أسئلة الثانية والثالثة ميكرو PPPM (قبل التعديل)

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Questions and Answers

Which of the following cell types are derived from the common lymphoid progenitor?

  • Macrophages
  • T lymphocytes (correct)
  • Platelets
  • Erythrocytes

Which of the following is a characteristic of innate immunity?

  • It is specific to particular pathogens.
  • It provides a rapid, non-specific response. (correct)
  • Response is slow and develops over time.
  • It exhibits immunological memory.

Which of the following cell types functions as an antigen-presenting cell to initiate adaptive immune responses?

  • Erythrocytes
  • Neutrophils
  • Platelets
  • Dendritic cells (correct)

The acidic pH of the skin and stomach provides what type of barrier against infection?

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

Which bodily system or location does NOT harbor microbes that exist in a symbiotic relationship with the body?

<p>Cardiovascular system (C)</p> Signup and view all the answers

What is the primary role of the mucociliary escalator in the respiratory tract?

<p>To trap and expel pathogens from the respiratory system. (C)</p> Signup and view all the answers

How does the adaptive immune system differ primarily from the innate immune system?

<p>The adaptive system exhibits immunological memory. (A)</p> Signup and view all the answers

Which of the following cells are classified as lymphocytes?

<p>Natural Killer (NK) cells (C)</p> Signup and view all the answers

Which of the following is an example of a soluble factor that provides a defense against pathogens?

<p>Lysozyme (C)</p> Signup and view all the answers

Which of the following is primarily associated with the second line of defense in the immune system?

<p>T cell activation (D)</p> Signup and view all the answers

Which of the following cytokines is predominantly associated with the first line of defense?

<p>TNF (A)</p> Signup and view all the answers

Which of the following processes is associated with mature lymphocytes that have never encountered an antigen?

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

Which of the following cell types links the innate and adaptive immune responses by presenting antigens to T lymphocytes?

<p>Dendritic cells (A)</p> Signup and view all the answers

What is the primary location for T lymphocyte maturation?

<p>Thymus (C)</p> Signup and view all the answers

Which of the following is a characteristic of the first line of defense, contrasting with the characteristics of the second?

<p>Immediate response (A)</p> Signup and view all the answers

Which of the following best describes how lymphocytes are distinguished from one another?

<p>Cluster of Differentiation (CD) markers (C)</p> Signup and view all the answers

Which of the following cellular actions is the MOST accurate description of phagocytosis?

<p>Recognizing, ingesting, and killing microbes or foreign antigens. (D)</p> Signup and view all the answers

Natural killer (NK) cells are MOST directly involved in which of the following immune responses?

<p>Killing tumor cells and virus-infected cells. (A)</p> Signup and view all the answers

Which of the following BEST describes the role of cytokines such as TNF, IL-1, and IL-6 in the innate immune response?

<p>Mediating communication and modulating the function of immune cells. (A)</p> Signup and view all the answers

How do mannose-binding lectin (MBL) and C-reactive protein (CRP) contribute to the innate immune response during an infection?

<p>By opsonizing pathogens, thus enhancing phagocytosis and complement activation. (D)</p> Signup and view all the answers

What is the MAIN purpose of the 'acute phase response,' characterized by a rapid increase in circulating levels of plasma proteins like MBL and CRP?

<p>To provide immediate protection against infection by enhancing pathogen recognition and elimination. (C)</p> Signup and view all the answers

Which of the following is a KEY characteristic that distinguishes adaptive immunity from innate immunity?

<p>Specificity and memory, allowing for a stronger response upon repeated exposure. (A)</p> Signup and view all the answers

What is the PRIMARY role of B lymphocytes in adaptive immunity?

<p>Producing antibodies that neutralize and eliminate extracellular microbes and toxins. (B)</p> Signup and view all the answers

What is the purpose of the decline and termination phase of the immune response?

<p>To prevent damage to host tissues after the pathogen has been eliminated. (A)</p> Signup and view all the answers

Which of the following is a key distinction in antigen recognition between B and T lymphocytes?

<p>T lymphocytes recognize antigens only in the form of peptide fragments plus MHC molecules, while B lymphocytes can recognize a wider range of antigens directly. (D)</p> Signup and view all the answers

Which of the following is a primary function of dendritic cells in the immune response?

<p>Capturing, processing, and presenting antigens to T lymphocytes in peripheral lymphoid tissues. (B)</p> Signup and view all the answers

A researcher is studying the immune response to a novel viral infection. They observe that CD8+ T cells are crucial for clearing the infection. Which mechanism is most likely employed by these cells?

<p>Killing virus-infected cells via direct cytotoxicity. (D)</p> Signup and view all the answers

Why are stem cells valuable in regenerative medicine and cell-based therapies?

<p>Because they can self-renew through mitosis and differentiate into a variety of specialized cell types. (C)</p> Signup and view all the answers

A patient's lab results show a high level of IL-4 and subsequent B cell proliferation. Which of the following scenarios is the most likely cause?

