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45 Cards in this Set

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Innate system, 3 major components.
• Innate immune system includes the elements of the early phase of the immune response
– phagocytes (a cell that engulfs and destroys the microorganism)
– complement system (which destroys microbes by perforating their cell membranes)
– Natural killer cells (special lymphocytes; NK cells) respond to viruses and some tumor cells.
Adaptive immune system, major componenets
B lymphocytes (B cells)

T lymphocytes (T cells)

Humoral immune system
How many antibodies is each plasma cell capable of secreting?
Each plasma cell is capable of secreting 10 million antibodies per hour.
What is an antigen?
On the surface of a pathogen. Antibodies attach to antigens.
The maturation of B cells into antigen producing plasma cells takes how long?
5 to 7 days
B lymphocytes (B cells), function?
B lymphocytes (B cells) secrete circulating antibodies (immunoglobulins) that fight infection (also called the “humoral immune system”); mammals, immature B cells are formed in the bone marrow; when mature, the B cell becomes an antibody-secreting plasma cell.
T lymphocytes (T cells) , function
T lymphocytes (T cells) assist B cells and can directly kill infected cells (also called the “cellular immune system”) develop from the Thymus
The B Cell Response:
Humoral immune system: foreign particles are displayed via class II MHC molecules on antigen presenting cells (phagocytes and B-lymphs; macrophages and dendritic cells) these are recognized by helper T cells which stimulate proliferation of B cells whose immunoglobulins can bind to the foreign pathogen.
What are memory B cells?
A subset of high-affinity binding B cells, persist in the body after infection has ended. These cells, provide a more rapid response if the pathogen is encountered again.
___________ is capable of destroying the body’s cells once they are infected; peptides from the pathogen are displayed on cell surfaces by _____________; these are recognized by _____________ which destroy the infected cell.
Cellular immune system

class I MHC molecules

cytotoxic (killer) T cells
What are TH1 cells?
Secrete cytokines, which stimulate cytotoxic T lymphocytes. These cytotixic T lymphocytes bind to the foreign peptides on the surfaces of the infected cells.
What are TH2 cells?
Secrete interleukins 4 and 5, which stimulate B cells whose receptors can bind to the foreign peptide.
What are regulatory T cells?
Helps to regulate the immune system so that self peptides are not attacked.
Immunoglobulin molecular structure, describe structure.
Immunoglobulin molecular structure consists of four chains: an identical pair of longer heavy chains and an identical pair of shorter light chains; all are linked by disulfide bonds

Each heavy and light chain contain a constant and a variable region
What determines which class an Ig belongs to?
The 5 types of heavy chains (of a immunogobulin) (G, A, M, D, E).
heavy and light chains contain what two regions?
Each heavy and light chain contain a constant and a variable region
Function of variable region?
Variable region varies within Ig classes and is responsible for antigen recognition and binding
Function of constant region?
constant region activates complement and phagocytes
What are the two types of light chains?
Kappa and lambda
How do you get multiple germline immunoglobulin genes?
during meiotic recombination, immunoglobulin genes are recombined to give certain amount of diversity
VDJ rearrangement, define
V(D)J recombination nearly randomly combines Variable, Diverse, and Joining gene segments in vertebrate lymphocytes,

mechanism of genetic recombination in the early stages of immunoglobulin (Ig) and T cell receptors (TCR) production of the immune system.
Somatic hypermutation
SHM diversifies B cell receptors used to recognize foreign elements (antigens) and allows the immune system to adapt its response to new threats during the lifetime of an organism.

a change in mutation rate of heavy chain genes in maturing B-cells
What is affinity maturation?
Only a small subset of B cells have cell-surface receptors (immunoglobulins) that can bind to a specific foreign antigen.



Once these B cells are stimulated by foreign antigen, they undergo affinity maturation—somatic hypermutation of the V segments of immunoglobulin genes.

Enzyme: activation-induced deaminase, causes cytosine based to be replaced by uracil.

affinity maturation is the process by which B cells produce antibodies with increased affinity for antigen during the course of an immune response
What enzyme is involved in somatic hypermutation?
Enzyme: activation-induced deaminase, causes cytosine based to be replaced by uracil
What is the mutation rate of somatic hypermutation?
about 10^-3 per base pair per generation
What is the result of somatic hypermutation?
Causes a lot of variation in DNA that codes for immunoglobulin. SHM diversifies B cell receptors used to recognize foreign elements (antigens) and allows the immune system to adapt its response to new threats during the lifetime of an organism
Major histocompatibilty complex, describe genetics?
encoded for by 100 expressed genes on chromosome 6p
Class I MHC, describe.
heavy glycoprotein chain
and a light chain called beta-2 microglobulin
contains the highly polymorphic HLA A, B,and C loci on Chromosome 6 (important in cell recognition and transplantation)

these stimulate killer T-cells
Class II MHC, describe.
heterodimers that are on the surfaces of antigen-presenting cells;

located on Antigen presenting cells; stimulate T helper cells.

