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Ig Isotypes + CD mar
Day 2 (IgG Isotypes and CD surface markers)
| Question | Answer |
|---|---|
| what is the mechanism for isotpye switching? | alternative splicing of mRNA; mediated by cytokines and CD40 |
| most abundant Ab | IgG |
| produced in primary (immediate) response to an antigen | IgM |
| secreted as a dimer | IgA |
| crosses placenta to provide infant with passive immunity | IgG (Gift from mom) |
| found on surface of b cells and in serum, but f'n is unknown | IgD |
| mediates immunity to worms by activating eosinophils | IgE |
| mediates type 1 hypersensitivity | IgE |
| most effective opsonin and neutralizes bacterial toxins and viruses | IgG |
| Found in breast milk | IgA |
| Prevents attachment of bacteria and viruses to mucous membranes, but does NOT fix complement | IgA |
| pentamer that traps free antigen out of tissue while humoral response evolves | IgM |
| the only Ig when class switching cannot occur | IgM |
| used to detect an acute west nile virus infection | IgM |
| initiates the classic complement pathway | C1 |
| deficiency of this complement enzyme leads to hereditary angioedema | C1 esterase (causes increased bradykinin) |
| initiates the alternative complement pathway | microbial surfaces (e.g., endotoxin) |
| deficiency of this complement component leads to recurrent infections with neisseria | C5-C9 |
| deficiency of C3 leads to what types of infections? for what type of hypersensitivity reaction is there an increased risk? | Severe, recurrent pyogenic sinus and respiratory tract infections; increased susceptibility to type 3 hypersensitivity rxns |
| deficiency of what complement enzyme leads to complement-mediated lysis of RBCs and paroxysmal nocturnal hemoglobinuria (PNH)? | DAF (decay-accelerating factor) |
| cell surface proteins: T cells (general) | TCR, CD3 |
| cell surface proteins: Helper T cells | CD4, CD40L |
| cell surface proteins: Cytotoxic T cells | CD8 |
| cell surface proteins: B cells | CD 19, 20, 21 (receptor for EBV); MHC II; IgD AND IgG |
| cell surface proteins: macrophages | MHC II, CD 14, CD16, CD40, Fc and C3b receptors |
| cell surface proteins: NK cells | MHC I, CD16 (binds Fc of IgG), CD56 (unique marker for NK) |
| cell surface proteins: all cells except mature RBCs | MHC I |
| cell surface proteins: WBC, RBC, and platelets (protect against complement-mediated damage) | CD55, CD59 |
| Name 4 exposures for which patients are given preformed antibodies (for passive immunity)? | Tetanus toxin, Botulinum toxin, HBV, or Rabies virus (To Be Healed Rapidly) |
| Preemies born in winter months should be given which passive immunity vaccine every month? | RSV |