Immunology Overview Quiz

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Questions and Answers

What is the main function of neutralization by antibodies?

  • To mark pathogens for destruction
  • To stimulate the immune response
  • To prevent pathogens from causing damage (correct)
  • To enhance bacterial growth

Opsonization involves antibodies binding to pathogens and promoting their destruction by phagocytes.

True (A)

What are the regions involved in the creation of antibody diversity?

Combinatorial diversity, junctional diversity, heavy chain and light chain combinations.

The Fc region of antibodies is important for _____ and _____.

<p>complement activation, binding to phagocytes</p> Signup and view all the answers

Match the immune process with its description:

<p>Neutralization = Antibody binds tightly to pathogens Opsonization = Antibodies coat pathogens for phagocytosis ADCC = NK cells induce apoptosis in infected cells Complement activation = Lysis facilitated by antibody interaction with C3b</p> Signup and view all the answers

Which two types of cells are affected by Severe Combined Immunodeficiency (SCID)?

<p>B cells and T cells (D)</p> Signup and view all the answers

T cells recognize epitopes in their native form on the pathogen surface.

<p>False (B)</p> Signup and view all the answers

What is an epitope?

<p>The region of an antigen that physically interacts with an antibody or receptor.</p> Signup and view all the answers

What is the primary function of AIRE (Autoimmune Regulator)?

<p>To prevent autoimmunity against peptides not seen in the CM region (B)</p> Signup and view all the answers

AIRE dysfunction can lead to conditions like vitiligo and alopecia.

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

What is the consequence of infection that involves enough tissue leading to secreting TNF, IL-1β, and IL-6?

<p>Systemic Inflammatory Response</p> Signup and view all the answers

Cytokines are usually small, secreted proteins that bind to specific ______ with high affinity.

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

Which of the following is NOT a cytokine family mentioned?

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

What is the primary role of the pre-TCR in T cell development?

<p>To signal for the transition to double positive stage (D)</p> Signup and view all the answers

Match the cytokines with their primary effects:

<p>TNF-α = Promotes inflammation IL-1β = Fever induction IL-6 = Acute phase response CD40L = B cell activation</p> Signup and view all the answers

Thymocytes do not migrate during the maturation process.

<p>False (B)</p> Signup and view all the answers

Systemic infections can cause blood pressure to increase significantly.

<p>False (B)</p> Signup and view all the answers

What does AIRE eliminate from T cells?

<p>60%</p> Signup and view all the answers

What are the two main stages of T cell development following the double negative stage?

<p>Double positive stages</p> Signup and view all the answers

The ______ chain pairs with the surrogate α chain during the pre-TCR stage.

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

Match the following terms with their descriptions:

<p>DN3 = β chain V to DJ joining DN4 = Proliferation of single β chain cells Double Positive Stage = TCR-α recombination occurs Negative Selection = Removal of self-reactive thymocytes</p> Signup and view all the answers

Which factor shuts down TCR-β rearrangement during the transition to the DN4 stage?

<p>Degradation of RAG proteins (B)</p> Signup and view all the answers

The successful production of the β chain results in the transition out of the DN stage.

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

What is the main purpose of negative selection in T cell development?

<p>To eliminate self-reactive thymocytes</p> Signup and view all the answers

What does the complete Pre-BCR consist of?

<p>Heavy chain, surrogate light chain, Igβ, and Igα (C)</p> Signup and view all the answers

Tonic signaling has a known ligand.

<p>False (B)</p> Signup and view all the answers

What is the significance of the pre-BCR checkpoint?

<p>It ensures that a normal heavy chain is created before progressing to the immature B cell stage.</p> Signup and view all the answers

Activation-induced deaminase (AID) helps introduce mutations by converting ________ to uracil.

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

What is the role of the ITAM sequence in Igβ and Igα?

<p>It acts as a docking site for signaling molecules. (D)</p> Signup and view all the answers

Hyper IgM syndrome is caused by a malfunction in class switch recombination.

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

What happens during the GC light zone?

<p>B cells undergo affinity checking and only the highest affinity B cell clones are kept.</p> Signup and view all the answers

Each alternative constant-region encoding gene is preceded by a ________ region.

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

What does X-linked agammaglobulinemia result in?

<p>No circulating B cells (C)</p> Signup and view all the answers

What initiates the activating signal in Natural Killer (NK) cells when distress markers are found?

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

NKG2D only scans healthy cells for distress markers.

<p>False (B)</p> Signup and view all the answers

What are the two main components secreted by NK cells to enter the target cell?

<p>Fas-ligand and granules</p> Signup and view all the answers

Natural Killer (NK) cells predominantly express ______ to bind IgG coating on target cells.

<p>Fc(gamma) Receptor III</p> Signup and view all the answers

What happens to the target cell if activating signals outweigh inhibitory signals?

