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60 Cards in this Set

  • Front
  • Back
Source and functions of
IL-1
Secreted by APCs
Causes acute inflammatio and fever
Induces cytokine production for leukocyte recruitment
Induces endothelial adhesion molecule expression
Positive feedback to Th cells
Source and functions of
IL-2
Secreted by Th cells
Stimulates growth of Th and Tc cells
Source and functions of
IL-3
Secreted by activated T cells
Stimulates bone marrow stem cell growth and differentiation
Similar to GM-CSF
Source and functions of
IL-4
Secreted by Th2 cells
Stimulates B cell growth
Enhances IgE and IgG class switching
Activates Th2 cells
Source and functions of
IL-5
Secreted by Th2 cells
Stimulates B cell growth
Enhances IgA class switching
Source and functions of
IL-6
Secreted by macrophages
Induces acute phase protein and immunoglobulin production
Source and functions of
IL-8
Secreted by macrophages
Major neutrophil chemotactic factor
Source and functions of
IL-10
Secreted by regulatory T cells
Inhibits Th1 cell activity
Source and functions of
IL-12
Secreted by macrophages and B cells
Activates NK and Th1 cells
Source and functions of
IFN-γ
Secreted by Th1 cells
Induces antiviral state
Stimulates macrophages, Tc cells, and NK cells
Up-regulates MHC-I, MHC-II, and Ag presentation in all cells
Source and functions of
IFN-α
IFN-β
Induces antiviral state
Stimulates macrophages and NK cells
Inhibit viral protein synthesis by inducing viral mRNA-specific ribonuclease production
Source and functions of
TNF-α
Secreted by macrophages
Mediates septic shock
Causes vascular leakiness and leukocyte recruitment
Positive feedback to Th cells
Tc cell surface markers
TCR, CD3
CD8
Th cell surface markers
TCR, CD3, CD28, CD40L
CD4
B cell surface markers
IgM, MHC-II, B7, CD40
CD19, CD20, CD21 (EBV receptor)
Macrophage cell surface markers
MHC-II, B7, CD40, Fc and C3b receptors
CD14
NK cell surface markers
Receptors for MHC-I, CD16 (binds Fc of IgG)
CD56
Cell surface markers on nearly all nucleated cells
MHC-I
Opsonization mediators
C3b and IgG
Neutrophil chemotaxis
IL-8 and C5a
Classic pathway complement activators
IgG and IgM
Alternative pathway complement activators
Nonspecific microbial activators (e.g., endotoxin)
Costimulatory molecules for Th, Tc, and B cells
What happens to T cells without 2⁰ costimulation?
Th: CD-28--B7 :APC
Tc:IL-2R--IL-2 :Th
B cell: CD40--CD40L :Th
T cells become anergic without costimulation
Type I hypersensitivity
Anaphylactic and Atopic
IgE mediated histamine release from basophils and mast cells
Test: scratch test
Anaphylaxis, allergic rhinitis
Type II hypersensitivity
IgM and IgG mediated damage via receptor blocking/activation, ADCC, opsonization, or phagocytosis
Test: direct and indirect coombs
Hemolytic anemia, Rheumatic fever, Goodpasture's, Graves' disease, Myasthenia gravis
Type III hypersensitivity
IgG immune complex-mediated damage via deposition in tissues
Neutrophil chemotaxis and lysosymal enzyme release
Serum sickness: Abs to transfused serum proteins
Arthus reaction: Abs to intradermal injections
Test: Immunofluorescence staining
Lupus, Rheumatoid arthritis, Poststreptococcal GN, polyarteritis nodosum, hypersensitivity pneumonitis
Type IV hypersenstiivity
Cell-mediated hypersensitivity via macrophage activation by T lymphocytes
Test: patch test, PPD
DM Type I, multiple sclerosis, Guillain-Barré, Hashimoto's, GvsD disease, contact dermatitis
Diseases associated with HLA subtype A3
HLA subtype associated with
Hemochromatosis
Diseases associated with HLA subtype B8
HLA subtype associated with
Psoriasis
Ankylosing spondylitis
Inflammatory bowel disease
Reiter's syndrome
