Cell Mediated Immunity Overview

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Questions and Answers

Which cytokine is primarily responsible for promoting class switching to IgG1 and IgE?

  • IFN-g
  • IL-4 (correct)
  • IL-10
  • IL-2

What is the main function of IFN-g in the immune response?

  • Enhances T cell growth
  • Increases MHC expression (correct)
  • Promotes neutrophil activation
  • Stimulates B cell differentiation

Which cytokine is known to inhibit Th1 responses and is produced by macrophages and Th2 cells?

  • TNF-a
  • IL-6
  • IL-10 (correct)
  • IL-17

What key role does IL-17 play in the immune system?

<p>Recruits and activates neutrophils (B)</p> Signup and view all the answers

What strategic function do TNF alpha inhibitors serve in therapy?

<p>Suppress the immune system (B)</p> Signup and view all the answers

What is the primary method through which cytotoxic T lymphocytes (CTLs) induce apoptosis in infected cells?

<p>Using perforin and granzymes (A)</p> Signup and view all the answers

Which statement accurately describes the action of CTLs?

<p>They specifically target infected cells while leaving uninfected cells unharmed. (B)</p> Signup and view all the answers

What role do Killer Inhibitory Receptors (KIRs) play in the activity of Natural Killer (NK) cells?

<p>They check for the presence of MHC class I molecules. (B)</p> Signup and view all the answers

What is a consequence of necrosis compared to apoptosis?

<p>Necrosis leads to inflammation. (B)</p> Signup and view all the answers

How do CTLs achieve specificity in targeting infected cells?

<p>Through interactions between MHC Class I and specific peptides. (B)</p> Signup and view all the answers

What determines whether NK cells will proceed to kill a target cell?

<p>The absence of signals from KIRs. (B)</p> Signup and view all the answers

Which mechanism is NOT used by CTLs to kill infected cells?

<p>Antibody-mediated opsonization (B)</p> Signup and view all the answers

What is the primary consequence of CTL killing through apoptosis?

<p>Ensuring the dead cell is removed without inflammation. (B)</p> Signup and view all the answers

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

<p>To simulate the proliferation and differentiation of immune cells (D)</p> Signup and view all the answers

Which of the following describes a characteristic feature of cytokines concerning their effect?

<p>A single cytokine can act on different types of cells. (D)</p> Signup and view all the answers

What happens when MHC class I is prevented from reaching the cell surface?

<p>KARs are no longer suppressed and the target cell is killed. (C)</p> Signup and view all the answers

Which cytokine is known to activate infected macrophages in a delayed type hypersensitivity response?

<p>IFN-gamma (B)</p> Signup and view all the answers

What type of immune cells do CD8+ cytotoxic T cells primarily target?

<p>Infected or malignant cells (C)</p> Signup and view all the answers

How do Th1 cells contribute to the immune response against intracellular pathogens?

<p>By recognizing infected cells and secreting cytokines like IFN-gamma (A)</p> Signup and view all the answers

In what way do cytokines exhibit redundancy in their function?

<p>Different cytokines can induce the same effect, such as B cell proliferation. (D)</p> Signup and view all the answers

What is the fate of macrophages infected with Mycobacterium tuberculosis when unaffected by activated Th1 cells?

<p>They can survive and grow inside the macrophages. (A)</p> Signup and view all the answers

What is primarily responsible for killing infected cells during a cell mediated immune response?

<p>CD8+ Cytotoxic T cells (D)</p> Signup and view all the answers

What role do natural killer cells play in the immune system?

<p>Kill cancerous or infected cells (C)</p> Signup and view all the answers

Which of the following cytokines is involved in promoting an antiviral response?

<p>IFN-gamma (D)</p> Signup and view all the answers

How does the immune system primarily respond to intracellular pathogens?

<p>By killing the infected cells directly (A)</p> Signup and view all the answers

What is the role of CD4+ T cells in activating CD8+ T cells?

<p>They license dendritic cells to activate CD8+ T cells. (B)</p> Signup and view all the answers

What property describes the ability of multiple cytokines to produce similar effects?

<p>Redundancy (D)</p> Signup and view all the answers

Which statement about MHC class I molecules is correct?

