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Questions and Answers
What is the function of the transposase in the genome?
What is the function of the transposase in the genome?
What is the characteristic of the secondary immune response?
What is the characteristic of the secondary immune response?
What is the function of RAG1 and RAG2 genes?
What is the function of RAG1 and RAG2 genes?
What is the characteristic of the best vaccines?
What is the characteristic of the best vaccines?
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What is the result of the first immunization with an antigen?
What is the result of the first immunization with an antigen?
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What is the function of transposons?
What is the function of transposons?
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What is the difference between the primary and secondary immune responses?
What is the difference between the primary and secondary immune responses?
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What is the result of multiple immunizations (boosters)?
What is the result of multiple immunizations (boosters)?
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What is the primary function of the thymus in the immune system?
What is the primary function of the thymus in the immune system?
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During affinity maturation, what process occurs to generate high-affinity IgG antibodies?
During affinity maturation, what process occurs to generate high-affinity IgG antibodies?
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Where does clonal selection of B cells occur?
Where does clonal selection of B cells occur?
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What is the primary mechanism of action of Tetanus Toxin (TT)?
What is the primary mechanism of action of Tetanus Toxin (TT)?
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What is the result of somatic hypermutation of the Ig gene during affinity maturation?
What is the result of somatic hypermutation of the Ig gene during affinity maturation?
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What is the primary role of the lymph nodes in the immune response?
What is the primary role of the lymph nodes in the immune response?
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During vaccination, what is the primary mechanism by which the immune system generates protection against future infections?
During vaccination, what is the primary mechanism by which the immune system generates protection against future infections?
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What is the primary function of affinity maturation in the immune response?
What is the primary function of affinity maturation in the immune response?
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What is the primary function of MHC molecules in humans?
What is the primary function of MHC molecules in humans?
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What is the primary reason for graft rejection in tissue transplantation?
What is the primary reason for graft rejection in tissue transplantation?
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What is the role of CD4 and CD8 molecules in T-cell function?
What is the role of CD4 and CD8 molecules in T-cell function?
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What is the consequence of an allergic reaction that can lead to anaphylactic shock?
What is the consequence of an allergic reaction that can lead to anaphylactic shock?
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What is the estimated percentage of people affected by allergies?
What is the estimated percentage of people affected by allergies?
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What is the primary mechanism of immune response involved in autoimmune diseases?
What is the primary mechanism of immune response involved in autoimmune diseases?
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What is the implication of MHC polymorphism in autoimmune diseases?
What is the implication of MHC polymorphism in autoimmune diseases?
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What is the primary function of MHC molecules in humans?
What is the primary function of MHC molecules in humans?
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Which of the following autoimmune diseases is strongly linked to MHC polymorphism?
Which of the following autoimmune diseases is strongly linked to MHC polymorphism?
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What is the role of CD4 and CD8 molecules in T-cell function?
What is the role of CD4 and CD8 molecules in T-cell function?
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What is the main consequence of an allergic reaction that can lead to anaphylaxis?
What is the main consequence of an allergic reaction that can lead to anaphylaxis?
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What percentage of people are affected by allergies?
What percentage of people are affected by allergies?
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What is the primary mechanism of immune response involved in autoimmune diseases?
What is the primary mechanism of immune response involved in autoimmune diseases?
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What is the primary reason for graft rejection in tissue transplantation?
What is the primary reason for graft rejection in tissue transplantation?
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Which of the following is NOT a characteristic of adaptive immunity?
Which of the following is NOT a characteristic of adaptive immunity?
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What is the function of the recognition sequences at the ends of transposons?
What is the function of the recognition sequences at the ends of transposons?
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What is the primary mechanism by which somatic hypermutation of the Ig gene generates high-affinity IgG antibodies?
What is the primary mechanism by which somatic hypermutation of the Ig gene generates high-affinity IgG antibodies?
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What is the primary reason why the best vaccines are inactive variants of bacteria toxins?
What is the primary reason why the best vaccines are inactive variants of bacteria toxins?
