Immune evasion Flashcards

1
Q

What is immune evasion? (4)

A

Evolution between host and pathogen has been/is an arms race

Both deploy sophisticated mechanisms to eliminate and evade killing

Great way to study important immune mechanisms

Ultimately allow logical therapeutic targeting

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2
Q

What are the different evasion and subversion mechanisms (7)

A

Antigenic variation
Host deletion
Molecular mimicry
Resistance to killing
Immune skewing/subversion
Immune “hiding”
Biofilms?

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3
Q

What is antigenic variation in bacteria? (3)

A

Alteration of surface antigens

Bacterial serotypes

Phase variation (switching on/off various genes) of mycoplama

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4
Q

What is antigenic variation in viruses? (3)

A

Influenza virus - antigenic drift and shift
HIV - high mutation rate of reverse transcriptase and rapid replication rate
SARS-COV2 - slower rate of mutation than HIV/Flu

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5
Q

What is evasion through hiding (1)

A

Pathogens may reside in various compartments to hide from immune system

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6
Q

Give examples of bacteria and how they hide (5)

A

Plasmodium falciparum invades red blood cells (lack almost all immune receptors)

P. Falciparum uses PfEMP1 to sequester erythrocytes in post venule capillaries (anatomical seclusion)

Anaplasma phagocytophilum resides in neutrophil intracellular vacuoles
More detail msp proteins/p44 antiapoptosis

Mycobacteria tuberculosis reside in macrophage phagosome

Listeria monocytogenes escape in to cytoplasm

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7
Q

What is evasion by molecular mimicry (3)

A

Many pathogens (especially viruses) encode host homologues to subvert immune response - bacteria/viruses produce molecules that look similar to human proteins and stop it from working

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8
Q

What is evasion through host deletion (2)

A

A number of pathogens eliminate host immune cells in order to survive

Superantigens cause polyclonal T cell activation and subsequent apoptosis - completely immunosuppressed

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9
Q

Give examples of induction of immunosuppression (5)

A

Bacillus anthracis toxins (lethal toxin) is a metalloprotease specific to MAP kinase kinase - Resulting in apoptosis of infected macrophages and dysfunction DC maturation

HIV Viral cytotoxicity kills infected cells

Depletion of CD4 cells results in immunosuppression
(both antibody and cytotoxic response)

Measles virus-induced immunopathology

DCs actively inhibit CD4 T cell proliferation via Lack of CD40 or kill
tumour necrosis factor-related apoptosis- inducing ligand (TRAIL)
Memory T cell response is severely reduced

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10
Q

Give some examples of different ways bacteria are resistance to killing Anti-killing mechanisms (3)

A

Change charge on surface membrane so antimicrobial peptides no longer bind

Have catalase

Proteases - prevent production of oxidase

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11
Q

What advantages do pathogens have in the molecular arms race? (1)

A

Low stringency replication and rapid life cycles give many pathogens an evolutionary advantage

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12
Q

What advantages do hosts have in the molecular arms race? (5)

A

However complex metazoan manage to keep pace

Redundancy (MHC polymorphism (>500 for some MHCI gene),
multiple immune mechanisms)

PRR tend to evolve against essential components

Adaptive immune response allows real time molecular evolution

Larger genome

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13
Q

What is the struggle for Fe2+? (4)

A

All organisms require Fe2+ for growth

Macrophages reduce Fe2+ concentration

Bacteria evolve receptors that bind to siderophores

Macrophage evolves Lipocalin

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14
Q

Describe the pathogen–host evolution and counter evolution of T cell killing (4)

A

Viruses down-regulated MHC molecule that prevent T cell cloning

NK cells recognise lack of MHC cells and kill the viral infected cell

Viruses have evolved due to molecular mimicry - developed MHC 1-like molecule so NK cells can no longer recognise

NK cells got a receptor that binds specifically to fake MHC molecule

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15
Q

Describe phagosome maturation (3)

A

Live inside cell - get taken up inside phagosome

Phagosme matures to have different types of surface proteins on vacuole

Fusion with other endosome and lysosomes which change condition inside the vacuole and kill the bacteria

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16
Q

What does phagosome maturation involve (4)

A

Membrane recruitment

Vesicle tethering and fusion (Rab5a, SNARE proteins)

Acidification

Hydrolyase activation

17
Q

How does Mtb affect phagosome maturation (2)

A

Mtb expression profile is dramatically altered after uptake

Gene expression profile is actively switched on after uptake, and acidification

18
Q

Describe Mtb evasion mechanisms (5)

A

Mtb is phagocytosed via CR3 uptake but phagosomes fail to mature

Rab5a effectors (EEA1, hVPS34) impaired. No PI(3)P generation

LAM (cell wall component) is actively shed, inhibits
↑ Ca2+, Mtb also inhibits sphingosine kinase prevents
↑ Ca2+ from ER. SapM hydrolyses PI(3)P

Depletion of PI(3)P from early phagosome prevents transition to late and phagolysomal stages

19
Q

How is Mtb killed? (4)

A

IFN-gamma treat macrophages induce autophagy which sequesters arrested phagosome controlling Mtb

Innocuous cytosolic proteins are engulf by autophagocytic vacuoles and converted into potent antimicrobial peptides

20
Q

Evading IFN-gamma mediated killing (3)

A

Constant activation leads to downregualtion of receptors which leads to down regulation of antigen presentation by MHC - less killing

Prolonged TLR stimulation results in inhibition of MHCII expression

Inhibits through this - mycobacterial agonists of Toll-like receptor 2

21
Q

How does IL-1beta allow macrophages to kill Mtb (4)

A

IL-1beta restores PI(3)P and allows continued phagosome maturation

Mtb secrets ZmpA- metalloprotease that prevent inflammasome activation

The inflammasome is a multiprotein complex that ultimately activates IL- beta and IL-18

22
Q

How does Mtb skew immune response? (3)

A

Mtb induces host Arginase 1:

Up regulation of Arg 1 (via TLR) – MyD88 pathway

↓ NO production, skew towards a less microbicidal macrophage
(alternatively activated macrophage)

23
Q

Evasion of killing-Listeria (7)

A

5 minutes post phagocytosis Listeria secrets the cholesterol-dependent cytolysin Listeriolysin O (LLO)

LLO is activated by low pH and phagosomal enzyme (GILT) prevents lysing plasma membrane

After proliferation Listeria is able to spread from cell-cell

ActA is similar to host WASP protein (interacts with Arp2/3)

Listeria proteins induce actin comet tails to spread from cell to cell (push from one cytoplasm to another)

Avoids extracellular milieu ie antibodies, complement, other opsonins

24
Q

What is autophagy? (3)

A

Phagocytosis in cytosol

Synthesis of double membrane in cytosol and engulf and destroy different types of bacteria

25
Q

The Type III secretion system (3)

A

“Injectisome”

Multiprotein complex that can deliver effector proteins across eukaryotic cell membranes