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Immunology Exam 2, Part 3
Cell vs Antibody Mediated Immunity; TCR
45
Immunology
Professional
02/21/2012

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Term
Give an example of molecular antigens that would be fought by antibody-mediated immunity
Definition
Toxins, allergens
Term
Give an example of extracellular infections that would be fought by antibody-mediated immunity
Definition
Common pyogenic bacteria
Term
Give an example of an extracellular phase of intracellular infection that would be fought by antibody-mediated immunity
Definition
Viremia
Term
Give an example of a cellular antigen that would be fought by antibody-mediated immunity
Definition
Transfusion reaction

(cellular antigens are rare for antibody-mediated immunity)
Term
Which type of immunity (antibody or cell mediated) would affect toxins, antigens, or extracellular infections?
Definition
Antibody-mediated immunity
Term
Which type of immunity (antibody or cell mediated) would affect intracellular or cellular infections?
Definition
Cell-mediated immunity
Term
Give an example of a molecular antigen that would be fought by cell-mediated immunity
Definition
Contact dermatitis

(Cell-mediated immunity rarely fights molecular antigens)
Term
Give an example of a faculative intraceullar infection that would be fought by cell-mediated immunity
Definition
Mycobacteria, fungi
Term
Give an example of a obligate intracellular that would be fought by cell-mediated immunity
Definition
Rickettsia, chlamydia, viruses
Term
Give an example of a cellular antigen that would be fought by cell-mediated immunity
Definition
Transplants, tumors, virus-infected cells
Term
Which immune defense specifically is an issue for organ transplants?
Definition
T cell mediated immunity
Term
What is the difference between the immunogens B-cells recognize and the immunogens T-cells recognize?
Definition
B cells bind complete immunogen molecules

T cells bind metabolized immunogen fragments with MHC molecules
Term
What five things do T-cell responses and B-cell responses have in common?
Definition
1.They are both specific yet heterogenous
2. They follow the same time course
3. Both require helper T cells
4. Both have primary and secondary responses
5. Both have memory
Term
What does it mean when we say an immune response is heterogenous?
Definition
Multiple antibodies attack an invader (polyclonal response)
Term
Are T cell receptors considered immunoglobulins?
Definition
No, because they are an effector anchored to the T-cell membrane.

However, they are analogous in structure and genetics to B-cell receptors
Term
Immunoglobulins are the major products of B cells. What are the major products of T cells?
Definition
Cytokines (aka lymphokines)
Term
Define cytokine
Definition
Effector proteins that T-cell produces in response to an infection.

Cytokines are not specific for an antigen, but the T-cell itself is specific.
Term
What do CD4+ T-cells recognize?
Definition
Processed immunogens complexed with Class II MHC
Term
What do CD8+ T-cells recognize?
Definition
Processed immunogens complexed with Class I MHC
Term
Define CD3
Definition
A 6 molecule complex closely associated with the TCR

Involved in signal transduction
Term
What do all T cells have on their surface?
Definition
TCR and CD3
Term
What percentage of T cells express CD4? What percentage express CD8?
Definition
CD4- 65%
CD8- 35%
Term
What does "CD" stand for?

(CD as in CD3, CD4, CD8)
Definition
Cluster of differentiation

Used to designate a variety of proteins on the surface of cells
Term
Is MUROMONAM-CD3, the monoclonal antibody specific for CD3, a specific immunosupressive antibody?
Definition
No. Monoclonal antibodies are very specific, but CD3 is present on all T cells.

Therefore, it makes sense that MUROMONAM-CD3 would be used to manage acute renal allograft rejection.
Term
List the cells in the order that they evolve in T-cell development
Definition
1. Stem cell
2. Double negative thymocyte
3. Double positive thymocyte
4. Mature (single positive) CD4 or CD8 T cell
Term
Define double negative thymocyte.

Where in the body would you see one?
Definition
A developing T-cell that has only TCR or CD3 (and lacks both CD4 and CD8)

Only present in the thymus
Term
Define double positive thymocyte.

Where in the body would you see one?
Definition
A developing T cell that has both CD4 and CD8

Should be only present in the thymus. Presence outside of thymus indicates pathology.
Term
Describe the two processes a double positive thymocyte undergoes to become a mature T cell
Definition
1. Positive selection- promotes thymocytes whose TCRs recognize self-MHC

2. Negative selection- deletes the thymocytes whose TCRs recognize self-proteins
Term
Can non-immune cells be antigen presenting cells?
Definition
Yes, they can be. All nucleated cells express MHC Class I. So, strictly speaking any nucleated cell can be an Antigen Presenting Cell.
Term
Describe the structure of a TCR
Definition
Disulfide-linked heterodimer anchored by transmembrane segments:
α-Chain — MW ~ 45,000 + β — MW~ 55,000

[Analogous to Ig Fab]
Term
Do TCRs undergo somatic hypermutation?
Definition
No. The diversity of TCR is the same for Ig up until Ag is encountered, it doesn't diversify afterward.
Term
How many V/D/J/C regions are there in a TCR α-chain?
Definition
100 V
50J
1C
Term
How many V/D/J/C regions are there in a TCR β-chain?
Definition
20-30 V
2D
13 J
1 C
Term
Do TCRs have effector functions like Igs?
Definition
No.

TCRs activate the T cell to release cytokines.
Term
Define γδ T cell receptors
Definition
The "other" T cell receptor that doesn't need MHC to produce cytokines (especially for tumor cells)

May be a relative of NK cells

May play a role in food tolerance
Term
Where are γδ T cell receptors found?
Definition
Mostly in intraepithelial spaces, not really in peripheral blood
Term
What sort of ligands do γδ T cell receptors recognize?
Definition
Not short peptides like regular TCRs

They recognize small bacterial phosphoantigens
Term
What is the true purpose of a CD4/CD8 protein?
Definition
To stabilize the reaction of a TCR and an MHC
Term
What 2 proteins act as a co-stimulating fail-safe mechanism for a T cell?
Definition
CD28 on naïve T cell
and
B7 on dendritic cell
Term
Define anergy
Definition
Rendering a T-cell inactive
Term
What happens if CD4 and MHCII bind but B7+CD8 do not?
Definition
The T-cell is rendered anergic to prevent autoimmunity
Term
Define superantigens
Definition
Certain bacterial toxins and retroviral proteins that can bind to both MHC class II molecules and TCR β-Chains without antigen processing
Term
Where do superantigens bind?
Definition
Outside the peptide-binding groove of the MHC and outside of the TCR binding site to the Vβ segment
Term
How many T-cells can superantigens active?
Definition
Since superantigens recognize only Vβ segments (20-30 known), they may activate 1-10% of the T Cells compared to perhaps 1:10,000-100,000 that are activated by an antigen.

This is still quite a lot of T cells, enough to cause shock
Term
What pathology can superantigens cause?
Definition
First profound immunostimulation, then profound immunosuppresion

Massive T Cell activation and the resulting cytokine release contributes to the pathology of several conditions such as the toxic shock syndrome induced by some strains of Staph. aureus.

Sometimes they can induce apoptosis
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