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WHAT 2 FORMS OF ANTIBODY ARE MADE BY B CELLS AND WHAT ARE THEIR
RESPECTIVE FUNCTIONS?
SECRETED EFFECTOR MOLECULES AND MEMBRANE BOUND RECEPTORS
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WHAT IS THE BASIC STRUCTURE OF AN ANTIBODY MOLECULE?
COMPOSED OF 4 POLYPEPTIDE CHAINS JOINED BY DISULFIDE BONDS
2 IDENTICAL PAIRS OF HEAVY AND LIGHT CHAINS
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HOW MANY CLASSES OF ANTIBODY ARE PRESENT IN HUMANS AND HOW ARE THE
DIFFERENT CLASSES DISTINGUISHED FROM ONE ANOTHER?
IgM – FIRST PRODUCED BY MATURE B-CELLS
IgD
IgG
IgE
IgA
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WHAT IS MEANT BY THE VARIABLE DOMAIN OF THE HEAVY AND LIGHT CHAINS OF
ANTIBODY?
FIRST 110 AMINO ACIDS IN AMINO TERMINAL SEQUENCE
INVOLVED IN ANTIGEN BINDING
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HOW MANY MOLECULES OF ANTIGEN CAN ONE Fab FRAGMENT BIND?
1
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WHAT PORTION OF THE ANTIBODY MOLECULE CONSTITUTES THE Fc FRAGMENT?
2 HEAVY CHAIN FRAGMENTS
NO ANTIGEN BINDING ACTIVITY
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HOW DOES THE HINGE REGION AFFECT THE FUNCTION OF ANTIBODY?
FLEXIBILITY BETWEEN Fab AND Fc
PROLINE RICH
PROTEASE SINSITIVE
MOST INTER-CHAIN DISULFIDES ARE FOUND HERE
DETERMINES AVAILABILITY FOR ANTIGEN BINDING BASED ON STERIC CONSIDERATIONS
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WHAT IS THE MAIN STRUCTURAL FEATURE OF Ig DOMAINS AND HOW IS THIS
STRUCTURE FORMED IN 3-D SPACE?
4 OR 5 SIMILAR DOMAINS OF 110 AMINO ACIDS EACH
EACH DOMAIN CONTAINS ONE INTRA-CHAIN DISULFIDE LINKAGE THAT IS IMPORTANT FOR TERTIARY STRUCTURE
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DEFINE CDRs AND EXPLAIN HOW THEY CONTRIBUTE TO ANTIGEN-ANTIBODY
INTERACTIONS?
COMPEMENTARITY DETERMINING REGIONS
SPECIFIC REGIONS THAT SHOW STRUCTURAL VARIABILITY KNOWN AS HYPERVARIABLE REGIONS
3 CDRs FOR EACH HEAVY AND LIGHT CHAIN, 6 ON EACH ARM; 12 TOTAL
LINE THE SHALLOW GROVE FORMED BY THE APPOSITION OF THE 3-STRANDED B-SHEETS MAKE UP THE HEAVY/LIGHT CHAINS THAT FORM ANTIGEN BINDING SITE
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COMPARE/CONTRAST THE TERMS AFFINITY AND AVIDITY AS THEY PERTAIN TO
ANTIBODY-ANTIGEN INTERACTIONS
AFFINITY IS A THERMODYNAMIC VALUE THAT QUANTIFIES THE STRENGTH OF ANTIBODY BINDING TO AN ANTIGENIC DETERMINANT
AVIDITY IS THE OVERALL INTERACTION STRENGTH OF 2 OR MORE ANTIBODIES BINDING TO ANTIGENS AND IS OFTEN GREATER THAN SUM OF INDIVIDUAL ANTIBODY AFFINITY
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PRO-B CELLS
EARLIEST STAGE OF B-CELL DIFFERENTIATION
LYMPHOID PROGENITORS
ANTIGEN-INDEPENDENT
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PRE-B CELLS
FROM PRO-B CELLS
FIRST TO EXPRESS Ig HEAVY CHAIN IN CYTOPLASM
M-HEAVY CHAIN IS SYNTHESIZED FIRST BEFORE LIGHT CHAIN
ANTIGEN INDEPENDENT
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IMMATURE IgM+B CELLS
FROM PRE-B CELLS
LIGHT CHAIN SYNTHESIS AND ASSEMBLY WITH HEAVY CHAINS FORMING COMPLETE IgM ANITBODY MOLECULE THAT IS EXPRESSED ON CELL SURFACE
