2. Pathogen detection by the immune system Flashcards

1
Q

What are the innate immunity and adaptive immunity cells?

A

Innate imm cells/molecules:
- Macrophages
- Dendritic cells
- Mast cells
- NK cells
- Complement proteins
- Granulocytes: basophils, eosinophils, neutrophils

Adaptive imm cells:
- T cells
- B cells

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2
Q

How is pathogen detection different in innate and adaptive immunity?

A

Innate: recognises generic ‘danger’ signals (PAMPs / DAMPs) -> limited receptor diversity

Adaptive: recognises very specific microbial / non-microbial molecules - antigens -> very large receptor diversity

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3
Q

What is the Complement System in pathogen recognition? What are the pathways of working?

A

The Complement System - biochemical cascade that functions to recognise pathogens and destroy them - early warning system

Has 3 pathways of working:
- Alternative (innate immunity)
- Lectin (innate immunity)
- Classical (adaptive immunity)

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4
Q

What functions can be performed using the Complement System to destroy pathogens?

A

The Complement system does to destroy pathogens:
- Recruit immune cells
- Label microorganisms for phagocytosis by other cells
- Lyse pathogens

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5
Q

How each Complement system pathway is activated?

A
  • Direct pathogen recognition => alternative + lectin pathway
  • Via adpative immunity + antibodies => classical pathway
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6
Q

Explain the alternative pathway of the Complement System

A

Alternative pathway acts as innate immunity sensor:
- C3 protein - (C3 convertase) -> C3a + C3b
- C3b attacks amino + hydroxy groups on pathogen surface
- Complement system cascade ativated to neutralise the pathogen

Problem: host cells also have amino + hydroxy groups on the surface - must de-activate C3b

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7
Q

Explain lectin pathway of the Complement System

A

Lectin pathway acts as innate immunity sensor:
- lectin receptors bind to mannose on pathogen surface
- binding activates C3 convertase -> C3b produced -> bind to pathogen amino and hydroxy groups
- Complement System cascade ativated to neutralise the pathogen

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8
Q

What does the innate immunity use to recognise pathogens?

A

Innate immunity uses evolutionary conserved molecules in many classes of microbes that are not present in host cells - PAMPs

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9
Q

What are PAMPs?

A

Pathogen Associated Molecular Patterns (PAMPs) - evolutionary conserved molecules shared by various classes of microbes, ex: mannose

PAMPs - on pathogens
PRRs - on imm cells

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10
Q

What are the receptors used to detect PAMPs?

A

Pattern Recognition receptors (PRRs) - proteins / receptors on the surface of innate immunity cells used to recognise PAMPs, ex.: mannose binding lectin

PAMPs - on pathogens
PRRs - on imm cells

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11
Q

Explain the mechanism of phagocytosis

A
  1. Chemotaxis: attract phagocytes to the site
  2. Attachment: phagocyte attaches to surface of foreign particle
  3. Engulfment: ingested
  4. Phagosome maturation: fusion with lysosomes with digestive enzymes -> phagolysosome
  5. Degradation: in phagolysosome particle digested
  6. Exocytosis: waste eliminated form phagocyte

Chebra Atvaro i Edinburga Pilt, Dirbt, Edukuotis

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12
Q

What are sentinel cells?

A

Sentinel cells - general term for any immune cell at the first line of defence - always alert, ex.: macrophages, dendritic cells

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13
Q

What are the roles of sentinel cells to sense infection and induce response?

A
  • Use phagocytosis to sample environment
  • If detected APC - communicate to T cells
  • Activate T cells
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14
Q

What are APCs?

A

Antigen Presenting Cells (ACPs) - immune cell that detects, engulfs, and informs the adaptive immune response about an infection

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15
Q

Compare macrophages and dendritic cells (DC) as sentinel cells

A
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16
Q

Explain macrophages as sentinels

A

Macrophages as sentinels - found** in all barrier tissues** - skin, intestine, lungs

Resting state - help regulate metabolism:
- clear apoptotic cells
- remove debris
- sample env for antigens via PRRs-PAMPs

Activated state:
- detected DAMPs (1st danger signal) - warning but not necessarily infection - activate Complement System pathway - ready for phagocystosis
- detected PAMPs (2nd danger signal) by PRRs - infection alert - increase in size, increase phagocytosis, release toxic molecules + cytokines
- in the end - macrophages revert to resting state / apoptose

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17
Q

What are DAMPs?

