USMLE - Chapter 2 - Immunology
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Primary Lymphoid Organs to Lymph Node Structural Diagram7Topics
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Introduction to Lymphatic Drainage to Lymph Node Palpability and Right Lymphatic Duct6Topics
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Spleen Structure Overview to Thymus-Related Conditions6Topics
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Components and Mechanism of Immunity to Understanding Immune Privilege4Topics
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MHC I and II: Introduction and Loci to DQ8, DR3, DR49Topics
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Functions of Natural Killer Cells to Major Functions of T Cells3Topics
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T Cell Development: Bone Marrow & Thymus to Regulatory T Cells and Autoimmunity6Topics
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T-cell Activation: Antigen Presentation to B-cell Activation: Co-stimulation, Class Switching, and Maturation4Topics
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Antibody Structure and Function to Antibody Diversity and Specificity4Topics
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Introduction to Immunoglobulin Isotypes to Thymus-Dependent Antigens7Topics
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Introduction to Complement System to Convergence and MAC Formation9Topics
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Introduction to Complement System
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Complement Activation Pathways
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Functions of Complement Components (Part 1)
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Functions of Complement Components (Part 2) & Inhibitors
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Overview of Complement Pathways Diagram
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Detail of Classic Pathway
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Detail of Lectin Pathway
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Detail of Alternative Pathway
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Convergence and MAC Formation
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Introduction to Complement System
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Early Complement Deficiencies to PNH: Hemolysis & Thrombosis4Topics
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Interleukin-1: Macrophage Secretion and Acute Response to IL-10 and IL-13: Immune Regulation and IgE Production7Topics
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Interleukin-1: Macrophage Secretion and Acute Response
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IL-6 and TNF-alpha: Inflammation and Systemic Effects
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IL-8 and IL-12: Neutrophil Recruitment and Th1 Differentiation
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IL-2 and IL-3: T Cell Growth and Bone Marrow Support
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Interferon-gamma: Th1 Response and Macrophage Activation
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IL-4 and IL-5: Th2 Response and Antibody Production
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IL-10 and IL-13: Immune Regulation and IgE Production
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Interleukin-1: Macrophage Secretion and Acute Response
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Respiratory Burst Introduction to Interferons Clinical Use & Side Effects5Topics
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T Cell Surface Proteins to Examples of Passive and Active Immunity4Topics
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Live Attenuated Vaccines: Description to mRNA Vaccine8Topics
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Live Attenuated Vaccines: Description
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Live Attenuated Vaccines: Pros, Cons, Examples
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Killed/Inactivated Vaccines: Description & Pros/Cons
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Killed/Inactivated Vaccines: Examples
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Subunit, Recombinant, Polysaccharide, Conjugate Vaccines: Description & Pros/Cons
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Subunit, Recombinant, Polysaccharide, Conjugate Vaccines: Examples
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Toxoid Vaccine
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mRNA Vaccine
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Live Attenuated Vaccines: Description
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Overview of Hypersensitivity Types to Type II: Cellular Dysfunction & Clinical Examples6Topics
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Type III Hypersensitivity: Mechanism & Examples to Type IV Hypersensitivity: Examples & Tests5Topics
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Allergic and Anaphylactic Transfusion Reactions to Delayed Hemolytic Transfusion Reaction5Topics
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Autoantibodies in Neuromuscular and Systemic Diseases to Autoantibodies in Metabolic, Hematologic, and Renal Disorders5Topics
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Bruton's Agammaglobulinemia to Chronic Mucocutaneous Candidiasis7Topics
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Severe Combined Immunodeficiency (SCID) to Chronic Granulomatous Disease7Topics
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Intro to Immunodeficiency & T-Cell Bacterial Infections to Parasitic Infections & Key Deficiency Note5Topics
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Hyperacute Transplant Rejection to Histology of Transplant Rejection5Topics
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Immunosuppressants: Definition and Risks to Sirolimus & Basiliximab: Clinical Aspects5Topics
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Azathioprine to Immunotherapy: Interleukin-2 and Interferons6Topics
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TNF-α Inhibitors: Adalimumab & Infliximab to Omalizumab & Palivizumab: Allergic & Viral7Topics
MHC I and II: Introduction and Loci to DQ8, DR3, DR4
Content August 26, 2025
Major Histocompatibility Complex I and II Overview
MHC is encoded by HLA genes. These complexes present antigen fragments to T cells and bind T-cell receptors (TCRs).
MHC I Loci
Loci: HLA-A, HLA-B, HLA-C. MHC I loci have 1 letter.
MHC II Loci
Loci: HLA-DP, HLA-DQ, HLA-DR. MHC II loci have 2 letters.
MHC I: Binding, Structure, and Associated Proteins
Binding: TCR and CD8
Structure: 1 long chain, 1 short chain
Associated Proteins: β₂-microglobulin
MHC II: Binding, Structure, and Associated Proteins
Binding: TCR and CD4
Structure: 2 equal-length chains (2 α, 2 β)
Associated Proteins: Invariant chain
MHC I: Expression, Function, and Antigen Loading
Expression: All nucleated cells, APCs, platelets (except RBCs)
Function: Present endogenous antigens (e.g., viral or cytosolic proteins) to CD8+ cytotoxic T cells
Antigen Loading: Antigen peptides loaded onto MHC I in RER after delivery via TAP (transporter associated with antigen processing)
MHC II: Expression, Function, and Antigen Loading
Expression: APCs
Function: Present exogenous antigens (e.g., bacterial proteins) to CD4+ helper T cells
Antigen Loading: Antigen loaded following release of invariant chain in an acidified endosome
MHC Class I Structure Diagram
#boundingbox
This diagram illustrates the structure of MHC Class I. It shows the peptide-binding groove at the top, formed by the alpha-1 and alpha-2 domains. The alpha-3 domain is associated with beta-2 microglobulin. The complex is embedded in the cell membrane, extending into the cytoplasm.
MHC Class II Structure Diagram
#boundingbox
This diagram illustrates the structure of MHC Class II. It shows the peptide-binding groove formed by the alpha-1 and beta-1 domains. The alpha-2 and beta-2 domains are also shown, with the complex embedded in the cell membrane and extending into the cytoplasm.
HLA Subtypes Associated with Diseases
| HLA SUBTYPE | DISEASE | MNEMONIC |
|---|---|---|
| B27 | Psoriatic arthritis, Ankylosing spondylitis, IBD-associated arthritis, Reactive arthritis | PAIR |
| B57 | Abacavir hypersensitivity |
More HLA Subtypes and Diseases
| DQ2/DQ8 | Celiac disease | I ate (8) too (2) much gluten at Dairy Queen |
| DR3 | DM type 1, SLE, Graves disease, Hashimoto thyroiditis, Addison disease | DM type 1: HLA-3 and -4 (1 + 3 = 4) SL3 (SLE) |
| DR4 | Rheumatoid arthritis, DM type 1, Addison disease | There are 4 walls in 1 “rheum” (room) |
Topics Covered:
- MHC I and II: Introduction and Loci
- MHC I: Binding and Structure
- MHC II: Binding and Structure
- MHC I: Function and Antigen Presentation
- MHC II: Function and Antigen Presentation
- MHC Class I Structure
- MHC Class II Structure
- HLA Subtypes: B27 and B57
- HLA Subtypes: DQ2
- DQ8, DR3, DR4