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HD 22
Bone and fat immunology
25
Immunology
Graduate
05/02/2012

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Cards

Term
What cells express RANK? What are they derived from?

What cells secrete RANKL? What are they derived from?
Definition
- osteoclasts - macrophages

- osteoblasts - mesenchymal
Term
Osteoprotegerin: what cell type(s) secrete it and what does it do?
Definition
- mostly osteoblasts, also stromal and immune cells

- acts as a decoy receptor for RANKL, blocking it's effect on cells expressing RANK
Term
the ratio between which proteins determines bone loss or bone increase?
Definition
- RANKL:Osteoprotegrin
Term
What three things do osteoclasts secrete that effect osteoclasts?

Which stimulate their resorption activity and which inhibit it?
Definition
- RANKL (stimulate)
-Osteoportegrin (inhibit)
- M-CSF (stimulate)
Term
Other than bone reabsorption, what is another function of osteoclasts?
Definition
- function as APC's fro T-cells
Term
Osteoblasts are main secretors of RANKL, but other cells express this and can drive osteoclast differentiation/activation. What other cell types express RANKL?
Definition
- DC's
- T-cells
- B-cells
- monocytes
- neutrophils
Term
What cytokines stimulate cells to produce RANKL?
Definition
- proinflammatory: Il-6, TNF-α, IL17
Term
What cytokines will inhbit osteoclast differentation/proliferation?
Definition
- IL4, IL10
Term
What effect will a dominant Th1 response have on osteoclasts?

Through what mechanism?
Definition
- pro-osteoclast effect

- through INF-y and its activation of macrophages
Term
What affect will a Th17 response have on osteoclast activity?
Definition
stimulate them via IL17
Term
What is lacking in rheumatoid arthritis?

What drives this?
Definition
- control of Th17

- DC release of IL23
Term
How do Tregs affect osteoclasts?

What cell markers are important here?
Definition
- because osteoclasts are closely related to APC's, interaction with TReg's expressing CTLA-4 will inhibit interaction between their CD80/B7 and Th1 CD28.
Term
Three mechanisms/cell types that estrogen works on?
Definition
- Osteoblasts: increase activity
- Osteoclasts: decrease activity
- T-cell: decrease their RANKL expression
Term
Cell types that make up white adiopse tissue?
Definition
1) pre-adipocytes
2) adipocytes
3) stromal/vascular cells
4) macrophages
Term
Adipocyte pro-inflammatory cytokines

Adipocyte anti-inflammatory cytokines
Definition
Pro-inflammatory:
1) Leptin
2) Visfatin

Anti-Inflammatory:
1) Adiponectin
2) Macrophage inhibitory cytotkine (MAC1)
3) SFRP
Term
Two adiopocyte proinflammatory cytokines and their effects
Definition
1) Leptin - stimulate production of IL-6,1 and TNF-α

2) Visfatin - angiogenic
Term
Anti-inflammatory adipocyte cytokines and their function
Definition
1) Adiponectin: suppression of TNF-α, antagonist to leptin

2) Macrophage inhibitory cytokine: Stiulates adiponectin production

3) SFRP - antagonizes WAT signaling
Term
Two macrophage derived cytokines associated with WAT?
Definition
- Osteopontin: chemotactic for monocytes and macrophages

- Resistin: antagonist of adiponectin and promotes TNF-α and IL-6 production
Term
Two major types of macrophages associated with WAT?
Definition
M1 - proinflammatory

M2 - anti-inflammatory
Term
What is the dominant macrophage type in healthy adipose tissue?

What type of environment is this?

What adipocytokines are associated with it?
Definition
- M2

- anti-inflammatory environment

- Adiponectin, MAC-1, SFRP
Term
What cytokines do M2's in a non-obese person upregulate?

What do they downregulate?
Definition
-Upregulate: IL4, IL10

- downregulate: NFκB
Term
What does "Stuffing" of adiopoctyes cause?
Definition
- activation of signal pathway that results in pro-inflammatory milieu leading to insulin resistance
Term
most potent monocyte attractant from adipocytes and its receptor?
Definition
- CCL2

- receptor: CCR2
Term
Role of osteopontin in obesity?
Definition
- draws monocytes out of blood vessels and into the adipose tissue.
Term
Obesity and cholesterol/arterial plaque
Definition
- choelesterol crystals in arterial plaque may draw macrophages to the area perpetuating inflammation
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