9. TA lectures Flashcards

1
Q

Atopic dermatitis can be caused by…

A

microbial dysbiosis, genetic mutations, skin barrier disruption, immune dysregulation, allergen exposure

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2
Q

physical burden of atopic dermatitis

A

skin pain
sleep disturbance
depression and anxiety
asthma, allergies, hay fever
allergic contact dermatitis
infections
cardio-metabolic disorders

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3
Q

skin microbial dysbiosis in atopic dermatitis

A

skin barrier disruption causes a decrease in commensals and AMP
results in an increase of IgE, eosinophils, and CCL17

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4
Q

Mast cells in Atopic dermatitis

A
  • IgE bound to mast cell can cause imflammation (immunological)
  • pathogen detection and surveillance in barrier tissues
  • have a spatial and temporal advantage over other leukocytes
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5
Q

MRGPRX2/b2 mediated mast cell activation

A
  • MRGPRX2 is expressed in human connective tissue mast cells
  • are receptors of cationic ligands
  • cause non-immunologic mast cell activation (IgE independent)
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6
Q

how do mast cells and S.aureus interact in the occurrence of AD

A
  • increases s.aureus = decreased microbial diversity
  • s.aureus produces d-toxin which activates mast cells and induces AD-like inflammation
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7
Q

what renders mast cells “sentinels” of the body

A
  • tissue-resident cells found in host-environment junctions
  • possess a broad repertoire of receptors to detect a variety of molecules
  • activation occurs in seconds to minutes
  • roles in allergy and infection
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8
Q

MRGPRX2/b2 receptor expression and activation

A
  • found in connective tissue mast cells
  • activated by a variety of cationic (positive) compounds
  • mediates susceptibility to bacterial infection
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9
Q

what are examples of cations (bacterial molecules) that the MRGPRX2 receptor binds

A
  • quorum-sensing molecules
  • neuropeptides
  • anti-microbial peptides
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10
Q

what is catestatin

A

a neuroendocrine AMP which has antimicrobial and immunomodulatoy properties
its activation and improve the process of healing infected wounds

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11
Q

catestatin induces…

A

MC histamine and PGD2 release through MRGPRX2

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12
Q

effects of S.aureus toxins

A

activates T-cells
leukocyte lysis
host cell lysis
compromise physical barriers

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13
Q

examples of toxins from s.aureus

A

TSST1
staphylococcal enterotoxins
leukocidins
a-hemolysin

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14
Q

how does s.aureus evade the immune system

A

interferes with complement activation
fibrin sheild

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15
Q

what does SCIN do

A

stabilizes inactive C3 convertase to prevent further action of the complement cascades

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16
Q

fibrin shield of S.aureus to evade the immune system

A

ClfA proteins bind to host structural proteins to promote adhesion
shield MAMPs by coating the bacterium with host proteins to block detection of peptidoglycan

17
Q

how does S.aureus invade host cells and cause bacteremia

A

vascular wall adhesion
blood vessel damage
SpA-mediated B-cell death
activation of prothrombin
ClfA-Fibrin interactions