ANTIGEN INDEPENDENT
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MATURE-B CELLS
FROM IMMATURE-B CELLS
B CELL BEGINS TO EXPRESS BOTH IgM AND IgD ON SURFACE, EACH EXPRESSING THE EXACT SAME VARIABLE REGION AND THUS SAME SPECIFICITY FOR ANTIGEN
MONOSPECIFIC
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ANTIGEN-DEPENDENT B-CELL DIFFERENTIATION
MATURE B-CELLS ACTIVATED BY SPECIFIC ANTIGEN
BEGIN TO SECRETE IgM
HEAVY CHAIN CLASS SWITCHING, EXPRESSION OF OTHER ANTIBODIES
PLASMA CELLS
MEMORY CELLS
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PLASMA CELLS
CONTAIN LOTS OF RER AND SECTRETE ANTIBODY AT VERY HIGH RATE/QUANTITY
DON’T EXPRESS MEMBRANE FORM OF ANTIBODY
END STAGE OF B-CELL DIFFERENTIATION
ANTIGEN DEPENDENT
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MEMORY CELLS
LONG-LIVING LYMPHOCYTES RESPONSIBLE FOR SECONDARY RESPONSE
USUALLY EXPRESS ISOTYPES OTHER THAN IgM ON SURFACE
ANTIGEN DEPENDENT
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AT WHAT STAGE OF B-CELL DEVELOPMENT IS THE ANTIBODY HEAVY CHAIN FIRST
EXPRESSED?
PRE-B CELLS
PRO-B CELLS --> PRE-B CELLS
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WHAT IS THE END-STAGE CELL IN THE B-CELL DEVELOPMENT LINEAGE?
PLASMA CELLS
MEMORY CELLS?
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HOW CAN A FINITE GENOME ENCODE ANTIBODIES CAPABLE OF RECOGNIZING AN ALMOST
INFINITE # OF ANTIGENS?
VARIABLE REGIONS ENCODED BY MULTIPLE GENE SEGMENTS
GENE REARRANGEMENT DURING ANTIGEN-INDEPENDENT PHASE
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WHAT ARE THE DIFFERENT GENE SEGMENTS THAT ENCODE Ig HEAVY CHAINS AND
WHAT IS THEIR ORDER OF REARRANGEMENT DURING B-CELL DEVELOPMENT?
4 GENE SEGMENTS ON CHROM 14 – V,D,J,C
D --> J
THEN V --> DJ TO FORM M-HEAVY-CHAIN GENE
M-HEAVY-CHAIN GENE EXPRESSED FIRST AND MEMBRANE FORM ACTIVATE K-LIGHT-CHAIN REARRANGEMENT
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WHAT IS RELATIONSHIP BETWEEN EACH PROTEIN DOMAIN IN ANTIBODY HEAVY/LIGHT
CHAINS AND THE EXONS IN THE HEAVY/LIGHT CHAIN GENES?
EACH PROTEIN DOMAIN INCLUDING HINGE, TAILPIECE, TRANSMEMBRANE, AND CYTOPLASMIC IS ENCODED BY A SEPARATE EXON IN THE FUNCTIONALLY ASSEMBLED CHAIN
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WHY CAN A Vh GENE SEGMENT NOT JOIN DIRECTLY TO A Jh GENE SEGMENT DURING
HEAVY CHAIN REARRANGEMENT?
D --> J MUST BIND FIRST
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IF A PERSON LACKED RAG-1 AND/OR 2, WHAT AFFECT WOULD YOU EXPECT THIS
DEFICIENCY TO HAVE ON THE IMMUNE SYSTEM AS A WHOLE AND THE GENERATION OF
ANTIBODY DIVERSITY?
UNABLE TO FORM MATURE-B CELLS OR T-CELLS
NO ADAPTIVE IMMUNITY
Decrease the overall diversity of antibodies because of the lack of the recombination mechanism
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WHAT 3 MECHANISMS CONTRIBUTE TO ANTIBODY DIVERSITY?
Ig GENE REARRANGEMENT (V,D,J COMBOS)
HEAVY/LIGHT CHAIN COMBOS
JUNCTION DIVERSITY
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WHAT MECHANISMS ACCOUNT FOR GREATER DIVERSITY IN CDR3 THAN IN THE REST
OF THE VARIABLE REGION?
