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Immunology Block 3 Year 1
immuno hell
175
Immunology
Professional
09/19/2013

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Cards

Term
How to interpret a blood typing immunoassay
Definition
if it agglutinates in the anti serum it is that blood type.
Term
detection immunoassay is tagged with an enzyme that cleaves a colorless substrate to yield a colored product. Colored product= positive reaction
Definition
Enzyme immmunoassay
Term
example of an enzyme immunoassay test
Definition
home pregnancy test

initial screen for HIV
Term
which immunoassay uses a sandwhich configuration
Definition
enzyme immunoassay
Term
HIV western blot antigens
Definition
GP160/120

GP41

P24
Term
How long is the incubation period for HIV
Definition
22 days
Term
What test is often used for HIV
Definition
Western blot
Term
results for HIV western blot
Definition
positive= 2 antigens
indeterminate= 1 antigen
negative= no antigens
Term
If HIV EIA is positive....
Definition
retest to confirm.

If negative- patient clean
If postiive- confirm with western blot of IFA
Term
what are the best specimens for HIV western blot
Definition
plasma, whole blood, serum
Term
immunoassay for congenital infections
Definition
ELISA-enayme linked immunoabsorbent assay
Term
this immuno assay is done with a solid phase on a microtiter plate so that color formation is in fluid. read with a spectrophotometer.
Definition
ELISA
Term
darkest color has more antibodies, higher spectrophotometer
Definition
ELISA
Term
Determining a titer
Definition
inverse of most dilute concentration that yields a positive result.
Term
high WBC
indicates infection, inflammation, tissue trauma
leukemia
Definition
leukocytosis
Term
low WBC
bone marrow failure
Definition
leukopenia
Term
Leukocytosis of Tcell, Bcell, NKs
indicates acute viral infection
Definition
lymphocytosis
Term
leukocytosis of PMN
indicaties acute bacterial infections
left shift due to increased bands/stabs
Definition
neutrophilia
Term
leukopenia for neutrophils which comprise most of your WBC
Definition
neutropenia
Term
deficiency in C1INH
Definition
Hereditary Angioedema
Term
disrupts C1qrs complex at beginning of Classic complement pathway.
Definition
Hereditary Angioedema
Term
Disrupts MASP
Definition
Hereditary Angioedema
Term
Disrupts C3bBb before it becomes C3 convertase in alternate complement pathway
Definition
Hereditary Angioedem
Term
deficiency in C1INH
disrupts C1qrs complex at beginning of Classic complement pathway.
Disrupts MASP
Disrupts C3bBb before it becomes C3 convertase in alternate complement pathway
Definition
blocks the complement pathway

which lysis the gram negative bacteria
Term
RBC lysed for dark urine in the morning
Definition
Paroxysmal Nocturnal Hemoglobinuria
Term
DAF- defective GPI anchors

blocks C4 from phosphorylating so no complement pathway
Definition
Paroxysmal Nocturnal Hemoglobinuria
Term
weakness
headaches
eye pain
splenomegaly
thrombocytopenia
Definition
Paroxysmal Nocturnal Hemoglobinuria
Term
pateint susceptible to encapsulated bacteria

often streptococcus pneumonia
Flu
Neisseria
Definition
C3 deficiency
Term
cannot produce MAC which lyses Gram negative bacteria
Definition
C5-C9
Term
susceptible to infections
common in babies with no passive immunity
Definition
MBL deficiency

MBL is similar to C1q
Term
caused by AIRE defect

AIRE- autoimmune regulatory effect
Definition
AI polyendrocrine syndrome
Term
recognizes self, and keeps you from killing own cells
Definition
AIRE
Term
destroys self cells (autoreactive T cells cant be deleted)
Definition
AI polyendrocrine syndrome
Term
symptoms; hypoparathyroidism, adrenal insufficiency, thyroiditis, type ! diabetes, ovarian failure
Definition
AI polyendrocrine syndrome
Term
Defective phagocyte NADPH oxidase
Definition
chronic granulomatous disease
Term
presents by age 2
repeated bacterial/fungal infection
Definition
chronic granulomatous disease
Term
part of the respiratory burst, breaks down particles once they are phagocytized
Definition
NADPH oxidase
Term
symptoms
granulomas, lymph node infection. abcesses in skin, liver, viscera
Definition
chronic granulomatous disease
Term
Chromosome 22q11.2 deletion
undeveloped throid paracortex
Definition
DiGeorge syndrome
Term
highly susceptible to viral infections due to few no T cells
Definition
DiGeorge syndrome
Term
B cells cannot class switch to other antibody types.

