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Questions and Answers

A researcher is investigating a new disease that causes rapid onset of symptoms but doesn't seem to confer lasting immunity. Which component of the immune system is MOST likely involved in the initial response?

  • Adaptive immune system, due to its ability to generate memory cells.
  • Antibody-mediated immunity, which quickly targets extracellular pathogens.
  • Innate immune system, as it provides a rapid, non-specific defense. (correct)
  • Both the innate and adaptive immune systems are equally likely to be involved.

Which characteristic distinguishes the adaptive immune system from the innate immune system?

  • The adaptive immune system responds rapidly to pathogens.
  • The adaptive immune system provides a non-specific defense.
  • The adaptive immune system recognizes and eliminates pathogens.
  • The adaptive immune system provides long-lasting protection. (correct)

A patient's immune system is unable to differentiate between self and non-self antigens. What is the MOST likely consequence of this malfunction?

  • Reduced inflammation and tissue damage during infections.
  • Enhanced ability to eliminate pathogens without causing collateral damage.
  • Increased resistance to infections due to a hyperactive immune response.
  • Development of autoimmune diseases as the immune system attacks the body's own tissues. (correct)

Following exposure to a pathogen, a patient exhibits an elevated level of antibodies and activated T cells specific to that pathogen. This response is primarily attributed to which aspect of the immune system?

<p>Adaptive immune system's specific and long-lasting protection. (D)</p> Signup and view all the answers

A researcher discovers a new cell type that rapidly responds to a wide range of pathogens but does not generate immunological memory. This cell type MOST likely belongs to which component of the immune system?

<p>Innate immune system (D)</p> Signup and view all the answers

Which function is directly performed by neutrophils?

<p>Killing microorganisms directly. (A)</p> Signup and view all the answers

Activation of which complement system pathway occurs due to mannose-binding lectin binding to microbial carbohydrates?

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

Which cytokine is primarily associated with Th1 cells?

<p>IFN-γ (D)</p> Signup and view all the answers

During a primary immune response, which immunoglobulin is produced first?

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

Which type of cell is responsible for antigen presentation to T cells?

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

What is a key characteristic of the adaptive immune system?

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

Which of the following functions is NOT typically associated with antibodies?

<p>Direct killing of infected cells (B)</p> Signup and view all the answers

If a patient is deficient in Th1 cells, which immune response would be MOST affected?

<p>Delayed-type hypersensitivity (A)</p> Signup and view all the answers

In a patient previously vaccinated against a specific viral pathogen, which of the following characteristics would be expected during a secondary exposure compared to the primary exposure?

<p>A faster antibody production rate with higher affinity antibodies, mainly of the IgG isotype. (D)</p> Signup and view all the answers

A patient presents with symptoms of fatigue, joint pain, and a characteristic 'butterfly' rash on their face. Lab results show elevated levels of anti-nuclear antibodies and immune complexes in their blood. Which type of hypersensitivity reaction is most likely contributing to this patient's condition?

<p>Type III hypersensitivity, involving immune complex deposition. (D)</p> Signup and view all the answers

A researcher is investigating the impact of gut microbiota on the efficacy of cancer immunotherapy. Which of the following mechanisms is LEAST likely to be involved in the interplay between the microbiome and anti-tumor immunity?

<p>Direct enhancement of tumor cell proliferation via bacterial metabolites. (B)</p> Signup and view all the answers

A child is diagnosed with Severe Combined Immunodeficiency (SCID). Which immunological defect is most characteristic of this primary immunodeficiency?

<p>Combined absence of T and B cell function (B)</p> Signup and view all the answers

During the development of a vaccine for a novel virus, researchers aim to elicit a strong and durable adaptive immune response. Which strategy would be most effective in achieving this goal?

<p>Employing a live attenuated virus vaccine or mRNA vaccine with appropriate adjuvants to stimulate both humoral and cell-mediated immunity. (D)</p> Signup and view all the answers

A patient experiences a severe allergic reaction after eating shellfish, characterized by difficulty breathing, hives, and a sudden drop in blood pressure. Which of the following immunological mechanisms is primarily responsible for these symptoms?

