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157 Cards in this Set

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Example of something that can cause type 1 , type 2, and type 4 hypersensitivity?
penicillin:
T1: if ur allergic
T2: penicillin acts as hapten, binds to cell, and you attack ur own cell (autoimmune)
T4: if applied topically, again acts as hapten and binds skin proteins; Th1 get's pis sed off and releases cytokines to recruit CTLs
During FIP infection (caused by feline corona virus), what determines type of disease animal gets (wet vs. dry form), and whether or not protective immunity develops?
Determined by type of IMMUNE RESPONSE infected animal mounts
* with dry form, see mild Th1 response
* with wet form, see strong Th2 response, along with intense αB production
note: both forms are fatal
IgG is in highest conc where?
in blood
Which Ab is dominant overall in blood?
Often IgM, sometimes IgG
Which Ab made during primary response to antigen? What does this mean diagnostically if present in high concentration?

Which Ab dominates secondary response?
IgM, often indicates recent exposure

IgG
Review question:

what are opsonins?
proteins that promotes binding of pathogens to phagocytes

e.g. some αβ and complement protein act as opsonins
In wet form of FIP why wud strong Th2 response (intense αB production) be problematic?
* αB/Ag aggregations adhere to vessel walls
* complexes initiate hypersensitivity rxn or immune complex disease
* have inflammation and vasculitis, (vessels are leaky)
* high protein and cell.effusion into peritoneal cavity
Review question:

Th2 secrete ?
* Interleukin-4 and-5
stimulate B cell proliferation and antibody secretion… Thus, promote resistance to extracellular pathogens
*Think Humoral Immunity when you think of Th2 cells
Pentanmeric Ab?

What Ab does not have Fc region?
IgM

IgM (so will not help with opsinization!!!)
Review question:

Th1 secrete?
IL-2. Activates other T-cells, B cells and NK cells

* Interferon-y: also made by some other cells; activate macrophages primarily and thus promotes cell-mediated response.. Thus, promotes resistance to intracellular pathogens.
~Think CMI when you think of Th1 cells
Which Ab's good at triggering complement?
IgG, IgM <- best b/c have 5 Fc sites

CC does not get activated until these bind to antigen
Review question:

Another name for CD8+ ?

Another name for CD4+ ?
cytotoxic T cell

helper T cell
Review question:

What binds Fc part of αβ?
NK cells, macrophages, neutrophils <- cells of innate immune system have receptor for Fc part of ANTIBODY

(antibodies tag the antigen so these phagocytic can do their job)
Review question:


structure of antibodies?
identical to BCR from parent plasma B cell from which it is secreted, but enclosed in membrane,

2 light chains
2 heavy chains
variable region (attaches to antigen)
Fc region (attaches to cell e.g. neutrophil)
Review question: (erase after midterm)
Endogenous antigen

Where made?
Processed by?
MHC molecule presented with?
made by intracellular pathogen inside inf.host cell e.g. virus replicates and makes viral protein inside host cell expressing MHC-I

Inf. cell lysed cytotoxic T cell (CD8+)
gamma globulin
Most significant gamma globulins are immunoglobulins (Ig), aka αB, although some Ig's are not γ-globulins, and some γ-globulins are not Ig's.
Which αB usually associated with mucosa?
Secretory IgA

• Secretory component makes resistant to proteases of GI
• Major role is to bind antigen and prevent from binding epithelium – called “Immune exclusion”