TH2 CD40 ligand defect
Definition
Hyper IgM syndrome
Term
defends skin and mucous membranes immunoglobulin
Definition
IgA
Term
blood products can cause anaphylaxis because of this immunoglobulin
Definition
IgA
Term
lack of immuno causes susceptibility to infections
Definition
IgA
Term
K light chain gene expression problem
Definition
Severe Combined Immunodeficiency (SCID)
Term
Deficiency in RAG 1 and 2 proteinds
Definition
SCID
Term
cannot make functions Antibodies or TCR molecules
Definition
SCID
Term
Erythroblastosis fetalis
Definition
Rh- mother with Rh+ fetus during first baby is OK
2nd time, Rh+ fetus is attacks by anti-RH antibodies produced in mom during first pregnancy.
Term
test evaluates BABYs RBCs for bound mother's anti RH IgG
Definition
Direct coombs test
Term
tests mothers serum for circulating anti RH IgG
Definition
Indirect coombs test
Term
No CD18
prevents all cells leaving blood stream to the tissue
Definition
Luekocyte Adhesion Deficiency
Term
no LFA-1 because of...
Definition
CD18
Term
leukocytosis, especially neutrophila

leads to chronic bacterial infections in the mouth and GIT
Definition
Leukocyte Adhesion Deficiency
Term
No pus and impaired wound healing
Definition
Leukocyte Adhesion Deficiency
Term
No sialy Lewis X
Definition
Leukocytes Adhesion Deficiency
Term
what can reverse anemia
Definition
Erythropoietin (EPO)
Term
G-CSF...
Definition
Filgrastim
Term
GM-CSF...
Definition
Sargramostim
Term
what helps with recovery of bone marrow
Definition
Filgrastim an Sargramostim
Term
Il-11
Definition
Oprelvekin
Term
what can reverse thrombocytopenia
Definition
Oprelvekin
Thrombopoietn (TPO)
Term
T cell subsets
Definition
Tc Th Treg
Term
Class 2 MHC activated by
Definition
CD4 and TH
Term
Th subsets
Definition
TH1, TH2, TH17
Term
produces IFN gamma
Definition
TH1
Term
what does IFN do
Definition
activates macrophages
Term
secretes IL2
Definition
TH1
Term
what does IL2 do
Definition
proliferation/ activation of Tc and NK
Term
secretes TNF beta
Definition
Th1
Term
TNF beta does...
Definition
attacks tumors, activates PMN, and promotes wound healing
Term
what T cell helps with CMI
Definition
TH1
Term
what T cell helps with helminthes/allergens
Definition
Th2
Term
secretes IL4 and IL3
Definition
Th2
Term
promotes class switch to IgE
Definition
Il4 and IL3
Term
secretes IL5
Definition
Th2
Term
class switch to IgA

eosinophil activation
Definition
Il5
Term
what T cell helps with fungi and bacteria
Definition
Th17
Term
what secretes IL17
Definition
Th17
Term
stimulates antimicrobial production by neutrophil and epithelium
Definition
IL17
Term
works with what T cell

