Host immune responses and hypersensitivity reactions in the lungs Flashcards

1
Q

what are the cells of the basic innate system of the respiratory system?

A

Cilaited epithelial cells

Goblet cells

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2
Q

How does the respiratory system gets rid of particulates?

A

Goblets produce mucous to trap particulates

Ciliated cells beat and expel particulates by coughing

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3
Q

What does ciliated epithelial cells secrete for defense with infectious agents?

A

β-defensins
IgA antibodies
Antioxidants (glutathione

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4
Q

What does Bordatella cause?

What are the characteristics of bordetella?

A
Bordetella pertussis
“Whooping cough”
encapsulated, Gram negative coccobacilli
Spread by respiratory droplets
Rapid multiplication in mucous membrane
No bacteremia
Toxins cause local tissue damage
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5
Q

How does bordatella attach to cilia?

A

By filamentous hemagluttinin

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6
Q

How does bordatella cause whooping cough?

A

Pertussis toxin induces ADP-ribosylation of inhibitory subunit of G protein leading to activation of adenyl cyclase

Activated adenyl cyclase induce cyclic AMP which in turn activates cyclic AMP dependent protein kinase

Activated protein kinase induces mucous production and lymphocytosis (by inhibiting the signal transduction by chemokine receptors)

The adenyl cyclase toxin of the bacteria is also taken up the macrophages where it inhibits the antimicrobial mechanisms.

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7
Q

What is the mechanism of the tracheal toxin of bordatella?

A

the tracheal cytotoxin produced by the bacteria is a fragment of the bacterial peptidoglycan and in concert with endotoxin,

induces nitric oxide production which in turn damages the ciliated epithelial cells.

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8
Q

Describe mycoplasma pnuemoniae?

A

causes atypical
smallest free living organism

Lack cell wall

Cholesterol rich cell membrane

Can assume any shape

Tapered end (cytoadhesins)-attaches to sciliac acid in epithelial cells-causes host cell to produce ROS

Blocks cell from disabling ROS leading pathogenesis

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9
Q

What are the strains of Haemophilus influenzae?

A

Type B

Non encapsulated strains

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10
Q

What does type B of haemophilus cause?

A

Type B encapsulated strain cause meningitis and sepsis

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11
Q

What does non encapslated strain of haemophilus cause?

A

non-invasive and cause upper respiratory tract infections

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12
Q

What does haemaphilus influenzae produce?

A

IgA proteases that can degrade IgA enabling the pathogen to colonize the lungs.

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13
Q

What are alveolar macrophages defense mechanism?

A

Pattern recognition receptors such as toll like receptor-4 (TLR-4), TLR-2 and complement receptors.

Kill by oxygen dependent and oxygen independent mechanisms.

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