<p>Release of histamine and other mediators from mast cells and basophils sensitized by IgE antibodies. (A)</p> Signup and view all the answers

A researcher is evaluating the effectiveness of a new cancer immunotherapy that utilizes checkpoint inhibitors. Which of the following mechanisms best describes how these inhibitors enhance anti-tumor immunity?

<p>Blocking inhibitory signals that prevent T cells from attacking cancer cells. (B)</p> Signup and view all the answers

A patient undergoing a bone marrow transplant develops graft-versus-host disease (GVHD). Which immunological process underlies this condition?

<p>The transplanted immune competent cells recognize the recipient's tissues as foreign and mount an immune response. (D)</p> Signup and view all the answers

How do commensal bacteria contribute to the innate immune system's defenses?

<p>By competing with pathogens for nutrients and space. (C)</p> Signup and view all the answers

Which of the following is the MOST direct outcome of the complement system's membrane attack complex (MAC)?

<p>Lysis of pathogens by creating pores in their membranes. (C)</p> Signup and view all the answers

A patient with a genetic defect that impairs the function of their natural killer (NK) cells will likely have increased susceptibility to which type of infection or disease?

<p>Viral infections and tumor development due to impaired destruction of infected/cancerous cells. (C)</p> Signup and view all the answers

Following a vaccination, what immunological characteristic allows for a more rapid and robust response upon subsequent exposure to the same antigen?

<p>The adaptive immune system's immunological memory leads to a faster and stronger response upon re-exposure. (A)</p> Signup and view all the answers

Which region of an antibody determines its class (e.g., IgG, IgA, IgM, IgE, IgD) and mediates its specific effector functions?

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

How do cytotoxic T cells (CD8+ T cells) recognize and kill infected cells?

<p>By recognizing antigens presented on HLA Class I molecules and releasing perforin and granzymes. (A)</p> Signup and view all the answers

If a patient has a deficiency in Th2 cells, which of the following immune responses would be MOST affected?

<p>The ability to produce antibodies and combat parasitic infections. (D)</p> Signup and view all the answers

What is the primary mechanism by which vaccination provides long-term protection against specific pathogens?

<p>By stimulating the production of memory B and T cells, leading to a faster and stronger response upon subsequent exposure. (B)</p> Signup and view all the answers

Which of the following statements accurately describes the key difference between the alternative and classical pathways of complement activation?

<p>The alternative pathway is activated by direct pathogen recognition, whereas the classical pathway is activated by antibody-mediated recognition. (C)</p> Signup and view all the answers

A researcher is studying the effect of a novel drug on immune responses. They observe that the drug significantly reduces the secretion of IL-2, IFN-$\gamma$, and TNF-$α$. Which type of immune cell is MOST likely being targeted by this drug?

<p>Th1 cells (D)</p> Signup and view all the answers

A researcher is investigating the process of antigen presentation. Which cell type is MOST critical for initiating T cell-mediated adaptive immune responses by presenting antigens?

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

A patient is diagnosed with a genetic defect that impairs the function of CD8+ T cells. Which immunological outcome is MOST likely to be observed in this patient?

<p>Increased susceptibility to viral infections and cancer (D)</p> Signup and view all the answers

A researcher analyzes serum samples from a patient before and after vaccination. The post-vaccination sample shows a significant increase in IgG antibodies with enhanced binding affinity to the vaccine antigen. This observation is MOST characteristic of which type of immune response?

<p>Secondary antibody response (B)</p> Signup and view all the answers

A patient with a complement deficiency is MOST likely to exhibit heightened susceptibility to infections from which type of organism?

<p>Extracellular bacteria (E)</p> Signup and view all the answers

Following exposure to an allergen, a patient experiences immediate symptoms such as hives, itching, and difficulty breathing. Which of the following mediators, released by mast cells, is MOST directly responsible for these immediate symptoms?

