Immunology Unit 1 Quiz

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Questions and Answers

Which of the following describes the primary functions of MHC molecules?

  • Producing cytokines
  • Presenting antigens to T cells (correct)
  • Regulating cellular metabolism
  • Transporting antibodies across mucosal surfaces

What distinguishes acute inflammation from chronic inflammation?

  • Type of pathogens involved
  • Duration of inflammation
  • Predominant cell type responses (correct)
  • Location of the inflammation

Which type of cell is responsible for producing IgA across mucosal surfaces?

  • Memory B cells
  • Cytotoxic T cells
  • Plasma cells (correct)
  • Regulatory T cells

What is the role of selectins during the process of extravasation?

<p>Adhesion of leukocytes to the endothelium (A)</p> Signup and view all the answers

Which of the following best describes the process of class-switching in B cells?

<p>Altering the constant region of the antibody (A)</p> Signup and view all the answers

Which cytokine is primarily involved in the activation of CD8+ cytotoxic T cells?

<p>IL-2 (A)</p> Signup and view all the answers

What defines the characteristics of live attenuated vaccines compared to inactivated vaccines?

<p>They contain intact microorganisms that are weakened (A)</p> Signup and view all the answers

How do antimicrobial antibodies function to neutralize pathogens?

<p>By binding to pathogens and blocking their function (A)</p> Signup and view all the answers

Which type of hypersensitivity is primarily mediated by IgE antibodies?

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

What is the primary immune component affected in X-linked SCID?

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

How does the RAG deficiency affect immune system function?

<p>It results in the inability to produce T and B cell receptors. (C)</p> Signup and view all the answers

Which type of antibody therapy specifically targets tumor cells expressing the Her2 protein?

<p>Anti-Her2 antibodies (D)</p> Signup and view all the answers

What is a characteristic of hyperacute transplant rejection?

<p>Results from pre-existing antibodies against donor tissue. (D)</p> Signup and view all the answers

In HIV infection, what is the primary target of the virus?

<p>CD4 T cells (D)</p> Signup and view all the answers

What is the main mechanism by which anti-PD-1 antibodies work?

<p>They enhance T cell activity by inhibiting inhibitory signals. (D)</p> Signup and view all the answers

Which type of graft is least immunogenic between genetically identical individuals?

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

What type of immune response is primarily affected by defects in CD8 T cell immunity during human CMV infections?

<p>Cell-mediated immunity (B)</p> Signup and view all the answers

What is a common mechanism by which human CMV evades adaptive immune responses?

<p>Inhibiting MHC class I presentation (D)</p> Signup and view all the answers

Which class of drugs primarily inhibits reverse transcriptase in HIV treatment?

<p>NRTIs (Nucleoside Reverse Transcriptase Inhibitors) (A)</p> Signup and view all the answers

What is the role of RAG proteins in the immune system?

<p>Enabling V(D)J recombination of lymphocyte receptors (D)</p> Signup and view all the answers

Which type of tumor therapy specifically blocks the interaction between PD-1 and its ligands?

<p>Anti-PD-1 therapy (A)</p> Signup and view all the answers

What mechanism is primarily responsible for hyperacute transplant rejection?

<p>Preformed anti-donor antibodies (B)</p> Signup and view all the answers

What type of graft is considered the least immunogenic?

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

How do tumor cells typically evade the immune response?

<p>Secreting immunosuppressive cytokines (D)</p> Signup and view all the answers

Which of the following is a common feature of Wiskott-Aldrich syndrome?

<p>Platelet abnormalities and immunodeficiency (B)</p> Signup and view all the answers

What do anti-CTLA4 antibodies target in the immune system?

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

What is the primary outcome of HIV infecting T cells?

<p>Destruction of CD4+ T cells (D)</p> Signup and view all the answers

Which type of transplant rejection is characterized by chronic inflammation and fibrosis?

