Innate immunity Flashcards

1
Q

Describe the properties of the the innate immune system

Give an example of why it is so important

A
  • Present (and active) from birth
  • Quick to respond
  • Non-specific, same response for ANY pathogen
  • But still really important
  • Example: bacterial infection from a wound on the skin
  • One bacterium could become 100 trillion in one day
  • In the lab, you’d need 100 litres of fluid to grow this many bacteria
  • But as you’ve only got about 5 litres of blood innate immune response keeps everything under control in the early stages of infection
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2
Q

The complement cascade:

The complement components are made by which organ?

A
  • Complement components are proteins made by the liver (as well as by tissue macrophages, blood monocytes, and epithelial cells of the genitourinal tract and gastrointestinal tract) and released into the blood
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3
Q

What is the most abundant component of the complement cascade?

What does it bind to?

Many bacterial surfaces have what groups on display?

A

Most abundant component: C3

C3 will spontaneously split into two fragments

C3a and C3b (a-chemotactic and b-binding fragment)

C3a is an anaphylatoxin, i.e. a danger signal ((complement peptides, are fragments (C3a, C4a and C5a) that are produced as part of the activation of the complement system.))

C3b is very reactive; binds amino or OH groups

Many bacterial surfaces have amino or OH groups on display, so C3b will bind to bacterial surfaces (this is known as opsonisation) and help macrophages eat the bacteria

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4
Q

Explain the activation of the complement cascade:

How many different proteins work together to destroy invaders and signal to other immune system players?

what are the 3 different pathways?

A
  • Around 20 different proteins that work together to destroy invaders and signal to other immune system players

Three different pathways:

  • Classical

First to be discovered

Requires antibody

  • Alternative (evolved first)

Antibody-independent

Probably evolved before the classical pathway

  • Mannose-binding lectin

Recently discovered

Recognizes carbohydrate instead of protein patterns found on the surface of a large number of pathogenic microorganisms

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5
Q

Explain the classical pathway in detail

A
  1. Initiated by the formation of antigen-antibody complexes​.Triggered by the C1 complex, composed of one molecule of C1q, two molecules of C1r and two molecules of C1s, or C1qr2s2 (protein subunits).
  2. C1q binds to antibodies complexed with antigens or when C1q binds directly to the surface of the pathogen; this activates C1r (cataylses the next step of the complement pathway).
  3. C1r2s2 component now splits C4 and then C2, producing C4a, C4b, C2a, and C2b.
  4. C4b and C2a bind to form C3-convertase (C4b2a complex), which promotes cleavage of C3 into C3a and C3b.
  5. C3b later joins with C4b2a to make the C4b2a3b complex, which is C5-convertase (crossover to the alternative pathway).
  6. The main purpose of this cascade is to provide a danger signal and prepare the site of infection for immune cells to enter
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6
Q

Explain the alternative pathaway

What kind of feedback loop is involved?

A
  • Continuously active at a low level (like a car engine idling)
  • Does not rely on pathogen-binding antibodies like the classical pathway
  • Starts when C3 convertase cleaves C3 into C3a and C3b
  1. Initiated when C3b binds to bacterial surface, binding to bacteria needs to happen quickly, otherwise C3b is neutralised
  2. C3b generated next to a bacterium will bind to the bacterium
  3. Now C3b is stabilised and the activation cascade can continue
  4. C3b on the bacterium binds factor B, generating C3bB
  5. Factor D cleaves Factor B to Bb, giving C3bBb (Bb is the b fragement of factor B in the blood) which binds to the outside of the bacteria and decorates them for macrophages (a process called opsonization)
  6. C3bBb can cleave C3, making more C3b (positive feedback loop)
  7. C3bBb can also cleave C5 (another complement component) to make C5a which is chemotactic (brings in neutrophils) and C5b
  8. C5b combines with C6, C7, (initiation)C8, and C9
  9. Formation of the membrane attack complex (MAC)
  10. This is inserted into the cell call of the bacterium, forms a pore that allows water in, so the cell bursts
  11. Destruction of the pathogen
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7
Q

Describe the Classical pathway – alternative pathway crossover

A

Formation of C3b is the main crossover point

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8
Q

So if this C3b is formed spontaneously

  • And this is going on all the time
  • And C3b isn’t specific (binds amino and OH)
  • Then…why doesn’t the MAC form in all of OUR cells?
A
  • DAF (decay accelerating factor)

Accelerates breakdown of C3bBb

Stops the positive feedback loop from getting going

  • Factor I

Cleaves C3b

This reaction is increased by a protein on human cell surfaces

  • CD59 (protectin)

Cell surface protein

Prevents formation of MAC in our cells

(your complement wont destroy your own cells)

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9
Q

Recently discovered third pathway: Lectin activation pathway

A
  • Recently discovered third pathway
  • Mannose-binding lectin (MBL) pathway
  • Annother way of opsonizing bacteria by recognising surgar rather than proteins