IMPRECISE JOINING OF V,D,&J SEGMENTS
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DESCRIBE ONE ADVANTAGE AND ONE DISADVANTAGE OF N AND P NUCLEOTIDE
ADDITION DURING THE REARRANGEMENT OF ANTIBODY HEAVY CHAIN GENE SEGMENTS
GREATER DIVERSITY
BUT OFTEN LEAD NON-PRODUCTIVE REARRANGEMENTS DUE TO READING-FRAME SHIFTS
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WHAT MECHANISM ALLOWS B CELLs TO COEXPRESS IgM AND IgD?
ALTERNATIVE RNA TERMINATION
PROCESSING OF LONG RNA TRANSCRIPT
IgM AND IgD DIFFERENTIALLY REGULATED DURING B-CELL MATURATION
IgD LEVEL ON SURFACE OF IMMATURE B CELLS IS LOW OR ABSENT
MATURE-B CELLS HAVE HIGHER DENSITY OF IgD RELATIVE TO IgM
BOTH ARE EXPRESSED FROM SAME TRANSCRIPTION UNIT
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HOW DOES THE MEMBRANE ANTIBODY DIFFER FROM SECRETED FORM AND HOW DOES
THE B CELL MAKE BOTH FORMS?
MIg CONTAINS A HYDROPHOBIC TRANSMEMBRANE REGION AND A CYTOPLASMIC TAIL SEQUENCE AT THE CARBOXYL END
SEPARATE EXONS ENCODE SECRETED OR MEMBRANE-BOUND ENDS
REGULATED BY ALTERNATIVE RNA PROCESSING EVENTS INVOLVING CHOICE OF 2 DIFFERENT RNA
CLEAVAGE AND POLY-A SITES
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WHAT IS ALLELIC EXCLUSION AND WHAT ASSURES THAT Ig GENES ARE ALLELICALLY EXCLUDED?
EXPRESSION OF A GENE FROM ONLY ONE OF TWO PARENTAL CHROMS
MUST FOLLOW SEQUENCE OF “IF/THEN” STEPS, i.e. IF FIRST CHROM MAKES NON-PRODUCTIVE PROTEIN THEN 2ND CHROM IS ACTIVATED.
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HOW IS T-CELL RECEPTOR DIVERSITY GENERATED?
3 HIGHLY VARIABLE REGION DOMAINS THAT CORRESPOND TO THE CDRs FOUND IN Ig
V, D, J, AND C REGION GENES SIMILAR TO Ig HEAVY CHAIN
JUNCTIONAL DIVERSITY – CONTRIBUTES MORE TO TCR DIVERSITY THAN IN Ig. N & P NUCLEOTIDE ADDITION OCCURS BOTH IN ALPHA & BETA CHAINS, D REGIONS CAN OFTEN BE TRANSLATED IN ALL 3 READING FRAMES
ASSOCIATION OF DIFFERENT ALPHA AND BETA CHAINS
NO SIGNIFICANT SOMATIC MUTATION IN TCR GENES
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HOW DOES RECOGNITION OF ANTIGEN BY THE T CELL RECEPTOR DIFFER FROM RECOGNITION OF ANTIGEN BY THE B CELL RECEPTOR?
T CELLS USUALLY ONLY RECOGNIZE PROTEIN ANTIGENS
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DESCRIBE THE ANTIGEN SPECIFIC RECEPTOR ON T CELLS – WHICH PART
RECOGNIZES THE ANTIGEN?
2 CLASSES OF TCRs (T-CELL RECEPTORS), ALPHA-BETA AND GAMMA-DELTAHETERODIMER
SIMILAR TO Ig
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HOW ARE THE BCR AND TCR SIMILAR/DIFFERENT?
BOTH ARE DISULFIDE LINKED WITH VARIABLE, CONSTANT, TRANSMEMBRANE AND CYTOPLAMIC REGIONS
BCRs HAVE HEAVY/LIGHT CHAIN INTERACTIONS WHILE TCRs HAVE ALPHA-BETA ACIDIC-BASIC CHAIN INTERACTIONS
TCRs ARE MEMBRANE-BOUND ONLY
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HOW DO ALPHA-BETA T CELLS DIFFER FROM GAMMA-DELTA TCELLS?
