innate immuntiy Flashcards

1
Q

innate immune responds — to microbe or damage and they broadly distinguish from —- to —
eliminates pathogens by inducing process as — and —-
acts as an — system by releasing — and —-
communicates directly with the —- of immunity to inform it of type threat using —- presentation
involves soluble components such as —

A
  • rapidly
  • self from non self
  • phagocytosis and inflammation
  • alarm
    -cytokines and chemokines
  • adaptive arm
  • antigen
  • complement
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2
Q

what triggers the innate immune response?
- barrier breaches and they can be :
1- – injury regardless of type can cause inflammation as:
2- — when breach the barrier cause inflammation

A
  • tissue as: splinter , cut +/- infection , insect bite , trauma
  • microbes
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3
Q

Microbes have regular patterns of molecular structure that are recognised by innate immune cells called —-
cells when damaged release —-
—- , — , and —- cells express a number of receptors that allow them to recognise different pathogens collectively called —

A

-pathogen associated molecular patterns ( PAMPS)
- self molecules –
Damage-associated molecular patterns (DAMPs)
- neutrophils macrophages and dendritic cells
- pathogen recognition receptors ( PRR)

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4
Q

the 3 fundamental cellular processes of innate immune cell activation are

A

1- phagocytosis —> destroys pathogens
2- cytokine production —> inflammation
3- antigen presentation —> activate T cells

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5
Q
  • phagocytosis englufs and kills microorganisms:
    1- — and —- express receptors that bind to microbes
    2- microbes are englufed into —
    3- — fuses w the phagosome
  • the microbes are killed in the phagolysome by toxic substances as:
    1- —- is made by iNOS ( nitric oxide synthase )
    2- —- is made by phagocyte oxidase ( also known as NADPH oxidase ) causes respiratory burst
    3- — break down micorbial proteins
  • —- are short lived (1-2 days)
  • —- are long lived ( weeks )
A
  • neutrophils and macrophages
  • phagosomes
  • lysosomes
  • NO( nitric acid )
  • ROS ( reactive oxygen species )
  • lysosomal protease
  • neutrophils
  • macrophages
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6
Q

chronic graulomatous disease is a defect in the —- system
by which the – -doesnt function properly –> recruitment of — -> collection of — around the microbe –> —
65-70% of the cases are – so more frequenet in —
first it appears in childhood and leads to frequent and severe —- and — infections
most common infections occur in —-
diagnostic test for this is —-

A
  • NADPH oxidase system ( nadph oxidase defect )
  • neutrophils
  • macrophages
  • macrophages
  • granuloma
  • x linked
  • males
  • fungal and bacterial infections
  • lungs skin liver and lymph nodes
  • DHR ( dihydrorhodamine ) : Whole blood is taken and neutrophils tested for the conversion
    of DHR to fluorescent rhodamine which only occurs in the
    presence of ROS.
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7
Q

signs of inflammation include:

A

-redness ( rubor) –> increased blood flow
-loss of function
-pain( donor) –> stretching of pain receptors and nerves by inflammatory exudates, chemical mediators
-heat ( calor) —> increased blood flow , erudition of fluid and release of inflammatory mediators
-swelling —> exduction of fluids

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8
Q

the role of inflammation:
- respond to —-
- bring — cells to the site so they can fight it
- — the infection and – the body from further infection/injury
- increase production of —-
- promotes — and —- of the infection

A
  • infection/insult/injury
  • immune
  • localise
  • protects
  • protective proteins
  • tissue repair
  • resolution of infection
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9
Q

the 3 main stages of inflammation are:

A

tissue injury ( regonition via PRR and release inflammatory mediators )
breech in barrier
microbe intry
in summary :
first step –> releases pro-inflammtory mediators
2nd step —> cell adhesion , rolling then tight )
3rd step —> extraversion