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What is the role of RAG1 and RAG2 genes in the rearrangement of immunoglobulin and T-cell receptor genes?
What is the role of RAG1 and RAG2 genes in the rearrangement of immunoglobulin and T-cell receptor genes?
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Where do mature T lymphocytes migrate to after maturation in the thymus?
Where do mature T lymphocytes migrate to after maturation in the thymus?
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What is the primary mechanism by which Tetanus Toxin causes spastic paralysis?
What is the primary mechanism by which Tetanus Toxin causes spastic paralysis?
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What is the consequence of the second and third immunizations (boosters) in terms of antigen-specific IgG production?
What is the consequence of the second and third immunizations (boosters) in terms of antigen-specific IgG production?
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What is the primary function of transposons in the genome?
What is the primary function of transposons in the genome?
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What is the primary role of the lymph nodes in the immune response to vaccination?
What is the primary role of the lymph nodes in the immune response to vaccination?
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What is the characteristic of the primary immune response to an antigen?
What is the characteristic of the primary immune response to an antigen?
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What is the primary mechanism by which affinity maturation drives the generation of high-affinity IgG antibodies?
What is the primary mechanism by which affinity maturation drives the generation of high-affinity IgG antibodies?
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What is the primary function of the thymus in the immune system?
What is the primary function of the thymus in the immune system?
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What is the primary mechanism of action of vaccines in generating protection against future infections?
What is the primary mechanism of action of vaccines in generating protection against future infections?
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What is the primary mechanism by which vaccination generates protection against future infections?
What is the primary mechanism by which vaccination generates protection against future infections?
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What is the primary consequence of an immune response to Tetanus Toxin?
What is the primary consequence of an immune response to Tetanus Toxin?
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What is the purpose of the low blood pressure in the capillaries?
What is the purpose of the low blood pressure in the capillaries?
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What is the role of the pulmonary artery in the circulation of blood?
What is the role of the pulmonary artery in the circulation of blood?
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What is the function of the left atrium in the circulation of blood?
What is the function of the left atrium in the circulation of blood?
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What is systolic pressure?
What is systolic pressure?
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What is diastolic pressure?
What is diastolic pressure?
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What is the significance of the elastic vessel walls in the arteries?
What is the significance of the elastic vessel walls in the arteries?
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What is the effect of high blood pressure on the arteries?
What is the effect of high blood pressure on the arteries?
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What is the implication of low blood pressure?
What is the implication of low blood pressure?
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What is the percentage of plasma in blood?
What is the percentage of plasma in blood?
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What is the function of albumin in blood?
What is the function of albumin in blood?
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What is the process of separating blood serum proteins using an electric field?
What is the process of separating blood serum proteins using an electric field?
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What is the second most abundant protein in blood?
What is the second most abundant protein in blood?
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What is the percentage of water in plasma?
What is the percentage of water in plasma?
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What is the result of coagulation in blood?
What is the result of coagulation in blood?
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What is the process that separates blood into packed RBC, buffy coat, and plasma?
What is the process that separates blood into packed RBC, buffy coat, and plasma?
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What is the function of immunoglobulins in blood?
What is the function of immunoglobulins in blood?
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What is the primary function of the venous system in the circulation of blood?
What is the primary function of the venous system in the circulation of blood?
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Which of the following proteins is responsible for maintaining osmotic pressure in blood?
Which of the following proteins is responsible for maintaining osmotic pressure in blood?
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What is the term for the narrowing or hardening of the arteries, leading to hypertension?
What is the term for the narrowing or hardening of the arteries, leading to hypertension?
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What is the significance of blood volume in relation to blood pressure?
What is the significance of blood volume in relation to blood pressure?
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Which lipoprotein is often referred to as 'bad' cholesterol?
Which lipoprotein is often referred to as 'bad' cholesterol?
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What is the importance of maintaining a tight pH range in blood?
What is the importance of maintaining a tight pH range in blood?
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What is the purpose of centrifugation in blood analysis?
