Innate immunity 2 Flashcards

1
Q

What are the possible effector responses of innate immune cells?

A

phagocytosis, degranulation, antigen presentation, mediator release

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2
Q

What are mediators?

A

Soluble proteins or chemicals produced by immune cells in an immune response

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3
Q

Where do immune cells in the oral mucosa come from?

A

Some are tissue resident even in health (release chemokines during infection), others arrive from circulation in response to signalling molecules

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4
Q

Which is the main type of immune cell that is an early responder to infection?

A

Neutrophils

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5
Q

What is neutrophil chemotaxis?

A

Neutrophils moving towards an increasing concentration of chemokines

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6
Q

Which cytokine/chemokine is important for recruitment of immune cells?

A

CXCL8 (IL-8) - a type of chemokine and cytokine

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7
Q

Diapedesis definition?

A

The migration of immune cells out of circulation into blood vessel walls (cellular migration)

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8
Q

Which word is extravasation the old term for?

A

Diapedesis

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9
Q

How does diapedesis occur?

A

Receptors and ligands on neutrophils and endothelial cells interact to enable neutrophils to move towards an increasing chemokine (CXCL8) concentration in the surrounding tissues.

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10
Q

Which receptors are involved in diapedesis?

A

Selectins (e.g. E-selectins), Integrins (e.g. LFA-I), Immunoglobulin superfamily

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11
Q

What is LFA-I?

A

Lymphocyte Function-associated Antigen 1 (an integrin receptor involved in diapedesis)

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12
Q

What are granules?

A

Vesicles containing soluble mediators

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13
Q

What mediators do granules contain?

A

Proteinases, Antimicrobials (e.g. AMPs, lactoferrin), Chemical mediators (e.g. histamine)

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14
Q

Which immune cells undergo degranulation?

A

eosinophils, basophils, neutrophils, NK cells, mast cells (granulocytes, innate immune cells)

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15
Q

Where is histamine released from?

A

Mast cells and Basophils when they degranulate

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16
Q

What are the wide spread effects of histamine?

A

Vasodilation and increased vascular permeability (more leaky so more diapedesis), smooth muscle contraction, bronchoconstriction, neurotransmission (itching sensation in allergies)

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17
Q

What process do neutrophils undergo?

A

NETosis which traps pathogens (as well as degranulation and phagocytosis)

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18
Q

What is NETosis?

A

The release of proteins and chromatin (DNA) from neutrophils during degranulation to form extra-cellular fibril matrix (Neutrophil Extracellular Traps)

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19
Q

Function of natural killer cells

A

recognise and kill abnormal cells (and invading microbes)

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20
Q

Examples of abnormal cells killed by natural killer cells

A

cancer cells, host cells infected by virus

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21
Q

What is ADCC?

A

Antibody-Dependent Cellular Cytotoxicity - B cells produce antibodies that bind to abnormal cells / microorganisms and tag them for apoptosis by NK cells and eosinophils

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22
Q

How do NK cells cause apoptosis of abnormal cells?

A

NK cells release perforin (creates pores in abnormal cells) and granzymes (lyse cell)

23
Q

What is apoptosis?

A

Programmed cell death

24
Q

Function of eosinophils

A

Undergoes ADCC for destruction of microorganisms and is anti-parasitic (MBP)

25
Q

What is MBP?

A

Major Basic Protein - a potent antiparasitic enzyme toxin that drives cellular lysis

26
Q

What does ADCC rely on?

A

antibodies produced by B cells

27
Q

Which immune cells carry out phagocytosis?

A

Phagocytes (neutrophils, macrophages, dendritic cells)

28
Q

Overview of phagocytosis

A

degradation, antigen presentation, safe break down and dispose of apoptotic and necrotic cells

29
Q

Stages of phagocytosis

A

recognition, engulfment, phagosome formation, phagolysosome formation, cell digestion/degradation, exocytosis / antigen presentation

30
Q

Opsonization definition

A

tagging of cells for removal

31
Q

What are initiating factors of phagocytosis?

A

Antibodies / complement components bind to antigens (opsonization) which is detected by Pattern Recognition Receptors / Fc receptors on phagocytes

32
Q

Efferocytosis definition

A

removal of apoptotic or necrotic cells

33
Q

How is innate immunity linked to adaptive immunity?

A

Antigen presentation

34
Q

How does antigen presentation occur?

A

Antigens are presented to T cells via Major Histocompatibility Complex receptors (MHC) at the end of phagocytosis

35
Q

What is MHC?

A

Major Histocompatibility Complex - set of genes that present proteins within the host cell to T cells to initiate the adaptive immune response.

36
Q

What is MHC class I involved with?

A

MHCI presents endogenous proteins (viral, tumour cells) to T cells. (found on all nucleated cells)

37
Q

Which MHC class is present on all nucleated cells?

A

MHCI (so all cells can initiate immune response)

38
Q

What is MHC class II involved with?

A

MHCII presents exogenous proteins (post-phagocytosis / antigen presenting cells)

39
Q

Which cells detect MHCI?

A

CD8 (cytotoxic T cells) and T cells

40
Q

Which cells detect MHCII?

A

CD4 (T helper cells) and T cells

41
Q

What is the largest component of human blood?

A

Plasma (55%)

42
Q

Name the four enzymatic cascade systems in plasma

A

Complement, Kinins, Coagulation factors, Fibrinolytic system

43
Q

What are complement proteins?

A

a collection of soluble pro-inflammatory proteins present in circulation

44
Q

Where are complement proteins produced?

A

By immune cells in the liver

45
Q

Function of complement proteins

A

Drive opsonization and inflammatory responses, forms membrane attack complexes which creates pores on microbial cells causing lysis.

46
Q

How are complement proteins pro-inflammatory?

A

Increase vascular permeability by increasing interstitial space, fluid leakage and diapedesis (so more immune cells migrate)

47
Q

Which complement proteins drive anaphylaxis?

A

C5a and C3a

48
Q

What are the complement proteins C5a and C3a called?

A

anaphylatoxins

49
Q

What are the 3 pathways of complement?

A

Classical pathway (antigen-antibody complexes), Lectin pathway (MBL-MASP complexes directed by microorganism), Alternative pathway (microbial components e.g. proteins, enzymes, virulence factors)

50
Q

How is the classical pathway for complement triggered?

A

Via antibody-antigen complexes or allergens

51
Q

How is the lectin pathway for complement triggered?

A

via MBL-MASP complexes directed by microorganism (mannan-binding lectin and MBL associated serine protease)

52
Q

How is the alternative pathway for complement triggered?

A

via microbial components e.g. proteins, enzymes, virulence factors. Also allergens

53
Q

Which complement pathways can allergens stimulate?

A

Classical and alternative pathway