<p>T-dependent activation of B cells. (A)</p> Signup and view all the answers

How might stem cell therapy be used in treating Type 1 diabetes mellitus?

<p>By transplanting stem cells that differentiate into functional beta cells capable of secreting insulin. (D)</p> Signup and view all the answers

What is the primary function of antigen-presenting cells (APCs) in T lymphocyte activation?

<p>To present processed antigens in complex with MHC molecules to T lymphocytes. (D)</p> Signup and view all the answers

Which of the following best describes the role of the proteasome in T lymphocyte activation?

<p>It degrades proteins into peptides for presentation on MHC class I molecules. (D)</p> Signup and view all the answers

Toxic oxygen-derived products and nitrogen oxides are associated with which type of immune response?

<p>An oxygen-dependent immune response strategy. (A)</p> Signup and view all the answers

In the context of tissue repair post-heart attack, what is the potential role of stem cell therapy?

<p>Repairing damaged heart cells to restore cardiac muscle function. (C)</p> Signup and view all the answers

A researcher discovers a new molecule that selectively inhibits CD4+ T cell activation. What downstream effect would likely be observed?

<p>Impaired B lymphocyte antibody production. (A)</p> Signup and view all the answers

A patient undergoing a transplant has a strong T cell response against the donor organ. Which type of T lymphocyte is primarily responsible for the graft rejection?

<p>Cytotoxic T cells (C)</p> Signup and view all the answers

How do regulatory T cells (Treg) contribute to the overall immune response?

<p>By suppressing the activity of other immune cells. (A)</p> Signup and view all the answers

Which of the following is the primary function of Killer Inhibitory Receptors (KIRs) on Natural Killer (NK) cells?

<p>To inhibit NK cell activation, preventing the killing of normal cells. (A)</p> Signup and view all the answers

During an acute bacterial infection, what is the primary mechanism by which neutrophils contribute to pathogen elimination?

<p>Ingesting microbes via phagocytosis and subsequently dying, forming pus. (D)</p> Signup and view all the answers

Which of the following events occurs latest during phagocytosis?

<p>Phagolysosome formation. (D)</p> Signup and view all the answers

What is the role of IFN-$\gamma$ (interferon-gamma) produced by NK cells in the immune response?

<p>It activates macrophages to enhance their intracellular killing ability. (B)</p> Signup and view all the answers

Which of the following molecules act as opsonins, enhancing phagocytosis?

<p>Antibodies and complement C3b. (B)</p> Signup and view all the answers

A patient's blood test reveals an elevated number of neutrophils. This finding would MOST likely indicate which condition?

<p>An acute bacterial infection. (C)</p> Signup and view all the answers

What is the significance of the process called diapedesis in the context of phagocyte function?

<p>It is the process by which phagocytes migrate from the blood into tissues. (D)</p> Signup and view all the answers

Natural Killer (NK) cells use Killer Activating Receptors (KARs) to detect and respond to infected or stressed cells. What is the outcome of KAR activation?

<p>Initiation of apoptosis in the target cell through cytotoxic mechanisms. (C)</p> Signup and view all the answers

During T cell maturation in the thymus, a T cell receptor (TCR) binds weakly to a self-peptide presented on MHC. What is the MOST likely outcome for this T cell?

<p>It will be selected to survive and mature, contributing to the T cell repertoire. (D)</p> Signup and view all the answers

A researcher studying lymphocyte development identifies a cell population in the bone marrow that expresses pre-B cell receptor but does not yet express surface immunoglobulin. Which of the following developmental stages does this MOST likely represent?

<p>Large pre-B cell stage, undergoing light chain rearrangement. (A)</p> Signup and view all the answers

Which of the following scenarios would MOST likely result in negative selection of a developing B lymphocyte in the bone marrow?

<p>Strong binding to a multivalent self-antigen displayed on a cell surface in the bone marrow. (A)</p> Signup and view all the answers

A researcher is investigating the immune response in a mouse model lacking a functional thymus. Which of the following immune cell populations would be MOST directly affected?

<p>Helper T lymphocytes in the lymph nodes. (B)</p> Signup and view all the answers

Which of the following BEST describes the primary function of secondary lymphoid organs?

<p>Locations where lymphocytes encounter antigens and initiate adaptive immune responses. (D)</p> Signup and view all the answers

A patient has their spleen removed (splenectomy). Following the procedure, what immunological consequence is the patient MOST susceptible to?

<p>Increased susceptibility to encapsulated bacteria due to reduced antibody production and filtration. (A)</p> Signup and view all the answers

How do Mucosa-Associated Lymphoid Tissues (MALT) such as Peyer's patches, contribute to the body’s defense against pathogens?

<p>By trapping antigens that penetrate mucosal surfaces and initiating local immune responses. (D)</p> Signup and view all the answers

Which of the following best describes the selection processes that occur during T cell maturation in the thymus and their impact on self-tolerance?

<p>Positive selection ensures T cells can bind to self-MHC molecules, while negative selection eliminates or renders anergic T cells that strongly bind self-antigens presented on MHC. (D)</p> Signup and view all the answers

Which of the following scenarios would MOST likely result in the activation of the adaptive immune system?