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10
Q
  • the first step of inflammtion is:
    1- recognition by tissue resident innate immune cells as:
    2- induction of —- :
  • it — and — microbe by —
  • — presentation by —
    3- release — mediators as — and — :
  • — and —
A
  • macrophages and dendritic cells
  • phagocytosis
  • engulfs and destroy by macrophages
  • antigen presentation by dendritic cell
  • inflammatory mediators as macrophages and mast cells
  • cytokines (IL-1, TNF) ad chemotkines (IL-8)
  • lipids ( prostaglandin , leucotreins and PAF)
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11
Q

the 2d step of inflammation is:
1- —- by —– which cause:
- increase in —- of blood vessels
- increase in —-
- decrease in —
2- —- by —-
- endothelial cells lining blood vessels become —
- enables influx of —- as
- influx of fluids enables —-
3- — by —-
- — are activated
- increased —-
- promotes binding of —-

A
  • vasodilation by prostaglandin and PAF ( platelet activating factor)
  • diameter
  • blood flow
  • velocity
  • permeability by lekotrines and PAF
  • leaky
  • soluble proteins ( c5a)
  • migration
  • cell adhesion by IL-1 and TNF ( tumor necrosis factor )
  • endothelial cells
  • cell adhesion molecules
  • circulating immune cells ( rolling and then tight adhesion )
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12
Q

the 3rd step of inflammation is :
1- — which occurs after adhesion
- — first and then —
2- activation of — through : — and —
3- activation of —- :
- differentiation into —
- relese more —–
- maintains —-
3- activation of — which releases —

A

-extravasion
- neutrophils then monocytes
- neutrophils
- phagocytosis and destruction of microbes
- monocytes
- macrophages
- more inflammatory mediators ( cytokines chemokine lipids and proteins )
- maintains inflammation
- mast cells
- histamines
check slide 20 PLSSSSSSSS

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13
Q
  • chemokine are released by —- and —
  • — is a key chemokine important in inflammatory response
  • the functions of chemokine are:
  • released locally in — concentrations
  • cells w — respond and move – the concentration gradient
A
  • damaged and immune cells
    -IL-8
  • functions:
    *bring more cells (particularly neutrophils) to infected region -
    ‘Chemoattractants’
  • Increase expression of adhesion molecules on immune
    cells
  • high
  • receptors
  • up
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14
Q

— inflammtion resolution Must actively terminate inflammation to prevent bystander destruction of tissue
mechanism of resolution:
- — half life of neutrophils and inflammatory mediators
- macrophages will change character and promote — releasing —- to limit inflammtion
- —- releases growth factors ( FGF) which acts on fibroblasts to promote repair
- lipid mediators will switch to production of —– mediators as

A
  • acute inflammation
  • short half life
  • repair
  • inhibitory cytokines ( IL-10 and TGF-b)
    • macrophages
  • production of anti-inflammatory lipids mediators as lipoxins
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15
Q

the complement system consists of
several plasma proteins that work
together to: ( innate immune mechanism not specific )
- promote —
- — and —
- in some cases — the microbes
* info about the complement system:
- collection of — and associated proteins ( 20+)
- completment system is initiated by – different pathways
- they are — which works in an enzymatic cascade
- the products perform the — of the complement

A
  • inflammation
  • opsonisation and phagocytosis
  • kills
  • circulating and membrane associated protein
  • 3
  • proteolytic enzymes
  • effector fucntion
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16
Q

1- promotes inflammtion :
- — and — fragments are important inflammatory activators which :
- acts as — for neutrophils and monocytes
- stimulates the release of — various immune cells
- enhances — and —

A
  • C3a C5a ( they basically destructs microbes by leukoccytes )
  • chemoattractants
  • inflammatory mediators
  • vasodilation and vascular permeability
17
Q

2- opposition and phagocytosis :
- — is deposited on surface of microbe
-acts as an — to tag bacteria for recognition by phagocyte
- c3b is recognised by — of the phagocyte
- — is triggered
3- membrane attack complex :
- last steps of complement system occurs when – binds to —
- this causes – to polymerise and from a – aka membrane attack complex
- loss of cell — where — and – can enter
- causes — of certain microbes (Neisseria particularly susceptible)

