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Immunology Test 2
Test 2
94
Immunology
Graduate
02/27/2011

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Cards

Term
describe the stages of antigen-independant B lymphocyte differentiation in the bone marrow
Definition
stem cell>>>pro B>>>pre B>>>Immature B>>>mature B>>>exit bone marrow
Term
recombination of which genes in the light chain?
Definition
V J C
Term
recombination of which genes in the heavy chain of Abs?
Definition
V D J C
Term
which region of the antibody has additional point mutations
Definition
V regions
Term
if the B cell encounters its specific antigen in the periphery what happens?
Definition
proliferation and differentiation of the B cells and antibody production
Term
what is isotype switching?
Definition
IgM to IgG to IgE to IgA
Term
what is affinity maturation?
Definition
affinity of secondary response increases compared to first response
Term
what is the B cell receptors?
Definition
membrane immunoglobulin
Term
if a B cell encounters its specific antigen,what does it do for T cells?
Definition
B cell presents antigen to T cells
Term
how does a B cell act as an antigen-presenting cell?
Definition
B cell binds the antigen
receptor-mediated endocytosis
MHCII binds the antigen and presents it on the surface
Term
what happens after the B cell presents the antigen to a T cell?
Definition
T cell- B cell conjugate forms
T cell secretes cytokines
B cell becomes plasma cell and secretes antibodies
Term
What is the first signal of T cell activation?
Definition
MHCII/ag to TCR (T cell receptor)
Term
what is the second signal of T cell activation?
Definition
B 7 to CD28
Term
What does the MHCII+antigen (on B cell) attach to on the T cell?
Definition
T cell receptor/CD4
Term
what does B7 on B cell attach to on T cell?
Definition
CD28
Term
What does CD40 on B cell attach to on T cell?
Definition
CD40L
Term
Which cytokines do Th2 cells secrete?
Definition
IL-4, IL-5, IL-6
Term
Which cytokines to Th1 cells secrete?
Definition
IFN-gamma, IL-2
Term
Which cells regulate isotype switching?
Definition
T helper cells
Term
What is the site of B cell proliferation and affinity maturation?
Definition
Secondary Follicles Germinal Centers
Term
what happens if there is a mutation in the V region of the Ig that results in lower affinity for the antigen?
Definition
B cell receptor does not bind the antigen
the antigen is not presented
B cell dies
Term
2 types of extracellular pathogens
Definition
interstitial spaces, blood, lymph
epithelial surfaces
Term
2 types of intracellular pathogens
Definition
cytoplasmic and vesicular
Term
what kinds of organisms invade interstitial fluid, blood and lymph
Definition
viruses, bacteria, fungi, protozoa, worms
Term
what kinds of organisms invade epithelial surfaces
Definition
Neiserria gonorrea
candida albicans
worms
Term
what kinds of organisms invade cytoplasm?
Definition
viruses
chlamydia
protozoa
Term
what kinds of organisms invade vesicles?
Definition
mycobacterium
trypanosomes
cryptococcus neoforms
Term
what protects against interstitial spaces, blood, and lymph?
Definition
antibodies, complement, phagocytosis
Term
what protects epithelial surfaces
Definition
IgA antibodies, antimicrobial peptides
Term
what protects the cytoplasm?
Definition
cytotoxic T cells
NK cells
Term
what protects vesicles?
Definition
activated macrophages
Term
what is antigen clearance mediated by?
Definition
Fc receptors on phagocytic cells
Term
which antibodies inhibit attachment of toxins/microbes?
Definition
G A M
Term
which antibodies enhance phagocytosis?
Definition
G A
Term
which antibody mediates antibody-dependent cellular cytotoxicity
Definition
G
Term
which antibodies activate complement
Definition
M G
Term
which antibody de-granulates mast cells
Definition
E
Term
what is neutralization by antibodies?
Definition
when an antibody prevents bacterial adherance (physically blocks it)
Term
what is opsonization by antibodies?
Definition
antibodies promote phagocytosis
Term
what is complement activation by antibodies
Definition
antibody activates complement, which enhances opsonization, and lyses some bacteria
Term
what part of the immune system is important for large pathogens, ie worms
Definition
mast cells and eosinophils
Term
what do mast cells do?
Definition
produce and release histamine (vasodilation and smooth muscle contraction) causes flushing to expel pathogen for eosinophil to access it
Term
what do eosinophils do?
Definition
produce granules that contain major basic protein and cationic protein that are toxic to parasites
Term
what does it mean if you have high numbers of eosinophils?
Definition
infection of parasitic worms
Term
what is the first antibody to respond?
Definition
IgM
Term
how long is the primary response?
Definition
0-14 days
Term
how long is the secondary response?
Definition
5 days
Term
Describe IgG in first and second exposure
Definition
a lot more in second exposure
Term
Borrelia Burgdorferi
Definition
lyme disease-extra cellular
Term
streptococcus pyogenes
Definition
extracellular
Term
clostridium tetani
Definition
extracellular
Term
bacillus anthracis
Definition
extracellular
Term
influenza virus
Definition
extracellular
Term
helminth worms
Definition
extracellular
Term
mycobacterium TB
Definition
intracellular
Term
Salmonella
Definition
intracellular
Term
Shigella
Definition
intracellular
Term
measles
Definition
intracellular
Term
chicken pox
Definition
intracellular
Term
Leishmania
Definition
intracellular
Term
what kind of response is CD4+
Definition
intracellular
Term
what do CD4+ produce
Definition
IL-2 IFN-y
Term
what does IL-2 do and where does it come from
Definition
supports Th and CTL
CD4
Term
what does IFN-y do and where does it come from?
Definition

