Innate Immunity Protection Flashcards

1
Q

Definition of innate immunity

A

Non specific defense mechanisms that a host uses immediately/within several hours after exposure to an antigen (0-96hours)

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2
Q

Definition of complement

A

Series of proteins that circulate in blood and tissue fluids.
Synthesised in response to inflammation in the liver

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3
Q

Definition of cascade

A

1 product induces the formation of the next

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4
Q

Definition of opsonization

A

A molecule that enhances phagocytosis by marking an antigen for an immune response or marking dead cells for recycling

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5
Q

Definition of immunogenic

A

A protein that further escalates the immune response

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6
Q

Definition of pleotropic

A

Many cytokines and chemokine can exert similar actions

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7
Q

What is the innate immune system and what is made up of?

What processes does it precede?

A

1st part of the immune system

  • Epithelial barriers to infection
  • Components that are induced upon infection (cells, secreted compounds)

Precedes adaptive and specific immune response

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8
Q

Characteristics of the innate immune system

A

Born with it
V fast, within hours
Ancient evolution, found in invertebrates, snails, fruit flies
Same response every time
Molecules used to recognize infection
Induces, directs acquired/adaptive immune response

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9
Q

What are the physical/mechanical/anatomical components of the innate immune system

A

Skin
GI tract
Resp tract
Mucosal epithelia

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10
Q

What are the secreted compounds in the innate immune system

A

Antibactreial
Complement
Natural antibodies
Cytokines

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11
Q

What are the cellular compounds in the innate immune system

A

Phagocytes

NK cells

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12
Q

How does the skin attempt to prevent entry of pathogens into the body

A

Keratin
Antimicrobial compounds
-Psoriasin kills Ecoli
-Burn patients more likely to get Ecoli infections

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13
Q

How does the respiratory tract attempt to prevent entry of pathogens into the body

A

V tight junctions, cells cannot be penetrated easily
Motile cilia waft pathogens out
-Primary ciliary dyskinesis, pathogens can’t be moved out
Mucus traps bacteria and wafted away

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14
Q

How does the GI tract attempt to prevent entry of pathogens into the body

A

Peristalsis

HCl , low pH activates acid hydrolases which can digest bacteria

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15
Q

How do mechanical and secretory methods attempt to prevent entry of pathogens into the body

A

Blinking

Crying, lysozymes break down cell walls

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16
Q

How does microbial competition prevent entry of pathogens into the body

A

Friendly bacteria will compete against them for
Light
Space
Nutrients

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17
Q

How are pathogens recognised

A

Cannot recognize all possible antigens
Recognizes a few highly conserved molecular structures in many different microorganisms

PAMPS (pathogen associated molecular patterns)

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18
Q

What is the criteria for a PAMP

A

Must be present in the microbe and not the host
Must be essential for the survival of the pathogen
-Genetic material can mutate under stress

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19
Q

PAMPs in gram -ve bacteria

A

Lipopolysaccharide LPS

Made up of an O polysaccharide and lipid A
PAMP = lipid A
Type of gram -ve bacteria = O polysaccharide

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20
Q

PAMPs in gram +ve bacteria

A

Lipoteichoic acid

Found in all gram +ve bacteria cell walls

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21
Q

How are pathogens recognized?

What are the types and where are they found?

A

PRR (pattern recognition receptors)

Collecting, in serum
Toll like receptors, in membrane
Nod like receptors, in cytoplasm

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22
Q

Describe how collectins work

What are collectins made up of

A

Collagen like + lectin region

Collagen interacts with effector parts of immune system
Lectin binds to sugar molecules on pathogen surface (mannose, fucose)
-Spacing is also considered

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23
Q

Describe how Toll like receptors work

A

Each TLR on the cell surface recognizes specific molecules

Found on membrane bound surface and vesicles in cells

24
Q

What TLR recognizes gram +ve bacteria?

A

TLR 1 and 2

25
Q

What TLR recognizes gram -ve bacteria?

26
Q

What TLR recognizes flagelli?

27
Q

What TLR recognizes double stranded RNA

28
Q

What TLR recognizes single stranded RNA

A

TLR 7 and 8

29
Q

What TLR recognizes unmethylated GpG DNA

30
Q

What TLR recognizes mycoplasma

A

TLR 2 and 6

31
Q

How doe NOD like receptors work (nucleotide oligomerization domain)
Which NOD like receptors recognize what?

A

In cytoplasm, recognize components of gram +ve, -ve bacteria

  • NOD1, y glutamyl diaminopimelic acid
  • NOD2, muramyl dipeptide
32
Q

What are the effector mechanisms of the innate immune response

A

Complement
Phagocytosis and killing
Cytokines
Activation of adaptive immunity

33
Q

What is a complement and how does it work?