A

Damage-Associated Molecular Patterns (DAMPs) - molecules released from damaged / necrotic cells

  • potential break in barrier
  • pathogen is causing damage while invading
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18
Q

Do innate immunity cells express only one PRR? Where are they found?

A

No, innate immunity cells can express multiple PRRs - can recognise and respond to wide range of pathogens with different PAMPs

PRRs are both on the surface and inside the cell - intracellular / extracellular

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19
Q

What are the examples of PAMPs?

A

Possible PAMP molecules:
- mannose
- lipopolysaccharides (LPS) - Gram-
- lipoteichoic acid (LPA) - Gram+
- teichoic acid (TA) - Gram+
- peptidoglycan
- flagellin
- dsRNA
- ssRNA
- unmethylated CpG DNA

Recognised by PRRs - majority by Toll-like receptors (TLRs)

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20
Q

How can pathogens try to avoid recognition by the immune system?

A

Pathogen adaptations:
- Modification of PAMPs
- Inhibition of PRRs signalling pathways

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21
Q

Summary of macrophage activation as a sentinel cell

A
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22
Q

Explain how inflammation is induced

A
  • By both innate / adaptive immunity
  • Release of pro-inflammatory cytokines (ex: interleukin-1 (IL-1), tumor necrosis factor-alpha (TNF-α))
  • Recruit immune cells to infection site
  • Activate immune cells and stimulate to produce more cytokines
  • Production of APPs
    => tissue redness, swelling, fever
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23
Q

What are APPs? What are the types?

A

Acute Phase Proteins (APPs) - group of plasma proteins - the conc varies - produced in response to inflamm / infection - function is to regulate imm response

  • Positive APPs: increase in conc upon inflamm / infection, ex: CRP - binds to pathogens and enhances recognition + activates Complement system (practical 1: diagnostic for severity of inflamm), fibrinogen
  • Negative APPs: decrease in conc upon inflamm / infection, ex: albumin
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24
Q

What are the functions performed by neutrophils?

A

Neutrophils:
- recruited from blood to the infection site
- phagocytosis of pathogens
- release of destructive chemicals (cytokines, chemokines, ROS, enzymes, defensins)
- short-lived - apoptose

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25
Q

What are the immune cells involved in killing pathogens during inflammation?

A

Killers in inflammation:
- Neutrophils
- NK cells
- Macrophages

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26
Q

What are the functions performed by NK cells?

A

Natural killer (NK) cells:
- recruited from blood to infection site in response to cytokines / chemokines
- produce cytokines / chemokines
- kill pathogens / infected + abnormal cells without activation - detect downregulation of MHCI
- kills by releasing cytotoxic granules with perforin + granzyme -> induces apoptosis
- apoptose / revert to resting state

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27
Q

What are the main immune cells involved in inflammation?

A
  • Macrophages: phagocytic, produce cytokines/chemokines
  • Neutrophils: phagocytic, produce cytokines/chemokines
  • NK cells: recognise + kill infected / cancerous cells, release cytotoxic granules, produce cytokines
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28
Q

Can PAMPs be toxins?

A

Yes, ex.: PAMP - LPS toxin - induce too strong cytokine production => sepsis:
- inhibits heart contractions
- fluid leaks into tissues
- increased blood clotting
- cachexia (muscle wasting)
=> reduced blood presure
=> septic shock

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29
Q

What is sepsis?

A

Sepsis - body’s extreme response to an infection - life-threatening medical emergency - happens when an infection you already have triggers a chain reaction throughout your body

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30
Q

What are the advantages of innate immunity sensing?

A

Adv:
- PAMPs allow distinguish foreign microbes + indicate what kind of microbe - PAMPs evolutionary conserved - well detected - small number of PRRs needed
- PRRs germline encoded - don’t need modifications - can be used for quick response
- multiple cell types can express same PRRs - many cells can respond to same infection
- one cell can express many PRRs - can detect many PAMPs - many different microbes

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31
Q

What are the disadvantages of innate immunity sensing?