ALPHA-BETA T CELLS ONLY RECOGNIZE ANTIGENS ASSOCIATED WITH MHC MOLECULES
GAMMA-DELTA T CELL FUNCTION IS NOT KNOWN AND IS 10% OF MATURE PERIPHERAL T-CELL
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EXPRESSION OF THE TCR ON THE CELL SURFACE REQUIRES WHAT PROTEINS IN ADDITION TO THE AB/GD CHAINS?
CD3 COMPLEX (CD GAMMA, DELTA, AND EPSILON)
ZETA PROTEIN LOCATED ON THE CYTOPLASMIC SIDE
SERVE TO TRANSMIT SIGNALS TO THE INTERIOR OF THE CELL ONCE THE TCR ENGAGES ANTIGEN
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DURING INTRACELLULAR INFECTION, WHAT 2 THINGS MUST HAPPEN FOR CTLs TO BE EFFECTIVE IN CELL MEDIATED IMMUNITY?
1) CTL MUST BE ACTIVATED. ANTIGEN MUST BE PROCESSED BY PROTEOSOMES INTO SMALL FRAGMENTS AND PRESENTED TO CTLs BY APCs (DENDRIDIC, MACROPHAGES, B CELLS)
2) ACTIVATED CTL MUST TARGET INFECTED HOST CELLS (AND DISREGARD NONINFECTED CELLS) BY REGOGNIZING BOTH THE ANTIGEN AND MHC I RECEPTORS
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DESCRIBE THE INTERACTION BETWEEN PROTEOSOMES, TAP, AND MHC I RECEPTORS
DEGRADE INTRACELLULAR PROTEINS
UPREGULATED BY CYTOKINES (IFN-GAMMA)
PROTEINS TAGGED WITH UBIQUITIN ARE RAPIDLY DEGRADED AND PASSED INTO ER BY TAP 1&2
MHC I RECEPTORS STICK TO TAB BY TAPSIN, WHERE THEY ARE PLACED INTO CLOSE PROXIMITY TO FRAGMENTS ENTERING THE ER
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DESCRIBE THE BASIC STRUCTURE OF MHC I RECEPTORS
HEAVY CHAIN CONSISTINGOF 3 EXTRACELLULAR SEGMENTS (ALPHA 1,2&3), A MEMBRAIN SEGMENT, AND A CYTOPLASMIC SEGMENT
BETA-2 MICROGLOBULIN NONCOVALENTLY ASSOCIATED WITH, AND NOT GENETICALLY ENCODED WITH, THE HEAVY CHAIN. MHC I CANNOT BE EXPRESSED WITHOUT B-2 MICROGLOBULIN
NO RECOMBINATION AT THE DNA LEVEL
ANTIGEN BINDS TO ALPHA 1&2 ON HEAVY CHAIN
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WHAT 2 CHARACTERISTICS PROVIDE MHC RECEPTORS WITH GENETIC DIVERSITYGIVEN GIVEN THAT THEY DO NOT UNDERGO RECOMBINATION?
POLYGENIC, CONSISTING OF 3 ISOFORMS (A,B,&C) OF HEAVY CHAIN
POLYMORPHIC, HUNDREDS OF ALLELES IN THE HUMAN POPULATION FOR THE 3 ISOFORMS A,B,&C.
CO-DOMINANT EXPRESSION (ex. 2 FORMS OF B ISOFORM WILL BE EXPRESSED IF HETEROZYGOUS)
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HOW IS ANTIGEN REGOGNITION DIFFERENT BETWEEN B AND T CELLS?
TCRs REQUIRE AN ADDITIONAL COMPLEX (CD3) FOR CELL ACTIVATION
TCRs MUST ALSO HAVE DUAL RECOGNITION. THEY MUST BIND BOTH TO THE ANTIGEN AND TO THE ALPHA HELICAL COMPONENTS OF THE MHC RECEPTOR
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DESCRIBE T-CELL-ACTIVATION-SIGNALS 1 & 2
SIGNAL 1 REQUIRES DUAL RECOGNITION BY TCRs OF BOTH ANTIGEN AND MHC I RECEPTOR. ALSO, THIS BINDING REQUIRES CO-RECEPTOR CD8 EXPRESSED BY T-CELL WHICH BINDS TO ALPHA 3 OF MHC CHAIN. CD3 THEN TRIGGERED, COMPLETING SIGNAL 1
SIGNAL 2 INVOLVES CO-STIMULATORY MOLECULES (CD28 ON T-CELL AND CD80/86 (B7) ON APC)
SIGNAL 1 IN ABSENCE OF SIGNAL 2 CREATES ANERGY
ONCE ACTIVATED, T-CELLS DO NOT NEED SIGNAL 2
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WHAT IS A REQUIRED GROWTH FACTOR FOR T-CELLS?
