Innate immune system, fever, intro to antibiotics Flashcards

1
Q

Immunity

A
  • The ability to resist organisms or toxins that tend to damage the tissues and organs.
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2
Q

Acquired immunity

A
  • Immunity that does not develop until the body is attacked by a bacterium, virus, or toxin.
  • It often takes weeks to months for this type of immunity to develop
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3
Q

Innate Immunity

A
  • Immunity that comes from general process - not from processes directed at the specific organism.
  • It is the first line barrier and rapid response mechanism to prevent invasion.
    • Protects the body during period between microbe exposure and start of adaptive response
  • Components are inherited from parent to child (present at birth).
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4
Q

Components of the Innate Immune system

A
  1. Physical barries - tight junctions in skin, epithalial and mucous membrans, mucus, vascular endothelial cells that prevent penetration of the intestines.
  2. Enzymes in epithelial and phagocytic cells (lysozymes)
  3. Inflammation- related serum proteins - complement componenets, C-reactive protein
  4. Antimicrobial peptides on cell surface and in phagocyte granules
  5. Cell receptors that sense micro-organisms and signal a defensive response
  6. Cells that release cytokines and other inflammatory mediators
  7. Phagocytes - neutrophils, monocytes, macrophages
  8. The microbiome - collection of bacteria, fungi, and viruses that live in and on the body. Microbiome plays a role in the maturation of the immune system, protects aginst pathogen overgrowth, and aids in the balance between inflammation and immune homeostasis.
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5
Q

Main function of the innate immune system

A
  • Detection of micro-organisms and first-line defense against invasion and infection
    • Response of innate immune system is due to proteins ability to recognize and interact with components specific to the microbe (Pattern Recognition Receptors)
  • Regulation of inflammation - swelling, redness, heat, and pain are due to the actions of innate immunity
  • Maintenance of immunologic homeostasis in host
  • Activation and instruction of adaptive immune responses
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6
Q

Pattern Recognition Receptors (PRR)

A
  • Receptors that recognize a specific components of the microbe. There are 2 groups of PRRs
  1. Secreted and circulating pattern recognition receptors - mediate direct microbial killing, act as helper proteins for transmembrane receptors, and enhance phagocytosis.
  2. Cell-associated pattern recognition receptors - membrane bound PRRs. They are found on mnay cells of the innate immune system and various antigen-presenting cels. On these cells, transmembrane signaling PRRs induce rapid upregulation of other PRRs on activation.
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7
Q

Pathogen-associated molecular patterns (PAMPs)

A
  • Patterns that are highly conserved in pathogens, allowing them to be recongized by PRRs
  • Features:
    • Only produced by microbes
    • Typically invariant strucutres shared by enture classes of pathogens
    • Structures are necessary for integrity, survival, and pathogenicity of the micro-organism (makes it so PAMPs can’t mutate to avoid host defense)
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8
Q

Cells of the Innate immune system

A
  • Neutrophils, monocytes, macrophages, eosinophils, basophils, mast cells, natural killer cells, epithelial cells, platelets, innate lymphoid cells, dendritic cell, and adipocytes
  • Phagocytes (neutrophils, monocytes, and macrophages) are the critical component.
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9
Q

Neutrophils

A
  • Most abundent circulating phagocyte
  • First cell recuited in areas of infection/inflammation (neutrophils are attaracted to chemotactic factors generated at these sites.
  • Once they reach infected site, neutrophils phagocytose the invading micro-organisms that have been opsonized (prepared for phagocytosis) by innate and acquried immune preocesses.
  • Once ingested, microbicidal mechanisms kill the microbes
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10
Q

Monocytes and macrophages

A
  • Monocytes - develop in the bone marrow and circulate before entering tissue
    • Most serve to renew macrophage population by differentiating into macrophages characterisitic for the tissue
  • Macrophages - express many PRRs on cell surface
    • Respond rapidly to presence of microbes
    • Digest microbes and present microbial antigens to lymphocytes to initiate adaptive immune response
    • Secrete various proteins that mediate host defense and inflammation
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11
Q

Eosinophils

A
  • Release extracellular traps carrying gransules that secrete their contents when stimulated
  • Play role in resisting parasitic infection
  • These cell circulate, but are mainly found in the lamina propria of the GI tract
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12
Q

