Immune system and innate immunity Flashcards

1
Q

The 2 types of immunity

A

Innate-common set of responses activated by most microbes

Adaptive-individual response to specific antigen exposure. Can change during response through adaptation

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2
Q

Components of innate system:

Physical

A

Epithelial surfaces (eg skin, GI tract etc) can secrete antimicrobial substances such as defensins

Cytokines such as IL-1 and TNFalpha can increase such secretions

Epithelia also have lymphocytes and mast cells that can create antibodies against LPS (lipopolysaccharide)

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3
Q

Components of innate system:

Cellular-Neutrophils

A

Medium sized and has a large multilobed nucleus with many organelles

Main functions include phagocytosis, producing antimicrobial peptides and reactive nitrogen and oxygen species

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4
Q

Components of innate system:

Cellular- Macrophages

A

Large and has a large rounded nucleus with many organelles

Many functions including: Phagocytosis, antigen presentation, complement proteins, cytokines, inflammatory mediators and N/O reactive species.

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5
Q

Components of innate system:

Cellular- Dendritic cells

A

Large cells with a small nucleus:cytoplasm ratio and has membrane protusion

functions include: antigen inflammatory, interferon, cytokines, co simulatory signals and reactive O species

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6
Q

Structures on microbes not present on mammalian cells

A

Mannose receptors
Opsonin receptors
Toll like receptors
7TM alpha helical receptors

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7
Q

What happens when innate cells bind to pathogens?

A

Phagocytosis by macrohages or neutrophils
Killing of infected cells by NK cells
Presentation to t-cells by APC (dendritic) cells

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8
Q

Toll like receptors

A

Similar to drosophila toll receptors-has 10 mammalian forms

Found in most cells of innate immune system and respond to many microbial markers eg. LPS, ds RNA, and bacterial peptidoglycans

Increased expression of inflammatory genes: TNFalpha, IL-1, IL-12, E-selectin, iNOS

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9
Q

Lipopolysaccharide (LPS)

A

Endotoxin produced by gram negative cell walls that stimulate the immune system and induces local and systemic inflammation

Potent activator of macrophages inducing cytokine and reactive O species release

Systemic inflammatory response syndrome (SIRS): Fever, neutrophilia, septic shock

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10
Q

Phagocytosis

A

Done by neutrophils and macrophages though neutrophils are more common

Microbes taken in through endocytosis and fused with lysosome with degrading enzymes (lysozyme, elastase and collagenase)

Reactive O species: super oxide, H202, NO

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11
Q

Stages of phagocytosis

A
  1. Bacteria attach to pseudopodia
  2. Bacterium ingested forming phagosome
  3. Phagosome fuses with lysosome
  4. Enzymes digest captured material
  5. Digestion products released from cell
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12
Q

Complement system

A

A cascade of plasma protein activated by microbes and has three pathways; lectin, classical and alternative

All of these result in cleavage of C3 into C3A and C3B

This leads to opsonisation and phagocytosis

Zymogens gain activity by cleavage

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13
Q

Cytokines

A

Mediate many effector functions of the innate system
2 major groups:

TNF/ IL-1- Mostly produced by LPS challenged macrophages and are proinflammatory
stims neutrophil migration to the site

IL-12- produced by macrophages/dendritic cells and promotes NK cytolysis as well as stiming IFN production in t cells and NK cells. IFN stimulates macrophage killing of microbes

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14
Q

Overall innate system

A

Same response for every pathogen

The cells involved are effector cells that aid in the removal of the pathogen

Cells are recruited to site of action by inflammatory mediators

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15
Q

Types of hypersensitivity

A

type 1- immediate hypersensitivity
type 2-autoanitbodies
type 3-deposition of immune complexes
type 4- t cell mediated tissue injury

types 2-4 are types of autoimmunity

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16
Q

Type 1- hypersensitivity

A

mast cells stimulated by crosslinking of fcr bound IgE

very rapid after exposure to antigen

requires repeated exposure before immune response is generated

no innate response

IL-4 promotes TH2 development and class switching to IgE

17
Q

Type 2- Autoantibodies

A

activates complement and stimulates phagocytosis

recruits neutrophils that cause tissue damage

can bind to receptors which can stimulate/inhibit function

eg.graves disease

18
Q

type 3- Immune complex deposition

A

Occurs after multiple injections of antigens

Deposition occurs in small vascular beds, joints and renal glomeruli

Leads to complement activation and Fcr mediated responses

Eg Systemic disease such as Lupus

19
Q

type 4- t cell mediated tissue injury

A

Caused by TH1 and CD8 cells that release IFNalpha to activate macrophages and TNF to induce inflammation

Damage caused by hydrolytic enzymes, ROI’s and cytokines

eg. type 1 diabetes

20
Q

Autoimmunity

A

Failure or breakdown in maintaining autoimmunity

Main causes are genetic susceptibility (polygenic) and environmental triggers

21
Q

Transplantation

A

Donor MHC recognised as foreign

CtL cells, TH cells and antibodies will damage donor tissue

Graft vs host disease may occur

22
Q

Blood types

A

Classified into ABO depending on antigen presented upon RBC’s

All people have basic glycolipid (O) but some have attached carbohydrates (A or B)

People have antibodies against antigens we don’t have
E.g. A type A person would have anti B antibodies

23
Q

Tumours

A

Have only a few non self antigens (oncoproteins) that are usually hidden

Mostly targetted by CTL or NK cells

Treated with anitbodies, vaccines and costimulation

24
Q

Immunodeficiency

A

Genetic-X linked agammaglobulinemia or severe combined immunodeficiency (SCID)

Acquired- HIV/AIDS
From infections, drugs or cancer treatment

25
Q

HIV/AIDS

A

Infects dendritic cells initially

CTL’s and antibody production occurs and partially suppresses the infection

The virus then infects T cells via CD4 and chemokine receptors and causes lymphopenia