<p>A previously unencountered pathogen breaches physical barriers and proliferates, overwhelming the innate immune response. (D)</p> Signup and view all the answers

How does the recognition of PAMPs (pathogen-associated molecular patterns) by innate immune cells contribute to the activation of adaptive immunity?

<p>PAMP recognition leads to the expression of co-stimulatory molecules on antigen-presenting cells, enhancing T cell activation. (C)</p> Signup and view all the answers

Which of the following is a critical function of dendritic cells in initiating adaptive immunity?

<p>Capturing, processing, and presenting antigens to T lymphocytes in peripheral lymphoid tissues. (B)</p> Signup and view all the answers

How does stem cell self-renewal contribute to their therapeutic potential?

<p>It allows for nearly limitless cell division and expansion, providing a continuous source of cells for differentiation. (D)</p> Signup and view all the answers

A researcher discovers a novel bacterial strain that effectively evades detection by Toll-like receptors (TLRs). What is the MOST likely consequence of this evasion?

<p>Delayed or weakened activation of the innate immune response. (A)</p> Signup and view all the answers

In the context of treating Type 1 diabetes mellitus, what is the MOST promising application of stem cell therapy?

<p>Replacing damaged pancreatic beta cells with functional beta cells capable of secreting insulin. (C)</p> Signup and view all the answers

Why is the lack of immunological memory in innate immunity considered a limitation in combating recurrent infections with the same pathogen?

<p>The innate immune system cannot adapt its response to be more effective against previously encountered pathogens. (A)</p> Signup and view all the answers

Toxic oxygen-derived products such as superoxide radicals ($O_2^−$) and hydrogen peroxide ($H_2O_2$) are crucial in eliminating pathogens. How do phagocytes utilize these molecules during phagocytosis?

<p>To directly damage pathogen membranes and internal structures, leading to their destruction. (D)</p> Signup and view all the answers

What is the MOST significant implication of the symbiotic relationship between the microbiome and the human body for immune system development and function?

<p>It contributes to the education and regulation of the immune system, promoting tolerance to harmless antigens and enhancing responses to pathogens. (C)</p> Signup and view all the answers

Based on their origin and differentiation potential, what is the key distinction between embryonic stem cells and adult stem cells?

<p>Embryonic stem cells are derived from the inner cell mass of blastocysts and possess pluripotency, while adult stem cells are tissue-specific and have limited differentiation potential. (B)</p> Signup and view all the answers

How does the adaptive immune system's ability to recognize a vast array of antigens compare to the innate immune system's recognition capabilities?

<p>The adaptive immune system utilizes randomly generated receptors through gene rearrangement, allowing recognition of a much wider range of antigens than the innate immune system. (A)</p> Signup and view all the answers

If an individual has a genetic defect that impairs the function of their mucociliary escalator, which of the following consequences is MOST likely?

<p>Increased risk of respiratory infections due to impaired clearance of pathogens and debris from the respiratory tract. (B)</p> Signup and view all the answers

Which feature of the skin provides the MOST comprehensive protection against pathogen invasion?

<p>The acidic pH and the presence of antimicrobial peptides combine to inhibit pathogen growth and disrupt cell membranes. (A)</p> Signup and view all the answers

A researcher is investigating a novel immune evasion strategy employed by a bacterium. They discover that the bacterium secretes a molecule that interferes with the function of pattern recognition receptors (PRRs). Which of the following immune responses would likely be MOST affected by this evasion strategy?

<p>Phagocytosis of the bacterium by macrophages and neutrophils. (A)</p> Signup and view all the answers

A patient with a genetic defect lacks functional B lymphocytes. While they can mount some immune responses, they are particularly susceptible to extracellular bacterial infections. Which of the following aspects of the immune response would be MOST compromised in this patient?

<p>Antibody-mediated opsonization and neutralization of pathogens. (C)</p> Signup and view all the answers

A researcher isolates a population of lymphocytes from a patient's blood. These lymphocytes express high levels of CD8 but lack CD4. Furthermore, they demonstrate cytotoxicity against tumor cells without prior sensitization. Which of the following cell types BEST describes these lymphocytes?

<p>Natural killer (NK) cells (D)</p> Signup and view all the answers

A researcher is studying the role of cytokines in regulating the immune response. They discover that a particular cytokine primarily promotes the differentiation of T helper cells into Th1 cells. Which of the following cytokines is MOST likely to have this effect?

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

During an experiment, researchers introduce a molecule that selectively blocks the interaction between CD28 on T cells and B7 on antigen-presenting cells (APCs). What downstream effect would MOST likely be observed?

<p>Impaired T cell activation and reduced cytokine production. (A)</p> Signup and view all the answers

A patient has a mutation that impairs the function of their T lymphocytes. Further analysis reveals that the T cells are unable to properly interact with MHC molecules. Which of the following molecules is MOST likely affected by this mutation?

