Immune Evasion Flashcards

1
Q

Defensins

A
Barriers = 1st Line Defense
FX
- Create pores in membranes of many different bacteria, fungi & enveloped viruses
DEFENSE
• *Polypeptide Capsule
   - Blocks activity of defensins; Antiphagocytic
BUG
• Bacillus anthracis
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2
Q

Lysozyme

A

Barriers = 1st Line Defense
FX
- Enz in sweat, saliva, serum & tears
- breaks down peptidoglycan (AKA Murein)
DEFENSE
• G(-) bact’s outer-membrane protects them from lysozyme reaching their peptidoglycan layer
BUGS
- G(-) bact are naturally more protected than G(+) against lysozyme bc that outer-mb

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3
Q

Stomach:

  • *Acid
  • *gastric peristalsis
A

Barriers = 1st Line Defense
DEFENSE
• Urease to increase pH
• Motility - polar flagella and spiral shape for efficient hydrodynamic movement
• chemotaxis & adherence to gastric epithelium
BUGS
• Helicobacter pylori

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4
Q

Capsule

A
Innate I/S Defenses = 2nd Line Defense 
How evade Complement
FX
- Their polysaccharide capsules interfere with effective complement deposition on the bacterial cell surface by *binding factors that can regulate C3b.
- This negates both direct complement injury by  MAC complex and makes the receptors recognized by phagocytes unavailable.
BUGS
1) Escherichia coli
2) Group B strep
3) Haemophilus influenzae type B
4) Klebsiella pneumoniae
5) Neisseria meningitidis
6) Salmonella
7) Strep pneumoniae

I/S COUNTERS BACK
- once Ab’s form, Ab’s directed against the capsular antigen reverses this effect bc C3b can then bind in association with IgG and lead to activation of the classical pathway of complement activation and eventually opsonization and clearance by the spleen.

BUGS COUNTER the I/S’s Counter:
─ Protein A

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5
Q

M protein (surface Antigen)

A
Innate I/S Defenses = 2nd Line Defense 
How evade Complement
FX
- Binds host cell plasma protein, fibrinogen, which interferes with the alternative pathway of complement deposition by forming a dense layer on the bacterial surface.
BUGS
• Group A streptococcus
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6
Q

Hyaluronic Acid (HA) capsule

A

Innate I/S Defenses = 2nd Line Defense
How evade Complement
FX
- HA great abundance in human connective tissue.
- Therefore, HA capsule = camouflaged in host antigen that does not elicit an immune response. (like a wolf in sheep’s clothing.)
BUGS
• Group A streptococcus

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7
Q

C5a peptidase

A

Innate I/S Defenses = 2nd Line Defense
How evade Complement
FX
- Enz that degrades C5a (main factor that attracts phagocytes to sites of complement deposition.)
- Thus it blocks chemotaxis of neutrophils and other phagocytes to the site of infection.
BUGS
• Group A & Group B streptococci

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8
Q
- *Sialylation of lipooligosaccharide (LOS)
• IgA protease
• Antigenic variation of pilin gene
• Phase variation of opa genes
• Intracellular survival
A

Innate I/S Defenses = 2nd Line Defense
How evade Complement
FX all
- basically camo
FX LOS
- Because sialic acid is negatively charged and a surface component of cells, camouflage and protect from the antibodies responsible for serum killing
- this modification bind serum factor H and C4b-binding protein, two negative regulators of complement activation
BUGS
• Neisseria gonorrhoeae
- Disseminated Gonococcal Infection (DGI)

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9
Q

Long O-antigen polysaccharide chain

A
Innate I/S Defenses = 2nd Line Defense 
How evade Complement
FX
- blocks MAC
BUGS
• “Smooth” G(-)
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10
Q

C5a peptidase

A

Innate I/S Defenses = 2nd Line Defense
How evade Phagocytosis
FX
- Complement component C5a as the attractant for the neutrophils,
- prevent recruitment of neutrophils, so in effect the neutrophils won’t cross over to find the bacteria.
- prevents Diaphedesis too.
BUGs
- Group A streptococcus and group B streptococcus

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11
Q

pertussis toxin (PT), and adenylate cyclase toxin (AC

A
Innate I/S Defenses = 2nd Line Defense 
How evade Phagocytosis
FX
- inhibit phagocyte migration
• toxins = ↑cAMP to inhibitory levels = directly inhibits neutrophil motility and chemotaxis:
- PT also results in lymphocytosis. 
BUGS
- Bordetella pertussis
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12
Q

