Exam 4 Lecture 19: Fungal & Parasitic Infections Flashcards

1
Q

Helminth parasite

A

Multicellular eukaryotes with distinct organelles, usually has multistage development

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2
Q

Protozoan parasite

A

Single celled eukaryotes, usually have multistage lifecycle and multiple hosts

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3
Q

Parasite and definitive host of schistomiasis

A

Parasite: freshwater flukes
Definitive host: snail

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4
Q

Parasite and definitive host of soil transmitted helminth disease

A

Parasites: roundworm, hookworm, whipwor
Definitive hosts: mammals

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5
Q

Parasite and definitive host of lymphatic filariasis

A

Parasite: parasitic worm
Definitive host: mosquitoes

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6
Q

What parasite causes sleeping sickness and how does it use variable surface
glycoproteins (VSG) to evade host immunity through gene conversion?

A

Single celled protozoan parasite called trypanosomes
encode thousands of variants of surface glycoproteins (VSG) results in cyclic parasitemia -> immune system must try to keep up with newest antigens

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7
Q

What animal is the definitive host for Toxoplasma gondii and how is it
controlled by the immune system?

A

Host: cats
Most people (strong immune systems) are asymptomatic, people with weakened immune systems (or pregnant) are at risk

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8
Q

What does it mean for a disease to be a “WHO Neglected Tropical Disease”?

A

Endemic infectious diseases that have biggest impact on poor populations that lead to substantial disease burdens

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9
Q

What are the major components of a Th1 response against protozoan parasites?

A

Inducing cytokine: IL-12
Master Tf: T-bet
Cytokine produced: IFN gamma
Protective function: intercellular bacteria, virus, parasites

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10
Q

What are the major components of a Th2 response against helminth worms?

A

Inducing cytokine: IL-4
Master Tf: Gata-3
Cytokine produced: IL-4, IL-5, IL-13
Protective function: extracellular (large) parasites
Antibodies: IgE
Effector cells: the eosinophil, basophil, mast cells

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11
Q

Distinct role of basophils

A

Initiate Th2 response
Short lived circulatory (Migrate to 2ndary lymphoid tissue)
Produce IL-4, IL-13 -> polarized other immune cells
Assists with B cell maturation through CD40L-CD40 binding

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12
Q

Distinct role of eosinophils

A

Short lived Tissue resident innate cells
Secrete toxic inflammatory mediators
Kept at low numbers in healthy people because they can cause damage
Th2 cytokines lead to increased eosinophil production in bone marrow

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13
Q

Distinct role of mast cells

A

Long lived tissue resident effector cells
Present in all vascularized tissue
Promotes tissue integrity and repair
Cytoplasm packed with up to 200 granules filled with inflammatory mediators
Retains sugar molecules form past infections or allergic reactions

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14
Q

Inflammatory mediators

A

Found in mast cells
Pre formed
Histamine: increases endothelium permeability, smooth muscle contractions, airway construction, mucus secretion
TNF: activated endothelial cells to increase adhesion molecules to increase leukocyte migration
Proteases: enzymes to break down extracellular matrix

Made then released
IL-4 & IL-13: amplify Th2 response
Lipid mediators

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15
Q

Lipid mediators

A

Found in mast cells
Aka eicosanoids
2 classes-
Leukotrienes: similar to histamines
Prostaglandins: dilates blood vessels, increases blood vessel permeability, attracts neutrophils

Aspirin blocks prostaglandin synthesis

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16
Q

What is the role of IgE in a Th2 response?

A

Binds to mast cells (irreversible & passive)
Receptor cross linking, cell activation, mast cell degranulation of effector molecules

17
Q

What is the hygiene hypothesis?

A

Less exposure to infections through cleaner environments, vaccinations & antibiotics blunts the education of the immune system, leading to an increase in allergy

18
Q

What the critical immune components of anti-fungal immunity?

A

Th1 CD4: intracellular fungus
Th17 CD4: extracellular fungus
Th2 & Treg CD4: inhibit antifungal response
Neutrophils, macrophages, dendritic cells, B cells

19
Q

What does Dectin-1 recognize during fungal infection?

A

Recognizes the beta-glucans that make up the cell wall of fungi
Signals through CARD9 complex to induce pro-inflammatory signaling that induces Th17