Diseases associated with HLA subtype B27
HLA subtype associated with
Grave's disease
Diseases associated with HLA subtype DR2
HLA subtype associated with
Multiple sclerosis, hay fever, SLE, Goodpasture's
Diseases associated with HLA subtype DR3, DR4
HLA subtype associated with
Diabetes mellitus type 1
Diseases associated with HLA subtype DR4
HLA subtype associated with
Diabetes mellitus type 1, rheumatoid arthritis
Diseases associated with HLA subtype DR5
HLA subtype associated with
Pernicious anemia, Hashimoto's thyroiditis
Diseases associated with HLA subtype DR7
HLA subtype associated with
Steroid-responsive nephrotic syndrome
Disorder associated with
Antinuclear antibodies (ANA)
Antibodies associated with
Non-specific for SLE
Disorder associated with
Anti-dsDNA and Anti-Smith antibodies
Antibodies associated with
Specific for SLE
Disorder associated with
Antihistone antibodies
Antibodies associated with
Drug-induced lupus
Disorder associated with
Anti-acetylcholine receptor
Antibodies associated with
Myasthenia gravis
Disorder associated with
Anti-TSH receptor
Antibodies associated with
Graves' disease
Disorder associated with
Anti-IgG, also known as…
Antibodies associated with
Rheumatoid arthritis, Rheumatoid factor
Disorder associated with
Anticentromere antibodies
Antibodies associated with
Scleroderma (CREST)
Disorder associated with
Anti-Scl-70
Antibodies associated with
Scleroderma (Diffuse)
Disorder associated with
Anti-mitochondrial antibodies
Antibodies associated with
Primary biliary cirrhosis
Disorder associated with
Anti-gliadin, anti-endomysial antibodies
Antibodies associated with
Celiac disease
Disorder associated with
Anti-basement membrane
Antibodies associated with
Goodpasture's syndrome
Disorder associated with
Anti-desmoglein (desmosome protein)
Antibodies associated with
Pemphigus vulgaris
Disorder associated with
Anti-microsomal, Anti-thyroglobulin antibodies
Antibodies associated with
Hashimoto's thyroiditis
Disorder associated with
Anti-intrinsic factor, Anti-parietal cell
Antibodies associated with
Pernicious anemia
Disorder associated with
Anti-Jo-1 antibodies
Antibodies associated with
Polymyositis, dermatomyositis
Disorder associated with
Anti-SS-A (Anti-Ro), Anti-SS-B (Anti-La)
Antibodies associated with
Sjogren's syndrome
Disorder associated with
Anti-U1 RNP
Antibodies associated with
Mixed connective tissue disease
Disorder associated with
Anti-smooth muscle
Antibodies associated with
Autoimmune hepatitis
Disorder associated with
Anti-glutamate decarboxylase
Antibodies associated with
Diabetes mellitus Type 1
Disorder associated with
c-ANCA
Antibodies associated with
Wegener's granulomatosis
Disorder associated with
p-ANCA
Antibodies associated with
Non-Wegener's vasculitides, microscopic polyangiitis
Characteristics of hyperacute transplant rejection
Antibody-mediated rejection
Preformed anti-donor antibodies
Occurs within minutes of transplantation
Characteristics of acute transplant rejection
Cell-mediated rejection due to cytotoxic T lymphocytes reacting against foreign MHC
Occurs weeks after transplantation
Reversible with immunosuppressants
Cyclosporine, tacrolimus, azathioprine, muromonab-CD3 (OKT3), sirolimus (rapamycin)
Characteristics of chronictransplant rejection
Cell and Ab-mediated vascular damage
Obliterative vascular fibrosis
Occurs months to years after transplantation
Irreversible with immunosuppression
Non-self MHC-I perceived as presenting Ag
Characteristics of Graft vs. Host disease
Proliferation of grafted immunocompetent T cellsinan irradiated immunocompromisedhost
Severe organ dysfunction
Maculopapular rash, jaundice, hepatosplenomegaly, diarrhea