CH. 23 Innate Immunity Flashcards

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1
Q

What is meant by the term “human microbiota”? Where are microbes found on/in the body? Where should they not be found? What does it indicate if microbes are found in these latter areas?

A

Human microbiota is the collection of all microbes associated with the human body

Microbes are found in areas that are exposed to the external environment (ex. skin, oral, & nasal cavities, lungs, etc.)

They should not be found in sterile areas (ex. blood, most internal organs, etc.) which signals infection in that area

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2
Q

What are some microbiota interaction relationships?

A

Commensalism microbes: does not harm or benefit the host but benefits microbes

Mutualistic microbes: benefits both host and microbes

Parasitic microbes: harm the host but benefits the microbes

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3
Q

What are the risks & benefits of having a microbiota?

A

Benefits:
-Interfering with pathogen colonization producing immunomodulatory proteins
-Metabolizing food that the host cannot process
-Producing vitamins that the host cannot make
-Honing our immune system

Risks:
-Dysbiosis of the microbiome can contribute to infection, obesity, and inflammatory and autoimmune diseases

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4
Q

What are the features of those locations that harbor
microbes (i.e., skin, oral/nasal area, stomach, intestines, GU tract)?

A

There are more microbes on/in your body than your own cells. It is split between aerobes: anaerobes ratio
Skin - 1:10
Mouth - 1:10
GU Tract - 1:100
GI Tract - 1:1000 (highest number of microbes)

Skin: sweat glands, acquired by birth canal and birth environment
Mouth: vagina, uterus, acquired by birth canal by caregiver
GU Tract: acquired by surrounding external environment
GI Tract: acquired by baby formula by mother or caregiver

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5
Q

What are opportunistic pathogens? What is microbial antagonism?

A

Opportunistic pathogens are microbes that normally is not pathogenic but can cause infection or disease in an immunocompromised host organism

Microbial antagonism is the inhibition of one bacterial organism by another due to competitive exclusion

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6
Q

What are the different divisions of the immune system? What are the features of each?

A

First Line of Defense (innate immunity):
-Intact skin
-Mucous membranes & their secretions
-Normal microbiota

Second Line of Defense (innate immunity):
-Phagocytes (neutrophils, eosinophils, dendritic cells, and macrophages)
-Inflammation
-Fever
-Antimicrobial substances
-Complement

Third Line of Defense (adaptive immunity):
-Specialized lymphocytes: T & B cells
-Antibodies (stimulated by the presence of antigen)

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7
Q

What are the cells that make up the immune system and what is their function? Where do they originate from?

A

They are known as various white blood cell types called leukocytes. There are two types of leukocytes: granulocytes & agranulocytes

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8
Q

What are granulocytic leukocytes? List them out and their features and how much there are in the blood

A

Neutrophils (polymorphonuclear leukocytes) - 70%:
phagocytic; active in initial stages of infection
–can exit blood & enter infected tissue

Basophils - 1%: release components promoting
inflammatory & allergic responses (histamine)

Eosinophils - 3-5%: phagocytic & exit blood; release toxins. Also deal with large multicellular pathogens.

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9
Q

What are agranulocytic leukocytes? List them out and their features and how much there are in blood

A

Total of 25% of agranulocytic leukocytes in blood

Monocytes: differentiate into macrophages and dendritic cells in lymphatic tissues
-Are phagocytic cell types
-Are also antigen-presenting cells (work with adaptive immune system)

Lymphocytes: consist of…
-Natural Killer Cells: kill infected body cells & some tumor cells; recognize abnormalities in plasma membrane. When bind to target, it simulates the secretion of perforins to cause lysis
-T Cells (intracellular pathogens): moderate specific immune response
-B Cells (extracellular pathogens): produce antibodies to bind antigens

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10
Q

What is the lymphatic system?

A

Part of the immune system where it maintains homeostasis within body fluids and defends the body against infections

Features:
-Spleen, tonsils, small intestine
-Protect against inhaled ingested microbes
-Contain T cells, B cells, dendritic cells, macrophages

Gut-associated lymphoid tissue (GALT) of the GI tract -> Peyer’s patches contain specialized M cells that take up microbes from the intestine and release on the other side for macrophages

Skin-associated lymphoid tissue (SALT) provides skin with immune surveillance that protects against infection with intracellular pathogens

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11
Q

What are major histocompatibility complex (MHC)? What are the classes and features?

A

MHC is a set of proteins on the cell surface that are responsible for how identifying cells as your own

MHC Class II (antigen-presenting cells): macrophages, dendritic cells, B cells

MHC Class I (nucleated mammalian cells): all other cells that are not class II are type I

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12
Q

How do the physical barriers (skin, mucous membranes, lungs, GI tract) prevent infection?

