Innate immunity: the induced response Flashcards

1
Q

State two cell types that overlap between innate and adaptive immunity

A

gamma delta T cell

NK T cell

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2
Q

Phagocyte recruitment occurs in two stages

Describe 1. Rolling and extravasion

A
  • cytokines dilate BVs
  • chemokines attract monocytes and neutrophils to infections
  • cell adhesion molecules (ICAM1 and 2) are upregulated on the endothelium which bind to integrins (family of adhesion molecules) on the leukocytes
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3
Q

Phagocyte recruitment occurs in two stages

Describe 2. Receptor mediated phagocytosis

A
  • macrophage receptors recognise components of microbial surfaces
  • microorganisms bound by phagocytic receptors on the macrophage surface
  • microorganisms internalised by receptor- mediated endocytosis
  • fusion of the endosome with a lysosome forms a phagolysosome in which microorganism is degraded
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4
Q

In phagocyte recruitement, which mediators facilitate arrest/adhesion

A
  • Opsonins: ABs, collectins, complement components (C3B)

- Phagocytic receptors : complement, Fc, mannose, scavenger

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5
Q

By which mechanisms do antimicrobials work?

A
  • Acidification: pH 3.5 -4
  • Toxic O2 derived products: O2-, H202, .OH, OCl-
  • Toxic nitrogen oxides
  • Antimicrobial peptides : cathelicidins, a-defensins
  • Enzymes: lysozymes
  • Competitors: lactoferrin
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6
Q

What are neutrophil extracellular traps (NETs)?

A
  • when activated some neutrophils undergo cell death (NETosis)
  • during NETosis nuclear chromatin is released from cells trapping microorganisms aiding phagocytosis
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7
Q

State three PRR types in the innate immune system

A
PRRs - recognise PAMPs
Toll like
NOD like
Rig-I like 
Cytosolic DNA sensors
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8
Q

PRRs recognise PAMPs and DAMPs, what can be said about these interactions?

A
  • PAMPs recognition must focus on highly conserved and essential components of microbes i.e. cell wall structures and nucleic acid as microbes evolve quickly. Random mutations play a significant role in ability to survive and adapt due to speed at which they replicate
  • Damage associated molecular patterns (DAMPs) are released from necrotic cells
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9
Q

Why are drosophilia toll receptors important?

Mammalian equivalent?

A
  • important for development and immunity to the fungal and bacterial infections
  • mammalian equivalient = toll like receptor
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10
Q

Describe the structure of toll like receptors and how it is suited to its activation

A

The TIR domain is a conserved stretch of approx. 200 AAs
The extracellular domain (LRR) is the site of pathogen binding

Convex surface of TLR1 and TLR2 have binding sites for lipid side chains of triacyl lipopeptide. Binding of each TLR to the same lipopeptide induces dimerisation, bringing their cytoplasmic TIR domains into close proximity.

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11
Q

Toll like receptors recognise exogenous and endogenous ligands.

Which TLRs are found on cell surfaces?
What are their ligands?

A

TLRs 1,2,4,5,6

Bacterial products :

  • lipopolysaccharides
  • flagellin
  • lipoteichoic acid
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12
Q

Toll like receptors recognise exogenous and endogenous ligands.

Which TLRs are endosomal?
What are their ligands?

A

TLRs 3,7,8,9,10

Viral products:

  • dsRNA
  • ssRNA
  • DNA
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13
Q

What does TLR signalling cause?

A

It induces genes that function in host defense e.g

  • proinflammatory cytokines
  • chemokines
  • MHC and co-stimulatory molecules
  • antimicrobial peptides and complement components
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14
Q

What is Waldenstrom macroglobulinemia ?

How can it be determined?

A
  • Rare type of non-hodgkin lymphoma
  • B cells make lots of IgM –> excessive bleeding, headaches, vision problems
  • Lymphoma cells proliferating in bone marrow –> anaemia, neutropenia and thrombocytopenia
  • MYD88 and CXCR4 are determinants
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15
Q

What happens in MYD88 deficiency?

A

Life threatening, often recurrent pyogenic bacterial infections
- improves with age due to a compensatory effect of adaptive immunity

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16
Q

What happens in TLR3 deficiency?

A

Herpes simplex encephalitis (inflammation)

- dsDNA but during viral replication it produces dsRNA

17
Q

Consider the involvement of TLRs in disease.

Which TLRs are involved in infections?

A

HIV- TLR8
Sepsis- TLR 2,4
Tuberculosis- TLR2, 4

18
Q

Consider the involvement of TLRs in disease.

