Innate vs Adaptive Immunity

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Questions and Answers

A deficiency in which complement protein specifically increases susceptibility to Neisseria bacterial species?

  • Factor I
  • Factor D
  • C3
  • C5-C9 (correct)

Which of the following is NOT an effect of the complement pathway?

  • Chemotaxis of immune cells
  • Direct lysis of microbes
  • Opsonization of pathogens
  • Inhibition of inflammatory responses (correct)

Which complement protein initiates the membrane attack complex (MAC)?

  • C3a
  • Factor B
  • C3b
  • C5b (correct)

What are the primary molecules that act as anaphylatoxins in the complement pathway?

<p>C3a and C5a (B)</p> Signup and view all the answers

How is soluble C3b formed in the complement alternative pathway?

<p>By nucleophilic attack of water on C3's thioester bond (C)</p> Signup and view all the answers

Which factor cleaves Factor B to create the active convertase (iC3Bb)?

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

What is the effect of C3a and C5a on mast cells and basophils?

<p>Promotion of degranulation (B)</p> Signup and view all the answers

A deficiency in which of the following complement factors leads to increased susceptibility to both encapsulated bacteria and Neisseria species?

<p>Factor D and Properdin (A)</p> Signup and view all the answers

Which of the following best describes the primary role of CXCL8 in neutrophil recruitment?

<p>Attracting neutrophils to the site of infection by acting as a chemoattractant. (B)</p> Signup and view all the answers

What is the function of integrins in the context of immune cell adhesion to endothelial cells?

<p>To mediate the firm adhesion and arrest of immune cells on the endothelium. (C)</p> Signup and view all the answers

Which of these events happen first in oxygen dependent microbial killing within the phagosome?

<p>Production of superoxide (O2-) (C)</p> Signup and view all the answers

What is the role of secretory and ficolin-1 granules in neutrophil function?

<p>To facilitate neutrophil attachment to the endothelium and extravasation into tissues. (D)</p> Signup and view all the answers

Which of these statements is true about band neutrophils?

<p>They are immature neutrophils and do not possess secretory and ficolin-1 granules. (B)</p> Signup and view all the answers

What is the primary function of gelatinase within neutrophil granules?

<p>To help degrade the extracellular matrix to prepare it for neutrophil migration through it. (C)</p> Signup and view all the answers

What function does the enzyme Arginase carry out during neutrophil extravasation?

<p>Decreases the levels of nitric oxide, helping to close tight junctions. (D)</p> Signup and view all the answers

Which of the following is NOT directly involved in the early stages of cell arrest/rolling adhesion?

<p>Integrins on the immune cells. (C)</p> Signup and view all the answers

Which of the following is the primary function of iC3Bb?

<p>To cleave C3 into C3a and C3b. (B)</p> Signup and view all the answers

Which of the following best describes the role of Factor H in complement regulation?

<p>It binds to C3b, facilitating its cleavage into iC3b by Factor I, thereby inactivating it. (C)</p> Signup and view all the answers

A deficiency in Factor I would most likely result in:

<p>Unregulated C3bBb complexes leading to depletion of C3. (C)</p> Signup and view all the answers

How does DAF contribute to the regulation of the complement system?

<p>It binds to C3b, disrupting the Bb association and inactivating C3 convertase. (A)</p> Signup and view all the answers

Which component directly stabilizes the C3bBb complex, enhancing complement activation?

<p>Properdin (Factor P) (A)</p> Signup and view all the answers

What is the correct order of the following steps involving the alternative C3 convertase?

<p>C3b binds to Factor B -&gt; Factor D cleaves C3bB -&gt; C3bBb forms (C)</p> Signup and view all the answers

What is the primary role of the C3bbBb complex?

<p>To cleave C5 into C5a and C5b, initiating the formation of the MAC. (A)</p> Signup and view all the answers

In the context of complement activation, what is the significance of sialic acid?

<p>It is used by some bacteria to inactivate complement by enhancing C3b cleavage by Factor I. (C)</p> Signup and view all the answers

What occurs during positive selection of thymocytes?

<p>Thymocytes bind weakly to MHC bound self-antigens and exit as mature T cells. (B)</p> Signup and view all the answers

What is the outcome for T cells that recognize self-antigens strongly?

<p>They undergo apoptosis. (B)</p> Signup and view all the answers

What role does costimulation play in T cell activation?

<p>It is essential for the full activation of naïve T cells. (C)</p> Signup and view all the answers

Which of the following describes signal 3 in T cell activation?

<p>The production of cytokines guiding T cell differentiation. (D)</p> Signup and view all the answers

Which cells express both MHC I and MHC II for the purpose of negative selection?