MBL is made in the liver, found at moderate concentrations in blood and tissue

Production increases during infection

Binds to mannose (a sugar) found on yeast, viruses, bacteria, and parasites (opsonize bacteria via sugar recognition)

  • Effects mediated by MASP-1 and MASP-2 (similar to the C1 complex of the classical pathway)
  • MBL and MASP binds to sugar ►conformational change ► cleavage of C2 and C4 ► feeds into the classical pathway

MASP= Mannan -binding lectin associated serine protease

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10
Q

Function of complements: Opsonisation (decoration)

A
  • C3b can be clipped to form iC3b
  • i means inactive - can’t make the MAC
  • iC3b remains attached to the invader
  • Phagocytes have receptors for iC3b
  • Binding of iC3b-opsonised invaders facilitates phagocytosis
  • Helps the phagocytes get hold of ‘slimy’ bacteria
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11
Q

Function of complement: Chemoattractant (call for help)

A
  • a fragment that act as chemoattractants that tell macrophages and neutrophils to move to the site of infection and they also increase histamine release-blood vessels dilate
  • C3 cleavage generates C3b and C3a
  • C3a isn’t wasted, it diffuses away to tell the phagocytes where the problem is
  • C5a (from C5 cleavage) does the same
  • Activation of phagocytes - more ready to kill
  • C3a and C5a are the anaphylatoxins – they cause smooth muscle contraction, histamine release from mast cells, and enhanced vascular permeability
  • Dendritic cells respond to C1q by reducing their activation threshold (C1q regulates the threshold of DC activation and thereby prevents hyperactivation of the overall immune response)
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12
Q

Complement – the take home message

A
  • Complement is very important in innate immunity
  • Complement is multi-functional

Destroys invaders with MAC

Enhances pathogen destruction by stimulating phagocytes

Signals to other cells that they are needed for the attack

  • Complement is FAST

Complement components are all preformed

They circulate as inactive enzymes ready for action

  • Complement is CONTROLLED

We have proteins that regulate complement activity to protect us

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13
Q

What are the professional phagocytes?

What are the four families of pattern recognition receptors (PRR)?

A
  • Macrophages and neutrophils
  • They’re called professional phagocytes because their job is to eat!
  • Carry pattern recognition receptors (PRR) on the cell surface – used to identify conserved patterns on pathogens
  • The PRR are divided in four families:
  1. Toll-like receptors (TLR) recognise bacteria and viruses e.g TLR4 recognises LPS (Lipopolysaccharides) produced by gram negative bacteria so doesn’t recognise a specific strain but instead something common to a number of bacterial strains
  2. Nucleotide oligomerisation receptors (NLR) recognise toxins and cell stress
  3. C-type lectin receptors (CLR) recognise fungi and viruses (e.g. can bind to HIV)
  4. RIG-1 like receptors (RLR) recognise viruses
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14
Q

What is the first of the three states of macrophage alertness?

A
  1. lounging around in tissues (resting)

Leave the bone marrow as monocytes and mature into macrophages

under normal conditions they are rubbish collectors, slowly proliferating

sipping to keep tissues free of debris

Low MHC class II expression - can’t talk to T cells

But T cells aren’t interested in rubbish anyway

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15
Q

What is the second of the three stages of macrophage alertness?

A

Alerted to a breach of defences (activated or primed)

Start phagocytosing bacteria, upregulate MHC class II expression

Now they can present antigen to T cells

Helper T cells and NK cells produce cytokines like Interferon gamma (IFNg) to help prime macrophages

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16
Q

What is the final of the 3 phases of macrophage allertness?

A
  • Direct interaction with invader (hyperactivated)
  • LPS (lipopolysaccharide) or mannose binding to the macrophage
  • Macrophage stops proliferating and concentrates on killing
  • Produce the cytokine TNF-alpha – activates the immune system (broadly)
17
Q

Neutrophils

A

Also called polymorphonuclear cells (PMN)

  • Macrophages might be good at lots of things, but neutrophils are the most important cell in innate immunity
  • Neutrophils make up 70% of WBC circulating in the blood
  • Not antigen presenting cells (APC’s)
  • 100 billion are made daily in the bone marrow
  • Short-lived cells

Only live for about five days

Do not proliferate once the leave the bone marrow

Die by apoptosis (suicide)

Do not present antigens (i.e. don’t talk to T cells)

  • Professional killers
  • Neutrophils are activated as soon as they leave the blood

Exist in a state like a hyperactivated macrophage

Very phagocytic

Plenty of chemicals ready to kill their prey

  • We can’t live without neutrophils

very few deficiency diseases

18
Q

How do neutrophils know where to go to get to the site of infection?