genes contain the HLA DP, DR, and DQ complexes that transport proteins to the ER and are highly polymorphic (most polymorphic loci known in humans)
Class III MHC
complement proteins
MHC restriction
MHC restriction: T cells only recognize peptides that are on MHC molecules.
Killer cell immunoglobulin-like receptors (KIR)
Some viruses and tumors suppress MHC, so that they cannot be detected by T cells. But in absence of MHC, Natural Killer cells are activated. NK activation is controlled by KIR. KIR inhibits NK cells when NK cells bind to MHC class I on normal cells. And KIR activates NK cells when MHC class I are absent.
Antibodies for: A, AB, B, O
A antigen- have anti-B antibodies
B antigen- have anti-A antibodies
AB antigen--no A or B antibodies
O --no antigen-- have anti A and anti B antibodies.
For Rh, DD, Dd, and dd has what antigens?
DD and Dd--has Rh antigen, is Rh +

dd -- Rh negative and do not have Rh antigen.
What percentage of North Americans are Rh positive? And Rh negative?
85% are Rh positive
15% are Rh negative.
erythoblastosis fetalis, describe.
Anti-Rh antibody production requires stimulus by the human Rh antigen itself. An Rh-negative person does not produce anti-Rh antibody unless he is exposed to Rh antigen.

Problems when child is Rh+ fetal blood enters Rh- mother blood, and mother produce anti-Rh antibodies. If mother has second child, her Rh antibodies attack fetal blood.

Fetus becomes anemic and releases erythroblases into blood stream. – erythoblastosis fetalis.
What percentage of North Americans of European descent matings are Rh incompatible?
13%
Primary vs secondary immunodeficiency diseases
Primary immunodeficiency diseases: are caused by abnormalities in cells of the immune system and are usually produced by genetic alterations. More than 100 different primary immunodeficiency syndromes have been described.

Secondary Immunodeficiency: occurs when components of the immune system are altered or destroyed by other factors, such as radiation, infection, or drugs. ex: AIDS.
B-Cell immuniodeficiency diseases, makes patients susceptible to what?
Render the patient especially susceptible to recurrent bacterial infections such as Streptococcus pneumonia.
agammaglobulinemia (XLA)?

Describe this disorder, whom does it usually affect, what causes it, what is it categorized as?
Patients with XLA lack B cells and have no IgA, IgE, IgM, IgD in their serum. Caused by mutations in the gene (BTK) that encodes a B cell thyrosine kinase necessary for normal B cell maturation. majority males.

B-Cell immuniodeficiency diseases
T-Cell immunodeficiency diseases, affect what?
directly affect T cells, but they also affect the humoral immune response, because B cell proliferation largely depends on helper T cells. Thus patients develop severe combined immune deficiency (SCID) and are susceptible to many opportunistic infections such as Phenumocystis jirovec
What are the causes of SCID, what genes is affected, how do they interact with T cells, what is the treatment?
1/2 caused X linked recessive mutations in a gene encoding the y chain that is found in some cytokine receptors. Without these receptors, T and NK cells do not get signal. These receptors rely on Jak3. Without Jak3, person gets SCID

About 15% of SCID caused by adenosine deaminase (ADA) deficiency. ADA is an aitosomal recessive metabolic disorder, results in a buildup of metabilites that are toxic to B and T.

SCID can also result from mutations in RAG1 and 2, two genes involved in VDJ recombination and formation of T and B cell receptors.
What is Bare Lymphocyte syndrome? The gene, the how does it affect class I MHC molecules and class II?
Immune defect, result in lymphocytes that lack MHC molecules on surface. Mutation in TAP2 gene.
What is chronic granulomatous disease (CGD)? What is the cause, the gene, affects.
Primary immunediffency disorder, in which phagocytes can ingest bacteria and fungi but cannot kill them. Leads to a constant cellular immune response, leading to formation of granulomas. Most common cause is X linked mutation.
A number of syndromes include immunodeficiency as one of their features, list 3 and describe how the immune system is affected
DiGeroge, T cell deficenty
Wiskott-Aldrich, deficency in platlets and B and T cells. Mutation in WAS gene.
Bloom syndrome