A

The skin is composed of the epidermis and dermis
-Has a protective keratin layer on the epidermis

The mucous membranes line the GI, GU, & respiratory tracts of the epithelial and connective tissue layers
-Mucus traps the microbes and moisten surfaces
-Tears & Saliva prevent the colonization of microbes
-Hairs (nose) & Cilia (respiratory tract) trap microbes
-Epiglottis, Earwax, & Digestion eliminates microbes

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13
Q

What is detection by toll-like receptors?

A

Toll-like and NOD-like receptors are receptors located on the outside of the plasma membrane that helps in detecting invading pathogens. These receptors are able to recognize MAMPs or PAMPs that are located on pathogens (tag them as foreign). If MAMPs/PAMPs are recognized by the toll-like receptors, they induce the host cell to release cytokines to activate immune cells

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14
Q

What are chemical barriers to infection?

A

Skin: sebum (oily secretions) forms a film on the skin
-Contains fatty acids to lower pH to prevent colonization of pathogens
-Perspiration: high salt, contain lysozyme to degrade polypeptidoglycan (in tears and saliva)

Mucous Membranes:
-Saliva: lysozyme, urea, uric acid, antibody
-Gastric Juice (Stomach): pH 1-3 due to HCL
-Vaginal Secretions: acidic pH
-Urine: lysozyme & pH 6

Defensins: small, antimicrobial, cationic peptides produced by many human cells; destroy invader’s cell membrane (INNATE ONLY)

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15
Q

What is the acute inflammatory response? What is the overall objective of this process? What are some of the important cytokines involved in this process and what do they do?

A

The introduction of microbes causes infection. This raises inflammation to cause extravasation (provides a way for the body’s phagocytic cells to gain access to infected sites) with the help of vasoactive factors to increase vascular permeability, which then releases cytokines and chemoattractants to fight off the infection

Some important cytokines are bradykinin and histamine:
-Bradykinin promotes extravasation, stimulates the release of prostaglandins to stimulate nerve endings (inflict pain), & stimulates mast cells to degranulate to release histamine
-Histamine stimulates vessels to open further for blood plasma and platelets to be released into an area

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16
Q

What is phagocytosis? What cell types carry this out and the process?

A

White blood cells (neutrophils first, eosinophils, & monocytes) engulf and digest cells or pathogens to protect the body from infection

Process:
-Chemotaxis: get to the site of infection
-Adherence: release of PAMPS
-Ingestion: phagosome formation
-Digestion: phagosome-lysosome fusion for enzymatic digestion & production of oxygen radicals & peroxides for killing

17
Q

What is opsonization?

A

An immune process that uses opsonins (antibodies) to tag foreign pathogens for elimination by phagocytes

*Enhances phagocytosis

18
Q

What are interferons? What are the types? How do they act?

A

Interferons are cytokines that interfere with viral replication and are produced in response to infection where the action is host-specific
-Type 1 has high antiviral potency; binds receptors on uninfected host cell; renders them resistant to viral infection
-Type 2 activates neutrophils and macrophages; increases MHC antigens on their surface

They act like…
-Not long-acting nor stable; toxic in high doses
-Effective in acute viral infections; cannot help virus-infected cells

19
Q

What is complement? The formation of which complement factor is key in this process?

A

Complement is a system of proteins that can be activated by different pathways to attack bacterial pathogens

*It can work with the adaptive immune system
*Activation of C3 & C5 are IMPORTANT

20
Q

Describe each of the complement pathways

A

Classical Pathway:
-C3 activated by contact between complement and pathogen via antibodies

Alternate Pathway:
-C3 activated by contact between complement & pathogen via glycolipid complexes

Lectin Pathway:
-C3 activated by contact between lectin & pathogen via surface specific carbohydrates

21
Q

Describe the effects of complement

A

It causes opsonization to activate C3b proteins so it can bind to microbe and enhance phagocytosis

In inflammation, C3a & C5a bind mast cells which causes a release of histamine, kinins, etc. C5a also acts as a chemoattractant for phagocytes

In cytolysis, C5b promotes formation of a complement protein complex that inserts in the plasma membrane of microbe. Channels form in microbe causing lysis (GRAM-NEGATIVE are more susceptible)

22
Q

What is fever? What is the purpose of this? What initiates fever?

A

Fever is an induced rise in the body’s temperature setpoint

The purpose of this is to…
-Slow pathogen growth
-Increases T cell activity
-Lowers concentration of available iron

Pyrogens initiate fever:
-Exogenous - outside of the body (bacteria, viruses, etc.)
-Endogenous (interleukin-1) - act on the hypothalamus, raising the temperature setpoint