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

What method do human cytomegalovirus (CMV) use to evade immune responses?

<p>Inhibition of antigen presentation (A)</p> Signup and view all the answers

What is the primary function of pattern recognition receptors (PRRs) in the immune system?

<p>Detect and respond to pathogens (C)</p> Signup and view all the answers

Which immunoglobulin class is primarily involved in mucosal immunity?

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

What is a distinguishing feature of acute inflammation compared to chronic inflammation?

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

What type of antigens can T cell receptors recognize?

<p>Processed peptides presented by MHC (B)</p> Signup and view all the answers

Which cytokine is responsible for stimulating the class-switching of B cells to produce IgE?

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

What role do CD4+ helper T cells play in the immune response?

<p>Assisting in the activation of other immune cells (A)</p> Signup and view all the answers

Which of the following best describes the mechanism of action of antihistamines in Type I hypersensitivities?

<p>Block histamine receptors (B)</p> Signup and view all the answers

Which immune components are primarily involved in the detection of intracellular pathogens?

<p>CD8+ T cells (A)</p> Signup and view all the answers

What happens during somatic recombination in B cells?

<p>Recombination of constant and variable gene segments (C)</p> Signup and view all the answers

How are vaccines classified based on their composition and immunity mechanism?

<p>Live attenuated, inactivated, and subunit vaccines (C)</p> Signup and view all the answers

What is the primary role of pattern recognition receptors (PRRs) in immune function?

<p>To identify pathogen-associated molecular patterns and initiate responses (D)</p> Signup and view all the answers

Which cytokine is involved in promoting the activation of B cells during their activation?

<p>IL-6 (C)</p> Signup and view all the answers

Which of the following best describes the process of antigen processing in Class II MHC?

<p>It requires the use of lysosomes and invariant chain for antigen presentation (A)</p> Signup and view all the answers

What distinguishes active immunization from passive immunization?

<p>Active immunization leads to long-term immunity (D)</p> Signup and view all the answers

Which of the following immune components primarily mediates Type II hypersensitivity reactions?

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

What is the function of RAG proteins in B cell maturation?

<p>They are responsible for somatic recombination of immunoglobulin genes (B)</p> Signup and view all the answers

How does the mechanism of action of corticosteroids relate to inflammation?

<p>They suppress the recruitment of leukocytes to the site of inflammation (D)</p> Signup and view all the answers

Which type of vaccine is designed to elicit an immune response without using live pathogens?

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

In the context of tolerance in the immune system, what is the primary role of Treg cells?

<p>To maintain self-tolerance and prevent autoimmunity (D)</p> Signup and view all the answers

What is the primary purpose of the complement system in immunity?

<p>To enhance phagocytosis and lyse pathogens (D)</p> Signup and view all the answers

What is the primary immune component deficient in X-linked SCID?

<p>IL-2 receptor (B)</p> Signup and view all the answers

How does HIV primarily infect T cells?

<p>By targeting the CD4 molecule (C)</p> Signup and view all the answers

Which mechanism underlies the action of anti-PD-1 antibodies in cancer therapy?

<p>Inhibiting T cell exhaustion (B)</p> Signup and view all the answers

What defines hyperacute transplant rejection?

<p>Pre-existing antibodies against graft antigens (C)</p> Signup and view all the answers

What is the role of RAG proteins in the immune system?

<p>Enabling somatic recombination of immunoglobulin genes (D)</p> Signup and view all the answers

What is a key mechanism by which tumor cells evade the immune system?

<p>Overexpression of inhibitory ligands (A)</p> Signup and view all the answers

What distinguishes autografts from allografts in terms of immunogenicity?

<p>Autografts are fully non-immunogenic (A)</p> Signup and view all the answers

What type of transplant rejection is characterized by immune responses against non-matching tissue over time?

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

Which component is primarily targeted by anti-CTLA4 antibodies in tumor immunotherapy?