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

A researcher is investigating the mechanism by which certain bacteria evade the immune system. They discover a bacterial species that inhibits the formation of the membrane attack complex (MAC). Which of the following components of the immune system is directly affected by this bacterial evasion strategy?

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

A patient undergoing cancer immunotherapy experiences a cytokine storm, characterized by excessive levels of various cytokines in the blood. Which of the following interleukins is MOST likely to be elevated and contribute to systemic inflammation and toxicity in this patient?

<p>IFN-γ (B)</p> Signup and view all the answers

In an experiment, researchers deplete mast cells in a group of mice. Following exposure to an allergen, which of the following responses is MOST likely to be diminished in these mast cell-depleted mice compared to control mice?

<p>Immediate hypersensitivity reaction (A)</p> Signup and view all the answers

A patient with a suspected parasitic infection shows elevated levels of IgE. Which cellular process is MOST directly stimulated by the cytokine responsible for this elevation?

<p>Increased differentiation of B cells into plasma cells producing IgE (D)</p> Signup and view all the answers

A researcher is investigating the mechanism by which IgG enhances the engulfment of bacteria by macrophages. Which process is MOST directly facilitated by IgG in this scenario?

<p>Opsonization to enhance phagocytosis (C)</p> Signup and view all the answers

During a systemic bacterial infection, a patient's body temperature rises significantly. Which effect of IL-1 is MOST directly responsible for this physiological change?

<p>Induction of fever via effects on the hypothalamus (E)</p> Signup and view all the answers

A patient with a compromised immune system is unable to initiate effective T cell responses due to a deficiency in antigen presentation. Which function is MOST likely impaired in their dendritic cells?

<p>Presentation of processed antigens on MHC molecules (A)</p> Signup and view all the answers

A patient with a severe bacterial infection has depleted levels of lactoferrin. What is the MOST direct consequence of this deficiency on bacterial survival and proliferation?

<p>Enhanced bacterial access to iron, promoting growth (A)</p> Signup and view all the answers

A researcher is studying the effects of a novel drug on cytokine production during an immune response. Which result would indicate that the drug effectively inhibits the Th2 response?

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

A researcher analyzes a sample from a patient with an active bacterial infection. Which finding would BEST support the conclusion that IgG is effectively opsonizing the bacteria?

<p>Increased phagocytosis of bacteria by macrophages (C)</p> Signup and view all the answers

A researcher is investigating potential therapeutic targets to reduce inflammation in patients with chronic inflammatory diseases. Which strategy involving IL-1 would be MOST effective in reducing inflammation?

<p>Blocking the IL-1 receptor with an antagonist (D)</p> Signup and view all the answers

Flashcards

Immune System

The body's defense network of cells, proteins, and organs.

Innate Immune System

Immediate, non-specific defenses against pathogens.

Adaptive Immune System

Specific, long-lasting protection against pathogens.

First Line of Defense

Rapid, non-specific immune reaction.

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Third Line of Defense

Specific immune response with memory.

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Secondary Immune Response

Rapid, high-affinity antibodies (IgG dominant).

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Vaccination

Mimics infection, creates memory cells for long-term protection.

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Autoimmune Diseases

Immune system attacks self (e.g., lupus, rheumatoid arthritis).

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Primary Immunodeficiency

Immune system deficiency due to genetic defects.

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Secondary Immunodeficiency

Immune system deficiency acquired after birth (e.g., HIV/AIDS).

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Type I Hypersensitivity

IgE-mediated, immediate reaction (e.g., allergies).

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Cancer Immunotherapy

Using the immune system to fight cancer.

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Microbiome & Immunity

Influence of gut bacteria on immune responses.

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Anatomical Barriers

Physical barriers with antimicrobial secretions that protect the body.

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Phagocytes

Includes neutrophils, macrophages, and dendritic cells; engulf and destroy pathogens.