A

Disadv:
- not very specific - rough idea of microbe type
- not adaptable (only through evolution)
- doesn’t develop into immune memory

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32
Q

What are the advantages of adaptive immunity sensing?

A

Adv:
- very adaptable - somatic rearrangement of gene segments allows creation of receptors for any antigen
- very specific for the antigen
- having a receptor gives immune memory - can identify particular microbes for the rest of organism’s life

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33
Q

What are the disadvantages of adaptive sensing?

A
  • slow - takes time for clonal expansion
  • highly specific - easy for microbe to evade by slightly changing antigens
  • receptors can’t tell what they are recognising - can’t distinguish pathogen from self / innocuous molecules (ex.: pollen)
34
Q

What are innocuous molecules?

A

Innocuous molecules - harmless molecules, ex.: pollen, other allergens

35
Q

Define what is an antigen

A

Antigen - a molecule recognised by adaptive immune cells as non-self

Bound by B or T cell receptors:
- T cells only bind Ag on APC presented on MHC
- B cells recognise Ag on their own

36
Q

Define what is an epitope

A

Epitope - the precise part of the antigen recognised by antibody / T cell receptor

An antigen can have multiple epitopes

37
Q

Define what is a paratope

A

Paratope - the part of the antibody / T cell receptor that binds the epitope

38
Q

Where do antibodies come from?

A

Antibodies - secreted B cell receptors

39
Q

What are the adaptive immunity cells?

A
  • B lymphocytes
  • Helper T cells (Th)
  • Regulatory T lymphocyte (Treg)
  • Cytotoxic T lymphocytes (CTL)
40
Q

What is the difference how B and T cells recognise antigens?

A

B and T cells have different receptors:
- B cells: recognise Ag on their own - membrane bound receptors - B cell receptors (BCR) = surface immunoglobulins (sIg) same thing - when secreted Ab = immunoglobulins Ig same thing - secreted form has effector function

  • T cells: recognise Ag presented by APC (ex: macrophages / DC) - T cell receptors only membrane bound - T cell receptors (TCR)
41
Q

How do the antigens recognised by B and T cells differ?

A

B cell recognised Ag:
- pretty much any organic molecule
- bind on their own without APC
- conformational - structure important in binding
- epitope can cross loops - discontinuous
- native molecule - also recognises native molecules + unprocessed native molecules

T cell recognised Ag:
- recognises only proteins
- Linear
- 8-25 am a long
- must be presented by APC
- protein has to be broken down into peptides

42
Q

How do B and T cell receptors differ?

A
  • T cell receptors have one Ag binding site
  • B cell receptors have two Ag binding sites
43
Q

What are the types of antibody epitopes?

A

Antibody - antigen binding:
- Linear
- Discontinuous

44
Q

What is the structure of an antibody?

A

Antibody (Ab) = immunoglobulin (Ig) - secreted B cell receptor structure:
- Light chain
- Heavy chain
- Fc region
- Fab region

45
Q

What is the in depth structure of a T cell receptor?

A
  • α and β chains
  • sulphide bonds
  • transmembrane region
46
Q

How is almost an infinite range of antigen receptors created?

A
  • Some are encoded in germline - not enough
  • Somatic recombination - antibodies are modular - different VDJ combinations can be created
  • Junctional diversity (part of somatic recombination) - addition / deletion of bases - new DNA sequences at borders between VDJ modules
47
Q

Explain what is somatic recombination

A

Somatic recombination - genetic info in non-reproductive cells rearranged for new gene combinations
- occurs during B / T cell development - V(D)J gene recombination - antigen binding domains are modular - segments can be re-arranged using recombinases - higher diversity of BCRs and TCRs for Ag recognition
- somatic recombination can also generate self-reactive BCRs and TCRs - autoimmune disorders

48
Q

What is an antigen binding domain characteristic which allows somatic recombination?