A

Series of proteins that circulate in blood and tissue fluids
Synthesised in response to inflammation in liver
Operates via cascade
All lead to formation of C3, activated by C3 convertase

34
Q

What are the 3 pathways that lead to C3 converts activation

A

Classical, antigen antibody complex
MB lectin, mannose on pathogen
Alternative, pathogen causes spontaneous activation

35
Q

What happens when C3 converts is activated?

A

C3 =C3 convertase=> C3a + C3b

36
Q

What does C3a do

A

Diffuses away from site of inflammation
Binds to C3a receptors on macrophages, neutrophils

Activated cells recruited to site of infection

37
Q

What does C3b do

A

C3b sits on pathogen surface (opsonization)

More likely to be phagocytosed by neutrophils and macrophages

38
Q

What do the terminal components (C5b, C6, 7, 8, 9) do?

A

Form the MAC (membrane attack complex)

Form a pore that disrupts osmotic potential, pathogen cell lyses

39
Q

What happens if you have a genetic C3 deficiency?

A

Have frequent bacterial infections

40
Q

Describe the properties of monocytes/macrophages

A

Mature from circulating monocytes
In large nos in GI, lung, liver, spleen
Relatively long life span

41
Q

Describe the properties of neutrophils

A

Found in blood but can enter tissues when signal from inflammation received
Shorter lifespan than monocytes/macrophages

42
Q

Describe the process of phagocytosis

A

Recognition of pathogen
Chemotaxis and adherence towards pathogen

Pseudopodia engulf pathogen into vesicle/phagosome

Phagosome decreases in pH, recruitment of molecules on phagosome surface signals for lysozomes to fuse with the phagosome

Phagolysozome pH activates hydrolytic enzymes, digests microbe

Exocytosis of waste materials
Immunogenic proteins are presented on cell surface to activate further immune response

43
Q

What are the 2 killing mechanisms of macrophages and neutrophils

A

Generation of reactive oxygen radicals (more in neutrophils)

Generation of reactive nitrogen intermediates (more in macrophages)

44
Q

How are reactive oxygen radicals generated

A

Following phagocytosis, increase in O2 uptake, respiratory burst
O2 reduced by NADPH oxidase => hydroxyl radicals + hypochlorite
Causes DNA damage and alternations in bacterial membranes, must be controlled

45
Q

How is damage to the neutrophil/macrophage limited

A

When resting, the NADPH oxidase complex is separated
2 parts of complex in membrane
Other components in cytoplasm

When there is a respiratory burst, increase in microbes and inflammatory mediators, NADPH complex activated

Complex comes together on phagosome membrane
2O2 => 2O2 -
NADPH => NADP+ + H+

2O2 - => H2O + O2
Assembly is on phagosomal membrane, near pathogen

46
Q

How are reactive nitrogen intermediates generated

A

iNOS, NOS2 induced by cytokines and bacterial components (interferon y, tumor necrosis factor)
Activates iNO synthetase

O2 + L-arginine =tetrahydrobiopterin=> NO + citrulline

Causes DNA damage and alterations in bacterial membranes

47
Q

What are cytokines and what do they do

A

Proteins, intercellular messengers
Bind to specific receptors
Can activate and deactivate

48
Q

What are the activating cytokines

A
IL 1 (interleukin 1)
IL 6 (interleukin 6)
TNF a (tumor necrosis factor a)
49
Q

What are chemokines

A

Type of cytokine with chemoattractant properties
Particular arrangement of cysteine residues

Not specific to 1 receptor
Chemokine receptors bind to more than 1 receptor (pleiotropic)
Attracts cells to site of infection

50
Q

What are the types of chemokines

A

CXC
CC
CX3C
XC

51
Q

What chemokine is produced by macrophages and endothelium and what do they do

A

IL 8

Encourages neutrophils to come to site of inflammation

52
Q

What are the types of interferons

A

Type 1
-IFa, IFb, both made in innate response to a viral infection. Activates NK cells

TYpe 2
-IFy, activate macrophages for antimicrobial killing mainly made by T cells in the adaptive immune response

53
Q

Describe the function of NK cells

A

Kill virally infected cells, tumor cells
Respond to TNFa, IL12, IFNa, IFNb
Produce IFNy which activates macrophages, unregulated MHC
IFMy, IL12 stimukates differentiation of CD4 TH1 cells

54
Q

How is the adaptive immune response activated

A

Signal 1
-Pathogen fragments from phagocytosis presented on APC surface with MHC

Signal 2

  • Pathogen recognized by PRR
  • Signal sent to nucleus to unregulated costimulatory signal production

Both these signals can activate Naive T cells => Effector T cell

Cytokines released by APC dictate what type of Effector T cell forms

55
Q

What are the antigen presenting cells (APC)

A

Macrophages
B cells
Dendritic cells

56
Q

How do the dendritic cells mature

A

Immature cells have MHCs but they are not displayed on the surface
They display many PRRs

When PRR recognizes a pathogen, dendritic cells mature

Mature dendritic cells display many MHCs and costimulatory molecules