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Immunoevasion
8.19 at 10am by Dr. Kozlowski
71
Pathology
Professional
08/20/2011

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Term
How do DC insert a dendrite through tight junctions without disrupting integrity of epithelial barrier?
Definition
new tight junction like structures are formed between the DC and the epithelial cell. When a DC process binds an antigen this somehow causes downregulation of tight junction protein on the DC, dendrite is removed an tight junction between epithelial cells is restored
Term
After epithelial cells have bound an antigen via basolateral TLR or NOD proteins, they secrete chemokines taht attract which cells?
Definition
from blood-neutrophils and monocytes
from local tissue- macrophages, DC, and natural killer cells
Term
What do you call T cells that are a part of the epithelium?
Definition
intraepithelial T lymphocytes (often these are T gamma delta cells)
Term
Why are gamma delta T cells called "innate-like"?
Definition
because they are less restricted than alpha beta T cells
Term
Why are NKT cells "adaptive-like"?
Definition
they have a TCR (killing is not completely MHC unrestricted)
Term
What antibodies bridge the gap between adaptive and innate immunity?
Definition
IgG and IgA
Term
Which cells are innate effectors with FcReceptors?
Definition
macrophages, NK cells, neutrophils, monocytes, DC
Term
What is ADCC?
Definition
adaptive dependent cellular cytotoxicity. This is when NK cell binds many Fc's from many antibodies covering an antigen causing crosslinking of Fc receptors which signals NK cell to kill the target cell via apoptosis
Term
ADCC is important for eliminating what type of pathogens?
Definition
virus-infected
Term
T/F gamma delta T cells are neither CD4+ nor CD8+.
Definition
FALSE! they can be CD4+ or CD8+
Term
What percentage of T cells are gamma delta?
Definition
less than 10%
Term
T/F gamma delta T cells undergo gene rearrangement.
Definition
True, but they have limited diversity in V regions when compared to alphabeta t cells
Term
What is the primary "V" type of gamma delta T cells?
Definition
V gamma9:Vdelta2
Term
T/F Gamma delta t cells recognize peptides in MHC like alpha beta T cells.
Definition
false!
Term
Once they have recognized an antigen, which mounts a faster immune response: alpha beta or gamma delta t cells?
Definition
gamma deltas are faster because many gamma deltas can be activated by a single antigen
Term
Vgamma9:Vdelta2 T cells are all activated by what?
Definition
three different phosphoantigens that contain a shared pyrophosphate group (these are intermediates in the production of isoprenoid)
Term
What are the protective functions of gamma delta T cells?
Definition
kill infected cells (like NK cells or CD8+CTL), secrete granulysin (anti-microbial peptide), and secrete inflammatory IFN-gamma and TNF-alpha
Term
Which TCR and receptors do many gamma delta T cells in the mucosa express? What do these receptors recognize?
Definition
Vgamma:Vdelta1 TCR and NKG2D; both of these bind to stress-induced MIC proteins which activates the gamma delta T cell
Term
T/F viral infections can induce MIC proteins.
Definition
True
Term
T/F MIC proteins are sometimes expressed by healthy cells.
Definition
FALSE
Term
What happens when a gamma delta T cell binds to an infected cell expressing MIC?
Definition
gamma delta t cell induces apoptosis of infected cell and then helps repair the wound
Term
What markers do NK cells express?
Definition
NKG2D and CD56
Term
T/F NK cells mediate MHC-unrestricted killing of virus infected cells (like CD8+ CTL).
Definition
true
Term
How do NK cells discriminate between healthy and virus infected cells?
Definition
inhibitory receptors make NK tolerant to self and recognize MHC Class 1 molecules on cell surface (either all MHC class 1 or only class 1 with specific sequences). They also have activatory receptors (NKG2D) that bind to MIC proteins of infected cells
Term
What is the effect of viral infections on surface receptors of cells?
Definition
decrease MHC class 1 and increase surface MIC-A or MIC-B (MHC class I-like molecules)
Term
An NK cell that binds to a healthy cell binds to ...
Definition
MHC class I via the inhibitory receptor
Term
An NK cell that binds to a virus infected cell binds to...
Definition
MIC via NKG2D which is the activatory receptor. (MHCI expression is downregulated due to virus and so there is no inhibitory signal)
Term
What happens if a NK cell binds both an MHC class I and an activating molecule?
Definition
the inhibitory signal overrides the activatory signal
Term
What receptors do NKT cells characteristically express?
Definition
NK receptors and an invariant alpha beta TCR (restricted repertoire of Valpha24-J18)
Term
Which MHC molecule are NKT cells restricted to?
Definition
MHC classI-like CD1d molecule which presents lipid antigens from a wide range of pathogens
Term
NKT cells respond rapidly to infection by secreting _______ and upregulating the expression of _______ on their cell membrane.
Definition
IFN-gamma, CD40L
Term
NKT cells upregulate CD40L when they encounter infection in order to...
Definition
stimulate IL-12 secretion by DC
Term
What happens when DC cells secrete IL-12?
Definition
this initiates the inflammatory response which attracts NK cells, neutrophils, and monocytes to the site
Term
T/F NKT cells generate memory cell responses.
Definition
false
Term
T/F NK cells ability to kill other, virus infected cells is not completely "MHC unrestricted".
Definition
true
Term
How long do antibodies produced during the primary response prevent reinfection for?
Definition
several months
Term
What's another name for strain?
Definition
serotype (because strains are distinguished in serological tests by using a panel of antisera which each contain antibodies against one of the strains
Term
An individual can get bacterial pneumonia multiple times by the "same" pathogen due to the existence of ______.
