Cells of the Immune System
Lymphoid & Miscellaneous
Overview of the Immune System
Immunoglobulins
Hypersensitivity and Therapeutic Options
100

What are MHC complex molecules? And what is the human form called?

Major histocompatibility complex molecules which are proteins on APCs that present antigens to T cells split into classes I and II

Human Leukocyte Antigens (HLAs)

100

What are the 2 lymphoid organ tissues?

thymus --> produces T cells

bone marrow --> produce all other cells

100

What are the 1st, 2nd, and 3rd line defenses of the immune system called?

1st: External defense

2nd: internal defense

3rd: Specific/Acquired/Adaptive defense

100

What is the principal function of IgM immunoglobulins?

complement system activation

100

Define Atopy.

an increased susceptibility to develop hypersensitivity reactions

200

How do Natural Killer Cells function as part of the innate immune system?

-kill host cells infected by intracellular pathogens


-respond to IL-12 and secrete INF-gamma --> activating macros to kill phagocytized pathogens

-kill pathogens inside phagocytized cells

200

What are the 3 types of peripheral lymphoid organs?

-lymph nodes

-spleen

-mucosal and cutaneous lymphoid tissues

200

What is the reaction time difference between Non-specific and Specific Immunity mechanisms?

Non-specific: in the first 6-12 hours of infection

Specific: within 1-5 days after infection

200

What is the principal function of IgA?

mucosal immunity --> transporting IgA through epithelia (ex: mouth)

200

Explain how viral load is affected in both acute and chronic infections.

Acute infection has a high viral load due to CB8+ proliferation and differentiation into cytotoxic T cells and memory cells (viral clearance)

Chronic infection has consistent viral load and CD8+ initially respond but express inhibitory receptors that exhaust the T cells (viral persistence)

300

What are functions/characteristics of Dendritic cells?

-strong APCs

-involved in the innate and adaptive immune system

-secrete cytokines that activate NK cells

-differentiate CD4+ and CD8+ cells

-promote and suppress inappropriate autoreactive responses in autoimmune diseases

300

What is Lymphocyte Recirculation?

-T cells circulating in blood to give the immune system surveillance and vantage point

-Naive T cells: circulate through the peripheral lymphoid organs

-Effector/Mature T cells: circulate to the site of infection

300

What are the 3 functions of Epithelia in Innate Immunity?

-physical barrier

-produce antibiotics that kill pathogens

-kill microbes and infected cells by intraepithelial lymphocytes

300

What is Immunoglobulin Isotype Switching?

Immunoglobulins switching from a low class Ig to a high class Ig

-differentiating and switching to different isotypes to accommodate for more functions

300

What are the 2 types of inflammatory mechanisms that are active in Type II hypersensitivity?

Activation of complement system (Goodpasture)

Molecular Mimicry (rheumatic fever)

400

What are PRRs and what are their functions?

Pattern Recognition Receptors

-very important in inflammation

-directly recognize the pattern of bacteria on pathogens entering the body

400

What are 4 types of T cell-mediated diseases?

Diabetes Type 1, Contact Dermatitis, Multiple Sclerosis (MS), Inflammatory Bowel Disease

400

What are the 3 main functions of antibodies?

-Neutralize effect of microbes and toxins

-Opsonization and phagocytosis

-Activate the complement system

400

What is the primary function of IgE immunoglobulins?

-immunity against helminths (allergy reactions)

-mast cell degranulation (immediate hypersensitivity) 


400

Which immune mechanism cells are used in all 4 types of Hypersensitivity?

Immediate type 1: produce IgE antibody

Antibody-mediated type 2: production of IgG and IgM

Immune complex-mediated type 3: deposition of antigen-antibody complexes --> complement activation

Cell-mediated type 4:activated T lymphocytes

500

What are the classes of lymphocytes and their functions?

B cells: in-charge of antigen recognition and activate the complement system

Helper T cells: (CD4+) activate effector T cells to release cytokines (activate macrophages and inflammation) and activating proliferation and differentiation of B and T cells

Cytotoxic T cells: (CD8+) kill infected cell once shown the microbial antigen

500

What kind of hypersensitivity is involved in joint inflammation and bacterial infections like chlamydia?

Type III hypersensitivity

500

What is the difference between T-dependent and T-independent immunoglobulin affinity maturation?

T-dependent: with use of helper T cells

-isotype switched high-affinity antibodies (memory B cells and long-lived plasma cells)

T-independent: without use of helper T cells

-mainly IgM, low affinity antibodies

-short-lived plasma cells

-no memory cells


500

What are the functions and characteristics of IgG?

-Fc receptor-dependent phagocyte responses

-complement activation

-neonatal immunity

subtypes (IgG1 and IgG3)

500

What is a classic example of Delayed Type Hypersensitivity (DTH)?

A PPD Test for tuberculosis

-intracutaneous injection of purified protein derivative (PPD, aka Tuberculin) which have protein antigens of Mycobacterium tuberculosis bacillus

-the reaction occurs in 8-12 hours, reaching a peak in 24-72 hours and then slowly subsides