0909 - Immune Response to encapsulated Organisms Flashcards

1
Q

Explain how encapsulated microorganisms evade phagocytosis

A

Prevent encounters with phagocytes
Avoid recognition and attachment
Survive within phagocyte
(each dealt with on separate card)

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2
Q

How do encapsulated microorganisms prevent encounters with phagocytes?

A

C5a Peptidase. Destroys C5a, which attracts phagocytes.

Membrane-damaging toxins - destroy phagocytes and other cells.

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3
Q

How do encapsulated microorganisms avoid recognition and attachment by phagocytes?

A

Capsules can bind proteins to mimic a host cell, inactivate C3b and prevent the complement cascade or opsonisation. M protein can do the same thing for pyogenes.
Fc receptors bind to the Fc (tail) region of antibodies, reversing their orientation.

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4
Q

How do encapsulated microorganisms survive within phagocytes?

A

Escape from the phagosome before it fuses with the lysosome.
Prevent phagosome-lysosome fusion
Survive within phagolysosome

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5
Q

Describe host immune responses to encapsulated microorganisms

A

As TCRs recognise peptides, not polysaccharides, body needs a T-independent response. T-independent antigens can activate B-cells without needing T-cells. 2 types
TI-1 Antigens - lipopolysaccharide (Gram negative) and bacterial DNA. These antigens directly induce B-cell division with, but without affinity maturation or memory B-cells being produced. The concentration of TI-1 antigen is inversely proportional to the specificity of the antibody response.
TI-2 Antigens - highly repetitive structures (LPS, viral envelopes) can induce an immune response in particular types of B-cells. These are spleen B-1 cells and Marginal Zone B cells, non-circulating B-cells in the spleen, rare at birth but increasing with age. When IgG and IgM from MZ B-cells bind to the bacterium, they can induce antibody-enhanced phagocytosis. Still no memory or somatic hypermutation.

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6
Q

Discuss how vaccines targeted against encapsulated bacteria work

A

You use a conjugate vaccine, which links the peptide with the polysaccharide. The peptide allows you to have the benefit of a T-cell response, which means you get memory B-cells and high-affinity antibody. However, the vaccine is only effective against one capsule - a different capsule type will not get the benefits.

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