note: serum IgA is monomeric
How many Fc regions does IgA have?
• Usually exists as a dimer (J-chain)
Which species have placenta that allows passive transfer of IgG in utero?
primate, dog, cat?
Antibody-dependent-cell cytotoxicity (ADCC)
The killing of antibody-coated target cells by cytotoxic cells (NK cells usually) with surface Fc receptors for the antibody.
What can mediate lysis of cells, bacteria, viruses, parasites by binding to αB or directly to microrobes (w/o αB)?
complement proteins
What can facilitate phagocytosis via opsonization ?
complement proteins
What else can complement system do?
* induce inflammation in tissue
* promote mast cell degran.
* clear immune complexes from circulation and deposits them in spleen and liver
How do complement proteins induce inflammation in tissue?
* chemotaxis of neutrophils,
* increase vascular permeability,
* induce contraction of smooth muscles
What is the complement system?
* Over 20 diff. proteins in blood
* No cells in the Complement System
* With infection, system of molecules is activated leading to sequence of events that ultimately targets surface of pathogens that help to destroy pathogen and eliminate infection.
Which αB passes from breast tissue into milk (also found in tears, saliva, & bile)?
secretory IgA, dimeric form

* Passes from breast tissue into milk to protect newborn
* also crosses mucosal surfaces (gut, urogenital tracts, respiratory for mucosal protection)
How is complement system activated?
Sequence of events referred to as “Complement Cascade”
“Alternate/Natural pathway” vs. Specific/Classical pathway
Alternate/Natural pathway
* CP activated (w/o αB), so this is example of innate immune response
* bind to microcrobes directly via C3
Lectin Pathway
* variation of "alternate pathway" group, again complement cascade activated w/o αB.

* lectin are glycoproteins on surface of microbes to which the complement proteins bind
Specific Pathway
* requires αB (IgG, IgM) to bind antigen before CC can be triggered
* When Ab is bound to pathogen, Fc region can activate CP (C1)
* this is example of specific immune response, so req. prior exposure or happens later in infection
Which αB most efficient at triggering CC? Why?
IgM b/c has 5 binding sites (Fc) for comp.protein.

(to have IgG activate CC need at least 2 IgG in close proximity)
C1 binds to ? (be specific)

what must occur first?
C1 (complement protein) binds to the constant heavy region or Fc portion of either IgM or IgG (subclasses) BUT only after antibody binds antigen!!
two "forms" of IgM
planar form (unbound)

staple form (bound Ag and waiting for C1 to come along)
Next CP to bind after C1?
(in specific/active pthwy)
C3
What happens when complement cascade is activated?
(in specific/active pthwy)

*skip until know all other flashcards, because we don't have to memorize individual steps
* binding of C1 (becomes enzymatic) allows binding of C3
* C3 bound to complex on pathogen surface
* C3 cleaved into C3b and C3a
* C3b also activates next step w/C5 blas and is a good opsonin (pro.phag)
* C3a (small peptide diffuses away and is a chemtacic factor
and promotes inflammation)
What is different in Natural/Lectin/Alt. pathway?
(aside from lack of αB)
C1 not involved, basically C3 binds directly to polysaccharides (e.g. lectin) of bacterial surface
What happens when complement cascade is activated?
* Just know that cascade continues and at some point a final complex forms on pathogen surface that causes cell lysis.
* This complex is called the Membrane Attack Complex (MAC)
have anaphylatoxin activity, directly triggering degranulation of mast cells as well as increasing vascular permeability and smooth muscle contraction.
Both C3a and C5a
(these are complement proteins)
How do some bacteria develop resistance or evade the complement system?
* Capsule prevents MAC insertion (Streptococcus)
* Capsule prevents C3b deposition (Streptococcus)
* Some bacteria possess ELASTASE that inactivates some complement components
How do some viruses evade complement system?
* Some viruses interrupt CC due to proteins that mimic regulatory proteins
How do some tumor cells evade complement system?
* Some tumor cells can endocytose MAC then seal up the membrane
What are the Molecules that bind antigen?
MHC
TCR
BCR
Antibody
Two categories of mucosal lymphoid tissues:
Inductive Sites

Effector Sites
Inductive Sites
Sites where Ag encountered and immune responses (humoral and CMI) are initiated.

