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149 Cards in this Set

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What 2 cell types can pluripotent hematopoetic stem cells diffentiate into?
1) Common lymphoid progenitor.
2) Myeloid stem cell.
What 5 types of cells can common lymphoid progenitors differentiate into?
1) B lymphocyte
2) NK cell
3) NK-T cell
4) T lymphocyte
5) Flt3+ DC precursor
What 7 types of cells can myeloid stem cells differentiate into?
1) Flt 3+ DC precursor
2) CFU-GM (granulocyte-macrophage)
3) CFU-Eo (eosinophil)
4) CFU-Baso (basophil)
5) CFU-MC (mast cell)
6) CFU-Meg (megakaryocyte)
7) CFU-E (erythrocyte)
What 2 stem cell types may give rise to Flt 3+ DC precusors?
1) Common lymphoid progenitor
2) Myeloid stem cell
What 2 cell types may arise from a Flt3+ DC?
1) Plasmacytoid dendritic cell
2) Dendritic cell
What 2 stem cell types may give rise to (non-plasmacytoid) dendritic cell?
1) Monocyte
2) Flt 3+ DC precusor
What are 2 cytokines that are produced by neutrophils in substantial amounts?
1) TNF
2) IL-12
What are 2 characteristic cytokines that are produced by monocytes/macrophages?
1) IL-12
2) IFN-gamma
What are 2 subtypes of macrophages?
1) Classically activated macrophages
2) Alternatively activated macrophages
What are 2 functions of classically activated macrophages?
1) Proinflammatory cytokine production. What 4 cytokines, in particular?
2) Antibacterial activities
1) IFN-gamma
2) IL-6
3) IL-12
4) TNF
What 3 cytokines induce formation of "alternately activated macrophages"?
1) IL-4
2) IL-10
3) IL-13

What is the function of alternatively activated macrophages and what 3 cytokines do they produce?
Function to release antiinflammatory cytokines:
1) IL-10
2) IL-1 receptor antagonist
3) TGF-beta
What is the hallmark cytokine responsible for eosinophil production and survival?
IL-5
True or false: all MHC bearing cells can be induced to express APC function?
True, if stimulated appropriately.
What is the function of plasmacytoid dendritic cells?
Function in antiviral host defense.

What is the hallmark cytokine that plasmacytoid dendritic cells produce?
Type I interferons
What chromosome contains the MHC gene complex?
Chromosome 6 (short arm)
What chromosome contains the beta-2 microglobulin chain?
Chromosome 15
What domain of the MHC class I molecule interacts with CD8?
alpha-3 domain
What domains of the MHC class I molecule contain an Ig-domain?
alpha-3 domain, beta-2 microglobulin
What domains of the MHC class I molecule contain the antigen binding groove?
alpha 1 and alpha 2
What MHC class is associated with "endogenous" antigens?
Class I
What is the proteasome?
A cytoplasmic protein that digests cytosolic proteins into peptide fragments that can be transported for presentation by MHC class I molecules.

What cytokine induces production of the immunoproteasome?
IFN-gamma
4 steps from cytosolic protein to antigen presentation in MHC class I?
1) Degradation by proteasome/immunoproteasome.
2) Transport into ER by TAP
3) In ER, loading onto protein-binding groove under direction of Tapasin, Calreticulin and oxidoReductase Erp57 (TCR!!!)
4) beta-2 microglobulin induces dissociation of calnexin and stabilizes complex for transport through golgi to exocytic vessicles to cell surface.
What is "cross presentation"?
When proteins are endocytosed and displayed to T-cells via MHC class I molecules.

