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Immunology
random questions for first week immuno
51
Medical
Professional
01/31/2010

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Cards

Term
There are two main types of CD4 cells, what are their designations and functions?
Definition

TH1- activate tissue macrophage

 

TH2- stimulate B cells to make antibodies

Term

What structural domains make up the MHC I and MHC II molecules respectively.

 

Where do CD8 and CD4 bind?

Definition

MHC ClassI: α1,α2 and α3 and β-2 microglobulin

MHC Class II: α1 α2 and β1 and β2

 

CD8- α3 on MHC Class I

CD4-β2 on MHC Class II

Term

 

What are the professional antigen presenting cells and what do they express on their surface?

 

Definition

Cells that express MHC Class II molecules are professional antigen presenting cells. They alert T-cells to the presence of extracellular infections.

  • B cells
  • Macrophages
  • dendritic cells
  • epithelial cells of thymus
What cells types don't express any MHC? 
rbcs and neurons

Term
What facilitates the release of CLIP from MHC Class II and allows peptide to bind. 
Definition
HLA-DM
Term
After the proteosome breaks down viral proteins, how are the peptide particles are transported out of the cytosol into the ER.
Definition
TAP protein
Term
What chaperone proteins would be required to translocate newly synthesized MHC class I
Definition

Calnexin: retains partly folded heavy chain in ER lumen 

calreticulin: similar to calnexin 

tapasin: binds to TAP-1 subunit and positions the partly folded MHC molecule

Term
What are the costimulatory molecules involved in MHC:TCR binding.
Definition
ICAM, LFA, B7-1
Term
What is the epitope?
Definition
portion of an antigenic molecule bound by an antibody or T cell receptor
Term
What is ADCC?
Definition
antibody dependent cell-mediated cytotoxicity- antibody bound to an an antigen binds to NBK cell via FcR to trigger lysis of antibody target
Term
What makes up the B cell receptor?
Definition
immunoglobulin and two other transmembrane proteins Igα and Igβ
Term
What is IgE involved in?
Definition
Allergic reactions by activating mast cells present in the epithelial tissue.
Term
During heavy chain somatic recombination, what two gene segments combine first?
Definition
D and J. Subsequently VDJ join together.
Term
What are the different gene segments in the immunoglobulin heavy locus gene?
Definition

1. Leader peptide

2. V region

3. D region

4. J region

5. C region

Term
In the somatic recombination of the heavy chain of the immunoglobulin gene, why can the VH and JH gene segments be joined directly?
Definition
Because they are flanked by the same RSS sequence i.e. the 12-23 rule
Term
What are the proteins that bind the RSS called?
Definition
RAG-1 and Rag-2
Term
What 3 processes generate antibody diversity?
Definition

1. somatic recombination

2. somatic hypermutation

3. isotype switching or class switch recombination

Term
What kinds of nucleotides are randomly added into the coding joint between gene segments during somatic recombination? How are they added in?
Definition

P-nucleotides: cleavage of the DNA hairpin left by V(D)J recombinase by hairpin endonuclease at a random site yields nucleotides that were originally complementary in the double stranded DNA

 

N-nucleotides: enzyme terminal deoxynucleotidyl transferase adds nucleotides at random ends to the ssDNA ends.

Term
What is allelic exclusion?
Definition
The process of immunoglobulin gene rearrangement is tightly controlled so that only one heavy chain and one light chain is finally expressed.
Term
What is somatic hypermutation and when does it occur?
Definition
somatic hypermutation is the introduction of point mutations at a high rate in the V regions of heavy and light chain genes. It occurs after a B cell has been activated by antigen and occurs in the germinal centers of lymph nodes and spleen.
Term
What is the difference between the generation of B-cell immunoglobulin diversity and T cell receptor diversity?
Definition

1. after stimulation of receptor, the genes encoding the TCR do not continue to diversify i.e. somatic hypermutation does not occur

 

2. the constant region in the T-cell receptor is less variable. only 1 C alpha and 2 C beta genes.

Term
In the context of immunoglobulin generation, what is one cause of SCID i.e. Omenn syndrome?
Definition
mutations in the RAG genes
Term
What cause the condition that results in B cells that can not undergo somatic hypermutation and affinity maturation?
Definition
Activation induced cytidine deaminase (AID) deficiency
Term
What is affinity maturation?
Definition
Process of mutation and selection continue in the germinal center so that over time the antigen binding efficiency is vastly improved
Term
What is the first antibody produced in a B cell?
Definition
IgM
Term

What part of the immunoglobulin would be

1. isotypic

2. idiotypic?

