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PCB 4233 – Exam 4 | Immunology Review on Hypersensitivity, Autoimmunity, and Immune Regulation

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This document reviews advanced topics for Exam 4 in PCB 4233 Immunology, focusing on hypersensitivity reactions (Types I–IV), autoimmune diseases, tolerance mechanisms, and immune regulation. It includes key terms, pathways, and concept explanations aligned with upper-level immunology curriculum. Ideal for biology or biomedical students preparing for final assessments.

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PCB4233 Immunology Exam 4


What are the different types of B-cell responses and what antigens induce them? - *answers
*For example B cell types (TI-1, TI-2, TD) and antigen (Soluble Protein antigens, Bacterial Cell
wall components, Capsular polysaccharides). Remember TI (T cell independent), TD (T cell
dependent)

T-dependent responses require help from T cells: Are typically generated upon recognition of
protein Ag

T-independent responses do not require T-cell help: Generated upon exposure to
multivalent/polymerized Ag- TI-1 Ag bind to B cells through PRRs and mIgs or TI-2 Ag cross-link
large numbers of BCRs



What receptors on T cells help activate B cells? - *answers *CD40L on T cells; CD40 B cells

B-cells bind Ag via BCR



Name the chemokines that B cells follow as they become activated and migrate through
secondary lymphoid tissue. - *answers *CXCR5 receptor binds to CXCL13 expressed by FCDs in
the B-cell follicles (cortical region of the secondary lymphoid tissue).

Upon finding antigen CCR7 receptor binds to CCL19 and CCL21 secreted by stromal cells in the T-
cell zones and the B cell moves in the boundary between the B-cell and T-cell zones.



What cytokines are required for survival of B cells in secondary lymphoid tissue? - *answers
*Require CD40/CD40L interactions between B/T cells Cytokines from FDCs and TFH cells
stimulate proliferation further



When are the different Immunoglobulin isotypes produced during an immune response and
how do they differ? - *answers *Plasma cells are Ig-producing machines:

Surface Ig is near zero, but secreted Ig values are high

Found within first 5-6 days of immune responses in medullary cord regions of lymph nodes

, PCB4233 Immunology Exam 4


What occurs in the germinal center? - *answers *Somatic hypermutation (SHM)/affinity
selection occur within the germinal center; Class switch recombination (CSR) occurs within the
GC after antigen contact



SHM (Somatic hypermutation) - *answers *-SHM produces individual point mutations in Ig
heavy- and light-chain rearrangements:

Mutations increase over time and with repeated exposures

Followed by affinity selection result in increased affinity for Ag over time

-AID-mediated somatic hypermutation:

Activation-induced cytidine deaminase

Produces opportunity for mutation by altering deoxycytidine bases

-Mutational apparatus targeting:

Mutational hot spots are sequence motifs far more likely to be targeted

Include DGYW/WRCH sequence motif

This prevents mutations in non-Ig areas

-Ag-induced selection of B cells with higher affinity:

B cells that can bind, process, and present more Ag to T cells for cytokine assistance survive

Higher-affinity B cells may actually steal Ag from lower-affinity B cells, promoting their own
survival signals



class switching mechanism - *answers *-AID initiates CSR processes (just as in SHM) by
deaminating C bases in single-strand DNA dislocated by germ-line transcripts

-DNA uridine glycosylase removes the U base created by AID

-Endonucleases nick the DNA backbone at the a basic sites at multiple points

-Mismatch repair enzymes convert single-strand breaks into double-strand breaks

-Double-strand break repair machinery repairs the breaks by cutting out the intervening DNA

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