A

Antigen binding domains are modular - VDJ domains can be miss-matched for specific antigen complementarity - highly variable sites created - VDJ recombinase used

49
Q

Explain what is junctional diversity

A

Junctional diversity - variability that arises at junctions between VDJ segments during somatic V(D)J recombination
- addition of a base
- deletion of a base
=> changes amino sequence -> more unique Ag

50
Q

What kind of rearrangements can be produced by somatic recombination (+junctional diversity)?

A

New rearrangements can be:

  • Productive: results in functional receptor - those B cell survive
  • Non-productive: results in non-functional receptor - B cell that produces non-productive arrangement for a receptor (-> Ab) die - apoptosis
  • MAJORITY of rearrangements non-productive - not sustainable mechanism
51
Q

Where are VDJ genes located for VDJ modules of antigen receptors?

A

VDJ genes are located on both chromosomes 14 (from each parent) - two chances to make productive VDJ arrangements for each cell because:
- each B cell is specific for one Ag
- only one Ab (BCR) is allowed per one B cell
=> successfully rearranged chain will block gene rearrangement on the other chromosome - already has a functional receptor in the B cell

52
Q

What is clonal expansion?

A

Clonal expansion:
- T/B cell sees Ag - becomes activated
- T/B cells divide -> all daughters have identical Ag specificity
- time required to activate + proliferate to an effective number makes adaptive immunity slow - 5-7 days

53
Q

What is the timeline of an adaptive immune response to a specific pathogen?

A
54
Q

How can pathogens evade adaptive immune recognition?

A

Pathogens can mutate their Ags - immunity can’t recognise them - adaptive immunity especially - even single change can cause the receptor to be non-complement for Ag - because highly specific

55
Q

What is the central tolerance?

A

Central tolerance - a mechanism by which T and B cells that are capable of recognising self Ag are deleted before they are released to fight self

  • Self-reactive B cells removed in bone marrow
  • Self-reactive T cells removed in thymus

[However, doesn’t remove T cells which have receptors to recognise innocuous antigens (food) - ?? B cells can also recognise]

56
Q

What is the main problem with B and T cell antigen detection?

A

B and T cells can’t distinguish what they recognise - pathogen / toxin / innocous antigen / self

57
Q

How does innate immune system communicate with T cells?

A

Correct T cells are activated by professional APCs which are innate immunity cells - mostly dendritic cells (DC)

58
Q

What is a naive T cell?

A

T cell - circulating in the body - haven’t been exposed to an Ag
- professional APCs introduce to Ag -> activation / differentiation => activated functional T cell

59
Q

What is MHC?

A

Major Histocompatibility Complex (MHC) - class I + class II proteins - present Ag on APC surface for T cell recognition - can bind several peptides - not highly specific as receptors

60
Q

What is the structure of MHC I and II?

A

MHC I: α chain transmembrane - intra-cellular Ag
MHC II: α + β chains trnsmembrane - extra-cellular Ag

S-S - disulphide bonds

61
Q

What is the difference between MHC I and II?

A

MHC I:
- binding peptide 7-11 am. a.
- α chain embedded in membrane
- binds intra-cellular Ag - endogenous pathway
- present on all nucleated cells
- binds CD8+ CTL cells -> infected cells killed

MHC II:
- binding peptide 12-15 am. a.
- α + β chains embedded in membrane
- binds extra-cellular Ag - exogenous pathway
- present only on professional APCs
- binds CD4+ Th cells -> cytokines produced to regulate imm response

62
Q

What is MHC haplotype?

A

MHC haplotype - set of MHC alleles present on each chromosome - MHC genes are codominantely expressed - alleles from both parents expressed equally

Each organism expresses a diverse set of MHC molecules - encoded by MHC class I /II genes (HLA-X)

63
Q

What is the difference between intracellular and extracellular Ag?

A

Intracellular Ag: processed within the cytoplasm - tumor / bacterial / viral proteins / cellular proteins - processed within the cytosolic pathway (MHC I)

Extracellular Ag: internalised by phagocytosis / endocytosis - processed within the endocytic pathway (MHC II)

64
Q

What are CD4 and CD8?

