Stem Cells: Types, Properties, and Medical Uses

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Questions and Answers

What is a key characteristic of stem cells?

  • Self-renewal (correct)
  • Specialized structure
  • Inability to replicate
  • Limited lifespan

Which property enables stem cells to differentiate into various cell types?

  • Self-renewal
  • Immortality
  • Potency (correct)
  • Quiescence

Where are embryonic stem cells primarily isolated from?

  • Bone marrow
  • Adult skin tissue
  • Umbilical cord blood
  • Inner cell mass of blastocysts (correct)

Which of the following is a source of adult stem cells?

<p>Umbilical cord blood (B)</p> Signup and view all the answers

What is a primary medical application of stem cells?

<p>Stem cell therapy (C)</p> Signup and view all the answers

What process is involved in cell-based therapies using stem cells?

<p>Treating patients with specialized cells grown from stem cells in the laboratory (A)</p> Signup and view all the answers

Which of the following is treated using bone marrow transplantation, leveraging the properties of stem cells?

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

What cells are targeted for replacement in the treatment of type 1 diabetes mellitus using stem cells?

<p>Pancreatic beta cells (A)</p> Signup and view all the answers

Which cells are responsible for capturing and transporting antigens to the peripheral lymphoid tissues?

<p>Antigen Presenting Cells (C)</p> Signup and view all the answers

Which of the following is NOT a primary function of antigen-presenting cells (APCs)?

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

Where are antigen-presenting cells (APCs) typically found?

<p>Epithelium of skin, GIT, respiratory tract (D)</p> Signup and view all the answers

Which molecule is richly expressed on antigen-presenting cells (APCs) and is crucial for antigen presentation?

<p>Class II MHC molecules (A)</p> Signup and view all the answers

What is the first step in the role of antigen-presenting cells?

<p>Phagocytosis of enemy cell (D)</p> Signup and view all the answers

What is the eventual outcome of extracellular antigen processing and presentation by APCs?

<p>Presentation to CD4+ cells with Class II MHC molecules (A)</p> Signup and view all the answers

Which process degrades cytosolic proteins in antigen processing?

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

To which cells are peptides from cytosolic antigens presented, and on which molecule?

<p>CD8+ cells with Class I MHC (C)</p> Signup and view all the answers

Which cells are primarily responsible for phagocytosis?

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

What is the major difference between monocytes and macrophages?

<p>Monocytes circulate in blood, while macrophages reside in tissues. (B)</p> Signup and view all the answers

Which type of leukocytes is most abundant in the blood?

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

What does an increased number of neutrophils in the blood typically indicate?

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

What is the process by which phagocytes migrate through the blood vessel walls to enter tissues?

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

Which factor is involved in attracting phagocytes towards microbes in tissues?

<p>Chemotactic factors (chemokines and complement) (D)</p> Signup and view all the answers

What is the role of Opsonins in phagocytosis?

<p>Opsonins enhance the phagocytosis of microbes. (A)</p> Signup and view all the answers

What is the name of the structure formed when a phagocyte's cell membrane encloses a microbe?

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

What structure results from the fusion of a phagosome and a lysosome?

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

Which of the following is an oxygen-dependent mechanism of intracellular killing by phagocytes?

<p>O2 free radicals (respiratory burst) (A)</p> Signup and view all the answers

How does lactoferrin contribute to intracellular killing?

<p>By chelating iron, thus limiting bacterial growth (D)</p> Signup and view all the answers

What happens to neutrophils after phagocytosis?

<p>They undergo lysis and contribute to pus formation (C)</p> Signup and view all the answers

Following digestion in macrophages, what happens to microbial antigens?

<p>They are presented on MHC to T helper cells. (D)</p> Signup and view all the answers

Which of the following is NOT an oxygen-independent mechanism employed by phagocytes to kill intracellular pathogens:

<p>Production of $H_2O_2$ (C)</p> Signup and view all the answers

A researcher is studying a novel treatment aimed at enhancing the intracellular killing of bacteria within macrophages. Which of the following strategies would MOST directly target an oxygen-dependent killing mechanism?

<p>Elevating the production of superoxide radicals ($O_2^−$). (A)</p> Signup and view all the answers

In the context of antigen presentation, a mutation that disrupts the function of the proteasome would MOST directly impair which of the following processes?

