Immunology Overview and Lymphoid Organs
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Questions and Answers

What is the primary function of neutrophils in the immune system?

  • Targeted immune response against viruses
  • Engulf and digest bacteria (correct)
  • Kill parasitic worms
  • Assist in B-cell activation
  • Which type of lymphocyte is primarily responsible for targeted immune responses?

  • Monocytes
  • Basophils
  • Lymphocytes (correct)
  • Eosinophils
  • Which type of lymphoid tissue is responsible for the maturation of lymphocytes?

  • Lymph nodes
  • Spleen
  • Thymus
  • Bone marrow (correct)
  • How do CD56 DIM NK cells primarily operate in the immune response?

    <p>ADCC of infected cells</p> Signup and view all the answers

    What percentage of total leukocytes do monocytes typically represent in the blood?

    <p>2-10%</p> Signup and view all the answers

    What characteristic differentiates primary lymphoid tissue from secondary lymphoid tissue?

    <p>Function of lymphocytes</p> Signup and view all the answers

    Which of the following statements about immune function in elderly individuals is most accurate?

    <p>Age affects their ability to mount successful immune responses.</p> Signup and view all the answers

    What is the principal mechanism through which eosinophils mediate their immune response?

    <p>Killing of parasitic worms</p> Signup and view all the answers

    Which type of immunity is primarily established during fetal development?

    <p>Both innate and adaptive immunity</p> Signup and view all the answers

    What role do macrophages play once monocytes migrate into tissues?

    <p>Act as phagocytes</p> Signup and view all the answers

    Which type of T cell is primarily responsible for binding to MHC I molecules and what does it secrete?

    <p>T8 – TNFα, IL2, IFNɣ</p> Signup and view all the answers

    Identify the correct statement regarding the function of dendritic cells in the immune response.

    <p>They transport pathogens to lymphoid organs to stimulate adaptive immunity.</p> Signup and view all the answers

    Which statement about macrophages is INCORRECT?

    <p>Microglia are found in the lungs.</p> Signup and view all the answers

    What is the role of PAMP in the immune system?

    <p>It acts as a molecular pattern recognized by the innate immune system.</p> Signup and view all the answers

    Which type of lymphocyte is characterized by a large nucleus compared to the overall cell volume?

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

    During early fetal development, which immune cell type is essential for establishing the fetal immune system?

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

    How does immunity function differently in the elderly compared to the young?

    <p>Elderly individuals exhibit reduced lymphocyte function.</p> Signup and view all the answers

    Which type of immune response are lymphocytes particularly associated with?

    <p>Adaptive immune response</p> Signup and view all the answers

    In terms of adaptation across generations, which immune component is crucial for memory?

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

    What important function do macrophages perform as part of their role in the immune system?

    <p>Clean up dead cells and debris.</p> Signup and view all the answers

    What is the primary mechanism through which tolerance between the mother and fetus is established?

    <p>Tregs in the fetus under the influence of TGFβ</p> Signup and view all the answers

    At what point in gestation does the maternal IgG concentration equal the fetal IgG concentration?

    <p>Week 33</p> Signup and view all the answers

    Which of the following cells show a significant age-related increase in expression of KLRG-1?

    <p>CD8 T cells</p> Signup and view all the answers

    What is the main reason that babies are born with naive immune cells?

    <p>Inadequate exposure to pathogens during pregnancy</p> Signup and view all the answers

    Which of the following bioactive compounds is NOT found in breast milk?

    <p>Th1 cytokines</p> Signup and view all the answers

    What is the primary effect of the complement system's development in infants?

    <p>Reduced phagocytic function until 1 year</p> Signup and view all the answers

    What type of antigenic challenge is generally absent in the womb, contributing to fetal immune tolerance?

    <p>Alloantigens from the mother</p> Signup and view all the answers

    Why is the immune response in elderly individuals often diminished?

    <p>Low proliferative response of CD4 T cells</p> Signup and view all the answers

    Which immune cell type's function is primarily restored by maternal antibodies post birth?

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

    What characterizes Tregs found in the placenta?

    <p>FoxP3+ and CD127-</p> Signup and view all the answers

    What is the primary function of immature, self-reactive T cells in the maturation process?

