Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
87 Cards in this Set
- Front
- Back
What are 3 of 5 differences between systemic and mucosal immunity?
|
anatomy: immunogen from epithelium
nonspecific factors: for gut only Ab is sIgA major and sIgM minor |
|
What are two differences between systemic and mucosal immunity?
|
T cells: mucosal specific immunity
Homing system: selective homing to diffuse lymph tissue |
|
Where is diffuse lymphoid tissue located?
|
mucosal lamina propria
|
|
What are the three main locations of GALT?
|
Peyer's patches - t and b cells
Lamina propria - many IgA producing B cells Intraepithelial lymphocytes - lymphocytes between epithelial and under tight junctions |
|
What are M cells?
|
specialized flattened epithelial cells that pinocytose material from the overlying lumen and transport it to the epithelial cells
|
|
What are nonspecific factors operating with mucosal immunity?
|
Mechanical, chemical and mirobiological
|
|
What transmembrane proteins form tight junctions?
|
claudin and occludin
|
|
What is the most abundant mucosal Ig?
|
IgA - subclass 1 dominates in serum and subclass 2 dominates in secretions
sIgA is resistant to proteolysis |
|
How is sIgA antiinflammatory?
|
does not activate compliment by either classic or alternate pathways
Binding to neutrophils and phagocytes inhibits phagocytosis NET EFFECT: prevent colonization by pathgens without inducing inflammation |
|
How do Tcells regulate IgA synthesis?
|
1 Activated Tcells interact with IgM expressing Bcells
2 TGF beta and tcell interactions with bcells induce class switching to IgA |
|
what cytokines cause production of sIgA?
|
TGF beta causes class switching
Similar to IL-10 as an anti-inflammatory |
|
How does sIgA get across epothelium?
|
Part of the poly Ig receptor remains bound to sIgA and this part helps it cross as well as stay stuck to the membrane
|
|
What is transcytosis?
|
movement of macromolecules from one side of a cell tothe other via receptors
|
|
What is immune exclusion?
|
restricts immune responses to mucosal immunogens to the mucosal lyphoid system
|
|
sIgA deficiencies show what?
|
increased abs of macromolecules and high levels of immune responses following ingestion of immunogens
|
|
IgM in the mucosal immune system?
|
can replace IgA in individuals with Ig deficiency
|
|
IgG in the mucosal immune system?
|
not effectively transported across epithelium
Synthesized in large amounts in distal respiratory tract IMPORTANT for pulmonary secretions |
|
Describe mucosal homing
|
lymphocytes activated in mucosal follicles AFFERENT move to EFFERENT areas like diffuse lymphoid tissues
|
|
Mechanism of mucosal homing for lymphocytes
|
integrin alpha4beta7 binds MadCAM-1 on endothelial cells
|
|
Mucosal homing for intraepithelial lymphocytes
|
integrin alphaEbeta7 binds epithelial cadherins
|
|
What is oral tolerance?
|
it is the suppression of immune cell responses to Ag introduced from the oral route
Failure: crohn's disease or ulcerative colitis |
|
what are the mechanisms of oral tolerance?
|
regulatory Tcells Treg secrete TGF beta
Induction of tcell anergy and deletion of autoreactive Tcells |
|
what Ig is in mother's milk?
|
sIgA is a passively transferred immunity
|
|
What are immune factors in mother's milk?
|
lysozymes, lactoferrin, Activated leukocytes
Lactadhedrin protects against rotavirus MUCIN-1 protects against ecoli |
|
Where is cell mediated immunity most important?
|
facultative intracellular infect
obligate intracell infect cellular Ag usually intracellular |
|
Where is Ab mediated immunity most important?
|
molecular Ag
Extracellular infections usually extracellular |
|
What are the major products of Tcells?
|
cytokines - not specific
effector t cell is specific for antigen |
|
What surface molecules are expressed on all t cells?
|
TCRs and CD3
|
|
what enzyme helps construct t cell receptor genes?