Examples: Tonsils; Appendix; GALT; BALT; Peyer’s patches;
Effector Sites
Mucosal sites where αβ and cell-mediated responses are carried out… are doing their job (diffuse lymphoid tissues at mucosal surfaces).
Why is it important to distinguish between Inductive Sites and Effector Sites?
(give example of their relationship)
B/c some B cells may encounter antigen in GI tract, and then release αB in mammary glands (to be secreted into milk); so milk will have αB (primarly IgA inducted at mucosal surfaces) against intestinal Ag and microbes..important to new born.
Where does IgA end up, after newborn has ingested it with milk?
Unlike IgG (in colostrum) which is absorbed in blood stream, this IgA remains in GI to protect mucosal surface; this is good thing b/c IgA (mentioned in previous flashcard) is specific for intestinal microbes!
what in meant by immune exclusion?
IgA is particularly important in this
- prevents microbes or Ag from binding to mucosa

"prevent adherence of bacteria and viruses to epithelial surfaces"
Where is IgA made?

How does it get to luminal surface?
where ever plasma cells are like lymph node, *submucosal surface*

secreted from plasma cell as dimer (attached by J-chain), on submucosal surface have polyimmunoglobulin receptor binds IgA dimer, brings into epithelial cell via pinocytosis, shuttled to luminal surface, released in lumen of GI (still attached to polyiummunoglobulin receptor)
What is meant by Secretory Piece?
What is function?
* Part of the Poly-Ig receptor molecule is cleaved off leaving the receptor peptide chain still attached to the IgA.
* Receptor peptide chain is called the <>
* dimeric IgA now known as Secretory IgA and has resistance to proteases
What is most important antibody in Immune Elimination? e.g. if it has infected enterocyte or adhered to mucosal lining?
Mediated by IgE primarily…
(IgG to lesser extent)

If invading organisms evade IgA
and gain access to tissues, IgE-mediated responses are triggered.
IgE attaches to ____ within walls of intestine, respiratory tract and skin. ..
mast cells
What part of IgE binds to mast cell?!
Fc region of the antibody attaches to the mast cell
Mast cell is part of what immune system?
innate
Peyer's patches would example of ?
Inductive Sites
exception to the rule that antibody does not get into cells
* B/c IgA is transported through enterocytes, it can act inside these cells
* can bind viral proteins inside these cells and interrupt viral replication.
* example of antibody acting in an intracellular location.
Rapid degranulation of mast cells with release of ____ into the tissues leading to ______(3)?
Rapid degranulation of mast cells with release of into the tissues leading to:
inflammation, increased vascular permeability, fluid leakage between enterocytes and thus fluid entering the lumen.
~ goal if for parasite to disengage and be flushed out.
Antibody dependent cell cytotoxicity (ADCC)
Killer cells that have Fc receptors (monocytes, eosinophils, neutrophils, NK cells) to bind Ab...what class Ab?
Mainly IgG, also IgA
What is part of Ab that determines its biological class?

What determines specificity?
Fc (Fc region of IgA diff. from Fc region of IgG)


Fab
Which part of Ab known as constant region?

What part of Ab determines class of Ab (e.g. IgG, IgE)?
Fc

Fc
Example of protective immunity without sterile immunity (without completely removing antigen)?
HIV, Ag bound up but not completely removed
Can compliment proteins bind Fc region of Ab?
Yes (what does this is trigger)
What is cells present in germinal center of Peyer's patches?
B cells
Which Ab present in highest conc. in colostrum?
Does it contain other antibodies?
IgG (to lesser extend IgA, IgE present)
What are the two routes of B-cell activation by antigen?
T-dependent activation
T-independent activation
Are T-dependent antigen usually big or small?

Why are they T dependent?
small, soluble antigen

Require T cell to fully activate B cell
Type of antibody B cells makes depends on types of cytokines it gets from T helper cells:

Which T cell directs B cell towards more cell mediated response?
Th1 cell , get Ab to help mostly with cell mediated response, e.g. involve mostly opsonization, etc
What Ab made by T independent antigen?