<p>T cell receptor (TCR) (D)</p> Signup and view all the answers

Which of the following scenarios would MOST likely result in the activation of the alternative complement pathway?

<p>Spontaneous hydrolysis of C3, leading to its binding to Factor B and Factor D on a microbial surface. (B)</p> Signup and view all the answers

A researcher is investigating potential therapeutic targets to enhance the innate immune response against viral infections. Which of the following strategies would MOST directly amplify the antiviral effects of Type I interferons (IFN-$\alpha$ and IFN-$eta$)?

<p>Enhancing the activity of RNAse L and protein kinase R (PKR). (A)</p> Signup and view all the answers

Which of the following is a critical distinction in antigen recognition between B lymphocytes and T lymphocytes?

<p>B lymphocytes recognize antigens directly through their B cell receptor (BCR), while T lymphocytes recognize antigens as peptide fragments presented by MHC molecules on APCs. (C)</p> Signup and view all the answers

A researcher is investigating the immune response to a newly identified intracellular bacterium. Initial findings suggest that CD4+ T cells are not effectively activating macrophages to clear the infection. Which approach would MOST likely enhance macrophage activation?

<p>Introducing a costimulatory signal to enhance the interaction between CD4+ T cells and macrophages. (B)</p> Signup and view all the answers

A patient with a genetic defect lacks functional proteasomes. How would this deficiency MOST directly affect T lymphocyte activation?

<p>Reduced presentation of antigenic peptides by MHC class I molecules, hindering CD8+ T cell activation. (C)</p> Signup and view all the answers

Which of the following scenarios would MOST likely lead to T-independent B cell activation?

<p>Crosslinking of multiple B cell receptors (BCRs) by a repetitive epitope on a bacterial polysaccharide. (D)</p> Signup and view all the answers

A researcher is studying the effects of blocking CD40L (CD154) on T cell-dependent B cell activation. What outcome would they MOST likely observe?

<p>Impaired B cell proliferation and differentiation into plasma cells following antigen recognition. (C)</p> Signup and view all the answers

In a scenario where a patient has a genetic defect that impairs the ability of their antigen-presenting cells (APCs) to express MHC class II molecules, which aspect of the immune response would be MOST compromised?

<p>The activation of helper T lymphocytes and subsequent B cell antibody production. (D)</p> Signup and view all the answers

A researcher is developing a novel vaccine strategy that aims to elicit a strong cytotoxic T lymphocyte (CTL) response against a viral pathogen. Which approach would be MOST effective in generating long-lasting CTL memory?

<p>Using a viral vector to deliver the antigen, promoting antigen presentation via MHC class I and cross-presentation. (D)</p> Signup and view all the answers

Following a successful immune response, the immune system must return to a state of homeostasis. Which of the following mechanisms plays a CRITICAL role in preventing excessive inflammation and autoimmunity during the decline phase of an immune response?

<p>Activation of regulatory T cells (Tregs) that suppress effector T cell responses. (B)</p> Signup and view all the answers

Which of the following scenarios would MOST likely lead to the activation of a Natural Killer (NK) cell?

<p>A cell infected with a virus that has downregulated MHC class I expression and also expresses ligands for Killer Activating Receptors (KARs). (C)</p> Signup and view all the answers

What is the MOST significant difference between the mechanisms used by macrophages and neutrophils to eliminate pathogens?

<p>Macrophages present antigens to T cells, while neutrophils directly kill pathogens without antigen presentation. (A)</p> Signup and view all the answers

A researcher is investigating the intracellular events following phagocytosis. If phagolysosome formation is inhibited, which of the following outcomes is MOST likely?

<p>Failure to acidify the phagosome, preventing activation of lysosomal enzymes. (B)</p> Signup and view all the answers

A novel virus has evolved a mechanism to inhibit the production of complement protein C3b. How would this affect phagocytosis?

<p>Phagocytosis would be less efficient due to reduced opsonization. (A)</p> Signup and view all the answers

In a patient with a genetic defect that impairs diapedesis, which aspect of the phagocytic response would be MOST affected?

<p>The migration of phagocytes from the blood into the infected tissue. (B)</p> Signup and view all the answers

Which of the following mechanisms enables NK cells to target and kill antibody-coated cells?

<p>Antibody-dependent cellular cytotoxicity (ADCC) through CD16 receptors. (A)</p> Signup and view all the answers

Which intracellular mechanism is MOST directly responsible for the oxygen-independent killing of phagocytosed microbes?

<p>Release of lysosomal enzymes and antimicrobial peptides within the phagolysosome. (C)</p> Signup and view all the answers

If a patient has a mutation that impairs the function of Toll-like receptors (TLRs) in phagocytes, which of the following processes would be MOST directly affected?

<p>The recognition of microbes by phagocytes leading to phagocytosis. (A)</p> Signup and view all the answers

Flashcards

Common Lymphoid Progenitor

Origin of T lymphocytes, B lymphocytes, and Natural Killer (NK) cells.

Common Myeloid Progenitor

Origin of leukocytes, erythrocytes and platelets.

Innate Immunity

Recognize and react against microbes; rapid response, non-specific, no memory.

