Immune Response To Infection Flashcards

1
Q

What are some pathogen niches?

A

Extracellular - eg candida and worms

Intracellular vacuolar - salmonella and chlamidya

Surface adherent - enteropathigenic and enterohaemorrhagic E. coli

Intracellular cytosolic - viruses, listeria

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2
Q

How does an immune response start?

A

Tissue damage

Molecular detection of microbes

Inter cellular communication (eg interleukins)

Pruning the adaptive immune response

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3
Q

How does an immune response come to an end?

A

Clearing infection

Stopping inflammatory cytokine production

Repairing tissue damage

Remembering the infection (immune memory)

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4
Q

What are some of the differences between the innate and adaptive immune systems?

A

Timing

Cell types

Receptors and Ligands

Cytokines and chemokines

Molecular effector machieneries

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5
Q

How are naive resting immune cells activated?

A

Microbial molecules are detected by naive host cells either by binding ligands, or the activities of the pathogen

The gene expression on the host cell changes allowing the hot cells to release antimicrobial molecules and communication signals (eg. Interleukins and chemokines) these may have an autocrine effect

This leads to an activation of host cells

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6
Q

What are the first responders to the site of Injury?

A

Neutrophils

Followed my macrophages

These become activated and control infection and limit tissue damage

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7
Q

How do neutrophils etc recognise the type of pathogen?

A

Bacteria - by specific cell wall components. They can also recognise dead or alice bacteria and change the response depending

Fungi - cell surface molecules (beta glucan)

Viral - eg viral RNA or DNA that are released into the cytoplasm. Results in the release of interferons by host cells

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8
Q

What is macrophage activation?

A

Crosstalk between macrophages and lymphocytes during infection by intracellular pathogens

Eg in the case of salmonella, the macrophage releases certain Interleukins. The T cell detects these and releases IFN-gamma. This activated the macrophage

Activated macrophages show enhanced: phagocytosis and migration, cytokine/chemokine production, expression of cell surface molecules, antomicrobial activity, antigen presentation

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9
Q

What are interferons?

A

Special cytokines

Released by host cells after infection by viruses of gram negative bacteria

types: 1 and 3 (alpha and beta) and 2 (gamma)

Every single primary infected cell can produce type 1 interferons. Type 3 can only be produced by epithelial cells. Type 2 is only produced by lymphocytes.

They have direct antiviral activities

Type 1 and 3 are antiviral, type 2 are antibacterial

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10
Q

How are virally infected cells killed and removed?

A

They are killed by cytotoxic T cells and NK cells. These kill directly and are contact dependant

Cell death removes viral replication niches

Happens after a reduction of expression of MHC complexes on the infected cell

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11
Q

How are B cells activated?

A

Antigen presenting cells (DC and macrophages) are activated but infection and cytokines

T cells are activated by cognate MHC + foreign peptide recognition

B cells become licensed for antibody production against antigen being presented on BCR

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12
Q

How do T and B cells enhance antimicrobial activity?

A

They cause opsonisation

Phagocyte activation

Direct killing of infected cells

B cell activation

Innate lymphoid cells (gamma delta T cells) present on mucosal surfaces. Innate as don’t rely on MHC

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13
Q

What are the relative time scales of innate and adaptive immunity?

A

Innate - within 12 hours (DCs, phagocytes, mast cells, complement, NK cells)

Adaptive - 1-5 days. With plasma cells being generated at the end

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14
Q

What is characteristic of the secondary response?

A

Faster and more antibodies

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15
Q

How do blood T cells change with age?

A

Thymic output decreases

More circulating T cells

Fewer circulating naive cells

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