activates Mac, Mac kills pathogen

Th1

Term
What do CD8+ produce
Definition
IFN-y and TNF
Term
what does a cytotoxic T cell do?
Definition
kills infected host cell with perforins and granzymes
Term
describe granuloma formation
Definition
mechanism to contain bacteria by Macs and T Cells
Term
what do immune defenses for intracellular infections depend on?
Definition
CD4+ Th1 cells
Term
what determines which cytokines are produced during inate response?
Definition
the interaction between PAMP and PRR
Term
what cytokines do Th1 cells produce?
Definition
IL-2, IFN-y
Term
what cytokines to Th2 produce?
Definition
IL-4, IL-5, IL-10
Term
Th1: intracellular v extracellular?
2 pathogens?
Definition
Intracellular
bacteria, protozoa, viruses
Term
Th2 cells: intracellular or extracellular?
4 types of pathogens?
Definition
extracellular
bacteria, allergens, fungi,worms
Term
what are the 2 signals for activation of a naive T cell?
Definition
MHC-antigen: TCR
B7:CD28
Term
What is IL-2?
Definition
primary growth factor for T cell
Term
what happens during the lag phase?
Definition
B cells clone and differentiate into plasma cells
Term
which antibodies are associated with allergens?
Definition
M, E, G
Term
what is atopy?
Definition
genetic predisposition to develop hypersensitivity
Term
what is sensitization
Definition
initial exposure to allergen
Term
reaction time with pollen, allergen, bee sting:
Definition
2-30 minutes
Term
reaction time with drug reactions, serum sickness
Definition
2-8 hours
Term
reaction time for poison ivy and skin test
Definition
24-72 hours
Term
histamines
Definition
smooth muscle contraction, increases vascular permeability
Term
leukotrienes
Definition
induces vasodilation, broncoconstriction,
Term
prostaglandins
Definition
vasodilation and bronchoconstriction
Term
platelet activating factor
Definition
platelet aggregation and hypotension
Term
kininogenase
Definition
smooth muscle contraction, increased vascular permeability, induces pain
Term
what is wheal?
Definition
swelling
Term
examples of type 2 hypersensitivity reactions
Definition
blood transfusion reacions
erythroblastosis fetalis
reactions to certain drugs
Term
what does antibody do in a type II hypersensitivity reaction
Definition
antibody binds to cell
Term
what does antibody do in type III hypersensitivity
Definition
antibody/antigen complex floats around
Term
what is an arthus reaction?
Definition
immune complexes attacked by infiltrating neutrophils
Term
examples of type III hypersensitivies
Definition
insect bite, serum sickness, autoimmune disease (lupus, RA)
Term
examples of type IV hypersensitivities
Definition
poison oak/ivy, cosmetics, metals,
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