Bacterial scenario Flashcards

1
Q

How does the immune system recognize bacterial infections?

A

Through Pattern Recognition Receptors (PRRs) like TLRs that detect bacterial components such as lipopolysaccharides (LPS), peptidoglycan, and flagellin.

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2
Q

What cytokines are released by innate immune cells during bacterial infections, and what are their effects?

A

TNF-α, IL-1β, and IL-6; they promote inflammation, recruit immune cells, and induce the acute phase response.

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3
Q

What do macrophages do in response to bacteria?

A

They phagocytose bacteria, produce inflammatory cytokines, and present bacterial antigens on MHC II to CD4+ T cells.

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4
Q

How do neutrophils respond to bacteria?

A

Neutrophils are recruited to the site of infection, where they phagocytose bacteria, release antimicrobial granules, and form neutrophil extracellular traps (NETs)

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5
Q

How does the complement system respond to bacterial infections?

A

It is activated via:

Classical pathway: Antibody-antigen complexes.

Alternative pathway: Direct bacterial surface recognition.

Lectin pathway: Recognition of mannose on bacterial surfaces.

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6
Q

What are the main effects of complement activation?

A

Opsonization (C3b coats bacteria for easier phagocytosis).

Formation of the membrane attack complex (MAC) to lyse bacteria.

Recruitment of immune cells (via C5a).

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7
Q

How are naive T cells activated during bacterial infections?

A

Dendritic cells present bacterial antigens on MHC II to CD4+ T cells.

Costimulation occurs via CD80/86 and CD28.

Cytokines (e.g., IL-12) direct differentiation.

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8
Q

What cytokines promote Th1 or Th17 responses, and why are they important in bacterial infections?

A

IL-12: Promotes Th1 cells, which enhance macrophage killing.

IL-6 and TGF-β: Promote Th17 cells, which recruit neutrophils and enhance mucosal immunity.

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9
Q

What are the main effector functions of Th1 cells during bacterial infections?

A

They secrete IFN-γ, which activates macrophages to kill intracellular bacteria and enhances antigen presentation.

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10
Q

How do Th17 cells contribute to bacterial defense?

A

Th17 cells secrete IL-17, which recruits neutrophils and stimulates antimicrobial production at mucosal surfaces.

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11
Q

How are B cells activated in response to bacterial antigens?

A

T-Dependent Activation: B cells internalize and present antigens to helper T cells, which provide cytokine help (e.g., IL-4, IL-21).

T-Independent Activation: Polysaccharide antigens directly cross-link B cell receptors.

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12
Q

What is the role of antibodies in bacterial defense?

A

IgM: Early response; promotes complement activation.

IgG: Opsonizes bacteria, neutralizes toxins, and activates complement.

IgA: Protects mucosal surfaces by neutralizing bacteria.

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13
Q

How does the immune system deal with intracellular bacteria?

A

Th1 cells secrete IFN-γ to activate macrophages.

CD8+ T cells kill infected cells presenting bacterial antigens on MHC I.

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14
Q

How does the immune system respond to extracellular bacteria?

A

Antibodies neutralize bacteria, promote phagocytosis, and activate the complement system.

Neutrophils and Th17 cells are critical for clearance.

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15
Q

Which cytokines drive inflammation during bacterial infections?

A

TNF-α, IL-1β, and IL-6.

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16
Q

Which cytokines promote macrophage activation?

A

IFN-γ from Th1 cells.

17
Q

Which cytokines recruit neutrophils?

A

IL-17 from Th17 cells and chemokines like CXCL8 (IL-8).

18
Q

What is the role of memory T cells in bacterial infections?

A

Memory Th1 and Th17 cells respond rapidly to reinfection by activating macrophages and recruiting neutrophils.

19
Q

What is the role of memory B cells?

A

They quickly produce specific antibodies upon re-exposure to bacterial antigens.

20
Q

How is inflammation resolved after a bacterial infection?

A

Regulatory T cells (Tregs) secrete IL-10 and TGF-β to suppress immune activity and prevent tissue damage.

21
Q

What happens to neutrophils after the infection is cleared?

A

Neutrophils undergo apoptosis and are cleared by macrophages.