A
  • c3b
  • opsonin
  • complement receptor ( CR)
  • phagocytosis
  • c5b
  • c6-c9
  • c9
  • pore
  • integrity
  • water and ions
  • death
18
Q

complement deficinecies : ( rare 1-2% immunodeficines )
1- —- is linked with frequent pyogenic (pus-forming) infection in infants and young children and severe pyogenic bacterial infections in adults.
2- —- (eg C2 and C4) are associated with an increase of immune complex-mediated autoimmune disease (eg systemic lupus erythematosus)
3- —- (C5-C9): The lack of MAC formation results in severe
recurrent infections by Neisseria gonorrhoeae or Neisseria meningitidis.
4- —- causes a disease called hereditary angioedema

A
  • c3 deficiency
  • difecinxy in some early component
  • deficiency in terminal pathway
  • deficiency in c1 INH
19
Q

antigen presentation
1- — : natural and non specific
Born with it
Non-specific/broad
specificity
Fast
No memory
2- — : specific and acquired
Acquired after birth
Very specific
Lag phase
Memory

A

innate
adaptive

20
Q

in antigen presentation :
1- microbes enter through —- barrier as
2- microbes are captured by — such as — and —- patrolling the tissue of enter —-
3- microbes ( and their antigens ) are transported to the —–
4- peptide fragmented of protein antigens are displayed by —- on their — for recognition by —- on the surface of t lymphocyte

A
  • epithelial ( contact ingestion and inhalation )
  • antigen presenting cells APC
  • dendritic and macrophages
  • lymphatic/blood vessels
  • peripheral lymphoid organs
  • APC
  • major histocompatibility complex MHC
  • T cell receptor TCR
21
Q

MHC class — presentation is performed by all nucleated cells as epithelium endothelium fibroblast , they have cytotoxic T cell and cd8 T cell
MHC class — presentation performed by professional APC ( dendritic cell macrophages and b cells ) have t helper cell and CD4 T cell

A
  • class 1
  • class 2
22
Q

MHC class 1 :
- constantly presenting — , — antigens or antigens derived from — or —–
- proteins re digested into peptdides by —
- peptides transported into —-
- landed onto MHC class 1 in – and tranported to —

A
  • self peptide , cancer antigen , antigen from viruses or intracellular bacteria
  • proteasome
  • endoplasmic redituculm
  • ER
  • cell surface
23
Q

MHC class ii:
- —- ,— ,—- that have been endocytose/phagosytosed
- proteins ingested to peptide in —
- MHC class ii transported from – to —
- peptids are loaded onto — and transported to —

A
  • pathogen toxins and fragments
  • endosome/lysosome
  • er
  • late endosome/lysosome
  • MHC class II molecule
  • cell surface
24
Q

there are 2 types of antigen presentation;
1- the antigen is internal as —-
- antigens are presented on —-
- Mhc class I antigen presentation activates —–
- all nucleated cells axpress —- and all cells can be targets of virus
- it requires —
2- antigen is external as:
- antigen are presented on —-
- MHC class ii antigen presentation activates —-
- only —- presented cells ( mainly —- cels) can do this as they are the only ones expressing MHC class ii
- it requires ——

A
  • viral proteins in the
    cytoplasm of infected cells
  • Mhc class I
  • cytotoxic T cells as ( CD8 T CELL )
  • MHC class I
  • proteasome and er
  • extracellular
    microbes or microbial protein
  • MHC class ii
  • t helper cells ( CD4 T cells )
  • antigen
  • dendritic cells
  • requires endosome/lysosome and er
25
Q

summary of innate immune system:
1- occurs at the portal entry for microbes as :
2- In tissue resident:
-initiates— and ——
3- in blood:
- plasma proteins as —-
- — and recited from blood to site of infection
3- in lymph nodes:
- —- travel from site of infection to lymph nodes
- —- to T cells

A
  • Epithelia barriers of skin, gastro and respiratory tracts
  • resident macrophages , dendritic cells and mast cells
  • phagocytosis and inflammation
  • complement
  • neutrophils
  • dendritic cells
  • antigen presentation