Innate immunity Flashcards

1
Q

What is innate immunity?

A

It is immunity present from birth- using strategy 1 (recognising molecular patterns).

Not enhanced by exposure- has no memory. Uses cellular and soluble components.

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2
Q

Is innate immunity fast?

A

Yes! Can respond within minutes to hours. Very effective and directs adaptive immunity

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3
Q

What are the pattern recognition strategies?

A
  • PAMP (pathogen associated molecular patterns)
  • DAMP (damage associated molecular patterns)

Both above are not antigen specific and they use pattern recognition receptors (PRR)

  • They also detect ‘self’. Natural killer cells
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4
Q

Innate immunity physical barriers

A

Skin- mechanical barrier, acidic environment

Mucous membranes- mucus secretions trap microorganisms, cilia (respiratory) expel microorganisms

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5
Q

Physiological barriers innate immunity

A
  • Body Temp
  • low pH
  • Chemical mediators (lysozymes, interferons, complement)

Phagocytic:cells ingest material (neutrophils)

Inflammatory:local vascular permeability increases

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6
Q

Which cells are involved in innate immunity?

A

Neutrophil- phagocytosis of microbe

Eosinophil- phagocytosis, granule release, defence against parasitic infection, help B cell response in GALT

Basophil- may act as APC

Monocyte/macrophage- phagocytosis, cytokine release act as APC

mast cell- granule release histamine

Nk cells- lysis of infected cell (cytotoxic t cells)

Dendritic cells- antigen capture and presentation

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7
Q

What is the function of a neutrophil

A

40-75% of leukocytes

Short lived

Migrate to tissues- first cells to be recruited to a site of tissue damage/ infection

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8
Q

What is the function of a macrophage?

A

Dispersed throughout tissues.

Signal infection by releasing soluble mediators (cytokines)

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9
Q

Characteristics of neutrophils?

A
  • Multilobed nucleus
  • Primary granules- site of the enzymes that are going to kill the phagocytosed pathogen
  • Secondary granule- replenish teh primary granules and regulate toxins that are produced in the lysis
  • Primary granules stain darker than secondary granules
  • The granules fuse with the vacuole to form a phagolysosome
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10
Q

What do neutrophils need to do?

A
  • Move from the cirulation into tissues where the infection is
  • Bind to the pathogen
  • Phagocytose the pathogen
  • Kill the pathogen

Move towards–> bind —> phagocytose —> kill

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11
Q

How do neutrophils move into tissue?

A

Rolling –> activation—> adhesion

  • Near the site of infection there will be some damage or activated macrophages. Initially, will have low affinity for selective binding.
  • When it gets to endothelium, chemokines are released which bind to the local endothelium layer ( from macrophage)
  • Chemokines are only present on the endothelium if there is an infection
  • Neutrophils roll along the surface with low affinity interactions (binding to selectin)- integrin in a low affinity state
  • Integrin activation when chemokine receptor on neutrophil binds to chemokine on endothelium surface- it is activated ta high energy state
  • Integrin binds strongly to integrin ligand, immobilising the neutrophil.
  • Cells migrate into the tissue and the cells follow a chemokine gradient to figure out where to go (chemotaxis)
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12
Q

What is diapedesis?

A

Movement across the endothelial layer

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13
Q

How does migration of neutrophils to tissues start?

A

Macrophage with microbes release signals of infection - CHEMOKINES

They are released to local endothelium to activate it so cells know where to leave the circulation and enter the tissue

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14
Q

What is opsonisation?

A

Coating of microorganisms with proteins to facilitate phagocytosis.

They bind to antigens AND phagocytes.

It makes it easier for neutrophils to recognise the pathogen

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15
Q

Give 2 examples of opsonins

A

Antibodies

Complement

(humoral immunity)- the soluble component

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16
Q

Describe how neutrophils bind to opsonins

A
  • Antibody binds to receptor on the pathogen (the antigen)
  • Complement binds to the cell SURFACE of the pathogen
  • The bound antibody and complement can then bind to the neutrophil and activate it.
  • The neutrophil will engulf the bacteria and lyse it.
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17
Q

How do neutrophils kill pathogens?

A
  1. OXYGEN INDEPENDENT- enzymes, lysozymes, hydrolytic enzymes, antimicrobial peptides
  2. OXYGEN DEPENDENT- respiratory bursts, superoxide anion, hydrogen peroxide, NO and reactive nitrogen intermediates
18
Q

What are neutrophil extracellular traps? (NETs)

A

Activated neutrophils release granule proteins and chromatin to form extracellular fibres. It stops microorganisms from spreading everywhere and contains the site of infection.

19
Q

What is the difference between a monocyte and macrophage?

A

Monocytes leave circulation to mature into macrophages

Macrophages are bigger than monocytes

When in the blood, they are called monocytes. When in tissues, they are called macrophages.

They have lysosomes and are phagocytic- they have pattern recognition receptors.

20
Q

Describe macrophage function

A

Signal infection by releasing soluble mediators (alarm cytokines)

This helps to recruit other cells (like neutrophils) and activate subsequent adaptive immune responses.

21
Q

What do mast cells do?

A

They secrete histamine and other inflammatory mediators, including cytokines. There are different types:

  • mucosal mast cells (lung)
  • connective tissue mast cells (skin and peritoneal cavity, near blood vessels)

The recognise, phagocytose and kill bacteria. They can be activated by complement products (anaphylatoxins).