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

Naïve CD8 T cells express perforin and granzyme upon activation.

<p>False (B)</p> Signup and view all the answers

Where do naïve CD8 T cells primarily reside?

<p>Secondary lymphoid tissue</p> Signup and view all the answers

The subset of NK cells that do not kill but produce cytokines rapidly primarily release ________.

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

Match the receptor or factor to its function:

<p>LFA-1 = Adhesion to target cells MICA/MICB = Distress markers Perforin = Pore formation in target cells IFN-gamma = Cytokine production</p> Signup and view all the answers

What mechanism do cytokines like IL-1 and TNF utilize to activate endothelial cells?

<p>Promoting vascular permeability (C)</p> Signup and view all the answers

Dendritic cells can present antigens to both CD4 T cells and CD8 T cells without any modification.

<p>False (B)</p> Signup and view all the answers

What is the primary function of TH1 cells?

<p>Help macrophages by making them more inflammatory and secreting IFN-gamma.</p> Signup and view all the answers

The _____ cytokine family signals through the JAK/STAT pathway.

<p>four-helix bundle</p> Signup and view all the answers

Match the cytokines with their associated roles:

<p>IL-1β = Systemic inflammation IL-6 = Activating lymphocytes TNF-α = Potent inflammatory signal IL-10 = Dampening the inflammatory response</p> Signup and view all the answers

Which of the following cytokines is primarily responsible for recruiting neutrophils?

<p>CXCL8 (C)</p> Signup and view all the answers

CCR7 is a chemokine receptor that directs dendritic cells to lymph nodes.

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

What type of immunity targets helminths and assists in tissue repair?

<p>Type II immunity</p> Signup and view all the answers

In T cell activation, Signal #1 is the engagement of _____ with MHC-II peptide.

<p>TCR/CD4</p> Signup and view all the answers

Match the T cell types with their functions:

<p>TH1 = Recruits macrophages TH2 = Targets helminths TH17 = Recruits neutrophils Treg = Suppression of immune response</p> Signup and view all the answers

Which of the following is a member of the TNF family?

<p>CD40L (D)</p> Signup and view all the answers

The activation of macrophages leads other macrophages to release cytokines.

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

What outcomes are induced by the trimerization of TNF family members?

<p>Activation of NF-kB or caspase cascade.</p> Signup and view all the answers

The presence of foreign proteins and MHC I in the cell membrane helps identify _____ cells.

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

Flashcards

Neutralization

An antibody binds to a specific region on a pathogen, preventing it from functioning or harming the host.

Opsonization

Antibodies coat the surface of a pathogen, making it easier for phagocytes to recognize and engulf it.

Complement Activation

Antibodies activate the complement system, leading to the formation of a membrane attack complex that punches holes in the pathogen's membrane, causing lysis.

Antibody-dependent Cell-mediated Cytotoxicity (ADCC)

NK cells recognize antibodies bound to the surface of infected cells and trigger apoptosis, leading to the destruction of the infected cells.

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Epitope

The specific region on an antigen that interacts with the antigen receptor.

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Severe Combined Immunodeficiency (SCID)

A type of immune deficiency characterized by the absence of both B cells and T cells due to mutations in the RAG genes.

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Monoclonal Antibody

A protein with an extremely specific binding site for a particular ligand.

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Antigen Receptor Diversity

The process of creating diverse antigen receptors during the development of B and T cells.

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Pre-BCR

A cell surface receptor composed of the mu heavy chain, a surrogate light chain (VpreB and lambda5), and signaling molecules Igbeta and Igalpha.

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Tonic signaling

A type of signaling that occurs in the absence of a known ligand, essential for the survival and maturation of B cells.

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X-linked agammaglobulinemia

A genetic disorder characterized by a lack of circulating B cells due to a failure to produce a functional Pre-BCR.

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Pre-B Cell --> Immature B Cell

The process of generating a mature B cell receptor (BCR) with a full light chain.

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VJ joint creation

The process of recombining the variable (V) and joining (J) gene segments to produce a functional light chain.

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ITAM (Immunoreceptor Tyrosine-Based Activation Motif)

A conserved protein domain found in signaling molecules Igbeta and Igalpha, important for initiating intracellular signaling.

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Src-family tyrosine kinases

Enzymes that phosphorylate tyrosine residues on ITAMs, initiating downstream signaling pathways.

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Switch region

A specialized region within the heavy chain constant region gene, targeted by the class switch recombination machinery for antibody class switching.

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Activation-induced deaminase (AID)

An enzyme that catalyzes the conversion of cytosine to uracil, crucial for both somatic hypermutation and class switch recombination.

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Hyper-IgM syndrome

A genetic disorder that prevents B cells from switching to other antibody classes, leading to primarily IgM antibodies and increased susceptibility to infections.

