CORE Immunology
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Questions and Answers

What is the primary function of B cells in adaptive immunity?

  • Produce cytokines to activate immune responses
  • Kill infected host cells
  • Produce antibodies (correct)
  • Process antigens for T cell recognition
  • Which statement correctly distinguishes between cytotoxic T cells and NK cells?

  • NK cells require antigen recognition to act.
  • Cytotoxic T cells require MHC presentation for activation. (correct)
  • NK cells target only infected cells with specific antigens.
  • Cytotoxic T cells respond more quickly than NK cells.
  • What must happen for T cells to recognize an antigen?

  • The antigen must bind directly to T cell receptors.
  • The antigen must be processed and presented by B cells.
  • The antigen must be neutralized by antibodies first.
  • The antigen must be presented on MHC molecules. (correct)
  • What characterizes the MHC Class 1 pathway?

    <p>It is found on the surface of almost all body cells.</p> Signup and view all the answers

    How do T Cell Receptors (TCR) recognize antigens?

    <p>By binding to MHC molecules displaying processed antigens.</p> Signup and view all the answers

    Which cells are primarily involved in phagocytosis?

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

    What role does CD16 play in NK cell activation?

    <p>Binds to antibodies for ADCC</p> Signup and view all the answers

    What occurs when MHC class I molecules are absent from cells?

    <p>NK cells activate and destroy the target cell</p> Signup and view all the answers

    What are Pathogen Associated Molecular Patterns (PAMPs)?

    <p>Structures shared by many pathogens</p> Signup and view all the answers

    What is the primary function of macrophages?

    <p>To engulf bacteria and present antigens</p> Signup and view all the answers

    Which immune cell is primarily responsible for attacking parasites?

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

    Which receptors recognize PAMPs in innate immunity?

    <p>Toll-like receptors (TLRs)</p> Signup and view all the answers

    How do neutrophils respond to pathogens?

    <p>By phagocytosing and activating bactericidal mechanisms</p> Signup and view all the answers

    What is the primary function of immature dendritic cells?

    <p>Activation of adaptive immunity</p> Signup and view all the answers

    What is the role of Natural Killer (NK) cells in the immune response?

    <p>To kill host cells that are infected with viruses</p> Signup and view all the answers

    What do lysosomes do during phagocytosis?

    <p>Fuse with phagosome and break down the microbe</p> Signup and view all the answers

    Which receptors are specifically mentioned for their role in NK cell activation?

    <p>Killer Immunoglobulin-like receptors (KIR)</p> Signup and view all the answers

    Opsonization primarily facilitates which process in the immune response?

    <p>Enhanced phagocytosis of difficult-to-capture microbes</p> Signup and view all the answers

    What type of immune response do PRRs promote upon detecting PAMPs?

    <p>Aiding in phagocytosis</p> Signup and view all the answers

    Which cell type is most abundant in the white blood cell population?

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

    Mast cells play a crucial role in which type of immune response?

    <p>Allergic responses and inflammation</p> Signup and view all the answers

    What is the primary purpose of inflammation?

    <p>To promote tissue repair</p> Signup and view all the answers

    Which suffix is used to denote inflammation in medical terminology?

    <p>-itis</p> Signup and view all the answers

    Which of the following is NOT a symptom of inflammation?

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

    What initiates the recruitment of neutrophils during inflammation?

    <p>TNF alpha and IL-1 activation</p> Signup and view all the answers

    Which step involves the reduction of blood velocity in inflammation?

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

    What is the role of E-selectin in neutrophil recruitment?

    <p>Facilitates neutrophil rolling</p> Signup and view all the answers

    In adaptive immunology, what is the initial response of a lymphocyte to an antigen called?

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

    Which phase of adaptive immunity involves the division of activated B or T cells?

    <p>Clonal expansion</p> Signup and view all the answers

    Which chemokines are involved in the recruitment of monocytes?

    <p>CCL2 and CCL7</p> Signup and view all the answers

    What happens to T and B cells after the immune response is completed?

    <p>They undergo apoptosis</p> Signup and view all the answers

    What role do Danger Associated Molecular Patterns (DAMPs) primarily play in the immune system?

    <p>They activate the immune system during cell injury.</p> Signup and view all the answers

    What does C3b do in the complement system?

    <p>Attaches to microbe surfaces for phagocytosis.</p> Signup and view all the answers

    Which of the following cytokines is considered pro-inflammatory?

    <p>IL-1</p> Signup and view all the answers

    What is a primary function of the complement system?

    <p>To promote inflammation and opsonization.</p> Signup and view all the answers

    Which of the following describes the function of C5a in the immune response?

    <p>It promotes vasodilation and increases vascular permeability.</p> Signup and view all the answers

    What characterizes the membrane attack complex formation?

    <p>It involves binding fragments that lead to cell lysis.</p> Signup and view all the answers

    Which statement about cytokines is true?

    <p>They have autocrine, paracrine, and endocrine actions.</p> Signup and view all the answers

    What type of proteins are primarily found in the complement system?

    <p>Soluble proteins</p> Signup and view all the answers

    Which of the following best describes cytokine networks?

    <p>They consist of complex interactions between multiple cytokines.</p> Signup and view all the answers

    What is a key characteristic of proteases in the complement system?

    <p>They can cleave other proteins to activate complement components.</p> Signup and view all the answers

    Study Notes

    Introduction to Immunology

    • Immunology is the study of the immune system
    • The immune system defends the body against infection, tumours, and tissue damage
    • It also plays a role in tissue repair and inflammation
    • The immune system has mechanisms to recognize and respond to foreign substances, including microbes, grafts, and introduced proteins.

