Innate Immunity (7-10) Flashcards

1
Q

What are some barriers preventing pathogen entry?

A

Skin
- sebum (oil on skin) consists of lactic and fatty acids which maintain pH 3-5

  • lysozyme in sweat cleaves bacterial cell wall proteoglycans
  • normal microbiota can produce anti-microbial substances to compete for nutrients for nutrients and attachment to epithelium eg psoriasin selectively kills E. coli

Body temp

Mucous membranes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Toll-like receptors (TLRs) are a family of pattern recognition receptors. What does each one detect?

A

TLR1/TLR2 and TLR2/TLR6 Heterodimers:
Lipopeptides: Recognize bacterial lipopeptides, lipoproteins, and lipoteichoic acids from Gram-positive bacteria, such as Staphylococcus aureus and Mycobacterium tuberculosis.

TLR4:
Lipopolysaccharide (LPS): a component of the outer membrane of Gram-negative bacteria, including Escherichia coli and Salmonella..

TLR5:
Flagellin: certain strains of Escherichia coli and Salmonella.

TLR3:
dsRNA: Detects double-stranded RNA (dsRNA), a viral replication intermediate, and triggers immune responses against RNA viruses, such as influenza virus and hepatitis C virus.

TLR7 and TLR8:
ssRNA: Detect single-stranded RNA (ssRNA) from RNA viruses, including influenza virus, HIV, and other RNA viruses, and stimulate antiviral immune responses.

TLR9:
Unmethylated CpG DNA: motifs commonly found in bacterial DNA and certain viral genomes, such as those of bacteria like Streptococcus pneumoniae and viruses like herpes simplex virus (HSV)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are mast cells?

A
  • contain large quantities of histamine stored in intracellular granules
  • upon activation by crosslinking of IgE on the cell surface, mast cells will degranulate
  • play an important role in parasitic infections and are one of the key players in allergy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are cytokines?

A
  • small proteins that work in tandem w other signals to provide regulation for immune cells
  • the majority are secreted but can be membrane bound eg TNF-alpha and IL-15
  • can function at v low concentrations
  • work locally, not systemically
  • most have a short half like in bodily fluids (10-15)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are chemokines?

A
  • chemotactic cytokines, that control cell migration both during development and during an immune response
  • two functional types
    –> homeostatic
    –> inflammatory
  • 4 structural groups defined by spacing of a conserved cystine motif
    –> C
    –> CC
    –> CXC
    –> CX3C
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are atypical chemokine receptors?

A

lack classical signalling capabilities typically associated with conventional chemokine receptors

the placenta has many so that the mothers cytokines do not affect development of the baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is meant by tissue post codes?

A

some chemokines can function as post codes to direct cells to specific tissues

eg CCL19 and CCL21 are expressed in lymphatic tissues and cells expressing CCR7 will be able to migrate towards sources of these chemokines

this is also true for in the liver, where CXCR6 expressing cells will migrate towards CXCL6 producers here

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are endogenous pyrogens?

A

molecules in the body that are capable of inducing fever

eg IL-1, TNF-alpha, C3a and C5a

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the acute phase response?

A

the first mode of action in response so injury or pathogen detection

induced by cytokines made by macrophages
- endogenous pyrogens

IL-6 is also produced which regulates the synthesis of acute phase proteins in the liver
eg complement, mannose binding lectin, CRP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are pentraxins?

A

family of conserved protein pentamers involved in the acute immune response
eg C reactive protein (CRP)

bind phosphocholine in certain bacterial & fungal cell walls
–> does not bind mammalian phosphocholine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Go into more detail about CRP.

A

C-reactive protein

acts as an opsonin
–> similar to antibodies but w more specificity

homodimer (native CRP (nCRP)):
- activates classical complement pathway
- induces phagocytosis
- increases IL-6 and TNF-alpha
- promotes apoptosis

monomeric CRP recruits circulating leucocytes to areas of inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is MBL?

A

Mannose-binding lectins

  • liver-derived collagen-like serum protein
  • binds mannose containing structures (lectins) on microorganisms and on dying host cells
  • acts an an opsonin
  • activates lectin complement pathway
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

REVISION: Complement Pathways

A
  1. The lectin pathway is initiated by mannose-binding lectin (MBL)that binds to particular carbohydrate structures on microbial surfaces. Specific proteases, called MBL-associated serine proteases (MASPs), that associate with these recognition proteins trigger the cleavage of complement proteins and activation of the pathway
  2. The classical pathway (found first) is initiated when complement component 1 (C1), which comprises a recognition protein (C1q) associated with proteases (C1r and C1s), either recognizes a microbial surface directly or binds to antibodies already bound to a pathogen
  3. the alternative pathway (found second) can be initiated by spontaneous hydrolysis and activation of complement component 3 (C3), which can then bind directly to microbial surfaces.

