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Immuno Lec 3

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Answer
Cytokines   T cell mediated immunity Inflammation small amounts short range action, systemic effects Pleotropic Redundancy  
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Pleotropic   Different effects on different cells  
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Redundancy   Many cytokines have overlapping functions  
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Il-1   secreted by Monocytes/Macrophages autocrine Pyrogen B cell proliferation  
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Il-2   Secreted by CD4+ T Cells Autocrine Proliferation and Differentation of T, B, and NK cells  
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IL-4   Secreted by CD4+ T Cells B cell proliferation, 2nd signal. Class Switching  
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IL-7   Secreted by Thymic Cortical Epithelial Cells Bone Marrow Stromal Cells T/B Cell proliferation during development  
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Interferon alpha and beta   Secreted by all Cells (Monos, fibroblasts) Induces antiviral state Activates NK cells  
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Interferon Gamma   Secreted by T Cells, NK cells class switching, Ig2, 3, Mac  
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Chemokines   secreted by many cell types cc -attracts monos and T cells cxc - attracts neutrophils (Il-8)  
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TNFa   Secreted by many cell types Directly kill tumor cells activates monocytes/macs expression of Adhesion molecules  
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TNFb   Secreted by T and B cells directly kill tumor cells activate monocytes/macs Expression of adhesion molecules  
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Emigration/Extravasion of Naive T cells into 2* Lymphoid Tissue   Mediated by adhesion molecules. Four step process, endothelial cells express P-selectin and E-selectin  
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4 steps of emigration of naive T cells into 2* lymphoid tissue   Rolling adhesion - P/E selectins bind to L selectin found on circulating leukocytes Tight binding - further interaction between integrins (LFA-1 and ICAM1) causes it to stop. Diapedesis Migration  
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Diapedesis   Travel across membrane  
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Migration   Travels to site  
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Antigen Presenting Cells   Occurs during migration to T cell areas. Macrophages, B cells, Dendritic Cells  
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What activates Macrophages on the way to T cell areas   Bacterial/Viral cell wall components  
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CD4+ Cell Activation   Two Steps. 1)Ag/MHCII. In 2* lymphoid tissue, macrophage has engulfed extracellular pathogen, TCR reacts with it. 2) Mac comes into contact with Toll Length Receptor on pathogen, then expresses IL-1 and B-7. B-7 engages with CD28 and IL-1 is secreted.  
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What does the 2 signal requirement for T cell activation ensure   peripheral tolerance  
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What if the T cell only gets signal 1?   The T cell becomes anergic. It is not responsive to antigen. It may die. If it contacts self antigen(signal 1), but no infection, signal 2 (B7 and IL1 wont be there).  
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Superantigen   Non-antigen specific stimulation of T cells. not processed Bind MHCII, Vb domain of TCR. Exception to rules. binds externally, it is outside, specificity requirement eliminated. Activates ALOT of T-Cells, massive cytokine release. fever,death,etc.  
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Naive CD4+ Cell can become what   ARMED EFFECTOR CELLS : TH1 and TH2, needs Both Signals Still.  
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TH1   In Presence of IL-12, IFNy, TGFb. Secretes IL2, IFNy, TNFb. Inflammatory cells, activate CD8, Macro, NK cells. Cell Mediated Immunity. recruit neutrophils. Mediate Delayed Type Hypersensitivity.  
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TH2   In presence of IL-4 and IL-10. Helper Cells. Humoral immunity(Abs produced). Secrete IL4,5,6,13. Important for activation, differentiation, proliferation of B cells into plasma cells. Provide Signal for Class Switching. Mast/Eos Activation.  
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Difference between Armed Effector Cells and Naive T Cell   Armed effector cells no longer need both signals. They only need the TCR to engage p/MHCII. this reactivates it.  
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Specific delayed type hypersensitivity   specific CD4+ T cells encounter microbes. Requires proper antigen.  
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Non-specific delayed type hypersensitivity   If you have mixed infection, activated macrophages that not specific. will engulf any bystander. produce free radicals and NO, potent Antibacterial activity, damaging to host.  
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Il-5   Activates eosinophils  
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CD8+ Activation   2 Signals. Antigen/MHCI B7/IL-1 OR IL-2 activated by langerhan cells. Cd-28 T cell marker.  
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Langerhan Cells   Located below epithelial surface. takes microbes to 2* lymphoid organs. Once effector cells are activated, they go back to site.  
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CTL Mechanism   cytoskeletal reorganization causes granules to concentrate near target cell, exocytosis of granules containing perforin, death by osmotic lysis/apoptosis.  
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DiGeorge Syndrome   Thymic aplasia. no functional thymus. absence of parathyroid gland. no T cell mediated immunity Greatly reduced serum Ig Since you require TH2 to activate B cells, lose those too.  
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Severe Combined Immunodeficiency   SCID. lack of cell mediated and humoral immunity. mutation in gamma chain of IL-2.  
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Wiscott Aldrich Syndrome   Loss of CD43. WASP protein. do not divide properly. do not mature properly. severely impaired cell mediated and humoral immunity.  
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Mucocutanous Candidiasis   defect in T cell immunity infections of skin, nails, mucous membranes.  
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Human Immunodeficiency Virus Infection   AIDS. retrovirus. infects CD4+ cells. gradual decrease in CD4+ cells, breakdown of immune response. Infection with opportunistic organisms.  
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HIV typical cousse.   Three stages. 1*, Latency, AIds. Cd4+ cells drop continuously. anti-Hiv antibody peaks during latency. Virus in blood Peaks in 1*, settles down, then increases during Aids.  
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