<p>mTECs and dendritic cells. (A)</p> Signup and view all the answers

What triggers the signaling cascade following TCR binding?

<p>The phosphorylation of ITAMs by Lck. (B)</p> Signup and view all the answers

What is a characteristic of gamma delta T cells in relation to selection processes?

<p>They exit the thymus as double negative T cells. (A)</p> Signup and view all the answers

What initiates the signal required for TCR activation?

<p>The binding of antigen to MHC on APCs. (C)</p> Signup and view all the answers

What distinguishes junctional diversity in the context of antibody formation?

<p>It involves the addition or subtraction of nucleotides during recombination. (D)</p> Signup and view all the answers

Which statement accurately describes combinatorial diversity in the formation of antibodies?

<p>It occurs only at the DNA level and involves the random joining of genes. (A)</p> Signup and view all the answers

What role does RAG1/RAG2 play during the recombination process?

<p>They cut DNA strands within the heptamers, creating a hairpin loop. (C)</p> Signup and view all the answers

Which process specifically affects the CDR3 region in antibody formation?

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

In which mechanism do TdT and DNA polymerase interact during antibody gene recombination?

<p>N nucleotide addition (B)</p> Signup and view all the answers

What is the primary outcome of somatic hypermutation following antigen exposure?

<p>Improvement of the antibody's affinity for the target antigen. (B)</p> Signup and view all the answers

What is the main distinction between combinatorial association and combinatorial diversity?

<p>Combinatorial association involves random joining of VDJ genes, whereas combinatorial diversity pertains to light and heavy chain pairing. (C)</p> Signup and view all the answers

Which of the following is true regarding the limitation of T cells in terms of combining chains?

<p>T cells can only associate alpha with beta and delta with gamma chains. (A)</p> Signup and view all the answers

What is the main function of lactoferrin in the immune system?

<p>It prevents iron acquisition by microbes by binding siderophores. (A)</p> Signup and view all the answers

What is the primary role of azurophilic granules in neutrophils?

<p>To facilitate the fusion of phagolysosomes and release enzymes to destroy pathogens. (B)</p> Signup and view all the answers

Which of the following cytokines is directly involved in activating NK cells?

<p>IL-12 (B)</p> Signup and view all the answers

What is the primary mechanism by which NK cells recognize and kill target cells?

<p>By recognizing the absence of MHC class I molecules on target cells. (D)</p> Signup and view all the answers

Which of the following describes a condition where the neutrophil count is less than 70% of the total white blood cell count?

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

What is the primary function of mast cells in the immune response?

<p>To release histamine and other inflammatory mediators in response to allergens. (A)</p> Signup and view all the answers

What is the main difference between the activation of mast cells by PRRs and by IgE?

<p>PRR activation leads to a slower and more controlled response, while IgE activation is faster and more potent. (A)</p> Signup and view all the answers

During an acute bacterial infection, what would you expect to see in the blood?

<p>An increase in the number of neutrophils (A)</p> Signup and view all the answers

Flashcards

What is iC3Bb?

iC3Bb is a key enzyme in the alternative complement pathway. It cleaves C3, a crucial protein in the immune system, into C3b and C3a.

What does C3b do?

C3b is an important protein fragment generated from C3 cleavage by iC3Bb. It binds to the pathogen surface and plays a crucial role in targeting them for destruction.

What does C3a do?

C3a is a small protein fragment released when C3 is cleaved. It acts as an anaphylatoxin, attracting immune cells to the site of infection.

What is CR1?

CR1 is a receptor found on macrophages, specialized cells that engulf and destroy pathogens. It binds to C3b, the 'flag' on pathogens, facilitating phagocytosis.

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What does Factor I do?

Factor I is a protein that regulates the complement system. It cleaves C3b into iC3b, inhibiting the formation of C3 convertase and preventing excessive complement activation.

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What does Factor H do?

Factor H is a protein that protects healthy cells from complement attack. It prevents C3b from binding to the host cell surface and recruits Factor I to cleave C3b into iC3b.

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What is the alternative complement pathway?

The alternative complement pathway is a critical part of the innate immune system. It helps to control infections by targeting pathogens directly through the formation of a membrane attack complex (MAC).

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What is C3bBb?

C3bBb is a powerful C3 convertase formed in the alternative complement pathway. It further cleaves C3, amplifying the response and coating the pathogen surface with C3b.

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C3 Deficiency

A deficiency in C3 leads to an increased susceptibility to infections caused by encapsulated bacteria. This is because C3 is crucial for initiating the complement cascade, which helps the immune system recognize and eliminate these bacteria.

