Cytokine Definitions and Functions
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Questions and Answers

Which cytokine is primarily responsible for the survival and proliferation of T cells?

  • IL-4
  • IL-10
  • IL-2 (correct)
  • IFN-g
  • Which cells are primarily affected by TNF-b according to the roles of Th1 cells?

  • Neutrophils (correct)
  • Eosinophils
  • B cells
  • T cells
  • What is the biological effect of IL-5 on B cells?

  • Isotype-switching to IgA (correct)
  • Proliferation and activation
  • Inhibition of phagocytosis
  • Differentiation to TH1 class
  • What is a primary criterion for diagnosing an allergic disease?

    <p>Correlation of clinical symptoms with allergen exposure</p> Signup and view all the answers

    What is the structure of receptors in the Type II Cytokine Receptor Family?

    <p>Dimeric receptors</p> Signup and view all the answers

    Which of the following cytokines is involved in TH2 differentiation?

    <p>IL-4</p> Signup and view all the answers

    Which of the following laboratory tests specifically measure IgE antibodies related to allergies?

    <p>Allergen-specific IgE immunoassay</p> Signup and view all the answers

    Which statement accurately describes the intracellular domain of the TNF Receptor Family?

    <p>Contains death domains that bind to TRADDs</p> Signup and view all the answers

    How does in vitro testing for specific IgE compare to skin testing?

    <p>In vitro testing has superior quantitative ability.</p> Signup and view all the answers

    What is a characteristic feature of the dimeric or trimeric receptors in the Type I cytokine receptor family?

    <p>Has a membrane proximal WSXWS motif</p> Signup and view all the answers

    Which statement correctly differentiates between tryptase and histamine?

    <p>Tryptase is released from activated mast cells with a longer half-life.</p> Signup and view all the answers

    Which cytokine plays a role in the inhibition of macrophage activation according to the roles of Th2 cells?

    <p>IL-10</p> Signup and view all the answers

    What characterizes the extracellular domain of G-Protein Coupled Receptors?

    <p>It forms chemokine-binding domains within its loops</p> Signup and view all the answers

    Which response does INF-g NOT mediate?

    <p>Recruitment of neutrophils</p> Signup and view all the answers

    What role does the food challenge play in allergic disease diagnosis?

    <p>It identifies the specific allergen responsible for symptoms.</p> Signup and view all the answers

    Which type of hypersensitivity is primarily dependent on IgE and mast cells?

    <p>Type I</p> Signup and view all the answers

    Which of the following classes of allergens includes substances commonly found in the environment?

    <p>Inhalants</p> Signup and view all the answers

    What is the primary function of the immunoglobulin-like receptor family?

    <p>Bind to IL-1 and IL-18</p> Signup and view all the answers

    In the context of immune responses, what distinguishes a hypersensitivity reaction from a normal immune reaction?

    <p>Hypersensitivity reactions cause tissue damage due to an uncontrolled or inappropriate immune response.</p> Signup and view all the answers

    What are the immune mediators primarily involved in Type II hypersensitivity reactions?

    <p>IgM and IgG antibodies</p> Signup and view all the answers

    What is the primary clinical application of total IgE testing?

    <p>To assess the dosage for anti-IgE therapy.</p> Signup and view all the answers

    Which of the following pathways does NOT get initiated by the binding of the TNF receptor-associated factors (TRAFs)?

    <p>Caspase activation pathway</p> Signup and view all the answers

    What is a significant limitation of using total IgE levels in allergy diagnosis?

    <p>Elevated total IgE does not confirm specific allergy diagnosis.</p> Signup and view all the answers

    What defines the transmembrane domain structure of the Type II Cytokine Receptor Family?

    <p>Single-pass structure with hydrophobic residues predominating</p> Signup and view all the answers

    What is the primary characteristic of XLA (X-linked agammaglobulinemia)?

    <p>B cell deficiency leading to profound hypogammaglobulinemia</p> Signup and view all the answers

    Which type of primary immunodeficiency (PID) has the highest prevalence?

    <p>B cell (humoral) defects</p> Signup and view all the answers

    What role does laboratory testing play in the management of primary immunodeficiencies?

    <p>It establishes whether recurrent infections are due to a PID.</p> Signup and view all the answers

    How is Selective IgA Deficiency characterized?

    <p>B cell deficiency with associated autoimmune disorders</p> Signup and view all the answers

    Which of the following is a potential cause of secondary immunodeficiencies?

    <p>Surgical procedures and trauma</p> Signup and view all the answers

    Which PID is known for its broad and heterogeneous clinical presentation in adults?

    <p>CVID (Common Variable Immunodeficiency)</p> Signup and view all the answers

    What is a major contributing factor to the occurrence of inhibitory anti-IgA antibodies in Selective IgA Deficiency?

    <p>Deletions in specific IgA genes</p> Signup and view all the answers

    In the classification of primary immunodeficiencies, which defect accounts for only 5% of cases?

    <p>Complement deficiencies</p> Signup and view all the answers

    Which IgG subclass deficiency is most commonly associated with impaired polysaccharide responsiveness?

    <p>IgG2 deficiency</p> Signup and view all the answers

    What is the primary characteristic of Wiskott-Aldrich Syndrome?

