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Course, academic year 2023/2024
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Medical Immunology - FG10033
Title: Medical Immunology
Guaranteed by: Department of Clinical Immunology and Allergology (15-630)
Faculty: Faculty of Medicine in Hradec Králové
Actual: from 2021
Semester: winter
Points: 0
E-Credits: 3
Examination process: winter s.:
Hours per week, examination: winter s.:19/18, C+Ex [HS]
Capacity: unlimited
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: English
Teaching methods: full-time
Teaching methods: full-time
Level:  
Note: deregister from the exam date if a requisite was not fulfilled
Guarantor: prof. RNDr. Jan Krejsek, CSc.
prof. RNDr. Ctirad Andrýs, Ph.D.
Pre-requisite : {General Medicine 1st year}
Incompatibility : FV10029
Interchangeability : FA0105100, FV10029
Is incompatible with: FVP028, FV10029
Is interchangeable with: FVP028, FV10029
In complex pre-requisite: FG10050, FG10051, FG10052, FG10054, FG10055, FG10056, FG10057, FG10058, FG10059, FG10060, FG10061, FG10062, FG10063, FG10064, FG10065, FG10066, FG10067, FG10068, FG10076, FG10077, FG10078, FG10079, FG10080, FG10081, FG10092, FG10093, FG10094, FG10095, FG10097
Annotation
Last update: Jana Kalousová (15.09.2023)
Fundamental of Medical Immunology is realized in the forms of lectures, seminars and practicals. The aim is to introduce the complex and modern concept of the function of the immune system as principal integrating body system. The emphasize is put on the understanding of the role of cellular substrate of immune response, differentiation of immune cells and description of their function. Special emphasize is given to gain the knowledge of the participation of immune system into the both protective and adverse inflammatory response. Protective inflammatory response against invasion of pathogenic microbes including active immunisation is described. Adverse inflammation is characterized on the molecular and cellular level with the respect to specific characteristic of this type of inflammation in various clinical contexts. Various attempts how to modulate adverse inflammatory response including administration of biologics is described. The basic principal of the interaction between immune system and cancer is given including the role of cancer environment and abuse of immune response is given. Mechanism of action of different biological drugs to overcome cancer cell escape from immune surveillance are described. The primary and secondary immunodeficiencies, including HIV infection and AIDS are presented. The diagnostic procedures and the way how to modulate immune system in immunodeficient patients are given. The basic framework of immunological test used in clinical practice is explained. The indication and interpretation of these immunological tests is given in clinical context of differential diagnostic procedures.
Entry requirements
Last update: Jana Kalousová (15.09.2023)

No prerequisities are required. 

Aim of the course
Last update: Jana Kalousová (15.09.2023)

The complex knowledge of the function of immune system as the principal integral body system and its role in both protective and adverse inflammation is gained in this subject. These informations are used in the context of clinical practice especially in the framework of differential diagnostic procedures. The special emphasize is given to understand modulation of immune system including active immunisation. 

Requirements to the exam
Last update: Jana Kalousová (15.09.2023)

Credit

Active participation in practicals and seminars. One seminar could be missed due to illness evidenced by physicion. 

 

Examination

Oral examination. The syllabus is given to students. Fifty questions are generated from this syllabus. Questions consists of part a) and part b). One question is randomly selected by student.

Syllabus
Last update: Jana Kalousová (21.09.2023)

Lectures

  • Prof. Dr. Jan Krejsek, Ph.D.
  • Prof. Dr. Ctirad Andrys, Ph.D.
  • Assoc. Prof. Pavlina Kralickova, MD, Ph.D.
  • Dr. Eva Mala, Ph.D.
  • Dr. Ondrej Soucek, Ph.D.
  • Dr. Vladimira Rezacova, Ph.D.
  • Dr. Karolina Jankovicova, Ph.D.
  • Dr. Martina Kolackova, Ph.D.

 

 

Lecture

1st Principles of immune system function (Krejsek)

  • genetic background of immune response, epigenetic influences
  • natural barriers, microbiota
  • cells, tissues and organs of immune system
  • immunity as an integral part of protective and damaging inflammatory response

2nd Innate immunity, basic characteristics (Malá)

  • DAMP, PAMP signals, receptors PRR and their function
  • initiation and development of the inflammatory response
  • humoral mechanisms of innate immunity, interferons, complement system
  • cellular mechanisms of innate immunity, phagocytosis, natural cytotoxicity

3rd Specific immunity (Soucek)

