Immunity - D W Sexton Flashcards

1
Q

Name 4 types of receptor in innate immunity

A

Toll-like receptor

Mannose receptor

Scavenger receptor

Formyl-peptide receptor

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2
Q

Innate immune system consists of which two main reactions

A

Inflammatory and antiviral defence

Inflamm involves the process of leukocyte and plasma protein recruitment from the blood and their accumulation in tissues and their activation to destroy microbes- these often involve cytokines that are produced by macrophages and other types of cells during innate immune reactions.
Major leukocytes recruited are PHAGOCYTES AND NEUTROPHILS- phagocytes ingest microbes and destroy these in intracellular vesicles

Antiviral involves a cytokine- mediated reaction where cells acquire resistance to viral infection and the killing of virus infected cells by NK cells.

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3
Q

Explain phagocytosis

A
  1. Chemotaxis and adherence of microbes to phagocyte
  2. Ingestion of microbe by phagocyte
  3. Formation of phagosome
  4. Fusion of phagosome with a lysosome to form a phagolysosome
  5. Digestion of ingested microbe by enzymes
  6. Formation of residual body containing ingestible material
  7. Discharge of waste materials
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4
Q

What is adaptive immunity

A

Adaptive immunity involves the ability to different substances- therefore the ability to be specific.
For example there are unique components such as lymphocytes with specific antibodies that can be adapted and secreted for certain antigens

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5
Q

Give the 6 phases of adaptive immune response

A
  1. Recognition of the antigen
  2. Activation of lymphocytes eg T and B cells
  3. Elimination of the antigen (effector phase) - through production of specific antibodies produced by B-cells
  4. The response decreases as antigen-stimulated lymphocytes die by apoptosis
  5. Homeostasis is restored
  6. Antigen specific cells that survive are then responsible for memory
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6
Q

4 signs of inflammation

A

Rubor-redness
Dolor- pain
Heat
Swelling

These are due to increased blood flow and vascular permeability; the release of mediators

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7
Q

3 functions of the innate immune system

A
  1. Prevents and controls/eliminates infection of the host by pathogens
  2. Mechanisms eliminate damaged cells and initiate the process of of tissue repair
  3. Stimulates the adaptive immune response
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8
Q

Defence mechanisms of the innate immune system

A

Mucous, saliva, gastric acid, sweat and tears

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9
Q

Discuss the 4 stages of leukocyte recruitment in innate immunity

A
  1. ROLLING
    endothelial cells lining the post-capillary venules are activated in response to microbes
    Cytokines produced by microphages and other cells may be produced also
    Cytokines stimulate expression of cell mediators which induce surface expression of P-selectin
    Blood vessels dilate and blood flow slows
    Leukocytes move closer to the vessel lining =MARGINATION
    allows ligands on leukocyte to bind to selections on endothelial cells
    These interactions are weak and detach easily
    Therefore they attach and detach causing a ROLLING action along the endothelial surface which slows the leukocyte down to facilitate the next step in the process
  2. INTEGRIN ACTIVATION BY CHEMOKINES
    chemokines displayed by endothelial cells at the infection site bind to the receptors on the rolling leukocytes meaning they’re bound more strongly to the endothelial surface
  3. ADHESION
    the activation of intigrins increases the expression of ligands on endothelial cells
    The ligand VCAM-1 causes the intergrins VLA-4 and ICAM-1 to bind and also LFA-1 and Mac-1 to bind
    The leukocytes attach firmly to the endothelium and causes the leukocyte to spread out along the endothelium
  4. MIGRATION
    Leukocyte migrates through the boarder of the endothelial cells- this requires a transient and reversible disruption of adherens junction proteins

THIS ALLOWS THE LEUKOCYTE TO MOVE OUT OF THE BLOOD AND INTO THE TISSUES

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10
Q

Name circulating cell types in innate immunity (effector cells)

A
  1. Neutrophils- carry out early phagocytosis and kill microbes
  2. Macrophages- secrete cytokines that stimulate inflammation- carry out efficient phagocytosis
  3. NK CELLS - cause lysis of infected cells and activate macrophages
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11
Q

Name circulating effector proteins

A
  1. Complement
    Causes killing of bacteria
    The opsonisation of microbes and activation of leukocytes
  2. Mannose- binding lectin
    Causes the opsonization of microbes and activation of complement (the lectin pathway)
  3. Pentraxin
    Causes the opsonization of microbes and activation of complement
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12
Q

What is a PRR (pattern recognition receptor)

A

These work to immobilise pathogen and start phagocytosis and to activate the host cell

These recognise pathogen associated molecular patterns (PAMPS) and damage associated molecular patterns (DAMPS)

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13
Q

What is a PAMP

A

A pathogen associated molecular pattern

Eg

LPS- a specific component of the gram- bacteria and recognised by TLR-4

MANNOSE receptor (CD206) is involves in the phagocytosis of microbes - recognises terminal sugars on the microbial surface of carbohydrates

Fmlp- is a PAMP as it is the only molecule that comes from bacteria cells

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14
Q

Discuss the use of pattern recognition receptors

A

Inflammation triggered when innate immune cells detect infection or tissue injury.

Mechanisms to detect this include the use of PRR’s on the cell surface and and in the cytoplasm. These respond to PAMPS eg LPS, carbohydrates or microbial nuclei acids or DAMPS which are released from injured cells.

The activated PRR’s then oligomerize and initiate signalling cascades that trigger the release of factors that promote recruitment of leukocytes to the area of infection.

Examples of PRR’s are;
TOLL - like receptors …… LPS will bind to TLR’s
Responds to endogenous molecules whose location or expression indicates cell damage

Eg heat shock proteins

SCAVENGER RECEPTORS
Collection of cell surface proteins originally involved in the uptake of oxidised lipoproteins into cells
Involved in binding lipoproteins, some polysaccharides and some nucleic acids
Internalisation if bacteria and apoptopic cells

Eg SR-A and CD36 expressed in macrophages

OPSONINS
Substances that coat particles for enhanced phagocytosis = OPSONIZATION
EG. antibodies and complement proteins
Opsonin receptors and should the microbe be coated with the complement then phagocytosis will be more efficient

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15
Q

Discuss the complement cascade in inflammation

A

The complement system consists of several plasma proteins and cell surface receptors that work together to opsonize microbes which promotes the recruitment of phagocytes to the site of infection and may directly kill microbes.

It is activated by proteolytic cascades where an enzyme is altered to because an active protease which cleaves and then induces the proteolytic activity of the next complement protein in the cascade.

The cascade results in a large amount of proteolytic products being generated and these products perform effector functions of the complement system.

There’s 3 pathways of complement activation ;
Classical which is triggered by the antigen-antibody complex, the alternative which is triggered by foreign surfaces and the lectin pathway which is triggered by carbohydrates.

Recognition of microbes by any of these pathways = sequential recruitment and additional complement proteins into protease complexes

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16
Q

Talk about soluble defence mechanisms

A

Interferons - a type of cytokine
The immune system deals with viral infections by inducing the expression of type 1 interferons which inhibit viral replication - one way it does this is by increasing cytotoxicity of NK cells and CD8+ cells

Microcidal molecules
Eg defensins which can cause direct toxicity to microbes
Eg cathelicidin which activates various responses in leukocytes and other cells the promote eradication of microbes and cause toxicity

Complement
When complement proteins are activated by microbial surfaces the proteolytic cleavage products cause inflammatory responses eg opsonise microbes for enhanced phagocytosis

Cytokines
Group of secreted proteins that regulate many of the cells activities in innate and adaptive immunity eg the growth and differentiation of immune cells