Biochemistry II: Immunity
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Questions and Answers

What is the first step involved in phagocytosis?

  • The cell ingests the particle, and the particle is enclosed in a vesicle.
  • A lysosome fuses with the phagosome and the particle is digested.
  • The cell that will perform phagocytosis is activated. (correct)
  • The cell attaches to the particle that it will ingest.
  • Which of the following immune cells is involved in antigen presentation?

  • Dendritic cells (correct)
  • Macrophages
  • B cells
  • Mast cells
  • What is the role of the membrane attack complex (MAC) in complement activation?

  • To produce antibodies against bacteria
  • To activate the immune cells
  • To stimulate macrophages to release cytokines
  • To kill Gram-negative bacteria through osmotic lysis (correct)
  • Which cytokines are elevated in bacterial septic shock?

    <p>Tumour necrotic factor-alpha (TNF-α) and Interleukin-1 (IL-1)</p> Signup and view all the answers

    What is the function of C5 convertase in complement activation?

    <p>To cleave C5 into C5a and C5b</p> Signup and view all the answers

    Which immune cell is involved in the allergic response?

    <p>Mast cells</p> Signup and view all the answers

    What is the result of the influx of Ca2+ through the membrane attack complex (MAC)?

    <p>Osmotic lysis of Gram-negative bacteria</p> Signup and view all the answers

    What is the function of complement protein C6 in the assembly of the membrane attack complex (MAC)?

    <p>To bind to C5b</p> Signup and view all the answers

    What is the primary characteristic of innate immunity?

    <p>It is generic or non-specific in nature</p> Signup and view all the answers

    Which of the following immune cells are involved in acquired immunity?

    <p>B cells and T cells</p> Signup and view all the answers

    What is the immediate response of innate immunity to an invading microorganism?

    <p>It is activated immediately</p> Signup and view all the answers

    During an inflammatory response, what is the primary function of chemotaxis?

    <p>To facilitate the migration of leukocytes to the site of insult</p> Signup and view all the answers

    What is the main difference between innate and acquired immunity?

    <p>Innate immunity is immediate, while acquired immunity takes time to develop</p> Signup and view all the answers

    Which of the following is a characteristic of acquired immunity?

    <p>It is adapted to defend against specific pathogens</p> Signup and view all the answers

    During an inflammatory response, what is the primary function of vascular changes?

    <p>To increase blood flow to the affected area</p> Signup and view all the answers

    What is the primary role of neutrophils in the immune response?

    <p>To phagocytose and eliminate pathogens</p> Signup and view all the answers

    What is the primary function of the hydrophobic site exposed on C7 in the complement system?

    <p>To anchor the complex into the pathogen's lipid bilayer</p> Signup and view all the answers

    How do tumour antigens inhibit the immune system?

    <p>By accumulating specific metabolites and signal factors within the TME or limiting the nutrients available to immune cells</p> Signup and view all the answers

    What is the primary component of the MAC?

    <p>Polymerized complement C9</p> Signup and view all the answers

    What is the effect of high acidity and lactate on T cells?

    <p>Inhibited glycolysis and metabolism</p> Signup and view all the answers

    What type of structures are blood group antigens synthesized on?

    <p>Type 1, 2, 3, or 4 structures</p> Signup and view all the answers

    What is the difference between type 3 and 4 structures?

    <p>The R group attached to the Galβ1-3GalNAc-R structure</p> Signup and view all the answers

    What is the function of C8αγ in the complement system?

    <p>To anchor the complex into the pathogen's lipid bilayer and initiate polymerization of C9</p> Signup and view all the answers

    What is the effect of tumour antigen-induced T cell exhaustion?

    <p>Inhibited T cell metabolism and glycolysis</p> Signup and view all the answers

    Study Notes

    Innate Immunity vs Acquired Immunity

    • Innate immunity is inborn and activated immediately in response to an invading microorganism
    • Acquired immunity is adapted by the body to defend against an invading pathogen
    • Innate immunity is generic or non-specific in nature, while acquired immunity is specific
    • Innate immunity is present from birth, while acquired immunity develops over time
    • Aspects of innate immunity, such as mechanical barriers, exert defensive mechanisms regardless of the presence or absence of an invading pathogen
    • Innate immunity is triggered immediately in response to infection, while acquired immunity takes time to develop and exert its effects
    • Major immune cells involved in innate immunity include NK cells, neutrophils, macrophages, eosinophils, and basophils
    • Major immune cells involved in acquired immunity are primarily lymphocytes, including B cells and T cells

    Inflammatory Response

    • Three major immunological events occur during an inflammatory response:
      • Vascular changes: increased blood flow and fluid and plasma protein leakage into the inflamed tissue
      • Cellular infiltration: leukocytes adhere to vascular endothelium and migrate through the endothelial layer to access surrounding tissues
      • Chemotaxis: leukocytes follow a chemical gradient to the site of insult and unleash potent killing mechanisms

    Phagocytosis

    • Five processes involved in phagocytosis:
      • Activation of the cell that will perform phagocytosis
      • Chemotaxis occurs in the immune system
      • The cell attaches to the particle that it will ingest
      • The cell ingests the particle, which is enclosed in a vesicle (phagosome)
      • A lysosome fuses with the phagosome, and the particle is digested

    Immune Cells

    • Examples of immune cells involved in different responses:
      • Allergic response: Mast cells
      • Phagocytosis: Macrophages
      • Production of antibodies: B cells
      • Antigen presentation: Dendritic cells

    Complement Activation

    • Complement activation leads to the formation of the membrane attack complex (MAC), which kills Gram-negative bacteria
    • The MAC is formed through the assembly of C5b, C6, C7, C8, and C9 proteins
    • The MAC causes osmotic lysis of bacteria through the influx of Ca2+ and other electrolytes

    Cytokines in Bacteria Septic Shock

    • Tumour necrotic factor-alpha (TNF-α) and Interleukin-1 (IL-1) are elevated in bacteria septic shock
    • Gram-negative bacteria, such as E. coli, K. pneumoniae, P. aeruginosa, and E. aerogenes, have cell wall endotoxins that stimulate macrophages to release TNF-α and IL-1

    Membrane Attack Complex (MAC) Formation

    • Assembly of the MAC is initiated when the complement protease C5 convertase cleaves C5 into C5a and C5b
    • The MAC is formed through the binding of C5b, C6, C7, C8, and C9 proteins, leading to the formation of a transmembrane pore

    Tumour Antigens

    • Two mechanisms employed by tumour antigens to evade immune responses:
      • Inhibiting the immune system: Tumours inhibit or evade the immune system by accumulating specific metabolites and signal factors, or limiting the nutrients available to immune cells
      • Inducing T cell exhaustion: Cancer cells affect the metabolism of T cells, inhibiting glycolysis and affecting the immune response

    Blood Group Antigens

    • Blood group antigens are found on N-glycoproteins, O-glycoproteins, and glycolipids on RBCs and other cells
    • They are synthesized on type 1, 2, 3, or 4 structures
    • Type 1 and 2 structures are Galβ1-3GlcNAc-R and Galβ1-4GlcNAc-R, respectively
    • Type 3 and 4 structures are Galβ1-3GalNAc-R, with differing R groups

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