    <p>To be eliminated to prevent autoimmunity</p> Signup and view all the answers

    Which part of the lymph node is primarily responsible for the entry of pathogens and dendritic cells?

    <p>Afferent lymphatic vessel</p> Signup and view all the answers

    In what situation will a naïve B cell typically leave the lymph node?

    <p>If no antigen is encountered</p> Signup and view all the answers

    What is the significance of high endothelial venules (HEV) in the lymphatic system?

    <p>They allow the passage of lymphocytes into lymph nodes</p> Signup and view all the answers

    What part of the immune response occurs in the germinal center?

    <p>B cell differentiation and division</p> Signup and view all the answers

    Which lymphatic tissue is associated with the respiratory system?

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

    Which of the following statements best describes haematopoiesis in adults?

    <p>It takes place in the bone marrow</p> Signup and view all the answers

    What is the fate of some germinal center B cells as the immune response subsides?

    <p>They develop into memory B cells</p> Signup and view all the answers

    What role do macrophages play in the lymph nodes?

    <p>They stimulate lymphocyte maturation</p> Signup and view all the answers

    Which of the following statements is true regarding the specificity of lymphocytes?

    <p>Each lymphocyte carries receptor molecules of a single specificity</p> Signup and view all the answers

    Study Notes

    Immunity Across Generations

    • Immunity in a baby is initially naive and comes from the mother via the placenta.
    • Babies are born with intact immunity, but it is suboptimal.
    • Phagocytes migrate slower; cytokines are low; NK functions are incomplete; complement system development is slow; low immunoglobulin levels.
    • Babies need time and are helped by the mother after birth.
    • Immune protection from mother to baby continues even after birth (NAPI) via the placenta and breast milk.

    Lymphoid Organs

    • Only a small fraction of lymphocytes are in circulation at any time.
    • Primary lymphoid tissue is where lymphocytes develop or mature.
    • Secondary lymphoid tissue is where mature lymphocytes are stimulated to respond.
    • Lymphoid organs include: adenoids, tonsils, right subclavian vein, lymph node, appendix, lymphatics, left subclavian vein, thymus, heart, thoracic duct, spleen, Peyer's patches (small and large intestines), bone marrow.

    Blood Leukocytes

    • Neutrophils (40-75%): engulf and digest bacteria.
    • Lymphocytes (20-50%): targeted immune response.
    • Monocytes (2-10%): engulf and digest bacteria, develop into tissue macrophages.
    • Eosinophils (1-6%): kill parasitic worms.
    • Basophils (<1%): involved in allergic reactions.
    • Granulocytes are neutrophils, eosinophils, and basophils.

    Neutrophils Maturation & Clinical Significance

    • Neutrophils mature from immature precursors to intermediate to fully mature segmented neutrophils.
    • Stages include myelocyte, metamyelocyte, band neutrophil, and mature segmented neutrophil.
    • Clinical importance: left shift indicates the presence of immature neutrophils in the blood.
    • Left shift can be due to inflammation, leukemia, and/or bone marrow damage.

    Natural Killer (NK) Cells

    • CD56bright NK cells are a minority type, poorly cytotoxic but high cytokine producers.
    • CD56dim NK cells are the majority type, efficient in antibody-dependent cell-mediated cytotoxicity (ADCC) of infected cells and have perforin and granzymes.
    • FcyR: CD56bright vs. CD56dim NK cells differ in the expression of FcyR (adhesion).

    Monocytes/Macrophages

    • Monocytes circulate in the blood and are precursors of tissue macrophages.
    • Macrophages act as phagocytes, cleaning up dead cells and microorganisms.
    • They also produce cytokines that promote inflammation.
    • Macrophages are found in the liver (Kupffer cells), bones (osteoclasts), brain (microglia), skin (Langerhans cells), tissues (histiocytes), kidney (mesangial cells), placenta (Hofbauer cells), lungs (alveolar macrophages).

    Dendritic Cells

    • Dendritic cells are related to macrophages and have a unique star-shaped morphology.
    • They carry degraded and intact pathogens from infection sites to lymphoid organs.
    • Dendritic cells stimulate adaptive immune responses.

