Host Defences Flashcards
“Many factors influence the outcome of an interaction between host and pathogen.
There is a balance between the two, and this is affected by…”
HOST- Immune status- Prior exposure, old/young/immunocompromised, vaccination history.
Species- bacteria may have limited host range.
Breed.
Commensal flora- Normal flora present in the GI tract.
PATHOGEN- Balance is affected by virulence, infectivity, host range (broad/narrow), infectious dose, route of infection, antibiotic resistance.
HOST DEFENCES
NON SPECIFIC (INNATE)
SPECIFIC (ADAPTIVE)
These two lines of defence must interact to work effectively.
NON SPECIFIC (INNATE) IMMUNITY
Barrier to infection- Skin, mucous membranes.
Innate immune system.
Soluble factors- COMPLEMENT, ACUTE PHASE PROTEINS, IRON BINDING PROTEINS, ANTIMICROBIAL PEPTIDES etc.
PHAGOCYTES are the cells involved.
Fast to respond but low specificity and no memory.
Non specific defences can deal with the majority of microbes and slow pathogens down even if infection does occur.
SPECIFIC (ADAPTIVE) IMMUNITY
Comprised of components of the adaptive immune system- T cells and B cells.
Soluble factor- ANTIBODY.
Slower to respond than the innate system (lag period on first exposure, not seen on second/repeated exposure), but shows memory and specificity.
PHAGOCYTES
Part of innate defences.
Very important in defence against bacteria and fungi.
NEUTROPHILS (PMNs) and MACROPHAGES.
As soon as the phagocytic cell makes contact with the bacteria and begins to engulf it, there is a HUGE INCREASE in OXYGEN CONSUMPTION by the phagocyte. This is called OXIDATIVE BURST.
Oxidative burst generates ROIs (Reactive Oxygen Intermediates) which are used to kill bacteria.
NEUTROPHILS
Only found in inflamed tissue
Not found in healthy tissue
Single mature form
Rapidly form pus
Short lived
Always die after undertaking phagocytosis
MACROPHAGES
Found in healthy tissues (eg. Kupffer cells)
Variety of mature forms
Slowly form granuloma instead of pus; this requires T cell help.
Long lived (can be exploited by pathogenesis
Can survive after being phagocytosed
PHAGOLYSOSOME FUSION
The bacteria becomes bound in a phagosome- a membrane bound organelle in the host cells- once it is in the host cell.
This then matures, moving protons (H+) in to the vesicle. These protons are important for action of antimicrobial compounds.
The phagosyme fuses with the enzyme-containing lysosome, forming a phagolysosome.
Once phagolysosome fusion has occured, the bateria will normally be destroyed by oxidative burst and lysosome products.
OXYGEN DEPENDENT KILLING MECHANISMS
Can be peroxidase independent or peroxidase dependent.
Involves oxidative burst.
PEROXIDE INDEPENDENT
OXYGEN DEPENDENT KILLING MECHANISMS
Oxygen has electrons added by NADPH.
This forms SUPEROXIDE within the phagocyte, which is ANTIBACTERIAL and can be CONVERTED to other antibacterial compounds:
Hydroxyl radical, .OH
Hydrogen peroxide, H2O2
These act on bacterial cells.
PEROXIDE DEPENDENT
OXYGEN DEPENDENT KILLING MECHANISMS
Peroxide DEPENDENT killing mechanisms are particularly seen in NEUTROPHILS.
The enzyme MYELOPEROXIDASE combines H2O2 in the cell with halides (eg. Cl-)
This creates highly toxic oxidants, such as HYPOCHLOROUS ACID, that act on bacteria.
OXYGEN INDEPENDENT KILLING MECHANISMS
These mechanisms do not rely on oxygen for formation of antibacterial substances.
The antibacterial substances are instead delivered to the phagosome by the lysosome and granules.
ANTIMICROBIAL PEPTIDES- Small molecules that damage bacterial membranes, disrupting ion uptake systems.
LYSOZYME- An enzyme from lysosomes that hydrolyses peptidoglycan
PROTEASES- Damage proteins on bacterial surfaces eg. Cathepsin G, elastase enzymes.
Some proteases have been shown to be able to hydrolyse bacterial virulence factors.
LACTOFERRIN- An iron binding protein which chelates ion, making it unavailable to bacteria (iron is very important in bacterial infection)
VITAMIN B12 BINDING PROTEIN- Binds vitamin B12, depriving bacteria of it.
PHAGOCYTOSIS
ATTACHMENT of the phagocyte to the pathogen is a CRITICAL first step in the process of phagocytosis.
Pathogenic bacteria often have a capsule to combat phagocytosis.
However, hosts have developed various means of enhancing uptake of even encapsulated bacteria.
OPSONISATION
The process by which opsonins- a variety of protein molecules are added to the surface of bacteria to enhance uptake by phagocytes.
Phagocytes have opsonin receptors on their surface to allow binding with opsonins.
INNATE OPSONINS
The most important innate opsonins are COMPLEMENT components.
Complement activates the complement cascade.
Also important are ACUTE PHASE PROTEINS (C-reactive Protein, Mannose Binding Lectin)
Also LPS (lipopolysaccharide) binding protein.
ACQUIRED OPSONINS
IMMUNOGLOBULINS, particularly** IgG**
Bind to bacterial surface then is detected by high affinity receptors on the phagocyte
The phagocyte then binds with high affinity due to this opsonisation.
Complement, an innate opsonin, can enhance IgG opsonisation.
COMPLEMENT
Comprised of serum proteins, which are enzymes in their inactive form.
As one complement protein is activated, so a cascade of activation forms.
There are three different pathways:
- CLASSICAL PATHWAY
- LECTIN PATHWAY
- ALTERNATIVE PATHWAY
COMPLEMENT CASCADE- CLASSIC PATHWAY
Distinct stages, beginning with antigen binding to antibody.
Leads to complement activation by C3/C5 CONVERTASE
-> PHAGOCYTE RECRUITMENT/INFLAMMATION (recruitment of inflammatory cells)
C3a, C5a, C4a.