Innate Immunity Flashcards
Physiological Barriers
Diarrhoea
Vomiting - hepatitis, meningitis
Coughing - pneumonia
Sneezing - sinusitis
Chemical Barriers
Low pH - vagina, stomach, skin
Antimicrobial molecules - IgA, lysozyme, mucus, beta-defensins, gastric acid + pepsin
Biological Barriers
Normal flora - strategic locations, absent in internal organs and tissues
High risk patients for infection
Asplenic (and hyposplenic) patients
Patients with damaged or prosthetic valves
Patients with previous infective endocarditis
Function of basophils
Early actors of inflammation (vasomodulation)
Important in allergic responses
Function of eosinophils
Defence against multicellular parasites (worms)
Function of natural killer cells
Kills all abnormal host cells
Dendritic cells
Present microbial antigens to T cells
Pathogen recognition
Microbial structures - Pathogen associated molecular patterns (PAMPs)
Phagocytes - Pathogen recognition receptors (PRR)
Opsonins
Proteins that bind to microbial surface and enhance attachment of phagocytes and clearance of microbes
Examples of opsonins
Complement proteins, antibodies, acute phase proteins
Phagocyte oxygen dependent pathway
Hydrogen peroxide, Hydroxyl radical, Nitric oxide, Singlet oxygen, Hypohalite
Activating Pathways: alternative pathway
Initiated by cell surface microbial constituents
Activating pathways: MBL pathway
Initiated when MBL binds to mannose containing residues of proteins found on many microbes
C3a and C5a
Recruitment of phagocytes