3 - Innate immunity Flashcards

1
Q

What is innate immunity?

A
  • Present from birth
  • Distinguishes from self and non self using pattern recognition receptors (PRRs)
  • Does NOT use highly diverse antigen-specific receptors (as used by lymphocytes)
  • Recognises damage to self
  • Not enhanced upon second exposure (no memory)
  • Uses cells and soluble components in body fluids
  • Provides a rapid response (minutes to hours) that cooperates with and helps to direct subsequent antigen-specific, adaptive immunity.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What do PRRs recognise?

A

Pathogen associated molecular patterns (PAMPs)

e.g. lipopolysaccharide, flagellin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do phagocytic cells do?

A

Engulf invading organisms, try to kill them, release signals to alert other cells to the infection.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Name 4 phagocytic cells

A

Neutrophils
Monocytes
Macrophages
Dendritic cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What do neutrophils do?

A
  • Polymorphonuclear leukocytes
  • Abundant, relatively short-lived.
  • Circulate in blood and migrate out into tissues to sites of damage/infection.
  • Highly phagocytic cells, antigen uptake is more efficient after opsonisation, Antibody and complement function as opsonins in this way.
  • Neutrophils have multiple killing mechanisms, the most important of which involve the oxygendependent respiratory burst.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is opsonisation?

A

The process of coating of micro-organisms with proteins that are able to be bound by phagocytes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is neutrophil deficiency associated with?

A

Infections due to extracellular bacteria ans fungi.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are macrophages?

A

The other main phagocytic cells, found in tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are monocytes?

A
  • The blood form of macrophages.

As well as engulfing and trying to kill invading organisms, macrophages are particularly important for their role in secreting “alarm” cytokines, in particular interleukin-1 (IL-1), IL-6, IL-8 and tumour necrosis factor alpha (TNF-α).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are dendritic cells?

A
  • Found in the skin and near mucosal epithelia
  • They recognise pathogens, secrete cytokines, engulf pathogens and migrate to local lymph nodes to present antigens to the adaptive immune system.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are cytokines?

A
  • A large family of many different small secreted proteins involved in cell to cell communication.
  • They have biological effects at very low concentrations, are short-lived, and generally act locally.
  • They often have effects on more than one cell type, and are produced in combinations rather than individually in isolation, leading to a “cytokine milieu”or “cocktail”.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How do cytokines function?

A

They function by binding to specific receptors on the surface of cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the 5 different categories of cytokines?

A

Interleukins – communicate between leukocytes
Interferons – have anti-viral effects
Chemokines – required for chemotaxis and recruitment of cells to particular sites
Growth factors – required for development of cells of the immune system
Cytotoxic – can induce cell death e.g. tumour necrosis factor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is compliment?

A

A complex series of proteins in serum and in tissues which form a triggered enzyme cascade system, leading to:

  • opsonisation of micro-organisms
  • direct killing of microorganisms
  • promotion of inflammation
  • recruitment of leukocytes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which cells may be activated my compliment?(anaphylatoxins)

What does this cause them to do?

A

Mast cells

  • They degranulate
  • Leading to vasodilation
  • Increased vascular permeability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the 3 compliment pathways?

A

Classic pathway - Antigen/antibody

Lectin pathway - MBL= mannanbinding lectin, CRP = C-reactive protein

Alternative pathway - Bacteria

17
Q

What does local acute inflammatory response involve?

A
Involves...
macrophage activation, 
cytokine secretion, 
endothelium activation, 
leukocyte extravasation and chemotaxis, 
neutrophil phagocytosis and killing.
18
Q

What increases vascular permeability?

A
  • Compliment activation
  • Opsonisation
  • Mast cell degranulation
  • Kinin cascade activation
19
Q

What is an acute phase systemic response?

A
  • Occurs 1-2 days after local acute inflammatory response.
  • Fever
  • Increased production of leukocytes
  • Production of acute phase proteins by the liver; this is a cytokine induced reaction (IL-1, IL-6 and TNFα). They help fight the infection.
20
Q

Name examples of acute phase proteins

A
C-reactive protein
Mannas-Binding lectin
Serum amyloid A
Compliment components
Fibrinogen (for clotting)
21
Q

What are natural killer cells?

A
  • Large granular lymphocytes (5-10% of peripheral blood lymphocytes) with cytotoxic activity.
  • Important in defence against tumours and viral infections (Herpes viruses in particular).
  • No antigen-specific receptor, but express complex sets of both activating and inhibitory cell surface receptors: whether to kill or not is a balance of different signals.

Activated NK cells also secrete the cytokine interferon-γ.

22
Q

Brief summary of cells and humeral innate immunity.

A

CELLS:
phagocytes (bacteria), Natural killer cells (viruses)

HUMORAL:
compliment (bacteria), interferons (viruses)

23
Q

What are interferons?

A

A protein which inhibits a virus replicating.