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Complement System

Proteins enhancing immune responses by lysing pathogens via the membrane attack complex.

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Mast Cells & Basophils

Cells releasing histamine, causing inflammation, and playing a key role in allergic responses.

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Natural Killer (NK) Cells

Cells destroying virus-infected and tumor cells by inducing apoptosis.

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B Cells

B cells produce antibodies, marking pathogens for destruction.

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Fab Region

The antigen-binding region of an antibody.

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CD4+ T Cells (Helper)

Regulate immune response, activate other immune cells.

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CD8+ T Cells (Cytotoxic)

Kill infected cells by releasing perforin and granzymes.

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HLA Class I

Present antigens to CD8+ T cells.

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Neutrophil Function

Neutrophils directly eliminate microorganisms and enhance immune responses.

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Lectin Pathway Trigger

Activated by mannose-binding lectin attaching to microbial carbohydrates.

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IFN-γ Source

A cytokine produced by Th1 cells, crucial for delayed-type hypersensitivity.

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Primary Response Antibody

The first antibody produced during an initial immune response.

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Antigen Presentation Cell

Specialized cells presenting antigens to T cells, bridging innate and adaptive immunity.

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Immunological Memory

The adaptive immune system's capacity to remember past infections.

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Antibody Killing Function

Antibodies do not directly kill infected cells.

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Function of CD8+ T cells

CD8+ T cells that kill virus-infected or cancerous cells.

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Secondary antibody response

Rapid production of high-affinity IgG antibodies.

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Complement proteins

Proteins forming the membrane attack complex (MAC) that create pores in bacterial cell membranes.

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Function of Mast cells

Release histamine and other mediators during allergic reactions.

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Membrane Attack Complex (MAC)

Proteins that create pores in bacterial cell membranes.

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High-affinity IgG antibodies

Antibodies with a high affinity for the antigen that triggers the antibody response.

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What is the complement system?

Includes proteins that form pores in bacterial cell membranes.

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Allergic reaction mediator

Release histamine and other mediators during allergic reactions.

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IL-4

Cytokine promoting IgE production; important in parasitic infections.

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IgG

Antibody that opsonizes bacteria, enhancing phagocytosis.

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IL-1

Cytokine that induces fever and activates T cells during infection.

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Dendritic Cells

Specialized cells that capture antigens and present them to T cells.

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Lactoferrin

Protein that binds iron, inhibiting bacterial growth by depriving them of iron.

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IgE antibodies

Important for defense against parasites

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Opsonization

Process where pathogens are coated to enhance phagocytosis

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IL-1's role during infection

A protein that stimulates fever, T cell activation, and inflammation

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Study Notes

  • Immunology is understanding the body's defense system
  • The information can be supplemented by an immune system infographic

Immune System Overview

  • The immune system is a complex network of cells, proteins, and lymphoid organs
  • The function of the immune system is protect against infections
  • The key function is to recognize, neutralize, and eliminate pathogens while distinguishing self from non-self
  • The components of the immune system are the Innate and Adaptive systems
  • Innate Immune System is the "first and second line of defense"
  • Innate Immune System responsds rapidly and uses non-specific defense
  • Adaptive Immune System is the "third line of defense"
  • Adaptive Immune System responds specifically and provides long-lasting protection

Innate Immune System - First Line of Defense

  • Anatomical barriers are physical defenses
  • The physical defenses include:
  • Skin: Physical barrier with antimicrobial secretions
  • Mucus Membranes: Trap pathogens, contain lysozyme and lactoferrin
  • Commensal Bacteria: Compete with pathogens for space and nutrients
  • Chemical defenses include:
  • Enzymes like lysozyme in tears and saliva
  • Acidic pH in stomach and skin

