Innate Immunity Flashcards

1
Q

Components of innate immune system

A

Barriers
Cells: myeloid lineage, lymphoid lineage
Soluble molecules

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2
Q

Myeloid lineage

A

Phagocytes (neutrophils, macrophages, dendritic cells), mast cells, eosinophils, basophils

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3
Q

Lymphoid lineage

A

NK cells, innate lymphoid cells, lymphocytes with limited diversity

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4
Q

NK cells

A
  • Kill tumour cells and virus infected cells
  • Express cytotoxic cells
  • Release produces interferon gamma
  • They contain granules containing perforin and cytolytic enzymes (granzymes a +b)
  • Can kill cells without prior activation
  • Work with macrophages: Macrophages produce cytokine IL-12 which activates NK cells which produce interferon gamma which activates macrophages
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5
Q

How do NK cells recognise healthy cells?

A

Healthy cells express MHC class 1 on surface
NK cell inhibitory receptor contains an ITIM motif which recognises MHC class 1
This activates protein tyrosine phosphatase which removes the phosphate group from the activating receptor, which stops it activating a response
Activating signals < inhibitory signals

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6
Q

How do NK cells recognise infected cells?

A

Infected cells reduce their expression of MHC class 1 on surface = less binding of inhibitory receptor
Infected cells also express ligands on surface which are recognised by the activating receptor ITAM motif
This activates protein tyrosine kinase which adds a phosphate group to the activating receptor, initiating the activating cascade
Activating signals > inhibitory signals

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7
Q

How do NK cells kill cells?

A

They have granules containing perforin and granzymes a and b in their cytosol
Delivered at site of contact between NK cell and target cell to prevent killing of neighbouring healthy cells
Perforin creates holes in infected cells membrane so granzymes can enter and trigger apoptosis
Granzymes activates caspases which kill the cell by cleaving its DNA
Granzyme B initiates the mitochondria apoptotic pathway

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8
Q

What are innate lymphoid cells?

A

These are cells of the innate immune system
These do not need activating
They do not express T cell receptor

MAIN MECHANISM : PRODUCE CYTOKINES

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9
Q

ILC 1

A

Th1 like

Defence against viruses

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10
Q

ILC 2

A

Th2 like

Allergic inflammation, defence against helminths

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11
Q

ILC 3

A

Th17 like

Gut protection against bacterial infection

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12
Q

Lymphocytes with limited diversity

A

Lymphocytes which express both T cell receptor and B cell receptors
Respond in early stages of infection
Recognise limited number of antigens

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13
Q

Human NK cell deficiency

A

When there is a deficiency or absence in NK cells

Leads to patient getting frequent and more fatal viral infections such as herpes simplex virus

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14
Q

Chronic granulomatous disease

A

When cell can’t produce reactive oxidative species needed to kill pathogens in phagosomes

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15
Q

Chediak-Higashi syndrome

A

When lysosomes fuse with each other instead of fusing with phagosomes = pathogen in phagosome can’t be lysed
Neutrophils have giant granules in cytosol

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16
Q

Leucocyte adhesion defect

A

Defect in integrins and selectins means phagocyte can’t leave blood cell to get into tissues = phagocyte can’t mobilise to site of infection

17
Q

C2, C4, C1q deficiency

A

Systemic lupus erythematosus (SLE) like syndrome

18
Q

C3 deficiency

A

Frequent and serious infections with pyogenic bacteria

19
Q

C5-C9 (Mac) deficiency

A

disseminated infection with neisseria

20
Q

Deficiency in C1 INH

A

Too much C1 = develop oedema due to inflammation= increased cleavage of C2, C4 = hereditary angiooedema

21
Q

DAF, CD59 deficiency

A

Defects in molecules that stop complement from binding = complement binds to own cells = lysis of RBCs and destruction of Hb which can end up in urine