Immunity to microbial infection. Flashcards

1
Q

Name some antimicrobial factors present within the oral cavity

A
  1. Lysozymes
  2. IgA, IgM, IgG
  3. Defensins
  4. Histatins
  5. LL-37
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does lysozyme fo?

A

It cleaves the bond between the peptidoglycan layer and bacterial cell wall
This allows access for antimicrobial peptides to reach the bacteria

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

Name the most abundant class of antibodies present in our saliva

A

IgA

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

Describe host defence peptides (HDPs)

A

Short cationic peptides present in the saliva and GCD

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

Where are host defence peptides (HDPs) produced?

A

Produced from the salivary glands, leukocytes and epithelial cells

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

What does it mean when we describe a molecule as cationic?

A

It has an overall positive charge

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

Name the 3 main families of host defence peptides (HDPs)

A
  1. LL-37 (Cathelicidin)
  2. Defensins
  3. Histatins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What can host defence peptides (HDPs) do?

A
  1. They have direct bactericidal activity
  2. Antiviral activity
  3. They can recruit immune cells
  4. Can actuate immune cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Name the 2 main families of Defensins

A

Alpha

Beta

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

Describe human defensins

A

They are short peptides with a conserved pattern of 6 paired cysteine residues and 3 disulphide bonds

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

Where is human Defensin found

A

Expressed widely throughout the whole body

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

For human Defensins to be activated what needs to happen

A

They need to be proteolytically cut to release the active molecule

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

Where are alpha defensins made

A

Produced by neutrophils

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

What is another name for alpha defensins

A

Human neutrophil peptide (HNP)

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

How many alpha defensins are expressed orally?

A

4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What encodes the 4 HNPs that are expressed orally?

A

3 defensin alpha gens (DEFA)

They are 29-35 amino acids Long

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

Name the 3 HNPs that are present in high abundance in the oral cavity

A

HNP1
HNP2
HNP3

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

What are the differences between HNP1, HNP2, HNP3

A

HNP1 and HNP3 differ by one amino acid only (they are the same length)
Removal of that one amino acid forms HNP2 (This means HNP2 is one amino acid shorter than the other 2)

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

How are alpha defensins stored?

A

In primary azurophil granules

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

What happens to alpha defensins in periodontitis

A

Found increased levels of alpha defensin

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

List some of the antimicrobial activities of alpha defensins

A
  1. Active in vitro against a range of bacteria including oral pathogens like S mutans, P gingivalis and A. actinomycetescomitans
  2. Active against Candida albicans
  3. Some antiviral activity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is Morbus Kostmann?

A

A generalised neutropenia

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

What happens to alpha denfesins in a patent with Morbus Kostmann?

A

Alpha defensin levels decrease

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

What happens to alpha denfesins in an edentulous patient?

A

Alpha defensin levels decrease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Other than antimicrobial activity what else can alpha Defensins do?
They have an immune regulatory activity
26
List some of the immune regulatory activities of alpha defensins
1. HNP1-3 are directly chemotactic for monocytes 2. They can increase neutrophil recruitment 3. Promote the induction of adaptive immune response through the activation of dendritic cells
27
How do alpha defensins increase neutrophil recruitment
1. Increase CXCL-8 production 2. Regulated cytokine expression increasing pro inflammatory cytokine expression 3, Inhibit anti inflammatory IL-10 4. Induce mast cell degeneration (histamine release, vasodilation)
28
How long are beta defensins?
36-45 amino acids long
29
What are beta defensins expressed by in the oral cavity?
Expressed by cells of the : 1. Gingiva 2. Salivary glands 3. Tongue 4. Mucosa 5. Epithelial cells
30
When is HBP2 expressed in the oral cavity?
All the time (expression is constitutive)
31
Where are HBD1 + 2 expressed?
Expressed within the differentiated epithelial cells layers SS and SG
32
Where is HBD3 expressed
Expressed within stratified basal layer
33
When is HBD expression increased?
In inflamed gingivae
34
What are HBD3s active against
Gram positive and gram negative bacteria including: 1. P gingivalis 2. S mutans 3. A actinomycetescomitans 4. F nucleatum 5. T denticola
35
What are HBD2s active against ?
Gram negative and candida sp
36
What are HBD1s active against?
P gingivalis | F nucleatum
37
Which of the 3 HBDs is the most potent and which is the least?
HBD3 is the most potent | HBD1 is the least potent
38
List some immune regulator activities of beta defensins
1. Expression of HB2 and 3 are increased by pro inflammatory cytokines 2. Activate dendritic cells and T cells 3. Chemo taxis
39
Other than bacteria what else do beta defensins target?
They have anti viral activity
40
List some of the antiviral activity of defensins
1. Can target the lipid envelope 2. Extracellular aggregation 3. Receptor blocking/ down regulation 4. Inhibition of fusion 5. Blocking uncoating 6. Cellular changes
41
Describe LL-37
Alpha helical structure
42
Name the only HUMAN member of the cathelicidin family
LL-37
43
Where is LL-37 present
Salivary glands Saliva GCF
44
What is LL-37 produced by
Leucocytes | Epithelial cells
45
How is LL-37 stored?
Stored as precursor hCAP-18 in secondary granules
46
When do levels of LL-37 increase?
Increased levels in GCF and saliva in periodontal disease
47
What bacteria does LL37 work against
1. P intermedia 2. P gingivalis 3. F nucleatum 4. S gardenia 5. S sanguines
48
Other than anti bacterial activity what else can LL37 do?
1. Autoaggregation of candida albicans 2. Reducses candida binding to epithelia 3. Promotion of wound healing 4. Stimulates pro inflammatory responses 5. Inhibits inflammatory responses to gram negative LPS 6. Neutralises gram negative LPS 7. direct chemo attractant
49
How does LL-37 stimulate pro inflammatory responses
1. Stimulates epithelial cells to produce CXCL-8 | 2. Synergise with cytokines to enhance PBMCs responses
50
Why does p gingivalis cause inflammation
So that it can take proteins from the increased GCF flow and use that to produce toxins and cause damage
51
Name the three models we use to describe AMP insertion into lipid bilayers
1. Barrel stave model 2. Toroidal model 3. Carpet model
52
What is the barrel stave model thought to be a model for now?
Model for perforin
53
Out of the 3 models which are most Likely to be the models for antimicrobial peptides (AMP) insertion
1. Toroidal model | 2. Carpet model
54
What is another name for the toroidal model?
Wormhole model
55
What does AMP stand fro
Antimicrobial peptide
56
What form in the toroidal model
Holes form
57
What is the carpet model based on
Based on the description of the lipid bilayer
58
Describe histatins
They are histadine rich They are cationic and 7-38 amino acids long They are madly amphopathetic
59
Where are histatins found
In the saliva
60
What are histatins produced by
Parotid, submandibular and sub lingual glands
61
Name the most prominent histatins in humans
Human histatin 1, 3 and 5
62
To which fungi do histatins have the most potency to?
Candida species
63
What are the activities of histatins
1. Anti fungal 2. Important in production of acquired enamel pellicle 3. Important in wound healing
64
How do histatins affect candida species
They inhibit mitochondrial respiration
65
How do histatins help in would healing
They activate the migration of epithelial cells