9. defence against extra cellular pathogens Flashcards

1
Q
A
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2
Q

what is complement?

what do they act as?

A

a collection of proteins in circulation and tissue fluids that can complement the effects of antibodies

activation enzymes, defence molecules, regulatory proteins

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3
Q
A
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4
Q

what is the central event of complement activation?

A

splitting C3-> C3a+ C3b

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5
Q

what is the shape of a Cq1 and how does it bind and activate antibodies

what is similar about manose binding lectin

A

tulip flower 6 stalks

flower heads bind to Fc region on IgG- it can only bind when IgG is immobilised (bound to antigen)

at least two heads binding onto IgG triggers activation of C1r and C1s

IgMantibody – pentamer, 5Fc regions for C1q to bind to, so multiple heads bound to activate C1r and C1s

Manose binding lectin

Looks like C1q, flower heads of MBL bind to manose residues in microbial carbohydrates, pattern recognition molecule, binding activates MASP 1 and MASP2 which split C4 and C2 to generate C3 convertase enzyme

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6
Q

Membrane attack complex

A

Hole is punched

C5b binds then C6, C7, C8 binds then C9 comes and polymerise to form hole- osmotic lysis

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7
Q

classical pathway of complement

A
  1. IgM or IgG bound to antigens
  2. C1q binds to Fc regions-> activates C1r and C1s
  3. C4 and C2 converted to have C3 coverntase activity

(C4b2a)

if not antibodies availabile, MBL activates C3 convertase by MB lectin pathway- less efficient

activates MBL associated serine protease to covert C4 and C2 into C4b and C2a

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8
Q

alternative pathway

A
  1. a degree of C3 conversion occurs from spontaneous hydrolysis (enhanced by proteases or needs C3b from classical)
  2. allows C3 convertase formation without other components
  3. C3b unstable unless bound to microbe (then binds to factor B)
  4. C3b forms with factor B in presence of protease factor D= C3bBb: rapidly dissociates to other factors

then P binds= C3BbP

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9
Q

phagocytosis

types of cells and location

what do they have

A

macrophage: tissue resident cells from blood monocytes
neutrophils: circulate blood into sites of infection and inflammation

phagocytes express PRRs- binds to microbes

also have opsonin receptors

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10
Q

opsonisation

A

by acute phase proteins

C reactive (binds to phosphorylchlorine) and MBL (binds mannose residuces) opsonise for phagocytosis and activate complement

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11
Q

how can complements and antibodies opsonise for phagocytosis?

A

Microbe coated with antibodies, with Fc regions away, C3b complementary activation

Phagocyte have receptor FcR that bind to Fc regions of antibodies and also complement receptors for C3b

Increases binding and efficiently triggers phagocytosis

IgG and IgA can bind as have G gamma and A alpha receptors

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12
Q

phagocytosis mechanism

A
  1. interaction of microbe and opsonins with surface receptors of phagocyte triggers phagocytosis
  2. phagocyte moves along conc gradient of chemotactic agents via chemotaxis
  3. microbe engulfed into membrane bound vesicle= phagosome
  4. lysosome with lytic digestive enzymes fuse= phagolysosome
  5. microbe digested then exocytosed
  6. phagocytes produce reactive oxygen species- enters phagosome- degradation
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13
Q

how do neutrophils respond rapidly to inflammation stimuli

A

marginate to blood vessel walls, adhere to endothelial cells at sites of inflammation

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14
Q

extracellular digestion

A

if the parasite is too big, eosinophils have Fcr and Cr

(complement receptors and IgG and IgE receptors)

opsonisation of parasitic worms by antibodies and C3b to allow binding

cytoplasmic granules released (digestive)

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15
Q

mast cells and inflammation

A

mast cells have igh affinity of FcR and binds IgE from tissue fluid

become coated in IgE and become antigen specific

antigen binds to more than 2 IgE on mast cells (cross links/ bridges)-> inflammatory mediators released

also has Cr-> C3a and C5a trigger inflammatory mediator release (degranulation)

inflammatory mediators stored in granules (histamine, heparin, tryptase)

-synthesis of new mediators triggered on activation

released over long time

eg. leukotrienes, postaglandin, cytokines

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16
Q

the local inflammatory response

A
  1. vasodilation: increased volume of blood to tissue, decrease rate of blood flow so leucocytes move slowly through
  2. activation and flattening stage

leukocyte adhesion: edothelial cells activated to express adhesion molecules for leukocytes

capture and rolling: selectins on endothelial cells (E and P- selectin) bind to glycosylated proteins (mucins) on leukocytes

this allows leukocytes and chemokins to trigger integrin leukocyte expression intergrins on leukocyte bind to ligands in EC matrix and and vascular/interceullar adhesion molecules: allows beinding to tissue cells

3.extravasation leukocyte pass through endothelial cells (lose tight junctions) using intergrins (movement blood to tissue)

increase vascular permeability: allows leukocyte and plasma for antibodies and complement proteins to move into tissue

chemotaxis: directional movement leukocyte through tissue to site of infection in response to chemical signals

  1. immobilisation at site of infection and activation
17
Q

induces of inflammation (amplifying events)

A

C3a and C5a (anaphylatoxins)

mast cell products (eg. histamine - immediate release

leukotrienes - delayed release)

prostaglandins (eg. from macrophages and mast cells)

cytokines (eg. from macrophages and T cells)

chemokines

18
Q

inducing cytokines in inflammatory response

A

interleukin-1 (IL-1)

interleukin-6 (IL-6)

tumour necrosis factor (TNF)

19
Q

key features of sytemic inflammatory response

A

Fever - raised temperature (antimicrobial) - effect on hypothalamus

Leucocytosis - increased release of leucocytes (particularly neutrophils) from the bone marrow

Acute phase proteins released from the liver

  • C-reactive protein (CRP) esp.
20
Q

what activates P and E selectins

A

local release of IL1 and TNF alpha induce expression of E selectin in endothelial cells

these bind with ligands on leukocytes with low affinity to allow rolling

P selectins are activated by histamine and thrombin

moves from internal to cell surface

more important in platelet aggregation