<p>Presentation of viral antigens derived from the cytoplasm. (D)</p> Signup and view all the answers

A patient with a genetic defect is unable to produce functional Class II MHC molecules. This defect would MOST directly affect the ability of which cell type to activate T helper cells?

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

A researcher discovers a novel bacterial strain that is resistant to phagocytosis. Further investigation reveals that the bacteria is producing an enzyme that cleaves C3b. What is the MOST likely mechanism by which this enzyme is promoting bacterial survival?

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

What is a key distinction between the roles of CD4+ and CD8+ T cells in the adaptive immune response, specifically concerning antigen presentation pathways?

<p>CD4+ T cells recognize antigens presented on Class II aMHC, while CD8+ T cells recognize antigens presented on Class I MHC. (A)</p> Signup and view all the answers

An experiment introduces a chemical inhibitor that specifically blocks diapedesis. This inhibitor would MOST directly prevent which of the following?

<p>The migration of neutrophils from the bloodstream into the tissues (D)</p> Signup and view all the answers

A novel drug is designed to enhance the fusion of phagosomes with lysosomes in macrophages. What effect would administering this drug MOST likely have on intracellular pathogens

<p>Increased destruction of intracellular pathogens (D)</p> Signup and view all the answers

A hypothetical virus named “Obliteratus” has evolved a sophisticated strategy to evade immune detection. After infecting a cell, it produces a protein that directly prevents the infected cell from expressing MHC class I molecules on its surface. How does this viral strategy MOST directly benefit the virus?

<p>By preventing the recognition and killing of infected cells by cytotoxic T-lymphocytes (CTLs). (D)</p> Signup and view all the answers

Consider an extremely rare genetic disorder that results in phagocytes lacking the ability to produce myeloperoxidase, a crucial element in the generation of hypochlorous acid (a potent antimicrobial agent) within phagolysosomes. Which of the following would be the MOST direct consequence of this genetic defect on an individual's immune response?

<p>Reduced ability to effectively kill phagocytosed bacteria. (B)</p> Signup and view all the answers

Flashcards

Stem Cells

Undifferentiated cells capable of self-renewal and differentiation into specialized cell types.

Self-renewal (stem cell)

The ability of a stem cell to maintain itself in an undifferentiated state.

Stem Cell Potency

The capacity of a stem cell to differentiate into specialized cell types (e.g., muscle, nerve, blood).

Embryonic Stem Cells

Stem cells isolated from the inner cell mass of blastocysts.

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Adult Stem Cells

Stem cells found in adult tissues such as skin, muscle, and bone marrow.

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Phagocytes

Cells that recognize, ingest, and kill microbes and foreign bodies.

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Monocytes

Large mononuclear phagocytes that circulate in the blood and ingest microbes.

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Macrophages

Phagocytes that reside in tissues and ingest microbes.

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Neutrophils

Also called polymorphonuclear leukocytes (PMNs).

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Diapedesis

The migration of phagocytes through the wall of a blood vessel, stimulated by histamine.

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Chemotaxis

The process by which chemotactic factors attract phagocytes towards microbes in tissue.

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Phagocyte Recognition

Phagocytes can recognize and bind microbes through receptors on their outer surface.

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Opsonins

Antibodies (IgG) or complement (C3b) that enhance phagocytosis.

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Phagosome Formation

Cell membrane of phagocytes invaginates to enclose microbes forming phagosomes.

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Phagolysosome

Phagosome fuses with lysosome forming phagolysosome.

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Intracellular killing

O2 dependent (Respiratory bursts )

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Lysosomal granules

basic ptn → damage permeability barrier in bacteria & fungi & virus.

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Study Notes

  • Stem cells are undifferentiated or unspecialized cells

Stem Cell Properties

  • Self-renewal: Stem cells can maintain themselves in an undifferentiated state.
  • Potency: Stem cells can differentiate into specialized cell types, like muscle, red blood, nerve, or brain cells.

Types of Mammalian Stem Cells

  • Embryonic Stem Cells: Isolated from the inner cell mass of blastocysts.
  • Adult Stem Cells: Found in adult tissues such as skin, muscles, umbilical cord blood, brain, heart, and bone marrow.

Medical Importance of Stem Cells

  • Stem cell therapy can change the treatment of human diseases.
  • Human stem cells are used to generate cells and tissues for cell-based therapies.
  • Cell-based therapies involve treating patients by transplanting specialized cells grown from stem cells in the laboratory (stem cell culture).

