Immunology - Innate and Adaptive Immunity Flashcards

1
Q

Define the immune system

A

Integrated system of cells and molecules that defends against pathogens and disease

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2
Q

Traits of Innate immune system? (3 traits)

A

Broad specificity
Not affected by prior contact
Rapid response (hrs)

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3
Q

Traits of Adaptive (acquired) immune system? (4 traits)

A

Highly specific
Enhanced by prior contact; Memory
Slower response (days-weeks)
Weak at birth; Becomes stronger over time after several pathogen contacts

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4
Q

Where is the crossover between innate and adaptive immunity? (hint - both primarily facilitated by same things)

A

Both primarily involve white blood cells (leukocytes) + soluble factors

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5
Q

What mechanisms/components are involved in the Innate immune system? (4 mechanisms/components)

A

Barriers
Leukocytes - Phagocytes, NK cells
Soluble proteins - Complement, Interferons
Local and systemic responses - Inflammation, Fever

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6
Q

Give an example of a external barrier in the Innate immune stem?
How can this barrier fail?

A

Keratinised skin - Effective barrier unless breached
Can be breached by:
- Wounds/Cuts
- Bites

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7
Q

Give 3 examples of a mucosal barrier in the Innate immune system? (hint - often infected)

A

Gastrointestinal tract (300m2)
Respiratory tract (100m2)
Genito-Urinary tract

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8
Q

What are leukocytes derived from? (hint - HSCs in B)
What are the 2 cell lineages

A

Derived from Haematopoietic Stem Cell in bone (pluripotent)

2 cell lineages are myeloid and lymphoid cells

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9
Q

What type of infections are phagocytes important in? (2 types)
What are the 2 main types of phagocytes?

A

Important in extracellular bacterial/fungal infections

2 main types:
- Neutrophils
- Mononuclear phagocytes

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10
Q

4 traits of neutrophils?

A

Main phagocyte in blood
Short lived
Fast moving
Has specialised lysosome for digestion of pathogens

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11
Q

2 traits of mononuclear phagocytes?
Different names for when in blood and tissue?

A

Long lived (months)
Help initiate adaptive responses

Monocytes in blood
Macrophages in tissue

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12
Q

Macrophage name in certain organs?:
- Brain
- Lungs
- Liver

A

Brain - Microglial cells
Lungs - Alveolar Macrophages
Liver - Kupffer cells

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13
Q

What type of cell is a Natural Killer (NK) cell? (hint - more specific than just leukocyte)
How does it kill infected host cells?
How it link with adaptive immunity?

A

Lymphocyte

Release lytic granules to kill virus-infected cells

Keeps viral infections in check until adaptive immunity develops

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14
Q

What are the 3 types of soluble proteins in Innate immunity?
- Give traits of each (e.g. type of infection they tackle)

A

Defensins
- +ve peptides made by neutrophils
- Disrupt bacterial membranes

Interferons
- Important in viral infections

Complement
- Important in extracellular infections

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15
Q

Name the 2 main interferons
What do they do when induced by viral infection? (3 things)

A

IFNα and IFNβ

Induce resistance to viral replication in all cells
Increase MHC class I expression and antigen presentation in all cells
Activate NK cells to kill virus-infected cells

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16
Q

What does complement system do in Innate immunity?
How many serum proteins in complement system?
- How are they activated? (3 ways)

A

Complements activity of antibodies

20 serum proteins activated either:
- Lectin binding pathogen surface (Mannose-Lectin binding pathway
- When antibody binds antigen (Classical pathway)
- Pathogen surfaces (Alternative pathway)

17
Q

How does complement activation work? (hint - activation cascade)

A

Complement components can have protease activity
C3 protein is cleaved to generate fragments C3a and C3b which further activate other proteins

18
Q

What are the 3 outcomes of complement activation?

A

Recruitment of inflammatory cells
Opsonisation of pathogens
Killing of pathogens

19
Q

Complement activation - Recruitment of Inflammatory cells
What role do C5a and C3a have?
- Examples of inflammatory cells this recruits?

A

C5a and C3a are Chemoattractants; Induce inflammatory mediator release
- Recruits cells like neutrophils and mast cells

20
Q

Complement activation - Opsonisation
What does C3b do and what type of bacteria is it important in killing?
How can some bacteria evade this?

