10: Immune mechanisms in infection šŸ Flashcards

1
Q

Describe how an infection is controlled by the immune system

A
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2
Q

Where are PRRs (of the innate immune system) located?

A

in plasma membrane: lectin - fungal polysaccharides, TLRs - bacterial cell wall lipids
cytosolic: NLR - bacterial peptidoglycan, RLR - viral RNA, CDS - microbial DNA
endosomal: TLR - microbial DNA/RNA

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3
Q

Name Pattern Recognition Molecules of the innate immune system

A

Pentraxins - ex. CRP
Collectins - ex. MBL
Ficolins - ex. Ficolin
Complement - ex. complement proteins

all located in the plasma, Collectins also in Alveoli

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4
Q

What are the possible ways to fight extracellular bacteria (ex. Staph. aureus)

A
  1. innate humoral response: complement system -> lysis of bacteria
  2. adaptive immune response: B cells -> ABs to neutralise and opsonise (than phagocytosis or complement activation) bacteria

remember: complement system connects innate and adaptive immunity (alternative pathway)

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5
Q

What are the local and systematic effects of cytokines in response to infection?

A

local: inflammation; TNF and IL-1 increase endothelial permeability and activate Leukocytes , IL-1 and IL-6 attract more cell

systemic protective: TNF, IL-1 and IL-6 in brain cause fever, TNF, IL-1 and IL-6 in bone marrow increase Leukocyte production, IL-1 and IL-6 in liver activate acute phase proteins

systemic pathologic: TNF can cause pathologic abnormalities that lead to septic shock, etc.

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6
Q

What is polyclonal activation of T cells?

A

antigen independent stimulation of T cells by bacterial superantigens (ex. Staph. aureus) leading to cytokine storm

polyclonal activation is the specific activation of a VĪ²-chain at the TCR

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7
Q

What are the possible ways to fight intracellular bacteria (ex. Listeria m.)?

A
  1. innate immune response: phagocytes and NK cells, it normally only controls the growth of bacteria
  2. adaptive immune response: cellular based -> phagocytosis by Th1 activated macrophages

activation of macrophages is induced by IFN-Ī³
the response is enhanced killing of phagocytoses bacteria, increases expression of molecules for T cell activation and secretion of inflammatory cytokines

If bacteria can survive phagosomes and escape into cytoplasm CD8+ T cells will kill the infected macrophages

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8
Q

What are mechanisms by bacteria to evade the immune system?

A
  • sialylation of LPS
  • change of surface antigens
  • decoy membrane blebs
  • IgA proteases
  • pili variants
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9
Q

What are the possible ways to fight fungi?

A

CLRs are the PRRs often sensing Dectin-1/2 and Mannose

Th17 cells are major T cell subset group to activate Neutrophils and induce production of antimicrobial peptides

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10
Q

What are the possible ways to fight viruses?

A

TLRs 1-9, RLRs and CDSs are the PRRs for viruses
innate immune response:
- cGAS catalysis cGMP/ cAMP from GTP/ATP activating STING which induces IFN gene expression and by that warning neighbor cells
- NK cells kill infected cells or activate macrophages to clear phagocytosed virus

adaptive immune response:
- AB secretion to neutralise virus
- CD8+ T cells killing infected cells

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11
Q

What are possible immune evasion tactics by viruses?

A
  • genetic recombination (antigen shift), ex. Influenza
  • inhibit antigen processing: 1. no proteasomal activity, 2. inhibition of MHC synthesis (HSV, CMV)
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12
Q

What are the possible ways to fight parasites (ex Leishmania major)?

A

innate immune response:
- complement activation -> opsonisation by C3, a) phagocytosis by macrophage, b) MAC formation

adaptive immune response:
- Th1 T cells activate macrophages further -> infection clearance
- Th2 T cells inhibiting the macrophage activation -> no infection clearance

complex helminths are often eliminated by IgE and eosinophils

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13
Q

What are possible immune evasion tactics by parasites?

A
  • antigenic variation (trypanosomes, plasmodium)
  • antigenic shedding (Entamoeba)
  • acquired complement resistance (Schistosoma)
  • inhibition of immune system (Filaria)
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