THE CYTOKINE INTERLEUKIN 2 (IL-2) IS REQUIRED FOR GROWTH AND ALSO SUSTAINED ACTIVATION
PRODUCED BY CD4 SUBSET CELLS TH1
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WHAT ARE SOME ENZYMES AND LIGANDS ASSOCIATED WITH APOPTOSIS?
CASPASE AND CASPASE-ACTIVATED DNase (CAD) CAUSE DNA FRAGMENTATION
GRANZYMES ARE CYTOPLASMIC GRANULES WHICH MIGRATE TOWARD TARGET CELL AFTER BINDING AND ENTER THROUGH PORES CREATED BY PERFORIN AND ENTER INTO CASPASE PATHWAY
PERFORIN INCALATES INTO THE LIPID BILAYER OF PLASMA MEMBRANE TARGET CELL CREATING LARGE PORES
FAS LIGAND EXPRESSED ON CTLs IS RELATED TO THE CYTOKINE TUMOR NECROSIS FACTOR-ALPHA (TNF-A). AFTER DUAL RECOGNITION, FAS LIGAND ENGAGES FAS ON TARGET CELL AND INITIATES CASPASE CASCADE
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DESCRIBE CHARACTERISTICS OF NATURAL KILLER CELLS
CONSIDERED PART OF THE INNATE DEFENSE SYSTEM
CONTAIN MANY CYTOPLASMIC GRANULES AND ARE SOMETIMES REFERED TO AS LARGE GRANULAR LYMPHOCYTES (LGLs)
DO NOT RECOGNIZE ANTIGENS AND PREFERENTIALLY ATTACK HOST CELLS THAT LACK MHC I RECEPTORS.
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WHAT ARE 2 REQUIREMENTS FOR ANTIBODY-MEDIATED IMMUNITY?
1) APC TO PROCESS AND PRESENT EXTRACELLULAR ANTIGENS VIA MHC II RECEPTORS
2) HELPER T-CELLS TO UPREGULATE B-CELLS AND THUS PLASMA CELLS
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5 BASIC STEPS IN EXOGENOUS PROCESSING OF ANTIGEN
1) PHAGO/ENDOCYTOSIS OF ANTIGEN
2) FUSION OF VESICLE WITH LYSOSOMES
3) FUSION OF VESICLES CONTAINING DIGESTED FRAGMENTS AND VESICLES CONTAINING MHC II RECEPTORS FROM GOLGI
4) PARTIAL DIGESTION OF INVARIANT CHAIN PLUGGING UP MHC II LEAVING CLASS II ASSOCIATED INVARIANT CHAIN PEPTIDE (CLIP)
5) CLASS II MOLECULE HLA-DM REMOVES CLIP AND ALLOWS BINDING OF ANTIGEN AND MHC II
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BASIC STRUCTURE OF MHC II RECEPTORS
2 ALPHA AND 2 BETA SEGMENTS CREATING HETERODIMER
ALPHA 1 AND BETA 1 PROVIDE SITE FOR ANTIGEN BINDING
3 ISOFORMS (HLA-DP, HLA-DQ, AND HLA-DR)
ALPHA CHAINS FOR DP, DQ, AND DR
BETA CHAINS FOR DP, DQ, AND 2 FOR DR
DIMER CREATED FROM 1 ALPHA AND 1 BETA CHAIN
NO RECOMBINATION
WITH 2 BETA DR FORMS, MHC II HAS TOTAL OF 8 DIFFERENT POTENTIAL MOLECULES COMPARED TO 6 MHC I
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NAME THE CYTOKINES PRODUCED FROM TH1 AND THEIR FUNCTIONS (4)
IL-2 SUPPORTS T-CELL GROWTH AND SUSTAINED ACTIVATION
IFN-GAMMA ENHANCES INFLAMMATION, ACTIVATES PHAGOCYTES, SUPPRESSES TH2 RESPONSES. PROMINENT PRODUCT OF NK CELLS, WHICH AMPLIFIES TH1-CELL ACTIVATION AND DAMPENS TH2-CELL ACTIVATION
TNF-ALPHA ENHANCES INFLAMMATION, INCREASES VASCULAR PERMIABILITY
IL-3 STIMULATES HEMATOPOIESIS
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NAME THE CYTOKINES PRODUCED BY TH2 AND THEIR FUNTIONS (5)
IL-3 STIMULATES HEMATOPOIESES