CD3 CD4 CD25
Definition
Treg
Term
works with what T cell

CD3 and CD8
Definition
Tc
Term
works with what Tcell

CD3 and CD4
Definition
Th
Term
what does Rag1 and Rag 2 do...
Definition
they allow VDJ recombination, so no antibodies produced
Term
what MHC does CD4 and Treg
Definition
Class 2
Term
prevents Autoimmune reactions (tcell)
Definition
Treg
Term
secretes IL10
Definition
Treg
Term
inhibits TH1 and macrophages
Definition
IL10
Term
secretes TNF Beta
Definition
Treg
Term
what uses class 1 MHC
Definition
CD8 and and TC
Term
cytoxic killers of infected hosts
Definition
Tc
Term
half life of 23 days (longest)
Definition
IgG
Term
complement activation
Definition
IgG and IgA
Term
Opsonization
Definition
IgG
Term
ADCC (antidependent cell mediated cytotoxicity) with CD16 bearing NK cells
Definition
IgG
Term
crosses placenta
Definition
IgG
Term
major isotype in secondary immune
Definition
IgG
Term
can be elevated due to previous vaccination or infection
Definition
IgG
Term
primary Antibody responder
Definition
IgM
Term
10% of serum
Definition
IgM
Term
best agglutinator - valence 10
Definition
IgM
Term
elevate levels indicate acute infection
Definition
IgM
Term
only antibodies made by the fetus
Definition
IgM
Term
causes agglutination in ABO blood typing
Definition
IgM
Term
valence of 4
Definition
IgA
Term
found in seromucous secretions
Definition
IgA2
Term
protects GI/respiratory tract
Definition
IgA
Term
has a J chain
Definition
IgA
Term
secretory component protects from proteases
Definition
IgA
Term
poor agglutinator
Definition
IgE
Term
trace serum
Definition
IgE
Term
binds cells with FcER
Definition
IgE
Term
light chain Episilon receptor
Definition
FcER
Term
causes degranulation of basophils, mast cells, eosinophils
Definition
IgE
Term
effective against worms and allergens (hypersensitivity)
Definition
IgE
Term
maturation marker
Definition
IgD
Term
coexpressed with IgM on mature but naive B cells
Definition
IgD
Term
B cell differentiate into plasma cell that secretes mostly IgM and low amounts of ....
Definition
IgD
Term
Primary lymphoid
Definition
bone marrow
Thymus
Term
B cells mature here
Definition
Bone marrow
Term
major site of hematopoiesis
Definition
Bone marrow in sternum vertebrae, iliac bones and ribs
Term
CD34 with Sca1
Definition
helps stem cells get ready for transplantation
Term
differentiation of stem cells by CSF and IL made by macrophages/stromal cells
Definition
in bone marrow
Term
T cells mature here
Definition
Thymus
Term
part of the Thymus with percursor T cells
Definition
Cortex
Term
part of the Thymus with mature T cells
Definition
Medulla
Term
site of negative selection of autoreactive t cells
Definition
Thymus medulla
Term
present const. expressed antigens to T cells
Definition
IDCs
Term
present nonthymic antigens
Definition
AIRE
Term
IDC stands for
Definition
dendritic cells that precent to Tc cells
Term
secondary lymph organs
Definition
Spleen, Lymph, MALT,
Term
handles blood borne antigens
Definition
spleen
Term
major site for antibody synthesis
Definition
spleen
Term
asplenic patients are susceptible ,,,
Definition
encapsulated bacteria
Term
red pulps recycles iron in the...
Definition
spleen
Term
PALS- periarterial lymphatic system in....pulp
Definition
white
Term
store and activate B and T cells
Definition
Lymph nodes
Term
produce antibodies
Definition
lymph
Term
part of the Lymph nodes with Bcells
Definition
cortex
Term
part of the lymph nodes with T cells
Definition
paracortex
Term
MALT stands for
Definition
mucosa associated lymphoid tissue
Term
50% lymph is
Definition
MALT
Term
mucous layers in the intestine that allow antigens into the tissue to be shown to the tcells
Definition
Peyers patch
Term
examples of MALT
Definition
tonsils, adenoids, appendix, lamina propria
Term
CD marker for the B lymphocytes
Definition
CD19 CD20 CD21
antibody secretion
Term
CD marker for all T lymphcytes
Definition
CD3
Term
CD marker for TH
Definition
CD3 and CD4
cytokine secretion
Term
CD marker for Tred
Definition
CD 3 CD4 CD25
prevent autoimmunity
Term
CD marker for Tc
Definition
CD3 Cd8
kills infected cells/tumors/grafts
Term
CD marker for NK
Definition
CD 16 CD56
kills infected cells tumors grafts
Term
differentiates lymphoid lineage
Definition
IL7
Term
TPO/IL11 has to do with
Definition
Platelets
Term
MHC= what in human
Definition
HLA
Term
HLA is encoded on what chromosome
Definition
6
Term
haplotype
Definition
combination of class 1 and 2 MHCs
Term
percentage of haplotype from parents
Definition
50%
Term
percentage of haplotype similar to siblings
Definition
25%
Term
what cells do this...
cytokine secretion
elimination of intracellular pathogens
prevention of AI
Definition
T cells
Term
cells that do this...
eliminate infected host cells
help with ADCC
Definition
NK
Term
cells that can...
long lived phagocytes and are APC
Definition
monocytes and macrophages
Term
stationary phagocytes
Definition
macrophages
Term
movable phagocytes
Definition
monocytes
Term
type of cells do this...phagocytosis, promote inflammation, short lived but fast responders
Definition
Neutrophils
Term
allergies and worms
Definition
eosinophils
Term
High affinity Fc receptors of IgE in what cells
Definition
basophils and mast cells
Term
best APC
Definition
dendritic cells
Term
gives rises to platelets
Definition
Megakaryocytes
Term
Innate immuno system
Definition
all but B and T cells
Term
adaptive
Definition
B and T
Term
Epstein Barr interferes with ...
Definition
Th1 maturation
Term
HIV kills...
Definition
CD4 and stops Th
Term
PAMPS means
Definition
pathogen associated molecular patterns
Term
PRR means....
Definition
pattern recognition receptors
Term
causes septic shock
Definition
TNF alpha
Term
potent endogenous pyrogen...
Definition
IL1
Term
pyrogen gives
Definition
fever
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