click below
click below
Normal Size Small Size show me how
Immunology
Step 1 prep
Question | Answer |
---|---|
Gene segments whose random rearrangement play a role in light chain idiotype of the antibody molecule | V & J (It's V, D & J for the heavy chain) |
Mechanism that allows a B cell to attach either a μ or a δ constant domain to a idiotype, without having undergone class-switching | alternative splicing |
The enzyme Terminal Deoxyribonucleotidyl Transferase (Tdt) randomly inserts bases at V, D and J junctions. It is seen when B cell in process of rearranging gene segments for heavy chain synthesis. What you DON'T expect to see in a cell with active Tdt? | light chains |
What are the two types of light chains you can find in an antibody? | κ & λ |
Interleukin that stimulates production of lymphocytes in BM | IL-7 |
Molecule used as signal transduction complex by T cell receptors | CD3 |
What 4 molecules form the B cell signal transduction complex? | Ig-α, Ig-β, CD19 and CD21 |
Interleukin responsible for mobilization of myeloid cells from BM | IL3 |
Types of MHC class I molecules? | HLA-A, HLA-B and HLA-C |
Types of MHC class II surface molecules? | HLA-DQ, HLA-DR and HLA-DP |
Stage of development of a B-cell that shows CD19, CD20 but no μ chains in cytoplasm | Pro-B |
What genes must be expressed by lymphocytes to be able to make DNA rearrangements? | rag1 and rag2 |
Stage of development of a B-cell that shows CD19, CD20, μ chains in cytoplasm but no surface Ig and still has Tdt activity | Pre-B |
Stage of development of a B-cell that shows surface IgM but no IgD | Immature B cell |
Where do you expect to see T cells with neither CD4 nor CD8 | BM (or prethymic in blood) |
Where do you expect to find CD4+, CD8+ T cells? | Thymic cortex |
Where in the lymph node do you find T-cells? | Paracortex |
What condition predisposes patients to blood-borne pathogens? | Splenectomy |
What molecules on lymphocyte surface interact with HEV's addressins to enter lymph nodes? | L-selectins |
This is the first place seen by an Antigen once entering the lymph node | Subcapsular sinus |
Lymph nodes' cortical follicles are aggregates of what cell type? | B- cells |
What do you call the structure of the lymph node where clonal division of activated B-cells happens? | Germinal center |
What cells mainly populate the lymph node medulla? | Plasma cells and macrophages |
Cells contained in spleen's periarteriolar lymphoid sheaths (PALS) | T- cells |
Areas of the spleen rich in B-cells | Follicles and B-cell corona outside T-cell area |
What are the two oxygen dependent mechanisms of IC digestion? | NADPH oxidase and myeloperoxidase |
What enzyme is deficient in Chronic Granulomatous Disease? What bacteria infect these patients and why? | NADPH oxidase - catalase positive (degrade available H2O2 that could be used by myeloperoxidase to form hypochlorite and kill them) |
Test used to diagnose CGD and what does a positive test mean? | Nitroblue tetrazolium, positive= normal patient (negative=disease) |
What is one of the most common mechanisms through which drugs cause immune responses? | hapten-carrier immune response where the drug acts as hapten |
Genetic immunodeficiency in which immune cells cannot migrate to sites of inflammation | LAD deficiency (Leukocyte Adhesion Deficiency or CD18 deficiency) |
Cytokine responsible for macrophage activation | IFNγ |
How do Superantigens work? | By activating T-cells in the absence of antigen-specific recognition (cross-link TCR with MHC-II molecules in the absence of antigen recognition) |
Type of lepra that is most severe and mycobacteria themselves cause damage, it is a TH2 response that is ineffective to stop the illness and is accompanied by hypergammaglobulinemia | lepromatous |
Type of lepra that is less severe and an TH1 response stimulates granuloma formation which damages tissue | tuberculous |
Th cell associated with humoral immunity | Th2 |
Type of T cell that produces IL2, IFNγ and TNFβ | TH1 |
Type of immune cell that once activated produce IL1, IL6, TNFα, IFNγ and GM-CSF and are prominent in granulomas | Macrophages |
Cell that produces IL4, IL5, IL6, IL10, IL13, and TGFβ | TH2 |