Innate and Adaptive Immunity in Alzheimers Flashcards

1
Q

What is CNS immune privilege due to?

A

neuroprotective
presence of physical barriers
absence of traditional lymphatics
lack of APC
High metabolic demand

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2
Q

What does immune privilege mean to the CNS

A

Zone that’s immune response is preserved from rest of the body

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3
Q

Where does energy in the CNS mainly go?

A

Neurons (not immune cells)

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4
Q

What 2 ways is immune privilege losty?

A

Age -> blood vessels more permeable to allow cytokines to cross BBB
Neurodegenerative disease

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5
Q

What are 4 steps to LOAD?

A

Accumulating AD pathologies (amyloid beta)
Inflammatory glia
Glia function loss
Neurotic plaques and paracrine senescence increase

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6
Q

What 4 things make up the BBB?

A

Endothelial cell layer (TJ)
Basal lamina
Perivascular space
Astrocytic end-feet

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7
Q

What 2 other diseases is the BBB disrupted by immune cells?

A

MS
Stroke

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8
Q

What 2 immune cells disrupt BBB?

A

T cells
Monocytes

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9
Q

Where is lymphatic fluid located in the brain?

A

transported in perivascular spaces between astrocytes end feet and blood vessels

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10
Q

Where else do neuro-immune interactions take place other than the BBB?

A

CSF - T cells
Dural lymphatic vessels
meninges

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11
Q

What does the CSF drain?

A

immune cells and protein back to blood circulation

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12
Q

What is the new layer of the meninges called?

A

subarachnoid lymphatic like meninges

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13
Q

What does the skull bone marrow produce?

A

Immune cells

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14
Q

Why is effector and regulatory T cell balance important?

A

If you have a balance of regulatory T cells in blood compared to effector T cells -> have protective function

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15
Q

What happens if regulatory T cells increase?

A

Increase in regulatory T cells impact astrocyte and microglia function and will be protected

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16
Q

What happens with effector T cells in AD?

A

In AD there is an imbalance - effector T cells infiltrate brain and are inflammatory disrupting microglia function

17
Q

Is the dysregulation of immune cells in CSF the same in ageing and cognitive impaired people?

A

No they have different profiles

18
Q

How are monocytes dysregulated in cognitive impairment?

A

monocytes have a problem in how they will transport lipids and specific type of CD8+ T cells that have altered cytokine signaling

19
Q

What 6 things influence AD pathology?

A

Gut microbe communication with brain
link between immunological states and brain amyloid deposition
communication microbes through BBB
antimicrobial properties of amyloid beta
brain infiltration of microbes
microbes in blood activating T cells or perivascular myeloid cells

20
Q

What are 5 possible therapeutics?

A

Rebalancing immune response
Restoring microglial ability to clear AB
Improving AB clearance by CSF
Draining of AB by lymphatics
Prevention of neuroinflammation through lifespan