When any of the pathways interacts with a pathogen surface, the enzymatic activity of a C3 convertase is generated

various types of C3 convertase, depending on the complement pathway activated, but each is a multi-subunit protein with protease activity that cleaves C3

The C3 convertase is bound covalently to the pathogen surface, where it cleaves C3 to generate large amounts of C3b, the main effector molecule of the complement system, and C3a, a small peptide that binds to specific receptors and helps recruit phagocytic cells and induce inflammation

Completion of the complement cascade leads to formation of a membrane attack complex (C6-9) (MAC) which disrupts cell membrane and causes cell lysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the coagulation cascade?

A

activates the zymogen (a protein w an inactive enzyme), prothrombin, to the serine protease, thrombin

thrombin converts fibrinogen into fibrin strands which polymerise to form a clot

fibrin is then cross linked by factor XIII to stabilise the clot
can also coat pathogen and prevent entry into the bloodstream = containment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the erythrocyte sedimentation rate?

A

the rate at which RBCs sediment in a period of one hour

  • common haematology test, and is a non-specific measure
  • pro-sedimentation factors (fibrinogen) vs anti-sedimentation factors
  • the RBCs form stacks in the increased presence of fibrinogen and settle faster

higher rate of inflammation = higher ESR

measured in mm/hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the difference between an autoimmune disease and an autoinflammatory disease?

A

autoimmune: adaptive immune system has mistakenly identified something specific in the body as harmful and attacks eg IBS
–> more common

autoinflammatory: the innate immune system reacts often without cause and without control eg periodic fever syndromes
–> rarer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the inflmmasome?

A
  • multiprotein complexes that form in the cytosol in response to cytosolic PAMPs and DAMPs by NLRs
  • formed of NLRPthree
  • activates caspases leading to secretion of active forms of inflammatory cytokines IL-1beta and IL-18
  • also leads to pyroptosis = programmed cell death of macrophages or DC

NLRP3 forms part of the inflammasome
–> gain of function mutation causes periodic fever syndromes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are the myeloid cells?

A
  • eosinophils
  • basophils
  • mast cells
  • monocytes
  • macrophages
  • DCs
  • neutrophils
19
Q

What are the lymphoid cells?

A
  • innate lymphoid cells (ILCs)
  • NK cells
  • T cells
  • B cells
  • plasma cells
20
Q

What are tissue resident macrophages?

A
  1. tissue resident
    - resident in every tissue in the body
    - destroy pathogens
    - recruit other cells
    - wound healing/ tissue remodelling eg digits during development
    - tissue organ development
    - tissue homeostasis
    - rely on colony stimulating factor (growth factor)

–> mutations in CSF1 receptor cause dysfunction in the nervous system as macrophages protect it
–> mutations in GM-CSF receptor causes lack of alveolar macrophages which remove surfactant in the lungs allowing for frictionless expansion and contraction

21
Q

What are recruited macrophages?

A
  • derived from classical blood monocytes
  • recruited in response to inflammation eg pro-inflammatory chemokines (CCL2, CCL3, CCL7, CCL8)
  • highly phagocytic and bactericidal
  • short-lived effector cells
    -produce pro-inflammatory cytokines eg IL-1, TNF-alpha
22
Q

Give some info on neutrophils.

A
  • circulate in blood and are v short lived but most abundant granulocyte
  • die of they do not enter tissue
  • polymorphonuclear phagocytes
  • rely on GM-CSF & G-CSF for development
  • recruited to infection site v early in infection (can degranulate to move between tissue) via chemokines eg CXCL1, CXCL2, IL8
  • die at site of infection = puss
23
Q

What are the killing methods of neutrophils?

A
  • acidification
  • ROS dependent on NADPH enzyme eg hydrogen peroxide
  • RNS
  • antimicrobial peptides on DNA
  • lysozymes
  • competition (eg lactoferrin binds iron, key nutrient in bacteria)
24
Q

What is chronic granulomatous disease (CGD) ?

A

–> results from defects in NADPH
–> infection from oportunists
–> accumulation of chronically infected phagocytes (M & neutrophils)
–> formulation of granulomas

25
Q

Give some info on eosinophils.

A
  • circulate blood in low numbers
  • short lived
  • IL5 key for development (also IL3 and CSF2
  • recruited via CCR3 in response to chemokines CCL11, 24, 26
  • multiple receptors: cytokine, Fc, PRRs (eg TLRs)
  • large preformed, specific granules
    –> major basic protein (MBP)
    –> eosinophils cationic proteins (ECP)
    –> Eosinophil peroxidase (EPO)
    –> eosinophil derive neurotoxin (EDN)
  • support activation of other leukocytes eg MΦ and Th2 cells
  • direct killinig of helminths via degranulation, triggered by CCL11 (eotaxin)
26
Q

Give some info on mast cells.

A
  • granulocytes
  • reside in tissues
    –> mucosal mast cells
    –> connective tissue mast cells
  • long lived (weeks –> months)
  • depend on stem cell factor (SCF) and IL-3
27
Q

Give some info on basophils.

A
  • granulocytes
  • circulate in blood
  • short lived ~ 60 hours
  • depend on IL-3 and TSLP
28
Q

Give some info on DCs.