Adaptive Immunity

Immunity gained after exposure to a threat.

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Immune System Receptors

Cell-surface receptors detect microbes.

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Barriers to Infection

Physical and chemical obstacles against microbes.

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Normal Flora

Symbiotic microbes that colonize the body.

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Soluble Defense

Innate protection against pathogens.

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1st Line of Defense

The body's immediate, non-specific defense mechanisms against pathogens, including phagocytes, NK cells, and pattern recognition receptors.

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2nd Line of Defense

The body's delayed, specific defense mechanisms, involving B and T lymphocytes and immunological memory.

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Phagocytes

Immune cells that engulf and destroy pathogens or cellular debris; examples are macrophages and neutrophils.

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NK Cells

Lymphocytes that kill infected or cancerous cells without prior sensitization; part of the innate immune system.

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Pattern Recognition Receptors

Receptors on immune cells that recognize conserved molecular patterns on pathogens, initiating an immune response.

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CD Markers

Surface proteins on lymphocytes used to identify and differentiate cell types (e.g., CD4 on helper T cells).

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B Lymphocytes

Lymphocytes that develop and mature in the bone marrow and are responsible for antibody production.

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T Lymphocytes

Lymphocytes that develop and mature in the thymus and mediate cellular immunity.

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Phagocytic Cells

Cells that can recognize, ingest, and kill microbes or foreign antigens via phagocytosis.

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Natural Killer (NK) Cells

Cells that kill tumor cells and virus-infected cells.

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Cytokines

Proteins secreted by immune cells that mediate immune functions.

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Acute Phase Proteins

Proteins (like MBL & CRP) whose circulating levels rapidly increase after infection.

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Specificity (Immunity)

The ability of the adaptive immune system to respond specifically to different antigens.

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Memory (Immunity)

The ability to 'remember' and respond more strongly to repeated exposure to the same microbe.

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Humoral Immunity

Adaptive immunity mediated by B lymphocytes that produce antibodies to neutralize and eliminate extracellular microbes and toxins.

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Lymphocyte Activation

Proliferation & differentiation of lymphocytes into effector and memory cells.

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Oxygen-Dependent Toxicity

Toxic substances produced when oxygen is present. Includes oxygen-derived products and nitrogen oxides.

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Dendritic Cells

Cells that capture antigens in tissues, transport them to lymph nodes, process them into peptides, and present them to T lymphocytes.

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Epithelial Cells (in Immunity)

Cells in the skin, GIT, and respiratory tract that capture and transport microbes.

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Stem Cells

Cells with self-renewal capacity and the ability to differentiate into specialized cell types.

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Stem Cell Therapy

Treating patients by transplanting cells grown from stem cells in the laboratory.

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B Cell Receptor (BCR)

Located on B cells; includes IgM and IgD. Recognizes diverse antigens (proteins, polysaccharides, lipids, nucleic acids).

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B cell markers

Surface molecules on B cells, CD19 and CD21.

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B cell function

B cells mediate humoral immunity through antibody secretion.

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T Cell Receptor Markers

Located on T cells; includes TCR, CD3, CD4, and CD8. Recognizes protein antigens presented by MHC.

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T cell function

T cells facilitate cell-mediated immunity through direct cell interaction.

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Helper T Cells (TH)

CD4+ T cells that help B cells produce antibodies and macrophages to destroy microbes.

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Cytotoxic T Cells (TC)

CD8+ T cells that kill virus-infected, tumor, and graft cells.

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T-independent B cell activation

B cell activation that don't need the help of T cells, like Microbial LPS and Interleukin-4 (IL-4)

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ADCC

Antibody-Dependent Cell-Mediated Cytotoxicity. NK cells kill target cells coated with antibodies.

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KARs and KIRs

Receptors on NK cells. KARs activate killing, while KIRs inhibit it.

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Monocytes/Macrophages

Circulate in blood, ingest microbes there, and become macrophages in tissues.

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Neutrophils (PMNs)

Most numerous leukocyte in blood, increases during acute infection, and forms pus after ingesting microbes.

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Diapedesis & Chemotaxis

The process of phagocytes migrating from blood vessels to infection sites.

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Opsonization

Coating of microbes by opsonins (antibodies or complement) to enhance phagocytosis.

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Basic Immunology

The study of the immune system, including its responses to pathogens and damaged tissues, and its role in disease.

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Immune System

The body's defense system against infectious agents and foreign substances (antigens).

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Primary Lymphoid Organs

Organs where immune cells develop and mature.

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Bone Marrow (BM)

Site of B cell maturation and blood cell generation.

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Thymus

Site of T cell maturation; selects T cells that can recognize self from non-self.

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Positive Selection (T cells)

T cells that can recognize self-antigens and do not bind them, selected to grow.

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Negative Selection (T cells)

T cells that efficiently bind self-antigens are autoreactive cells that undergo apoptosis.

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Secondary Lymphoid Organs

Organs where immune responses are initiated, trapping and concentrating antigens.