Definition
multiple strains of the same pathogen
Term
How does the body overcome antigenic shift in a pathogen when it is a minor change like a point mutation?
Definition
a point mutation can result in minor disease because T cells and antibody that recognize unaltered epitopes eventually control infection. Causes mild and limited epidemics (local outbreaks) ex. influenza A
Term
In the case of influenza virus, what proteins on the surface of the virus bind the neutralizing antibody?
Definition
hemagglutinin or neuraminidase
Term
How does the body respond to a pathogen that has undergone an antigenic shift by combining with a nonhuman virus?
Definition
the human/nonhuman hybrid virus (like avian flu, which is a strain of influenza A) cause major changes in hemagglutinin or neuraminidase proteins resulting in severe disease and mortality because the new protein is not recognized by pre-existing antibody, or memory B or T cells. This causes global pandemics
Term
How does insect-borne African Trypanosome exhibit programmed gene rearrangements?
Definition
the gene for the major outer surface antigen (varient-specific glycoprotein or VSG) is continously switched during infection via gene conversion.
Term
What do you call it when a pathogen varies its outer surface proteins during infection to evade neutralizing antibodies?
Definition
programmed gene rearrangements
Term
What is gene conversion?
Definition
used during programmed gene rearrangments; it is exicision of gene from expression site and replacement by a copy of a homologous gene
Term
What does the clinical course of trypanosome infection look like?
Definition
chronic cycles of antigen clearance lead to immune complex damage, inflammation, and eventually neurological damage which results in coma (trypanosomiasis or "sleeping sickness")
Term
Name three examples of organisms that exhibit gene conversion (programmed gene rearrangement)?
Definition
trypanosome, salmonella typhimurium (food poisoning- alters 2 versions of surface flagellin protein), and neisseria gonorrhoeae (gonorrhea- alternates versions of surface pilin protein)
Term
T/F Latent viruses have absolutely NO viral replication during the latent period.
Definition
False, they can have extremely low levels of replication
Term
How does Herpes Simplex Virus type 1 (HSV-1) evade elimination from its host?
Definition
latency- it infects epithelial cells in the oral cavity then spread to nearby sensory neurons (trigeminal ganglion). Primary immune response clears it from epithelial cells but not from neurons. Stress causes reactivation of HSV-1 which can travel down the neuron and reinfect epithelial cells. CD8 cells kill infected epithelial cells creating the sore and HSV-1 goes dormant again
Term
What are the symptoms of primary exposure to epsteinn-barr virus?
Definition
cold-like for children, mononucleosis in adolescents and adults
Term
How does EBV infect a cell?
Definition
via CR2 component of the BCR
Term
How are B cells infected with EBV elimanted?
Definition
via CTL
Term
What one protein is still produced in EBV latent phase?
Definition
EBNA-1
Term
Why aren't B cells infected by latent EBV recognized by CTL?
Definition
although the virus is producing foreign protein during the latent phase (EBNA-1), this protein can not be degraded by proteasomes in the B cell cytoplasm. Because of this, foreign antigens are never presented by MHC class I and so the B cell appears uninfected to the CTL
Term
What viruses suppress the immune response by a virally encoded Fc receptor?
Definition
herpes simplex and CMV
Term
What viruses suppress the immune response by a virally encoded complement receptor?
Definition
herpes simplex
Term
What viruses suppress the immune response by a virally encoded complement control protein?
Definition
vaccinia
Term
What viruses suppress the immune response by a virally encoded chemokine receptor homonlog?
Definition
CMV
Term
What viruses suppress the immune response by a virally encoded soluble cytokine receptor?
Definition
vaccinia, and rabbit myxoma virus
Term
What viruses suppress the immune response by viral inhibition of adhesion molecule expression?
Definition
EBV virus
Term
What viruses suppress the immune response by protection from NFKB activation by short sequences that mmic TLRs?
Definition
vaccinia
Term
What viruses suppress the immune response by inhibition of MHC class I upregulation by IFN-gamma?
Definition
Herpes simplex, and CMV
Term
What viruses suppress the immune response by inhibition of peptide transport by TAP?
Definition
herpes simplex
Term
What viruses suppress the immune response by a virally encoded cytokine homolog of IL-10?
Definition
EBV
Term
How does the toxoplasma gondii parasite subvert the immune system?
Definition
infects cell and creates a membrane-enclosed vesicle that does not fuse with other cellular vesicles. This prevents incorporation of T gondii-derived peptides into MHC and hence detection by T cells
Term
How does treponema pallidum spirochete (syphilis) subvert the immune system?
Definition
evades antibody by coating itself with human proteins
Term
What is a bacterial superantigen stimulation of a massive but ineffective T cell response?
Definition
sabotage
Term
How does an antigen "sabotage" the immune system?
Definition
by binding to a MHC class I molecule on an antigen presenting cell and simultaneously binding certain Vbeta chains on CD4 T cell (naive or memory). THis activates multiple polyclonal T cells because most T cells have the Vbeta binding site so 2-20% of CD4 cells have Vbeta binding site.
Term
Bacterial sabotage of the immune system results in..
Definition
massive production and release of cytokines (IL-1, IL-2, TNF-alpha, and LT by T cells; IL-1 TNF-alpha, IL-6, IL-12 by APC monocytes and DC) causing systemic toxicity and suppression of the adaptive responses
Term
How many binding sites for MHC do most superAgs have?
Definition
2
Term
S. aureus causes the disease ______ by ___________.
Definition
toxic shock syndrome Toxin-1, acting as a superantigen
Term
What is the differences between antigenic drift and antigenic shift?
Definition
drift is a minor mutation during infection. shift is a amajor change involving recombination between viruses in order to evade both humoral and cellular immunity
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