Antibacterial responses Flashcards

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1
Q

List some feature of bacterial infections

A
  • In general, bacterial pathogens live and replicate in extracellular spaces with exceptions
  • Several of the most acute and dangerous bacterial diseases are caused not by the bacteria themselves but by the toxins they produce
  • Infection is an interaction between the pathogen and the host
  • Key steps in infection: entry, invasion and colonisation of host tissue, evasion of immunity, tissue damage
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2
Q

Do all bacteria cause disease

A
  • Bacteria do not always cause disease
  • The intestine in a healthy adult contains about 10^14 essential bacteria
  • With about another 10^12 on the skin
  • Microbiota is a mechanism of protection to infection both ecological and immunological
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3
Q

List some general features of immunity to bacteria

A
  • Innate and adaptive immunity
  • Immune responds in specialised and different ways to different bacteria
  • Pathogenicity and survival of the bacteria is critically influenced by the ability to evade the effector mechanism of immunity
  • Latent bacteria are not cleared by immune system
  • Tissue damage is associated with immunity and not infection
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4
Q

What are the first lines of defence against bacteria

A
  • Skin
  • GI tract
  • Respiratory tract
  • Urogenital tract
  • Eyes
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5
Q

What are some components of the first lines of defence that help prevent bacteria

A
  • Flow of fluid
  • Sebum
  • Enzymes
  • Acidity
  • Normal flora
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6
Q

What are anti-bacterial peptides: defensins

A
  • Anti-microbial peptides capable of killing by penetrating microbial membranes thus disrupting their integrity.
  • They are active against bacteria, fungi and many enveloped and non-enveloped viruses.
  • There are two types: a-defensins and β-defensins.
  • a-defensins are secreted mainly by neutrophils and by Paneth cells
  • β-defensins are secreted by a broad range of epithelial cells, in particular, those in the respiratory tract, the skin and the urogenital tract.
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7
Q

what happens if the initial barriers are crosses

A
  • Activation of the complement pathway by microbial cell wall components
  • The complement being a PRR
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8
Q

What is the complement system

A
  • Key effector function of the humoral response.
  • Serum and cell surface proteins that interact with one another to generate products that eliminate extracellular bacteria
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9
Q

What are the 3 pathways in the complement system

A
  • Classical pathway - antibody activation
  • Lectin pathway - MBL and carbohydrate activation
  • Alternative pathway - Specific PAMP activation
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10
Q

What are the 3 functions of the complement

A
  • Opsonisation and phagocytosis
  • Stimulation of inflammatory reactions
  • Complement-mediated cytolysis
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11
Q

Describe how opsonisation and phagocytosis work in the complement system

A
  • Binding of C3b to microbe (opsonisation)
  • Recognition of bound C3b by phagocyte C3b receptor
  • Phagocytosis of microbe
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12
Q

Describe how stimulation of inflammatory reactions work in the complement system

A
  • Binding of C3b to microbe
  • release of C3a and C5a
  • Recruitment and activation of leukocytes
  • Destruction of microbes by leukocytes
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13
Q

Describe how complement-mediated cytolysis works in the complement system

A
  • Binding of C3b to bacteria
  • Activation of late components and complement
  • Formation of the membrane attack complex
  • Osmotic lysis of bacteria
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14
Q

Describe the role of complement receptors in phagocytosis

A
  • Phagocytes express many complement receptors alongside other PRRs
  • Allows them to recognise pathogens and undergo phagocytosis
  • Also allows them to recognise bacterial components and produce cytokines in response
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15
Q

What are Pathogen Recognition Receptors (PRRs)

A
  • Allows recognition of pathogens via many different kinds of receptors
  • TLRs, scavenger receptors, Antibody receptors
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16
Q

What are the different types of TLRS

A
  • Membrane-bound
  • Intercellular TLRs
17
Q

How do TLRs recognise gram positive an negative

A
  • TLR2 recognise peptidoglycan
  • TLR4 recognise LPS
18
Q

What are the consequences of PAMP recognition by PRRs

A
  • Phagocytosis
  • Cytokine production
  • Inflammation
19
Q

What is the role of neutrophils in a bacterial infection

A
  • Phagocytosis and
    degranulation of granules-
    intracellular killing of bacteria
  • Phagocytosis and oxidative
    burst kills the bacteria
  • Neutrophils can also kill
    bacteria phagocytosing
    bacteria - Neutrophils Extracellular Traps (NETS)
20
Q

What are the function of antibodies in the humoral response

A
  • Neutralise bacterial toxins
  • Trigger classical complement pathway by binding of IgM to the bacterial cell surface
  • Opsonisation; coating of bacteria with antibody thereby aiding phagocytosis
21
Q

Describe how toxic neutralisation occurs

A
  • Many bacteria secrete protein toxins that cause disease by
    disrupting the normal function of host cells
  • To do this a bacterial toxin must bind to a receptor
  • Thus, antibodies that bind to that receptor block the function
    of the toxin
22
Q

Describe the consequence of triggering the complement pathway

A
  • IgM bound to the surface of a bacterium binds to a complement component that initiates the classical pathway of complement activation.
  • Consequently, the bacterial cell surface is coated in C3b facilitating its phagocytosis.