A
  • phagocyte, do not destroy, instead preserve antigen
  • antigen presenting cell (APC)
  • derive from committed pre-DC progenitors in BM
    –> maturation and education in tissue
  • rely on growth factor GM-CSF for development
  • CCR7-depndent migration to draining lymph node
  • present Ag to recirculating T cells > T cell priming > clonal expansion
  • specialised subsets prime particular flavours of T cells

bridge between innate and adaptive immunity
- determine tolerance and immunity

29
Q

What are the 3 signals required from a DC to activate a naive T cell?

A
  1. presentation of peprides in context of MHC
    – MCI to CD8
    –MHCII to CD4
  2. co-stimulatory molecule expression
    – CD40, CD80, CD86 by DC
    – CD28, CTLA-4 by T cells
    - activation/ inhibitory signal
  3. cytokine production by DC
    – direct nature of T cell response
    – eg Th1, Th2, Th17, Treg, CTL
30
Q

What are Innate Lymphoid Cells (ILCs)?

A
  • similar to T cells but dedicated ILC progenitor in BM
  • subsets based on cytokine production aligned to T cell subsets
  • implicated early in response to infection but also chronic pathologies eg IBS, asthma
  1. lymphoid morphology
  2. no myeloid markers
  3. no Rag-dependent rearranged AgRs
  4. relatively rare in lymphoid tissues eg LNs
  5. embedded is tissues
  6. IL-7 important for development
31
Q

What is the inflammatory response?

A
  • involves innate immune cells and non immune cells
  • the response is acute, then resolves, ushering in tissue repair
  • host defence against micro-organisms
  • control of tumour growth and metastasis
  • tissue repair and restoration f organ function
  1. identification and amplification
  2. kill and remove
  3. repair and resolution

balance between pro-inflammatory and anti-inflammatory responses

32
Q

What do C-type lectin receptors (CLRs) detect?

A

unique carbohydrates eg mannose, fucose, N-acetylglucosamine, and galactose residues

primarily detect those on bacteria and fungi, not viruses

33
Q

What do formylated peptide receptors (FPRs) detect?

A

formylated peptide of bacteria or mitochondrial origin

actively secreted by invading pathogens or passively released from dead and dying host cells after tissue injury

34
Q

What is the leukocyte adhesion cascade?

A

tethering –> rolling –> slow rolling –> arrest –> strong adhesion –> transmigration

35
Q

What role do selectins play in the leukocyte adhesion cascade?

A

bind to carb ligands: glycoproteins and glycolipids

control tethering and rolling
- interactions are short so cell continues rolling

L-selectin: expressed by leukocytes, mediates capture and is shed following activation
P-selectin: expressed by endothelial cells and platelets, mediates rolling
E-selectin: expressed by the activated epithelium (cytokine induced), mediates slow rolling

36
Q

What role do integrins play in the leukocyte adhesion cascade?

A

slow-rolling and arrest

selectin and chemokine signalling required as an additional signal to activate integrins
- enables firm adhesion to the vessel wall

bent conformation cannot interact w ligand
–> selectin + chemokine stimulation causes a conformational change where the LFA-1 (beta2 integrin = leukocyte specific) becomes activated

37
Q

What is the integrin ligand expressed on leukocytes?

A

ICAM-1
upregulated upon cytokine stimulation eg TNF-alpha

ligand for beta2 integrins

38
Q

What is paracellular invasion model of leukocytes?

A

involves the migration of leukocytes between adjacent endothelial cells through the intercellular junctions, gaps, and spaces present in the endothelial cell layer

more evidence for this in vivo

39
Q

What is transcellular invasion model of leukocytes?

A

involves the migration of leukocytes directly through the endothelial cell body, cytoplasm, and membrane, rather than between endothelial cells

40
Q

What is PICD?

A

phagocytosis induced cell death, also known as efferocytosis

  • phagocytosis in neutrophils makes it a target for macrophages
  • releases find me and eat me signals that are only present on apoptotic cells
    eg phosphatidylserine only present on inside of neutrophil membrane
  • after efferocytosis has occurred, the macrophage changes and starts producing anti-inflammatory cytokines
41
Q

What reasons may result in failure to resolve inflammation?

A
  • threat is not cleared
  • inflammatory response is too strong to be overcome or too weak to remove threat
  • not enough pro-resolution mediators are generated
  • macrophage may not like to switch to anti-inflammatory phenotype
42
Q

What are some diseases that arise from inability to resolve inflammation?

A
  • cancer
  • asthma
  • inflammatory bowel disease (IBS)
  • rheumatoid arthritis

can affect virtually every organ in the body

43
Q

What is gout?

A
  • common type of arthritis, causes painful flare ups, often in the big toe
  • driven by build-up of uric acid
  • uric acid crystals activate inflammasome
  • IL-1beta therapy to target gout
44
Q

What are some therapeutic targets of inflammation?

A
  • small molecules inhibitors
    –> binds to receptor
  • antibody mediated
    –> binds receptor ligand, preventing
    binding
    –> or binds receptor
  • use of soluble decoy receptors
    –> ligand binds decoy instead of receptor