    Roles of the Immune System

    • Defense against infections: vaccinations boost immune defenses against infections
    • Defense against tumours: Immunotherapy for cancer
    • Control of tissue regeneration & scarring: Repair of damaged tissues
    • Injuring cells and inducing pathologic inflammation: Immune responses cause allergic reactions and inflammation
    • Recognizing and responding to tissue grafts and newly introduced proteins: Barriers to transplantation and gene therapy

    Problems with the Immune System

    • Immunodeficiency: Failure to respond to a substance/infection (e.g., malnutrition);
    • Allergy: Inappropriate response to foreign substances.
    • Autoimmune disorders: Inappropriate response to self leading to body attacking itself (e.g. lupus).
    • Transplant rejection: Appropriate but unwanted response to foreign substances.
    • Cancer: Altered self causing evasion of immune system.
    • Pregnancy: Causes toleration of non-self.

    Physical & Chemical Barriers

    • Skin: Epithelial cells with tight junctions, fatty acids, low pH, enzymes, defensins, cathelicidin.
    • Gut: Longitudinal flow, enzymes (pepsin), alpha-defensins (cryptdins), normal microbiota.
    • Lungs: Longitudinal flow of air/fluid, mucus movement by cilia, pulmonary surfactant, beta-defensins.
    • Eyes/nose/oral cavity: Enzymes in tears and saliva (lysozyme), beta-defensins, histatins, cathelicidin.

    Immune Responses

    • Innate Defenses: Immediate response before infection occurs. Recognizes infection via receptors that recognize common pathogen structures
    • Adaptive Response: Slow response stimulated by specific pathogens, reacts to a multitude of structures. It has a memory and is very specific.

    Innate and Adaptive Immunity

    Feature Innate Immunity Adaptive Immunity
    Response time Minutes/hours Days
    Specificity Limited & broad Highly specific
    Diversity Limited Highly diverse
    Memory response No Yes (faster, stronger responses)
    Self/non-self discrimination Perfect Very good
    Soluble components Antimicrobial peptides/proteins Antibodies
    Major cell types Phagocytes (macrophages, neutrophils), NK cells, dendritic cells B cells, T cells

    Types of Immune Cells

    • Leukocytes: Neutrophils, macrophages, T cells, B cells (each with specialized functions)

    • Phagocytes: Macrophages (patrol tissues, engulf bacteria), neutrophils (most abundant WBC, engulf bacteria), eosinophils (rare in blood, kill antibody-coated parasites), basophils (rare in blood, inflammatory mediators against parasites), mast cells (in tissues, inflammatory mediators for allergies).

    • Myeloid cells- monocytes (Kidney-bean shaped nucleus, phagocytosis, inflammatory mediators),

    • Agranulocytes- NK cells (kill infected host cells, chemical mediators).

    Phagocytosis

    • Internalizing substances through engulfment
    • Steps: Binding, engulfment, killing and degradation

    Opsonization

    • Coating a microbe with proteins to aid phagocytosis
    • Example: C-reactive protein (CRP)

    NK Cells

    • Kill infected host cells without prior activation
    • Activated by missing MHC class I or by antibody coating of target cell

    Cell Killing

    • Antibody-dependent cell-mediated cytotoxicity
    • Infected cells expressing microbial antigens are killed
    • Mechanism: similar to NK cells

    Complement

    • Collection of soluble proteins aiding the immune system.
    • Prominent roles: promoting phagocytosis (Opsonisation), increasing inflammation, directly killing pathogens
    • Activation pathways: Classical, alternative, lectin pathways, resulting in lysis of cell membranes.

    Cytokines

    • Soluble proteins produced by various cells
    • Roles: Autocrine (acts on producing cell), paracrine (local), endocrine (via blood)
    • Pleiotropy (multiple effects), Redundancy (complementary functions), Synergy (combined effects), Antagonism (opposing actions)
    • Examples: Interleukins (ILs), tumor necrosis factors (TNFs), interferons (IFNs).

    Inflammation

    • Localized response (eliminate/wall off injury and dead cells) to promote tissue repair
    • Key symptoms include redness, heat, swelling, pain and functional impairment
    • Steps: PAMP/DAMP detection, mediator release, leukocyte recruitment, trigger elimination, tissue repair
    • Systemic (wide-spread) effects of localized inflammation involve body systems and organs.

    Adaptive Immunity

    • Lymphocytes (B and T cells)
    • Antigen recognition
    • Clonal expansion and differentiation (generating effective cells)
    • Antigen elimination
    • Apoptosis: removing excess cells
    • Memory cells: faster responses in subsequent exposures

    Antigen Presentation

    • MHC class I: Presents antigens from inside cells to cytotoxic T cells
    • MHC class II: Presents antigens from outside cells to helper T cells

    B-cell Activation and Function

    • B-cells recognize antigens directly to activate
    • Produce antibodies to neutralize microbes or toxins
    • Antibody classes (isotypes): IgG, IgE, IgA, IgM, IgD (each with distinct roles)

    T-cell Activation and Function

    • Helper T cells (TH): interact with other immune cells to coordinate immune responses, activate B cells, and promote inflammation
    • Cytotoxic T cells (TC): directly kill infected or abnormal cells

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    Description

    Explore the fundamentals of immunology, including the immune system's roles in defending against infections and tumors, as well as its involvement in tissue repair and inflammatory responses. Understand how the immune system identifies foreign substances and the issues that arise from its dysfunction, such as immunodeficiency and allergies.

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