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Monocytes, macrophages DCs Langerhans B cells |
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What happens if an APC encounters a foreign Ag? |
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Phagocytosis, process APC MHCII presents the processed Ag to Th0 Th0 CD3 aids in intracellular signal transduction to activate the Th0 cell Th0's TCR binds to this MHCII/Ag complex |
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Activating Th2, B-cells, plasma cells |
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IL 2: T-cell proliferation and inc. production of IL 2 |
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IFN-gamma and TNF-beta's function is... |
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Activating macrophages, CTLs, and NK cells |
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Macrophages, CTLs, and NK cells provide cellular immunity by directly... |
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Definition
Attacking and destroying bacteria, virus-infected cells, and tumor cells |
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IL 2 IL 4 IL 5 IL 6 IL 10 All stim. B-cell proliferation |
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Th2 cells aid in which kind of immunity? |
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Describe the sequence of steps in allograft rejection |
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1. Interstitial DCs w/ foreign MHCII in transplanted tissue 2. Foreign MHCII directly stimulate recipient Th0s 3. Th1s secrete IFN-gamma and TNF-beta, which inc. expression of endothelium adhesion molecules = easier for leukocytes to invade the graft 4. IFN-gamma induces graft cells to express MHCII, which provides more Ab "targets" and inc. stimulation of recipient's immune system 5. Anti-donorMHCII-Ab activate complement, inflamm, plt activation, hemorrhage, thrombosis |
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Prednisone and (active metabolite) prednisolone: leukocytopenia |
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Definition
1. Lymphocytopenia 2. Dec. monocytes 3. Dec. eosinophils and basophils 4. Inc. neutrophils b/c BM releases more and they marginate less |
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Prednisone/prednisolone: general effects |
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Definition
1. Leukocytopenia 2. Interference w/ macrophage fxn 3. Interference w/ T-cell fxn 4. Interference w/ IL synthesis |
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Prednisone/prednisolone: lymphoid tissue |
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Definition
Dec. in lymph nodes and spleen |
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Prednisone/prednisolone: IL synthesis |
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Definition
Blocks: IL 1,2,4,6 IFN-gamma TNF-beta |
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Prednisone/prednisolone: random other stuff it does |
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Dec. activation of Th1 Dec. the inc. MHCII and adhesion molecule expression on the graft |
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Definition
Binds to cytoplasmic cyclophilin Cyclosporine-philin complex inhibits calcineurin Can't dephosphorylate nuclear factor of activated T cells (NFATC) NFATC can't travel to nucleus and activate genes for IL 2, IL 2R, IFN-gamma, TNF-beta |
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Cyclosporine: random other stuff it does |
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Definition
Prevents B-cell proliferation |
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Binds to cytosolic protein FKBP in Th cells Tacrolimus-FKBP complex inhibits calcineurin Can't dephosphorylate nuclear factor of activated T cells (NFATC) NFATC can't travel to nucleus and activate genes for IL 2, IL 2R, IFN-gamma, TNF-beta |
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Inhibits inosine monophosphate dehydrogenase in lymphocytes Can't synthesize guanine de novo Lymphocytes don't have an alternative pathway (like HGRPT) to make guanine |
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Anti-CD3-Ab Blocks TCR binding to MHCII-Ag complex Th, CTL fxns blocked No production of ILs and TCR endocytoses Anergy and removed from circulation by RE system |
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