Which TLRs are involved in inflammatory diseases?

A

SLE- TLR 7,8,9
Alzheimers- TLR 2,4
Atherosclerosis- TLR 2,4

19
Q

TLR agonists can be used therapeutically. Give three examples

A

Infection - genital warts : TLR7
Cancer - melanoma : TLR7 ligand
Allergy - ragweed pollen : TLR9 + vaccine adjuvant

20
Q

TLR antagonists can be used therapeutically. Give three examples

A

Autoimmunity - TLR 7,8,9
Sepsis - TLR4
Cancer

21
Q

What are NOD-like receptors?

  • Which two major groups exist?
  • Give examples with function
A
  • cytoplasmic pattern recognition molecules
  • 2 major groups: C- caspase recruitement domain (CARD) and P- pyrin domain

e. g. NOD 1 and NOD 2
- have leucine rich domain which can bind to peptidoglycan which is present on the cell membrane of most bacteria
- detect similar yet distinct peptides of peptidoglycan: NOD1 detects iE-DAP (mainly gram +), NOD2 detect muramyl dipeptide (gram +/-)

22
Q

In gain of function mutations in NOD2 what happens?

A
  • early onset sarcoidosis where gramulomas develop in organs
23
Q

In loss of function mutations in NOD2 what happens?

A
  • susceptibility to crohns disease, a chronic intestinal inflammatory disorder
24
Q

NLRPs are a type of NOD-like receptor.

How is NLRP3 activated?
Function?

A
  • activation by cellular stress, K+ efflux, ATP, reactive O2 species and lysosomal damage
  • Plays a key role in inflammation by aggregating proteins to form inflammasome. Inflammasome is essential for IL-1 and IL-8 secretion.
  • Inflammasome activation leads to cleavage of pro-IL1 and pro-IL18 to allow secretion
25
Q

Which cellular stresses activate NLRP?

A

The inflammasome senses danger and is activated by cellular infection, stress: uric acid crystals (gout), asbestos, silica, amyloid b (alzheimers), islet amyloid polypeptide (T2DM), hemozoin (malaria)

26
Q

Which syndrome(s) arise from a gain of function mutation in NLRP3?

A

Cryopyrin- associated periodic syndromes (CCAPS)
- rare mutation in exon 3 of NLRP3 causing over production of IL1

Muckle wells syndrome: spontaneous/triggered by cold, heat, fatigue/other stress.

Familial cold autoinflammatory syndrome: triggered by cold. Similar symptoms + headache, urticarial rash

27
Q

What symptoms are associated with muckle wells syndrome?

How do they differ to familial cold autoinflammatory syndrome?

How are these conditions treated?

A

Symptoms: fever, rash, arthralgia, conjunctivitis, amyloidosis, deafness, uvevitis

Similar symptoms + headache, urticarial rash

Treat with IL-1RA

28
Q

Give to examples of RIG-1 like receptors

What are they?

A

RIG-1 and MDA5 are sensors of cytoplasmic RNA, a replication intermediate for viruses. Signal to induce pro-inflammatory cytokines and IFN

29
Q

Consider RIG-1

What is its ligand?

A

Binds to ssRNA containing 5- triphosphate

  • Recoginition of flaviviruses (Hep C) and orthomyxoviruses (influenza)
30
Q

Consider MDA5

What is its ligand?
What happens if mutated?

A
  • preferentially recognises long dsRNA
  • critical for picornavirus detection
  • mutations associated with IFN related diseases (RARE)
31
Q

How do cytosolic DNA sensors influence interferon genes?

A
  1. dsDNA from viruses activates cGAs to produce cGAMP from ATP + GTP
  2. cGAMP bind to STING dimer present on ER and activates signalling
  3. STING activates kinase TBK1 to phosphorylate IRF3 which enters the nucleus and induces expression of type 1 interferon genes

(STING= stimulator of interferon genes)

32
Q

Clinical application

What is SAVI?

A

(STING associated vasculopathy with onset in infancy)

  • Autoimmune
  • Gain of function in TMEM173 (codes for STING)
  • -> abnormal inflammation throughout body, skin, blood vessels and lungs
33
Q

What is the acute phase response?

what induces it, which molecules are involved, where are they produced, effect?, detection

A
  • Induced by cytokines (TNF, IL6, IL1) during infection and inflammation
  • acute phase proteins mainly produced in liver
  • induces opsonisation/ phagocytosis
  • can activate complement
  • Increased ESR and CRP are characteristic of an acute phase response and are used clinically to detect inflammation.