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56 Cards in this Set

  • Front
  • Back
RSS
Recombination Signal Sequence
L and H chain gene combinations
L = V - J - C

H = V - D - J - C
Number of possible combinations from somatic recombination
1.6. million
TdT
Terminal deoxynucleotidyl Transferase
3 mechanisms of Ab diversity before antigen encounter
1. Somatic recombination
2. Junctional Diversity
3. H/V variable combinations
New sequences from junctional diversity
P - Palindromic

N - Nucleotide
2 mechanisms of Ab diversity after Ag encounter
1. Somatic hypermutation

2. Class switching
AID
Activation Induced Cytidine Deaminase
Role of AID
Coverts cytidine to uracil.
Result of somatic hypermutation.
Affinity maturation.

Those with greatest affinity preferentially selected.
Acid involved in mast cell degranulation
Arachidonic Acid
Mast cell primary mediators
Histamine
TNF-a
Mast cell secondary mediators
Prostaglandins
Leukotrienes
ADCC
Antibody Dependant Cell-mediated Cytotoxicity
Complement factors involved in Arthus reaction
C3a, C5a - mast cell degranulation.

C3b - opsonin, prevent phagocytosis by neutrophils as too large.
Organism in Farmers lung
Thermophilic actinomycetes
2 major thyroid excreted hormones
Thyroxine (T3)

Triiodothyronine (T4)
Eye condition in Graves disease
Orbitopathy
HLA
Human Leukocyte Antigen
Genetic link to Graves
HLA-DR3
Internal proteins targeted in Hashimotos Thyroiditis
Thyroglobulin

Thyroid peroxidase
Genetic factor in Hashimotos thyroiditis
HLA-DR5
Genetic factor in type 1 diabetes
HLA-DQ6/8
Ab related risk factors in T1 diabetes
Glutamic Acid Decarboxylase (GAD)

HLA-DQ6/8

Insulin
Genetic factor in MS
HLA-DQ6
CTLA-4
Cytotoxic T-Lymphocyte Antigen 4
ADA
Adenosine Deaminase
CGD
Chronic Granulomatous Disease
HIV viral binding proteins
gp120

Co-stimulatory gp41
Host co-stimulatorey cytokine receptors in HIV infection
CXCR4
CCR5
Reason for Beta blockers in Graves
In high doses can inhibit conversion of T3 to T4 thereby reducing T4 concentration.
Reason for Radioiodine in Graves
Taken up by thyroid and destroys tissue, lowering hormone excretion.
New drug in RA treatment
Abatacept - fusion of CTLA-4 and Fc region of IgG. Blocks action of CD80/86 and causes anergy
4 forms of peripheral tolerance
1. Ignorance
2. Anergy
3. Homeostatic control
4. Regulation
Mechanisms of autoimmunity (5)
Sequestered antigen.
Molecular mimicry.
Genetic.
Non-specific B/T activation.
Hormone/drug associated.
Role of NA treatment in type 1 hypersensitivity
Stimulates cAMP production, prevents mast cell degranulation. Explain.
Role of cortisone treatment in type 1 hypersensitivity
Blocks conversion of histamine to histamine.
Key phrases for type 2 hypersensitivity.
Ab against specific tissue.
Complement and ADCC.
Transfusion.
HDN.
Penicillin.
Key phrases for type 3 hypersensitivity.
Ab against soluble Ag.
Arthus reaction.
Localised and Generalised.
Cytokines from Th1 cells in DTH
IFN-gamma

GM-CSF
Cytokines from Th2 cells in DTH
IL-2 and IL-5, stimulate eosinophils
Key phrases in type 4 hypersensitivity
Sensitisation.
Activated macrophage.
Allograft rejection.
TB.
Cytokines from Th2 cells in DTH
IL-2 and IL-5, stimulate eosinophils
Key phrases in type 4 hypersensitivity
Sensitisation.
Activated macrophage.
Allograft rejection.
TB.
Main causes of SCID
IL common gamma chain deficiency.
ADA deficiency.
JAK-3 deficiency.
Rag1/Rag2 deficiency.
Unknown causes.
Treatment for CGD
IFN-y - stimulates superoxide release.
Bone marrow transplant.
Gene therapy.
4 mechanisms of CD4+ reduction in clinical latent phase of HIV
Direct cytopathic.
Induced apoptosis.
Bystander effect.
CD8+ elimination
4 processes of HIV evasion
Latency.
RT errors.
Attacks CD4+.
Spreads via immune system.
HIV vaccine
SAV001
2 groups of interest in HIV vaccine research
Long term non-progressors.
Seronegative.
4 key points in cancer surveillance.
CTL and spontaneous tumours.
CTL and haem malignancies.
CTL and virus associated.
NK and macrophages.
4 key points in cancer evasion.
Immunoediting.
VEGF.
Express CD99.
Loss of epitope.
3 major areas of cancer immunotherapy.
1. Antigen dependant cytokine therapy.
2. Stimulate cell-mediated immune response.
3. Passive immunotherapy with MAb.
3 forms of Ag independent cytokine therapy
IL-2
IFN
CSF
Areas of cell-mediated immune response in cancer immunotherapy
Viral antigen vaccine.
Tumour cell vaccine.
Block CTLA-4.
Adoptive T-cell transfer.
DC therapy.
Neovascular therapy.
Areas of passive immunotherapy with MAb in cancer immunotherapy
Target receptors (HER2).
Opsonisation, ADCC etc.
Immunoconjugates.