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C5-C9 Deficiency

A deficiency in C5-C9 leads to an increased susceptibility to infections caused by Neisseria bacteria, such as gonorrhea and meningitis.

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Factor D or Properdin Deficiency

A deficiency in Factor D or Properdin (factor P) leads to an increased susceptibility to infections caused by both encapsulated bacteria and Neisseria species.

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Membrane Attack Complex (MAC)

The membrane attack complex (MAC) is a pore-forming structure that destroys pathogens by disrupting their cell membrane. It is formed by the terminal components of the complement system, C5b-C9.

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C3a and C5a

C3a and C5a are small fragments produced during the complement cascade. They act as anaphylatoxins, causing degranulation of mast cells and basophils, leading to increased vascular permeability, vasodilation, and recruitment of inflammatory cells.

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Anaphylactic Shock

Anaphylactic shock is a severe allergic reaction characterized by a sudden drop in blood pressure, difficulty breathing, and swelling of the face and throat. It can be triggered by the release of large amounts of histamine from mast cells and basophils, often caused by anaphylatoxins like C3a and C5a.

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Alternative Pathway

The alternative pathway of the complement system is a way to activate the system without the need for antibodies. It is particularly important for defense against encapsulated bacteria and certain viruses.

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C3b

C3b is a breakdown product of C3. It binds to the surface of pathogens, marking them for destruction by phagocytic cells. C3b is a critical component of the complement system because it helps link the innate and adaptive immune responses.

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Combinatorial diversity

Random joining of V, D, and J gene segments during B cell development, leading to a diverse repertoire of B cell receptors.

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Combinatorial association

The ability of any light chain to associate with any heavy chain, further expanding the diversity of B cell receptors.

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Junctional diversity

This process adds or removes nucleotides during recombination, increasing the variability of the B cell receptor's antigen-binding site (CDR3).

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P nucleotide addition

P nucleotides are added during the recombination process by DNA polymerase, resulting from the filling of gaps created by the opening of hairpin loops.

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Exonuclease activity

Exonucleases can remove nucleotides during recombination, including P nucleotides, adding to the diversity of the CDR3 region.

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N nucleotide addition

TdT adds non-templated nucleotides to the DNA during recombination in the heavy chain, increasing the diversity of the CDR3 region.

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Somatic hypermutation

This antigen-dependent process occurs after antigen exposure and improves the affinity of B cell receptors for their target antigen.

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12/23 rule

The 12/23 rule ensures that V, D, and J gene segments recombine correctly by pairing 12-base pair RSSs with 23-base pair RSSs.

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What is the role of lactoferrin?

Lactoferrin is a protein found in secondary granules that binds iron, making it unavailable for bacteria to use. This prevents bacterial growth by depriving them of essential nutrients.

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What is the function of azurophilic granules?

Azurophilic granules are found in neutrophils and contain powerful enzymes that help break down pathogens. They play a crucial role in the destruction of engulfed microbes during phagocytosis.

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What is the role of NK cells in the immune system?

Natural Killer (NK) cells are part of the innate immune system and kill virus-infected cells and tumor cells. They recognize and eliminate cells that lack MHC-1 molecules, a marker that identifies healthy cells.

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How does IL-12 contribute to the immune response?

IL-12 is a cytokine produced by macrophages and dendritic cells. It activates NK cells and promotes the production of IFN-gamma, which further enhances macrophage activity. This positive feedback loop amplifies the immune response.

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Describe the role of neutrophils in the immune system?

Neutrophils are the first responders to infection, migrating from the blood to the site of infection. They are the most abundant type of white blood cell and play a key role in phagocytizing and destroying pathogens.

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What does neutrophilia indicate?

Neutrophilia is a condition where the neutrophil count in the blood is higher than normal. It often indicates an acute bacterial infection or inflammation.

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What does neutropenia indicate?

Neutropenia is a condition where the neutrophil count in the blood is lower than normal. It can occur during chronic or overwhelming infections, making the body more susceptible to infections.

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What is the role of mast cells in the immune response?

Mast cells are innate immune cells that release inflammatory mediators like histamine and cytokines, contributing to the inflammatory response. They are triggered by PRRs recognizing PAMPs or by Ag binding to IgE.

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Double Positive (DP) T Cells

A stage in T cell development where immature thymocytes express both CD4 and CD8 coreceptors. They are called double positive (DP) cells.

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Positive Selection

A process where thymocytes interact with antigen-presenting cells (APCs) in the thymus, particularly mTECs (medullary thymic epithelial cells). This interaction helps select for T cells that can recognize self-MHC molecules, ensuring proper immune function.

