Control of Infectious Disease (Innate) Flashcards

1
Q

What occurs during phagocyte recruitment

A
  • Resident leukocytes and damaged cells release cytokines / chemical mediators
  • Allow communication between WBC
  • ## Release of cytokines and chemokines draws macrophages and neutrophils to the area as they leave circulation (extravasation)
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2
Q

What are PRRs

A
  • Membrane bound or soluble proteins that recognise PAMPs
  • Secreted molecules (body fluids, acute phase proteins)
  • Cell surface receptors (CLR / TLR)
  • Intracytoplasmic recognition molecules (intracellular pathogens, NODR, RIG-LR)
  • DNA sensors (cGAS / STING)
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3
Q

What are PAMPs and DAMPs

A

PAMPs
- Pattern recognition receptors
- Shared by related groups of microorganisms
- Essential for pathogen survival
- Structures unite to cell wall components
- Not found in mammalian cells (LPS, flagellin, LTA, dsRNA, peptidoglycan)
- Ligands for host innate receptors
- Presence trigger phagocyte recruitment
DAMPs
- Damage associated molecular pattern
- Recognition of damaged host cells due to presence of non-self pathogen, alarmins / danger responses
- Heat shock proteins, uric acid proteins, heparin sulphate, defensins, neo-antigens

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4
Q

What occurs during signal transduction

A
  1. PRRs on leukocytes recognise PAMP
  2. Initiate phosphorylation cascade to transmit activation signal to the nucleus
  3. Activate TFs (NFκB) to turn on genes in response
  4. Transcription of pro-inflammatory cytokines / chemokines
  5. Leukocyte recruitment and effector response
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5
Q

What two families are involved in cytosolic PRR signalling

A

NLRs:
- Nucleotide binding and oligomerisation domain
- Recognise bacteria compounds (peptidoglycan)
- Can form part of inflammasome and trigger pyroptosis
RLHs:
- Retinoic acid inducible gene 1 (RIG-1) like helicases
- Recognise nucleic acids (dsRNA)

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6
Q

What are symbiotic bacteria

A
  • Live in symbiosis with host
  • Express large number of CHO-degrading enzymes
  • Evolutionarily adapted to harvest diverse array of plant polysaccharides from diet
  • Pathogens lack repertoire of glycoside hydrolases / saccharolytic enzymes typical of symbionts
  • Lack factors that promote EC attachment and subversion of host biocidal mechanisms
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7
Q

What is innate vs adaptive immunity

A
  • Innate: Non-specific ability to recognise and destroy a pathogen, does not require previous exposure
  • Adaptive: Specific, acquired ability to recognise and destroy a particular pathogen, dependent on previous exposure to pathogen / antigen
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8
Q

How does stratification of intestinal lumen affect microbiota

A
  • Minimise direct contact between intestinal bacteria and epithelial cell surface
  • Goblet Cells: Secrete mucin glycoproteins, thick viscous coating at IEC surface
  • Mucous Layers: Distinct outer (commensal bacteria) and inner (mucous, resistant to bacteria) layers
  • High fibre thickens mucous, low polysaccharide thins mucous
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9
Q

How does compartmentalisation of intestinal lumen affect microbiota

A
  • Confine penetrant bacteria to intestinal sites

- Limit exposure to systemic immune compartment

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10
Q

What are the cells present in intestinal lumen

A
  • Enterocytes: Absorb nutrients, simple columnar cells lining villi and crypts
  • Goblet Cells: Produce mucous, lubricates epithelium
  • Enteroendocrine Cells: Secrete hormones, scattered in villi and some crypts
  • Paneth Cells: Base of SI crypts, secrete antimicrobial agents (defensins / lysozyme)
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11
Q

Describe role of paneth cells in detail

A
  • Contribute to intestinal homeostasis by delivering a potent cocktail of antimicrobial peptides into intestinal lumen
  • Moulds composition of colonising microbiota and protects host from enteric pathogens
  • Paneth cell dysfunction linked to IBD / Crohn’s
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12
Q

What antimicrobial peptides are secreted by paneth cells

A
  • α-defensins: Constitutive, against gram +ve and -ve
  • β-defensins: Inducible, against gram +ve and -ve
  • Lysozyme C: Glycosidase, hydrolyses peptidoglycan, against gram +ve and to lesser extent gram -ve
  • Phospholipase: Similar to α-defensins and lysozyme C
  • REGIIIγ: Binds peptidoglycan, acts against gram +ve, processed by trypsin, activates binding and bactericidal activity
  • ANG4: Enigmatic family of host defence-related RNases, antibacterial / antiviral activities
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13
Q

What are probiotics

A
  • Contribute to food digestion and development of optimal functioning of immune system
  • Generally lactobacillus or bifidobacterium spp.
  • Exclude / inhibit pathogens
  • Modulate host immune responses
  • Promote iron / mineral absorption
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14
Q

How can probiotic bacteria modulate PRR signalling and what effect does this have

A
  • Enhance function of intestinal epithelial barrier by modulating signalling pathways
  • Induce mucous / defensin production
  • Enhance tight junction functioning
  • Prevent apoptosis
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15
Q

What role do DCs have in regulating responses to microbiota

A
  • DCs activated by pathogenic bacteria
  • DCs interact with B and T cells in the Peyer’s patches (prevent pathogen colonisation)
  • DCs induce B cells to produce IgA directed against intestinal bacteria
  • IgA move across epithelial cells into inner mucous layer to interact with bacteria
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16
Q

What role do ECs have in regulating responses to microbiota

A
  • Generally hyporesponsive for PAMPs (LTA and LPS) from gut microorganisms
  • Due to down regulation of TLR expression / signalling and promoting secretion of specific cytokines
17
Q

What is phagocytosis / phagolysosme

A
  • Phagocytes engulf pathogens upon recognition of PAMPs by their TLRs
  • When engulfed, bacteria held in a membrane bound vesicle called phagosome
  • The phagocytic host cell will fuse lysosomes, making a phagolysosome
  • Phagocytes produce toxic reactive oxygen intermediates to kill bacteria within a phagolysosome
18
Q

What are antimicrobial peptides

A
  • Present in skin, mucous membranes, neutrophils
  • Innate effector molecules triggered for release following PRR signalling on innate leukocytes, epithelial / endothelial cells etc
  • Shape gut microflora
19
Q

What occurs when Nod2 is dysfunctional

A
  • Part of inflammasome

- Polymorphisms associated with reduced antimicrobial peptide expression and chronic intestinal inflammatory disorders

20
Q

What occurs when NF-κB is dysfunctional

A
  • Inhibition in IECs disturbs intestinal immune homeostasis and causes chronic colitis
  • Inhibition downstream of PRR results in increased death of IECs / decreased antimicrobial peptides
21
Q

What factors regulate and/or facilitate the interaction between the microbiota and the host cells

A
  • Intestinal immune system controls the exposure of bacteria to host tissues
  • Lessening the potential for pathologic outcomes
  • Occurs through stratification and compartmentalisation of the intestinal mucosa