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Innate immune response Flashcards

1
Q

What are the innate physical barriers to infection?

A 
Skin
Mucus
Gastric acid
Bile salts
Normal microbiota (throat, colon, vagina)
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2
Q

What is the overall effect of IIS?

A

Production of a state of inflammation in the infected tissue → pain, heat, redness and swelling

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3
Q

What happens when the physical barrier to infection has been breached?

A

Phagocytes are the second line of defence

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4
Q

Examples of phagocytes

A

Tissue macrophages
Neutrophils (migrate to damaged tissue)
DCs → carry away microbic material to lymphoid tissues
Monocytes → recruited to the inflamed tissue to take the place of DCs

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5
Q

What are the classes of PRR? What do they recognise?

A
  1. TLRs (extracellular)
    - TLR2 → peptidoglycan
    - TLR4 → LPS
    - TLR9 → bacterial DNA
  2. C-type lectin receptors (extracellular)
    - mannan-binding lectin
    - dectin-1
  3. NLRs (intracellular)
    - peptidoglycan
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6
Q

What are the cells of the innate immune system?

A

APCs (macrophages and monocytes, DCs)
Granulocytes (neutrophils, eosinophils, basophils and mast cells)
Innate lymphatic cells (NK cells)

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7
Q

What type of cells are macrophages (origin)?

A

myeloid

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8
Q

What are the two distinct origins of macrophages?

A

Embryonic yolk sac derived tissue macrophages (long-lived, self-renewing)
Bone marrow-derived infiltrating monocytes)

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9
Q

What are the two major classes of macrophage?

A
  1. tissue resident (e.g. Kupffer cells, microglia) → mediate homeostasis, repair and remodelling
  2. infiltrating monocytes → become inflammatory macrophages mediatign antimicrobial functions
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10
Q

What can macrophages be activated by?

A 
Activation alternatively by Endotoxin, IFN-gamma, IL-4, IL-13.
Pro-inflammatory Cytokines (TNF-a, IL-1, IL-6).
Other Cytokines (IL-10, IL-12).
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11
Q

What two types of behaviour may macrophages display when encountering pathogens?

A
  1. phagocytosis

2. secretion of molecules that are either antimicrobial effector molecules or immune regulatory messenger molecules

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12
Q

By which pathways may phagocytosis occur?

A

Opsonisation-dependent or opsonisation-indepent pathways

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13
Q

What opsonin receptors do macrophages have?

A

C1qR, CR3 or Fc receptors

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14
Q

Which PRRs are specific to macrophages? What do they do?

A

Scavenger receptors → mediate uptake of modified LDL by macrophages to give foam cells

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15
Q

Describe the mechanism of phagocytosis - what are the mechanisms by which killing can occur?

A
  • phagolysosome through cytoskeletal rearrangement
    Killing can occur via the following mechanisms:
    1. oxygen-dependent → oxidising radicals and oxidised halides → respiratory burst
    2. oxygen-independent antibacterial mechanisms → enzymatic and non-enzymatic mechanisms → proteases, phospholipase, etc
    3. reactive nitrogen species → NO regenerated by the phagocytes enzyme iNOS
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16
Q

What cytokines and GF may macrophages release and what do these do?

A

IL-1

IL-6

TNF-alpha

Macrophages also produce IL-8 which is a chemokine and attract neutrophils and T cells to the site of infection

17
Q

Aside for phagocytosis and production of cytokines, what else do macrophages do?

A

Professional APC - MHCII → ANTIGEN PRESENTATION

18
Q

What cells are the main inducers of the adaptive immune response?

A

DCs

19
Q

Where are DCs mainly located?

A

kin and mucosa of gastrointestinal, respiratory and genitourinary tracts although some are also derived from monocytes

20
Q

Main function of DCs

A

Engulf and present antigens via MHCI to cytotoxic cells and MHCII to Th cells

Ability to collect antigens and then migrate from these barrier locations, through draining lymphatic vessels, into lymph nodes

When in lymph nodes, they prime naive T cells to be activated

21
Q

What do neutrophils do?

A
  • phagocytosis of opsonised microbes (they are NOT APCs)
  • NETs → dying neutrophils extrude nuclear material, DNA and histones, making a net to which antimicrobial proteins are tightly bound → allows them to kill pathogens extracellularly
22
Q

What types of disease is eosinophil concentration raised?

A

Parasite infection

Hypersensitivity diseases

23
Q

Functions of eosinophils

A
  • thought that parasites become coated by IgE and eosinophils possess IgE receptor, this allows them to attach and release eosinophilic granules to damage larvae
  • also have leukotrienes and peroxidases
  • another function may be to REDUCE inflammation → granules contain histaminase
24
Q

What are eosinophils stimulated by?

A

IL-5 and eotaxin

25
Q

Differences between basophils and mast cells

A

Basophils → circulate in the bloodstream

Mast cells → present in tissue

26
Q

Describe basophils and mast cells

A
  • have IgE receptors
  • when adjacent IgEs are linked by an antigen → release of preformed inflammatory mediators (e.g. histamine, proteolytic enzymes, proteoglycans)
  • they also release newly generated eicosanoids (such as prostaglycans and leukotrienes → inflammation and hypersensitivity
27
Q

What two important roles do NK cells play?

A
  1. kill virus-infected cells and tumour cells

2. produce gamma interferon that activates macrophages to kill bacteria they have ingested

28
Q

Why are NK cells called natural?

A

Do not detect antigens presented by MHC and are non-specific

29
Q

Which innate immune cell has granules that stain blue with methylene blue because they arenegatively charged?

A

Basophiles

30
Q

Which innate immune cells has positively charges portiens in their granules which stain red/orange witherosin)

A

Eosinophils

31
Q

What colour to granules of neutrophils stain? What stain is used?

A

No charge - neutral - pink with the wright stain

32
Q

Have a look at JMs summary on OneNote

A

OneNote

33
Q

What 3 pathways is complement composed of?

A

Alternative
Classical
Lectin

34
Q

What is the classical complement pathway activated by?

A

Antigen-antibody complex that forms (particularly from IgG or IgM antibodies)

35
Q

What is the lectin pathway activated by?

A

Mannose-binding lectin or ficolins → binds to mannose residues in the bacterial cell wall

36
Q

Why is the alternative pathway activated by?

A

Can be triggered in the absence of the antibody-antigen complex
Due to the fact that C3 protein is able to spontaneously break down

37
Q

Draw the complement cascade

A

OneNote

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