What is the purpose of centrifugation in blood analysis?
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What is the primary function of myeloid cells in the immune system?
What is the primary function of myeloid cells in the immune system?
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What is the main characteristic of Human Stem Cells (HSC)?
What is the main characteristic of Human Stem Cells (HSC)?
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What is the purpose of storing HSC in liquid nitrogen?
What is the purpose of storing HSC in liquid nitrogen?
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What is the function of the CD34+ antigen on Human Stem Cells?
What is the function of the CD34+ antigen on Human Stem Cells?
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What is the location where Human Stem Cells are mostly found?
What is the location where Human Stem Cells are mostly found?
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What is the main method used to isolate HSC from other blood cells?
What is the main method used to isolate HSC from other blood cells?
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What is the purpose of radioablation and chemicals in treating leukemia?
What is the purpose of radioablation and chemicals in treating leukemia?
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What is the result of transplanting HSC into a patient with leukemia?
What is the result of transplanting HSC into a patient with leukemia?
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What is the role of the anti-CD34 antibody in treating leukemia?
What is the role of the anti-CD34 antibody in treating leukemia?
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What is the primary reason why MHC polymorphism is associated with autoimmune diseases?
What is the primary reason why MHC polymorphism is associated with autoimmune diseases?
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What is the role of CD4 and CD8 molecules in T-cell function?
What is the role of CD4 and CD8 molecules in T-cell function?
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What is the consequence of an allergic reaction that can lead to anaphylaxis?
What is the consequence of an allergic reaction that can lead to anaphylaxis?
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What is the estimated percentage of people affected by allergies?
What is the estimated percentage of people affected by allergies?
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What is the primary mechanism of immune response involved in autoimmune diseases?
What is the primary mechanism of immune response involved in autoimmune diseases?
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What is the primary reason for graft rejection in tissue transplantation?
What is the primary reason for graft rejection in tissue transplantation?
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What is the primary function of MHC molecules in humans?
What is the primary function of MHC molecules in humans?
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Which of the following autoimmune diseases is strongly linked to MHC polymorphism?
Which of the following autoimmune diseases is strongly linked to MHC polymorphism?
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What type of cells do CD34+ HSC give rise to?
What type of cells do CD34+ HSC give rise to?
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What is the function of GM-CSF in haematopoiesis?
What is the function of GM-CSF in haematopoiesis?
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What is the function of EPO in haematopoiesis?
What is the function of EPO in haematopoiesis?
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What is the function of G-CSF in haematopoiesis?
What is the function of G-CSF in haematopoiesis?
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What is the composition of haemoglobin in RBCs?
What is the composition of haemoglobin in RBCs?
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How many lobes are present in each haemoglobin molecule?
How many lobes are present in each haemoglobin molecule?
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What is the role of CD34+ cells in haematopoiesis?
What is the role of CD34+ cells in haematopoiesis?
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What is the purpose of treating patients with radiation before transplanting CD34+ cells?
What is the purpose of treating patients with radiation before transplanting CD34+ cells?
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Study Notes
Mechanism Behind Vaccination
- Affinity maturation drives weak naive B cells to undergo rearrangement and extensive hypermutation to eventually secrete high-affinity IgG.
- Clonal selection occurs in lymph node follicles, including cervical lymph nodes, thoracic duct, lymphatics of the mammary gland, thymus, axillary lymph nodes, cisterna chyli, spleen, lumbar lymph nodes, and lymphatics of the upper and lower limbs.
Affinity Maturation in B Cells
- A massive repertoire of naive B cells is generated stochastically before birth, each with a unique B cell receptor.
- B cells encounter antigens in the lymph nodes, and an antigen expands a small number of B cell clones with receptors that weakly bind the antigen.
- Somatic hypermutation of the Ig gene results in some clones with higher antigen receptor affinity, and successive rounds of this process lead to mature B cells secreting soluble IgG.
- Some B cells reside in lymph nodes as long-term memory cells.