IL-4 B-CELL ACTIVATION AND GROWTH, IgE ISOTYPE SWITCH, SUPPRESSES TH1/TH17 RESPONSES
IL-5 B-CELL DIFFERENTIATION, SUPPRESSES PRODUCTION OF TH1 CYTOKINES
IL-10 B-CELL DIFFERENTIATION, SUPPRESSES PRODUCTION OF TH1 CYTOKINES
TGF-BETA B-CELL DIFFERENTIATION, SUPRESSES PRODUCTION OF TH1 CYTOKINES
*THINK EXTRACELLULAR RESPONSE
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NAME THE CYTOKINE PRODUCED BY TH17 AND ITS FUNCTIONS
IL-17 INDUCES CHEMOKINES FOR NEUTROPHIL RECRUITMENT, INDUCES IL-6, INDUCES ACUTE PHASE PROTEINS, SYNERGIZES WITH IFN-GAMMA AND TNF-ALPHA
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IL-1 ORIGIN AND EFFECT
MACROPHAGES
INITIAL STAGES OF T-CELL GROWTH, FEVER
-
IL-6 ORIGIN AND EFFECT
MACROPHAGES & T CELLS
GROWTH AND DIFFERENTION OF NUMEROUS LEUKOCYTES, PROMINENT IN INDUCTION OF ACUTE PHASE PROTEINS
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IL-12 ORIGIN AND EFFECTS
DENDRITIC CELLS AND MACROPHAGES
STIMULATES NK CELLS TO PRODUCE IFN-GAMMA
INHIBITS TH17 DIFFERENTIATION
IL-23 PROMOTES TH17 DIFFERENTIATION
-
IL-23 ORIGIN AND EFFECTS
DENDRITIC CELLS
STIMULATES TH17 CELLS TO PRODUCE IL-17
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TNF-ALPHA ORIGINS AND EFFECTS (TNF-a)
TUMOR NECROSIS FACTOR
MACROPHAGES, NK CELLS, TH1 CELLS
ENHANCES INFLAMMATION, INCREASES VASCULAR PERMEABILITY, CYTOTOXIC FACTOR
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GRANULOCYTE MACROPHAGE COLONY STIMULATING FACTOR (GM-CSF) ORIGINS AND FUNCTIONS
MACROPHAGES, T-CELLS
STIMULATES GROWTH AND DIFFERENTIATION OF MYELOID LINEAGE
-
SYSTEMIC INFLAMMATORY RESPONSE SYNDROME (SIRS)
ASSOCIATED WITH VARIETY OF CAUSES INCLUDING INFECTION
SEPSIS SYNDROME IS EXCESSIVE RELEASE OF INFLAMMATORY MEDIATORS DUE TO INFECTION REULTING IN ENDOTHELIAL DAMAGE, HYPOTENSION, POORLY REGULATED COAGULATION THAT CAN LEAD TO IRREGULAR HEARTBEAT (TACHYCARDIA), AND EVENTUAL MULTI-ORGAN FAILURE
ASSOCIATED WITH DISSEMINATED INTRAVASCULAR COAGULATION RELATED TO BACTERIA
SEPTIC SHOCK
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SUPERANTIGENS
PRODUCED BY MICROBIAL PATHOGENS THAT ACTIVATE LARGE NUMBERS OF T CELLS WITH PRO-INFLAMMATORY CAPABILITIES (ex TH1/TH17 CHARACTERISTICS)
RESPONSIBLE FOR A VARIETY OF CLINICAL CONDITIONS ASSOCIATED WITH SHOCK, INCLUDING TOXIC SHOCK SYNDROME AND FOOD POISONING
ACTIVATE T CELLS INDEPENDENT OF THEIR ANTIGEN SPECIFICITY DUE TO BINDING OUTSIDE OF POLYMORPHIC ANTIGEN BINDING REGIONS
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GRANULOMA FORMATION
CLUSTER OF INFECTED MACROPHAGES WHICH ARE WALLED OFF BY T CELLS (ex MYCOBACTERIUM TUBERCULOSIS)
MIROORGANISMS WHICH ARE ABLE TO SURVIVE INGESTION INTO PHAGOCYTES LEAD TO CONTINUOUS EXOGENOUS PROCESSING AND MHC II PRESENTATION
THIS CAUSES RELEASE OF IFN-GAMMA AND TNF-ALPHA WHICH FURTHER ACTIVATES INFECTED MICROPHAGES, RESULTING IN TH1 --> MACROPHAGE --> TH1 LOOP.