A

C3b increases antibody binding and phagocytosis - Both important in killing of gram +ve bacteria

Some bacteria evade opsonisation by enveloping C3b in a thick capsule

21
Q

Complement activation - Cell lysis
What does complement do to cause lysis?
What type of bacteria is this important in killing?
- Which type are resistant to this type of killing?

A

Membrane attack complex (C5b - C9) uses polymerases to form hollow cylinders which are inserted into bacterial membranes - Creates pores

Important in killing gram -ve bacteria
- Gram +ve are resistant

22
Q

What induces inflammation?
What occurs in inflammation? (3 things)

A

Complement system

Dilation of blood vessels
Increased capillary permeability - Heat, redness, swelling, pain
Phagocytes migrate into tissues

23
Q

What induces fever response? (2 things)
What occurs in fever response?

A

Cytokines and LPS

They induce synthesis of prostaglandin E2
This acts on hypothalamus which regulates temperature

24
Q

Through what receptor does:
- Antibody bind to pathogen?
- Complement bind pathogen

Innate mechanisms with reference to PRRs and MAMPs?

A
  • Fc receptors
  • C3b receptors (Gram +ve and -ve bacteria)

Innate mechanisms - Pattern Recognition Receptors (PRRs) recognise Microbe-Associated Molecular Patterns (MAMPs)

25
Q

Traits of Microbe-Associated Molecular Patterns (MAMPs) (3 traits)
- Give some examples

A

LPS, Lipoteichoic acid, Chitin, dsRNA

Conserved across many microbes
Distinct from self
Critical for survival/function for pathogens

26
Q

What might binding of Pattern Recognition Receptors (PRRs) initiate? (3 things)

A

Receptor binding may initiate phagocytosis, chemotaxis or signalling

27
Q

What are TLRs?
What do they signal?
- Each one recognises distinct ____?

A

Toll-Like Receptors
Signal presence of microbes
- Each one recognising a distinct MAMP

28
Q

How does a TLR function?
- Structure
- What does ligand binding induce?

A

Function as dimers
Signalling induces expression of inflammatory cytokines

29
Q

What 2 types of short lived bactericidal agents are there in the lysosome/phagosome?

A

Toxic oxygen-derived products - Superoxide O2-, H2O2

Toxic nitrogen oxides - Nitric oxide NO

30
Q

What do Neutrophils ‘throw’ around bacteria?
- What process does this follow
What are these things made of?

A

Neutrophil Extracellular Traps (NETs)
Occurs following NETosis

NET - DNA impregnated with antimicrobial compounds

31
Q

What ‘concept’ do NK cells recognise in infected-host cells?
What signals is killing regulated by? (2 signals)
What do these signals do?

A

Recognise ‘altered self’

Killing is regulated by opposing activating or inhibitory receptors

Inhibitory recognise MHC class I on normal cells; Cell not killed
Activating recognise ‘altered’ or ‘absent’ MHC class I; Apoptosis induced in infected cell

32
Q

What do activated NK cells produce and what does it do?
- How does it induce apoptosis?

A

Perforin inserts into membrane of target cell
This creates channels for NK granules to release their contents (granzymes) into
Granzymes activate apoptotic pathway

33
Q

What are cytokines and what do they do?
At what range do most act?
What cells do they act on?

A

“Hormones” of the immune response
They regulate the response by changing cell behaviour or gene expression

Most act locally

Act on cells with specific cytokine receptors

34
Q

What are the main types of cytokines (4 types)

A

Interleukins
Interferons (IFN)
Chemokines
Tumour Necrosis Factor (TNF)

35
Q

What are the 2 types of Adaptive immunity?

A

Humoral (antibody) immunity
Cell-Mediated immunity

36
Q

What happens in Humoral Immunity? (2 things)

A

B lymphocytes recognise antigen with antibody receptors (acquired in bone marrow)
These differentiate into plasma cells that secrete soluble antibody that labels antigen

37
Q

What happens in Cell-Mediated immunity? (2 things)

A

T lymphocytes recognise antigen with T-cell receptors (acquired in Thymus)
These differentiate into cytotoxic T cells that kill infected host cells or helper T cells that control immune response

38
Q

What is an antigen?
Specificity?

A

A molecule that induces production of antibodies
A single antibody is specific in that it normally binds only one antigen

39
Q

Explain Clonal Selection hypothesis (3 points)

A

B/T cells acquire receptors independently of antigen in primary lymphoid tissue
B cells respond to antigen in secondary lymphoid tissue
Memory cells allow for a fast and massive response upon second exposure to an antigen