Host defense in Viral Infections Flashcards

1
Q

Innate Immune System

A

immediate response; relatively non-specific, physical and molecular mechanism; not influenced by prior exposure, short-lived (days) and resets,

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2
Q

Adaptive Immune System

A

response to antigenic exposure; highly specific; lag- takes time to develop (days-weeks); long-term immunologic memory

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3
Q

Sensing and responding to viruses

A

1) virus detection of things specific to viruses 2) signaling to nucleus (through kinases etc.) 3) production and amplification of alarm signals (IFN alpha/beta) 4) production of antiviral effector proteins (IFN stimulated proteins)

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4
Q

PAMPS

A
  • general indicators of viruses (double stranded RNA, cytoplasmic DNA, naked nuclear DNA, capsid proteins, viral genome replication intermediates)
  • detected by PRRs (pattern recognition receptors)
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5
Q

PRRs

A
  • TLR- toll-like receptors- endosomes and plasma membrane
  • RLRs- RIg-1-receptors- cytoplasm (mitochondria anchored)
  • NLRs- NOD-like receptors- cytoplasm
  • CDRs- cytoplasmic DNA receptors
  • C-type lectin receptors- plasma membrane
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6
Q

TLRs

A
  • examples: TLR 3 for dsRNA, TLR7/8 for ssRNA
  • recognize disassembled virions (uncoating and entry are simultaneous)
  • signaling pathway: nucleus -> transcription of genes ( cytokines -> synthesized -> secreted -> detected by neighbors or self -> alarms signals -> primes neighbors so they have proteins ready to be prepared for infection)
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7
Q

Virus detection via sensing cytoplasmic nucleic acids

A
  • signals relayed via 2nd messengers
    1) OAS (oligoadenylate synthase) is activated by viral dsRNA- initiates a conformational switch and acts as a mesenger to activate RNase L; this forms a crossed dimar and degrades mRNA of host and virus
    2) cGAS (cyclic GMP-AMP synthase) is activated by cytoplasmic dsDNA; produces cGAMP enzyme; binds and activates STING (stimulator of interferon genes) receptor resulting in cytokine gene expression; can work in self or travel to neighboring cells
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8
Q

Interferon Types

A

1: IFN alpha and beta; front line of disease, from cells coming into contact with lots of pathogens (fibroblasts, epithelial cells, macrophages, monocytes, dendritic cells) stimulated by viruses
2: IFN gamma; come from T and NK cells, stimulated immune cells themselves;
3: IFn- delta; from dendritic and epithelial cells; stimulated by viruses/microbial products; similar to type 2

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9
Q

IFN signaling

A

1) Recognize by receptors on neighboring cells
2) Receptors activate kinases, then phosphorylates signaling molecules/ transcription factors ( on STATs)
3) Phosphorylated STATs go into nuclei -> join to make promoter complexes -> activate transcription of genes
4) These are ISGs, the specific gene turned on depends on the specific IFNs
- Depending on the cell type and IFN levels, a stimulated cell may express 200-500 different ISGs

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10
Q

Diverse action of ISGs

A
  • each type of virus is controlled by a unique combo of many ISGs
  • Many ISGs show specificity in antiviral action
  • can action: + standed RNa viruses, - stranded RNA viruses, DNA viruses
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11
Q

Pros and Cons of IFNs as therapy

A

Good:

  • Sometimes its paired wth drugs more targeted to replication for that viral type
  • Can effect viral or non viral diseases
  • IFNs can help non viral genes by activated those ISGs

Bad:

  • symptoms (flu-like symptoms and even more severe) are from the IFN ISGs not the virus itself
  • can lead to hepatoxicity, immunosuppression through decreased neutrophil levels
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12
Q

Viruses evading IFNs

A
  • most viruses target the pathways at multiple levels, forcus body to keep tweaking its pathways
  • poliovirus prevents degradation
  • Influenza NS1 targets RIG-1
  • PAramycovirus V targets MDA 5
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13
Q

Viruses blocking ISG function

A

Normally: IFN signaling ->OAS ->active RNase L -> mRNA degration OR Ifn signaling -> PRK -> activate PRK -> phosphorylate eIF-2alpa -> inhibit protein synthesis

  • HSV 1 blocks the RNase L
  • HSV 4,5 will dephosphorylate eIF-2 alpha so it can keep working
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14
Q

AGS ( problem with innate immunity –> autommunity)

A

aicardi- goutieres syndrome:

  • clinical features (incl. neurological damage) mimic in utero acquired infections and/or systemic lupus erythematosus
  • Inherited mutations lead to inappropriate accumulation of self-derived nucleic acids that induce sustained type I interferon signaling
  • ex. MDA5- detects RNA accumulating in ways it shouldn’t , leads to sustained expression and signaling when they should be turn off
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15
Q

Lupus and sustained IFN alpha signaling

A
  • pDCs (plasamcytoid dendritic cells) produce IFN-alpha in a sustained fashion, making RNA and proteins more often than they should
  • Over stimulation of these different things that should normally not be there just further stimulates dendritic cells to make IFN-alpha
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16
Q

Systemic lupus erthematosus (SLE) patients

A

Stimulate autoreactive -B cells to differentiate into plasma cells and produce autoantibodies

  • Stimulate autoreactive CD8+ and CD4+ T cells
  • DNA & RNA containing immune complexes further activate pDCs, amplifying pathogenic loop
17
Q

IFN contribute to pathogenesis of HIV/AIDs

A
  • HIV-infected patients have elevated IFN-α in plasma; IFN levels correlate with severity of disease
  • IFN-α may contribute to immunosuppression by directly or indirectly promoting depletion of CD4+ T cells
18
Q

Defensins

A
  • Cationic, amphipathic effector peptides of the innate immune system with broad antimicrobial activity
  • α-defensins – neutrophils, epithelial cells in the gut and genitourinary tract
  • β-defensins-constitutively expressed by epithelial cells of skin and mucosal surfaces
  • very specific for different species (can’t make connections between mice and humans) so they’re hard to study
  • active against both enveloped and non-enveloped viruses
19
Q

IFN as branch between Innate and Adaptive immunity

A

IFN and other pro-inflammatory cytokines stimulates dendritic cell (DC) maturation, leading to improved antigen presentation and initiation of T and B cell responses