immunity and Host Defense Against Oral Infections: Innate & Adaptive Immunity Flashcards

1
Q

Host Defenses in Mouth

A
  • depends on integrity of oral mucosa
  • innate immunity
  • adaptive immuntty
    • antigen specific antibody
    • T cell response
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2
Q

non-specific denense

saliva

A
  1. saliva flow
  2. Mucin/agglutinins
  3. lysozyme-protease-anion system
  4. Lactoferrin
  5. Salivary lactoperoxidase
  6. histidine-rich polypeptides
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3
Q

physico-chemical barriers for saliva

A
  1. intraepithelial barrier
  2. basement membrane barrier
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4
Q

immunological barrier of salivia

A
  1. langerhans cells
  2. IEL
  3. Serum IgG
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5
Q

Host defenses with tooth surfaces

A
  1. Salivia
  2. IgG
  3. IgA
  4. Gingival crevicular fluid
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6
Q

neutrophil

A
  • granulocyte
  • phagocyte, innate immunity
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7
Q

lymphocyte

A
  • agranulocyte
  • adaptive immunity
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8
Q

monocyte

A
  • agranulocyte
  • phagocyte
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9
Q

eosinophil

A
  • granulocyte
  • removal of helminths and Ab-Ag complexes
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10
Q

Basophil

A
  • granulocyte
  • allergy inflammation
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11
Q

anatomic barriers in oral cells

A
  • innate immunity
  • TLRs
    • recognize PAMPS
    • produce peptide antibodies
    • cytokines
    • NO
    • sIGA
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12
Q

TLRs

A
  • TLR2
    • binds lipoteichoic acid of gram+ bacteria
  • TLR4
    • binds lipopolysacchrides of gram-bacteria
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13
Q

Physiologic Barrier

antimicrobial properties of saliva

A
  1. swallowing
  2. pH
  3. Temperature
  4. lactoferrin
  5. lysozyme
  6. myeloperpxidase
  7. Salivary peroxidase
  8. leukocytes
  9. secretory Iga
  10. complement
  11. Histatins
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14
Q

ph is salivia

A
  • rise in periodontal pocket pH in gingivitis and periodontal disease
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15
Q

temp in salivia

A

makes SOD work better

neutralization of super oxide anions

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16
Q

lactoferrin in saliva

A

iron-binding

bacteriostatic

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17
Q

lysozyme in salivia

A

breaks down bacterial structure

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18
Q

myeloperoxidase system in saliva

A
  • bactericidal
  • H2O2 in PMN
  • migrates to gingival crevice (inflammation)
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19
Q

salivary peroxidase system

A
  • bactericidal
  • generates thiocyanate
  • H2O2
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20
Q

Histatins in salivia`

A
  • histidine rich broad spectrum
  • antifungal
  • antiviral activity
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21
Q

Defensins in salivia

A
  • broad spectrum antibacterial
  • antifungal
  • antiviral
  • protect mucosal surfaces
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22
Q

complement in salivia

A

breaks down C3 derived from GCF

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23
Q

Leukocyted in salivia

A
  • secrete alpha defensin
  • phagocytosis
  • increases in inflammation
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24
Q

secretory IgA

(sIGA)

A

major Ab in salivia

inhibits agglutinates

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25
Q

phagocytic barrier

Destruction of Pathogens

A
  • phagocytes bind to microbes using cell-surface receptors via
    • reactive oxygen and nitrogen intermediates
  • Lysosomes
    • proteolytic enzymes
26
Q