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Negative Selection

A mechanism that eliminates thymocytes that recognize self-antigens too strongly, preventing autoimmunity. This process occurs in the thymus and involves interaction with mTECs expressing self-antigens.

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gamma delta T Cells

A type of T cell that exits the thymus before going through positive or negative selection. They are distinct from conventional alpha-beta T cells and have unique functions.

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mTECs

A type of medullary thymic epithelial cell (mTEC) that plays a crucial role in T cell development. They express a wide range of self-antigens and participate in both positive and negative selection.

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Signal 1 (T Cell Activation)

The first signal required for T cell activation. It's initiated when a T cell receptor (TCR) on a naive T cell binds to a specific antigen-peptide complex presented on an MHC molecule of an antigen-presenting cell (APC).

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Signal 2 (T Cell Activation)

The second signal required for T cell activation. It's provided by the interaction between the B7 molecule (CD80/86) on an APC and the CD28 molecule on a T cell. This co-stimulation enhances T cell activation and ensures appropriate responses.

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Signal 3 (T Cell Activation)

The third signal required for T cell activation. It determines the T cell's fate by instructing it to differentiate into a specific effector T cell. This signal often involves cytokines released by APCs or other immune cells.

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What is the role of CXCL8 in neutrophil recruitment?

CXCL8 (IL-8) is a chemokine that attracts neutrophils to the site of inflammation. CXCL8 binds to its receptor on neutrophils, inducing cell signaling that increases the affinity of integrins, which helps the neutrophils bind to and migrate through the endothelium.

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How do integrins contribute to neutrophil arrest and adhesion?

Integrins are adhesion molecules found on immune cells. They bind to ICAMs (intercellular adhesion molecules) on endothelial cells, stopping immune cells from rolling and allowing them to adhere to the vessel wall.

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What is the role of selectins in immune cell rolling?

Selectins are adhesion molecules found on endothelial cells that bind to ligands on immune cells. IL-1 and TNF-α increase the expression of selectins on the endothelium, enhancing the initial rolling of immune cells.

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Summarize the steps of neutrophil recruitment.

Neutrophils are the first responders to infection. They undergo a multi-step process to reach the site of infection, starting with rolling adhesion, followed by tight adhesion, and finally diapedesis.

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Explain the different types of neutrophil granules and their functions.

Neutrophils contain three types of granules: secretory, gelatinase, and specific granules. Secretory and ficolin-1 granules are the last to form but the first to be released. They are necessary for neutrophils to attach to the endothelium and extravasate into the tissue. Gelatinase granules contain gelatinase and arginase, which help neutrophils extravasate and degrade extracellular matrix.

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Describe the process of pathogen killing inside the phagosome.

The phagosome is an intracellular vesicle formed when a neutrophil engulfs a pathogen. The early phagosome is characterized by oxygen-dependent reactions, which produce reactive oxygen species (ROS) and reactive nitrogen species (RNS) that kill bacteria by damaging DNA and metabolic pathways. These reactions are initiated by NADPH oxidase, superoxide dismutase (SOD), and myeloperoxidase (MPO).

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What is the role of phagolysosome fusion in pathogen killing?

The phagolysosome is formed when a phagosome fuses with a lysosome. This fusion brings lysozyme and acid hydrolases into the phagosome, promoting the breakdown of the pathogen. This process is oxygen-independent and occurs in the later stages of pathogen killing.

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What are band neutrophils and why are they considered immature?

Band neutrophils are immature neutrophils that lack secretory and ficolin-1 granules. They are unable to attach to the endothelium and extravasate into the tissue effectively.

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Study Notes

Innate vs Adaptive Immunity

  • Innate immunity is non-specific, present from birth
  • Innate immunity is always on, looking for non-self pathogens
  • Innate immunity has no memory
  • Innate immunity is as effective the first time as subsequent infections
  • Innate immunity kicks starts inflammation
  • Adaptive immunity is specific
  • Adaptive immunity is activated by lymphocytes
  • Adaptive immunity improves with each encounter and has memory antibodies
  • Adaptive immunity has 3 types
  • Innate and adaptive immunity do not act in isolation
  • Complement activates B cells
  • Phagocytes activate and differentiate B and T cells
  • Antibodies act as opsonins for phagocytes

Distinguish Between Innate and Adaptive Immunity

  • Innate immunity:
    • Non-specific
    • Present from birth
    • Always on, looking for non-self pathogens
    • Has no memory
    • Effective the first time and subsequent infections
    • Initiates inflammation
  • Adaptive immunity:
    • Specific
    • Activated by lymphocytes
    • Improves with each encounter
    • Has memory antibodies
    • 3 types

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