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Immunology - Cellular Components

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1. Components of Innate Immunity? Neutrophils, macrophages, mono-


cytes, dendritic cells, natural killer
(NK) cells (lymphoid origin), comple-
ment, physical epithelial barriers, se-
creted enzymes

2. Mechanism of how innate immunity Germline encoded (on DNA)


components arise?

3. What is true of resistance in innate Persists through generations and


immunity? does not change within an organ-
isms lifetime

4. Innate immunity response to Nonspecific response; occurs rapidly


pathogens? (minutes to hours), no memory re-
sponse

5. Secreted proteins in Innate immuni- Lysozyme, complement, C-reactive


ty? protein (CRP), defensins

6. Key feature in innate immunity? Toll like receptors (TLRs)

7. TLRs are? A type of pattern recognition receptor


that recognizes pathogen associat-
ed molecular patterns (PAMPs) and
lead to activation of NF-kB.

8. Examples of PAMPs? LPS of the outer membrane of


gram-negative bacteria Flagellin in
flagella of bacteria
Peptidoglycan in the cell wall of
gram-positive bacteria
Nucleic acids in viruses

9. Components of Adaptive immunity? T cells, B cells, circulating antibodies

10. Mechanism of how adaptive immuni- Variation through VDJ recombination


ty components arise? during lymphocytes development

11. microbial resistance not heritable.


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What is true of resistance in adaptive
immunity?

12. Adaptive immunity response to Highly specific, refined over time


pathogens? Develops over long periods
memory response is faster and more
robust

13. Secreted proteins in adaptive immu- Immunoglobulins


nity?

14. Key feature of Adaptive immunity? Memory B cells: Activated B and T


Explain. cells which allow stronger and quick-
er immune response after subse-
quent exposure to a previously en-
countered antigen.

15. Major Histocampatibility Complex HLA genes


(MHC) genes are encoded by?
Function? Present antigen fragments to T cells
and bind T cell receptors (TCRs).
Two types, MHC1 and MHC2.

16. MHC I loci? HLA-A, HLA-B, HLA-C


Bind?
Structure? TCR and CD8
What expresses them?
1 long chain and 1 short chain

All nucleated cells, APCs, platelets

17. Function of MHC I? Present endogenous antigens (ie vi-


Associated proteins? ral or cytosolic proteins) to CD8+ cy-
Explain antigen loading on to MHC I. totoxic T cells

ß2 microglobulin

Antigen peptides loaded onto MHC I


in RER after delivery via TAP (trans-

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porter associated with antigen pro-
cessing)

18. MHC I and MHC II structure image.

19. MHC II loci? HLA-DP, HLA-DQ, HLA-DR


Bind?
Structure? TCR and CD4
What expresses them?
2 equal length chains (2±and 2ß)

APCs

20. Function of MHC II? Present exogenous antigens (ie bac-


Associated proteins? terial proteins) to CD4+ T helper cells
Explain antigen loading on to MHC II.
Invariant chain

Antigen loaded following release of


invariant chain in an acidified endo-
some.

21. What disease is associated with Hemochromatosis


HLA-A3?

22. What disease is associated with Addison disease, myasthenia gravis,


HLA-B8? Graves disease

23. What disease is associated with Psoriatic arthritis, Ankylosing


HLA-B27? spondylitis, IBD associated arthri-
tis, and Reactive arthritis (these
are also known as seronegative
arthropathies)

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24. What disease is associated with Psoriasis
HLA-C?

25. What disease is associated with Celiac Disease


HLA-DQ2/DQ8?

26. What disease is associated with Multiple sclerosis, hay fever, SLE,
HLA-DR2? Goodpasture syndrome

27. What disease is associated with DM type 1, SLE, Graves Disease,


HLA-DR3? Hashimotos thyroiditis, Addison dis-
ease

28. What disease is associated with Rheumatoid arthritis, DM type 1, Ad-


HLA-DR4? dison disease

29. What disease is associated with Hashimoto Thyroiditis


HLA-DR5?

30. Natural Killer T Cells are? A lymphocyte member of the innate


Use _____ to? immune system

Perforin and granzymes to induce


apoptosis of virally infected cells and
tumor cells

31. How can you enhance the activity of IL-2, IL-12, IFN-±,and IFN-ß
natural killer cells?

32. When are natural killers cells in- When exposed to a nonspecific acti-
duced to kill? vation signal on target cell and/or to
an absence of MHC I on target cell
surface
Also kills via antibody dependent cell
mediated toxicity

33. How are natural killer cells activated CD16 on NKC binds Fc region of
in antibody dependent cell mediated bound IgG on target cell, activating
toxicity? NKC

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34. Major Functions of B cells? Humoral immunity
Recognize Antigen
Produce Antibody
Maintain Immunologic Memory

35. How does a B cell recognize antigen? Undergoes somatic hypermutation


to optimize antigen specificity

36. How does a B cell produce antibod- Differentiate into plasma cells to se-
ies? crete specific immunoglobulins

37. How does a B cell maintain immuno- Memory B cells persist and acceler-
logic memory? ate future response to antigen

38. Major Functions of T Cells? Cell Mediated Immunity


CD4+ T cells help B cells make anti-
bodies and produce cytokines to re-
cruit
CD8+ T cells directly kill virus infect-
ed cells

39. What cells are indicated in acute and T cells


chronic organ rejection?

