Introduction to Immunology (9-14) Flashcards
What are the 5 main pathogens that cause disease?
Bacteria
Viruses
Parasites
Fungi
Protozoa
changes in size, location and biochemical composition
→ immune system needs to attack each differently
What is Streptococcus pneumonia?
Gram positive bacterium
→ causes acute sinusitis, meningitis, pneumonia…
→ part of the normal upper respiratory tract flora, but can become pathogenic under the right conditions
How does Streptococcus pneumoniae compete with Haemophilus influenzae?
S. pneumoniae attacks H. influenzae (a gram -ve bacterium that also causes pneumonia and meningitis) with hydrogen peroxide
→ H. influenzae responds by signalling to our immune system to attack S. pneumoniae so it can thrive itself
What is Clostridium Tetani?
Gram positive spore forming bacterium
→ causes tetanus
How does Clostridium Tetani cause tetanus?
C. tetani produces potent toxic spores - tetanospasmin toxin
→ when released in a wound, it oxidises and enters circulation
→ reaches end of motor neurones, interfering with neurotransmitter release, causing tetanus
What is sleeping sickness?
Caused by Trypanosoma brucei carried by Tsetse flies
→ acquire a dense layer of glycoproteins that continually change, allowing it to avoid the immune system - antibodies don’t work anymore
→ symptoms: sleepiness, insomnia, anxiety, fever, weakness
Why are viruses difficult to fight?
Viruses (like smallpox, flu, chickenpox) are difficult to fight
→ always mutating
→ always intracellular - difficult to reach
Why is rapid viral evolution a challenge faced by the immune system?
Rapid viral evolution is a virulence strategy
→ pathogens can mutate (HIV) or recombine (flu) to avoid host immune responses
→ the immune system must be able to respond (must be adaptive) - constant evolutionary race
How does HIV rapidly evolve?
HIV rapidly evolves by mutation
→ the RNA genome is associated with RNA replicase (reverse trancriptase) with a high mutation rate about 1in10,000 bases
→ the antigentic drift is so rapid that it outpaces development of an effective immune response and confounds attempts to develop vaccines
How does flu rapidly evolve?
Flu rapidly evolves through recombination of its RNA segments, giving rise to new flu variants
→ the Spanish flu epidemic was triggered after a bird virus crossed the species barrier - lucky mutation meant it could now infect humans
→ recombination events triggered the Asian and Hong Kong flu epidemics
What is antigenic variation/shift?
A virulence strategy where some pathogens can alter their surface proteins to avoid host immune responses
Why is the adaptive immune response of memory important?
Re-exposure to pathogens is common
→ the immune response must have a memory
→ improves the secondary response to re-exposure - faster/bigger clears pathogens more efficiently
Why do we reply on our innate immunity during initial exposure to pathogens?
Both the primary and secondary adaptive immune responses are slow
→ so we rely on our innate immune system to kick in in the mean time, in the first few critical hours after exposure to a new pathogen
→ bacterial growth is exponential
Does the immune system have tissue specific responses?
Yes e.g.
→ lungs have mucus layer skin dry and keratinised
What is the blood brain barrier?
The blood brain barrier separates circulating blood from the brain extracellular fluid
→ tight junctions around brain capillaries, which don’t exist in normal circulation - obstacle for adaptive immune system
→ brain almost entirely relies on innate immune response
What’s the difference between the innate and adaptive immune system?
Innate
→ first line of defence, rapid
→ no memory, non specific
→ encoded in the germ-line
Adaptive
→ slow to adapt
→ highly specific, has memory
→ somatic gene recombination
What is cell-mediated immunity?
Defence provided by specialised cells in blood and tissues
→ e.g. lymphocytes (adaptive), granulocytes (innate)
What is humoural immunity?
Soluble-phase defence provided by secreted proteins in body fluids
→ e.g. immunoglobulins (adaptive), complement proteins (innate)
What is the structure of the innate immune system?
Humoural arm → barriers, defensins, complement
Cell-mediated arm → phagocytic cells. natural killer cells, toll-like receptors, APC (antigen presenting cells): dendritic cells and macrophages
What is the structure of the adaptive immune system?
Cell mediated arm → APC (antigen presenting cells): dendritic cells and macrophages, T cells, B cells
Humoural arm → antibodies
How do barriers of the innate immune system defend against pathogens?
Physical + chemical - stop pathogens entering blood stream
→ e.g. thick layer of keratinised dead cells - skin
→ tight junctions between epithelial cells
→ acid stomach pH
→ mucus layers
What are mucus layers?
Made up of secreted mucins and other glycoproteins
→ slippery - hard for pathogens to attach to mucus-coated epithelia
→ found on moist epithelial surfaces - epithelial cells often have beating cilia which facilitate clearance of pathogens
→ contain defensins - wide antimicrobial activity
What are defensins?
Small positively-charged antimicrobial peptides
→ hydrophobic or amphipathic helical domains
→ can kill or inactivate: gram +/-ve bacteria, fungi, parasites (inc. protozoa and nematodes), enveloped viruses (HIV)
→ although non specific different types of defensins work better on different pathogens
How do defensins work?
Their hydrophobic domains or amphipathic helice4s may enter into the core of the lipid membrane of the pathogen and destabilise it → cell lysis
Following membrane disruption, the positive charges may interact with (negatively-charged) nucleic acids in the pathogen