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227 Cards in this Set

  • Front
  • Back
What make up the immune system?
blood circulatory system and lymphatic system
What make up the lymphatic system?
central lymphoid organs and periperal lympoind organis, tissues, and cells
What makes up the central lymphoid organs
thymus, bone marrow
What make up peripheral lymphoid organs
lymph, lymph nodes, spleen, tonsils, mucosa associated lymphatic tissue (MALT) (appendix), lymphocytes (B, T)
What is lymph
drainage from body fluid
Circulation of lymph?
enter lymphatic capillaries into lymphatic vessels filtered by lymph nodes, enter 2 large lymphatic ducts and enter blood vessels
What is the flow of lymph?
one way flow toward heart and valves prevent backflow
What filter lymph
lymph nodes
What receives lymph from affluent lymphatic vessels
lymph nodes
What do lymph nodes drain lymph into?
2 effluent lymphatic vessels
What is the structure of a lymph node?
inner medulla (filters lymph), cortex (germinal centers in capsules/ B lymphocytes)
Where do WBC interact with foreign Ag?
in inner medulla
Where do B cells proliferate
in germinal centers of outer cortex
What does the spleen do?
filter blood, removes foreign matters (like bacteria viruses toxins), remove old damaged host cells and components, stores blood platelets, iron
What traps foreign particles and mos?
Tonsil, MALT
Where is MALT?
appendix, lymphatic tissues of respiratory tract, vagina, urinary bladder, mammary glands, Peyers patches
What is a lymphocyte?
circulates in blood and lymph and some remain in lymphoid organs and tissues
HOw do B cells develop
In bone marrow
stem cells -> B precurors -> mature B-cells ->present in red bone marrow, spleen, MALT, lymph nodes, and blood
How do T cells develop
in bone marrow
T precursor->(under influence of thymus) mature T cells -> circulate in lymph, blood, lymph nodes, spleen, Peyers patch
How many BCR are on a mature B lymphocyte surface
250-500,000
What is BCR
B cell receptors (displays IgM and IgD)
How many different B cells in each person that each carry a distinct set of BCR
10 to the 9th
What can a B cell bind to
ree floating Ag (virus, bacterial toxin, bacteria) or an epitope on a cell
How many T cell receptors are on surface of mature T cell
about 500,000
What do TCR do?
recognize specific Ag
HOw many different TCRs exist?
10 to the 11th
What does a T cell bind to
only an Ag (epitope) that is present by a cell NOT free floating
What do T lymphocytes do when activated
differentiate into CD4 T cell and CD8 T cell
What are the 2 types of CD4 T cell
T helper Type 1 (TH1 with CCR5 cytokine receptor)

T helper Type 2 (TH2 with CCR3 and CCR4 cytokine receptors)
What are CD8 T cell?
cytotoxic T cell (Tc) can kill targets
What are antigenic determinants?
epitopes
How big are epitopes?
small molecules (<5,000 daltons)
What are too small to be an Ag by itself?
haptens
What can induce immunity when attached to a carrier?
haptens
What is the difference between antigen and hapten?
size
Can a hapten interact with an Ab by itself?
yes but cannot cause immune response alone
What are cytokines?
soluble regulatory proteins released by certain cells to regulate body functions
What are cytokines produced by lymphocytes
lymphokines
What do interleukins do?
signal among leukocytes
What secrete IFN gamma?
TH1
What stimulate stem cells to grow?
growth factors
What kills tumor cells and regulates inflammation and immune response?
tumor necrosis factor
What attract lymphocytes?
chemokines
What causes antibody production?
B cell is stimulated by Ag and it turns on a plasma cell to secrete Ab
Where is antibody present?
in serum, lymph, and blood
What does antibody bind to?
antigen
Are antibodies soluble?
yes
Describe antibody structure:
4 peptides with 2 heavy chains and 2 light chains linked by several disulfur bonds
What is Fab
site to bind to antigen
What is Ac
Where anitbody binds to host cell
How many classes of Ab are there?
