immunity to viruses and fungi Flashcards

1
Q

virus infects epithelial cells and ____ amongst them

infected cells respond by producing ____ (which acts in an autocrine/paracrine manner (which helps to slow spread of virus)

A

replicates

type I interferons (e.g. IFN-alpha)

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2
Q

local effects of IFN-alpha (Type I interferons):

inhibition of ____ ____ replication

up-regulation of MHC ____ molecules

A

viral gene

MHC I

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3
Q

DC response to virus:

  1. 1Tissue DCs recognize viral particles and release dhemokines to attract other immune cells, primarily ____
    1. cytokine ____ for neutrophils
    2. ____/____ for monocytes
  2. ____ activation occurs to allow circulating cells into the tissue
  3. Ag carrying DCs will migrate to ____ where they will activate T cells
A
  1. APCs
    1. IL-8
    2. MIP-1/MCP-1
  2. endothelial
  3. LNs
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4
Q

some locally released cytokines from cells such as tissue macrophages (e.g. ____ , and ____ ) enter bloodstream and have systemic effects of fever, acute phase response, and arthralgia/myalgia)

A

IL-1 and TNF-alpha

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5
Q

DCs travel to LNs to T cell zone presenting viral peptides:

  1. naive T cells that recognize peptides become ____ cells
  2. naive B cells that acquire viral particles through attachment to surface IgM or IgD process and present viral peptides to Th cells, and in turn receive positive growth and differentiation signals. ____ antiviral Ab is produced as a result (some B cells differentiate and class switch leading later to production of high affinity antiviral ____ ) (this is conisdered a secondary Ab response)
A
  1. T helper
  2. IgM IgG
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6
Q

Th1 cells produce ____ taht activate strong proliferation of virus-specific CTLs

____ and ____ increase the resistant of CTLs to apoptosis

A

IL-2

IL-2 and IFN-gamma

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7
Q

Th and CTLs leave the LN via the ____ towards other lymph nodes and ultimately enter the ____

A

lymphatics

blood

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8
Q

NK cells can be recruited at 2 points during the virus infection:

  1. early innate antiviral role following activation by epithelium-derived cytokines and macrophage-derived ____
  2. later stage wehre they are activated by ____ producing Th1 cells specific the the virus
A
  1. IL-12
  2. IL-2
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9
Q

NK cells target cells that don’t constitiutively express MHC ____ . these are typically very stressed cells, normally by ____ of mutations

A

MHC I

viruses

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10
Q

macrophage resopnse to virus:

  1. clear ____ particles
  2. clear ____ debris
  3. cytokine production ( ____ and ____ )
A
  1. viral
  2. cellular
  3. IL-1 and TNF
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11
Q

virus-infected cells secrete and excrete viral proteins. these may be neutralized of removed by ____ in the form of immune complexes which are cleared, or Ab may be used to guide Fc receptor-expressing NK cells activating ____

A

Ab

ADCC (antibody dependent cell-mediated cytotoxicity)

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12
Q

after resolution of the infection, virus-specific memory T and B cells reside long term in the ____ , ____ , and ____ ____

A

LNs, spleen, bone marrow

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13
Q

CTLs:

  1. activated by ____ via cross-presentation on ____ with cytokines (____ and ____ ) from T helper cells
  2. klling of virus infected cells with ____ presentation
A
  1. DCs MHC I

IFN-gamma and IL-2

  1. MHC I
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14
Q

primary immune responses to viral infection:

innate immunity is mediated by ____ which prevent infection, and ____ cells which eliminate infected cells

adaptive immunity is mediated by ____ which block infection, and ____ which kill infected cells

A

Type I IFN (e.g. IFN-alpha) NK

antibodies CTLs

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15
Q

fungi are recognized by ____ binding the PAMPs

dectin-1 is a recently decovered PRR that binds ____

A

PRRs (present on macrophages and DCs)

beta-glucan (cell wall)

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16
Q

immune response to fungi infection:

IL-12 is essential for the differentation of ____ cells

IL-23 is essential for the differentation of ____ cells

A

Th1

Th17

17
Q

immune responses to fungi infection:

Th1 response is required for ____ of a function infection

Th2 response usually results in ____ infection

A

clearance

chronic

18
Q

macrophage is primarily involved in ____ of fungus

A

detection

19
Q

neutrophils are primarily involved in ____ of fungus

A

killing

20
Q

immune response to fungi infection:

Th17 cell are involved in ____ activation/attraction and ____ activation

A

neutrophil

epithelial

21
Q

neutropenia, low number of neutrophils in ciruclation, leads to susceptibility for ____ infections, becuase neutrophils are the main cell type responsible for ____ fungus

A

fungal

killing

22
Q

one of the most clinically relevant fungal pathogens is

A

candida albicans (candida infections)

23
Q

____ are a growing family of immune cells that mirror the phenotypes and functions of Th cells

A

ILCs (innate lymphoid cells)

24
Q

Th17 and ILCs are a major source of ____ in fungal infections

A

IL-17

(neutrophil attraction and activation)

25
Q

active immunization

A

immunization with microbe or microbial products

26
Q

inactive immunization

A

immunization with prefromed Ab against desired Ag;

rapid response but short lived

27
Q

live attenuated

A

microbe is alive but weakened so it won’t cause disease; better/longer protection

can’t be used for immunocomproised patients

1 or 2 doses of live vaccines can give a lifetime of protection

28
Q

killed/inactivated vaccine:

A

microbe id dead; lesser/shorter protecton

requires boosters

29
Q

subunit vaccines:

A

does not use whole microbe but only a specific Ag; typically a toxin

OFTEN REQUIRES AN ADJUVANT

30
Q

conjugate vaccine:

A

polysaccharide Ag is attached to protein carrier

31
Q

polyvalent vaccine:

A

contains multiple strains and immuinzes against all

based on prediction

32
Q

a substance which enhances the body’s immune response to an antigen

A

adjuvant

33
Q

how do adjuvants work

A

they induce local inflammation at the site of injection → causes activation of macrophages and causes local cytokine production, which can modulate the costimulatory molecules needed for T cell activation

34
Q

what are common adjuvants used

A

aluminum and calcium salts