12.11 Immunology: Normal microbiota 2 Flashcards

1
Q

How are T and B cells activated?

A

Enter blood, acquire (a4B7 integrin which binds MAdCAM-1 on vascular endothelium of all mucosal surfaces) and ChK R’s.

Migrate to LP

Activated B cells–>IgA

CD4 T cells (mostly Treg)

CD8 T cells (against infection)

These distribute through all mucosal surfaces

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2
Q

What comprises intra-epithelial lymphocytes?

A

Many T cell types (incld. aB CD8)

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3
Q

Both ____ and ___ takes place in MALT

A

Both stimulation and supression takes place in MALT

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4
Q

What do the direct and indirect effects on the mucous layer and gut epithelium from microbiota refer to?

A

TLRs, PRRs, PAMPS

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5
Q

When do Peyer’s patches, mesenteric LNs and ILFs develop?

A

Peyers, mesenteric LNs: prenatally

ILFs: postnatally

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6
Q

What are germ free mice deficient in (3)?

A

IgA, lymphoid tissue, MAIT cells

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7
Q

What occurs with acquisition of intestinal microbiota?

What does this skew towards?

A

PAMP interactions

Th2 and Treg responses

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8
Q

How does the gut epithelium and lymphoid tissue discriminate between friend/foe?

A

PRR sense numbers
PRR detect invasion
Differential interaction with PRR

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9
Q

Microbial interactions determine gut immune response. What is the balance between?

A

Tolerance (physiological inflammation)
Th2, Treg, IL-22, IL-10

Immunity (pathological inflammation)
Th17, Th1, IL-1, IL-18

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10
Q

What happens in the Kwashiorkor twin after change to therapeutic diet?

A

Could not maintain change

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11
Q

What happened in germ free mice that were transplanted with the kwashiorkor microbiome?

A

They lost weight, change of microbiome composition

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12
Q

What did Kwashiorkor microbiota generate?

A

Products that selectively inhibited TCA cycle enzymes

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13
Q

What are high fat diets/obesity associated with?

A

Decrease in microbiotal diversity (insulin resistance, TGs, chol and insulin increase)

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14
Q

What is the microbiome like in type 2 diabetes?

A

Predictable

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15
Q

What occurs in obesity (with regards to inflammation)?

What is increased in lean subjects?

A

Inflammatory cytokines (TNFa, IL-1, IL-6, IL17), increase in mast, T cells and MPs

Increase in Tregs

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16
Q

What can occur as a result of antibiotic use?

What kind of organism is this?

What can it cause?

A

Clostridium difficile

Gram positive, anaerobic, spore forming rod

Pseudomembranous colitis

17
Q

What occurs in the microbiota of people with C. difficile infections?

A

Reduced diversity (treat with fecal transplant if antibiotics don’t clear it)