Immunity Flashcards

Lectures 9 - 14

1
Q

Describe streptococcus pneumonia and our immune system.

A

A significant human Gram-positive pathogenic bacterium. There are more than 90 different serotypes. It can cause acute sinusitis, meningitis and septic arthritis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Describe how rapid viral evolution is a challenge to our immune system.

A

It’s a virulence strategy. Pathogens can mutate or recombine to avoid host immune responses, so the immune system must be able to respond.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Describe the rapid evolution of HIV by mutation.

A

HIV has an RNA genome associated with an RNA replicase. The mutation rate during copying is 1-10,000 bases. For eukaryotic DNA polymerases, the rate is 1-1000000000 bases.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe a brief history of the spanish flu and describe it too.

A

The 1918’s spanish flu epidemic was triggered after a bird virus crossed the species barrier. Most victims were 20-40 yrs of age and around 20-50 million people died. Average life span was reduced by 10%.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Describe the Asian flu and flu itself.

A

Recombination events triggered the 1957 Asian flu epidemic. It originated in China and about 2 million people died.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Describe the Hong Kong flu.

A

Recombination events triggered the 1968 Hong Kong flu, but this had a low death rate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Describe how antigenic variation/shift is a challenge faced by the immune system.

A

Antigenic variation/shift is a virulence strategy: During initial infection, the host immune system generates and immune response that normally protects against persistent or repeat infections. Some pathogens can alter their surface proteins to avoid host immune responses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the blood brain barrier?

A

The blood:brain barrier separated circulating blood from the brain extracellular fluid. It has tight junctions around brain capillaries.
Hence, the brain almost entirely uses the innate immune response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Describe how the innate and adaptive arms of the immune system work with each other.

A

Innate: First line of defence, no memory, non-specific, encoded in the germ line. The innate arm is of ancient origin and is found in most organisms.
Adaptive: Slow to adapt, highly specific, has memory, somatic gene recombination. The adaptive arm is confined to vertebrate systems.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are cell-mediated immunity and humoural immunity? Describe what toll-like receptors can be used for.

A

Cell-mediated immunity: defence provided by specialised cells in blood and tissues. It comprises a range of phagocytic cells and natural killer cells that destroy virus-infected cells.
Humoural immunity: soluble-phase defence provided by secreted proteins in body fluids. It relies on barriers and chemical warfare and makes calls for help.
Toll-like receptors provide calls for further help.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the three lines of innate immune system defense? Describe them.

A

Barriers: physical and chemical:
- Thick layer of dead cells
- Tight junctions between epithelial cells
- Mucus layers
Cell-intrinsic responses:
- Pathogen-induced phagocytosis
- Degradation of dsRNA
Specialised proteins and specialised cells:
- Professional phagocytes
- Natural killer cells
- The complement system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe the mucus layers of the innate immune system, including which defensins there are.

A

Skin and other epithelial surfaces lining respiratory, intestinal and urinary tract provide a physical barrier.
The mucus can also protect against microbial, mechanical and chemical attacks. Fish and many amphibians also produce a mucus layer on the skin. Eg. Hagfish. The mucus layer is made from secreted mucins and other glycoproteins. Most epithelial cells have beating cilia which can facilitate clearance of pathogens.
The mucus layers contain defensins: alpha-defensin, beta-defensin, insect defensin A, omega defensins.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are defensins?

A

Small (12-50 amino acids length) positively charged antimicrobial peptides, which have hydrophobic or amphipathic helical domains.
Defensins have wide-antimicrobial activity and can kill or inactivate: Gram positive and Gram negative bacteria, fungi, parasites, and enveloped viruses.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Describe the mechanism of defensins.

A
  1. Their hydrophobic domains or amphipathic helices may enter into the core of the lipid membrane of the pathogen and destabilise it.
  2. It leads to cell lysis.
  3. The positive charges on the membrane may interact with negatively charged nucleic acids in the pathogen.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are PAMPs?

A

Pathogen-Associate Molecular Patterns. Pathogens sometimes do breach the epithelial barriers, the innate immune system recognises molecules that are common to many pathogens but absent in the host.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Describe how complement activation targets pathogens for lysis.

A

Lectin pathway: mannose and fucose binding proteins.
1. The early complement components are proenzymes that activate the next member in line by cleavage, resulting in an amplified proteolytic cascade.
2. The pivotal proteolysis is the one that cleaves.
3. C3a: Calls for help. Attracts phagocytes and lymphocytes stimulating inflammation.
4. C3b. Binds covalently to the pathogen’s plasma membrane.
5. Pathogen-bound C3b stimulates a local cascade of reactions at the marked membrane.
6. C9 is inserted into the membrane.
7. A C9 pore breaches the membrane.
8. Pathogen lysis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is a toll receptor?

A

Toll is a trans-membrane protein with a large extracellular domain with repeating motifs that are versatile binding motifs for a variety of proteins.
Binding to pathogenic fungi sends a signal to the nucleus that results in expression of antifungal defensins.
Toll-like receptors have the same overall structure - and do very similar jobs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Describe Neisseria Gonorrhoeae and its history.

