Innate immunity Flashcards

0
Q

Complement

A

Cascade of 20 proteins - activated by antibodies and pathogens via cleavage cascade

  • > acute inflammation (via small peptides)
  • > attract neutrophils (chemotaxis via small peptides)
  • > opsonize bacteria for phagocytosis
  • > kill bacteria via membrane attack complex
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1
Q

External defenses

A

Physical barriers - skin and mucous membranes
Secretions - sweat, tears, saliva, GI - all include enzymes, IgA, etc
Microbiome - colonization by normal bacteria
- these produce toxins to exclude pathogenic

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2
Q

“acute phase proteins”

A

Active against bacteria (opsonize, activate complement, etc)
Also can protect cells from damage

Made in liver via microbial stimulus, IL-1, IL-6, TNF-alpha

Ex:
C-reactive protein
Serum amyloid A
Mannose binding protein
Metal binding proteins
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3
Q

Interferons

A

Innate immune proteins that interfere with viral replication
Also recruit other immune functions

Type I = alpha/beta - made by all cells
Type II = gamma - made by T and NK cells -> recruit Th1, APC’s

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4
Q

Innate immune molecules

A

Released before specific/adaptive responses

Complement
"Acute phase proteins"
Interferons
Collectins - opsonize by binding to carbs on bacteria
Defensins - punch holes in membranes
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5
Q

Innate immune receptors

A

“Pattern recognition receptors”
Specific for common microbial structures vs self
- same receptor binds multiple pathogens (NOT peptide specific like antibodies, TCRs)
- encoded in genome WITHOUT recombination
- no change in activity with second infection

Often upregulate co-stimulatory “signal 2” molecules -> induce adaptive response

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6
Q

Types of pattern recognition receptors

A

Each cell type expresses unique set of receptors…

Mannose: macrophages, dendritic cells recognize membrane molecules -> phagocytosis -> antigen presentation

Toll-like receptors: either plasma or vesicle membrane -> cytokines and costimulatory -> adaptive response
NOD receptors: in cytoplasm -> adaptive response

CD14: macrophages recognize LPS (bacterial membrane) -> phagocytosis
scavenger: macrophages recognize lipids or carbs in membrane

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7
Q

Types of macrophages

A

All arise from blood monocytes!

Monocytes - blood circulation
Kuppfer cells - liver
Mesangial cells - kidney
Alveolar macrophages - lung
Microglia - brain
Osteoclasts - bone
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8
Q

Phagocytosis mechanism

A

Attraction - chemokines (ex complement)
Opsonization - via mannose receptors, complement, Fc receptors (recognize attached antibodies)
Endocytosis - via invagination of cell membrane
Fusion of endosome to lysosome
Kill bacteria with reactive oxygen species and enzymes - induced by IFN-gamma, Th1 cells

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9
Q

Chronic granulomatous disease

A

Defect in phagocyte oxidase
Endocytose bacteria but can’t produce reactive species, NO, etc to actually kill -> granulomas of infected macrophages and susceptible to disease

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10
Q

Regulation of macrophages

A
Respond to many innate and adaptive signals (cytokines)
Possible functions:
 - microbicidal ("classical activation")
 - regulatory/anti-inflammatory
 - wound healing
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11
Q

Dendritic cell function

A
Sparse, immature cells in tissues
 - Indiscriminate phagocytosis, sampling
Activated by pathogenic signals (ex Toll-like receptor, TNF-alpha)
 -> stop phagocytosis
 -> migrate to lymph node
 -> upregulate MHC's 
 -> present antigen to T cells
These cells are super important for vaccines, immunotherapy
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12
Q

Types of dendritic cells

A

Many different subtypes
Ex:
Langerhans cells - skin
Interdigitating cells - T cell areas of lymph tissue
Follicular dendritic cells - B cell areas of lymph tissue

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13
Q

Neutrophil function

A

Kill bacteria via
- phagocytosis - requires opsonization, usually by antibodies
- release of granule enzymes
Circulate in blood (most abundant leukocyte)
- must migrate into tissue from inflammatory signals
Short life span -> apoptosis as protective mechanism

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14
Q

Neutrophil migration

A
Local inflammation (ex TNF-a) -> endothelial cells express selectins -> neutrophils slow down/roll
Additional signals (complement, LPS) -> neutrophils express integrins -> bind to endothelial ICAM (intracellular adhesion molecules) -> stop circulating
Chemokines -> induce final extravasation and chemotaxis into tissue
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15
Q

Natural killer cells

A

“Granular lymphocytes” or CD3-, CD56+
- ie not B or T (don’t express Ig or TCR)

Kill pathogens or tumor cells via perforin, TNF-a, Fas ligand
Also produce cytokines - ex. IFN-g, TNF-a, GM-CSF -> macrophage function

Activated by IFN-a/b, IL-12, “activating receptors”, Fc receptors (antibody-dependent)
MHC I receptor inhibits function - prevents self-reaction
(many viruses down-regulate MHC’s to avoid T cell detection -> NK finds them and destroys)

16
Q

Basophils/mast cells

A

Similar functions
Basophils = circulating, mast cells = in tissue (mucosal)

Fc receptors for IgE -> release granules

  • > histamines -> vasodilation and permeability
  • > TNF-a, IL-8, IL-5 -> recruit neutrophils, eosinophils
  • > platelet activating factor -> recruits basophils

Type I allergy is this IgE pathway

17
Q

Eosinophils

A

Release major basic protein -> kills large parasites

IL-5 upregulates production in marrow -> chronic asthma

18
Q

Platelet immune function

A

Granules contain growth factors, cytokines

Activate complement system

19
Q

Innate vs adaptive systems

A

Innate = rapid, nonspecific
- amplifies but does not retain memory
Adaptive = slower, specific, memory

Innate recognizes need for response -> induces adaptive response

20
Q

Parallels between innate/adaptive mechanisms

A

NK cytotoxic vs Cytotoxic T cells
Complement activated - directly by microbe (alternative cascade) vs antibody (classic cascade)
Phagocytosis - pattern receptors vs antibody-dependent (via FcR)
Macrophages - inherent activity vs T-cell activation

21
Q

Innate networks

A

Macrophages -> TNF-a -> IL-12 production
IL 12 ->
-> NK cells -> IFN-g -> induces macrophages
-> NK cells more responsive to IL-2 -> proliferate

Innate cells activate each other!! Even without adaptive response
TNF-a, IFN-g, IL-12 also activate T cells