A

CD4 / CD8 - proteins which form a bridge between TCR and:
- MHC II - CD4+ Th cells
- MHC I - CD8+ CTL cells

=> CD4 and CD8 termed co-receptors and considered an integral part of this multimolecular complex

65
Q

Why is MHC haplotype important in organ transplant?

A

MHC haplotypes of donor - recipient must be matched - tissue typing - foreign MHC molecules on graft activate T cells - kill the graft as an infection

=> hard to find donor matches - everyone has different mixes of MHC - MHC genes mots polymorphic genes in mammals

66
Q

How are pheromones involved in MHC haplotype?

A

T shirt experiment: the opposite sex smells best when the MHC alleles match the least - ensures that children have varied MHC alleles - best for Ag recognition if different MHC present

67
Q

What is the sequence of events in endogenous and exogenous pathways?

A
68
Q

Extra reading for MHC I, MHC II, Ag processing and presentation

A

https://microbenotes.com/mhc-antigen-processing-presentation/

69
Q

What is the role of DC cells in immune response?

A

Dendritic cells (DC) - innate immunity cells:
- present in all barrier tissues - scan for infection via PRRs by sampling environmental Ag
- when Ag found - take to lymph nodes (LN) - talk with T cells - present self-Ag, harmless Ag and pathogenic Ag to T cells
- don’t kill like macrophages

70
Q

What are the three phases of DC cells?

A
  1. Sampler: samples the env for Ag - expressed PRRs to detect DAMPS and PAMPs - bad at presenting Ag
  2. Traveller with cargo: has taken in env Ag - both dangerous and innocolous Ag - carries to LN to present for T cells
  3. Presenter: presents Ag to T cells in LN - upregulates MHC II + molecules for pathogen signalling (B7 or CD80/CD86) to T cells
71
Q

How does DC communicate danger to T cells in LN?

A

DC need to release signals to activate T cells:
1. Communicate Ag specificity: MHC-Ag interacts with TCR
2. Co-stimulation: danger signals - PAMPs - upregulate B7 (CD80/CD86) on APC - signals to T cell via CD28
=> T cell activates -> clonal expansion + effector functions

72
Q

What is the difference between B7 and CD80/CD86?

A

B7 - type of integral membrane protein - on activated APCs - when paired with CD28 / CD152 surface protein on T cell
-> costimulatory / coinhibitory signal to enhance / decrease activity of a MHC-TCR signal between the APC and the T cell

No difference, same thing: B7 I = CD80, B7 II = CD86

73
Q

What does it mean if no signal 2 is released by APC for T cell?

A

If no signal 2 - B7-CD28 binding - no danger - self / food Ag => T cell not activated

74
Q

Why do B and T cells don’t have more than one receptor?

A

If B and T cells had several receptors - chance that the same cell could have receptors for pathogen + self - if activated for pathogen - would also act on self => self destruction - autoimmune disease

75
Q

What are cytotoxic T lymphocytes and what is their function?

A

Cytotoxic cells (CTL) - type of T cell:
- CD8+
- recognises Ag presented by MHC I on APCs - intracellular Ag
- identifies
- kill infected cells

76
Q

What is the role of macrophage as APC?

A

Macrophages act as APCs by initiating iflammatory cascades:
- senses DAMPs, LAMPs - signals to Th cells -> go kill / the infection has been cleared - no more adaptive imm needed

77
Q

What is the role of B cells as APC?

A

B cells require permision from T cells to have fulll effector functions to fight the infection
?? read more

78
Q

Explain the process from DC cells acting as APCs to activating Th cells to Th cell communication with macrophages

A
79
Q

What is the difference between macrohpages and neutrophils in inflammation?

A

Macrophages vs neutrophils in inflammation:
- timing: neutrophils first -> then macrophages
- phagocytosis: macrophages more effective
- cytokines: macrophages produce more
- tissue damage/repair: macrophages play critical role in repair - produce growth factors + ECM proteins; neutrophils damage - produce enzymes + ROS

80
Q

Explain humoral vs cell-mediated immunity

A

Humoral immunity: mediated by B lymphocytes
Cell-mediated immunity: mediated by T lymphocytes