Innate
Basics
T's and B's
ABCs
Immunity and Differentation
100

What is the innate immune response cascade?

Pathogens enter beyond first line defenses

Pattern recognition receptors activated

Release inflammatory mediators

Increased vasodilation & capillary permeability 

Influx of phagocytic cells and soluble mediators

Increased release of mucus and antimicrobial peptides on mucosal surfaces

Fever, pain, appetite suppression

100

What are the 2 basic steps of adaptive immunity

Clear infection

Memory

100

What are the three classes of b lymphocytes

Naive

Ab secreting effector cell

Memory cells

100

What are antigen presenting cells (APC's)

Macrophages, dendritic cells

B-cells (special types)

MHC class ii bearing cells capable of phagocytosis or endocytosis and antigen presentation

100

What is the primary lymphoid tissue? And where is it made and matured?

Bone marrow (made), thymus (matured)

Areas of leukocyte production and maturation

200

Where are pattern recognition receptors

Present on epithelial cells of skin and mucosa as well as resident macrophages/dendritic cells

200

What are the lymphocytes of adaptive immunity

T and B cells

200

what are the antibody isotypes of B lymphocytes 

IgD - transmembrane = on surface

IgM - transmembrane, complement activation, opsinization

IgG - Serum ig, complement activation, opsinization

IgA - mucosal secreted Ab

IgE - allergy, parasite protection

200
What are the cells of the acquired immune system

B cells

T cells

Antigen presenting cells

200

What is the secondary lymphoid tissue? And where is it made and matured?

Lymph nodes, spleen, peyers patches

sites of immune cell localization and activation - drainage of extracellular fluid (ECF) to lymph nodes delivers antigens and tissue-resident immune cells, activated cells leave lymph nodes enter blood and are delivered to site of infection

Naive T and B cells tend to circulate between lymph nodes via blood

Memory T and B cells tend to circulate from blood to tissues and then drain via ECF to nodes

300

What are the inflammatory mediators released during the innate immune response cascade

Eicosanoids (Prostaglandins, leukotrienes) - plasma membrane fatty acid metabolites

Interleukins (cytokines and chemokines), histamine - protein hormones of the immune system

Control of local and systemic inflammation cascade

300

What does MHC class i do?

Transmembrane protein complex on all cells

All proteins produced in a cell are partially degraded and presented on the cell surface in association with MHC class i

Viral, tumor surveillance 

300

Where a T lymphocytes produced and what do they do?

Produced in marrow, mature in thymus

Recognize antigen presented on MHC via a T cell receptor (TCR)

Generation of TCR binding diversity - Random gene rearrangement of TCR, 1 T cell = 1 Specificity

300

What are the steps of activation of Antibody or humoral immunity (B cells) 

APC processing of antigen on MHC class ii

Activation of Th

Th activation of B cells 

Clonal expansion of B cells

Production plasma cells, memory cells

300

What are the specific immunity at mucosal sites?

Intestine, lung, reproductive tract, mammary

Intestinal peyer's patches - Area of dense immune cell localization similar to lymph node, overlaid by M cells which sample antigens from gut lumen, induction of IgA type responses, tolerance versus immunity

Common mucosal immune system - implications for vaccines

400

What are the phagocytic cells and soluble mediators in the innate immunity cascade response

macrophages, neutrophils

acute phase proteins, complement, anti-microbial peptides

Complement and some bacterial proteins are chemotactic

400

What does MHC class ii do?

Transmembrane protein complex found only on specialized antigen presenting cells

Proteins entering the cell via phagocytosis or endocytosis are degraded and presented on MHC class II

Viral particles, bacteria

400

What are the three classes of T lymphocytes 

Naive

Effector (activated) T cells

Memory

400

What are the signals for naive lymphocyte (T or B cell) activation

Signal 1 - antigen presentation 

Signal 2 - costimulatory molecules 

Signal 3 - "Danger" microbial molecule

400

What is the T cell function in differentiation of Self/non-self

In the thymus new T cells reacting with MHC class i or ii in association with a self antigen are induced to die

Requires all self antigens are expressed in thymus and processed for class i and ii presentation

Failure of process results in autoimmune disease - SLE, Graves, MS 

500

What are the basic aspects of Adaptive or acquired immunity

Acts days/weeks following infection

Specific to a pathogen - antibodies, cytotoxic T cells

Provide memory

500

Where a B lymphocytes produced and what do they do?

Produced and mature in bone marrow

Recognize extracellular antigens via transmembrane antibodies

Generation of Ab binding diversity - Random gene rearrangement Ab variable region, Estimated 1010 possible specificities, 1 B cell = 1 Specificity 

500

What are the two subpopulations of T lymphocytes? What do they do?

T helper cells (Th) - recognize MHC class ii

- Secrete cytokines, activate B cells, Tc cells and macrophages, neutrophils 

- Essential for activation for specific immunity 

Cytotoxic T cells (Tc) - Recognize MHC class i

- Direct killing of virally infected cells or tumour cells 

500

How does the activation of cellular immunity happen

Three cell cluster

APC plus Tand Tvia MHC class ii and MHC class i respectively 

Clonal expansion of Th and Tc cells 

Production of effector Tc cells

500

What is the B cell function in differentiation of Self/non-self

No restriction on maturation of self reactive B cells

Naive B cells reacting with self antigens are therefore present in the circulation but die due to lack of appropriate T helper cells 

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