This leads to vasodilation and increased vascular permeability.

22
Q

What do natural killer cells do?

A

They are large granulated lymphocytes: cytotoxic, lyse target cells and secrete the cytokine interferon-gamma. They kill self

•5-10% peripheral blood lymphocytes

•no antigen-specific receptor, but express both activating and inhibitory receptors. 50/50 - this is why there are two mechanisms for cell recognition

  • have receptors which bind to antibody-coated cells (Antibody DependentCell-mediatedCytotoxicity)
  • important in defence against tumour cells and viral infections (esp. herpes)
23
Q

How do NK cells recognise target cells?

A

There are 2 types of target cell recognition:

  1. Missing self recognition
  2. Induced self recognition
24
Q

What is missing self recognition?

A

Healthy cells present MHC Class I. Receptors on NK cells can bind to this and they send inhibitory signals to stop lysis of the cell. When the cell is infected MHC class I expression is downregulated- they go ‘missing’. Inhibitory signal does not exist

25
Q

What is induced self recognition?

A

when we are stressed, cells start expressing new molecules- an abnormal pattern of self proteins. NK cells have activating receptors, which recognise stress patterns. once activated, the NK cells will try to kill the target cell

26
Q

What are cytokines?

A
  • Small secreted proteins
  • cell-to-cell communication
  • messengers of the immune system
  • act locally
  • low biological effects at low concentration
  • short lived to control powerful effects
27
Q

What are the different types of cytokines?

A
  • Interleukines: between leukocytes
  • interferons- antiviral effects
  • chemokines- chemotaxis
  • growth factors- proliferation and differentiation of cells
  • cytotoxic- tumour necrosis factor (TNF)
28
Q

How many types of interferons are there?

A

2

Type 2 is expressed and used by immune cells. Lots of other cells use type 1

29
Q

How are cytokines produced?

A

Inducing stimulus in cytokine producing cell (e.g. macrophage). Signal is delivered to transcribing gene. Once the cytokine is produced, released and reaches the receptor of target cell, it will have many different biological effects on over 100 genes.

30
Q

What are the three ways in which cytokines act?

A
  1. Autocrine- the cytokines act on the same cells they were produced and secreted by.
  2. Paracine- the cytokines act on a cell that is nearby the cell that produced it.
  3. Endocrine- the cytokines travel a long distance through circulation to get to the target cell.

In general, however, cytokines act over a short distance

31
Q

Examples of some cytokines that are secreted by macrophages

A

IL-1: alarm cytokine, fever

TNF-alpha: alarm cytokine

IL-6 acute phase proteins (liver)

IL-8 chemotactic for neutrophils

32
Q

What do dendritic cells do?

A

Network of cells located at likely sites of infection.

The recognise microbial patterns and secrete cytokines. They capture pathogens and migrates to local lymph node to present antigens to adaptive immune system (important APC)

33
Q

What is the complement system?

A

It is a system of functionally linked proteins that interact with one another, complementing the activity of specific antibody in lysing bacteria.

It is a triggered enzyme cascade system and is rapid.

The components are produced in the liver.

34
Q

The complement system’s triggered enzyme cascade- describe it?

A

Components are synthesised as inactive precursors.

Part of the protein has to be cleaved off before it becomes active.

After activation, they become active enzymes the proteins can then catalyse the cleavage of lots of molecules.

It is like a chain reaction- the substrate of the next enzyme was the product of the last one. This is why there is a huge amplification.

35
Q

What are the complement activation pathways?

A
  1. Classical- antigen + antibody. A conformational change in the antibody leads to complement activation
  2. Alternative- direct activation from bacterial surfaces contact
  3. Lectin pathway- pattern recognition receptor. Binds to carbohydrates that are only present on pathogens.
36
Q

What is the Y of complement?

A

All the pathways converge at C3.

C3 (complement component 3)- activation of C3 is common final pathway which leads to formation of MAC- membrane attack complex

This is what lyses infected cells.

The cleavage products are not waste- they have pro-inflammatory properties.

37
Q

Control mechanisms of complement

A
  • Lability of components
  • Dilution of components in biological fluids
  • Specific regulatory proteins

–circulating

–membrane bound

38
Q

What are the functions of complement?

A

Activation of inflammatory response.

Can cause mast cell degranulation- proinflammatory

Lysis and osponisation

39
Q

Describe a local acute inflammatory response

A
  • Macrophages in the tissue with PRR bind to PAMPs
  • Macrophages are activated and release cytokines and chemokines
  • Local vascualr permeability changes because of this and the lymphoctyes and neutrophils will migrate into the tissue to site of infection.
  • Complement will be activated by classic or alternative pathway. Classic if you have seen the bacteria before.
  • Complement activation will lead to proinflammatory fragments (anaphylatoxins)
  • Anaphylatoxins will bind to mast cells and permeability and dilation of vessels happens
  • Some of the products of degranulation are directly chemotactic for neutrophils
40
Q

What is the acute phase response

A

Happens after local inflammatory response.

Fever, increased production of WBC and production of acute phase proteins in the liver- induced by cytokines.

41
Q

What are acute-phase proteins?

A

CRP- c reactive protein- activates complement

Mannan binding lectin (MBL)- same

complement

fibrinogen (clotting)