Immunology Flashcards
Why might asthma prevalence be increasing?
Too clean an environment so we produce an overreactive response
examples of anti-inflammatory/immunosuppressive drugs
antihistamine, aspirin, ibuprofen, cortisol steroids
what are the two branches of immunity?
innate (natural) and acquired (adaptive)
examples of innate (natural) immunity?
physical barriers, soluble factors and immune cells
examples of soluble factors that are innate
cytokines, acute phase proteins, inflammatory mediators, complement proteins
examples of acquired (adaptive) immunity
soluble factors and immune cells
examples of soluble factors that are acquired (adaptive)
cytokines and antibodies
pathogens points of entry
digestive system, respiratory system, urogenital system, skin damage
when is innate immunity induced and how long does it take to respond?
present from birth rapid response (mins-hrs)
when is acquired immunity induced and how long does it take to respond?
induced by the presence of foreign materials slow response (days)
is innate immunity specific or non-specific?
non-specific
is acquired immunity specific or non-specific?
specific for each antigen encountered
three modes of ingestion of bacteria and fungi by macrophages?
pinocytosis, receptor-mediated endocytosis and phagocytosis
what is pinocytosis?
ingestion of fluid surrounding cells
what is receptor-mediated endocytosis?
molecules bound to membrane receptors are internalised
what is in lysosomes that allow them to break down cells?
acidic Ph and enzymes
what is a macrophage?
a type of phagocyte
what are mast cells full of?
granules rich in histamine and heparin
what is opsonisation?
the coating of pathogens by soluble factors (opsonins) to enhance phagocytosis
examples of opsonins
C3b
C-reactive protein
IgG/IgM
where are low levels of inactive complement system proteins found?
in the extracellular fluids
what activates complement system proteins?
pathogens
what does the activation of complement system proteins trigger?
a fast and powerful cascade of chemical reactions
what does the cascade of chemical reactions promote?
opsonisation of pathogens, direct pathogen killing, acute inflammation and leukocyte recruitment
what is the inactive precursor of the two active products, C3b and C3a?
C3
why does selective activation of the Mannose-binding lectin arise?
mannose expression is unique to certain pathogens and it is not expressed on human cells
what happens when an unstable C3b molecule binds to a pathogen?
it is stabilised, allowing a series of downstream events of the complement system
what happens once a C3b is generated?
an amplification loop stimulates more and more C3 cleavage via the alternative pathway
what cleaves inactive C5 into active C5a and C5b?
active C3b
what happens when active C5b associates with other complement system proteins?
it produces a pore-forming channel which inserts into the pathogen membrane/cell wall. This is the MAC
what does MAC stand for?
membrane attack complex
a key response to local change of the vasculature during infection/injury?
the recruitment of innate immune cells such as neutrophils and monocytes into the infected/inflamed tissue
how does vascular permeability increase?
tight junctions between epithelial cells break apart
what do neutrophils use to bind to and phagocytose pathogens?
pattern recognition receptors
what two types of cells can mediate phagocytosis?
macrophages and neutrophils
what type of cell is better at killing via phagocytosis, macrophages or neutrophils and why?
neutrophils are better because they have a second way to kill internalised pathogens via a ROS-dependant mechanism
the three neutrophil killing mechanism are…
phagocytosis, degranulation and NETs (neutrophil extracellular traps)
what can neutrophils do after phagocytosis??
degranulation
what is degranulation?
when neutrophils eliminate extracellular pathogens by releasing residual enzymes/toxins
downside to degranulation
it can lead to tissue damage and potential systemic inflammation
what do NETs do?
they immobilise pathogens so stop them from spreading but also facilitate subsequent phagocytosis of trapped microorganisms
what are nets composed of?
genomic DNA, histones, granular proteins and enzymes
two subdivisions of acute inflammation
local and systemic
what is the systemic acute phase response driven by?
pro-inflammatory mediators released by activated macrophages
what proteins are part of the systemic acute phase response
C3, MBL and C reactive protein
what do virally infected cells produce?
they release small proteins called interferons (INFalpha and beta)