detecting and responding the pathogens Flashcards

1
Q

Describe innate immunity

A
  • rapid host defence against invading pathogens- within minutes
  • does not change - born w it
    -no requirement for memory
  • recognition of invading pathogens + activation of anti microbial response
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2
Q

what are the 4 steps of handling pathogens that are viruses?

A
  1. endocytosis
  2. cellular shut down
  3. self sacrifice
  4. cellular resistance
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3
Q

what molecular patterns can the innate immune system recognise?

A
  1. Highly conserved structures expressed by large groups of pathogens.
  2. Common biologic consequences of infection.
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4
Q

what does PAMPs stand for?

A

Pathogen associated molecular patterns
includes things like:
- bacteria
- virus
- parasite
- fungi

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5
Q

why is it important to recognise patterns?

A

To vastly expand the repertoire of ligands they can bind

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6
Q

what does DAMPs stand for?

A

Damage associated molecular patterns

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7
Q

what are DAMPs?

A

Endogenous molecules created to alert the host to tissue injury and initiate repair

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8
Q

name some examples of DAMPs

A

molecules
DNA
RNA
Extracellular ATP
Hyaluronic acid
Glucose
Fibrinogen
Fibronectin
Heat shock proteins
IL-1-a, IL-33

particles
Uric acid
Amyloid-b
Silica
Nanoparticles
Alum
Asbestos
Hemozoin

other
UVB
mutations

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9
Q

Why do we not recognise our own DNA and RNA and mount an innate response?

A

Our DNA and RNA is normally located where our pattern recognition receptors (PRRs) cannot access it

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10
Q

describe PRRs

A

Secreted and circulating receptors
Receptors on the cell surface and cell membranes
Receptors inside the cell (cytoplasmic)

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11
Q

What are cell associated PRRs

A

receptors that are present on the cell membrane or on organelles within the cytosol of cells
They are able to recognise a broad range of molecular patterns

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12
Q

what is the main family of cell associated PRRS

A

TLRs

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13
Q

how does TLR ( PAMPs) signalling work?

A

Different TLRs activate different signalling cascades depending on the pathogen being detected to tailor the immune response that is generated

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14
Q

give 3 examples of membrane bound PRRs

A

Mannose receptor - on macrophages (fungi)
Dectin-1 - widespread on phagocytes (beta glucans in fungal walls)
Scavenger receptors - on macrophages (wide variety of lipid-related ligands from pathogens or from host cells that are damaged, apoptotic or senescent

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15
Q

what are the three members that detect viral RNA in the cytoplasm?

A
  1. Retinoic acid-inducible gene I (RIG-I)
  2. Melanoma differentiated gene 5 (MDA-5)
    3.Laboratory of genetics and physiology 2 (LGP2)
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16
Q

describe Retinoic acid-inductible gene I ( RIG-I)

A
  • short dsRNA (up to 1 kb)
    • 5’ triphosphate (5’ppp) caps (ss or ds RNA)
    • e.g. influenza A and respiratory syncytial virus (RSV)
17
Q

Describe Melanoma differentiated gene 5 (MDA-5)

A

long dsRNA (over 2kb) with no end specificity
- replication intermediates
- e.g. rhinovirus (RV)

18
Q

describe Laboratory of genetics and physiology 2 (LGP2)

A

very high affinity for any dsRNA
- positive regulator of RIG-I and MDA5 signaling

19
Q

what are NOD- like Receptors involved in? ( NLRs)

A

-sensing cytoplasmic bacterial pathogens and DAMPS
-regulation of inflammatory & cell death responses

20
Q

how many NLRs genes are there in humans?

21
Q

How are NLRs characterised?

A

Characterised by the presence of a conserved nucleotide-binding and oligomerisation domain (NOD / aka NACHT)

22
Q

what are NLRs subdivided into?

A

4 subfamilies, based on N-terminal effector domains

23
Q

Why don’t NLRs activate interferons?

A

NLRs detect predominantly intracellular bacteria and IFNs are anti-viral cytokines

24
Q

what are NOD 1 & 2 activated by?

A

Activated by recognition of specific motifs (mostly muropeptides) present in bacterial peptidoglycan (PG)

25
what does NOD 1 recognise?
meso-diaminopimelic acid (meso-DAP)-containing PGN fragments (mainly Gram-negative) in the periplasmic space
26
what does NOD 2 sense?
muramyl dipeptide (MDP) a breakdown product of PG in the cell wall, found in the PGN of nearly all Gram-positive and Gram-negative organisms (also a major component of many immunoadjuvants)
27
describe the NLR signalling path
Activation of the MAPK and NF-κB signalling pathways Induction of pro-inflammatory cytokines and chemokines Activation of antimicrobial functions DO NOT activate IRF transcription factors
28
what are high levels of DAMPs associated with?
many inflammatory and autoimmune diseases as well as atherosclerosis and cancer
29
name harmful stimuli for the damage chain reaction
Pathogens Injury Heat Autoantigens Tumours Necrotic cells
30
what is the cytokine storm?
Profound increase in cytokines, chemokines & interferons
31
what can a cytokine storm cause?
Causes severe inflammation and tissue damage
32
what causes a cytokine storm?
genetic makeup of the host persistence of the pathogen (evasion mechanisms)
33
in sepsis, what does it mean if the pathogen isn't cleared?
severe infection and dissemination to the circulation (bacteremia, viremia, or fungemia)
34
what are the two main strategies of immunomodulation?
1. Agonists- enhance TLR signalling 2. Antagonists- inhibit TLR signalling
35
what do Agonists do?
enhance TLR signalling adjuvant effect (used with a primary treatment) promoting protective responses e.g. vaccines immune stimulators Modify adaptive immune response: bias Th and Treg responses side-effects: potentially enhance inflammation
36
what do antagonists do?
inhibit TLR signalling block binding of ligands or protein-ligand complexes to receptors / interfere with intracellular adaptor molecules of common signalling pathways sepsis syndromes, inflammation, arthritis, etc side-effects: potentially allow pathogen outgrowth, mutation, etc