A

1879 - The causative agent of gonorrhea was first described by A. Neisser.
1885 - The organism was grown in pure culture.
Symptoms:
- most females and low amount of males are asymptomatic.
- pelvic inflammatory disease leading to infertility in some women.
- prostatitis in males.
- conjunctivitis in newborns exposed to the disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Describe phagocytes including the types of phagocytes too.

A

Phagocytes help engulf invading microorganisms. There are 3 major classes:
- neutrophil
- eosinophil
- macrophage
Neutrophils and Eosinophils are granulocytes: named because their cytoplasm is granular. Macrophages are from an agranulocyte lineage (monocyte) but as they mature they develop granules.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are neutrophils?

A

Neutrophils are the most common type of granulocyte. They are short lived, are abundant in blood and aren’t present in normal healthy tissues. They are recruited by activated macrophages, peptide fragments and by some PAMPs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are macrophages?

A

They are larger and longer-lived than neutrophils.
They recognize and remove senescent, dead, and damaged cells in many tissues. They are able to ingest large microorganisms such as protozoa.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are eosinophils?

A

They help to destroy parasites which modulate allergic inflammatory responses.
Eosinophils attach schistosome larvae, but if they are coated with complement, then they can kill it.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Describe granules in immunity.

A

The ‘granules’ are dense membrane-bound lysosomal derivatives. They fuse with the phagosome membrane and release their contents to help digest the cell walls of pathogens. The granules also contain defensins which destabilise the pathogen’s membranes.