Tetanus Case Study
- Clostridum tetani is a common soil bacterium that produces Tetanus Toxin (TT), a neurotoxin that binds to the presynaptic membrane of the neuromuscular junction, causing spastic paralysis.
Thymus and T Lymphocytes
- The thymus is a site for immature lymphocytes from the bone marrow to mature.
- Ancient transposase is still present in our genome and is called RAG1 and RAG2 (recombination activation genes).
- Recognition sequences are located at the ends of all Ig and TcR gene segments.
Adaptive Immunity
- Adaptive immunity has memory and changes with time and persistence of antigen.
- A secondary response is stronger and more rapid than the naive response, which is the basis for vaccination.
Primary and Secondary Responses to Vaccination
- The first immunization with an antigen results in a rise in antigen-specific low-affinity IgM in the blood, peaking at about 2 weeks post-immunization, but then diminishing rapidly.
- The second and third immunizations (boosters) generate a rapid and intense burst of antigen-specific high-affinity IgG that lasts for a month or sometimes years.
Properties of Vaccines
- The best vaccines are inactive variants of bacterial toxins that rapidly produce high-affinity neutralizing IgG that binds to the toxin before it binds to its target receptor.
Transposons and Transposase
- Transposons are bits of DNA that have the ability to move themselves from one location to another location.
- Transposons have recognition DNA sequences at their ends.
- Transposase is an enzyme that cuts, inserts, and reinserts transposons, working on the recognition sequences on the transposons.
Lymphatic System
- The lymphatic system includes lymph nodes, lymphatics, thymus, and spleen.
MHC Polymorphism and Autoimmune Disease
- MHC polymorphisms are strongly linked to many autoimmune diseases, including Addison's disease, type 1 diabetes, rheumatoid arthritis, multiple sclerosis, and ankylosing spondylitis.
- The MHC locus is the only polymorphic part of the entire genome, making it strongly associated with autoimmune diseases.
Cellular Immunity
- Cellular immunity is regulated by MHC, a set of highly polymorphic genes coding for a group of membrane molecules called HLA in humans.
- T cell receptor (TcR) is an Ig-like membrane molecule, and its gene locus is segmented and undergoes rearrangement.
Graft Rejection and Tissue Transplant
- The experiment using congenic strains of mice showed that viral immunity requires both self MHC and the foreign antigen - MHC restriction.
- MHC polymorphism makes tissue transplant difficult.
CD4 and CD8
- CD4 and CD8 are accessory molecules associated with the T cell receptor, responsible for intracellular signaling through associated tyrosine kinases.
Allergy, Hypersensitivity, and Review
- Allergy is the most common form of immune disorder, affecting 30% of people.
- Hives (urticaria) is caused by the release of histamine into the tissue from mast cells in the skin.
- Oedema (swelling) is caused by leakage of fluid into the spaces between cells.
- Anaphylaxis and anaphylactic shock are serious consequences of allergic reactions.
Mechanism Behind Vaccination
- Affinity maturation drives weak naive B cells to undergo rearrangement and extensive hypermutation to eventually secrete high-affinity IgG.
- Clonal selection occurs in lymph node follicles, including cervical lymph nodes, thoracic duct, lymphatics of the mammary gland, thymus, axillary lymph nodes, cisterna chyli, spleen, lumbar lymph nodes, and lymphatics of the upper and lower limbs.
Affinity Maturation in B Cells
- A massive repertoire of naive B cells is generated stochastically before birth, each with a unique B cell receptor.
- B cells encounter antigens in the lymph nodes, and an antigen expands a small number of B cell clones with receptors that weakly bind the antigen.
- Somatic hypermutation of the Ig gene results in some clones with higher antigen receptor affinity, and successive rounds of this process lead to mature B cells secreting soluble IgG.
- Some B cells reside in lymph nodes as long-term memory cells.
Tetanus Case Study
- Clostridum tetani is a common soil bacterium that produces Tetanus Toxin (TT), a neurotoxin that binds to the presynaptic membrane of the neuromuscular junction, causing spastic paralysis.