Leukocidins

A
Innate I/S Defenses = 2nd Line Defense 
How evade Phagocytosis
FX
• Kill the phagocytes
BUGS
- Pseudomonas aeruginosa
- Staphylococci
- Group A streptococci (streptolysin O)
- Clostridium perfringens
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13
Q

Type III cytolysins (AKA “Injectosome”)

A
Innate I/S Defenses = 2nd Line Defense 
How evade Phagocytosis
FX
- produce proteins that are injected directly into host cells and interfere with cellular activation through a type III secretion system
BUGS
a) Yersiniae spp
b) Shigellae
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14
Q

inhibit fusion of Lysosome w/Phagosome.

A
Innate I/S Defenses = 2nd Line Defense 
How evade Phagocytosis
FX
- Surviving phagocytosis
BUGS
• Mycobacterium tuberculosis
• Chlamydophila psittacii
• Salmonella spp.
• Brucella spp.
• Legionella pneumophila
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15
Q

Escape

A
Innate I/S Defenses = 2nd Line Defense 
How evade Phagocytosis
FX
- Escapes phagosome and then live intracellularly 
- Destroys phagosome mb and thus totally avoids lysosomal enzymes. 
BUGS
• Shigella spp.
• Listeria monoctyogenes
   - Protein: listeriolysin O (LLO) 
• Rickettsia spp.
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16
Q

resist/survive pH4

A
Innate I/S Defenses = 2nd Line Defense 
How evade Phagocytosis
FX
• Surviving phagocytosis
BUGS
• protozoan Leishmania
17
Q

Antigenic variation

A
Adaptive I/S
FX
a) Random mutation (antigenic drift)
b) Genetic reassortment (antigenic shift)
c) Gene conversion (programmed rearrangement)
BUGS
1) Trypanosoma brucei
2) Neisseria gonorrhoeae
3) Borrelia recurrentis
4) Plasmodium falciparum
18
Q

IgA protease

A
Adaptive I/S
Extracellular proteases
FX
- inactivate Ab’s of secretory IgA class: cleave IgA at the hinge region. 
BUGS
a) Neisseria gonorrhoeae
b) Neisseria meningitidis 
c) Haemophilus influenzae
d) Streptococcus pneumoniae
e) Streptococcus mutans
19
Q

Evading antigen presentation on MHC

A

Adaptive I/S
FX
1) EVADE MHC Class 2: Some pathogens avoid phagocytosis thus prevent ever being inside a phagocyte and being degraded and their peptides presented on MHC class II molecules. (FIG, LEFT = Extracellular pathogen)
2) EVADE MHC Class 1: intracellular pathogens have adopted various methods to block antigen presentation by interfering with that pathway. (FIG, RIGHT = Intracellular pathogen)

20
Q

Being stealthy

A

Adaptive I/S
FX
1. Latency
- VIRUS: Herpesviruses
- NON-VIRUS: Mycobacterium tuberculosis
2. Infect immune-privileged sites
3. Intracellular living
- All viruses
- Some bacteria (like gonococci), fungi & parasites
4. Spread cell-to-cell
- Listeria monocytogenes & Shigella (i.e.: Actin tail)
- RetroVirus: HIV, HTLV-1
- Other Virus: Herpes simplex virus, varicella zoster virus & respiratory syncytial virus

21
Q

Immunosuppression

A
Adaptive I/S
BUGS
- Human immunodeficiency virus
   - Kills CD4TCells = Opportunisitic Infx’s
- Measles virus
- Hepatitis B virus
- Influenza viruses
- Mycobacterium tuberculosis
22
Q

Induction of immune tolerance

A

Adaptive I/S
FX
1. Fetal exposure to antigen (*Hep B virus)
2. Molecular mimicry
- Good: Tricks I/S into tolerating
- Bad: I/S “over”activates
- Ex: Streptococcal ‘s M-Protein & Myosin of Heart muscle cells = Rheumatic Fever ☹ [FIG]
3. Antigenic disguises - Coating themselves with host proteins (fibrin, fibronectin, antibody molecules) or with host polysaccharides (sialic acid, hyaluronic acid)