40. What cells are indicated in delayed T cells


cell mediated hypersensitivity (Type
IV)?

41. Differentiation of T cells? Positive Selection occurs in the cor-


tex.

Negative Selection occurs in the


medulla.

42. Explain positive selection in the mat- In the thymic cortex only T cells ex-
uration of T cells. pressing TCRs capable of binding

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self-MHC on cortical epithelial cells
survive.

43. Explain negative selection in the mat- In the thymic medulla T cells ex-
uration of T cells. pressing TCRs with high affinity for
self antigens undergo apoptosis or
become regulatory T cells. Those
that had moderate binding move on.

44. What is responsible for the expres- Action of autoimmune regulator


sion of tissue restricted self antigens (AIRE)
in the thymus?
A deficiency in this leads to? autoimmune polyendocrine syn-
drome-1

45. Th1 cell secretes? IFN-y, IL-2


Induced by?
Inhibited by? IFN-y, IL-12 (this is not a typo)
Associated immunodeficiency?
IL-4, IL-10 (from Th2)

Mendelian susceptibility to mycobac-


terial disease

46. Function of Th1 cell? Activates macrophages and cytotox-


ic T cells to kill phagocytosed mi-
crobes

47. Th2 cell secretes? IL-4, IL-5, IL-6, IL-10, IL-13


Induced by?
Inhibited by? IL-2, IL-4

IFN-y (from Th1 cell)

48. Function of Th2 cell? Activates eosinophils and promotes


production of IgE for parasite de-
fense

49. Th17 cell secretes? IL-17, IL-21, IL-22


Induced by?
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Inhibited by? TGF-ß, IL-1, IL-6
Associated immunodeficiency?
IFN-y, IL-4

Hyper IgE Syndrome

50. Function of Th17 cell? Immunity against extracellular mi-


crobes through induction of neu-
trophilic inflammation

51. Treg cell secretes? TGF-ß, IL-10, IL-35


Induced by?
Inhibited by? TGF-ß, IL-2
Associated immunodeficiency?
IL-6

IPEX Syndrome

52. Function of Treg cells? Help maintain specific immune toler-


ance by suppressing CD4 and CD8
T cell effector functions thus prevent-
ing autoimmunity through this main-
tenance of self antigens by using
CD152(CTLA-4) to compete for B7
binding

53. Explain the interaction between lym- Th1 cells secrete IFN-y which en-
phocytes and macrophages. hances the ability of monocytes and
macrophages to kill microbes they
ingest. This is also enhanced by in-
teraction of T cell CD40L with CD40
on macrophages

54. Cytotoxic T cells function? Kill virus infected, neoplastic, and


These cells have what marker which donor graft cells by inducing apopto-
allows them to bind to? sis through the release of cytotoxic
granules containing preformed pro-
teins such as perforin and granzyme
B.

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CD8; MHC 1 on virus infected cells

55. Treg cells also known as? Activated Regulatory T Cells


How can we identify these cells?
They express CD3, CD4, CD25, and
FOXP3

56. What does IPEX in IPEX syndrome Immune Dysregulation, Polyen-


stand for? docrinopathy, Enteropathy, X-linked

57. IPEX syndrome is caused by ____ Genetic deficiency of FOXP3


leading to?
Characterized by? Enteropathy, endocrinopathy, nail
Associated with? dystrophy, dermatitis, and/or other
immune dermatologic conditions

diabetes in male infants

58. What are examples of APCs? Examples of Antigen Presenting


Cells include:

B cells, dendritic cells, langerhans


cells, macrophages

59. In T cells, B cells, and Ig class switch- 2 signals


ing what is required?

60. Explain Th cell activation. 1) Dendritic cells (specialized APC),


samples antigen, processes it, and
migrates to the draining lymph node

2) T cell activation (Signal 1): Antigen


is presented on MHC II and recog-
nized by TCR on CD4+ Th cell.

3) Proliferation and Survival (Signal


2): Costimulatory signal via interac-
tion of B7 protein (CD80/86) on den-
dritic cell and CD28 on naive T cell.
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4) Th cell activates and produces cy-


tokines.

61. Explain Tc cell activation. 1) Dendritic cells (specialized APC),


samples antigen, processes it, and
migrates to the draining lymph node

2) T cell activation (Signal 1): En-


dogenous or cross-presented anti-
gen is presented on MHC I to CD8+
Tc Cell. *note Tc is cytotoxic T cell*

3) Proliferation and Survival (Signal


2): Costimulatory signal via interac-
tion of B7 protein (CD80/86) on den-
dritic cell and CD28 on naive T cell.

4)Tc cell activates and is able to rec-


ognize and kill virus infected cell.

62. Explain B cell Activation and class 1) Th cell activation occurs


switching.
2) B cell receptor mediated endocy-
tosis; foreign antigen is presented on
MHC II and recognized by TCR on Th
cell

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3)CD40 on B cell binds CD40 ligand
(CD40L) on Th cell

4) Th cells secrete cytokines that


determine Ig class switching of B
cells. B cells are activated undergo
class switching and affinity matura-
tion, and being producing antibodies

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