Adaptive and Innate Immunity Flashcards

1
Q

Immune system:
Role

A

– Protect against infection
– Recover from infection and tissue damage
– Identify somatic changes to self (e.g. cancer)
– Maintain an adequate separation from the organism’s environment

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2
Q

How does the immune system differeniate self vs non self

A

Molecular Shape

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3
Q

WBC development sites for primary and secondary development

A

Bone marrow: Primary centre for T and B cell production
- Site for secondary site for B cell maturation

Thymus
- T cells migrate to thymus for T cell maturation

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4
Q

Blood cell development:
Flow chart for all the cell types and their GENERAL function

A

Stem cell

6 cells (one being megakarocyte)

  1. B cell
  2. T cell
  3. megakarocyte - platlets (packing of clotting factors)
  4. Basophil
  5. Eosionphil
  6. Neutrophil
  7. Monocyte = macrophage
    -phagocytic cells
  8. RBC
    -oxygen and Co2

LECTURE SLIDE

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5
Q

Role of primary lymphoid organs

A

– Where lymphocytes are made:
– Bone marrow (produces B lymphocytes)
– Thymus (produces T lymphocytes)
– Fetal liver (source of stem cells and B lymphocytes)

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6
Q

secondary lymphoid organs
- examples of them
-Role

A

– Spleen, Lymph nodes, Tonsils, Adenoids, Peyer’s patches, Skin
– They filter and enrich for foreign antigens (lymph nodes for tissues, spleen for blood, Peyer’s patches for gut)
– Lymphocytes formed in the primary organs migrate here to mount immune responses to foreign antigens, can also recirculate in tissues

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7
Q

Tertiary Lymphoid Organs
- Role

A

– collections of immune cells similar to secondary lymphoid organs
– found in non-lymphoid tissues, function in surveillance and inflammation

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8
Q

Innate vs Adaptive Immunity

A
  • Innate Immunity
    – Generally early defenses
    – Recognises broad patterns
    – No difference with repeated exposure
  • Adaptive Immunity
    – Generally later defenses
    – Recognises highly specific antigens
    – Result in immunological memory
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9
Q

What does the innate immunity consist of?

A
  1. physical barriers to infectious agents
    * most infectious agents cannot penetrate intact skin
    * especially important defenses at nasopharynx, gut, lungs and genitourinary tract
  2. microbicidal factors in body fluids
    * lysozyme
    * complement
  3. antiviral proteins (e.g. interferons)
  4. phagocytic cells (e.g. neutrophils and macrophages)
  5. NK cells
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10
Q

Examples of biochemical and biophysical defences of innate immune system

A

Biochemical:
Lysozyme in secretions (eg tears)
Sebacous gland secretions
Commensal organisms in gut and vagina
Spermine in semen

Biophysical
- mucus
- cilia lining resp tract
acid in stomach
Skin

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11
Q

Lymphatic system
- what is the purpose of it?

A

Fluid from the blood leaks out of capillaries into surrounding tissues:
– hydrostatic pressure in blood vessels (transudate)
– tissue injury leading to acute inflammation (fibrinous exudate)

  • Therefore, the body needs a mechanism for collecting this fluid and returning it to the blood stream = the lymphatic system
  • A tree-like structure of thin-walled vessels into which fluid can drain from extracellular tissue spaces
  • Fluid is ‘pumped’ through the lymphatic vessels by normal muscle activity in the body
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12
Q

How does the lymphatic system and innate immunity relate together?

A

Afferent lymphatic vessels drain the interstitial fluid from tissues into lymph nodes

  • This lymphatic fluid can carry material from infectious agents and from body cells damaged by the infectious process
  • Lymph nodes filter material from lymphatic fluid and present it to the immune system
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12
Q

Innate immunity: Complement system
- what is it
-what are the 3 pathways
-each pathways role/process

A

A non-cellular part of the innate immune system, made up of a “cascade” of proteins (manufactured largely in the liver) and their receptors

  1. Pathogen killing through the “classical” complement pathway
    * Antibodies bind to antigens on a pathogen surface
    * The antibodies are then bound by complement components, leading to complement-mediated lysis of pathogen cells by a “membrane attack complex”
  2. Alternative: Direct opsonisation of microbial antigens
    * A molecular ‘coating’ that marks pathogens for phagocytosis and killing
    * This does not require antibodies
  3. Enhanced recruitment of neutrophils and macrophages
    * This enhances acute inflammation
    * You may see this referred to as the “lectin pathway” as it involves “lectin” (sugar-binding) molecules that bind to the pathogen surface
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13
Q

Neutrophil functions:

A
  • Acute Inflammation
  • Phagocytosis
  • Degranulation
  • Neutrophil extracellular ‘traps’
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14
Q

What do neutrophils recognise in order to know what to attack

A
  1. Broad molecular patterns e.g. in bacterial cell wall components
  2. C3b component of complement (complement opsonisation)
  3. The Fc region of antibodies (Ag-Ab complex ‘opsonization’)
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15
Q

Monocytes and macrophages Functions

A
  • Chronic Inflammation
  • Phagocytosis
  • Cytokine secretion
  • Orchestrates ‘repair’ after inflammation
  • Antigen presentation during adaptive immune responses
16
Q

Natural Killer cells:
- function
-examples of cells they attack
- what makes them different?
-what determines if they kill a cell?

