immune evasion Flashcards

1
Q

mode of action of neutrophils?

A

bacteria enter
opsonisation
complement triggered
gradient of c3a and c5a and bacterial proteins formed
c3a and c5a bind to receptors, ICAM is expressed on endothelial cells
causes neutrophils to adhere to blood vessel surface
migrates across blood vessel and gets primed by bacterial products
chemotaxis
activation
then either:
phagocytosis
degranulation- release of reactive oxygen species, can kill bacteria
then inflammation

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2
Q

staphylococcus aureus gram stain, characteristics?

A

gram positive, grape clusters, spherical bacteria. commensal and lives harmlessly in nose of 30% human population
can cause skin infections to more severe diseases

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3
Q

streptococcus pyogenes gram stain, characteristics?

A

gram positive, spherical, chains
commensal in the throat
can cause pharyngitis, skin infections, scarlet fever and sepsis

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4
Q

what is antibody opsonisation?

A

binding of antibodies to bacterial antigens allowing:
deposition of complement in the classical complement pathway
neutrophils and other phagocytes to detect invading microbes

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5
Q

how do bacteria subvert opsonisation?

A

HIDE ANTIGENS: bacteria can have a capsule on their surface - hides antigenic structures

DISRUPTS FUNCTION: Spa and M surface proteins can bing antibodies via their Fc region rather than the Fav region- prevents normal opsonisation

DEGRADE ANTIBODIES: proteases can cleave or modify antibodies

PREVENT DETECTION

MODIFY ANTIGENICITY

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6
Q

pathogenic bacteria which can express capsule?

A

s. aureus, s. pyogenes, E. coli

(pseudomonas aeruginosa, s. pneumonia, s. agalacticae)

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7
Q

What is complement opsonisation?

A

the complement system is composed of many proteins which interact to opsonise pathogens or directly kill them by MAC formation

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8
Q

hat are the key steps of the complement cascade?

A
  1. initiation
  2. formation of C3 convertase
  3. formation of C5 convertase
  4. MAC formation
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9
Q

how do bacteria disrupt the complement cascade?

A
  1. degrade complement components
  2. inhibit convertases
  3. recruit host-derived regulators (fH, C4BP)
  4. inhibit complement components
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10
Q

what does protein SpeB do?

A

degrade C3- prevents C3b deposition, C3a formation and C5a formation

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11
Q

what does SCIN s.aureus protein do?

A

binds C3bBb and inhibits formation of C3 converts and C5 convertase, preventing C3b deposition and C3a and C5a formation

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12
Q

what do immune receptors do?

A

detect microbes/microbial products, leading to activation/priming of neutrophils

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13
Q

What receptors do conserved microbial structures bind to?

A

TLR

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14
Q

what receptors do microbial carbohydrates bind to?

A

CLEC

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15
Q

receptors do formulated peptides bind to?

A

FPR

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16
Q

how do neutrophils detect opsonised microbes?

A

Fc receptors or complement receptors

17
Q

S. aureus immune evasion (leading to no chemotaxis) strategies?

A

CHIPs- molecule which binds to the C5 receptor on neutrophils and inhibits the binding of C5a- means chemotaxis does not occur

18
Q

S. pyogenes immune evasion (leading to no chemotaxis) strategies

A

SpyCEP- cleaves chemokine recognised by CXCR1/2
therefore chemotaxis doesn’t occur

19
Q

how can bacteria stop phagocytosis?

A

bacteria produce molecules and prevents detection of antibody opsonised bacteria

reduces antibody mediated phagocytosis

20
Q

how can bacteria kill neutrophils?

A

can release toxins