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Lymphoid progenitor cells

Precursor cells in the bone marrow that give rise to T cells.

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Thymocytes

Immature T cells that are found in the thymus.

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Double negative (DN) stage

An early stage of T cell development characterized by the absence of both CD4 and CD8 co-receptors.

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β chain rearrangement (in DN3 stage)

The process of rearranging V, D, and J gene segments to create a functional TCR-β chain.

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pTα

A surrogate α chain that pairs with the β chain during pre-TCR formation.

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Double positive (DP) stage

A stage of T cell development where the thymocytes express both CD4 and CD8 co-receptors.

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Positive selection

A process that ensures the survival of T cells with functional TCRs and eliminates those with self-reactive TCRs.

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Negative Selection (Thymus)

A process by which T cells are screened for self-reactivity. T cells that recognize self-antigens expressed in the thymus are eliminated, reducing the risk of autoimmunity.

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AIRE Deficiency

A rare genetic disorder that affects the development of the immune system. People with AIRE deficiency often experience autoimmune diseases due to a lack of proper self-tolerance.

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Cytokines

Small proteins that are secreted by cells to communicate with other cells of the immune system. They play a crucial role in orchestrating immune responses.

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Systemic Infection

The body's response to a widespread infection, characterized by a systemic increase in WBCs and fever. It can be triggered by bacterial or viral infections.

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TNF (Tumor Necrosis Factor)

A powerful cytokine that plays a central role in inflammation and immune responses. It can trigger a cascade of events that lead to tissue damage and even death.

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Sepsis

A potentially life-threatening condition caused by a severe, uncontrolled inflammatory response to infection. It can lead to organ dysfunction and multiple organ failure.

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Disseminated Intravascular Coagulation (DIC)

A process by which blood clots form within blood vessels, often in response to severe inflammation or infection, potentially leading to tissue damage.

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Autoimmunity

A condition that occurs when the body's immune system attacks its own tissues due to a failure to distinguish self from non-self. Examples include rheumatoid arthritis and multiple sclerosis.

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Immune Synapse

A specialized junction between an immune cell like a T cell and its target cell, facilitating efficient delivery of cytotoxic molecules.

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Cytotoxic T Lymphocytes (CTLs)

CD8+ T cells that have been activated and are primed to kill virally infected cells or tumor cells.

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T Cell Receptor (TCR)

A surface molecule on T cells that recognizes and binds to MHC I molecules presenting viral peptides, triggering activation and a powerful response.

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Major Histocompatibility Complex (MHC) I

A group of proteins on the surface of cells that present small fragments of antigens (peptides) from within the cell to the immune system. They present these antigens to T cells, triggering an immune response.

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CD8 T Cell Differentiation

The process by which a naïve CD8+ T cell becomes a fully functional cytotoxic T lymphocyte, capable of recognizing and killing target cells.

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Stress Markers

Molecules expressed on the surface of cells that are recognized by NK cells. These molecules are often upregulated in stressed or infected cells.

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KIR (Killer Inhibitory Receptor)

A type of inhibitory receptor expressed on NK cells that binds to MHC I molecules. The presence of MHC I on a target cell sends a signal to the NK cell to hold back and not attack.

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Perforin

Proteins released by CTLs, causing the formation of pores on the target cell membrane.

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Granzyme B

Enzymes released by CTLs along with perforin, entering the target cell through pores and triggering apoptosis.

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TNF Family

A family of proteins that play a crucial role in inflammation, often activating either NF-kB or caspase cascade (apoptosis).

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TNF-α

A potent inflammatory cytokine that activates NF-kB and is a key player in the TNF family.

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CD40L

A member of the TNF family found on antigen-presenting cells (APCs), including B cells. It activates NF-kB when engaged.

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FasL

A member of the TNF family that promotes apoptosis by signaling through caspases. It's like a 'death switch' for cells.

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Four-Helix Bundle Cytokines

Cytokines that utilize the JAK/STAT pathway for signaling. Most interleukins, IFNs, and some growth factors belong to this group.

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JAK3

A key enzyme in the JAK/STAT pathway, found exclusively in leukocytes.

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IL-1β

A potent inflammatory cytokine released by macrophages, dendritic cells, and other immune cells, particularly in response to pathogens.

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TNF-α

A powerful inflammatory cytokine that plays a crucial role in activating endothelial cells and recruiting neutrophils in localized infections.

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IL-6

A cytokine that plays a critical role in systemic infections by activating lymphocytes and promoting inflammation.

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CXCL8

A chemokine that attracts neutrophils to the site of infection, helping to clear pathogens.

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CCL2

A chemokine that draws monocytes to the site of infection.

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IL-12

A cytokine that plays a critical role in activating NK cells, helping to fight off pathogens.

