Introduction Flashcards

1
Q

What is the immune system?

A
  • provides defence/immunity against infection
  • distinguishes between self and non-self, and reacts against non-self
  • can recognise danger signals caused by damage to cells and tissues e.g. cancer, stroke
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2
Q

what is variolation?

A
  • pus taken from a smallpox blister and introduced via a scratch into an uninfected person to confer protection
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3
Q

what are the 2 arms of the immune system?

A

innate

adaptive

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4
Q

what are the key features of the innate immune system?

A
  • have this from birth
  • broad specificity to recognise pathogens
  • not affected by prior contact - no memory
  • immediate/rapid response (hours)
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5
Q

what are the key features of the adaptive immune system?

A
  • adapts to different pathogens that we are exposed to during our lifetime
  • highly specific response to pathogens
  • enhanced by prior contact - memory
  • slow response (days-weeks)
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6
Q

what are the 4 main components of the innate immune system?

A
  • Barriers (physical e.g. skin, chemical e.g. sebum)
  • Soluble proteins (complement, interferons, defensins etc.)
  • Local and systemic responses (inflammation, fever)
  • Leukocytes (phagocytes, NK cells)
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7
Q

what are the main components/cells of the adaptive immune system? what are their main roles?

A

B and T lymphocytes
- B cells respond by secreting soluble antibodies (humoral immunity)
- T cells develop into cytotoxic T cells to kill infected host cells, or helper T cells to modulate the immune response (cell-mediated immunity)
- both B and T cells can develop into long-lived memory cells

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8
Q

where are leukocytes derived from?

A

Derived from pluripotent stem cells, which give rise to two main lineages, one for myeloid cells and one for lymphoid cells

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9
Q

How to B and T cells recognise infection?

A

they express specific antigen receptors called antibody receptors, or T cell receptors

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10
Q

how does the innate immune system recognise infection?

A

pattern recognition receptors (PRRs) on leukocytes that recognise pathogen-associated molecular patterns (PAMPs) found on pathogens

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11
Q

what are PAMPs/MAMPs?

A

PAMPs/MAMPs (e.g. LPS, peptidoglycan) – things that are commonly found on pathogens and not on host cells
- Unique to microbes
- Conserved
- Essential for microbe survival, so cannot be mutated

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12
Q

Main differences between innate and adaptive immunity receptors:

A

Innate:
- myeloid cells with broad specificity PRRs that recognise MAMPs
- NK cells recognise altered self
- PRRs expressed by all leukocytes of a particular cell type
- genes inherited in germline
- limited number

Adaptive:
- B and T cells have highly specific antigen receptors (antibody receptors and TCRs)
- clonally expressed
- genes assembled at random during development
- 10^9 specificites

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13
Q

what is the clonal selection hypothesis?

A
  • When infected with a pathogen, a B cell will recognise the antigen and undergo clonal selection
  • The B lymphocyte will divide and make clones with the same antibody receptor
  • As they divide, they differentiate to plasma cells and begin to secrete large amounts of the antibodies
  • Some of the B cells develop into long-lived memory cells to confer protection over a lifetime
  • Any lymphocytes that recognise ‘self’ are deleted early in development
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14
Q

what must the immune system prevent whilst maximising its defences?

A

Immune system must maximise the host defence whilst minimising damage to host tissues

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15
Q

is the innate system good at avoiding damage to healthy host tissues?

A
  • Small number of inherited PRRs recognise MAMPs unique to microbes
  • Good at distinguishing between self and non-self
  • Non-clonal activation
  • Potential for collateral damage to self (immunopathology)
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16
Q

is the adaptive system good at avoiding damage to healthy host tissues?

A
  • Infinite number of randomly generated antigen receptors
  • Cannot reliably distinguish between self/non-self or between harmful/innocuous material - There are control mechanisms to prevent this from developing
  • Clonal activation
  • Targets immune response specifically towards infection, sparing uninfected tissues.
17
Q

how do the innate and adaptive systems work together?

A
  • Innate immune system activates and directs adaptive responses
  • Adaptive immune system can control and focus innate immunity
  • Together maximise host defence whilst minimizing damage to host tissues (usually)
18
Q

how is the lymphoid tissue organised?

A
  • Primary lymphoid tissue: Lymphocytes reach maturity and acquire their specific receptors
    - T cells = thymus
    - B cells = bone marrow
  • Secondary lymphoid tissue: mature lymphocytes are stimulated by antigen
  • Mature “naïve” lymphocytes traffic between blood and the lymphatic system, but infections can occur anywhere.
19
Q

how do lymphocytes meet antigen?

A
  1. Pathogen breaches skin barrier
  2. Macrophages and dendritic cells recognise pathogen and phagocytose them
  3. Phagoctes travel through draining lymph node to secondary lymphoid tissue
  4. Naïve B and T cells are in the secondary lymphoid tissue
  5. Phagocytes present the pathogen material to the B/T cell and stimulates them to divide and differentiate in clonal expansion
  6. Plasma cells will make soluble antibody
  7. Activated T cells will leave the lymph node and reach site to help deal with infection