    <p>Combined B and T cell abnormalities</p> Signup and view all the answers

    In DiGeorge Syndrome, which of the following conditions is NOT part of the classic presentation?

    <p>Ataxia</p> Signup and view all the answers

    What condition is characterized by selective IgM deficiency alongside normal B cell functionality?

    <p>Selective IgM deficiency</p> Signup and view all the answers

    Which group of individuals is most commonly affected by IgG3 subclass deficiency?

    <p>Adults</p> Signup and view all the answers

    Which of the following diseases is associated with defective T-cell responses to Candida antigen?

    <p>Chronic Mucocutaneous Candidiasis</p> Signup and view all the answers

    Which feature is NOT typically associated with Ataxia-Telangiectasia?

    <p>Elevated IgM levels</p> Signup and view all the answers

    What is a common outcome of IgG subclass deficiency in individuals?

    <p>Recurrent upper respiratory infections</p> Signup and view all the answers

    What is the primary cause of edema in Hereditary Angioedema?

    <p>Dysfunctional C1 esterase inhibitor</p> Signup and view all the answers

    Which testing method is used to diagnose Chronic Granulomatous Disease?

    <p>Measure superoxide production</p> Signup and view all the answers

    In Chediak-Higashi Syndrome, which of the following signs is most commonly associated with the disease?

    <p>Enlarged cytoplasmic granules in granulocytes</p> Signup and view all the answers

    Which gene mutation is commonly associated with Hyper-IgE Syndrome?

    <p>STAT3 gene</p> Signup and view all the answers

    What is a key laboratory finding in the diagnosis of DiGeorge syndrome?

    <p>Chromosome 22q11.2 deletion</p> Signup and view all the answers

    What hormonal level is significantly elevated in patients with Hyper-IgE Syndrome?

    <p>Serum IgE</p> Signup and view all the answers

    What does the Nitroblue Tetrazolium (NBT) Reduction Test assess in Chronic Granulomatous Disease?

    <p>Oxidative metabolism</p> Signup and view all the answers

    In terms of genetic testing, which gene mutation is most frequently implicated in Chronic Granulomatous Disease?

    <p>gp91phox gene</p> Signup and view all the answers

    Study Notes

    Cytokine Definitions and Characteristics

    • Cytokines are soluble polypeptides produced by cells in response to infection or antigens.
    • They are crucial for cell-cell communication within the immune system.
    • Cytokine expression is tightly regulated.
    • Cytokines can act locally (autocrine, paracrine) or systemically (endocrine).
    • Cytokines can be pleiotropic (affect multiple cells with various functions) or redundant (multiple cytokines with similar functions).
    • Cytokine actions can be synergistic (combined effect greater than individual effects) or antagonistic (opposite effects).
    • Cytokines are not pre-formed and are rapidly secreted after being produced.
    • Cytokines have short half-lives.
    • Their ultimate effect is the transcription and translation of new proteins.

    Cytokine Classes and Functions

    • Interleukins (ILs): Communicate between white blood cells (WBCs)
    • Interferons (IFNs): Broad pro-inflammatory cytokines
    • Tumor necrosis factor (TNF): Mediates immune response to bacteria
    • Colony-stimulating factors (CSFs): Mediate survival and differentiation of immune precursor cells
    • Transforming growth factors (TGFs): Inhibit proliferation and activation of WBCs
    • Chemokines: Regulate WBC migration

    Cytokine Functions (Specific examples)

    • Th1 cytokines:
      • IL-2: Proliferation and survival of T cells and NK cells, proliferation of B cells
      • IFN-γ: Differentiation to TH1 class, isotype-switching to IgG, recruitment and activation of phagocytosis
      • TNF-β: Recruitment and activation of neutrophils

    Cytokine and Chemokine Receptor Families

    • Immunoglobulin-like receptor family (IL-1, IL-18):
      • Extracellular immunoglobulin-like domain
      • Single-pass transmembrane domain
      • Intracellular domain with a Toll/IL-1 receptor (TIR) motif
    • Type I cytokine receptor family (IL-2, IL-5):
      • Dimeric or trimeric receptors with cytokine-binding and signaling subunits
      • Extracellular domain with conserved cysteine residue pairs
      • Transmembrane domain similar to immunoglobulin-like receptors
      • Intracellular domain
    • Type II cytokine receptor family (IFN-α, IL-10):
      • Dimeric receptors with cytokine-binding and signaling subunits
      • Similar extracellular and transmembrane domains, composed of hydrophobic residues

    Cytokines Important to Innate Immunity, Adaptive Immunity, and Hematopoiesis

    a) Innate immunity: -Major cell source: macrophages -Primary function: mediate inflammation. -Cellular target and biological effects:

    b) Adaptive immunity: -Major cell source: T cells -Primary function: regulate lymphocyte proliferation and differentiation and activate effector cells. -Cellular target and biological effects:

    c) Hematopoiesis: -Major cell source: BM stromal cells, fibroblasts, etc. -Primary function: promote development of mature leukocytes from myeloid and lymphoid progenitor cells. -Cellular target and biological effects:

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    Description

    This quiz explores the definitions, characteristics, and classes of cytokines, vital components of the immune system. You will learn about their roles, regulation, and the distinctions between different cytokine types such as interleukins and interferons.

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