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T-REGS
REGULATORY T CELL CAPABLE OF MODULATING CYTOKINE LEVELS AND PREVENTING EXCESSIVE INFLAMMATION
IDENTIFIED BY HIGH EXPRESSION OF IL-2 RECEPTOR CD25 AND TRANSCRIPTIONAL ACTIVATOR foxP3 WHICH HELPS PRODUCE INFLAMMATION-SUPPRESSIVE CYTOKINES
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LINKED RECOGNITION
HOW B CELLS COMMUNICATE WITH T CELLS
B CELLS BIND EXOGENOUS ANTIGEN TO SURFACE RECEPTOR, WHICH IS THEN INTERNALIZED
ANTIGEN IS PROCESSED VIA ACIDIFIED ENDOSOES AND FRAGMENTS CHANNELED INTO EXOGENOUS PROCESSING PATHWAY (MHC II PRESENTATION)
TH2 CELLS ARE ACTIVATED, GIVING CO-STIMULATORY SIGNALS BACK TO B CELLS (CD40/CD40L)
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THP OR TH0 CELLS
PROGENITORS OF THE OTHER EFFECTOR CD4+ T CELLS. CAN PRODUCE IL-2 THAT HELPS DRIVE THEIR OWN EXPANSION VIA AN AUTOCRINE STIMULATION
APPEAR TO BE REGULATED BY CELLS OF THE INNATE IMMUNE SYSTEM (APCs DETERMINE WHICH CYTOKINES ULTIMATELY PRODUCED)
COMPOSITE CYTOKINE ENVIRONMENT WILL DETERMINE WHICH T CELL SUBSET WINS, THOUGH OFTEN IT'S A COMBINATION
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THP --> TH1
IFN-GAMMA WHICH COMES FROM NK CELLS ACTIVATED BY IL-2 PRODUCED BY DENDRITIC CELLS AND MACROPHAGES.
NEW TH1 CELLS ALSO PRODUCE IFN-GAMMA WHICH HELPS INHIBIT TH2 CELLS
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THP --> TH2 CELLS
IL-4 IN ENVIRONMENT OF LOW IFN-GAMMA STARTS INITIAL CONVERSION TO TH2 CELLS
NEW TH2 CELLS PRODUCE MORE IL-4 THUS MAKING MORE TH2 CELLS
TGF-BETA AND IL-10 MADE BY TH2 CELLS INHIBIT PROLIFERATION OF TH1 CELLS
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THP --> TH17
IL-6 PLUS TGF-BETA IN LOW ENVIRONMENTAL IFN-GAMMA AND IL-4
DENDRITIC-CELL-DERIVED IL-23 EXPANDS TH17 DIFFERENTIATION BUT CAN ALSO RELEASE IL-12 THAT INHIBIT
DENDRITIC CELLS DETERMINE IF TH1 OR TH17 CELLS ARE MADE
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GAMMA-DELTA T-CELLS
EXPRESS GAMMA-DELTA CHAINS ON RECEPTORS INSTEAD OF ALPHA-BETA
LOCATED PRIMARILY IN SKIN AND MUCOSAL LAYERS
PROVIDE EARLY ADAPTIVE IMMUNITY, PARTICULARLY BY PRODUCING IMPORTANT CYTOKINES
RECOGNIZES SPECIALIZED NON-POLYMORPHIC SURFACE MOLECULE CD1 INSTEAD OF MHC I OR II
CD1 RESEMBLES MHC I ALTHOUGH IR PRESENTS LIKE MHC II VIA THE EXOGENOUS PATHWAY
CD1 SPECIALIZES IN PRESENTING GLYCOLIPIDS AND PHOSPHOLIPIDS COMMON TO THE MEMBRANES OF MANY BACTERIAL PATHOGENS
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