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Lymphoid Organs

Sites where lymphocytes gather to encounter antigens and initiate immune responses.

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PAMPs

Molecular patterns on microbes recognized by the innate immune system.

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Lysozyme

Enzymes that break down bacterial cell walls, found in tears and saliva.

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Defensins

Small antimicrobial peptides that disrupt pathogen membranes.

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1st Line of Defense (Immune)

Immediate, non-specific immune response involving phagocytes and NK cells.

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2nd Line of Defense (Immune)

Delayed, specific immune response involving B and T lymphocytes.

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CD Markers (Lymphocytes)

Surface proteins used to identify and distinguish lymphocyte subtypes.

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Lymphocyte States

Lymphocytes that can be mature/naive or activated after meeting an antigen.

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B Lymphocytes Origin/Function

Develop in the bone marrow, produce antibodies, and are part of the adaptive immune system.

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T Lymphocytes Origin/Function

Develop in the thymus, part of the adaptive immune system, and mediate cellular immunity.

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Phagocytes Function

Macrophages, neutrophils, and dendritic cells function as these in the innate immune system

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Dendritic Cells Function

Cells which capture antigens, transport them to lymphoid tissues, process them into peptides, and present peptides to T lymphocytes. They are rich in class II MHC molecules.

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Stem Cell Self-Renewal

The ability of stem cells to divide repeatedly through mitosis.

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Stem Cell Potency

The capacity of stem cells to become specialized cell types (e.g., muscle, nerve, blood).

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Embryonic Stem Cells

Stem cells isolated from the inner cell mass of blastocysts.

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Adult Stem Cells

Stem cells found in adult tissues (skin, muscles, umbilical cord blood, brain, heart, and bone marrow).

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MHC Restriction

The restriction that T cells can only recognize antigens when presented by MHC molecules on APCs.

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T-dependent activation

B cell activation that requires T cell help.

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Phagocytosis

Process where microbes are recognized, ingested, and killed.

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Monocytes

Blood cells that ingest microbes in blood.

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Macrophages

Tissue-resident cells that ingest microbes in tissues.

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Toll-like Receptors (TLRs)

TLRs recognize molecular patterns on microbes.

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Study Notes

Basic Immunology Definitions

  • Immunology studies the immune system, its responses to microbial pathogens and damaged tissues, and its role in disease.
  • The immune system's function is to prevent or eradicate infections.
  • It consists of a complex network of cells, tissues, and organs.
  • The immune system defends the body against infectious agents and other foreign substances (antigens) in the environment.
  • The immune system comprises cells, tissues, and organs.

Lymphoid Tissues and Organs

  • Lymphoid tissues and organs are components of the immune system.
  • Primary lymphoid organs include:
    • Thymus, where T-lymphocytes mature
    • Bone marrow, where B-lymphocytes mature
  • Secondary lymphoid organs include:
    • Lymph nodes (LN)
    • Spleen
    • Mucosa-associated lymphoid tissue (MALT)

Primary Lymphoid Organs

  • Bone marrow is the site of B cell maturation.
  • Bone marrow is where all blood cells generate from a common stem cell (hematopoiesis).
  • The thymus is the site of T cell maturation.
  • The thymus is where T cells undergo a selection process to distinguish between self and non-self-antigens.
  • Positive selection in the thymus allows cells that can recognize self-antigens to grow.
  • Negative selection eliminates autoreactive cells that efficiently bind self-antigens, preventing them from causing harm.

Secondary Lymphoid Organs

  • Secondary Lymphoid Organs trap and concentrate antigens.
  • These organs include:
    • Lymph nodes
    • Spleen
    • Mucosa-associated Lymphoid Tissues (MALT)
  • MALT includes tonsils in the nasopharynx and Peyer's patches in the sub-mucosal surfaces of the small intestine.
  • Lymphocytes develop in primary lymphoid organs and reach secondary lymphoid organs via blood and lymphatic vessels.
  • Lymphocytes meet, recognize antigens, and initiate an immune response in secondary lymphoid organs.

Cells of the Immune System

  • Lymphoid progenitors produce T lymphocytes, B lymphocytes, and natural killer (NK) cells.
  • Myeloid progenitors produce leukocytes, erythrocytes, and platelets.
  • Immune cells originate from the bone marrow.
  • Lymphocytes include:
    • B lymphocytes
    • T lymphocytes
    • NK cells
  • Phagocytes include:
    • Macrophages
    • Neutrophils
  • Antigen-presenting cells include:
    • Macrophages
    • Dendritic cells
    • B lymphocytes

Immune System Discrimination

  • The immune system distinguishes between self and non-self.

The Immune System's Defense Layers

  • The immune system has three layers of defense: barrier, innate, and adaptive.

Types of Immunity

  • The immune system has two lines of defense: innate (non-specific) and adaptive (specific) immunity.
  • The innate and adaptive immune systems utilize cell-surface receptors to detect potential threats, like microbes.

