Innate Immunity Flashcards

1
Q

What is innate immunity and what makes it up in the human immune system?

A

Innate immunity is the first stage of an immune response. It is often non-specific with no antigen recognition

Involves:

  • Physical barriers like Skin, mucosal surfaces (huge system)
  • Chemical barriers e.g. pH, secreted factors
  • Phagocytes such as Monocytes/granulocytes
  • Inflammation; acute phase response
  • Complement
  • Cytokines/chemokines
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What types of immune cells are essential to the innate immune system?

A

Monocytes:

  • Macrophages
  • Dendritic Cells

Granulocytes:

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

What are neutrophils?

A
  • Large cells (10-20 microns); only live about 2-3 days – majority of peripheral blood
  • 90% of granulocytes are neutrophils
  • Neutral staining cytoplasmic granules containing enzymes e.g. lysozyme
  • Phagocytic, kill bacteria by microbicidal mechanisms
  • Most important cell in non-viral infections -> septic pus = neutrophils as they are scavenging lots of cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are Eosinophils?

A
  • Contain prominent granules, which stain red with eosin
  • Granules contain a crystalline core cytotoxic for parasites; EOSINOPHIL BASIC PROTEIN (EBP)
  • Important in immunity to helminth infections
  • Phagocytic, though this is not a major function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are Basophils?

A
  • <0.2% white blood cells, only go into tissues during inflammation
  • When stimulated, release substances that promote inflammation
  • Important in allergy
  • Don’t phagocytose
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are monocytes and macrophages?

A
Monocytes 
•	Produced in BM then in blood 1-2 days
•	Mononuclear leukocytes
•	Phagocytic
•	Derive out to become DCs 

Macrophages
• MCs in tissues = macrophages (MF)
• Up to 10x larger than MCs
• can live months or years
• Characteristics of macrophages depend on tissue e.g. Kupffer cells in liver, microglia of brain
• Phagocytic (like neutrophils and eosinophils), adherent

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

Innate cells need some pathogen specificity . How do they get this specificity?

A

• Specificity from host molecule
– e.g. IgG, complement components, chemokines
• Inherent specificity (pattern recognition)
– germline-encoded receptors for conserved molecular patterns
– detects foreign invaders or aged/damaged host cells (apoptotic)

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

What types of receptors determine specificity?

A

Non-opsonic Pattern recognition receptors (PRRs):
a. Recognise parts of bacteria in a pattern dependent manner

Opsonic receptors:

a. FC and complement receptors (Fc can be induced on various cells)
b. 7- Transmembrane g-protein coupled receptors (chemokine receptors)
c. Host produces Ab or complement against the pathogen. Cytokine and chemokine are also produced aswell as lipid mediator such as prostaglandins

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

Give some examples of opsonic receptors, their ligands and what the outcome of the interaction is.

A

Fc receptors:

  • these are receptors for the Fc region of Ig on located on host cells.
  • Many different types including FcgR/aR or eR which correspond with different Ig
  • Binding results in the internalisation of Ab-coated Ab
  • If located on a macrophage, it results in the activation and production of reactive oxygen species

Complement Receptors:

  • CR1-5, diverse structures which are endocytic and activator
  • CR1,3 and 4, bind C3 cleavage products which are bound to pathogens, immune complexes or other complement activators

Chemokine Receptors:

  • 7- Transmembrane receptors which are G-protein coupled
  • They recognise host chemokines, complement fragments and lipid mediators such as prostaglandins.
  • This results in cell migration so immune cells are where they need to be
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the general properties of PAMPs (Pathogen- Associated molecular patterns)

A
  • They are invariant structures present only on pathogens, specific for pathogen and not on host cells
  • Essential for survival of pathogens
  • Cell wall peptidogylcans are an important pattern because bacteria cant survive without a cell wall

Examples include:
- terminal mannose and fructose, bacterial cells walls, LPS, flagellin, pathogenic genetic material ect.

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

Give examples of the main pattern recognition receptors (PRRs)

A

Lectin Receptors (Mannose receptors)

  • bind terminal mannose and fucose sugars
  • also links to the lectin complement pathway which use mannose-binding lectin (MBL)
  • Interaction results in phagocytosis
  • Lectin domains -> multimeric binding sites which can be associated with Fcg chain ITAM, allowing a signal to be transported to host cells.