What type immune response?
What absent?
IgM only, short lived

only primary immune response, no secondary (or memory) response, NO class switching
What type of hypersensitivity reactions does IgE mediate?
Type I hypersensitivity reactions
If class switching occurs, what changes about antibodies B cell will make?
What drives class switching?
Fc region

cytokines and repetitive
Th1 cytokines (IFN-gamma, IL-2) will primarily cause which classes of antibody to be made?
IgG
IgM
Th2 cytokines (IL-4, IL-5, IL-6) will primarily cause which classes of antibody to be made?
IgE
IgA
Titer measures ?
total Ab in blood
Lag phase in primary response? Why slow?
primary response slow, hasn't seen Ag before, B cell has to proliferate and differentiate
phase characterized by rapid increase in production of Ab, because plasma cells have proliferated
Log phase
What changes in secondary immune response?
lag phase shorter
log phase higher, longer
Antibody secretion into lumen occurring in the villi is an example of what kind of site?
Effector site
What receptor does dimeric IgA bind to on the basal surface of the enterocytes?
Poly-Ig receptor
What part of the Poly-Ig receptor chain is cleaved off and still attached to the IgA when it enters the lumen? What is this IgA called?
Secretory piece
Secretory IgA
What antibody mediates immune elimination?
IgE
Which antibody is 65-90% of total antibody content in most major domestic animals?
IgG
In pigs and horses what is the dominate antibody in milk?
IgA
When is the optimal time for absorption of antibodies from colostrum?
First 6 hours
What are some reasons of failure of passive transfer of antibodies in newborns?
Production failure
Ingestion failure
Absorption failure
What are some ways that antibody in the serum of the neonate can be evaluated?
Salt precipitation or Turbidity tests
Measure total serum protein
ELISA
Radial immunodiffusion
How does radial immunodiffusion work?
Precipitation ring (serum immunoglobulin reacts with anti-equine immunoglobulin)
How long should treatment of failure of passive transfer in the neonate be treated?
3 weeks
What is the earliest age to vaccinate a puppy or kitten with reasonable expectation of a response?
Between 6 and 9 weeks
When should you vaccinate calves and foals?
Before 6 months (about 4 months0
Re-vaccinate at 6 months or after weaning
What Ab most numerous in ruminant milk?
1. IgG!!!! = ruminant milk
2. IgA
3. IgE
What Ab dominant in non-ruminant milk?
1. IgA = non-ruminant milk!!
2. IgG
3. IgE
How does neonate internalize IgG present in colostrum?
* Maternal IgG binds to Fc Receptor (FcRn) on intestinal epithelial cells of newborn
* Internalized by pinocytosis
* FYI enters lacteals (lymphatic cap.) and intestinal capillaries
Why can't neonate take up IgG after 24 hours?
After 24 hours a new layer of enterocytes form that prevent absorption because they lack FcRn
FIP causes what type of hypersensitivity?
Type III
Which types of hypersensitivities are mediated by antibody?
Type I, II, III
Which types of hypersensitivities are mediated by T-cells?
Type IV
What is a genetically determined predisposition to develop clinical (type-1) allergies?
Atopy
What is an immediate (type1) hypersensitivity reaction?
Allergy
What type of allergic reaction is caused by contact with antigen against which the host has pre-existing IgE antibody for?
Type I hypersensitivity
What are some products released by mast cell granules in type I hypersensitivity reactions?
Histamine
Heparin
What are the two distinct inflammatory reactions that may occur in type I hypersensitivity reactions?
Early phase
Late phase
What phase of (type I) inflammatory reactions occur within 10-20 mins of repeat exposure, mediated by histamine and heparin, and sometimes called the "wheel and flare" (on skin!) phase?
Early phase

~inhibits clotting allergist does instigates early phase of type I H.S.
What phase of inflammatory reaction peaks at 6-12 hours, associated with redness, edema, mucus production and pruritis, and is mediated by chemotactic factors from mast cells?
LATE PHASE: this is much more SEVERE swelling that occurs later
e.g. after Walter ate nuts, severe smooth muscle contraction in respiratory tissue
e.g. Asthma attacks
What type of hypersensitivity reaction is asthma?
Type I hypersensitivity
What is the meaning of a "localized" type I reaction?
Localized to one organ system
Type I hypersensitivity is mediated by what antibody?