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

What is a common way CMV evades the immune system's adaptive response?

<p>By disrupting antigen processing (D)</p> Signup and view all the answers

Flashcards

Innate vs. Adaptive Immunity

The innate immune system is the body's first line of defense, fast and non-specific, while the adaptive immune system is slower, but highly specific and provides long-lasting protection.

CD3 Marker

Found on all T cells, it's essential for T cell signaling.

CD4 Marker

Found on helper T cells, crucial for coordinating the immune response.

CD8 Marker

Found on cytotoxic T cells, which directly kill infected cells.

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CD14 Marker

Found on macrophages and monocytes (WBC's involved in innate), enabling pattern recognition and response.

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Antigen

A molecule that triggers an immune response.

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Epitope

Specific region on an antigen recognized by an antibody or T cell receptor.

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Pattern Recognition Receptors (PRRs)

Receptors on immune cells that detect pathogen-associated molecular patterns (PAMPs).

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B-cell Antigen Receptor

Recognizes antigen in its native form, can bind to various macromolecules (protein, carbohydrates, lipids).

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T-cell Antigen Receptor

Recognizes antigen presented by MHC molecules, primarily proteins.

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Acute Inflammation

Short-term inflammation response, marked by neutrophils.

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Chronic Inflammation

Long-term inflammatory response, characterized by lymphocytes and macrophages.

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Extravasation

Process of immune cells leaving the blood vessels and entering the tissue.

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Corticosteroids

Drugs that reduce inflammation by suppressing immune responses.

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Immunoglobulin Classes

IgG, IgM, IgA, IgE, and IgD – each with distinct functions in immune responses.

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Primary Lymphatic Tissues

Bone marrow and thymus – sites where lymphocytes develop and mature.

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Secondary Lymphatic Tissues

Spleen, lymph nodes, etc. – sites where immune responses occur.

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X-linked SCID

A severe combined immunodeficiency caused by a defective gene on the X chromosome, leading to impaired maturation of B and T cells, severely impacting adaptive immunity.

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RAG deficiency

A deficiency in the RAG genes, preventing the recombination of DNA segments in developing lymphocytes, leading to a lack of effective T and B cell function

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XLA

X-linked agammaglobulinemia: A B-cell deficiency preventing the production of antibodies

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Hyper-IgM syndrome

A B cell deficiency preventing the class switching of antibodies.

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DiGeorge Syndrome

A T cell deficiency resulting from a developmental defect in the thymus, impairing T cell development

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Wiskott-Aldrich syndrome

An immunodeficiency affecting both B and T cells, including defects in cellular immune response

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HIV T-cell infection

HIV infects and destroys CD4+ T cells, weakening the immune system and leading to AIDS

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HIV drug mechanism

Various classes of HIV drugs target different stages of the viral life cycle, preventing replication.

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Tumor Immune Response

The immune system can recognize and attack abnormal cells, tumors.

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Tumor Immune Evasion

Tumor cells can disrupt immune responses avoiding recognition and destruction.

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Tumor Therapies

Various therapies target tumor cells, including antibodies such as anti-Her2, anti-PD-1, and anti-CTLA4.

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Autograft

Tissue transplant from one part of the patient's body to another.

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Isograft

Tissue transplant between genetically identical individuals (e.g., identical twins).

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Allograft

Tissue transplant between individuals of the same species, but not genetically identical.

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Xenograft

Tissue transplant between different species.

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Hyperacute Rejection

Rapid rejection of a transplant due to pre-existing antibodies against donor antigens.

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Acute Rejection

Rejection occurring within weeks of transplant due to the immune response.

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Chronic Rejection

Prolonged and slow rejection characterized by inflammation and fibrosis.

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GvHD

Graft versus host disease. Immune cells from the graft attack the recipient's tissues.

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T-cell Immunosuppressants

Drugs that suppress the activity of T-cells to prevent rejection in transplant.

