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;
61 Cards in this Set
- Front
- Back
what is the general schematic of ADCC?
|
Antibody bridges NK cell and target cell
|
|
secretory IgA: monomer or dimer? how is it connected?
|
dimer; J chain
|
|
does secretory IgA fix complement?
|
no
|
|
what is the most potent macrophage activator?
|
Interferon-gamma
|
|
what produces interferon-gamma?
|
activated t-cells and NK cells
|
|
what are 3 ways to activate macrophages?
|
interferon-gamma
tnf-alpha bacterial lps |
|
what cell types are the killer cells in adcc?
|
macrophages and NK cells
|
|
killer cells have receptors to which part of the antibody in adcc?
|
fc portion
|
|
th1 deficiency leads to what kind of infection? th2?
|
viral; bacterial
|
|
what is the function of a lysozyme?
|
digests bacterial cell walls by cleaving peptidoglycan
|
|
what do defensins do?
|
form channels in bacterial cell membranes
|
|
what are the intracellular killing mechanisms present in an activated macrophage?
|
phagocytosis, respiratory burst, proteolytic enzymes, inflammatory signaling, and acute phase response,
|
|
IL-1, IL-6, and tnf-alpha all have what effect?
|
pyrogens
|
|
IL-1 has what effect?
|
stimulates IL-2 recepter emergence in t cells, enhances b-cell activation, induces IL-6, induces fever and acute phase reactants
|
|
IL-6 has what effect?
|
induces fever and acute phase reactants
|
|
tnf-alpha has what effect?
|
metabolism effect, breaks down fat, cytotoxic for tumors
|
|
IL-8 has what effect?
|
chemoattractant for neutrophils and t cells
|
|
IL-10 has what effect?
|
inhibits th1 cytokines IL-2 and IFN-gamma
|
|
IL-12 has what effect?
|
promotes th1 differentiation, enhances th1 by increasing IFN-gamma and IL-2 production
|
|
is cd8 t cell mhc class I or II?
|
class I
|
|
what antigenic peptide does cytotoxic t cell see in viral infection?
|
fas
|
|
fas is also called what?
|
cd95
|
|
what 3 ways can cytotoxic t cell kill virus?
|
1. fas ligand binds to fas on target cell, releases caspase enzymes, lead to apoptosis
2. release of perforin granules 3. release of proteolytic enzymes, tnf-a, and tnf-b which destroy cell |
|
th1 releases what?
|
IL-2 and IFN-gamma
|
|
what does il-2 do?
|
t cell growth factor, t and b cell proliferation
|
|
what does ifn-g do?
|
macrophage activator, activates pmn and nk, activates th2
|
|
th2 releases what? what is the overall effect?
|
1.releases il-4, il5, il-6, il-10, and il-13
2. enhances humoral response |
|
what does il-4 do?
|
b cell proliferation, isotype switching to IgE, eosinophil and mast cell proliferation
|
|
what does il-5 do?
|
stimulates eosinophil growth and differentiation, b cell growth factor, enhances igA synthesis
|
|
what does il-6 do?
|
acute phase reactant; fever
|
|
what does il-10 do?
|
1. inhibits pro-inflammatory cytokines: il-2, il-3, tnf-alpha, and ifn-gamma
2. suppress antigen presentation capacity of apc |
|
what does il-13 do?
|
inhibits inflammatory cytokines (il-1, il-6, il-8, and il-10), b cell, eosinophil, and mast cell proliferation
|
|
t cells that express what factors are t-regs?
|
cd4 and cd25
|
|
in addition to closing immune responses, what else do tregs do?
|
keep autoimmune response in check
|
|
what cytokines do tregs express?
|
il-10 and tgf-beta
|
|
what does tgf-beta do?
|
1. blocks activation of lymph and mono phagocytes
2. suppress cytokines and mhc-II expression 3. igA isotype switching |
|
granulomas seen in which live intracellular parasites?
|
m. tuberculosis, leishmaniasis, cgd, schistosomiasis, and sarcoidosis
|
|
granulomas in the cns seen in what patients?
|
leprosy
|
|
basic difference in th1 and th2 type t cells?
|
th1 is cell-mediated, th2 is humoral
|
|
what does an nk cell do?
|
destroy virus infected cell
|
|
what does an nkt cell do?
|
recognize lipid antigens and lyse tumor cells
|
|
what turns off nk cell?
|
mhc-I target cells
|
|
how do NK cells destroy other cells?
|
induce apoptosis
|
|
what cells release perforin?
|
cytotoxic t cells, nk cells, and nkt cells
|
|
nitric oxide has what effects on immune defenses?
|
1. toxic to pathogens
2. phagocytes produce it a lot, which can cause low bp 3. can promote t cell effects, leading to more inflammation |
|
why is oral/nasal flu vaccine better?
|
igA and igG induced; igA does not induce complement, which means less unwanted inflammation
|
|
what is function of MIS?
|
allows migration of activated cells to other cites
|
|
which has broader specificity, igA or igG?
|
igA
|
|
what tissues are MIS?
|
peyer's patches, tonsils, folicles, mucosal lp
|
|
what are m cells?
|
gatekeeper cells on top of follicles in gi/resp tract
|
|
why are m cells important
|
keep body from reacting to every single thing
|
|
importance of mis in polio vaccine?
|
t cells can move in and out; vaccine likes to stay in resp/gi tracts
|
|
intracellular pathogens best handled how?
|
cell-mediated responses
|
|
what are some cell-mediated responses?
|
1. phagocytosis (w/o t-cells)
2. adcc via killer cells 3. t cell mediated lysis of virus infected cells 4. nk cells can kill tumors |
|
nk cells can spontaneously kill what?
|
tumor cells
|
|
which defenses are best against extracellular pathogens?
|
antibodies
|
|
what are host defenses against bacteria? fungi? parasites, viruses?
|
1. antibodies coat surface of bacteria
2. neutrophils phagocytize fungi 3. igE and eosinophils 4. type I inf, cytotoxic t-cells, nk cells, adcc, antibodies |
|
what are early anti-viral responses? later?
|
1. nk cells, inf alpha and beta
2. antibodies, cytotoxic t cells |
|
what happens to parasite in igE response?
|
ab binds to parasite; neut/macro/eo binds to fc region of ab; cells release toxins
|
|
how do mast cells help in igE response?
|
mast cells like igE a lot; fab region binds to parasite/ag to release toxins and attract eos
|
|
what infection is common in phagocytic defect? t cell defect?
|
fungal; viral
|