Immune response to infection Flashcards
What are the body’s constitutive barriers to infection?
External epithelium
Mucous membranes
How does the skin stop entry of pathogens?
- tightly packed keratinised cells > physically blocks entry
- low pH, low O2 tension
- sebaceous glands (produce oils, lysozyme, ammonia)
How does mucous stop entry of pathogens?
- acts as physical barrier
- contains secretory IgA, which binds to pathogens and prevents their entry
- contains lysozyme
- contains lactoferrin (starves invading bacteria of iron)
How do commensal bacteria stop entry of pathogens?
Compete with bacteria for scarce resources
What are the components of the innate immune system?
Cells
- PMN cells e.g. neutrophils, basophils, eosinophils;
- monocytes n macrophages
- NK cells
- dendritic cells
Soluble components
- cytokines, chemokines
- complement
- acute phase protein
What is the innate response like in different individuals?
It is the SAME in ALL individuals
Describe the production and maturation of PMN cells
Produced in BM
Migrate to site of injury
Describe function of PMN cells
Express receptor of cytokines > detect inflamm
Express PRP > detect pathogen
Express Fc receptor for Ig > detect immune complex
Capable of phagocytosis and oxidative/non-ox killing
How do macrophages differ from PMN in function?
Same
Except they can also process antigens and present them to T cells
What re the 5 steps of phagocytic action?
- Phagocyte recruitment
- Recognition of microorganisms
- Endocytosis with opsonisation
- Formation of phagolysosome
- Oxidative killing
What happens with phagocyte recruitment?
Cellular damage triggers production of cytokines and chemokine
- cytokines enhance permeability of vasc endothelium
- chemokine attract phagocytes
What happens with recognition of microorganisms?
PRRs like toll like receptor recognise motifs such as PAMPs > they bind
What happens in opsonisation?
Opsonins act as a bridge between pathogen and phagocyte’s receptors
How is a phagolysosome formed?
Pathogen is uptakes into phagosome Phagosome fuses with a lysosome to form a phagolysosome Killing of pathogen can occur via: - oxidative mechanism - non-oxidative mechanism
How does oxidative killing work?
NADPH oxidase converts oxygen into reactive oxygen species, into hydrochlorous acid, which does the killing
How does non-oxidative killing work?
Release of bactericidal enzymes e.g. lactoferrin, lysozyme
What happens after killing of pathogen?
Death of the phagocyte > residual enzymes released > liquefaction of adjacent tissue > accumulation of dead/dying neutrophils > pus formation
What are the two receptors on NK cells that a normal cell binds to to survive?
The activating receptor and the inhibitory receptor
What is the receptor on NK cell that a target cell binds to to die?
The ACTIVATING receptor only
What is the process of maturation for a monocyte?
Monocyte produced in bone marrow
To target tissue > becomes macrophage > phagocytosis
What are the components of an acquired immune response=?
B lymphocytes (antibodies) T lymphocytes (CD4, CD8+) Cytokines, chemokines