9. Mucosal Immunity Flashcards

1
Q

MALT

A

Mucosa associated lymphoid tissue

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2
Q

NALT

A

Nasopharynx-associated lymphoid tissue

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3
Q

GALT

A

Gut associated lymphoid tissue

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4
Q

Main task of MALT

A

Complete exclusion of various infectious agents and other antigens in the intestinal lumen, local or systemic immune response, induction of tolerance

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5
Q

Where can we find M cells?

A

In the epithelium above the Peyer patches

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6
Q

The mucosal immune system consists of two distinct compartments

A
  1. The epithelium

2. Lamina propria

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7
Q

How does IELs function?

A
  • Virus infects mucosal epithelium cell
  • Infected cell displays viral peptide to CD8 IEL via MHC class I
  • Activated intraepithelial lymphocytes kills infected epithelial cell by perforin/granzyme and Fas-dependent pathways
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8
Q

Two functional sites of GALT

A
  1. Inductive site (Peyers patch)

2. Effector site (Immune exclusion)

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9
Q

IgA class switching

A
  1. TD: Will result in high affinity IgA

2. TI: Will result in low affinity IgA

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10
Q

Checkpoints for the epithelial mucosal system

A
  1. Soluble/particulate PAMPs
  2. Dead/alive
  3. Pathogen/non-pathogen
  4. Harmless/harmful colonization of epithelial surfaces
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11
Q

Direct tissue damage by pathogens

A
  • Exotoxin production (extracellular pathogens)
  • Endotoxin (intravesicular pathogens)
  • Direct cytopathic effect (viruses)
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12
Q

Indirect tissue damage by pathogens

A
  • Immune complexes (strep.)
  • Anti-host Ab (strep.)
  • Cell mediated immunity (eg. herpes)
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13
Q

Where can we find GALT?

A

Tonsils, appendix, Peyers patches

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14
Q

Function of M cells

A
  • M cells take up Ag by endocytosis and phagocytosis
  • Ag transported across M cells in vesicles -> released at the basal surface
  • Ag bound by DCs -> activate T cells
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15
Q

IEL are what kind of cells?

A

CD8 positive cytotoxic T cells

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16
Q

Mediators of class switching to IgA

A

IL-5, IL-2, TGFbeta

17
Q

Fusobacterium nucleatum

A
  • Naturally present in dental plaque
  • Protects against invasion by P.gingivalis
  • Resistant to beta-defensin
18
Q

Porphyromonas gingivalis

A
  • In infection of the gums: Periodontitis
  • In plaque accumulation
  • Not resistant to beta-defensin
19
Q

Mechanism to remove pathogens based on size

A
  • Smaller than a phagocyte: Phagocytosed and killed primarily intracellularly (neutrophils)
  • Bigger pathogens: Degranulation and extracellular killing (neutrophils + eosinophils against basic molecules, basophils against acidic molecules)
20
Q

Mechanism to remove pathogens based on localization

A
  • Intracellular: Vesicular or cytoplasmic -> no humoral immunity
  • Extracellular: Humoral immunity