|
VDJ recombinase
|
|
What are the major locations of t cell development?
|
stem cells = bone marrow
thymocytes - thymus peripheral tcells in lymphoid tissue |
|
What is positive selection of Tcells?
|
promotes survival of tcells that recognize peptides complexed to self-mhc
do not recognize self mhc - do not survive |
|
what is negative selection of Tcells?
|
deletion of thymocytes whose tcrs recognize peptides derived from self-proteins
|
|
what are double negative thymocytes?
|
cells that express neither cd4 or cd8
|
|
what are double positive t cells?
|
cells that express both cd4 and cd8
|
|
Describe the first phase of tcell development
|
double negative thymocytes undergo stimulation to double positive thymocytes
|
|
2nd phase of tcell development
|
double positive thymocytes express cd3 and undergo positive selection
leads to single positive tcells |
|
3rd phase of tcell development
|
double positive thymocytes undergo negative seletion for self reactivity
then leave thymus and enter blood |
|
What are similarities between tcell receptors and antibodies
|
amino terminal variable region
variable and constant in each chain |
|
Differences between antibodies and t cell receptors
|
monovalent vs. divalent
Ag vs. Ag/MHC recognition tcr - 55000mw Ab - 150-190000mw |
|
What are gamma delta tcells
|
major pop of intraepithelial lymphocytes
Doesn't need MHC! cytotoxic esp to tumor cells |
|
Do tcr genes undergo somatic hypermutation?
|
no
alpha chain - VJ beta chain - VDJ |
|
main role of th1 cells
|
Th1 - activate tissue macrophages to eat and kill extracellular pathogens
secrete cytokines |
|
main role of Th2 cells
|
stimulating b cells to make Ab which bind to extracellular bacteria and virus particles
|
|
What is a super Ag?
|
certain bacterial toxins that bind MHC class II and TCR without Ag processing
|
|
Where do super ag's bind
|
outside the peptide binding region of class 2 and to the variable beta side of TCR
|
|
process of super ag destruction
|
profound immune stimulation without costimulation
profound immune suppression from anergy or apoptosis |
|
mechanism of toxic shock
|
massive t cell activation and the resulting cytokine release contributes to the pathology of TSS
|
|
what is the result of stimulation of the tcell without costimulation
|
anergy - absent or decreased response to an immunogen
can be persistent mechanism of peripheral tolerance to self |
|
Which cytokine is responsible for clonal expansion of tcell in 1' response and who produces it?
|
IL-2 is produced by T helper cells
IL-2R are not on resting tcells They appear on activation of tcell |
|
name cytokines produced by Th0 cells
|
secrete interferon gamma and IL-4
depending on other cytokines, they will change into Th1 or Th2 |
|
cytokines produced by Th1 cells
|
stimulated by IL-12
make IL-2, interferon gamma, and TNFbeta |
|
How do Th1 cells benefit macrophage response?
|
enhances intracell killing
induces isotype switch in b cells to IgG1 for which macrophages have a receptor (Fc gamma) |
|
cytokines produced by Th2 cells
|
stimulated by IL-4
make IL-4, 5, 6, 10, 13 |
|
What do Th2 cells promote?
|
growth and differentiation of various inflammatory cells (mast cells, basophils, and eosinophils)
Class switch to IgE |
|
what 2 cells mutually inhibit each other and the balance between 2 is specific
|
Th1 and Th2
|
|
What are Treg cells?
|
inhibitory for inflam response
secrete IL-10 and TGF beta allergy - good for tolerance cancer - bad because they turn off anti-tumor response |
|
describe Th17 cells
|
promote inflam
make IL-17 hallmark of chronic inflammation IL-23 promotes their development |
|
How do CTL kill target cells?
|
lysis -- perforins released by CTL
apoptosis -- Fas-ligand on CTL activates FAS-receptor on Target cell |
|
What cells are targeted by CTL?
