Exam 3 - The Immune Response - STUDY THIS CARD DECK Flashcards
Tell me what the immune system is doing at rest.
Barrier establishment and evolution and pre-emotive immunity at mucosal surfaces
WBC proliferation, development, recirculation
Complement production and circulation
Tell me three things the immune system does during infection.
-Immediate innate response
—Antimicrobial peptides
—Complement
-Induced innate response —Macrophage and DC activation —Acute phase and interferon response —PMN infiltration —NK cell response
-Adaptive immune response
—B and T cell activation and differentiation
—Antibody production by plasma cells
—CD8 T cell cytotoxicity
Tell me what happens if antimicrobial peptides and complement fail to destroy invading microorganisms.
DC migrate to lymph nodes
Phagocytes action
NK cells activated
Cytokines and chemokines produced
Where are pathogens trapped and phagocytosed?
Lymphoid tissue
-Adaptive immunity initiated by migrating DCs
—Infection cleared by specific antibody, T cell dependent macrophage activation and cytotoxic T cells
T/F - Mucosal barriers protect internal tissues.
TRUE
-Sinuses, trachea, lungs, bladder, vagina, mammary glands, intestines, stomach, esophagus, GI
What are the three compartments of mucosal tissues?
Epi
-Intraepithelial lymphocytes (IEL) - gamma:delta T cells, CD8 T cells, and memory CD8 cells
Lamina propria -Lymphatic tissue -Gamma:delta T cells -CD8 cells -CD4 T cells —TH1 —TH17 -Plasma cells and memory B cells -Macrophages -DCs
Mucosal-associated lymphoid tissue (MALT)
- Specialized
- Lymph node like
What peptides are in mucosal/glandular secretions?
Lysozyme
Lactoferrin
-Milk
What peptides are in skin, mucosal/glandular secretions?
-Secretory leukocyte protease inhibitor
-S100 proteins
—Psoriasin - Disrupts membranes
—Calprotectin - Bind diva lent cations
What peptides are at the mucosal epithelia?
-Defensins (alpha/beta)
—Disrupts membranes, creates pores
—Alpha: PMNs
—Beta: Epithelial cells
-Cathelicidin
—Disrupts membranes
The surfactant proteins are found where?
Secretions of respiratory tract
Alpha:Beta T cells - Bind what?
Gamma:delta T cells - Bind what?
MHC-like ligands
—Peptides
CD1
—Lipids
TH17 releases what and recruit what?
Cytokines
PMNs
—IL-17, IL-22
What are the 3 main granulocytes?
PMNs
Eosinophils
Basophils
*Mast cells come from an unknown precursor, but related to the granulocyte-macrophage progenitor
Monocytes become?
Macrophage
DC
Common cells found in blood serum?
Never Let Men Eat Burritos
N - Neutrophils
L - Lymphocytes
M - Monocytes
E - Eosinophils
B - Basophils
Tell me about lymphocyte circulation.
Maximizes likelihood of antigen encounter
~24 hrs for a single lymphocyte to completely circulate
1:100k lymphocytes bind a presented antigen
DCs probed by 5000 T cells/hr
What is positive selection?
Selecting for a cell that reacts how its supposed to
B cell
- Negative selection first, then positive selection
- Positive selection in periphery
- Follows cytokines to LN
- Interacts with follicular DC
T cell
- Positive selection first, then negative selection
- T cell receptor can bind to proper MHC class
- Positive selection will determine CD4 or CD8
What is negative selection?
Making sure it doesn’t react to self.
When in its organ or maturation, if it reacts to self, it goes through apoptosis
When in the periphery, if it reacts to self, it goes through anergy
What is differentiation?
B cells differ into plasma and memory cells
CD8 T cells - Cytotoxic or Memory cell
ALL CELLS HAVE MEMORY
CD4 T cells - Thx (Th1/Th2/Th17, etc)
Which cells are the bridge b/t innate and adaptive systems?
DCs
DRAW out complement.
DO IT
T/F - Activated macrophages secrete a range of cytokines.
TRUE
What cytokines, released via activated macrophages, are pro-inflammatory?
IL-1beta (systemic and local) - FEVER
TNF-alpha (systemic and local) - Inflammation, fever, shock
IL-6 (systemic and local) - FEVER
CXCL8 (local) - Recruit PMNs
IL-12 (local) - Activate NK cells
Acute phase proteins are produced in what organ?
LIVER
What are some acute phase proteins?
C reactive protein
Mannose binding lectin
LPS-binding protein
Complement
Granulocyte colony-stimulating factor, serum amyloid A, phospholipase A2
Fibrinogen, plasminogen, tissue plasminogen factor
T/F - Most infections are STOPPED at the epithelium.
TRUE
Why is inflammation harmful at mucosal surfaces?
If barrier integrity is lost, then pathogens are close to the vasculature and can get into the body unrestricted
Tell me how a PMN extravasates.
Rolling adhesion
Tight binding
Diapedesis
Migration
When is the interferon response?
When infection establishes
What cells release interferon?
Virus-infected cells
IFN-alpha, IFN-beta
What does interferon do?
Induce resistance to viral replication in all cells
Increase expressions of ligands for receptors on NK cells
Activate NK cells to kill virus-infected cells
T/F - Activated NK cells destroy target tissues.
TRUE