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PID Final Review > Immunology - Host Defense & Immune Evasion > Flashcards

Immunology - Host Defense & Immune Evasion Flashcards

1
Q

What are the three major functions of interferons (IFN)?

A
  1. ) Induce resistance to viral replication in all cells
  2. ) Increase MHC class 1 expression and antigen presentation in all cells.
  3. ) Activate NK cells to kill virus-infected cells.
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2
Q

What are the two ways the innate immune system is able to distinguish self from non-self?

A
  1. ) Pattern recognition receptors (PRRs)

2. ) Missing/altered self receptors (NK cells).

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3
Q

What are the three ways in which the adaptive immune system is able to distinguish self from non-self?

A
  1. ) Antigen presentation (MHC)
  2. ) Antibodies
  3. ) T cell receptors
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4
Q

What are PAMPs and what is their role?

A

Pathogen-associated molecular patterns are patterns that are found only in bacteria or other microbes. They are detected when they bind to pattern-recognition receptors which are present on host phagocytic cells.

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5
Q

Which type(s) of microbe(s) do macrophages express PRR’s for?

A

Bacteria

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6
Q

Which type(s) of microbe(s) do neutrophils express PRRs for?

A

Bacteria and fungi

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7
Q

Where are reserves of neutrophils stored?

A

Bone marrow

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8
Q

In which circumstances do eosinophils’ numbers increase?

A

Parasite infection and in patients with type 1 hypersensitivities. They are a an important defense against helminths.

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9
Q

What causes the increase in NK cells during a viral infection?

A

interferron

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10
Q

What is the mechanism used by natural killer cells in causing cell death?

A

NK cells release perforins and granzymes which perforate membranes and trigger caspase-mediated cell death.

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11
Q

Describe the two receptor-binding interactions required for discrimination of self vs. non-self by NK cells.

A

One receptor is to activate the NK cell to kill, the other is to block the NK cell from killing (MHC 1 receptor). Virus-infected cells express fewer MHC 1 receptors on their surface.

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12
Q

What activates the classical pathway?

A

C1 binding to the C-reactive protein on the pathogen surface.

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13
Q

What activates the lectin pathway?

A

Mannan binding lectin (MBL) and MBL-associated serine protease-2 (MASP-2)

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14
Q

What activates the alternative pathway?

A

Contact of microbial cell wall with C3b

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15
Q

What component(s) of the complement system causes opsonization?

A

C3b

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16
Q

What component(s) of the complement system causes the activation of the inflammatory response?

A

C3a & C5a

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17
Q

What is the “formula” for C3 convertase produced by the alternative pathway?

A

C3bBb

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18
Q

What is the “formula” for C3 convertase produced by the classical and lectin pathway(s)?

A

C4bC2b

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19
Q

What is the “formula” for C5 convertase from classical/lectin & alternative pathways?

A

Classical/lectin pathways: C4bC2bC3b

Alternative pathway: C3bBbC3b

20
Q

Define humoral immunity.

A

A type of immunity mediated by antibodies secreted by antigen-activated B cells and their progeny plasma cells.

21
Q

What are the features of secondary humoral immune response as compared with primary?

A

Shorter lag phase
Greater magnitude
Class-switched to IgG (was IgM in primary)

22
Q

Define paratopes

A

The part of an antibody that recognized an antigen. The antigen-binding site of an antibody.

23
Q

Define epitope

A

The part of an antigen that is recognized by an antibody.

24
Q

What are surface immunoglobulins and which type(s) of cells have them?

A

Antibodies expressed on the surface of certain cells.

B-cells and T-cells have surface immunoglobulins

25
Q

Which types of cells recognize native antigen proteins without processing? With processing?

A

B-cell receptors & antibodies recognize native antigen proteins without processing

T-cell receptors recognize only processed antigens when presented on MHC.

26
Q

Define cell mediated immunity.

A

Immunity mediated by antigen-activated T cells and the cytokines they secrete.

27
Q

MHC-class 1:

Which cells have it?
What is its function?
What’s the result?

A

All nucleated cells have it
It presents antigens to cytotoxic T (CD8+) cells
It results in T cell-mediated toxicity

28
Q

MHC- class 2:

Which cells have it?
What is its function?
What’s the result?

A

B cells, macrophages and dendritic cells (antigen-presenting cells)
Present antigen to T (CD4+) helper cells
T cell-mediated help (either cell-mediated or antibody mediated response)

29
Q

Which class MHC receptor is used in protection against intracellular pathogens?

A

MHC class 1 AND MHC class 2

30
Q

Which MHC receptor is used in protection against exogenous antigens?

A

MHC class 2

31
Q

What does CD4+ TH1 do when stimulated with an antigen?

A

Activates macrophage for delayed-type hypersensitivity response.

32
Q

What does CD4+ TH2 do when stimualted with an antigen?

A

Activates a B cell for antibody response.

33
Q

Define ADCC

A

Antibody dependent cell-mediated cytotoxicity is cell-mediated immune defense whereby an effector cell actively lyses a target cell, whose membrane-surface antigens have been bound by specific antibodies.

34
Q

What type(s) of cell(s) are capable of ADCC?

A

NK cells
Macrophages
Neutrophils
Eosinophils

35
Q

What are the (5) evasion strategies used by bacteria?

A

Evasion of antimicrobial peptides

Impairement of tracheal clearance

Adhesion and penetration of epithelial barriers

Evasion of phagocytosis

Evasion of complement killing

36
Q

Beta-defensins are an example of ___.

A

antimicrobial peptides

37
Q

What are the (5) ways in which evasion of complement killing can be executed?

A

Activate masking substances (i.e. capsule, coating with antibodies)

Apply appropriate inhibitors of activation to surface

Cover up target of membrane attack complex

Inactivate complement chemotaxin C5a

Activate surface of plasminogen to plasmin to cleave C3b.

38
Q

What (7) techniques of immune evasion are used by bacteria to evade adaptive immunity?

A

Antigenic variation

Apoptosis or lysis of lymphocytes

Inhibition of lymphocyte proliferation

Superantigens

Effects on cytokine expression

Subversion of T regulatory cells

Degradation of immunoglobulins

39
Q

In what (3) ways are viruses able to avoid detection by the immune system?

A

Avoidance of exposure - presentation on MHC class 1 receptors is blocked

Location - Hide in an area that won’t be searched (intracellular, brain)

Immunosuppressive viral proteins.

40
Q

In what (3) ways are viruses able to escape the immune system?

A

Point mutation - example: influenza has a high mutation rate

Reassortment - complimentary genome segments are switched

Recombination - like reassortment but involving two strains of unsegmented virus.

41
Q

In what ways (3) are bacteria able to suppress the immune system?

A

Apoptosis or lysis of lymphocytes

Inhibition of lymphocyte proliferation

Degradation of immunoglobulins

42
Q

Which groups of pathogens evade the immune system by hiding inside cells?

A

Bacteria, viruses and parasites

43
Q

In what ways (5) do parasites evade the immune system?

A

Antigenic variation

Molecular mimicry - microbial antigens mimic host antigens leading to poor antibody response

Concealment of antigenic site

Intracellular location

Immunosuppression

44
Q

Which type(s) of antigen(s) use immunosuppresion as an immune evasion technique?

A

Bacteria, viruses, parasites.

45
Q

Which type(s) of antigen(s) use antigenic variation to evade the immune system?

A

Bacteria, viruses (mutations) and parasites.

PID Final Review (8 decks)

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