GUT- Functions of the Alimentary tract Flashcards

1
Q

what is systemic immunity

A

bone marrow, spleen, thymus, lymph system, blood circulation

innate - 
prevents and avoids infection 
non-specific
no memory
mediated my macrophages, epithelial barriers, secretions

adaptive
responds to infection and prevents disease
highly specific response to targeted microbes
memory
mediated by Lymphocytes, antibodies

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2
Q

what is mucosal immunity

A

mucous membranes - eyes, nose, mouth, lungs, gut, genitourinary tract
all sites are usually colonised by microbes
main route of entry for microorganisms
large surface specialised for absorption

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3
Q

what are the innate and adaptive mechanisms involved in mucosal immunity

A
innate:
mucin
peristalsis
antimicrobial peptides
proteins (lysosomes, lactoferrin phagocytes)

adaptive:
mucosal / secretory system
must discriminate between harmful pathogens and harmless antigens - food and commensal bacteria

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4
Q

how is the mucosal barrier involved in innate immunity

A
natural barriers
mucin
peristalsis
proteolysis
microvillus membrane / squamous cells
 immunological - secretory IgA / IgM/ IgG
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5
Q

how is the oral cavity involved in innate immunity

A
saliva
gingival fluid (leukocytes)
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6
Q

how to lymphoid cells contribute to mucosal immunity

A

there are lymphocytes intraepithelial-ly

scattered in the lamina propria - the dendritic cells extend arms up the sample the environment - acts as a pre-warning

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7
Q

what are peyers patches

A

collections of white blood cells

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8
Q

how are peyers patches involved in immunity

A

covered in M cells - these sample fluid from the gut
these then produce b cells which migrate from the m cells to the:

salivary glands, lachrymal glands, genitourinary system, lungs, small intestine

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9
Q

what features of secretory antibodies have

A

a component (secretory component) which stops degradation allowing it to survive in mucosal secretions

dimer

better at agglutination - 4 sites

mucous trapping

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10
Q

outline the concept of oral tolerance

A

active state where ingested food proteins do not elicit an immunological response
orally delivered antigens can supress systemic immunity - natural mechanism to prevent immune reactions to food and useful commensals

this means that an antigen first encountered through the mucosal immune system could produce an unresponsive systemic response to the antigen

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11
Q

what are the practical considerations of oral tolerance

A

tolerance to dietary foods
breakdown of food allergy
oral vaccination and safety
treatment and prevention of autoimmune disease

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12
Q

where can IgA be found

A

breast milk secretions - provides passive immune protection in new-born infants

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