8.2 Innate immunity Flashcards

1
Q

Describe innate immunity.

A

The body’s first line of defence against pathogens.
- Non-specific
- Rapid response
- No prior exposure to pathogen required
- Consistency in response
- Includes natural barriers, phagocytes, soluble mediators, pattern recognition molecules

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2
Q

Describe the timings of each immune response after being exposed to a pathogen.

A

0-4 hours: Innate immunity, non-sepcific, uses pattern recognition receptors.

4-96 hours: Early induced innate response, recognition of microbial-associated molecular proteins.

96+ hours: Adaptive immune response, antigen transported to lymphoid organs and recognised by T and B cells.

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3
Q

Give examples of mechanical barries to infection.

A
  • Epithelial cells joined by tight junctions
  • Nasal cilia
  • Movement of mucous by cilia in the respiratory tract
  • Tears
  • Longitudinal flow of air or fluid
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4
Q

Give examples of chemical barries to infection.

A
  • Lysozyme in tears and saliva
  • Low pH of gut
  • Enzymes in the gut
  • Fatty acids on the skin
  • Antibacterial peptides
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5
Q

Give examples of microbiological barries to infection.

A

The normal flora of the skin and gut.

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6
Q

What barriers to infection exist in the respiratory tract?

A
  • Nasal hairs
  • Saliva (lysozyme)
  • Cough/sneeze reflex
  • Mucous traps microbes
  • Ciliated epithelium
  • Mucociliary escalator
  • Alveolar macrophages
  • Epithelial cells secrete chemokines to recruit neutrophils to site of infection
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7
Q

What barriers to infection exist in the GI tract?

A
  • Lysozyme in saliva
  • Stomach acid
  • Enzymes
  • Bile
  • Peristalsis
  • Epithelial barrier
  • Bacterial flora
  • Mucus and defensins
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8
Q

Name 7 cell types involved in innate immunity.

A
  • Monocytes/macrophages (monocytes are phagocytic, macrophages are phagocytotic and APCs)
  • Dendritic cells (important link with adaptive immunity, antigen presenting cell)
  • Neutrophils (professional phagocytes)
  • Eosinophils
  • Mast cells
  • Basophils
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9
Q

Innate immune cells are of what lineage?

A

Myeloid lineage

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10
Q

What is the main role of the innate immune response?

A

To rapidly neutralise or remove pathogens.

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11
Q

In what 2 ways does the innate immune response neutralise/remove pathogens?

A
  • Phagocytosis: breakdown of pathogens
  • Inflammation: allows removal of neutrophils, inflammatory mediators are released, stimulate cells locally and recruit cells to the sire of infection, affect permeability of BVs e.g. fenestrated capillaries
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12
Q

How do phagocytic cells recognise microbes?

A
  • Phagocytic cells have receptors, when these bind with a ligand phagocytosis and/or inflammatory responses are induceed
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13
Q

What 2 types of receptors do phagocytic cells have?

A
  • Toll like receptors (TLR2, TLR4): lead to production of inflammatory mediators
  • Macrophage mannose receptor: leads to phagocytosis
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14
Q

Define phagocytosis.

A

The recognition, engulfment or and processing of pathogens and senescent cells.
Not just about infection, very important in homeostasis.

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15
Q

Describe the process of phagocytosis.

A
  • Ingestion of microbe by phagocyte, transported in a vesicle = phagosome
  • Phagosome fuses with lysosome = phagolysosome
  • Digestion of ingested microbe by enzymes
  • Dishcarge of waste materials from the cell
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16
Q

How can some pathogens resist phagocytosis?

A
  • Some pathogens destroy C5a (a chemoattractant) so they can avoid neutrohpils and avoid engulfment.
  • Some pathogens inhibit phagolysosome formation e.g. M.tuberculosis releases sulphatides.
  • Some pathogens survive inside the phagolysosome e.g. S.aureus produces catalase and SOD to neutralised the products of NADPH and MPO systems.
  • Some pathogens escape from the phagosome e.g. Listeria monoyctogenes produce haemolysin and phospholipases to escape.
17
Q

Describe the basic principles of inflammation.

A
  • Occurs in response to the presence of foreign particles or microbes
  • Inflammatory mediators are synthesised and released from macrophages e.g. cytokines, chemokines, lipid inflammatory mediators
  • Vasodilation and increased vascular permeability cause redness, heat, pain and swelling
  • Inflammatory cells migrate to the tissue to help to remove the microbe (chemotaxis and diapedesis)
18
Q

Name some cytokines.

A
  • Interleukins
  • TNF (tumour necrosis factor)
  • CSF (colony stimualting factors)
19
Q

Intracellular killing of bacteria is divided into what 2 groups?

A
  • Oxygen dependent
  • Oxygen independent
20
Q

Name oxygen dependent mechanisms for intracellular killing of bacteria.

A
  • Hydrogen peroxide
  • Hydroxyl radical
  • Hypohalite
  • Singlet oxygen
  • Nitric oxide
21
Q

Name oxygen independent mechanisms for intracellular killing of bacteria.

A
  • Lysozyme
  • Lysosomal contents
  • Acid hydrolases
  • Cationic proteins
  • Lactoferrin
  • Neutral proteases
22
Q

What is the complement system?

A

A large number of distinct plasma proteins that react with one another to opsonize pathogens and induce a series of inflammatory responses that help to fight infection.

23
Q

What are the 3 functions of the complement system?

A
  • Chemotaxis: e.g. C5a attracting phagocytic cells to site of damage
  • Opsonisation: coating molecules to enhance phagocytosis
  • Cell lysis: via formation of the membrane attack complex (MAC)
24
Q

What is a zymogen?

A

An inactive protein (e.g. in the complement system) which is cleaved by a protease to become an active enzyme.

25
Q

What are the 3 pathways which can lead to complement activation?

A
  • Classical pathway (adaptive)
  • MB lectin pathway (innate)
  • Alternative pathway (innate)
26
Q

What are antimicrobial peptides?

A

A primitive form of defence found in animals and plants.

27
Q

What are the 2 main antimicrobial peptide families?

A
  • Defensins
  • Cathelicidins
28
Q

How do antimicrobial peptides contribute to immunity?

A

Act by disrupting membranes of bacteria, fungi and some viruses.

29
Q

Describe the structure of defensins.

A
  • Amphipathic molecules
  • Positively charged areas and a hydrophobic region
  • Allows them to interact with membranes