CH 12: Innate Immunity Flashcards

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1
Q

What are the three lines of defense against pathogens?

A

1st Line: Barrier
2nd Line: Innate Immunity
3rd Line: Adaptive Immunity

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2
Q

What is the first line of defense?

A

natural barriers

  • physical
  • mechanical
  • chemical
  • biological
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3
Q

What do physical barriers do? What are the types?

A

Prevent access to host

Epithelial Tissues are Physical Barriers

  • Epidermis
  • Mucosa
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4
Q

What do mechanical barriers do? What are the types?

A

Used to expel microbes and prevent colonization

Movement (Blink, cry, sneeze, cough)

cilia & mucus flow protects the respiratory tract

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5
Q

What do chemical barriers do? What are the types?

A

Create an inhospitable environment for growth

Acidity in stomach, skin, vagina, urethra

Hypertonicity
- salt of sweat kills bacterial cells

Lysozyme
- enzyme degrades peptidoglycan

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6
Q

What do biological barriers do? What are the types?

A

Limit growth by competition

normal flora bacteria

  • skin
  • oral & upper respiratory
  • gastrointestinal
  • vaginal
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7
Q

All the following are mechanical barriers EXCEPT:

blinking
sneezing
stomach acid
urination
mucus flow
A

Stomach Acid

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8
Q

Which barrier defense is compromised in a 3-month old that develops infant botulism from eating raw honey?

biological
chemical
mechanical
physical

A

biological

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9
Q

What are the different elements of immunity?

A

surveillance
- leukocytes circulate and look for pathogen/infection

recognition
- Leukocytes have receptors to recognize harmful vs. nonharmful and self vs. nonself

elimination
- Effector leukocytes attack and destroy harmful, nonself microbes

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10
Q

What are the circulatory pathways in the body?

A

Cardiovascular and Lymphatic

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11
Q

How are all blood cells produced? What are the types?

A

All blood cells are produced from stem cells in red bone marrow

erythrocytes (RBCs) transport blood gases

thrombocytes (platelets) limit blood loss during injury

leukocytes (WBCs) fight infection

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12
Q

What is hematopoiesis?

A

the process of creating new blood cells

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13
Q

What are the LEUKOCYTES in circulation?

A

granulocytes

  • lobed nucleus, large cytoplasmic granules
  • INNATE IMMUNITY– neutrophils, basophils, eosinophils

agranulocytes

  • rounded nucleus, very small granules
  • INNATE IMMUNITY – monocytes
  • ADAPTIVE IMMUNITY – lymphocytes
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14
Q

What are neutrophils?

A

early responder to inflammation

leave blood and enter tissues to eliminate microbes by phagocytosis

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15
Q

What are eosinophils?

A

release chemical mediators of inflammation

attach to and destroy eukaryotic parasites that are too big to phagocytose

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16
Q

What are basophils?

A

very few in circulation

release chemical mediators of inflammation
e.g. histamine causes vasodilation and increases vascular permeability

mast cells are similar to basophils but play a more important role; they are more abundant and localized to tissues

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17
Q

What are lymphocytes?

A

adaptive immunity (more in Ch. 13)

  • B cells & plasma cells
  • helper T cells
  • cytotoxic T cells
  • natural killer (NK) cells (innate)
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18
Q

What are monocytes?

A

secondary responder to inflammation

  • monocytes leave blood and become macrophages in
  • tissues; phagocytosis

many are resident in tissues
- dendritic cells (DC) present antigens and activate T cell responses

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19
Q

Which immune cells are phagocytic (select all correct answers)?

Mast cell
Neutrophil
B lymphocyte
Macrophage
Basophil
A

Neutrophil and Macrophage

20
Q

Which anti-parasite granulocyte has a bilobed nucleus (see image)?

erythorcyte
eosinophil
megakaryocyte
monocyte
dendritic cell
A

Eosinophil

21
Q

What is the Second Line of Defense?

A

Innate Immunity

inflammation
fever
phagocytosis
antimicrobial proteins

22
Q

What is inflammation?

A

mast cells release histamine in response to infection and injury

  • vasodilation
  • vascular permeability
23
Q

In the inflammatory response, what is injury and the immediate reactions?

A

Injury occurs and bacteria is in the wound

Mast Cells release histamine

Vasoconstriction limits blood loss

24
Q

What occurs after injury and immediate reactions in the inflammatory response?