|
virus infected cells, cells infected with other intracell pathogens, allografts
|
|
What accounts for most of the 2' characteristics of the Tcell response?
|
the increased number of antigen reactive cells that accounts for most of the characteristics of the 2' immune response
|
|
What is the most important NK cell receptor? describe the activation
|
Fcgamma receptors
ADCC - Antibody Dependent Cell mediated Cytotoxicity 2 receptors needed for crosslink activation activation = lytic granule release |
|
Describe NK cells
|
not immunogen specific and not MHC restricted
Generally inhibited by MHC class I First line of defense |
|
Define cytokines
|
cytokines are intercellular regulatory proteins produced by many different cells that ultimately control every aspect of the body's defenses
|
|
cytokine properties
|
low mw proteins
extremely potent autocrine or paracrine, minor endocrine functions pleitropic - different effects on different target cells |
|
3 ways of coping with pleiotropy
|
1 only activated cell expresses receptor
2 limited ratius of effectiveness 3 short half life |
|
Describe costimulation using CD28 and B7
|
CD28 is on tcell and binds to B7 on APC cell to cause costimulation
without costim, the T cell becomes anergic |
|
describe IL-1 production and function
|
produced by APC's
stimulates T helper cells similar to TNF alpha Induces ICAM expression chemotactic |
|
IL-2 production and function
|
produced by Th1 cells
stimulates tcell proliferation and activation enhances cytoxicity of NK cells and CTL |
|
IL-3 production and function
|
produced by T cells and NK cells
stimulates growth factor for hematopoetic cells |
|
IL-4 production and function
IL-5 |
produced by Th2 cells and mast cells
stimulates proliferation and differentiation of B cells Induces IgG to IgE promotes Th2 proliferation and mast cell growth |
|
IL-6
|
produced by Th2 cells
aids in Bcell development Proinflammatory Wound healing aids Th2 mediated events |
|
IL-8
|
produced by macrophages
also known as CXCL8 chemoattractant for neutrophils and tcells |
|
IL-10
|
Produced by Th2 and Treg cells
Anti-inflammatory similar to TGF beta |
|
IL-17
|
produced by Th17 cells
proinflammatory |
|
Interferon alpha and beta
|
produced by all cells
antiviral properties well known for induction of MHC class I on all somatic cells |
|
Interferon Gamma
|
produced by Th1 cells, CTL, and NK cells
enhances macrophage activity and pushes production to IgG |
|
TNF alpha
|
produced by macrophages, Th1, and mast cells as well as almost all other cells
stimulates acute phase of inflam causes cytokine secretion by inflammatory cells |
|
TNF alpha is similar to what interleukin and which cells have receptor for TNF alpha
|
Similar to IL-1
all nucleated cells have receptors for TNF alpha |
|
TGF beta
|
produced by Treg cells
stimulates antiinflam response similar to IL-10 |
|
CSF
|
colony stimulating factors
promote formation of colonies of myeloid lineage in bone marrow |
|
how are chemokines different from cytokines
|
different from other cytokines due to
1 bind to vascular bed like adhesion molecules 2 may bind to one or several chemokine receptors |
|
IL-12
|
produced by macrophage
stimulates T cells into Th1 cells activates NK cells |
|
CXC vs. CC
|
CXC have 2' structural motif
ELR+ -- acute inflam ELR- -- chronic inflam CC aka beta chemokines |
|
Major families of cytokine receptors
|
Ig superRF
Hematopoietin RF INF RF TNF RF Chemokine RF |
|
IL-2 receptor
|
NK cells express beta-gamma - mid affinity
Tcells have gamma only the alpha subunit is inducible |
|
Th1 cells make what cytokines?
|
IL-2 INF gamma and TNFbeta
promote macrophage mediated response |
|
Th2 cells make what cytokines
|
IL-4 IL-5 IL-6 IL-10
promote some allergic reactions and responses to some extracellular pathogens |