Basophils

A
  • Leukocytes that only appear in the blood
  • Play a role in inflammation and in the allergic response
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13
Q

Mast cells

A
  • Found in the interstitium of peripheral tissue
  • Express TRL
  • On PRR activation, mast cells release tumor necrosis factor alpha and IL-8
  • Produce classic inflammatory mediators (histamine, heparine, leukotrienes, platelet-activating factor), proteases, and AMPs
  • Have immunomodulatory, antimicrobial, and antiprotozoan function
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14
Q

Natural Killer Cells

A
  • Lymphoid cells that don’t express antigen-specific receptors
  • When activated, NK cells release granules that damage the target cell membrane and induce apoptosis
  • Distinguish and avoid healthy host cells through receptors that recognize MHC class 1 molecules expressed on healthy (bindings of these receptors inhibits NK activity)
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15
Q

Dendritic cell

A
  • Major antigen presenting cell - starts life in unprogrammed, innate, state
  • Phagocytotic
  • Plays role in linking adaptive and innate immunity
  • Capture, process, and present antigens to t-cells to induce adaptive immunity or tolerance to self-antigens
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16
Q

How does innate immunity work with adaptive immunity?

A
  • Innate immune system communicates directly with adaptive immune cells
    • Release mediators that activate and instruct antigen-specific T and B lymphocyte responses
  • Cells of innate immune system provide a first line response. However, they cannot function optimally without specific antibodies and sensitized T cells
17
Q

Skin layers

A
18
Q

Skin as a barrier

A
  • The most important function of the skin is to form a barrier between organism and environment
    • The physical barrier of the skin is mainly the stratum corneum layer
  • The skin prevents excessive water loss (inside-outside barrier) and entry of harmful substanes (outside-inside barrier)
19
Q

Outside-inside barrier of the skin

A
  • Portects against
    • Mechanical assaults (irritation, UV radiation, heat and cold shock)
    • Microbial assaults (bacteria, fungus, virus)
    • Chemical assaults (irritants, allergens)
20
Q

Skin flora

A
  • Micro-organism that reside on the skin
  • Generally, skin flora is non-pathogenic and may have some benefit to the host - ex. can prevent pathogenic bacteria from colonizing skin surface (competes for nutrients, secretes chemicals against them, or stimulates skin immune system)
  • However, skin microbes can cause skin disease and enter blood, creating life-threatening conditions
21
Q

Main “areas” of skin and its flora

A
  • Sebaceous - Propionibacteria and staphlyococci species dominate (have greater species richenss than moist or dry areas)
  • Moist - corynebacteria and staphylococci dominate
  • Dry - b-proteobacteria and flavobacteria dominate
22
Q

Skin Defenses

A
  • Antimicrobial peptides (cathelicidines) - controls proliferation of skin flora. Also causes secretion of cytokines which induce inflammation, angiogenesis (process where new blood vessels form from old ones), and re-epithalization (wound healing).
  • Acidity - superficial layers of skin are naturall acidic (pH 4-4.5) due to lactic acid in sweat and those produce by skin flora. At this pH, mutualistic flora is able to gorw, but not some more virulent types
  • Immune system - if activated, skin produces cell-mediated immunity against microbes
    • Increase stratum corneum turnover to shed fungus and bacteria from the skin
23
Q

Bacteria Classification

A
  • Gram Staining
    • Gram positive - stains PURPLE. Larger peptidoglycan cell walls holds strain
    • Gram negative - stains PINK
  • Morphology
    • Cocci - Spherical
    • Bacilli - Rod shaped
  • Arrangement
    • Chains
    • Clusters
  • Size
  • Growth requirements
    • Anaerobic - can grow WITHOUT oxygen
    • Aeorbic - can only grow WITH oxygen
24
Q

Complement

A
  • Proteins produced in the liver - exist in the body in unactivated (zymogen) state until needed.
  • Can be activated via
    1. Classical Pathway (antibody-antigen complexes)
    2. Lectin Pathway (mannose-binding lectin binds to pathogen surface)
    3. Alternative pathway (mcirobe directly binds to complement protein)
  • Results in
    • Inflammation - vasodilation increases permeabilization and allows antibodies, WBCs, etc. to leak out of the blood vessels and into the infected area.
    • Formation of membrane attack complexes - punches hole in bacterial cell wall
    • Opsonization - complement proteins caot surface of bacterium and signals phagocytosis.