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IL-10

A cytokine that helps dampens the inflammatory response, preventing excessive damage to tissues.

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Dendritic Cell Activation

A member of the TLR family expressed on dendritic cells, activating NF-kB and MAP kinase (AP-1) pathways.

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Product of the Inflammasome

A potent inflammatory mediator produced by the inflammasome, a protein complex involved in inflammation.

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Study Notes

Immune System Overview

  • The immune system protects the body from pathogens.
  • Immune responses can be too long (tissue remodeling) or too effective (graft rejection).
  • Innate immunity is rapid, needing no prior exposure.
  • Adaptive immunity distinguishes unique pathogens.

Innate Immune System

  • Contains soluble components (complement cascade).
  • Cellular components include phagocytes (engulf pathogens) and NK cells.
  • Pathogen-associated molecular patterns (PAMPs) trigger rapid activation.
  • Examples of PAMPs include LPS, CpG DNA, mannose, and flagellin.
  • Complement system involves leukocyte extravasation (leaving blood vessels and moving to tissues).

Adaptive Immune System

  • Involves lymphocytes (B cells and T cells).
  • Lymphocytes proliferate and differentiate.
  • Lymphocytes distinguish unique pathogens.
  • Each lymphocyte has a unique antigen receptor.

B Cells

  • Develop in bone marrow.
  • Surface immunoglobulin (BCR) is an antigen receptor.
  • Antigen binding leads to clonal expansion.
  • Plasma cells secrete antibodies.
  • Memory cells respond rapidly to subsequent antigen encounters.

T Cells

  • Develop in thymus.
  • T-cell receptor (TCR) is an antigen receptor.
  • Cannot bind free antigens; requires MHC presentation.
  • CD8+ T cells (cytotoxic T cells) kill cells with abnormal cytoplasmic proteins.
  • CD4+ T cells (helper T cells) signal other immune cells.

Antigen Presentation

  • Major Histocompatibility Complex (MHC) molecules present antigens to T cells.
  • MHC Class I molecules present antigens from inside cells.
  • MHC Class II molecules present antigens from outside cells.

Phagocytosis

  • Cells engulf and destroy pathogens.
  • Macrophages and neutrophils are phagocytes.

Antigen Receptors

  • B cell receptors (BCRs) and T cell receptors (TCRs) bind specific antigens.
  • BCRs can bind free antigens.
  • TCRs only bind processed antigens presented by MHC molecules.
  • Antigen-antibody binding is essential for adaptive immune responses.

Toll-Like Receptors (TLRs)

  • Located on cell surfaces or in endosomes.
  • Recognize pathogen-associated molecular patterns (PAMPs).
  • Initiates signaling cascades, leading to the production of inflammatory mediators.

NOD-Like Receptors (NLRs)

  • Located in the cytoplasm.
  • Recognize pathogen-associated molecular patterns (PAMPs) and damaged-associated molecular patterns (DAMPs).
  • Activate the inflammasome, inducing inflammation.

RLRs

  • Located in the cytoplasm.
  • Recognizes viral RNA, leading to interferon production and antiviral responses.

Cytokines

  • Mediators of immune responses: regulate immune cell development, localization, and effector functions.

Phagocytosis and Killing

  • Cells engulf and destroy pathogens.
  • Oxidative killing uses reactive oxygen/nitrogen species.
  • Lysosomes contain enzymes to digest pathogens.

Complement System

  • Serum proteins activate different pathways.
  • Complement system results in pathogen lysis and opsonization.
  • Complement system leads to phagocytosis of pathogens and inflammation.
  • Complement proteins (C3a, C4a, C5a) increase vascular permeability, attract immune cells.

Cell Surface Receptors

  • Several types of cell surface receptors mediate both cellular and humoral immune responses
  • B and T cell receptors (BCR and TCR) mediate antigen-specific binding
  • Receptors and their ligands mediate the inflammatory cascade

Lymphocytes

  • B cells mature in the bone marrow, producing antibodies.
  • T cells mature in the thymus, becoming CD4+ or CD8+ T cells.

Tolerance

  • Mechanisms maintain self-tolerance.
  • Central tolerance (thymic selection) eliminates self-reactive T cells.
  • Peripheral tolerance mechanisms include anergy, activation-induced cell death, regulatory T cells (reducing reactions to self-antigens).

Hypersensitivity

  • Inappropriate immune responses to harmless antigens.
  • Four types of hypersensitivity reactions exist: Immediate, cytotoxic, immune complex, and delayed.

Vaccination

  • Vaccines provide immunity against pathogens.
  • Different vaccine types exist (inactivated, subunit, live-attenuated, etc.).
  • Vaccines utilize antigen presentation and stimulate adaptive immune responses to generate memory cells.

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