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USMLE

Immuno - ILs/HLA/Abs

QuestionAnswer
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
Created by: Asclepius
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