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CD4 and CD8 influence on CMV

Impaired CD4+ and CD8+ T cell immunity impacts the body's ability to control CMV infections

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CMV Immune Evasion

CMV employs various mechanisms to avoid detection and killing by the innate and adaptive immune system.

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Innate vs. Adaptive Immunity

Innate immunity is the body's first line of defense; fast, non-specific, and includes physical barriers. Adaptive immunity is slower, highly specific, provides long-lasting protection, and involves lymphocytes.

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CD3 Marker

Found on all T cells; essential for T cell signaling and activation.

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CD4 Marker

Found on helper T cells; crucial for coordinating the immune response.

Signup and view all the flashcards

CD8 Marker

Found on cytotoxic T cells; directly kill infected cells.

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CD14 Marker

Found on macrophages and monocytes; enables pattern recognition and response.

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Antigen

A molecule that triggers an immune response.

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Epitope

Specific region on an antigen recognized by an antibody or T cell receptor.

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Acute Inflammation

Short-term, marked by neutrophils.

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Chronic Inflammation

Long-term, characterized by lymphocytes and macrophages.

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Extravasation

Process of immune cells leaving blood vessels and entering tissues.

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X-linked SCID

Severe combined immunodeficiency caused by defective gene on X chromosome, leading to impaired B and T cell maturation.

Signup and view all the flashcards

RAG deficiency

Deficiency in RAG genes preventing DNA recombination in developing lymphocytes. Results in impaired T and B cell function

Signup and view all the flashcards

XLA

X-linked agammaglobulinemia, a B cell deficiency halting antibody production.

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Hyper IgM syndrome

B cell deficiency preventing antibody class switching.

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DiGeorge syndrome

A T cell deficiency caused by developmental defects in the thymus, affecting T cell development

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Wiskott-Aldrich syndrome

Immunodeficiency affecting B and T cells, impacting the cellular immune response.

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HIV T-cell infection

HIV infects and destroys CD4+ T cells, weakening the immune system.

Signup and view all the flashcards

HIV drug mechanism

Various drug classes target different stages of the HIV life cycle to prevent viral replication.

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Tumor Immune Response

Immune system's ability to detect and attack abnormal cells, including tumors.

Signup and view all the flashcards

Tumor Immune Evasion

Tumor cells' ways of avoiding immune detection and destruction.

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Tumor Therapies

Various therapies targeting tumor cells, including antibodies like anti-Her2.

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Autograft

Tissue transplant from one part of the patient's body to another.

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Isograft

Tissue transplant between genetically identical individuals.

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Allograft

Tissue transplant between individuals of the same species, but not genetically identical.

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Xenograft

Tissue transplant between different species.

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Hyperacute Rejection

Rapid transplant rejection due to pre-existing recipient antibodies against donor antigens.

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Acute Rejection

Rejection occurring within weeks of transplant due to immune response.

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Chronic Rejection

Prolonged and slow transplant rejection with inflammation and fibrosis.

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GvHD

Graft-versus-host disease; immune cells from the graft attack the recipient's tissues

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T-cell Immunosuppressants

Drugs that suppress T-cell activity to prevent transplant rejection.

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CD4 and CD8 influence on CMV

Impaired CD4+ and CD8+ T cell immunity weakens the body's ability to control CMV infections.

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CMV Immune Evasion

CMV uses multiple mechanisms to avoid detection and elimination by the innate and adaptive immune system.

Signup and view all the flashcards

Innate vs. Adaptive Immunity

Innate immunity is the body's first line of defense, non-specific and fast; adaptive immunity is slower, highly specific, & provides long-lasting protection.

Signup and view all the flashcards

CD3 Marker

Found on all T cells; crucial for T cell signaling.

Signup and view all the flashcards

CD4 Marker

Found on helper T cells, required for coordinating immune response.

Signup and view all the flashcards

CD8 Marker

Found on cytotoxic T cells, directly kill infected cells.

