Gut Immunology Flashcards

1
Q

What does microbiota mean?

A

A mixture of microorganisms that makes up a community within an anatomical niche

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2
Q

What does microbiome mean?

A

Collective genomes of all microbiota in all the different anatomical niches

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3
Q

What host factors stimulate bacterial growth?

A
  • Ingested nutrients
  • Secreted nutrients
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4
Q

What host factors inhibit bacterial growth?

A
  • Chemical digestive factors → bacterial lysis
  • Peristalsis, contractions, defecation → bacterial elimination
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5
Q

Define dysbiosis

A

Altered microbiota composition.

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6
Q

What are symbionts in regards to immunology?

A

Microbiota and humans live with each other but not with benefit or harm to either, they just live

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7
Q

What are commensals in regards to immunology?

A

microorganisms that benefits from associating with host but has no effect on the host

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8
Q

What are pathobionts in regards to immunology?

A

Symbionts that doesn’t normally elicit inflammatory response, but under specific conditions can cause dysregulated inflammatory disease.

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9
Q

What causes either equilibrium or dysbiosis (depending on how it is)?

A
  • Infection or inflammation
  • Diet
  • Xenobiotics
  • Hygiene
  • Genetics
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10
Q

How can dysbiosis negatively affect the rest of the body?

A

Through producing bacterial metabolites and toxins

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11
Q

Give 4 examples of bacterial metabolites and toxins

A
  • TMAO: increases cholesterol deposition in artery walls to cause atherosclerosis

-4-EPS: associated with autism

  • SCFA’s: short chain fatty acids, decreased numbers are associated with IBD and increased numbers are associated with neuropsychiatric disorders e.g. stress
  • AHR ligands, associated with:
    • MS
    • rheumatoid arthritis
    • asthma
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12
Q

What is the first line of defence the body has against pathogens?

A

Mucosal defence

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13
Q

What are the 3 layers of mucosal defence?

A

1st- Physical barriers
2nd-Commensal bacteria
3rd- Immunological

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14
Q

What 2 components make up the physical barriers of mucosal defence.

A

-Anatomical barriers
-Chemical barriers

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15
Q

What is the epithelial barrier of the mucosal defence made up of?

A

-Mucous layer, made by goblet cells
-Epithelial monolayer with tight junctions
-Paneth cells found in bases of crypts of Lieberkuhn
- Secrete antimicrobial
peptides (defensins) and
lysozyme

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16
Q

What are the two types of lymphoid tissue in mucosal defence?

A

-MALT (Mucosa Associated Lymphoid Tissue)
-GALT (Gut Associated Lymphoid Tissue)

17
Q

Where are Mucosa Associated Lymphoid tissues found and where in the body are they particularly concentrated?

A

-In submucosa below epithelium, concentrated in the oral cavity-pharyngeal palatine…

18
Q

How big is the GALT?

A

Largest mass of lymphoid tissue in the body.

19
Q

What types of immune response is the GALT responsible for?

A

Both adaptive and innate immune response

20
Q

What two types of GALT are there?

A

-Non organized
-Organized

21
Q

What are peyers patches also known as?

A

Immune sensors

22
Q

What are peyer’s patches associated with?

A

Follicle associated epithelium. (FAE)

23
Q

What is special about the structure of FAE (follicle associated epithelium).

A

No goblet cells, no secretory IgA, no microvilli.

24
Q

What kind cells do peyers patches contain?

A

Organised collection of Naive T & B cells.

25
What cells within the FAE uptake antigens?
M(microfold) cells
26
What kind of receptors do M cells express and what does this facilitate?
IgA receptors, facilitates the transfer of IgA-bacteria complex into the Peyer's patches.
27
Apart from M cells what is the alternative route of bacterial invasion in the gut?
Dendritic cells can directly sample bacteria through tight junctions and transport them back to lymph nodes.
28
How are Dendritic cells able to maintain the integrity of the epithelium barrier once they've sampled antigens through the tight junction?
They express tight junction protein, such as occludin and claudin 1.
29
What do mature naïve B-cells express in Peyer's patches and what does this switch to on antigen presentation?
Express IgM in Peyers patch, class switches to IgA.
30
What do T cells and epithelial cells influence B cell maturation via?
Cytokine production
31
What is the lamina propria?
layer beneath epithelial layer.
32
What do activated B cells further mature into?
IgA secreting plasma cells.
33
What is the main lymphatic vessel for return of lymph from GI to venous system?
Thoracic duct
34
Where do lymphocytes go to undergo proliferation?
Mesenteric lymph nodes
35
How does the cholera enterotoxin get internalised?
Retrograde endocytosis
36
What does the cholera enterotoxin lead to.
Increased cAMP levels which increases active secretion of salts (Na+, K+, Cl-, HCO3-) leading to diarrhoea. (Water folllows)
37
What is the gold standard for cholera diagnosis?
Bacterial culture from stool sample on selective agar
38
What is the most common cause of food poisoning in the UK?
Campylobacter