Thymus and T Lymphocytes
- The thymus is a site for immature lymphocytes from the bone marrow to mature.
- Ancient transposase is still present in our genome and is called RAG1 and RAG2 (recombination activation genes).
- Recognition sequences are located at the ends of all Ig and TcR gene segments.
Adaptive Immunity
- Adaptive immunity has memory and changes with time and persistence of antigen.
- A secondary response is stronger and more rapid than the naive response, which is the basis for vaccination.
Primary and Secondary Responses to Vaccination
- The first immunization with an antigen results in a rise in antigen-specific low-affinity IgM in the blood, peaking at about 2 weeks post-immunization, but then diminishing rapidly.
- The second and third immunizations (boosters) generate a rapid and intense burst of antigen-specific high-affinity IgG that lasts for a month or sometimes years.
Properties of Vaccines
- The best vaccines are inactive variants of bacterial toxins that rapidly produce high-affinity neutralizing IgG that binds to the toxin before it binds to its target receptor.
Transposons and Transposase
- Transposons are bits of DNA that have the ability to move themselves from one location to another location.
- Transposons have recognition DNA sequences at their ends.
- Transposase is an enzyme that cuts, inserts, and reinserts transposons, working on the recognition sequences on the transposons.
Lymphatic System
- The lymphatic system includes lymph nodes, lymphatics, thymus, and spleen.
MHC Polymorphism and Autoimmune Disease
- MHC polymorphisms are strongly linked to many autoimmune diseases, including Addison's disease, type 1 diabetes, rheumatoid arthritis, multiple sclerosis, and ankylosing spondylitis.
- The MHC locus is the only polymorphic part of the entire genome, making it strongly associated with autoimmune diseases.
Cellular Immunity
- Cellular immunity is regulated by MHC, a set of highly polymorphic genes coding for a group of membrane molecules called HLA in humans.
- T cell receptor (TcR) is an Ig-like membrane molecule, and its gene locus is segmented and undergoes rearrangement.
Graft Rejection and Tissue Transplant
- The experiment using congenic strains of mice showed that viral immunity requires both self MHC and the foreign antigen - MHC restriction.
- MHC polymorphism makes tissue transplant difficult.
CD4 and CD8
- CD4 and CD8 are accessory molecules associated with the T cell receptor, responsible for intracellular signaling through associated tyrosine kinases.
Allergy, Hypersensitivity, and Review
- Allergy is the most common form of immune disorder, affecting 30% of people.
- Hives (urticaria) is caused by the release of histamine into the tissue from mast cells in the skin.
- Oedema (swelling) is caused by leakage of fluid into the spaces between cells.
- Anaphylaxis and anaphylactic shock are serious consequences of allergic reactions.
Circulation of Blood
- The heart pumps blood to the lungs through the pulmonary artery, where it is oxygenated and then returns to the left atrium through the pulmonary vein.
- Blood is circulated through the body via the left ventricle, which pumps blood out through the aorta and into the arterial system.
- The pressure of arterial blood is high due to the elastic vessel walls containing smooth muscle, which allows the heart to pump blood efficiently.
- Venous pressure is lower because veins are not elastic, and the pressure is maintained by the heart's pumping action.
Blood Composition and Function
- Myeloid cells are responsible for innate immunity, while lymphoid cells participate in adaptive immune responses.
- Proteins present in blood include:
- Albumin: most abundant protein, providing osmotic pressure and maintaining hypertonicity
- Hemoglobin: component of RBCs that carries oxygen
- Fibrinogen: forms blood clots, constitutes 7% of blood
- Immunoglobulins: antibodies
- Lipids in blood are bound in lipoproteins: HDL, LDL, and VLDL
- Other components of blood include:
- Electrolytes (salts and minerals)
- Vitamins
- Hormones
- Glucose
Regulation of Blood pH
- Blood pH is tightly maintained at 7.4, with a variance of more than 0.2 resulting in severe stress, acidosis, or alkalosis.