    Lymphocytes (Adaptive)

    • Lymphocytes and NK cells are derived from the same progenitor cell.
    • Lymphocyte types include B cells (with BCR), T cells (with TCR): Th8 (MHC-I binding), Th4 (MHC-II binding), Th1 (TNFα/IL2/InfY), Th2 (IL4,5,10,13), Ts/Treg (regulatory), and γδ T (no MHC binding).
    • Histologically, lymphocytes are recognized by their large, centrally located nuclei compared to their overall cell size.

    Maturation of T Cells

    • T cells mature in the thymus, starting in the bone marrow and then migrating to the thymus gland for maturation.

    Maturation of Thymocytes

    • Immature thymocytes (CD3-, 4-, 8-) undergo development in the thymus, passing through stages of double negative, double positive, and to single positive (CD4 or CD8) maturation.
    • Positive and negative selection processes mediate thymocyte maturation in the cortex and medulla regions of the thymus.

    Clonal Selection Theory

    • Many types of T and B cells exist before contact with foreign antigens.
    • Lymphocytes have antigen-specific receptors on their surfaces.
    • Receptors bind to specific antigens and cause cell proliferation (clones of the same specificity).
    • Immature, self-reactive cells are prevented from maturing.

    The Lymphatic System

    • The lymphatic system is a network of vessels collecting plasma proteins, and debris from the tissues.
    • Lymph nodes are at junctions of lymphatic vessels.
    • Pathogens and dendritic cells arrive via the afferent lymphatic vessels.
    • Pathogens are picked up by resident macrophages and stimulate resident lymphocytes.

    Anatomy of a Lymph Node

    • Lymph nodes weigh 1 gram (or less) and have lymphoid follicles (mostly B cells), a medullary sinus, an artery, a vein, an efferent vessel, and a marginal sinus.
    • Lymph nodes contain afferent and efferent lymphatic vessels to allow the flow of lymphatic fluid and pathogens in the lymph.

    Circulation of a Naïve B Cell Through Lymph Node

    • Naïve B cells enter the lymph node via the blood vessels, particularly the HEVs.
    • If no antigen is encountered, the B cell leaves the lymph node via the efferent lymphatic vessel.

    B Cells Encountering Antigen (Germinal Proliferation & Plasma Cells)

    • B cells encountering antigens enter the germinal centers for clonal expansion and differentiation.
    • Some differentiate into antibody-secreting plasma cells and migrate to the medulla to become plasma cells.
    • Some differentiate into memory B cells to provide long-term immunity.
    • B cells migrate back to the lymph node to encounter antigens

    Lymphoid Areas of Note

    • GALT (gut-associated lymphoid tissue): Tonsils, adenoids, appendix, Peyer's patches.
    • BALT (bronchial-associated lymphoid tissue): Aggregates of tissue on the lining of the respiratory tract.
    • MALT (mucosa-associated lymphoid tissue).

    Cells of the Immune System

    • Hematopoiesis (in adults) takes place in the bone marrow of the skull, ribs, sternum, vertebral column, pelvis, and femurs.

    Immunity Foetus

    • Foetus are in a sterile environment.
    • Treg cells are increased in the foetus; response is dominated by Th2 immunity.
    • The mother develops tolerance for the foetus.
    • Foetal thymus development follows a specific pathway from the 3rd branchial arch.

    Baby & Immunity

    • Babies have intact but suboptimal immunity.
    • Babies are born with a naïve immune system, requiring exposure to antigens to mount a proper immune response.

    Immune Risk Phenotype and Immuno-senescence (the Elderly)

    • CD8 T cells are high in the elderly; CD28 is null.
    • CD4 T cell counts and diversity are decreased.
    • APC function and antigen presentation are decreased.
    • CMV seropositivity, expansion in CD8 cells, and decreased cytotoxic NK cell activity are observed.

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    Related Documents

    Immunity Across Generations PDF

    Description

    Explore the intricate details of immunity across generations, including the transfer of immunity from mother to baby through the placenta and breastfeeding. Additionally, learn about lymphoid organs and their roles in the development and activation of lymphocytes. This quiz covers essential concepts in immunology and lymphocyte function.

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