In what infectious process is cross presentation especially important?
Viral infections.
What domains create the antigen binding groove in the MHC class II molecule?
alpha-1 and beta-1
What domain interacts with CD4 on MHC class II molecules?
beta-2
What chaperone protein assists the invariant chain (Ii) into a binding position in the antigen binding groove?
Calnexin
What class of MHC molecule utilizes the invariant chain (Ii) for stabilization prior to antigen binding?
Class II
What molecule catalyzes the exchange of an invariant chain (Ii) for an antigen?
HLA-DM
What HLA type is associated with anklyosing spondylitis?
HLA-B27
What HLA type is associated with a much higher risk of IDDM?
HLA-DQ2/DQ8
What HLA type is associated with protection from IDDM?
HLA-DQ6
What HLA type is associated with nonresponsiveness to Hep B vaccination?
HLA-DR3 (you have to go to the DR 3 times for Hep B vaccination)
What 2 HLA haplotypes are associated with seronegativity after measles vaccination?
HLA-DRB1*03
HLA-DRB1*0201
What MHC class does CD1 resemble?
MHC class I
What 2 types of molecules are presented by CD1?
glycolipids
glycosphingolipids
What are MICA and MICB?
stress-inducible MHC class I-related chains A and B?

What is their function? Where are their genes located?
Function to serve as targets for gamma-delta T-cells.

Genes located in between the MHC class III complex and the MHC class I genes on chromosome 6.
Do NK-T cells express CD4 or CD8?
Neither. (They are double negative.)

What do NK-T cells recognize?
Glycolipid antigens presented by CD1d molecule.
What is the function of NK-T cells?
Immunoregulatory.

What are 4 key cytokines that NK-T cells release?
IFN-gamma, IL-4, GM-CSF, TNF
What enzymes initiate the rearrangement of V(D)J regions in lymphocytes?
RAG1 and RAG2
What 6 enzymes repair cleaved V(D)J segments?
DNA-dependent protein kinase (DNA-PK), Ku, XRCC4, XLF, DNA ligase IV, Artemis. (Art KU D D X X)

Are these enzymes lymphocyte specific?
No!
What is the role of TdT?
TdT (terminal deoxynucleotidyl transferase) adds nucleotides to some of the VDJ junctions, providing extra junctional diversity
In what section of the thymus do prothrombocytes differentiate, proliferate and rearrange their TCR beta chains?
The subcapsular space
In what section of the thymus does alpha chain rearrangement occur, potentially forming a functional mature TCR?
cortex
In what section of the thymus does positive selection occur?
cortex
In what section of the thymus does negative selection occur?
medulla
What protein is expressed in the thymic medulla that is responsible for negative selection?
autoimmune regulator (AIRE)
What syndrome is caused by defective expression of AIRE?
autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy
What protein is not expressed in autoimmune polyendocrinopathy-candidiasis-ectodermal dystrophy?
AIRE
What percentage of developing T cells survive postive and negative selection in the thymus?
<5%
Where are gamma-delta T cells generated?
Not the thymus (extrathymic compartment)
What components make up the CD3 complex?
CD3 gamma
CD3 delta
CD3 epsilon
CD3 zeta
CD28 interacts with what stimulatory ligands?
CD80 or CD86

Which one is on the T-cell? APC?
CD28 on T-cell
CD80/86 on APC
What is the role of CD45?
Deactivating T-cell activation pathways/
In the blood, are T-cells mostly CD4 or CD8?
CD4
What characteristic nuclear protein is expressed in natural T-reg cells?
Foxp3

What characteristic CD markers are expressed in natural T-reg cells?
CD25, CD4
What 2 characteristic cytokines are expressed in natural T-reg cells?
IL-10, TGF-beta
What characteristic natural T-reg cytokine can act in membrane-bound form, requiring cell-cell contact?
TGF-beta
What are the two types of T-reg cells?
1) Natural T-reg cells
2) Adaptive (induced) T-reg cells
What cytokine drives the production of adaptive T-reg cells?
IL-10
What 2 cytokines are characteristically produced by adaptive T-reg cells?
IL-10!!!!!
TGF-beta
What epigenetic features are required for stable Foxp3 expression?
DNA methylation and histone acetylation around the Foxp3 promoter.
What characteristic nuclear protein is expressed in adaptive T-reg cells?
Foxp3 (variable expression)
What percentage of T-cells in the blood are CD4-CD8- (double negative)?
5-10%
What cytokine is characteristically produced by Th0 cells?
IL-2
What is the characteristic cytokine that drives Th1 development?
IL-12