- Blood pH is effectively buffered by albumin, phosphate, bicarbonate, creatinine, and other compounds.
Centrifugation and Separation of Blood
- Centrifugation separates blood into three components:
- Packed RBCs (approx. 40-45%)
- Buffy coat (approx. 10%) containing white cells
- Plasma (approx. 50%) containing dissolved substances and formed elements
- Plasma contains fibrinogen, while serum is blood without fibrinogen, essentially plasma without fibrinogen.
- Serum electrophoresis separates serum proteins into 5 major fractions: albumin, α1, α2, β, and γ fractions.
Blood Proteins and Their Roles
- The five major proteins in blood are:
- Albumin: maintains colloidal osmotic pressure, binds and transports small molecules and hormones
- Fibrinogen: forms blood clots through the coagulation cascade
- Immunoglobulins (Ig): aka antibodies, participate in immune responses
Leukocytes and Haematopoiesis
- Natural Killer cells attack infectious microbes and spontaneously arising tumour cells
- Granular leukocytes: neutrophils, eosinophils, basophils
- Agranular leukocytes: lymphocytes, monocytes
Haematopoiesis
- Haematopoietic stem cells (HSC) are found mainly in the bone marrow
- HSC is characterized by a CD34 cell surface marker antigen
- HSC is relatively rare (about 1 in 10,000 white cells are CD34+)
- Multipotential hematopoietic stem cells can be saved and stored in liquid nitrogen for future use
- CD34+ is a surface antigen marker on HSCs
- Anti-CD34 antibody can select and concentrate HSCs from blood prior to a bone marrow transplant
Leukemia Treatment
- In adult patients, HSC is isolated using a monoclonal antibody with a fluorescent tag or magnetic bead that binds to the CD34+ antigen
- The patient is then treated with radiation, and the isolated CD34+ cells are transplanted back into the patient
Haematopoiesis and Cell Development
- CD34+ HSC gives rise to myeloid or lymphoid progenitors
- Myeloid progenitors can give rise to erythrocytes, platelet-producing megakaryocytes, mast cells, or myeloblasts
- Myeloblasts further differentiate into either neutrophils, basophils, eosinophils, or monocytes
- Lymphoid progenitors differentiate into B or T lymphocytes
- Immature T lymphocytes differentiate into CD4 or CD8
Factors that Drive Haematopoiesis
- GM-CSF (granulocyte macrophage colony-stimulating factor) stimulates the production of neutrophils, eosinophils, basophils, and monocytes
- EPO (erythropoietin) drives the production of erythrocytes
- G-CSF (granulocyte colony stimulating factor) stimulates the production of granulocytes and matures neutrophils
Hemoglobin and Oxygen Transport
- Hemoglobin is a major protein in RBCs and constitutes 96% of the RBC's dry weight
- Each hemoglobin molecule contains 4 lobes, each containing a haem
- Gas exchange occurs in the hemoglobin of RBCs through the binding of oxygen to the haem
MHC and Autoimmune Diseases
- MHC polymorphism is strongly linked to many autoimmune diseases
- Diseases associated with MHC polymorphism include: Addison's disease, type 1 diabetes, rheumatoid arthritis, multiple sclerosis, and ankylosing spondylitis
Cellular Immunity
- Cellular immunity is regulated by MHC, a set of highly polymorphic genes coding for a group of membrane molecules called HLA in humans
- T cell receptor (TcR) is an Ig-like membrane molecule that undergoes rearrangement
- MHC restriction implies that viral immunity requires both self MHC and the foreign antigen
Allergy and Hypersensitivity
- Allergy is the most common form of immune disorder, affecting 30% of people
- Hives/urticaria is caused by the release of histamine into the tissue from mast cells in the skin
- Oedema/swelling is caused by leakage of fluid into the spaces between cells
- Anaphylaxis and anaphylactic shock are serious consequences of allergic reactions
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This quiz covers the mechanism behind vaccination, including affinity maturation, clonal selection, and the role of lymph nodes and other organs in the immune response.