Innate Immunity First Line

  • Innate immunity is the first line of defense against pathogens, providing a rapid response.
  • Innate immunity is always present in healthy individuals.
  • Innate immunity is non-specific
  • Innate immunity has no memory
  • Innate immunity recognizes and reacts against microbes via pathogen-associated molecular patterns (PAMPs).

Components of Innate Immunity

  • It components consist of:
    • Barriers to infection
    • Innate Immunity Cells
    • Soluble Defense

Barriers to Infections

  • Physical barriers include the epidermis, mucous membranes, and nose hair and cilia in the respiratory tract.
  • Chemical and environmental barriers include the acidic pH of the skin, stomach, and vagina.
  • These acidic pH environments inhibit the growth of pathogens.
  • Microcidal molecules, like α- and β-defensins, lysozyme, RNases, and DNases, also act as barriers.
  • Biological barriers consist of commensal microbes that exist in a symbiotic relationship with the body.
  • These microbes colonize the skin, GIT, upper respiratory tract, and urogenital tracts and eyes, inhibiting the establishment of pathogenic microbes

Innate Cells

  • Phagocytic cells can phagocytose (recognize, ingest, and kill) microbes and any foreign antigen.
    • Macrophages
    • Neutrophils
  • Natural killer (NK) cells kill tumor cells and virus-infected cells.

Soluble Defense

  • The complement system is part of soluble defense
  • Cytokines of the innate immunity are proteins secreted by immune cells that mediate functions:
    • TNF
    • IL 1
    • IL 6
    • IL 12
    • IFN γ
    • IFN α
    • IFN β
  • Mannose-binding lectin (MBL) is plasma protein of innate immunity.
  • C-reactive protein (CRP) is plasma proteins of innate immunity.
    • Circulating levels of these plasma proteins increase rapidly after infection.
    • This protective response is the acute phase response.

Adaptive Immunity: Second Line

  • Adaptive immunity is the second line of defense.
  • It develops in response to infection.
  • Specificity and memory are characteristic features of adaptive immunity.

Specificity

  • The immune response is specific for a particular antigen.
  • Specificity ensures that different antigens elicit specific responses.

Memory

  • "Remembering" allows immune cells to respond more strongly to repeated exposure to the same microbe.

Lymphocytes in Adaptive Immunity

  • Lymphocytes are the cells of adaptive immunity:
    • B lymphocytes
    • T lymphocytes
  • B lymphocytes produce antibodies that neutralize and eliminate extracellular microbes and toxins (humoral immunity).
  • T lymphocytes eradicate intracellular microbes (cell-mediated immunity).
  • B and T lymphocytes recognize antigens via specific receptors on their surfaces.

Types of Adaptive Immunity:

  • Humoral (antibody-mediated): B lymphocytes
  • Cell-mediated: T lymphocytes

Adaptive Immune Responses in Sequential Phases

  • Adaptive immune responses consist of sequential phases: Antigen recognition, Activation, Proliferation, Elimination, Decline and Termination, and Long-lived Memory.
  • Antigen recognition happens by lymphocytes receptors
  • Lymphocyte activation leads to differentiation
  • Proliferation & differentiation happens into effector cells (cells that carry the function) and memory cells.
  • Adaptive immunity carries out the elimination of The microbes
  • Responses(homeostasis) decline and terminate once the pathogen is eliminated to avoid damaging host tissues.
  • Long‐lived memory is memory cells

Features of Innate Immunity

  • Provides the 1st line of defense
  • Response is immediate (hours)
  • Nonspecific
  • No memory
  • Exhibits non-reactivity to self
  • Cells involved: Phagocytes (macrophages & Neutrophils), NK cells
  • Receptors involved: Pattern recognition receptors
  • Complement activation: Alternative & MBL pathways
  • Cytokines released: TNF, IL-1, chemokines, IFN-α, IFN-ß, IFN-γ, IL-12

Features of Adaptive Immunity

  • Provides the 2nd line of defense
  • Its response is delayed (days)
  • Specific
  • Memory is present in adaptive immunity
  • Exhibits non-reactivity to self
  • Cells involved: B lymphocytes, T lymphocytes
  • Receptors involved: B cell receptor (BCR), T cell receptor (TCR)
  • Complement activation: Classical pathway
  • Cytokines released: IL-2, IL-4, IL-5, IFN-γ, IL-13, IL-17

Lymphocytes Include

  • B lymphocytes
  • T lymphocytes
  • NK cells
  • There are morphologically similar
  • They are heterogeneous in phenotypes and functions.
  • Lymphocytes can be distinguished by surface proteins, known as the Cluster of Differentiation "CD"

CD Markers

  • CD markers are determined by CD & number → CD1, CD2, CD3, CD4, CD8 etc.
  • Lymphocytes can be Naive, Activated, Effector:
    • Naive: Mature, Never meet an antigen
    • Activated: Proliferation,Differentiation
  • Effector: Carry the function