5
What are teh 2 regions to antibodies?
constant and variable
What is the Ag binding site?
variable regions of H and L chains
What are teh 5 classes of Ab?
IgD, IgM, IgG, IgA, IgC
What is different between X and Z IgM?
the constant (Fc) region but different variable (Fab) region
AgX IgM and IgD have same what?
Fab (variable) but different Fc (constant)
How are Ab classes different?
types of H chains
How can IgM pentamer be joined?
by peptide J chain
What are the two forms of IgA?
monomer and dimer (secretory)
What is secreted to mucous membrane surface?
IgA
What makes IgA slippery?
secretory complement
What can produce antibody?
plasma cell against a specific antigen
What is the class switch sequence?
IgM-IgD-IgG-IgE-IgA
When does class switch occur?
when plasma cells receive signals sent by TH1 and TH2 cells
Describe movt of class switch
one way and nonreversible
Can you skip or delete in the class switch?
yes
What is the chain for IgG?
gamma heavy chain
HOw much does IgG make up of Ab?
80-85%
Where is IgG
in blood and body fluid
What is the major Ab for defense
IgG
What does IgG do?
everything that Abs do: agglutinate, fix complement, and neutralize toxins and viruses
What is the only class that moves across placenta?
IgG
Where does IgG bind
free floating and epitope
What exists as pentamer?
IgM
What is the chain for IgM
Mu
What % is IgM
5-10% of total Ab
Where is IgM
in serum or on B cell surface
What is the 1st Ab produced
IgM
When is IgM produced
4 days after exposure to Ag
What does IgM do
agglutination, C' fixation, neutralization
What does IgG do?
everything that Abs do: agglutinate, fix complement, and neutralize toxins and viruses
What is the only class that moves across placenta?
IgG
Where does IgG bind
free floating and epitope
What exists as pentamer?
IgM
What is the chain for IgM
Mu
What % is IgM
5-10% of total Ab
Where is IgM
in serum or on B cell surface
What is the 1st Ab produced
IgM
When is IgM produced
4 days after exposure to Ag
What does IgM do
agglutination, C' fixation, neutralization
What does IgG do?
everything that Abs do: agglutinate, fix complement, and neutralize toxins and viruses
What is the only class that moves across placenta?
IgG
Where does IgG bind
free floating and epitope
What exists as pentamer?
IgM
What is the chain for IgM
Mu
What % is IgM
5-10% of total Ab
Where is IgM
in serum or on B cell surface
What is the 1st Ab produced
IgM
When is IgM produced
4 days after exposure to Ag
What does IgM do
agglutination, C' fixation, neutralization
What is the half life of IgM
about 2 days: short
When does IgM exist as monomer
on B cell surface as B cell receptor to capture antigen
What joins IgM together
J chain
What does increased IgM show?
recent infection
What is chain of IgA
Alpha heavy chain
What % of Ab is IgA
15%
Where does IgA exist
in serum, body fluid, and secretion
What joins the IgA dimer?
J chain with secretory component
What is IgA dimer?
secreted to surface of mucous membrane to prevent attachment of Ag and also in milk
What are fxns of IgA
fixation (alternative pathway), agglutination, neutralization
What is the chain of IgD
delta
What % of Ab is IgD
0.2%
What is fxn of IgD
unknown function in serum
Where is IgD a monomer?
on B cell surface as BCR to recognize adn bind Ag
What is chain of IgE
epsilon H chain
What % of Ab is IgE
0.002%
What does Fc of IgE attach to?
basophils, mast cells, and eosinophils
What happens when IgE binds to Fab?
causes degranulation
What is released when basophils mast cells and eosinophils are degranulated?
make histamine, kinins, proteases, leukotrienes, prostaglandins, and other inflammatory molecules which cause vasodilation and increased permeability
What is humoral immune response?
