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ACAAI BOARD REVIEW CELLS IN IMMUNE SYSTEM WITH COMPLETE ANSWERS

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ACAAI BOARD REVIEW CELLS IN IMMUNE SYSTEM WITH COMPLETE ANSWERS

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Uploaded on
April 18, 2025
Number of pages
66
Written in
2024/2025
Type
Exam (elaborations)
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Questions & answers

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60 Multiple choice questions

Term 1 of 60
HLH is often a fatal consequence of Epstein-Barr virus (EBV) infection in boys with

Adenosine deaminase deficiency, which causes severe combined immunodeficiency.

X- linked lymphoproliferative (XLP) syndrome, which is due to mutations in the SH2D1A
gene (encodes SAP protein).


Common variable immunodeficiency, which leads to low antibody production.

Hyper-igm syndrome, which is characterized by high igm levels.

Term 2 of 60
Which subset of dendritic cells produces type I IFN during viral infections?

Mast cells

Plasmacytoid dendritic cells

Neutrophils

Macrophages

Definition 3 of 60
Monocytes

Which selectin is not found on endothelium?

Mature in The tissue (unlike basophils and eosinophils).


Which subset of dendritic cells produces type i ifn during viral infections?

Highly express CD14 and CD16 after further maturation.

,Term 4 of 60
Mast cells can also be activated by:

Most bacterial/viral infections (note the exceptions listed earlier, such as
HIV).
Fever
Steroids

Primary granules contain Charcot-Leyden crystals


Specific/secondary granules contain preformed mediators that include major
basic protein, eosinophil cationic protein, eosinophil peroxidase, and eosinophil-derived
neurotoxin, which are all toxic to surrounding tissue and are released during cytolysis.


Release preformed mediators (<15 minutes) (e.g., histamine, tryptase, chymase, TNF, and
heparin).

Produce and release lipid-derived mediators (~10-30 minutes) after activation via the
arachidonic acid pathway; responsible for late allergic reactions (e.g., PGD2, LTC4, LTB4,
PAF).

Produce and release cytokines and chemokines (hours to days) after activation (eg, IL-3, IL-
4, IL-5, IL-6, IL-8, IL-10, IL-13, GM-CSF, TNFα, MCP-1, MIP- 1α, and RANTES [CCL-5]).

IgG via FcRI; bacterial antigens via TLR 2/6 or 4; C3a or C5a (anaphylatoxins)(MCTC only);
cytokines; neuropeptides; physical stimuli (e.g., heat, pressure); substance P; and drugs
[radiocontrast media; opioids (MCTC only); muscle relaxants].

Definition 5 of 60




B cell development stages

T cell maturation

B cell maturation table

Mast cells subtypes

,Definition 6 of 60
ITP

Primary granules are enlarged in ___, but secondary granules are absent in ___. The exact
mediators in each are less important.

Which subset of dendritic cells produces type I IFN during viral infections?


In which platelet disorder are platelets abnormally large? Hint: Antibodies to platelet's
GP2b3a are also seen.

At which stage does signaling through the pre-B-cell receptor occur?

Definition 7 of 60




Mast cell activation and signaling

mast cell mediators table

B cell maturation table

Mast cells vs basophils

Definition 8 of 60
eosinophils

Highly express cd14 and cd16 after further maturation.

Migrate into tissues via il-8 (cxcl-8), ifn, f-met-leu-phe (fmlp), mip-1,
ltb4, and c5a as well as interactions between sialyl-lewis x, e-/p- selectins, and lfa-1/icam-1.

Migrate to tissue in response to RANTES (CCL-5) and eotaxin

Can be activated by signals, such as ifn and lps (which binds cd14).

, Definition 9 of 60
For MCT, think Tissue.
For MCTC, think Connective Tissue.

Mnemonic P selectins

Epithelial cells

Mast cells subtypes

Mnemonic mast cells

Term 10 of 60
At which stage does signaling through the pre-B-cell receptor occur?

Mast cells

Pre B cell

Neutrophils

Mature B cell

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