Intracellular immunity (year 2) Flashcards

1
Q

intracellular invasion will lead to what type of antigen presentation?

A

MHC 1

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2
Q

what type of cells recognise antigen on MHC 1?

A

CD8 T cells

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3
Q

how quickly are interferons secreted?

A

quickly - within hours of infection

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4
Q

interferons have antiviral activity, what does this mean?

A

protect neighbouring cells from infection by binding/blocking viral receptors

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5
Q

what are the two types of interferons?

A

I and II

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6
Q

give examples of type I interferons

A

IFNalpha and IFNbeta

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7
Q

give examples of a type II interferon

A

IFNgamma

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8
Q

where ate type I interferons released from?

A

tissue cells such as fibroblasts

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9
Q

what do type I interferons do?

A

stimulate NK cell activity and secretion of IFNgamma

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10
Q

where are type II interferons secreted from?

A

secreted from activated T and NK cells

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11
Q

what is the function of type II interferons?

A

prevent viral growth by the induction of nitric oxide secretion
they also activate macrophages

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12
Q

what T helper cell response is crucial for removal of intracellular pathogens?

A

1

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13
Q

how do cytotoxic CD8 T cells kill cells with intracellular pathogens?

A

release cytotoxic granules containing granzymes and perforin which lead to a loss of membrane integrity, this process is non-specific
they are also able to cause apoptosis by using Fas ligand

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14
Q

how do the macrophages activated by Th1 cells cause cell death?

A

express nitric oxide and the oxygen radicals that cause host cell death
this is not MHC restricted or specific

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15
Q

what are NK cells recruited by that they also secrete?

A

IFNgamma

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16
Q

what do NK cells recognise on cells that determine if the host cell is destroyed?

A

recognise the base of MHC not the antigen

if MHC isn’t present then the cell is targeted for destruction

17
Q

why do NK cells target host cells that don’t express MHC complexes?

A

it is common for viral infections to down regulate MHC expression on the surface

18
Q

what are common ways viruses try to evade immune detection?

A

downregulating MHC expression
mutation
changing antigen shape

19
Q

what are the four types of pathogenesis shown by viruses?

A

lytic - destruction of host cells
persistent - slow release of viral particles damaging cells
latent - delay between infection and symptoms appearing
transformation - form tumours

20
Q

what are some adverse consequences to viral immunity?

A

excessive immune response leading to damage of infected/neighbouring cells

21
Q

why do protozoal infections require both humeral and cell mediated immune responses?

A

they have two stages of their lifecycle including an extracellular and intracellular stage

22
Q

what drives the humeral immune response and what does it aim to do?

A

Th2 and aims to control parasite numbers in blood/tissue

23
Q

how do protozoa invade immunity?

A
resistant to complement
survive inside phagocytes
manipulate dendritic cells
inhibit motility
inhibit cytokine production
24
Q

name the factors of bacterial pathogenesis

A

exotoxin, endotoxin, superantigen

25
describe exotoxins of bacteria
these are secreted by the bacteria and are extracellular, they are usually targeted by neutralising antibodies
26
name the two main endotoxins
LPS and lipid A
27
what are endotoxins?
these are toxins that are attached to bacteria
28
where is LPS found and how does it work?
gram negative bacteria | activates macrophages to release inflammatory cytokines leading to tissue degredation
29
how do lipid A work?
only toxic if it enters the bloodstream where it activated coagulation and causes sepsis
30
what are superantigens?
polyclonal T cell activators
31
how do superantigens work?
hyper stimulate the immune system causing fever and vomiting | they also lead to shock causing organ failure and circulatory collapse
32
what is immunopathy?
damage to infected and bystander tissue due to over stimulation of cytokine production and complement activation by endotoxins