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CD14 Marker

Found on macrophages & monocytes; aids in pathogen recognition.

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Antigen

Molecule triggering an immune response.

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Epitope

Specific part of an Antigen recognized by antibodies or T cells.

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Pattern Recognition Receptors (PRRs)

Receptors on immune cells that detect pathogen-associated molecular patterns (PAMPs).

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B-cell Antigen Receptor

Recognizes antigen in its native form, binds to various macromolecules (protein, carbohydrate, etc).

Signup and view all the flashcards

T-cell Antigen Receptor

Recognizes antigen presented by MHC molecules, primarily proteins.

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Acute Inflammation

Short-term inflammatory response, marked by neutrophils.

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Chronic Inflammation

Long-term inflammatory response, characterized by lymphocytes and macrophages.

Signup and view all the flashcards

Extravasation

Process of immune cells leaving blood vessels and entering tissues.

Signup and view all the flashcards

Corticosteroids

Drugs that suppress immune responses to reduce inflammation.

Signup and view all the flashcards

Immunoglobulin Classes

IgG, IgM, IgA, IgE, and IgD; each with specific functions in immune response.

Signup and view all the flashcards

Primary Lymphatic Tissues

Bone marrow and thymus, where lymphocytes develop and mature.

Signup and view all the flashcards

Secondary Lymphatic Tissues

Spleen, lymph nodes, etc.; sites of immune responses.

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Complement Pathways

Classical, Alternative, and Lectins are pathways that trigger complement response

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X-linked SCID

Severe combined immunodeficiency due to a defective gene on the X chromosome, impairing B and T cell maturation.

Signup and view all the flashcards

RAG deficiency

Defective RAG genes prevent DNA recombination in developing lymphocytes, leading to low T and B cell function.

Signup and view all the flashcards

XLA

X-linked agammaglobulinemia; a B cell disorder preventing antibody production.

Signup and view all the flashcards

Hyper-IgM syndrome

B cell disorder hindering antibody class switching (e.g., from IgM to IgG).

Signup and view all the flashcards

DiGeorge syndrome

T cell deficiency caused by thymus developmental defect, affecting T cell maturation.

Signup and view all the flashcards

Wiskott-Aldrich syndrome

Immunodeficiency impacting both B and T cells, including cellular immune aspects.

Signup and view all the flashcards

HIV T-cell infection

HIV infects and destroys CD4+ T cells, weakening the immune response.

Signup and view all the flashcards

HIV drug mechanism

HIV drugs target different stages of the viral life cycle to prevent replication.

Signup and view all the flashcards

Tumor Immune Response

Immune system identifying and attacking abnormal cells (tumors).

Signup and view all the flashcards

Tumor Immune Evasion

Cancer cells avoiding detection and destruction by the immune system.

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Tumor Therapies

Various treatments targeting tumor cells, including antibodies that target specific cell-surface proteins.

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Autograft

Tissue transplant from one body part to another in the same individual.

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Isograft

Tissue transplant between genetically identical individuals.

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Allograft

Tissue transplant between individuals of the same species but not genetically identical.

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Xenograft

Tissue transplant between individuals of different species.

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Hyperacute Rejection

Rapid rejection due to pre-existing recipient antibodies against donor tissue.

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Acute Rejection

Rejection within weeks of transplant, due to an immune response.

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Chronic Rejection

Prolonged rejection with inflammation and fibrosis.

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GvHD

Graft-versus-host disease: immune cells from the graft attack recipient tissues.

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T-cell Immunosuppressants

Drugs to suppress T-cell activity to prevent transplant rejection.

Signup and view all the flashcards

CD4 and CD8 influence on CMV

Impaired CD4 and CD8 T cell immunity affects how well the body controls CMV.

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CMV Immune Evasion

CMV uses tactics to avoid detection and destruction by the immune system.

