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USMLE
Immuno - ILs/HLA/Abs
| Question | Answer |
|---|---|
| anti-nuclear | SLE & host of other autoimmune Dzs |
| anti-dsDNA, anti-Smith | specific for SLE |
| antihistone | drug-induce lupus (hydralazine, INH, procainamide, phenytoin) |
| anti-centromere | scleroderma (CREST, limited cutaneous, pumonary HTN) |
| anti-Scl-70 | scleroderma, diffuse |
| anti-IgG | Rheumatoid arthritis (anti-IgG = "Rheumatoid Factor") |
| antimitochondrial | primary biliary cirrhosis |
| antigliadin | celiac dz |
| anti-basement membrane | Goodpasture's |
| anti-epithelial cell | pemphigus vulgaris (desmoglein 3) |
| antimicrosomal | Hashimoto thyroiditis |
| Anti-Jo-1 | polymyositis, dermatomyositis |
| anti-neutrophil (C-ANCA, P-ANCA) | vasculitis |
| HLA-B27 | psoriasis, ankylosing Spondylitis, inflammatory bowel Dz, Reiter's |
| HLA-B8 | Graves' dz, celiac sprue |
| HLA-DR2 | MS, hay fever, SLE, Goodpasture's |
| HLA-DR3 | diabetes mellitus type 1 |
| HLA-DR4 | RA, diabetes mellitus type 1 |
| HLA-DR5 | pernicious anemia (which -> B12 defiency), Hashimoto thyroiditis |
| HLA-DR7 | steroid responsive nephrotic syndrome |
| Name the cytokine:secreted by macrophages, stimulates just about everything, endogenous pyrogen | IL-1 |
| which cytokine stimulates growth of helper and cytotoxic T cells | IL-2 |
| which cytokine supports growth and differentiation of BM stem cells | IL-3 (secreted by activated T cells) |
| which cytokine promotes growth of B cells and enhances class switching of IgE, IgG? | IL-4 |
| which cytokine enhances class switching of IgA? | IL-5 (also promotes differentiation of B cells, stimulates production and activation of eosinophils) |
| which cytokine stimulates activation and production of eosinophils? | IL-5 |
| which cytokine stimulates production of acute phase reactants and immunoglobulins? | IL-6 |
| which interleukin is one of the MAJOR chemotactic factors for PMNs? | IL-8 (also, C5a) |
| which cytokine stimulates Th2 and inhibits Th1? | IL-10 (secreted by Th2 cells themselves) |
| which cytokine activates NK cells and Th1 cells? | IL-12 (secreted by macrophages, B cells) |
| who is the "anticytokine" that inhibits growth and activity of T cells, counteracts effects of inflammatory cytokines, and stimulates wound healing? | TGF-beta |
| which cytokine increases IL-2 receptor synthesis by Th cells, and increased B cell proliferation? | TNF-alpha (also attracts and activates PMNs, stimulates dendritic cell migration to lymph nodes) |
| which cytokine is NOT produced in Job's syndrome--> "cold" staph abscesses | gamma-IFN (secreted by Th1 cells, stimulates macrophages) |
| what are the 2 signals required for activation of helper T cells? | 1) foreign Ag on MHC II recognized by TCR on Th cell; 2) costim by B7-CD28 |
| what are the 2 signals required for activation of cytotoxic T cells | 1) endogenously synthesized proteins on MHC I recognized by TCR; 2) IL-2 from Th cell activates cytotoxic cell |
| cell surface proteins of Helper T cells | CD4, TCR, CD3, CD28, CD40L |
| cell surface proteins of Cytotoxic T cells | CD4, TCR, CD3 |
| cell surface proteins of B cells | IgM, B7, CD19, CD20, CD40, MHC II |
| cell surface proteins of Macrophages | MHC II, CD14, Receptors for Fc & C3b |
| cell surface proteins of Natural Killer (NK) cells | Receptors for MHC I, CD16, CD56 |
| cell surface proteins of all cells except mature RBC's (all nucleated cells) | MHC I |