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62 Cards in this Set

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Primary Lymphoid Organs
bone marrow and thymus
Secondary Lymphoid Organs
lymphnodes and spleen
Key cells found in the bone marrow
B lymphocytes, macrophages, dendritic cells, nuettrophils, eosiniphils, mast cells (& antibody secreting plasma cells reside here)
function of the thymus
1. reception of pro-T-cells from the bone marrow and prolifieration of T cell precursors
2. Maturation and selection of antigen-specific T cells
3. Selective release of cells into the peripheral blood
functions of spleen
-filtering system for blood
-source of blood plasma to the lymph
-staging area for immune reactive cells
functions of lymph node
-reservoir for lymphocytes and APC
-filters lymph and traps infectious agents
-provides scafolding that organizes cellular interactions
macrophage functions
-phagocytosis
-source of autolytic enzymes
-synthesis of : compliment components, trensferrin, monokines (IL-1,6,10,12,TNFalpha,G-CSF)
-participation in fatty acid and cholesterol synth
-antigen presenting cell
instrumental in resistance to bacterial infections
neutrophils
elevated during parasitic infections
eosinophil
functions of mast cells
-clearance of pathogens by phagocytosis and anti-microbial peptides
-promotes allergic reactions (receptors for IgE)
-promote collagen synthesis by fibroblasts
these cells are 1000 times more effecient than macrophages in presenting antigen to T cells
dendritic cells
Purposes of Innate Immunity (3)
-provide first line defense against infection
-provides a 'danger' threshold
-sets the stage for the aquired immune response
Main cells involved in innate response
-macrophages
-dendritic cells
-NK cells
Main cells involved with adaptive immune response
T and B cells
Important surface pattern recognition receptor
TLR
Important soluble pattern recognition receptor
Complement system, LPS binding protient, Collectins, Pentraxins
Three basic domains of receptors on immune cells
(1) Ligand binding domain (outside of cell wall)
(2) transmembrane domain (anchors molecule to cell membrane)
(3) cytoplasmic domain (contains domains that interact with other protiens)
Which human TLRs will be involved in signaling for a bacterial insult?
TLR1/2, TLR2/6, TLR4, TLR9, TLR5
Which human TLRs will be involved in response viral insult?
TLR3, TLR7/8, TLR9
Adaptors "react" with TLRs to signal for :
cytonkines (usually inflammatory) and TypeI IFN but depends on TLR type
NOD-like receptors are found _____ and recogize ______-derived molecules
found in the cytoplasm and recogize bacteria derived molecules
RIG-like Helicases are found in the _____ and recognize _____?
found in cytoplasm and recogize viral nulceic acids
These cells carry (3) carry the highest level of innate receptors
Dendritic, Macrophages, and B cells
What happens when a cell is activated through its innate receptor system?
(1) Change in number and composition of molecules expressed at surface of cell (Class II MHC and costimulatory molecules)
(2) Expression of cytokines
What happens when the compliment system is activated?
-triggers inflammation
-attracts phagocytic cells
-promotes phagocytosis
-directly attacks cell membranes
3 Activation pathways for compliment system?
(1) Lectin Pathway (mannose binding ligand)
(2) Classical pathway (IgG, IgM, pentraxins)
(3) Alternative (microbe membrane)
What is Cluster of Differentiation?
protocol used for identification and investigation of cell surface molecules present on white blood cells
T cells recognize antigen in the context of this type of molecule.
MHC molecules
When is IgE normally elevated
parasitic infections and allergic reactions
Most abundant Ig in serum
IgG1
These Igs are used as receptors in naive B cells
IgM (monomers not pentamers) and IgD
How many isotype of IgG?
4
Only class of Ig that is effeciently transported across placenta.
IgG (higher concentration in fetus than in mother! provides 5-6 months of protection for new born)
Where is IgA found?
in secretions like saliva, colostrum, tears, fluids of mucus membranes
***Utility of Endoscopy for Dysphagia?****
-offers therapeutic dilation (stretches the esophagus)
-IDs complications/maligs
-find/remove foreign bodies
-***LITTLE utility when a motility disorder is suspected - do a barium study first!****
When a motility disorder is suspected, what work-up is always done first??

Ba Study
T/F: IgM occurs as a dimer?
FALSE: found as a pentamer or monomer (as surface receptor)
Ig\alpha Ig/beta are?
Accesorry protiens that help Igs signal (CD79a and CD79b)
Names of the chains on the TCR?
alpha and beta chains
T/F: TCR looks almost exactly like an fab?
True
Are Inorganic chemcials immunogenic in general?
No, carbon based units are much more so.
Characteristics that dictate immunogenticty
Checmical nature, Size, Complexity, Conformation
What is the most immunogenic - protiens, lipids, sugars, or nucleic acids?
Protiens
What is an epitope?
The part of an antigen that is recognized by the immune system. Antigenic determinant.
T/F: B cells recognize linear and conformational epitopes associated with intact molecules
True. This is important to know for vaccine development
T/F: T cells recognize conformational epitopes
False. T cells only recognize linear peptides presented by MHC
Affinity
Strength of interaction or binding between a single binding site and a single epitope
Avidity
Takes into consideration both affinity and valence. "functional affininty"
exon
protien encoding region of a gene
T/F: Light chain ot TCR alpha chains have genes from VD and J.
False. Heavy and Beta chains have VD and J but light/alpha have only V and J.
Signature IGs on surface of immature B cell.
IgM and IgD
What do RAG genes do?
RAG enzymes cut DNA to randomly add and delete nucleotides at random (helps add diversity)
What happens to mutant mice without RAG?
DO not rearrange Ig or TCR genes and do not produce B and T cells.
How do we generate (primary) antibody diversity?
-Mulitple germline (VDJ) genes to choose from
-Addition and deletion of nucleotides at junctions
-random heavy and light chain pairing
Which cells have Class II MHC?
macrophages, dendritic cells, B cells, thymic stromal cells, and (activated) T cells
Three requirements for a cell to function as an APC for CD4+ T cells
1. express class II MHC
2. ability to process antigen
3. Deliver a second signal
how many class I and II does each individual inherit from their parents?
6 of each.
CD4+ recognizes peptides in the context of Class __ MHC? What about CD8+ ones?
Class II --> CD4+
Clas I --> CD8+
Which class of genes encode MHC molecules?
HLA
What cytokines are induced by TNF?
IL-1, IL-6, IL-8
What happens when TNFalpha is produced in large amounts?
-results in pathology.
-acts on hypothalamus to induce fever
-acts on hepatocytes to induce acute phase response
These ILs cause fever?
IL1, IL6, and TNF
Order the following by their induction during an immune repsonse.
(IL-12,IL-1,IL-6,TNF)
TNF->IL-1->IL-6->IL-12