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Study Notes

Unit 1 Material

  • Compare and contrast innate and adaptive immune systems
  • Identify white blood cells (WBCs) expressing CD markers (CD3, CD4, CD8, CD14, CD19, CD20, CD56)
  • Understand the functions of discussed WBCs
  • Know the functions of primary and secondary lymphatic tissues
  • Define antigen (monovalent, multivalent, polyvalent), epitope, and hapten
  • Understand pattern recognition receptors (PRRs), the cells expressing them, and their role in immune function
  • Understand antigen receptors on B and T cells, and the types of antigens they bind (e.g., proteins, carbohydrates)
  • Differentiate between acute and chronic inflammation, focusing on predominant cell types
  • Describe extravasation, including the roles of selectins and integrins
  • Describe how corticosteroids and NSAIDs reduce inflammation
  • Know the structure and functions of the 5 immunoglobulin classes
  • Explain B cell maturation, including RAG function, somatic recombination, and selection events
  • Identify B cell activation signals and describe major events during activation
  • Describe class-switching and affinity maturation in B cells, and the cytokines involved (IgA and IgE)

Unit 2 Material

  • Describe complement pathway activation (initiation)
  • Understand the three main functions of complement and which proteins participate in each
  • Understand the function of MHC molecules and which cells express each class
  • Describe antigen processing and presentation in MHC Class I and Class II, including which MHC class presents to which T cell subset
  • Compare and contrast antigen processing pathways (proteasomes, TAP, lysosomes)
  • Identify T cell activation signals and major events during activation
  • Explain how CD4+ helper T cells and CD8+ cytotoxic T cells bind target cells
  • Describe NK cell function
  • Describe innate (immediate, induced), and adaptive immunity to pathogens
  • Know the functions of cytokines: IFN-α, TNF, IL-6, IL-1β, and CXCL8 (IL-8)
  • Compare and contrast immune responses to intracellular vs extracellular pathogens (bacteria vs viruses)
  • Know the functions of specialized epithelial cells in the intestines (Goblet, Paneth, M cells)
  • Explain how IgA is transported across the mucosa and locations in the body

Unit 3 Material

  • Know vaccine classifications (live attenuated, inactivated, subunit, mRNA) and their benefits/risks
  • Understand correlates of protection for vaccines
  • Understand active vs. passive immunization
  • Explain antibody classifications (murine, chimeric, humanized)
  • Know antibody mechanism of action as drugs and why they are effective
  • Understand antibody titer determination
  • Explain direct and indirect immunoassays
  • Describe hypersensitivity mechanisms and immune components involved for each type (Type I-IV)
  • Know mechanism of action of drugs for Type I hypersensitivity (antihistamines, epinephrine, anti-IgE, anti-IL-4, etc.)
  • Know how to detect hypersensitivities (Type I-IV)

Unit 4 Material

  • Understand mechanisms of tolerance (central vs peripheral), including Treg cells' function
  • Compare and contrast five mechanisms that break tolerance
  • Know autoimmune diseases (name, antigen, mechanism, clinical signs)
  • Correlate autoantibodies to specific diseases
  • Know B and T cell deficiencies (X-linked SCID, RAG deficiency, XLA, Hyper-IgM syndrome, DiGeorge, and Wiskott-Aldrich syndromes), what component is defective, and impact on immune function
  • Understand how HIV infects T cells and outcomes
  • Know the mechanism of action of various HIV drugs
  • Explain tumor immune response and how tumors evade it
  • Know types of tumor therapies (anti-Her2, anti-PD-1, anti-CTLA4)
  • Describe differences between transplantation types (autograft, isograft, allograft, xenograft)
  • Understand transplant rejection events (hyperacute, acute, chronic, GvHD)
  • Know mechanisms of action of T cell immunosuppressants for transplant
  • Describe how CD4 and CD8 T cell defects can affect CMV infection
  • List mechanisms for human CMV to evade innate and adaptive immunity

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