A
  • Neutrophils need to leave the blood and get to a site of infection, but this must be directed
  • Neutrophils are inactive in the blood
  • They are whizzed along at 1,000 microns per second (pretty fast if you’re only 10 microns long)
  • ICAM protein in blood vessels that is a tether for immune cells
  • Neutrophils cirulate with SLIG receptor and the SEL ligand for SLIG in inflammed tissue
19
Q

In the case of a bacterial infection

A
  • Macrophage watchdogs have sounded the alarm

Produce cytokines as warning signals (IL-1 and TNF-a)

  • Endothelial cells receive the signals

Surface expression of selectin (SEL) in ~ 6h

SEL is the partner (ligand) for SLIG on neutrophils

  • SEL + SLIG = SLOW DOWN signal
  • Neutrophils start to roll along the blood vessel
  • neutrophils express integrin (INT) and thats what binds to ICAM on the inside of blood vessels
20
Q

Explain the process of diapedesis (how immune cells move from blood to tissue)

A
  • Rolling neutrophils ‘sniff’ for signs of inflammation
    e. g. C5a and LPS (Lipopolysaccharide)
  • When they find these, the neutrophils express integrin (INT) on their surface
  • This needs to be quick, neutrophils are still moving and need to stop now to get out at the right place

Integrin is stored inside the cell ready to get put out on the surface

  • Integrin binds to ICAM – very strong binding, neutrophil stops
21
Q

At the site of infection

A
  • Now the neutrophil has stopped, it needs to get out of the blood vessel (diapedesis) and go trap and kill bacteria
  • Neutrophils follow a trail of chemoattractants: C5a, LPS, N-formylmethionine (fMet) peptides

fMet peptides are produced by bacteria, mitochondria and chloroplasts

Macrophages ‘burp’ fMet peptides after eating

  • Cytokines (e.g. IL-8) detected en route will further activate the neutrophils
  • Neutrophils arrive at the site of infection and are activated
22
Q

Neutrophil extracellular traps (NETosis)

A
  • Neutrophils kill bacteria by phagocytosis, the release of antibacterial enzymes & oxidative burst
  • They also use a special method (NETosis) to trap and kill bacteria
  • The contents of the cells are disgorged, forming a sticky net of DNA and enzymes
  • This is a good thing during infections, but a bad thing in some autoimmune diseases (rheumatoid arthritis and lupus)
23
Q

Cellular co-operation

A
  • Neutrophils are ‘on call’ in the blood
  • Macrophages, in the tissue, do the call outs
  • Macrophages call neutrophils in to exactly where they are needed, when they are needed
24
Q

Natural killer cells

A
  • Lymphocytes of the innate immune system
  • Kill tumour cells, virus-infected cells, bacteria, fungi, parasites
  • NK cells force infected cells to commit suicide via apoptosis

Use perforin proteins to inject suicide enzymes (granzyme) into infected cells that facilitates the apoptotic cascade

Use an interaction between NK Fas ligand with Fas on infected cells to tell target cells to die

25
Q

Innate immune protection against viruses:

What happens once a virus is inside the cell?

A
  • Complement provides some protection

tags viruses for phagocytosis

punches holes in enveloped viruses

most effective against extracellular viruses

  • Once a virus is inside the cell, the innate immune system is limited
  • NK cells can detect and kill virus-infected cells (identified by reduced MHC expression)
  • NK cells and activated macrophages make cytokines to help

IFN and TNF-a reduce viral protein production

TNF-a can kill infected cells

  • Innate immunity can only CONTAIN viral infections

Viruses can (and do!) evade the innate immune system

Probably led to development of the ADAPTIVE immune system

26
Q

How do natural killer cells know what to kill?

A

NK obey ‘Kill’ and ‘Don’t Kill’ signals

‘Don’t Kill’ – inhibitory signals involving MHC

‘Kill’ involves interaction between NK proteins and surface molecules revealed after infection

Absence of MHC class 1 inside the cells suggests the virus is hiding from the innate immune system so the adaptive immune system will come and kill it

27
Q

How many times are complements cleaved?

What does cleavage produce?

A

Usually cleaved twice

‘A’ fragments are chemotactic

‘B’ fragments are effectors

28
Q

How are neutrophilis different to macrophages?

A

The ability to release celluar contents to trap bacteria

29
Q

What is part of both the classical and the alternative pathway?

A

C3

30
Q

Which pathway causes the most opsonization?

A

The alternative pathway

31
Q

Explain the main differences between macrophages and neutrophils?

A

Neutrophils:

  • Important for early stage antibacterial response
  • A lot of neutrophils in the blood
  • APC’s
  • Under the microscope it look like they have multiple nuclei but its just in different lobes
  • macrophage looks like a fried egg
  • Neutrophils can release some of their cellular contents e.g proteases that can chop up bacteria
32
Q

What is the function of the C3a, C4a and C5a fragments?

A
  • Dilation of arterioles
  • Release of histamine from mast cells
  • Chemotaxis of phagocytes