<p>They are found on all nucleated cells. (D)</p> Signup and view all the answers

Which cytokine is primarily involved in promoting the differentiation of T helper cells?

<p>IL-12 (D)</p> Signup and view all the answers

What is the primary role of TNF-alpha in the immune response?

<p>To promote the formation of granulomas (B)</p> Signup and view all the answers

What is a significant consequence of inhibiting TNF-alpha?

<p>Development of latent TB infection (C)</p> Signup and view all the answers

Which cytokine is primarily responsible for promoting antibody production and activating macrophages?

<p>IL-2 (C)</p> Signup and view all the answers

In response to an APC, what process allows TH cells to proliferate?

<p>Clonal Selection (D)</p> Signup and view all the answers

What primarily maintains the granuloma formed during a TB infection?

<p>Activated macrophages and Th1 cells (B)</p> Signup and view all the answers

Which of the following is a major characteristic of a super-killing macrophage?

<p>Increased TNF-alpha receptor expression (C)</p> Signup and view all the answers

What role do cytokines play in TH cell differentiation?

<p>They serve as signaling molecules (C)</p> Signup and view all the answers

What is a potential outcome if the functions of TNF-alpha remain intact?

<p>Granuloma maintained for life (B)</p> Signup and view all the answers

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Study Notes

Cell Mediated Immunity

  • How the cell-mediated immune response gets activated and responds to intracellular pathogens:
    • CD8+ T cells (cytotoxic T cells) are activated by MHC Class I presenting viral peptides.
    • CD4+ T cells help activate CD8+ T cells, which then differentiate into cytotoxic T cells (CTLs).
    • CTLs recognize infected cells by MHC Class I and directly kill the cells (without causing inflammation) via apoptosis.
    • CTLs kill through perforin/granzyme, Fas/Fas-ligand, TNF-beta (lymphotoxin).

Natural Killer Cells

  • Role of Natural Killer cells:
    • They kill cells that lack MHC Class I expression (e.g., virus-infected cells, tumor cells).
    • They can also be activated by antibodies bound to the surface of target cells.
    • They have killer activating receptors (KARs) and killer inhibitory receptors (KIRs) on their surface.
    • KIRs prevent NK cells from attacking normal cells by recognizing MHC Class I molecules.

Cytokines

  • What are cytokines?

    • Small proteins that stimulate immune cells to proliferate and differentiate.
    • Many are called interleukins (IL-1,IL-2), but there are other important ones like interferon gamma (IFN-g) and tumor necrosis factor alpha (TNF-a).
  • General properties of cytokines:

    • Pleiotropy: A single cytokine can act on different cells, causing different effects.
    • Redundancy: Multiple cytokines can exert the same effect.
    • Synergy: Combined cytokines can produce greater effects than alone
    • Antagonism: Some cytokines can block the effects of other cytokines.

Cytokine Short List

  • IL-2: T cell growth factor; enhances CTLs and NK cells.
  • IL-4: Key Th2 cytokine; promotes antibody production, class switching to IgG1 and IgE, differentiation of B cells.
  • IFN-g: Key Th1 cytokine; promotes MHC expression, blocks IgE production, inhibits Th2 proliferation, activates macrophages in delayed-type hypersensitivity (DTH) response.
  • IL-10: Key Th2 cytokine; inhibits Th1 responses, produced by Th2 cells and macrophages.
  • IL-17: Key Th17 cytokine; recruits and activates neutrophils.
  • TNF-a: Involved in inflammation, DTH response, granuloma formation.

Delayed-Type Hypersensitivity (DTH) Response

  • How it works:
    • Macrophages ingest intracellular pathogens, like Mycobacterium tuberculosis.
    • Some pathogens evade phagocytosis and live inside macrophages.
    • IFN-g helps activate macrophages to kill the pathogen.
    • TNF-a also plays a role in DTH and formation of granulomas, which wall off infected areas.

Cytokine Inhibition in Treatment

  • TNF-alpha Inhibitors: Used for Crohn's disease and rheumatoid arthritis.
  • IL-17 Inhibitors: Used for psoriasis.
  • IL-6 Inhibitors: Used for severe COVID-19, hyperinflammatory states.

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