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PCOL 838b Exam 1.

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Exam of 6 pages for the course Pathophysiology EXAM 4 UTA at Pathophysiology EXAM 4 UTA (PCOL 838b Exam 1.)

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PCOL 838b Exam 1
MHC Class I - ANS-display antigens from intracellular pathogens
interact with CD8
expressed on ALL cells

MCH Class II - ANS-display antigens from extracellular pathogens.
interact with CD4
expressed on APCs

humoral immunity - ANS-antibody-mediated immunity
involves B cells

cell-mediated immunity - ANS-type of immunity produced by T cells that attack infected
or abnormal body cells

isotype of antibody - ANS-determined by constant region of heavy chain

somatic recombination - ANS-gene segments of antibody rearrange to form variable
domain gene

junctional diversity - ANS-source of antibody diversity
RAG yields DNA hairpin which is then cleaved, TdT adds nucleotides at random, gaps
filled by DNA synthesis

isotope class switching - ANS-VDJ region is brought to a new constant region of the
heavy chain
heavy chain constant region determined by cytokines
constant region=isotype

isotype class switching signals - ANS-1. CD40 ligand (on T cell) interacts with CD40 on
B cell
2. Cytokine determines isotype class

memory B cell formation - ANS-1. B cell interacts with T cell via antigen-MHC and
CD40-CD40 L
2. Cytokine released from T cell
-IL-10 forms plasma cells; IL-4 forms memory cells (IgG antibodies)

, chemokine receptors - ANS-GPCRs

cytokine IL-2, IL-15, IL-4 receptors - ANS-share one common gamma chain

NBT test - ANS-nitro blue tetrazolium used to test macrophage function
if macrophage does not turn blue = inactive

X-linked agamma globulinemia - ANS-loss of Btk tyrosinekinase
NO B cell formation

X-linked hyper IgM - ANS-defective CD40 ligand
NO isotype switching

DiGeorge's Syndrome - ANS-lack fully functional thymus
decrease in T cells

AIDS - ANS-CD4 could <200

HIV - ANS-attacks CD4 T cells and chemokine receptors CCR5/CXCR4

type I hypersensitivity - ANS-IgE mediated allergic reactions

airway remodeling - ANS-permanent structural changes in airway membrane (thicker),
mucous build up, inflammation, narrowing of airway, and muscle constriction

corticosteroid - ANS-repress cytokine expression
ex: fluticasone

chromones - ANS-stabilize mast cell to prevent granule release
ex: sodium chromoglycate

beta-2-adrenergic agonists - ANS-cause bronchial smooth muscle relaxation
ex: albuterol

leukotriene receptor agonists - ANS-inhibit bronchoconstriction and inflammation
ex: montelukast

anti-cholinergics - ANS-block nerve signal that causes bronchoconstriction
ex: ipratropium
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