Definition

1. constant region

2. variable region

Term
What stage of B cell development is the μ chain made? What is it expressed with?
Definition
large pre-B cell stage, it is expressed with surrogate light chain
Term
What stage of B cell development does H-chain D-J rearrangment occur?
Definition
early pro-B cell
Term
During what stage of B-cell development are the RAG genes temporarily turned off?
Definition
large pre-B cell when the μ heavy chain is expressed on the surface with surrogate chain
Term
What is the etiology for X-linked agammaglobulinemia?
Definition
The lack of functional B-cell tyrosine kinase (Btk). B cells arrest in the pre B cell stage.
Term
What is receptor editing?
Definition
When an immature B cell expresses IgM that cross links to self antigen, it receives signals to arrest development. The about of B cell receptor is reduced and RAG activity is increased to give the B cell an opportunity to continue rearranged the light chain genes.
Term
Clonal detection and clonal anergy prevent autoimmunity. How do these processes work?
Definition

clonal detection: the apoptosis of B cells that make self recognizing antibodies after receptor editing fails

 

clonal anergy: if surface IgM of an immature B cell binds to a soluble self antigen, it is inactivated but does not die. Most of the IgM is retained on the inside of the cell and IgD is expressed on the cell surface

Term
What are B-1 cells?
Definition
A subset of B cells that arise early in development and precede the development of "normal" B cells. B-1 cells express CD5 and no surface IgD. They may be important in rapid spontaneous production of Ig against carbohydrate antigens on microbes.
Term

What chemokines attract immature B cells to HEV and then subsequently into the lymph node.

 

 

What is the receptor that is expressed on immature B cells that are complementary to CCL21?

Definition

CCL21 attracts immature B cells to HEV. CXCL13 chemokine is released by follicular dendritic cell that attracts immature B cells to the primary follicle.

 

CCR7 is the receptor expressed on the immature B cells for CCL21.

Term
Where in the lymph nodes do B cells encounter specific antigen?
Definition
T cell areas, here they are activated by antigen specific C4 helper T cells. 
Term
What are the two types of B cells that result after T cell activation? 
Definition

1. plasma cells that secrete antibody. These cease to divide, have a limited life span and no longer responsive to antigen and interaction with T cells

 

2.Memory B cells: Other activated B cells migrate to nearby primary follicle which change morphology to become secondary lymphoid tissue containing a germinal center. They become large proliferated lymphoblasts called centroblasts which mature into centrocytes. These undergo somatic hypermutation and isotype switching. Cells that survive affinity maturation become plasma cells or quiescent memory B cells possessing high affinity isotype switching receptors.

Term
What proteins communicate the interaction of the B cell receptor to the interior of the cell?
Definition
Igα and Igβ (they are attached to immunoreceptor tyrosine based activation motifs or ITAMs).
Term
What three things are necessary for B cell activation?
Definition

1. crosslinking of antigen with the B cell receptor.

2. ligation of B cell coreceptors:CD2, CD19, CD81

3. help form CD4+ T cells that respond to the same antigen (cognate interaction). However there are T cell independent antigens that can stimulate antibody production. What are the properties of TI antigens?

 

a. large polymeric molecules with anitgenic determinants: bacterial products, lipopolysaccharide, dextran

b. TI primary antibody responses are weak and IgM

c. no affinity maturation

Term
What syndrome is seen in patients with at a mutation in CD40L ?
Definition
Hyper IgM syndrome because CD40:CD40L interactions are necessary for isotype switching
Term
What cytokines induce B cells to become plasma cells?
Definition
IL5 and IL6
Term
What CD marker do uncommitted progenitor T cells express on their surface?
Definition
CD34
Term
What cytokine activates uncomitted progenitor to become CD2 double-negative T-cell progenitor ?
Definition
Il-7 
Term
What do γ:δ T cells do?
Definition
function similar to innate immune response in that they traffic to sites of inflammation. they are a bridge between the innate and adaptive immune response
Term
At what point does a thymocyte start to express CD4 and CD8?
Definition
After the first round of proliferation and β chain rearrangement
Term
α:β T cells undergo positive selection. Describe this process and where does it occur?
Definition

Cortical epithelial cells express self-peptides on their surface to double positive thymocytes. If TCR can not bind the MHC/peptide complex no survival signal is sent, the thymocyte dies.

 

If TCR can bind the MHC:peptide, the T cell lives

 

Positive selection also down regulates either CD4 or CD8 depending on whether the TCR interaction with the peptide occurred in the context of MHC class I or class II resulting in single positive T cells.

Term
A cortical epithelial cell expresses a MHC class I molecule with self peptide bound. When a double positive thymocyte binds, is CD8 or CD4 downregulated in the thymocyte?
Definition
CD4
Term

Where does negative selection occur in self reactive T cells?

 

What cells mediate the negative selection?

Definition

In the corticomedullary region of the thymus.

 

dendritic cells and macrophages.

Term
If T cells only undergo negative selection in the thymus, why are they not self reactive to cells in other tissues?
Definition

Autoimmune regulator (aire) is expressed in the thymus which is a transcription factor that promotes the expression of many different genes in the thymus at low levels. What condition results from a mutation in the aire gene?

 

Autoimmune polyendocrinopathy candidiasis-ectodermal dystrophy

Term
A patient receives a bone marrow transplant. Unfortunately delivery of the donor bone marrow infusion is mixed up. The donor and the recipient do not share any HLA allotypes. Explain why the patient will not be able to develop an adaptive immune response.
Definition
The donor derived thymocytes are selected on recipient HLA allotypes. In contrast the antigen presenting cells will be presenting antigens with donor derived HLA allotypes. When antigen is presented by the APCs, there are no T-cells that are able to respond to those HLA allotypes.
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