Ab production
What 2 types of Ag may stimulate B cells
T dependent and T independent
What are most Ag
T dependent
What require T to stimulate B cells
T dependent Ag
What is T independent Ag
polysaccharides with repeated epitopes (ex LPS) that does not need T to stimulate B cells
What are antigen presenting cells (APC)
macrophages and their functional relatives, such as dendritic cells in the skin (or Kupffer cells, etc) and B cells
What do antigen presenting cells do?
present Ag (epitopes)with MHC on cell surface

and produce cytokines to stimulate T cell growth
What is MHC I
endogenous Ag (present to CD8 T)
What is MHC II
exogenous Ag (present to CD4 T)
What is exogenous
not made by you (ex: bacteria) MHC II
What is endogenous?
made by you (virus) MHC I
Where are major histocompatibility antigens found?
on surface of all nucleated cells (not RBCs)
What happens to foreign cells
grafted cells which bear foreign MHC on surface are rejected by host
What is Class I MHC
on all cells but RBCs
What is Class II MHC
on antigen presenting cells
What are foreign cells attacked by?
NK and T cells
What is used as cell ID
MHC: unique to individual
What are MHC
peptides embedded in cell membrane with Ag binding groove outward
What are exogenous Ag?
toxins, secretions, microbial cells, or components of microbial cells (not produced by you)
What are autoantigens?
self antigens: antigens present on normal cells
What is autoimmunity?
immune response against own normal Ags
What are endogenious AG presented by MHC I?
infected host cells express foreign antigen on cell surface
What happens with viruses
multiply in host, go into ER, theres MHC I they meet and link and migrate to surface and have MHCI with endogenous antigen determinants
What are steps AB production (T dependent)
Ag presentation, activation and differentiation of Th cells, clone selection of B cells for activation, differentiation of activated B cells
What is APC do
present Ag determinant with MHC II
What does Niave Th do
use TCR binds to Ag determinant/ CD4 binds to MHC II
What happens with activation and differentiation of Th cells
APC secretes ILS to activation Niave Th-> Th1 and/or Th2 + Memory Th
WHat cells live a long time
memory cells
What determines if something is Th1 or Th2?
cytokine environment
What stimulates B cells to differentiate
TH2
What occurs in clone selection of B cells for activation
BCR on B cell recognize and attach to Ag-> internalized and processed -> present the same Ag determinant with MHC II
What occurs with B cell in clone selection
B cell--MHC II-- Ag determinant --TCR -- ACtivated Th2 (activates B cells with ILs)
What occurs with differentiation?
activated B divides and differentiates -> a clone of plasma cells and memory B cells
WHat do plasma cells do?
secrete Ab
What do memory cells do?
persist in lymphatic tissue for years
What happens when memory cells bind to Ag
plasma cells
What is second response
stronger than first
What are characteristics of memory response
quicker response, higher concentration of IgG, third time is longer, more memory cells will be produced during secondary response
What is Ag production of T dependent Ag?
need help from: antigen presenting cells (macrophages and B cells with both MHC 1 and 2 complex on cell surface) and Th cells
What does T dependent Ag do?
generate memory cells and do class switch
What does T independent Ab production do?
repeated epitope can stimulate several BCR at once and large binding sends signal to cause B cell to differentiate (no class switch and no Th cell activation and no memory cells)
What are negatives to T independent Ab production
no class switch (only IgM), no memory cells and no Th cell activation
Does T independent Ab production involve T cells
no
Does T independent Ab production form memory cells
no
Does T independent Ab production cause plasma cells to produce 5 classes of Ab
no
T independent Ab production: what type of Ab is produced?
IgM
Does T independent Ab production have a second exposure memory response
no, no memory cells
What gives stronger response: T dependent or independent
T dependent
What does sIgA do?
prevent attachment of mos to mucous membrane
Where are Ab IgG, IgM, and IgA?
in blood and blody fluid
What are actions of Ab
agglutination, opsonization, C'fixation, neutralization, and Ab dependent cell mediated cytotoxicity
What is ADCC
Ab dependent cell mediated cytotoxicity
What does agglutination do?
stop them from moving easily
What does opsonization do?
flag them for a PMN or macrophage to swallow
What does C' fixation do?
cell lysis (MAC), opsonization (C3b), and inflammation (C3a, C4a, C5a): can destroy or remove Ag
What does neutralization do?
block attachment of viruses, bacteria, and toxins to their receptors
Can Ab help if already bound to receptor?
no
What does ADCC do?
help killer cells to kill target cells
What are K cells
have receptors for Fc of Ab
(macrophages, NK cells, PMN, macrophage, eosinophil)
How are things killed by oxidation
Ab + bacterium-> stimulate production of HwOw and other oxidants and cause death of bacterium
What occurs in ADCC?
