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MHC class I presents _____ peptides to _____, whereas MHC class II presents _____ peptides to _____.
endogenous, CD8+ T cells; exogenous, CD4+ helper T cells
Know the steps of T cell development in order.
1) T-cell precursors exit the bone marrow and traffic to the thymus
2) T-cell precursors travel to the outer thymic cortex where they proliferate
3) T cells begin to express their T-cell receptors
4) T cells undergo positive and negative selection
5) Mature T cells migrate to the thymic medulla before exiting the thymus
Know characteristics of gammadelta T cells.
First to arise during fetal development
Decline after birth
Common in tissues
Recognize unconventional antigens
Lipids, stress ligands, etc.
DO NOT exit thymus with ability to kill
What is clonal anergy?
A state of nonresponsiveness that helps to provide self-tolerance
What are APCs? Give examples.
Antigen presenting cells -> they alert adaptive immune system of a threat by expressing MHC 2
Dendritic cells
Macrophages
b-cells
not t-cells
What do strep pyrogenic exotoxins do? Why do physicians usually treat a positive streptococcal test in the presence of sore throat with antibiotics without hesitation?
Exotoxins cause rheumatic fever and shock
Cross-link MHC II to the TCR outside the peptide groove, causing polyclonal T cell activation
Then a cytokine storm leading to fever, toxic shock syndrome, and scarlet fever
What interleukin do stromal cells use to support B cells?
IL-7 (made by stromal cells in bone marrow to help develop B cells)
Stimulates progenitor cell survival, proliferation, and transcription
NOT IL-2 (survival and proliferation in T cell and B cell)
Put steps of B cell development in order.
STAGES: Pre pro B→ Early pro B → Late pro B→ Large pre B→Small pre B→ Immature B
STEPS: HSC →CLP →pro-B: heavy chain D-J then V-DJ rearrangement
Pre-B: mu heavy chain + surrogate light chain = pre-BCR; light chain rearranges
Immature B: surface IgM; central tolerance test
Transitional B → leaves marrow
Mature naive B
What happens if a BCR tests positive for reaction with self?
Receptor editing (rearrange light chain_
If that fails, apoptosis
What 2 things need to be transplanted for a lethally irradiated mouse to produce antibodies?
Bone marrow
Thymus transplants (antibodies)
What cells support long-lived plasma cells in the bone marrow?
Bone marrow stromal cells
Know functions of antibody isotypes.
IgM: first antibody produced in a primary response; pentavalent (not produced by mB cells)
IgD: naive B cell surface receptor with IgM; promotes basophil and mast cell release of AMPs
IgG: includes several subclasses, some of which are particularly good at complement fixation
IgA: found in secretions; effective at neutralizing toxins and pathogens
IgE: best known for roles in allergy, asthma, and parasitic worm infection
Know what perforin and FAS-FASL interactions do.
Forms pores in the target membrane so granzymes enter
Leads to caspase activation then apoptosis (mediator)
What do NK cells detect that CTLs don’t?
NK detects lack of MHC class I
CD8+ detects antigen in MHC class I receptors
What are the adaptive effector cells of cell-mediated immunity?
CD8+ CDLs (Tc cells)
CD4+ T helper subsets
What are the innate and adaptive cytotoxic effector cells?
Innate: NK cells
Adaptive: CTLs
What are effector functions of complement fixation?
Opsonization, inflammation/chemotaxis, lysis, immune complex clearance
What is the first antibody isotype produced in an immune response?
igM
What does IgA do for mucosal surfaces?
Neutralizes pathogens/toxins and blocks their attachments
Controls commensal populations
Forms dimer at mucosal surfaces
Which Fc receptor interacts with IgE (if you know Greek letters this is a gimme question)?
Epsilon ε
Know steps of CTL activation and function.
APC presentation to Th+CTL (cytotoxic lymphocyte)(helper cell)
Allows for activation of cell and circulates in activation state
Infected cell presents antigen in MHC class I
Immunological synapse formation
Perforin and granzymes are released (apoptosis) (FAS+FASL ligand interactions)
Does NOT involve histamine because it is different all together (MOST LIKELY GONNA INVOLVE THIS)
Know what cell could detect an intracellular infection inhibiting display of MHCs.
NK cells
What do celiac disease and ulcerative colitis have in common?
are inflammatory diseases that occur in the gut.
What does it mean that gut cells are “polarized”?
distinct apical and basolateral surfaces
Where are Peyer’s patches and isolated lymphoid follicles?
GALT
Peyer's patches: small intestine (mainly ileum)
Isolated lymphoid follicles: throughout the small and large intestine
What cell layer is found in the respiratory tract, not the GI?
a mucociliary layer
What cells compose a dead outer protective layer in the skin?
Keratinocytes --> corneocytes
AID converts cytosine into ______________.
Deoxyoridine (results in change in code when it gets repaired)
Where do long-lived plasma cells stay?
Bone marrow stromal cells
Know characteristics of B1-B and MZ-B cells
Self renewing in periphery
Harder to study
Dont need replacement from bone marrow
Respond to T-cell independent antigens
What is the effector molecule of adaptive humoral immunity?
antibody
What are the effector functions of humoral immunity, and what do the words and abbreviations mean?
Opsonization: enhances phagocytosis
Neutralization: inactivates and prevents binding
Complement fixation: lysis of pathogen by MAC formation
ADCC: NK cell induced apoptosis
Cell mediated cytotoxicity: recruit NK cells to trigger apoptosis
What is needed for a cell to extravasate at the HEV (general names of molecules and cells)?
Need chemokines to form concentration (depenant “trail”)
Need addressins and homing to get there properly
DO NOT need the dendritic cells because they are doing something different
What 2 things do PRRs on innate cells do?
PRRs coordinate killing of pathogens and recognize general patterns on the surface of a pathogen
Alert adaptive system there is an infection… macrophages alert dendritic cells
Recognize PAMPs and trigger signaling
At what function do APCs improve early in an infection?
APCs early get better at antigen presentation and later they go through apoptosis
Become more effective at antigen processing
What steps does an APC follow from taking up an antigen to presenting it?
Antigen uptake > antigen processing > APC migration to lymph nodes > antigen presentation
APCs present antigen in MHCs to _______ cells
CD4+ T-helper cells
How do antigens get transferred to FDCs?
CD169 macrophages to the antigen NON specific cells
Then to the follicular dendritic cells via complement receptors
Which cells are active early in a primary infection? Which only develop later?
Early: Innate cells (neutrophils, macrophages, DCs, NK), complement
Later: Adaptive effector cells (CTLs, Th cells), class-switched antibody/plasma cells, memory cells
What signals does a B cell need to activate?
T cells activate B cells through CD40 signaling
There is no CD40-CD40L ligand interaction