Uses of Stem Cells

  • Leukemia treatment involves bone marrow transplants to replace abnormal stem cells with those that produce healthy blood cells.
  • Cardiovascular disease treatment: Repairing damaged heart cells after a heart attack.
  • Type 1 Diabetes Mellitus treatment: Replacing damaged pancreatic beta cells, enabling insulin secretion.
  • Spinal cord injuries treatment: Regrowing damaged neurons.
  • Alzheimer's disease treatment: Replacing damaged brain cells.

Antigen Presenting Cells (APCs)

  • APCs include dendritic cells, macrophages, and B lymphocytes.
  • Occurrence: Found in the epithelium of the skin, GI tract, and respiratory tract, which are common entry points for microbes.

Functions of APCs

  • Capture and transport antigens to peripheral lymphoid tissues
  • Process antigens
  • Present peptides derived from antigens to T lymphocytes
  • APCs are rich in class II MHC molecules.

Role of Antigen Presenting Cells

  • Phagocytosis: APCs phagocytose enemy cells (antigens).
  • Fusion: Lysosomes fuse with phagosomes inside the APC.
  • Degradation: Enzymes start to degrade the enemy cell.
  • Fragmentation: The enemy cell is broken into small fragments.
  • Presentation: Antigen fragments are presented on the APC surface.
  • Exocytosis: Leftover fragments are released via exocytosis.

Pathways of Antigen Processing & Presentation

  • Class II MHC Pathway:
    • Protein antigens are taken from the extracellular environment.
    • Proteins are degraded by lysosomal proteases.
    • Resulting peptides are presented to CD4+ cells with class II MHC molecules.
  • Class I MHC Pathway:
    • Cytosolic proteins, such as those from intracellular microbes, are processed.
    • Proteins are degraded by proteasomes.
    • Resulting peptides are presented to CD8+ cells with class I MHC molecules.

Phagocytes

  • Phagocytes are cells that recognize, ingest, and kill microbes and foreign bodies.

Types of Phagocytes

  • Monocytes: Large mononuclear cells circulate in the blood and ingest microbes there.
  • Macrophages: Tissue-resident cells derived from monocytes, ingest microbes in tissues.
  • Neutrophils:
    • Also called polymorphonuclear leukocytes (PMNs).
    • Most numerous leukocytes in blood.
    • Effective at killing bacteria.
    • Increase in neutrophil count indicates acute infection.
    • Ingest microbes in circulation, enter tissues at infection sites, and die after a few hours, contributing to pus formation.

Stages of Phagocytosis

  • Delivery of phagocytic cell to site of infection:
    • Diapedesis: Histamine stimulates phagocytes to migrate through blood vessel walls into tissues.
    • Chemotaxis: Chemotactic factors like chemokines and complement components (C3a, C4a, C5a) attract phagocytes toward microbes in tissue.
  • Recognition of microbes:
    • Phagocytes recognize and bind microbes through receptors such as mannose receptors and Toll-Like receptors on their surface.
    • Microbes coated with IgG or complement (C3b) enhance recognition
    • IgG or C3b bind with receptors on phagocytic cells, bringing the microbe closer and facilitating phagocytosis.
    • Opsonins Antibodies (IgG) or C3b enhance phagocytosis.
  • Ingestion of target
  • Phagocyte cell membrane invaginates to enclose the microbe, forming a vacuole called a phagosome.
  • Phagolysosome formation
  • The phagosome fuses with a lysosome, forming a phagolysosome.
  • Intracellular killing
    • Oxygen (O2)-dependent mechanisms (respiratory bursts):
      • Production of O2 free radicals like H2O2, O2, and OH.
      • Production of toxic nitrogen oxide.
    • Oxygen (O2)-independent mechanisms:
      • Lysosomal granules contain basic proteins that damage the permeability barrier of bacteria, fungi, and viruses.
      • Lactoferrin chelates iron, reducing iron availability and bacterial growth.
      • Lysosomal enzymes such as lysozyme and nuclease degrade microbes.
      • Low pH due to lactic acid inhibits microbial growth.
  • Digestion
    • Neutrophils: Short-lived and lyse after phagocytosis, contributing to pus.
    • Macrophages:
      • Egest digested debris.
      • Digested microbes are processed into small antigen peptides presented on MHC to T helper cells.

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