Innate Immunity Flashcards

1
Q

Which part of the LPS is antigenic: the hydrophobic lipid rich end or the hydrophilic polysaccharide end? What is this part called?

A

polysaccharide end, called the O antigen

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2
Q

In which part of LPS does endotoxicity reside: O-antigen or Lipid A region?

A

Lipid A

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3
Q

What are symptoms of gram neg. septic shock?

A

hypovolemic shock (decreased bp and CO), disseminated intravascular coagulation, acute respiratory distress syndrome

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4
Q

What are the primary mediators of septic shock? What are they secreted by?

A

TNF alpha and IL-1 secreted by macrophages

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5
Q

What in vitro test can be used to measure for endotoxin?

A

Limulus amebocyte lysate, use cascade of enzymes found in horseshoe crab’s primitive macrophages to test for presence of endotoxin

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6
Q

How does TNF alpha mediate responses to endotoxin?

A

activates vascular endothelium and increases vascular permeability, increased entry of complements and cells to tissues, causes shock

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7
Q

How does IL-1 mediate responses to endotoxin?

A

activates vascular endothelium, activates lymphocytes, local tissue destruction, increases access of effector cells, causes fever and IL-6 production

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8
Q

What does IL-6 do in septic shock?

A

fever, induces acute-phase protein production by hepatocytes

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9
Q

What is a toll-like receptor?

A
  • stimulated by many different ligands from bacteria or DNA motifs of bacteria
  • LPS, peptidoglycan, yeast, and mycobacterium can all bind it and induce same cytokine production
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10
Q

What else can stimulate TLR?

A
  1. protozoa parasites (such as falciparum) that induce TNF alpha
  2. leishmaniasis and trypanasomal infection
  3. super antigens
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11
Q

What bacteria is TSS caused by?

A

S. aureus

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12
Q

What is the cause of sterile sepsis?

A

TSS, symptoms look like gram - sepsis but is from an exotoxin

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13
Q

How does LPS bind?

A

CD14 binds LPS to bring it to the surface. TLR-4 specifically binds LPS that is bound by CD14

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