Oxygen-independent methods

A
  • Lysozyme
  • Defensins
  • Lactoferrin
  • Proteolytic and hydrolytic enzymes
27
Q

oxygen-dependent methods

A
  • hydrogen peroxidde
  • superoxide anion
  • hydroxyl radical
  • Myeloperoxidase
  • Hypochlorite
  • Hypohalite
  • Nitric Oxide
28
Q

inflammatory barreriers

A

inflammation is body’s physiological response to infection or tissue damage

29
Q

inflammatory main events

6

A
  1. release of inflammatory cytokines (TNF alpha, IL-1)
  2. Cytokines recruit and activate phagocytes
  3. Vasodilation increases blood flow
  4. increased cappilary permeability
  5. leukocytes migrate to reach site of infection( PMNs first then monocytes and lymphocytes)
  6. periodonitis (inflammaiton)
30
Q

anatomy of inflammation

A

pavementing

diapedesis

chemotaxis

31
Q

B- Lymphocytes

A
  • recognize intact protein antigens
  • produce antibody (Ab) via plasma cells
32
Q

T-lymphocytes

general

A
  • recognize peptide Ag via TCR
    • presented by anitgen presenting cells (APC)
33
Q

APCs present Ag to

A

T cells using major histocompatibility complex (MHC)

34
Q

T-lymphocytes

two subtypes

A
  • T-helper
    • Lymphocytes, CD4+
    • recognize extracellular Ag
    • via MHC II
  • Cytotoxic T lymphoctes
    • CTL CD8+
    • recognize intracellular Ag
    • via MHC I
    • kills virus infected cells
35
Q

In HIV infections CD4+ T cells are killed by

A

CD8+ T cells

36
Q

Gingival crevice and 1/3 of tooth crown are protected by GCF that contain which immunoglobulins/Antibody

A
  • IgG
  • IgA
  • IgM
37
Q

Salivary Ab in healthy human mouth is mainly

A

sIgA

38
Q

Abs are usually derived from

A

plasma

39
Q

Ab can be locally synthesized mainly in

A

inflammed gingivae

40
Q

IgG

A
  • monomer
  • crosses the placenta/protects fetus
  • activate complemetn
  • opsonizing

In GCF protects gingival & gingival crown of teeth

41
Q

IgM

A
  • Pentamer
  • First Ab generated against any Ag
  • Main Ab made by fetus
  • ABO blood group Ag

GCF contains IgM, protects gingiva and gingival crowns of the teeth

42
Q

IgA

A
  • dimer secertions ( tears, salivia…)
  • lines oral mucosal surface
    • protect from infection (ruins adhesion molecules on pathogens)
  • uses microogranisms to stop colonization
43
Q

MALT is located in

A

gut

44
Q

where are lyphocyted found in the GI tracat?

A

epithelial layer

lamina propria

Peyer’s patch

45
Q

alteration in normal microflora in oral mucosa leads to

A

inappropriate immune responses

46
Q

GCF

A

Gingival Crevicular Fluid

flushes gingival margin-oral cavity

47
Q

dental plaque at the gingival margain results in

A

acute inflammation by increasing the flow of GCF

48
Q

Dental caries and periodontal diseases are the results of

A

ecological imbalance btwn resident microbes and the host immune response

49
Q

frequent consumption of carbs leads to

A
  • promotes bacteria lactobacilli S.mutans
    • colonize on carb
    • leading to biofilm/dental plaque
50
Q

most inhaled or ingested antigens are taken up by the specialized

A

microfold or M cells

51
Q

oral immunization with protein Ags induce

A

tolerance

52
Q

_________ is important for generation of oral mucosal tolerance

A

CD4+

53
Q

chitinase

A

antifungal in mouth

54
Q

cathelicidin

A

antimicrobial in the mouth

55
Q

complement factors C3a C5a in mouth

A

chemotazis and attraction of phagocytes to the site

56
Q

intra-epithelial lymohocytes and langerhans cells

A

cellular barrier to penetrating bacteria and/ or antigens

57
Q

CD4 t cells

A

secretion of cytokinens

58
Q

sIgA

A

prevents microbial adhesion and metabolism

59
Q

IgG, IgA, IgM

A

prevent microbial adhesion, opsonization and complement activatoin

60
Q

Mucosal immune System

A
  • Microflod (M) cells capture Antigen
  • Dome Area is rich in DCs and contains B cells
  • sIgA provides major defense at mucosal surfaces