Scavenger Receptors

  • Membrane-bound PRRs which bind to apoptotic cells, modified self molecules or bacterial cell walls
  • They clear up after an immune response and may effect the TH1/TH2 response
  • They can mediate endocytosis and can also fine-tune TLRs using class A (C-lectin domains) and class B (CD36 domain) receptors

Toll-like Receptors:

  • the main PPR for bacterial and viral ligands
  • TLR1-9
  • Results in cytokine release (IL-1, IL-12) and inflammation

RIG-1/MDA-5:

  • recognise dsRNA and 5’tri-phospho RNA
  • Causes IFN-1 production via mitochondria and IRF-3 and NFkB
  • Particularly for viral pathogens

NOD-like Receptors (NLRs):

  • bind dsRNA and peptidoglycan (Gram + and -) which indirectly produces NFkB for cytokine production
  • Some can form an inflammasome and activate caspases via IL-1B , releasing IL-1 and IL-18
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the other types of cells involved in innate immunity:

A
NK cells
NKT cells 
Dendritic cells
gd T cells 
Innate lymphoid cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are NKT cells?

A

Natural Killer T cells are innate immune cells which express NK (NK1.1) and T cell markers (TCR). However they have restricted usage of TCR a-chain.

The recognise non-protonated molecule related to CD1 such as lipids, glycolipids and hyprophobic peptides which are recognised by CD1d - related to non-classical MHC-1

They can produce TH1 and TH2 differential cytokines

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

What are gd T cells?

A

gd T cells are a type of T cell with a distinct TCR. They are less common than ab T cells but are highly abundant in gut mucosa. They don’t need MHC antigenic presentation. Hiowever they do recognise some bacterial proteins and lipid antigens swell as some small aliphatic molecules (isoprenoid pyrophosphates and amines) which are produced when bacteria get into a cell. They may be triggered by heat shock proteins

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

What are the different types of innate lymphoid cells?

A

Grouped into 3 categories which are determined by the cytokines they produce. They come from a ID2-ILC precursor and are expressed at barrier surfaces, influenced by DC and endothelial/epithelial cells. This cytokine production may influence Th1 and Th2 development

Group 1 ILCs:

  • They constitutively express transcription factor T-bet
  • Influence both NK cells and ILCD1 cells and can produce Th1 cytokines ( IFNγ and TNF) after stimulation with IL-12 or IL-18
  • They are weakly cytotoxic cells closely related to Group 3 ILCs, from which they can arise.

Group 2 ILCs

  • Also known as natural helper cells or innate helper 2 cells
  • Play crutial role in secreting type 2 cytokines in response to helminth infection -> IL-4, IL-5, IL-9, IL-13.
  • For their development, they need IL-7, which activates two transcription factors —RORα and GATA3 to develop the precursor.
  • The mature ILC2 cells are then stimulated by Th2 polarising cytokines e.g. IL-25, IL-33, TSLP)
  • ILC2s are abundant in tissues of skin, lungs, livers and gut

Group 3 ILCs

  • They are dependent on RORyt TF for development via IL-7 stimulation
  • They produce 2 different cells: Lymphoid tissue-inducer (LTi) cells and NCR-ILC3 cells
  • These are then stimulated by IL-23 and IL-1B to produce IL-17 and IL-22
  • They are the innate counterpart to Th17 cells and are heavily involved in intestinal homeostasis as they are found mainly in mucosal tissues and particularly in the GI tract
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What role do innate lymphoid cells have in Crohns disease?

A
  • ILC3, main ILC in human non-inflamed gut.
  • Produces IL-22 in response to endothelial signals (such as IL-23) and induced anti-microbial response. DCs control this in part by the production of IL-22BP.
  • the ILC-3 population is then replaced by the ILC-1 population which produces gIFN and causes chronic inflammation. This leads to the ILC-3 cells changing phenotype to ILC-1 under control of IL-2 and IL-12
  • The can also change back under the influence of IL-23 and IL-1b.
  • So CD14+DC drive ILC-1, CD14-DC drive ILC-3.
17
Q

How do DC cells direct T cell differentiation?

A

Th1 / Th2 polarisation:

Th1
• Key cytokine in polarising immune response is IL-12p70 produced by dendritic cells in response to DCs detecting intracellular infection e.g. signalling through endosomally located TLR3 in response to dsRNA in apoptotic cell body
• IFN- produced by pDCs also polarises for Th1

Th2
• IL-4 directs CD4 T cells to promote B cell proliferation
• In response to DC detecting an extracellular infection e.g. signalling through cell surface bound TLR5 in response to flagellin

18
Q

How can innate receptors and cells be used clinically?

A

gd T cells:
• Have been shown to recognise non-peptide antigens and have a broad cytotoxicity against tumour cells both allogeneic and autologous
• Anti-tumour responder: Vg9Vd2 Recognise prenylpyrophosphate ligands which can be over-expressed on tumour cells (B-cell lymphomas)

TLR agonists and antagonists:
- TLR9 agonist -> used in non-small cell lung cancer (NSCLC) in phase 3 trials which lead to a 17% increase in patient survival

  • TL4 antagonists in sepsis trial -> sepsis is caused by cytokine cascade storm which can be blocked by antagonists
  • TLR3 agonist in HIV -> boosts immune system and used in cancer trials