A

Their main role is to kill healthy cells that pose a threat
* e.g. virally infected cells
* e.g. cancer cells
* e.g. antibody-coated cells

  • They also secrete cytokines that enhance activity of other immune cells
  • They don’t need to be switched on by an antigen
    presenting cells (unlike T lymphocytes)
  • Whether or not they kill a target cell depends on the balance between activating vs inhibitory signals
  • Most normal healthy body cells have MHC class I receptors on their surface – these strongly inhibits NK cells. so cells without them will cause activation of NK
17
Q

Examples of receptors that the innate system uses to create activation

A

Innate immunity cells are able to recognise broad classes of MOLECULAR PATTERNS

– The Macrophage Mannose Receptor
– CD14 (with other receptors it binds bacterial LipoPolySaccharide complexes)
– Toll-like receptors (in association with other cell surface molecules)

These receptors initiate very rapid responses with no delay
* They induce complex signaling cascades inside cells of the innate immune system, which include signals that then activate the adaptive immune system

18
Q

What are the two parts of adaptive immunity
AND what are the key parts to each one

A

Humoral and cell mediated immunity

Humoral:
Products of B cells
Involves AB
Operates against antigens OUTSIDE the cells
- viruses, toxins (stop attachment)
-Extracellular bacteria (enhance phago, activate complement)

Cell mediated
- Product of T cells
- No AB involved
- Operates against antigens INSIDE cells
-virus infecred cells, tumor cells, transplanted organs

19
Q

Why do we need cellular immunity in adaptive immunity

A

Viruses grow inside cells
so they are inaccessible to antibodies

20
Q

T cells:
Types, role and their respective features

A

CD8 (Cytotoxic)
- Kills cells with foreign intracellular antigens
- has CD8, TCR and CD3 receptors on cell

CD4 (T helper)
- Produce cytokine to assist other responses
CD4, TCR, CD3

21
Q

What HLA does CD8 and CD4 recognise

A

CD8:HLA1 on target cell

CD4:HLA2 on target cell

22
Q

HLA 2 vs HLA 1

A

HLA1:
B2 microglobulin
- found on ALL NUCLEATED cells
Co-dominant
Polymorphic
Present to CD8

HLA2:
A and B
- Found on APC and B cells
-polymorphic
Present to CD4

23
Q

Process of CD8 activation

A
  1. Recognition of foreign HLA1 in secondary lymphoid organs
  2. Send cytokines to CD4 for actiavtion of CD4 cells (alarm signals)
  3. Proliferation and differeniation
  4. Cytotoxic T cell activation and begin killing the virus infected cells AND creating memory CD8 cells
24
Q

Process of CD4 activation

A
  1. CD4: HLA2 on APC in secondary lymphoid organ
  2. Send cytokines to CD4 for actiavtion of CD4 cells (alarm signals)
  3. Proliferation and differeniation
  4. Helper T cell activation and begin secreting cytokines to regulate other immune responses (eg CD8 cells) AND creating memory CD8 cells
25
Q

Antibody structure

A

Antigen binding site
Fc region
Heavy chain
Light chain
Disulfide bonds

Lecture Slide

26
Q

What determines if a cell can differentiate between self and non self when maturing

A

the affinity (binding strength) of the Ab to the presented Ag epitope

Too strong = killed
No reaction = killed

Medium/low = kept

27
Q

Examples of how antibodies contribute to the immune response

A
  • Neutralisation
  • Chemotaxis
  • Opsonisation causing enhanced
    phagocytosis
  • Antibody-dependent
    killing/cytotoxicity
  • Trigger the ‘Classicalpathway’ of the
    Complement Cascade (ag-ab complexes)

Lecture Slide

28
Q

Diagram showing Antigen Receptors and Lymphocyte Activation

A

Lecture Slide

29
Q

Examples of Over-reactive or Reduced T cell Immunity

A
  1. Allergy (strong ab response of a particular Ig class, IgE, against a relatively innocent stimuli
  2. A immune reaction that is TOO strong causes pathological damage to bystander host tissues (Hep B)
  3. Antigen-antibody complexes produced in high concentrations -> lodge in small vessels -> activate complement system -> cause vascular damage (vascular inflammation or vasculitis)
  4. The immune system begins to cross-react to normal components of the body as if they were abnormal components (rheumatic fever)