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What are lymphocytes?
Special immune cells that directly recognize and destroy foreign material
What are the six features of the adaptive immune response?
specific
diverse
memorizes antigens
specializes defense
self limits through antigen elimination (backing off)
self tolerance with self antigens
What antibody is produced in a primary response?
IgM - less specific
What antibody is produced in a secondary response?
IgG - more specific
What is CD?
cluster of differentiation
What CD do helper T-cells have?
CD4
What CD do cytotoxic T-cells have?
CD8
What CD do NK cells have?
CD56
What is the function of B-lymphocytes (not plasma cells)?
extracellular defense
transformation into plasma cells
What is the function of plasma cells (effector)?
secret antibodies
neutralize, opsonize (phagocytize), complement activation
Where do B-cells originate and differentiate?
Bone marrow
What are the functions of T-cells?
fight intracellular microbes
What are the functions of helper T-cells?
activate macrophages
stimulate B-cells
secrete cytokines
What are the functions of cytotoxic T-cells?
activate macrophages via cytokines
lyse infected cells, tumors, etc.
What are the functions of NK cells?
kill infected cells
Why are NK cells considered apart of the innate immune response?
They do not need antigen presentation or prior exposure to a pathogen to function, they are nonspecific
Where in the lymph node do macrophages/APC reside?
cortex and paracortex
Where in the lymph node do B-cells reside?
Cortex
Where in the lymph node do T-cells reside?
Paracortex
Where in the lymph node do plasma cells reside?
medulla
List the steps of T-cell activation.
APC phagocytoses, digests, and presents a peptide to a naive T-cell within the lymph node.
T-cell recognizes the peptide and activates
proliferation through clonal expansion
effector T-cell production depending on MHC class
class I = CD8 cytotoxic
class II = CD4 helper
List the steps of B-cell activation.
IgM and IgD on a naive B-cell bind to an antigen.
Helper T-cells bind to the naive B-cell with the SAME antigen, activation occurs
Naive B cell begins differentiation through heavy chain isotype switching
Production of plasma cells or memory cells
What is a monoclonal antibody?
An antibody that binds to one epitope
Why are Mabs useful in diagnostic testing?
Define MHC antigens, tumor antigens, viral and fungal antigens
What are some congenital T-cell disorders?
thymic hypoplasia (DiGeorge)
What are some congenital B-cell disorders?
X-linked agammaglobulinemia
What are some acquired T-cell disorders?
Lupus, AIDS, Hodgkins, and chronic leukemia
What are some acquired B-cell disorders?
Multiple myeloma