  • TcR, BcR receptors
  • gene rearrangement
  • clonal selection hypothesis of specific immune response
  • T cells differentiation
  • HLA system, processing and presentation of antigenic fragments to T cells
  • polarisation of T cells, Th1, Th2, Th17, Treg subsets of T cells
  • B cells differentiation, antigen independent differentiation
  • B cell differentiation after antigenic stimulation, isotypic switching, somatic mutation
  • antibodies, molecular characteristics, dynamics of antibody production
  • immune memory

4th Mucosal and skin immunity (Kolackova)

  • barrier function of mucosal surfaces
  • microbiota, its contribution to mucosal and systemic immunity
  • breast feeding, prebiotics, solid food introduction, probiotics
  • nutrition and immunity, proinflammatory activity of adipose tissue
  • skin immune system
  • skin microbiota

5th Protective inflammation/damaging inflammation (Malá)

  • immune response to viral infections
  • immune response to bacterial infections
  • immune response to fungal and parasitic infections
  • active immunisation, mechanisms of action, adjuvans
  • autoimmunity, development
  • immunopathology, mechanisms of development, hypersensitivity reactions
  • immunopathological diseases, systemic, organ specific
  • modulation of inflammation, biological therapy

 

6th Immunodeficiencie (Kralickova)

  • inherited primary immunodeficiencies
  • diagnostics, management
  • acquired secondary immunodeficiencies
  • immunopathogenesis
  • treatment

7th Cancer and inflammatory response, immunomodulation (Soucek)

  • protective inflammation is effectively controlling malignant cell proliferation
  • some tumours can escape protective inflammation
  • immunotherapy in oncology
  • immunomodulation, active immunisation

 

 

Lectures

  • Prof. Dr. Jan Krejsek, Ph.D.
  • Prof. Dr. Ctirad Andrys, Ph.D.
  • Assoc. Prof. Pavlina Kralickova, MD, Ph.D.
  • Dr. Ondrej Soucek, Ph.D.
  • Dr. Vladimira Rezacova, Ph.D.
  • Dr. Karolina Jankovicova, Ph.D.

 

Seminars and Practicals

 1st Allergic inflammation (Kralickova)

  • pathophysiology of allergic inflammation
  • allergens, components of allergens
  • allergic diseases, asthma, rhinitis, eczema …, clinical presentation
  • diagnosis of allergic diseases, skin tests, allergen specific IgE, basophil activation test in vitro

2nd Prevention and treatment of allergic inflammation and anaphylaxis (Kralickova)

  • elimination of allergen exposure
  • treatment of allergic inflammation
  • immunotherapy by allergen
  • emergency in allergology, therapeutical options
  • angioedemas, hereditary angioedema, diagnostic procedure

3rd Immune deficiencies (Kralickova)

  • primary and secondary immunodeficiencies (including AIDS)
  • clinical presentation
  • diagnosis, immunological testing
  • immunomodulation, immunosubstitution, immunopotentiation

4th Immunopathology, autoimmunity (Jankovicova)

  • immunopathology, initiation, pathophysiological mechanisms, hypersensitivity reactions
  • immunopathogenesis of selective autoimmune diseases (rheumatoid arthritis, systemic lupus, Crohn disease, celiac disease)
  • systemic and organ specific immunopathological diseases
  • autoantibodies and other biomarkers in differential diagnosis of immunopathological diseases

5th Cell mediated immunity (Soucek)

  • hybridoma, CD markers, flow cytometry
  • routine test of cell mediated immunity (T, B and NK cells)
  • tests to determine parameters of phagocytosis and cell proliferation
  • immunophenotyping of blood malignancies

6th Immunological detection of infectious agents (Rezacova)

  • direct evidence of infection
  • indirect evidence of infection
  • detection of specific antibodies as indirect evidence of infection
  • detection of specific cell-mediated immune response as indirect evidence of infection (IGRA tests)
  • immunological diagnosis of B. pertussis, B. burgdorferi, T. pallidum and M. tuberculosis infections
  • clinical interpretation of serological tests

 

 

 

Literature
Last update: Jana Kalousová (15.09.2023)

Compulsory literature

Immunology, 9th Edition. Editoři: D. Male, S. Peebles, V. Male (ClinicalKey Student) https://www.lfhk.cuni.cz/Fakulta/Organizacni-struktura/Domaci-stranky/Lekarska-knihovna/E-knihy/

  

Recomended literature 

  1. Krejsek J, Andrýs C, Krčmová I, Imunologie člověka, Garamon, 2016 ISBN 978-80-86472-74-4
  2. Murphy K, Casey W, Janeway's Immunobiology, 9th Edition 9th Edition, Kindle Edition 2017, ISBN-13: 978-0815345053

 

 
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