Innate Immune System - Second Line of Defense

  • Phagocytes participate on this front
    • Neutrophils: Short-lived, kill microbes, produce inflammatory molecules
    • Monocytes/Macrophages: Scavengers, regulate inflammation
    • Dendritic Cells: Present antigens to adaptive immune cells
  • Cytokines: Chemical messengers regulating immune response. Examples include IL-1 and TNF-α
  • The inflammatory response is characterized by swelling, heat, pain, and redness

The Complement System

  • The complement system is a group of proteins
  • The role of the complement system is to enhance immune responses
  • Alternative Pathway: Direct pathogen recognition
  • Classical Pathway: Antibody-mediated activation
  • Lectin Pathway: Recognizes carbohydrate patterns
  • It forms a membrane attack complex (MAC) to lyse pathogens
  • Complement deficiencies may lead to recurrent infections

Mast Cells, Basophils, and Natural Killer (NK) Cells

  • Mast Cells & Basophils release histamine and inflammatory mediators
  • They have a key role in allergic responses
  • Natural Killer (NK) Cells destroy virus-infected and tumor cells
  • They release perforin and granzymes to induce apoptosis

Adaptive Immune System - Third Line of Defense

  • Specificity: Targeted response against specific pathogens
  • Adaptability: Can recognize a vast array of antigens
  • Immunological Memory: Faster, stronger response upon re-exposure
  • Lymphoid Organs:
    • Primary: Bone marrow (B cell maturation), Thymus (T cell maturation)
    • Secondary: Spleen, lymph nodes, MALT (sites of immune interaction)

Humoral Immunity - B Cells & Antibodies

  • B Cells differentiate into plasma cells and memory B cells
  • They produce antibodies
  • Antibody Structure:
    • Fab region: Antigen-binding site
    • Fc region: Determines antibody class (IgG, IgA, IgM, IgE, IgD)
  • Functions of Antibodies:
    • Opsonization, neutralization, complement activation

Cellular Immunity - T Cells

  • T Cells:
    • CD4+ T Cells (Helper): Regulate immune response, produce cytokines
    • CD8+ T Cells (Cytotoxic): Kill infected cells using perforin and granzymes
  • Antigen Processing & Presentation:
    • HLA Class I: Presents antigens to CD8+ T cells
    • HLA Class II: Presents antigens to CD4+ T cells

Types of T Helper Cells

  • Th1 Cells: Secrete IL-2, IFN-y, TNF-a; promote intracellular pathogen clearance
  • Th2 Cells: Secrete IL-4, IL-5, IL-10; promote antibody responses and allergic reactions
  • Regulatory T Cells: Prevent autoimmunity, regulate immune responses

Immunological Memory & Vaccination

  • Primary vs. Secondary Immune Response:
    • Primary: Slow, low-affinity antibodies (IgM first)
    • Secondary: Rapid, high-affinity antibodies (IgG dominant)
  • Vaccination mimics natural infection

Autoimmunity and Immunodeficiencies

  • Autoimmune Diseases: Immune system attacks self. Lupus and rheumatoid arthritis are examples
  • Immunodeficiency Disorders can be Primary (Genetic) or Secondary (Acquired). Genetic includes SCID. Acquired includes HIV/AIDS.

Hypersensitivity Reactions

  • Type I: Immediate (IgE-mediated, e.g., allergies)
  • Type II: Antibody-mediated cytotoxicity (e.g., hemolytic anemia)
  • Type III: Immune complex deposition (e.g., lupus)
  • Type IV: Delayed-type hypersensitivity (e.g., contact dermatitis)

Emerging Topics in Immunology

  • Cancer Immunotherapy: Checkpoint inhibitors, CAR-T therapy
  • Microbiome & Immunity: Influence of gut bacteria on immune responses
  • COVID-19 & Immunity: Vaccine development, immune evasion mechanisms

Summary and Conclusion

  • Key Takeaways:
    • The immune system includes innate and adaptive components
    • The innate response is rapid and provides non-specific defense
    • Whereas, the adaptive response is specific and provides long-term protection
    • Advances in immunology impact medicine, including vaccines and cancer therapies

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