immunity and Host Defense Against Oral Infections: Innate & Adaptive Immunity Flashcards
Host Defenses in Mouth
- depends on integrity of oral mucosa
- innate immunity
- adaptive immuntty
- antigen specific antibody
- T cell response
non-specific denense
saliva
- saliva flow
- Mucin/agglutinins
- lysozyme-protease-anion system
- Lactoferrin
- Salivary lactoperoxidase
- histidine-rich polypeptides
physico-chemical barriers for saliva
- intraepithelial barrier
- basement membrane barrier
immunological barrier of salivia
- langerhans cells
- IEL
- Serum IgG
Host defenses with tooth surfaces
- Salivia
- IgG
- IgA
- Gingival crevicular fluid
neutrophil
- granulocyte
- phagocyte, innate immunity
lymphocyte
- agranulocyte
- adaptive immunity
monocyte
- agranulocyte
- phagocyte
eosinophil
- granulocyte
- removal of helminths and Ab-Ag complexes
Basophil
- granulocyte
- allergy inflammation
anatomic barriers in oral cells
- innate immunity
- TLRs
- recognize PAMPS
- produce peptide antibodies
- cytokines
- NO
- sIGA
TLRs
- TLR2
- binds lipoteichoic acid of gram+ bacteria
- TLR4
- binds lipopolysacchrides of gram-bacteria
Physiologic Barrier
antimicrobial properties of saliva
- swallowing
- pH
- Temperature
- lactoferrin
- lysozyme
- myeloperpxidase
- Salivary peroxidase
- leukocytes
- secretory Iga
- complement
- Histatins
ph is salivia
- rise in periodontal pocket pH in gingivitis and periodontal disease
temp in salivia
makes SOD work better
neutralization of super oxide anions
lactoferrin in saliva
iron-binding
bacteriostatic
lysozyme in salivia
breaks down bacterial structure
myeloperoxidase system in saliva
- bactericidal
- H2O2 in PMN
- migrates to gingival crevice (inflammation)
salivary peroxidase system
- bactericidal
- generates thiocyanate
- H2O2
Histatins in salivia`
- histidine rich broad spectrum
- antifungal
- antiviral activity
Defensins in salivia
- broad spectrum antibacterial
- antifungal
- antiviral
- protect mucosal surfaces
complement in salivia
breaks down C3 derived from GCF
Leukocyted in salivia
- secrete alpha defensin
- phagocytosis
- increases in inflammation
secretory IgA
(sIGA)
major Ab in salivia
inhibits agglutinates