Key cell involved?
IgE

Mast cell
Also basophil, eosinophils
Which animals mainly show liver signs in anaphylactic shock?
Dog
What is usually the cause of an allergic reaction when given vaccines?
Aluminum adjuvants
(acts as hapten?)
In Type I hypersensitivity, ___ trigger B cells to make IgE which is inappropriate response for these condition.
In Type I hypersensitivity, TH2 cells trigger B cells to make IgE which is inappropriate response.
What is a type of skin rash consisting of red, edema, plaque-like eruptions which are often pruritic (itchy)?
Urticaria (hives), route of entry does not always indicate system involved in the response
What are some diagnostic tests used for Type-I allergies?
Measure total IgE in serum
Measure patient IgE specific to suspected allergen
Intradermal skin test
What are some treatments of allergic reactions?
Inhibit mast degranulation and effects
Inhibit histamines
Corticosteroids
Anti-IgE antibody to neutralize the IgE
Hyposensitization
What type of hypersensitivity response is mediated by IgG or IgM?
Type II Hypersensitivity
Are Type II hypersensitivity reactions cytolytic?
Yes
What type of hypersensitivity reaction may cause agglutination or hemolysis or stimulate opsonization and phagocytosis of the cells?
Type II hypersensitivity
What are some examples of type II hypersensitivity reactions?
Transfusion reactions
Hemolytic disease of Newborn (neonatal isoerythrolysis)
Immune-mediated cytopenias
Are Immune-mediated cytopenias (and Type II HS reactions) a product of autoimmune OR non-autoimmune problem?
Immune-mediated cytopenias can be caused by either

Hemolytic disease of Newborn (neonatal isoerythrolysis) is not autoimmune, b/c it's mother's Ab that is causing the problem.
What type of hypersensitivity reaction may cause agglutination or hemolysis or stimulate opsonization and phagocytosis of the cells?
Type II hypersensitivity
If IMMUNE-COMPLEXES of type III hypersensitivity rxn form in TISSUES, what kind of type is it?
Local Type-III
What are the two types of type II hypersensitivity reactions?
Primary type II HS reaction
Secondary type II HS reaction
What kind of type II HS reaction is an AUTOIMMUNE disease, where animal makes Ab to surface antigens of RBCs, platelets, or other cells?
Primary type II HS reaction
What type of type II reaction is when Ab are made to DRUG treatment or an infectious agent?
Secondary
What is a diagnostic test for an immune-mediated hemolytic anemia?

What would positive Coombs look like?
Coombs Test

tests for Ab bound on surface of RBC
- if Ab coating RBC, have a hemolytic situation
- if positive, will see agglutination
If an immune-mediated cytopenias (low RBC) is primary how would you treat it?
Immunosuppressive drugs
If an immune-mediated cytopenias (low RBC) is secondary how would you treat it?
Treat for underlying condition
What is the cause of a type III hypersensitivity reaction?
Formation of immune COMPLEXES b/t antibody (IgG or IgM) and SOLUBLE antigen
Which antibody is usually involved in type III hypersensitivity reactions?
IgG
If the complexes of a type III hypersensitivity reaction form in the tissues what kind of type is it?
Local Type-III
If the complexes of the a type III hypersensitivity reaction form in the circulation what type is it?
Generalized Type-III

= Ab-Ag complex in blood vessel !
What are the three mechanisms of Type-III hypersensitivity reactions?
Immune complex formation
Immune complex deposition
Immune complex-mediated inflammation
What are some examples of Localized type-III reactions?
Arthus reaction
Blue eye
Heaves in horses