B Lymphocytes

  • B lymphocytes develop and mature in the bone marrow.
  • "B" the derived from bone marrow
  • 10-15% total blood lymphocytes
  • The phenotype markers is Antigen receptor
  • Antigen receptor (BCR) which is formed of IgM and IgD.
  • CD19
  • CD21 as the Phenotype marker
  • Can Recognize any antigen e.g.: proteins, polysaccharides, lipids, nucleic acids
  • Function: Humoral immunity (antibodies)
  • B cell receptor recognizes antigens
  • When an antigen lead to their proliferation, that means the stimulation happened by an antigen.
  • Antibody destroy microbes

T Lymphocytes

  • T lymphocytes are developed and mature in thymus, that is referred to "T" from the Thymus
  • 75% of total blood lymphocytes
  • Phenotype markers is:
    • TCR
    • CD3
    • CD4
    • CD8.
  • Function is cell-mediated immunity.
  • Types of T lymphocytes: CD4 OR CD8
    • Helper T cells
    • Cytotoxic T cells
    • Regulatory T cells

Subsets Of T Lymphocytes

  • Include the following:
    • Helper T cells TH
    • Help B lymphocytes to produce antibodies
    • Help macrophage activation destroy ingested microbes
    • Cytotoxic T cells TC
    • Kill virus-infected cells
    • Kill tumor cells.
    • Graft cells Rejection.
    • Regulatory T cells

Antigen Recognition by T Cells (MHC Restriction)

  • T lymphocytes don't recognize antigen directly as B lymphocytes do.
  • Recognize antigen by TCRs formed of α and β chain.
  • Recognize protein antigens only
  • They recognize antigen only in the form of peptide fragments + MHC Molecules on the surface of APCs.
  • CD4+ cells recognize peptide + class II MHC molecules.
  • CD8+ cells recognize peptide + class I MHC molecules.
  • Proteasome which degrade Proteins into Peptides

B Cell Activation

  • Independent activation T depends independently of the cell
  • Can activate antigens by Some without help from T cells
    • A Microbial LPS
  • Activation of a dependent T cell relies on its dependence:
  • Epitope is found on a protein Antigen.
  • Engagement engagement of Interleukin-4

Dependently Activation T cell

  • BCRS binds Antigens
  • Ag are endocytosed
  • the digestion of Antigen into fragments
  • Cell presented cell in the MHC class II to The Th Cells
  • TH Cells binds the B. Cell & it secretes IL-4 that.
  • Stimulate cell proliferation in the cell
  • B cell with Identical BCRS.

Natural Killer (NK) Cells

  • It form the third population of Lymphocytes
  • Form 10% of blood Lymphocytes
  • Cytoplasmic granules
    • Phenotype marker: CD16
    • Antigan Receptor is KARS AND KIRS
  • There functions are:
    • Killing tumor cells
  • Killing Virus-infected cells
  • ADCC antibody depended cell of Toxicity's produce γ which attract macrophages

NK Cell Recognition by KIRS & KARs

  • Killer Cell Inhibitory Receptors, it sends (-) signal in Killers.
  • Killer Activating Receptors it sends (+) signal in Killers.

Phagocytes

  • Phagocytes cells have the ability to recognize and cell microbes and. foreign, Antigen

Types of Phagocytes

  • Monocyte/Macrophage
  • Neutrophils

Monocytes/Macrophages

  • Monocytes circulate in blood
  • Tissue resident the Macrophages

Neutrophils

  • PnMS; Polymorphonuclear Leuycotypes.
  • Most abundant leukocytes in the blood
  • Pus Cells increase the Number infections within Number the of the Bloods

Phagocytosis

  • The process Consists of Delivery
  • Diapedesis
  • Chemotaxis
  • Recognition of Microbes by adhering to the target.
  • Phagocytic adherence to the target (opsonization)
  • Ingesting the particles, which is called phagosome formation
  • Phaglysome formation then the intra celled killed

Step 1 of Phagocytesis

  • The process consist delivery, which is achieved by Chemotaxis
  • It is Also achieved and Diapedesis

Recognition steps for microbes in phagocytesis

  • Recognizing the microbes on blood and tissues by binding to a specific surface

Phagocytosis

Steep 3: phagocytosis of microbes and the adherence to the adhesion of micro

  • An opsonization is when you coding the components cpl to the body surface
  • Also biding the microbes in the phagocytic cells

More steps on phagocytesis

  • Ingestion the step: an enfulingent from the bacteria with a membraned by

Phagolysome

  • Fusion-to the light -to-side some which are digesting the vesicles on the surfaces
  • Intracellularly is where is is to kill
  • Accomplished with cell by granuals and some.

Oxygen Independence

  • Lysomal Granuls
  • Lactoferrin
  • Low PH

Oxgen Dependence

  • This refers to To the toxicity of the nitrogen.

Many The cells present microbes:

  • 1- Denritic Cell
  • 2- Macrophages
  • 3- The Som B Cells
  • All of these live within, and are present in: Epithelium of the transport skin.
  • These help to capture and transport antigens to the peripheral lymphoid tissues
  • Transport is when the process antigens into pieces

Antigen Presenting Cell

Cell a Rich with in to class MHC II molecules.

  • They Mature help cells with help in their function.

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