deck_21067446 Flashcards

(45 cards)

1
Q

The mucosal immune system is composed purely out of the three “tracts”. True or false?

A

False. It also includes other organs not part of the “tracts”, such as the salivary glands

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2
Q

What tracts make up the mucosal immune system?

A

Gastrointestinal tract
Respiratory tract
Urogenital tract

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3
Q

Commensal bacteria found on the mucosal tract are harmful to the host. True or false?

A

False. This is where most of them are actually.

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4
Q

Commensal bacteria, if located on the wrong “spot”, can be considered pathogenic. True or false?

A

False. They are non-pathogenic

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5
Q

Commensal bacteria do not help the immune system directly. True or false?

A

False. They actually prevent pathogens from benefiting from the resources of the human gut and can trigger the epithelium to develop secondary lymphoid tissue

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6
Q

If you remove commensal bacteria from the host, the number of autoimmune diseases and allergies increase. True or false?

A

True

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7
Q

In the gut IS, the presence of a thick mucus layer keeps most microorganisms in the lumen away from the intestinal epithelium. True or false?

A

True

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8
Q

In the gut IS, antimicrobial peptides cannot be produced as that would kill pathogens and commensal bacteria alike. True or false?

A

False. Antimicrobial peptides produced by intestinal epithelial cells that kill pathogens in the lumen or reduce their entry into the epithelium.

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9
Q

IgG produced by epithelial cells in the lamina propria, which is transported into the lumen and neutralizes pathogens before they can enter through the epithelium. True or false?

A

False. It’s IgA that is produced and its by plasma cells.

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10
Q

What do goblet cells do?

A

They produce mucus

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11
Q

A reduction in goblet cells leads to:

A

increased risk of inflammatory bowel diseases

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12
Q

What cells in the intestinal immune system secrete antimicrobial peptides?

A

Paneth cells

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13
Q

Mircofold cells are in charge of antigen sampling but cannot transport microbes. True or false?

A

False. They can transport microbes. I think.

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14
Q

M cells have a “pocket” that allows them to have close contact with immune cells. True or false?

A

True

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15
Q

M cells allow mucosal immune cells to sample antigens in the gut and make an appropriate immune response by causing overt inflammation. True or false?

A

False. This prevents overt inflammation.

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16
Q

What is the purpose of mucus in intestinal epithelial cells?

A

Prevent adhesion of microbes to epithelial cells

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17
Q

What’s a tight junction?

A

It’s what keeps intestinal epithelial cells close together

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18
Q

What is the function of PRR in the intestinal mucosa?

A

It minimizes the inflammatory response to commensal bacteria in the lumen, but promotes the response against microbes that traverse the barrier and enter the lamina propria

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19
Q

In healthy individuals, macrophages in the gut LP don’t inhibit inflammation as a way of maintaining homeostasis. True or false?

A

False. They inhibit inflammation.

20
Q

Innate Lymphoid Cells have to be activated by cytokines. True or false?

21
Q

In the gut, what happens when a microbe is detected?

A

Innate Lymphoid Cells like Dendritic cells and Macrophages begin secreting IL-12 and IL-18
This stimulates ILC1 responses to fight against intracellular pathogens, while also stimulating IL-23 and IL-1B, which induce ILC3 responses against extracellular bacteria and fungi.

22
Q

Mention the function of each of the following ILs:
IL-12
IL-18
IL-23
IL-1B
IL-33
IL-25
IL-22

A

IL-12 - Stimulate ILC1 response (anti-intracellular pathogens)
IL-18 - Stimulate ILC1 response (anti-intracellular pathogens)
IL-23 - Induce ILC3 (anti-extracelular bacteria and fungi)
IL-1B - Induce ILC3 (anti-extracelular bacteria and fungi)
IL-33 - Secretion of type 2 cytokines (anti-helminths)
IL-25 - Secretion of type 2 cytokines (anti-helminths)
IL-22 - Epithelial integrity and tissue repair

23
Q

In the gut, the major form of adaptive immunity are plasma cells (IgG). True or false?

A

False. They are IgA

24
Q

In the genital tract, the major form of adaptive immunity are plasma cells (IgG). True or false?

25
The epithelium and lamina propria are both full of T cells. True or false?
True
26
The epithelium and lamina propria are both full of CD8 T cells. True or false?
False. Only the epithelium is; in the lamina propria, its more heterogeneous, but CD4 predominates.
27
How do intestinal lymphocytes know how to return to the gut?
They possess CCR9 and alfa4beta7 since they were exposed to retinoic acid when they were activated. This will make it so they are attracted to CCL25 and MadCam that are expressed on the endothelial cells.
28
Intraepithelial lymphocytes need to be activated by an antigen. True or false?
False. They are ready to act.
29
Intraepithelial lymphocytes are mostly CD8+. True or false?
True
30
What cell is tasked with the recognition and destruction of IECs that display properties/signs of infection, damage or stress?
Intraepithelial lymphocytes
31
There's only one type of IELs: CD8+ IELs True or false?
True-ish. They are all CD8, sure but there are two types: type A and type B
32
pIELs and nIELs adress different types of problems, but they do it through the same way. True or false?
True.
33
What is Celiac Disease?
Mucosal tolerance breakdown
34
Explain T cell-dependent IgA class switching and what results from it.
DCs in the gut capture an antigen and present it to T cells, activating them into helper T cells. These interact with IgM+IgD+ B cells that have processed the antigen. The result is IgA with high affinity for pathogens and toxins
35
What's the step that differentiates T-independent IgA class switching and T-dependent IgA class switching?
The dendritic cell activates the B cells directly, and the class switch is induced by the dendritic cells.
36
Despite being different pathways, both T-independent IgA class switching and T-dependent IgA class switching produce low-affinity IgA antibodies to intestinal bacteria. True or false?
False. Only T-independent produces these antibodies.
37
IgA is able to do transcytosis by binding to a poly-IG receptor. True or false?
True
38
Name four functions of dymeric IgA on the gut
- On the gut surface, it can bind and neutralize pathogens and toxins - It can also bind and neutralize when these are internalized in endossomes - Export toxins out of the Lamina propria - When bound to dectin-1 in M cells, it can transport antigens to dendritic cells
39
When IgA does transcytosis, it moves from the lumen to the lamina propria. True or false?
False. It moves from the lamina propria to the lumen
40
What are the differences in the pathogenicity of IgA-coated and non-IgA-coated intestinal bacteria?
IgA- bacteria leads to less inflammation
41
How common is selective IgA deficiency?
The most common
42
How do Tregs in the GALT prevent inflammatory reactions against commensal bacteria?
IL-10 production
43
Commensal bacteria can command our immune system to act in certain ways. True or false?
True
44
Is Gut bacteria dysbiosis a consequence of IBS, or the other way around?
IBS is a consequence of gut bacteria dysbiosis
45
Neutrophils are one of the most common cells of the GI tract. True or false?
False. They are mostly absent in a healthy intestine (not sure if that counts as GI tract).