25
What is pus made out of? In which case can it be in a different colour?
Dead neutrophils and pathogens. Typically white/cream in colour but can be green/yellow if copper-containing compounds were released.
26
In which case do some pathogens survive the immune system?
- Addition of sialic acid to capsule components avoids the complement attack and hence engulfment. - Some can express virulence factors that protect against respiratory burst until neutrophils die and release the bacteria inside them. - Toxins that disrupts the assembly of the actin cytoskeleton. - Some bacteria can survive inside the macrophages.
27
Describe the process of inflammation and why we use it for immune response.
It aids the killing frenzy. 1. Blood vessels dilate and swelling occurs. 2. Components of the complement cascade accumulate. 3. TLRs in epithelia and activated macrophages are activated. 4. Macrophages also secrete cytokines. 5. Some of these cytokines include chemokines which attract neutrophils.
28
What can go wrong with inflammation?
Systemic release of inflammatory cytokines can lead to excessive blood vessel dilation, resulting in sudden lowering of blood pressure (shock). If its more widespread, it's called septic shock. Sepsis can lead to organ failure and even death.
29
Describe interferons.
Interferons ("interfere with viral infection") are the most important cytokines in the virology context: IFN-alpha and IFN-beta are produced by all cells in response to viral dsRNA.
30
Name functions of interferons:
1. warn neighbouring cells of infection 2. induce expression of other cytokines 3. limits viral spread by promoting apoptosis. 4. Upregulate the display of viral peptides on the outer membrane of the infected cell so signals for recognition can be used by activated T cells. 5. Stimulate expression of the immunoproteasome to process and destroy viral proteins 6. Attract natural killer cells 7. They also fight cancers
31
What are natural killer cells? How do they recognise their targets.
Many viruses regulate the expression of immune system recognition molecules on the cell surfaces. A cell with unusually low expression of these molecules is therefore likely to be infected or transformed. NK cells recognise their targets by monitoring the level of expression of these molecules at the cell surface. They are also attracted to virally-infected cells by IFNs then are persuaded to commit suicide and the target cells die by apoptosis.
32
What is the mechanism that natural killer cells use to persuade their clients to apoptose?
1. Apoptotic signals given. 2. Mild convolution, chromatin compaction, cytoplasmic condensation. 3. Nuclear fragmentation, cell 'blebbing', cell fragmentation 4. Phagocytosis.
33
Describe immunisations.
1. An antigen is injected into a mouse in the form of a suspension containing adjuvant. 2. Adjuvant activates innate immunity responses. It comprises of: stimulants, irritants like aluminium hydroxide. 3. The activated innate response also responds to the antigen in the vaccine. 4. This innate immune response then trains the adaptive immune response.
34
What are lymphocytes?
Develop in the central or primary lymphoid organs (bone marrow/thymus) and migrate to the peripheral or secondary lymphoid organs (tonsils/ lymph nodes/ spleen). They aid in the immune response against pathogens.
35
How did we prove that lymphocytes were responsible for adaptive immune response?
Mice/rats were heavily irradiated so that they could only react using innate responses. Transfer of lymphocytes into these irradiated rodents restored adaptive immunity establishing that lymphocytes were responsible for adaptive immune responses.
36
Describe how dendritic cells link innate and adaptive immune systems.
Dendritic cells display a variety of TLRs and other receptors, they are activated if the pathogen binds to any of the receptors. Activated dendritic cells phagocytose and degrade invading microorganisms. Peptides from the degraded material is displayed on the surface of these cells.
37
What do dendritic cells do to activate the adaptive immune response?
They migrate and travel to a nearby lymphoid organ (lymph node) and activate it. The immune system is then trained to recognise the peptide fragments that are carried.
38
How are T cells linked to dendritic cells?
Once dendritic cells have digested the pathogen, they present the peptides of the pathogen on the surface, becoming an antigen-presenting cell. They go and present the peptides to T cells.
39
Describe T cells and their development.
T cells develop in the thymus tissue via thymocytes which originate from the liver (foetuses) or bone marrow (adults).
40
Describe the steps involved in dendritic cells activating T cells.
1. DC present peptides to T cells in the lymphoid organ. 2. T cell TCR recognises 'self' antigen: no action taken. 3. T cell TCR recognises no antigen: no action is taken. 4. T cell TCR recognises 'non-self' antigen: activation, mitosis and clonal expansion of specific T cells.
41
Why do antigen presenting cells only present to T cells?
- The co-stimulatory molecules on the surface of the APC 'dock' with T-cell specific co-stimulatory molecules. - Peptide is held in the groove of an APC protein and is 'scanned' by the TCR. - If there's no recognition the cells undock but if the molecule is recognised, the T Cell is activated.
42
Can different T cells work on the same pathogen?
No, there are different effector T cells for each pathogen.
43
Why is it important to have an innate immune system? Explain why lymph glands swell after infection in relation to this.
Activation and clonal expansion of T cells takes time. In that time the innate immune system protects us over the first few hours of infection. Clonal expansion is the reason for swelling of lymph glands after infection.
44
What are the 3 classes of T cells?
1. Regulatory (aka suppressor) 2. Cytotoxic 3. Helper
45
Where do activated T cells go?
They migrate to the site of infection.
46
Describe the 3 classes of T cells and mention where they act.
They act LOCALLY. T-Helper cells: - Activate macrophages, dendritic cells, B cells - Maintain cytotoxic T cell activity by secreting a variety of cytokines. T-Regulatory cells: - T cells inhibit the function of helper T cells, cytotoxic T cells and dendritic cells. Cytotoxic T cells: - Kill infected host cells by convincing them to do apoptosis.
47
How do cytotoxic T cells kill? Describe the 2 strategies they use.
1. T cell recognises the antigens that were used to activate it on the target cell membrane. 2. It binds to that target cell. 3. The contact point forms an immunological synapse. SECRETION OF PERFORINS - the perforins assemble to form a channel in the target cell wall. - The T cell secretes proteases which enter the target cell to activate effector proteins of apoptosis (CASPASES). DIRECT ACTIVATION OF CASPASES - T cell binds to receptors on the target cells that send a signal to activate CASPASES.
48
Describe the action of T regulatory/suppressor cells.
The APCs continue to retrain T cells but the T- R/S cells stop the process of retraining and clonal expansion.
49
Describe the difference between T cells and B cells.
T cells: develop in thymus B cells: develop in bone marrow
50
Describe how B cells recognise their antigens as soluble proteins.
1. Soluble antigens in blood or lymph. 2. B cell receptors no antigen: no action taken. 3. B cell receptors recognise 'non-self' antigen: activation, mitosis and clonal expansion of specific B cells.
51
Describe the difference between a resting B cells and effector B cells (plasma cells).
Resting B cell: has membrane-bound antibodies that constitute the B cell receptor. Effector B cell (plasma cell): Massive increase in ER allows secretion of ~5000 antibodies per second.
52
How do antibodies cause viruses to be trapped in large cross-linked networks that often precipitate?
The ability to cross-link antigens coupled with a flexible hinge region that allows different spatial geometries of antigen binding.
53
What are the multiple classes of antibody?
The collective name for antibodies is Immunoglobin (Ig). They make 5 classes of Ig distinguished by their H chains: - IgM - IgD - IgG - IgA - IgE
54
Describe IgM
It's the most primitive Ig. It's a pentamer of the basic tetrameric unit, held together by a joining chain thought to aid polymerisation of the complex. In a pre-B cell in the bone marrow, IgM are membrane-bound and form B cell receptors.
55
Describe IgM
It's efficient at activating complement. Phagocytic cells don't have a receptor for IgM so phagocytic cells don't recognise pathogens that are cross linked or coated with IgM. IgM is very efficient at activating complement and is considered an opsonin (a molecule that targets antigens for phagocytosis).
56
Describe IgG.
It has the standard tetrameric structure : 2 H chain and 2 L chains. IgG has the same binding specificity as the IgM. It's very abundant being 70-75% of the immunoglobin in human serum.
57
Describe how IgG can cross the placenta?
Passive immunity, placental cells take up maternal IgG by pinocytosis. Placental endosomes have receptors that recognise and bind the tail region of IgG antibodies. Ig is released into the foetal circulation.
58
IgG is secreted into maternal milk.
IgG is secreted into mother's milk. The IgG molecules are transported across the enterocytes in vesicle carriers. Ig is released into the neonatal circulation.
59
What does IgE do?
Triggers mast cell/basophil degranulation and acts as a receptor for eosinophils.