~localized occurs in TISSUE
What are some examples of generalized type-III reactions?*
Serum sickness
Glomerulonephritis
Streptococcus equi

note: generalized type III are those that occur in circulation, and for whatever reason complexes frequently accumulate in vessels of kidney and joints
How do you treat immune complex conditions?
* treat underlying condition (pathogen)
* suppress immune system (glucocorticoids & cyclophosphamide)
What is a reaction to IV-injected proteins (usually in antiserum) derived from another species e.g. horse serum?

What type of hypersensitivity is this?
Serum sickness - get major Ab-Ag complexes forming in vessels

* this is generalized type III h.s. rxn
What do the lesions in serum sickness coincide with?
formation of large amounts of immune complexes in circulation
What is most of glomerulonephritis in our domestic animal species due to?
Immune complex disease
What is a hemorrhagic area in the skin?
Purpura
What is a purpura hemorrhagica due to reduction in circulating blood platelets?
Thrombocytopenic purpura
What type of purpura is the the purpura hemorrhagica associated with Strep equi?
Non-thrombocytopenic purpura
What are the general components of any Type-IV hypersensitivity?
Antigen sensitized Th1 CD4 lymphocytes and CD8 lymphocytes
Th1 cytokines
Activated macrophages
Response peaks at 72 hours
What type of antigens are associated with Delayed-type (type IV) hypersensitivity?
Insect venom (proteins)
Mycobacterial proteins
What type of antigens are associated with Contact-hypersensitivity (type IV)?
Haptens
Pentadecacatechol (poison ivy)
Small metal ions (nickel and chromate)
How does the new in vitro TB test work?
Based on the ability of mycobacterium tuberculosis antigens to stimulate host sensitized lymphocyte production of IFN-γ

If memory CD4 Th1 present are sensitive to Tb Ag, will proliferate and produce INF-γ which test will detect !!!
What kind of type IV hypersensitivity reaction involves haptens binding to skin proteins?
Allergic contact dermatitis
How should allergic contact dermatitis be treated?
Avoid contact with chemical or substance
Anti-inflammatory drugs such as Glucocorticoids
Antibiotics if secondary infection
What is the mechanism behind HOST vs graft rejection?
Due to reaction against MHC molecules expressed by the tissue graft
What is the mechanism behind GRAFT vs host rejection?
Foreign lymphocytes in the transplanted bone marrow destroy cells and tissues of the recipient
Why may a graft from a male into a female be rejected?
HY antigen expressed by male Y chromosome (observed in skin grafts)
Ag like pollen, ragweed instigating hypersensitivity is example of what type?
Type I w/ IgE
Type of Ag that might trigger type 2 HS rxn?
Ag on surface of RBC's
ADCC is part of what type HS?
Type II HS
Heparin (chemical mediator causing type 1 hypersensitivity) causes what?
inhibition of clotting
Histamine causes what?
(aside from inflammation)
- vasodilation
- smooth muscle contraction
Is bee sting type 1 hypersensitibity?
No, that's just irritant
hapten

what type H.S. involved in?
too small to cause immune response alone, so binds to larger protein (e.g. albumin) or cell and triggers immune response that way
> can cause type 2 or 4 hs.rxn
What is Arthus Reaction?
(give example and describe what happens)
Arthus reaction e.g. tetanus toxoid vaccine causes Type III hypers.
* If give subQ inj. into animal that already has Ab to antigen, can form complexes (usually IgG), then acute inflammation will develop, CC (Ab-dependent pathway aka specific/classical)
Blue Eye in dogs
causes localized type III h.s. rxn

*some dogs infected with canine adenovirus type 1 or vaccinated with modified live CAV type 1 vaccine.
Lesion: anterior uveitis leading to corneal edema and opacity.
* Virus-antibody complexes, neutrophils present in lesion.