What 2 cell types characteristically produce IL-12?
Macrophages and NK cells.
What is the characteristic cytokine that drives T-cell differentiation toward a Th1 phenotype?
IL-12

What 2 cell types characteristically produce IL-12?
Macrophages
NK cells
What is the characteristic cytokine that drives T-cell differentiation toward a Th2 phenotype?
IL-4

What 3 cells types characteristically produce IL-4?
NKT cells
Basophils
Mast cells
What are the 2 characteristic cytokines that drive T-cell differentiation toward a Th17 phenotype?
TGF-beta
IL-6

What cell types characteristically produce these cytokines to drive Th17 differentiation?
Unknown
Expression of what nuclear transcription factor is characteristic for Th1 T cells?
Tbet (T-box transcription factor)
Expression of what nuclear transcription factor is characteristic for Th2 T cells?
GATA3
Expression of what nuclear transcription factor is characteristic for Th17 cells?
RORC2 (retinoic-acid-related orphan receptor c isoform 2)
What are the 3 cytokines characteristically produced by Th1 cells?
IL-2
IFN-gamma
lymphotoxin
What are the 5 cytokines characteristically produced by Th2 cells?
IL-4
IL-5
IL-9
IL-13
GM-CSF
What are the 2 cytokines characteristically produced by Th17 cells?
IL-6
IL-17
In general, what type of Th cell supports cell-mediated immunity?
Th1
In general, what type of Th cell supports humoral immunity?
Th2
In general, what type of Th cell supports neutrophil response to extracellular bacteria
Th17 (supports neutrophil response)
What adjuvant has recently been shown to demonstrate the feasability of reprogramming the Th2 response to a Th1 response?
CpG DNA
How does a superantigen work?
By binding, without proteolytic processing, to both a MHC molecule outside the antigen-binding groove and to TCR proteins outside of their antigen-MHC binding site.
Is the amino terminus of an antibody the constant or varible region?
variable
Is the carboxy terminus of an antibody the constant or variable region?
constant
On what chromosome is the kappa light chain encoded?
chromosome 2
On what chromosome is the lambda light chain encoded?
chromosome 22
On what chromosome is the heavy chain locus?
chromosome 14
How many different exons encode the various constant regions of the immunoglobulin protein?
9 (IgD, IgM, 2 IgA, 4 IgG, IgE)
What cytokine is produced by bone marrow stromal cells to drive differentiation of stem cells to the b cell lineage?
IL-7
What immunoglobulin chain is rearranged first: lamda, kappa or heavy?
Heavy.
During b cell development, when is TdT expressed?
During the time of D-to-J and V-to-DJ rearrangement.
What 2 proteins act as surrogate light chains?
lambda5
VpreB
What are the 2 molecules that are associated with membrane-bound immunoglobulin to facilitate intracellular messaging?
Ig-alpha
Ig-beta
What are the 3 proteins that compose the B-cell coreceptor complex?
CD19
CD81
CD21 (complement receptor 2)
Quick B-cell activation pathway (9 steps)?
1) Src family kinases (blk, fyn, lyn) phosphorylate ITAM's on Ig-alpha and Ig-beta
2) Syk tyrosine kinase activated
3) BLNK activated
4) Phospholipase C activated
5) Guanine nucleotide exchange factors
6) Activation of protein kinase C
7) Calcium mobilization
8) Ras/Rac-dependent activation of mitogen-associated protein kinases
9) Activation of new gene transcription
How are IgM and IgD expressed at the same time?
Alternate RNA splicing of VDJ exon to mu or delta exons.
What 4 enzymes mediate immunoglobulin isotype class switching?
1) RNA editing enzyme activation-induced cytidine deaminase.
2) uracil DNA glycoslyase
3) APE1 (endonuclease)
4) DNA-PK (DNA repair enzyme)
What cytokine is characteristic for driving class switching to IgG1 and IgG3?
IL-10
What 2 cytokines are characteristic for driving class switching to IgE?
IL-4
IL-13
What cytokine is characteristic of driving class switching to IgA?
TGF-beta
What 4+ enzymes are required for somatic hypermutation?
1) activation-induced cytidine deaminase.
2) uracil DNA glycosylase
3) APE1
4) DNA repair enzymes
Is CD40 expressed on B-cells or T-cells?
B-cells
Is CD40L expressed by B-cells or T-cells?
T-cells
What happens to CD80/CD86 expression when B-cells take in antigen?
Increased expression of CD80/CD86.

