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Flashcards

How does the immune system recognise pathogens?

Anna Hogarth Fudamentals of Medicine Inglês 43 flashcards

Flashcards do conjunto (43)

  1. 1Define an anitgenAnything that binds to a specific receptor on an immune cell
  2. 2Define immunogenAnything that elicits an immune response - most, but not all, antigen are immunogens
  3. 3Define epitopeThe portion of an antigen that is recognised and bound by a receptor on an immune cell
  4. 4What does binding of an antigen to an immune cell result in?Initiates a signalling cascade which results in gene transcription and the production of effector molecules (such as antibodies/cytokines)
  5. 5What is the receptor class on innate immune cells called? What do they recognise?1) Pattern recognition receptors (PRR)
    2) Pathogen associated molecular patterns (PAMPs)
  6. 6In what way is the innate immune system limited?Only recognise a few specific antigens, limited number of receptors
  7. 7How many TLRs do mice have?13
  8. 8What were Bruce Beutler & Jules Hoffman awarded a Nobel prize for and when?Nobel prize in physiology or medicine in 2011 for the work in the drosophila fly. Determined that recognition of lipopolysaccharide by TLR-4 drive toxic shock.
  9. 9How many B/T cells recognise a given antigen (prior to clonal expansion)?1/1000
  10. 10What do epitopes recognised by B cells tend to be?Conformational - shapes formed by protein folded
  11. 11Describe the structure of a typical antibody?Constant region - made up of two heavy chains
    Four light chains joined by disulphide bonds, variable region
  12. 12What does the constant region determine?The function of the antibody
  13. 13What does the variable region?Antigen recognition
  14. 14What is a secondary immune response? Why can it be clinically useful?If it is the second time a pathogen is recognised IgG levels are high. if IgM levels are also high then this suggests that it is a primary immune response and this is the first time the antigen has been encountered and it was recently - If only IgG is high this suggests that this is not the first time the antigen has been encountered.
  15. 15How is B cell diversity generated?Somatic recombination - random mixing of variable, diversity and joining regions. Then combined with a light chain.
  16. 16How many variable segments are there? Diversity? Joining?1) 40
    2) 25
    3) 6
  17. 17When does somatic recombination occur?Before transcription
  18. 18What do T cells recognise?Linear peptide antigens
  19. 19How do APCs present to T cells?Via the major histocompatibility complex
  20. 20Describe the structure of a T cell receptorA and B chain (both are glycoproteins) joined by a disulfide bond. Each chain has a variable and a constant region. There is then a small stalk segment, a transmembrane region, and a cytoplasmic tail - signal is transmitted further by internal signaling
  21. 21What does CD stand for (as in CD4/8 cells)?Cluster of differentiation
  22. 22Where do T cells begin to express TCRs?During development in the thymus
  23. 23What leads to immunosuppressive syndrome in HIV (if untreated)?Loss of CD4 T cells
  24. 24On which chromosomes are the a and B chain locus?a chain - chromosome 14
    B chain - chromosome 17
  25. 25Which is the most potent APC?Dendritic cells
  26. 26Why was the MHC named so?These are the genes which had a major effect on whether tissue was compatible between two individuals
  27. 27What is the HLA? What is the equivalent in mice?1) Human leukocyte antigen
    2) H-2
  28. 28What are the two types of MHC? Where are they expressed? What is the significance of this?1) MHC class I - all cells
    2) MHC class II - APC only
    3) MHC I presents antigen to cytotoxic T cells (CD8+ - so all cell type can be targeted when infected) while MHC II present to helper T cells (CD4+)
  29. 29Describe the binding of peptides to MHC molecules'Promiscuous' - binds a range of peptides (family of) that can be accommodated, maximises the likelihood of responding to a pathogen
  30. 30What two properties to MHC have which help ensure that the maximum number of peptides can be presented?Polygenic and polymorphic
  31. 31Where is the human MHC/HLA loci?Chromsome 6
  32. 32What are the different MHC class II regions and the potential gene products?1) DP/DQ/DR
    2) a and B gene so there is therefore a different possible combination of each.
  33. 33What are the regions of MHC class I? What are the gene products?1) B, C, A
    2) HLA-B; HLA-C; HLA-S
  34. 34What does genetic polymorphism/multiple alleles lead create a barrier to?Organ transplantation
  35. 35Describe the distribution of MHC molecules in the population?Very heterozygous, 100s of variation in the population due to diversity of paternal inheritence
  36. 36How many different possible MHC class II could a single individual express? MHC class I?1) 12 - inherit a DRa/B etc. from mother and father so several possible combinations
    2) 6 different possible MHC-class alleles can be inherited
  37. 37What is the incidence of coeliac disease in the caucasian population? What is coeliac disease?1) 1:200
    2) Chronic inflammation of the small intestine due to an inappropriate immune response to gluten
  38. 38What is the immunology behind coeliac disease?Only occurs in people carrying particular MHC class II molecules (HLA-DQ2 or HLA-DQ8; necessary but not sufficient) - only these MHC molecules can present gliadin peptides (in gluten) to T cells to cause disease.
  39. 39Which of the MHC class II receptors which contributes to coeliac disease is particularly common?HLA-DQ2
  40. 40What else contributes to coeliac disease and how? How is this exploited clinically?Tissue transglutaminase - tTG, can modify gliadin so that it binds even more strongly to TCR/MHC class II
  41. 41How does the immune system try to prevent self-recognition?Peripheral and central sensitisation - immunological tolerance
  42. 42What is central tolerance?As T cells develop in the thymus (and B cells in the bone marrow) their receptors are tested for reactivity to self antigens - If self recognition is too strong the lymphocytes are killed
  43. 43What is peripheral tolerance?Self-reactive lymphocytes which escape deletion during development can be controlled in the peripheral (eg by regulatory T cells - Treg)

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Dr. A Stagg 31.10.17
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Anna Hogarth
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