CMB2004/L09 Immunity Against Infection II Flashcards

1
Q

What are the protective immunities against organisms in interstitial spaces?

A

Antibodies
Complement
Phagocytosis
Neutralisation

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2
Q

What are the protective immunities against organisms on epithelial surfaces?

A

Antibodies, especially IgA
Antimicrobial peptides

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3
Q

Give 2 protective immunities against cytoplasmic organisms.

A

Cytotoxic T cells
NK cells

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4
Q

Give 2 protective immunities against vesicular organisms.

A

T cell and NK-cell dependent macrophage activation

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5
Q

Give 2 innate defences against viruses.

A

Interferons
NK cells

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6
Q

Which type I interferons are released in virus-infected host cells?

A

IFN-a
IFN-B

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7
Q

Describe the series of events that occurs upon release of IFN-a and IFN-B in response to viral infection. (5)

A

Induce resistance to viral replication by inducing Mx proteins, 2’-5’-linked adenosine oligomers and kinase PKR
Increase MHC class I expression and antigen presentation in all cells
Activate dendritic cells and macrophages
Activate NK cells
Induce chemokines to recruit lymphocytes

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8
Q

How does IFN trigger degradation of viral mRNA? (4)

A

Induces synthesis of 2’-5’ oligoadenylate synthetase
Adenine trinucleotide synthesised
Activates endonuclease
Degrades viral mRNA

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9
Q

How does IFN inhibit protein synthesis? (3)

A

Induces synthesis of protein kinase
Phosphorylation and inactivation of eIF-2
Inhibits protein synthesis

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10
Q

Give a type II interferon and explain its effects.

A

IFNy secreted by T cells and NK cells
Inhibits TH2 response
Promotes TH1
Recruits macrophages

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11
Q

rIFNa can be used to treat which diseases? (2)

A

Some cancers
Hepatitis B and C

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12
Q

Describe natural killer (NK) cells.

A

Innate lymphoid cell
Large granular lymphocytes
Recognise structures of viral infected cells
Can recognise stressed cells in absence of Igs and MHC
Kill by extracellular mechanism - perforin and granzyme

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13
Q

What is the role of:
a) activating receptors
b) inhibitory receptors?

A

a) Recognise carbohydrate ligands, triggers killing
b) recognises MHC class I molecules (no binding, only TCRs can do this)

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14
Q

How are normal cells protected from NK cells? (2)

A

MHC class I on normal cells recognised by inhibitory receptors that inhibit signals from activating receptors
NK cell does not kill normal cells

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15
Q

Explain how NK cells are triggered to elicit a response. (3)

A

Missing or absent MHC class I cannot stimulate a negative signal
NK cell triggered by signals from activating receptors
Activated NK cell releases granule contents inducing apoptosis in target cell

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16
Q

Give the 2 components of cell-mediated specific immunity.

A

Cytotoxic T cells recognise viral peptide + MHC class I
Cytokines with anti-viral activity e.g., IFNy

17
Q

Describe the 2 mechanisms of cytotoxic T cells inducing apoptosis in the target.

A

Secretion of cytotoxic granules which polymerise in membrane and granzymes enter cell
Fas ligand on T cell interacts with Fas on target

18
Q

Describe the mechanism of inducing apoptosis by cytotoxic T cells. (3)

A

Collision and nonspecific adhesion
Specific recognition redistributes cyto-skeleton and cytoplasmic components of T cell
Release of granules at site of cell contact

19
Q

Explain the mechanism by which CTLs work. (4)

A

CTL recognises and binds virus-infected cell
CTL programs target for death, inducing DNA fragmentation
CTL migrates to new target
Target cell dies by apoptosis

20
Q

Give 3 functions of IFNy.

A

Inhibits viral replication
Upregulates MHC class I and II expression and antigen presentation
Increases macrophage phagocytosis of dead cells
Promotes NK cell killing activity

21
Q

Describe antibody and cell-mediated immunity in influenza. (2)

A

Infection induces antibody and cytotoxic T cell response
Antibody recognises viral haemagglutinin and neuraminidase
High CTL activity correlates with reduced viral shedding
Epidemics arise due to new strains not recognised by antibody

22
Q

Describe specific immunity against HIV. (2)

A

Attacks specific immune system
Targets CD4 T cell, macrophages and dendritic cells
Progressive development of AIDS leads to opportunistic infections

23
Q

Describe the relationship between CTL activity and HIV disease progression.

A

Higher levels of CTL activity show slower disease progression
Virus mutations that escape CTL recognition may lead to progression to AIDS

24
Q

Describe the immune response to SARS-CoV-2.

A

Dampens anti-viral type I interferon - aids viral replication
Viral proteins inhibit RIG1 (PRR)
Viral proteins stimulate NFkB activation - proinflammatory
Antibodies protective and role of cytotoxic T cells

25
How can the body protect against parasites?
Opsonisation Complement lysis ADCC (antibody-dependent cell-mediated cytotoxicity)
26
Which antibody response is strongly triggered by helminths?
IgE
27
What is the role of the antibody response against helminths?
Mast cell mediated inflammation Eosinophil ADCC
28
Give an example of T cell immunity to Leishmania.
C57BL/6 mice resolve infection BALB/c mice: fatal progressive disease
29
Describe the C57BL/6 mouse response to: a) IFN-y b) IL-4.
a) +++ b) -
30
Describe the BALB/c mouse response to: a) IFN-y b) IL-4.
a) -/+ b) ++
31
Give 2 different effector mechanisms against malaria.
Sporozoite and merozoite susceptible to antibody Antibody kills infected RBC Cytotoxic T cells active against infected liver cells