How does a T-cell respond when presented with presented with both antigen and CD80/86
T-cell increases CD40L expression (which consequently drives class switching in B cells)
On what chromosome does CD40L reside?
X chromosome
What characteristic genetic defect results in x-linked hyper IgM syndrome?
CD40L deficiency
What characteristic genetic defect results in autosomal recessive hyper IgM syndrome?
CD40 mutations
Does somatic hypermutation occur in most T-cell independent antibody responses?
No.
What chemical is especially important in regulating the egress of cells out of lymphoid tissues and into the circulation?
lycophospholipid sphingosine-1-phosphate
What system is used by most cytokines to initiate gene transcription?
Jak-STAT

Specific janus kinase (Jak) associates with the cytoplasmic domain of the cytokine receptor; Jak phosphorylates its respective STAT protein, causing the STAT protein to dimerize and translocate to the nucleus
What does Jak3 deficiency cause?
SCID

How?
Absent signalling of gamma-c protein, a subunit of several cytokine receptors
What 6 cytokines use gamma-c protein as part of their receptor?
IL-2
IL-4
IL-7
IL-9
IL-15
IL-21
Where is gamma-c protein encoded?
X-chromosme.

Why is this important?
x-linked SCID
What is STAT1 deficiency associated with?
Susceptibility to mycobacteria and variable increase in susceptibility to viral infections.

Why?
Impaired ability to respond to Type I or Type II interferons.
What is heterozygous STAT3 mutation associated with in humans?
Autosomal dominant hyper IgE syndrome.

Why?
Deficiency of Th17 differentiation.
What is STAT4 deficiency associated with?
Impaired Th1 development due to defective IL-12 signal transduction.
What TLR is activated by CpG DNA?
TLR9

Why is this important?
It is the molecular basis for diverting Th2 to a Th1 responses.
MyD88 deficiency is assocaited with what type of infection?
Life-threatening, recurrent pyogenic infection.

How?
Defective signalling through TLR common pathway.
Are nucleotide-binding domain leucine-rich repeat proteins cytosolic or membrane bound?
Cytosolic.
What type of receptor recognizes intracellular signals of cellular damage, such as uric acid crystals?
NLR's (nucleotide-binding domain leucine-rich repeat proteins)
Upon activation, what 2 molecualr pathways can NLR's activate?
1) Apoptosis
2) NF-kappa beta transcription to induce a broad proinflammatory respons
What 3 cytokines are characteristically produced by the inflammasome?
1) IL-1
2) IL-18
3) IL-33
How does alum work, on a molecular level, to promote antibody response?
Alum is taken up by phagocytic cells. NALP3 activated. Inflammasome activated.
What 3 proteins compose the inflammasome?
1) NALP3 (a NLR)
2) Capase 1
3) Apoptosis-associated-speck-like protein containing a capase recruitment domain (ASC)

What happens if one of these proteins is absent or defective?
No response to alum as an adjuvant for the antibody response.
What is dectin-1?
Transmembrane receptor that contributes to the innate immune response.