K cell binds to Ab coated target cell and releases toxic compunds at target
Why would we need ADCC
too large for macrophage to swallow
What are eosinophils for?
parasite
What does Cell mediated immunity (CMI) do?
kill turmos, infected cells, transplanted forein cells and parasites
What does Tc do?
kills target on contact
What do Th1 cells do?
release lymphokines to recruit, activate, and regulate nonspecific cells such as macrophages and NK
What are principle cells in CMI?
Th1 and Th2, Tc (kill specific target cells), Tr (regulate immune response), activated macrophage, NK
What does Tc do?
kills specific target cells
What does Tr do?
regulate immune response
What does Naive Th do?
make Th1 and Th2 and memory Th
What does Th1 do?
produce lymphokines to attract and activate macrophages, NK and help activate Tc cells
What does TH2 do?
produce lymphokines to help actvate B cells and produce lymphokines to increase production of eosinophils
Where are lymphokines from
both direct class swtich of plasma cells
What do Tc cells do?
kill target cells and display foreign Ag with MHC I
HOw are Tc (CD8) cells activated
by binding to Ag/MHC I on APC and cytokines are rpdouced by APC and Th1
What do Tc use TCR for?
to bind to Ag presented by MHCI on APC
What do Tc use CD8 for?
binds to MHC I
What happens after Tc binding
Niave Tc-> activated Tc + memory Tc cells
What CD is on Th cells?
CD4T
What CD is on Tc cells
CD8T
What MHC is on CD4T cells
II
What MHC is on CD8T cells
I
What does Tc cell do?
bind to target cell displaying a specific Ag with MHC I

TCR-Ag-MHCI
CD8-MHCI
What happens after binding with TC
it kills the target by killing with 2 pathways
What are teh 2 pathways that Tc can kill by
perforin granzyme cytotoxic pathway or CD 95 cytotoxic pathway
What happens in perforin granzyme cytotoxic pathway?
perforin forms channels on target membrane and granzyme activates apoptosis
What is apoptosis
cell suicide
WHat occurs in CD95 cytotoxic pathway?
CD95L (on activated Tc) binds to CD95 (on most body cells) -> active enzymes that trigger apoptosis
What do some Tc cells become after activation?
memory Tc cells which present in lymphatic tissues for years
What happens when memory Tc cells are stimulated by Ag and cytokines from Th1 and memory Tc?
make Tc and more memory Tc
What is secondary memory Tc cell response
quicker and stronger
What a macrophage?
gamma interferon by Th1 and makes activated macrophage
What are properties of activated macrophage
greater killing power, non specific, kills everything, bigger, more ruffly, more chemicals inside
What type of response does free floating have
antibody mediated
What type of response does parasites with Ag have
both
What type do viral infected cells have?
both but mainly cell mediated
What do NK kill
target cells nonspecifically
What activates NK
lymphokines such as IFN gamma
What is clonal deletion theory?
all the lymphocytes that are exposed to autoantigens are deleted during fetal development (unless you have an autoimmune disease)
HOw does immune response discriminate between self and non self
recognize self ags ex: MHC
How is the immune response specific
clonal selection: only the B cell with BCR complementary to antigen (or T cell with TCR complementary to anitgen) will be stimulated to differentiate into a clone of activated cells
What do plasma cells produce
Ab
What does Th1 make
cytokine to activate Tc
What is heterogenicity?
ability to produce a wide variety of BCR and TCR to recognize different antigens
What is monoclonal ab?
make a pure mixture by diluting into wells and then mix with cancer cells to make survive
What is poly H ab
flagellum protein
What is poly O
carbohydrate (cell wall)
What is poly Vi
capsule polysaccharide