A

Leukocyte Recruitment

CHEMOTAXIS
- Neutrophils are attracted by chemokines released during infection

DIAPEDESIS
- Neutrophils change shape to leave the blood vessel and enter tissue space

25
Q

What occurs after leukocyte recruitment in the inflammatory response?

A

Clot from platelets and coagulation

Neutrophil early responders

Vasodilation increases blood flow recruitment of immune cells

26
Q

What occurs after clot and coagulation in the inflammatory response?

A

Edema and Pus formation

Scab forms

Pus forms from Neutrophils and fluid exudate

27
Q

What occurs after Edema and Pus Formation in the inflammatory response?

A

Resolution and Scar Fomation

Scar forms

Lymphocytes arrive

Macrophages (from monocytes that were in circulation) are the secondary responder

28
Q

What is Fever? What does it do?

A

pyrogens increase body temperature via the hypothalamus
- microbial products (e.g. LPS) stimulate leukocytes to produce fever-stimulating cytokines

inhibits microbe and viral multiplication

  • reduces nutrient availability
  • increases immune reactions
29
Q

What are PAMPs and PRRs?

A

Distinguish between harmful vs non-harmful

innate immune cells recognize microbes (harmful) and produce inflammatory cytokines to signal other immune cells

PAMP = pathogen-associated molecular pattern

PRR = pathogen-recognition receptor

30
Q

What is the first step of phagocytosis?

A

adherence

microbial PAMPs attract phagocytes by chemotaxis

phagocyte PRRs recognize and bind to PAMPs

opsonization
- host proteins (C3b or IgG antibody) bind to and coat the surface of microbes to increase their adherence to phagocytes

31
Q

What is the second step of phagocytosis?

A

ingestion of pathogen to create a phagosome

32
Q

What is the third and fourth step of phagocytosis?

A

digestion by lysosomes

  • lysozyme
  • hydrolytic enzymes
  • acidic pH

exocytosis

33
Q

Which immune cell releases histamine to trigger the inflammatory response?

Natural killer cell
Neutrophil
Monocyte
Macrophage
Mast cell
A

MAST Cell

34
Q

Which conserved molecules of microbes are recognized by the host and help stimulate inflammation and phagocytosis?

antibiotics
antibodies
PAMPs
PRRs
interferons
A

PAMPs

35
Q

What are the antimicrobial proteins of the host?

A

interferons (anti-viral)

complement (anti-bacterial)

iron-binding proteins (anti-cellular microbes)

antimicrobial peptides (anti-cellular microbes)

36
Q

What are interferons?

A

signaling molecules that induce antiviral response in nearby host cells
- nearby cell produces digestive enzymes that degrade virus and inhibit multiplication

37
Q

What is complement?

A

group of host proteins that are activated against various microbes, especially bacteria

opsonization
inflammation
neutrophil recruitmennt
cell lysis

38
Q

What are the possible pathways for complement INITIATION?

A

host protein binds to bacterial surface and INITIATES complement cascade

Classical Pathway
- C1q binds to antibodies that are bound to bacterial surface antigens

Lectin Pathway
- lectin binds to bacterial carbohydrates

Spontaneous Pathway
- C3b/factorB binds directly to bacterial surface

39
Q

What is the complement CASCADE?

A

complement cascade (one enzymatic reaction leads to the next)

C3 convertase
C3 → C3a & C3b

C5 convertase
C5 → C5a & C5b

40
Q

What is the complement AMPLIFICATION?

A

increases the amount of C3b via the alternative pathway (positive feedback loop)

41
Q

What is the membrane attack complex?

A

membrane-attack complex (MAC)

- polymerization of C9 in the membrane of the bacterial pathogen that lyses it

42
Q

What the steps of the complement system?

A

Initiation, Cascade, Amplification and MAC

43
Q

What are host iron-binding proteins?

A
iron sequestration (limit iron availability)
 - transferrin, hemoglobin, lactoferrin & ferritin

bacterial receptors and siderophores steal iron from host
- limit iron availability to bacteria

44
Q

What are antimicrobial peptides?

A

insert into and destabilize prokaryotic membranes

45
Q

Which of the following is an antiviral immune factor of the host?

interferon
lysozyme
transferrin
defensin
capsule
A

Interferon

46
Q

Which complement pathway is initiated by the binding of MBL to carbohydrates on the bacterial cell surface?

alternative
classical
lectin
both A & B
all the above
A

Lectin