acute inflammation. If the ELR is not present, CXC will attract T cells and be involved in chronic inflammation. CC is a class of mononuclear cell chemoattractants.
Term
Why would you rather find neutrophils instead of T cells in an inflammatory response?
Definition

T cells are attracted when there is no ELR amino terminus on the CXC chemokine. This typically occurs during chronic inflammation. Neutrophils are attracted by CXC chemokines that have an ELR amino terminus. Neutrophils are attracted when the inflammation is acute. 

Term

What are 5 possible mechanisms of autoimmunity?

Definition

ABAMA 

1) autoreactive T cells escaping from the thymus

2) breakdown of peripheral tolerance (loss of anergy)

3)Ag-nonspecific lymphocyte activation (eg, superantigens)

4)Molecular mimicry

5)Abnormalities in lymphocyte interactions

Term
Discuss the 3 forms of IL2R. Then explain the IL2R mechanism.
Definition
If the IL2R contains an a-subunit only, the IL2 will bind w/ moderate affinity. If IL2R has a by-subunit, the IL2 will bind w/ intermediate affinity and signal transduction will occur. If IL2R has an aby-subunit, the IL2 will bind to the a-subunit w/ strong affinity. The a-subunit will then transfer the IL2 to the by-subunit for transduction. It will then undergo many phosphorylations by kinases. These phosphorylations cause transcription factors to bind to DNA and cause a biological response.  
Term

What drug has reduced the need for blood transfusions?

 

Why isn't this drug good for cancer pts?

Definition

epoetin

It's a growth factor.

Term

Choose from HLA, Rh, and ABO to determine what is most important for pregnancy, blood transfusions, and transplants

Definition

HLA - transplants

ABO - blood transfusions

Rh - pregnancy

Term

What cells express FcyR and are active in ADCC?

 

What is ADCC?

Definition

APCs and NK cells

 

Ab-dependent cellular cytotoxicity is where APCs and NK cells have a FcyR that binds and destroys Abs via their FcR.

Term

What is the problem presented by transplants?

 

 

Definition
Transplants often involve organs. Organs have nucleated cells. All nucleated cells express HLA. The recipients T cells recognize the HLA and destroy the organ's nucleated cells. As pharmacists, we try to make drugs that will induce tolerance via immunosuppression. Unfortunately, we can't just suppress the T cells that recognize HLA; we have to suppress all of the T cells. 
Term
What is LAD1 and LADII?
Definition

LADI is due to a deficiency in b2-integrins, keeping the leukocyte from transmigrating to the SOI.

 

LADII is due to a lack of sialyl-lewis receptor on the leukocyte. Consequently, margination will not occur, because the sialyl lewis receptor is what the selectins on the endothelial cells bind to.

Term

What do NK cells do?

What do they kill?

Definition

They destroy cells that don't have MHC I markers. They're also involved in ADCC.

They kill virally infected cells, tumor cells, and intracellular parasites.

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