What does it bind?
beta-glucans on the cell walls of yeast
What are the 3 major collectins in human subjects?
Mannose binding lectin
Surfactant protein A
Surfactant protein D

What do they recognize?
Microbial carbohydrates.
What are the 3 major types of pentraxins?
Short pentraxins
C-reactive protein
Serum amyloid P-component
What 4 types of molecules does C-reactive protein bind?
bacterial low density lipoproteins
bacterial polysaccharides
apoptotic host cells
nuclear material

What does it induce?
Complement
Phagocytosis
What 3 types of molecules does serum amyloid p-component bind?
microbial carbohydrates
nuclear substances
amyloid fibrils
What types of molecules do ficolins bind?
Carbohydrates

What happens after binding?
Complement activation through the lectin pathway.
What are chitinases?
enzymes that digest chitin, a major constituent of the cell walls of fungi, helminths, insects and crustaceans.

Why are they important?
Chitin is a potent inducer of Th2 response, levels of chitinase are dramatically increased in the lungs of asthmatic subjects and may be a target for drug development in asthma.
Where do NK cells develop?
The bone marrow.
What 2 cytokines characteristically play a role in the differentiation of NK cells?
IL-2
IL-15
How is the cytotoxic activity of NK cells inhibited?
Inhibitory receptors that recognize MHC class I molecules (in absence of MHC class I, cells are targeted)
What 2 pathologic mechanisms are inhibited by NK cells?
Viral infection
Tumor
What is the activating signal for the classical complement pathway?
Antigen-antibody complexes.
Classical complement pathway (in order).
C1, C4, C2, C3, C5, C6, C7, C8, C9
What is the activating signal for the alternate complement pathway?
microbial structures that neutralize inhibitors of spontaneous complement activation.
What is the activating signal for the lectin complement pathway?
mannan-containing microbes with plasma MBL

What 2 proteins are associated with activation of the lectin pathway?
MBL associated serine protease 1 and 2.
Deficiency of c4 or c2 leads to what clinical disease?
lupus-like immune complex diease.
Deficiency of decay-accelerating factor leads to what clinical disease?
paroxysmal nocturnal hemoglobinuria
What cell types express selectins?
leucocytes
endothelial cells

What cell types express selectin ligands? Are selectin-selectin ligands high affinity or low affinity?
Leucocytes

Low affinity
What cell types express integrins?
leucocytes
What is the ligand for lymphocyte function-associated antigen 1 (CD11a/CD18, alpha-L/beta-2) integrin?
intercellular adhesion molecule 1 (adhesion molecule)
What is the ligand for very late antigen 4 (CD49d/CD29, alpha-4/beta-1) integrin?
vascular cell adhesion molecule (adhesion molecule).
What is the ligand for Mac-1 (CD11b/CD18, alpha-M/beta-2) integrin?
intercellular adhesion molecule 1/C3b (adhesion molecule)?
What are LFA-1, VDLA-4 and Mac-1?
Integrins

Where are integrins expressed? What are the ligands for integrins?
Integrins are expressed on leucocytes.

Ligands for integrins are expressed on vascular endothelium and are called immunoglobulin domain cell adhesion molecules
What cellular homestastic function do TNF family molecules induce?
Apoptosis.

Through what type of receptor does TNF family pathway induce apoptosis?
Type I TNF receptor
What ligand characteristically transmits apoptotic signals during thymic T-cell selection?
Fas
What clinical problems arise from a defect in Fas or FasL?
Autoimmune disorders with prominent lymphoproliferation.
What cell type is converted to fibroblasts in tissue changes that lead to fibrosis?
epitheleal cells
Levels of thymic stromal lymphopoeitin are increased or decreased during pregnancy?
Increased

Leading to production of what cytokine by placental dendritic cells?
IL-10