Killing extracellular pathogens L22 Flashcards

1
Q

2) DC activate T cells

A

when there is a pathogen in the body, DCs take the Ag to the LN where the naive T cells are
these Naive T cells interrogate DC to see if the Ag being presented is one they recognised

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2
Q

Th cells - helper

A

coordinates immune response
amplify innate immunity
expresses CD4 and recognises extracellular Ag presented by MHC 2

secretes IFN-Y to:
activates macrophages
inflammation
activation of T and B proliferation

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3
Q

Regulatory T cells - Treg

A

turn off immune response
express CD4 and recognise extracellular Ag presented by MHC 2

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4
Q

CTL - cytotoxic

A

kill infected cells
express CD8 and recognise intracellular Ag presented by MHC 1

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5
Q

3) T cells activate, divide and differentiate into effector cells

A

first antigen recognition from APC to naive T cell, causes activation and this secretes cytokines and cytokine receptor expression (IL-2 AND IL-2R)
proliferation occurs via mitosis and then differentiation - this occurs in lymphoid organs

differentiation of T cells is in the peripheral tissues, either becoming :
- effector T cell
- memory T cell

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6
Q

CD4+ receptor

A

activation of macrophages, B cells and other cells

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7
Q

CD8+ receptor

A

killing of targeted infected cells, macrophage activation

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8
Q

different Th cells

A

subsets are specialised at dealing with different infection types so it is important can differentiate into these to specialise their immune attack

Th1
Th2
Th17
Tfh

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9
Q

what does Th1 do

A

promotes cell-mediate immunity, targeting macrophages and causing activation of macrophage

secretes IFN-Y mostly, but also IL-2 and TNF-A

targets intracellular pathogens and cancer cells

IL-12 drives naive T cells to become Th1

can play a part in autoimmunity and chronic inflammation

migrate to infection site

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10
Q

what does Th2 do

A

this promotes humour (antibody mediated) immunity

producing cytokines IL-4, IL-5, IL-13

main role is activating eosinophils (IL-5), promoting B cells to switch to IgE (IL-4) , stimulation of mast cells and basophils, alternative macrophage activation

this attacks, kills helminths

can play a role in allergies

migrate to infection site

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11
Q

what does Th17 do?

A

enhances neutrophil-mediate response

produces IL-17, IL-21, IL-22 MAINLY

causes neutrophil recruitment (IL-17) and activation, can strengthen epithelial barrier (IL-22)

attacks extracellular bacteria and fungi, especially at mucosal barriers

can play a role in autoimmunity and inflammation

migrate to infection site

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12
Q

what does Tfh do

A

helps B cells in germinal centres - antibody production and isotype switching

produces IL-21 and IFN-Y or IL-4

promotes affinity maturation and class switching, essential for long -term humour immunity and supports generation of memory of B cell

these remain at LN to activate B cells

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13
Q

how does Th cell subset differentiation occur?

A

1st need signal 1 and 2 for T cell activation and clonal expansion via IL-2

then signal 3 directs T cell effector function - subset differentiation

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14
Q

signal 3 and effects for T cell differentiation

A

signal 3 is usually given by cytokines secreted from other cells (from APC) to tell T cell the infection type - bacteria, virus , parasite etc,
so it can differentiate into a specific type best for the type of microbe infection

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15
Q

IL-12

A

drives differentiation into Th1

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16
Q

IL-4

A

drives differentiation into Th2

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17
Q

TGF-Band IL-6/IL-23

A

drives differentiation into Th17

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18
Q

IL-6 and IL-21

A

drives differentiation into Tfh

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19
Q

TGF-B and IL-2

A

drives differentiation into Treg

20
Q

activated and naive B cells

A

activate B cells are known as plasma cells and secreted antibody is their effector molecule

naive cells do not produce Ab until activated, membrane bound antibody is the B cell antigen receptor

21
Q

naive B cells

A

haven’t encountered antigens yet
express IgM and IgD on their surface
circulate in blood and lymph
awaiting activation by antigen and T cell help

22
Q

Plasma B cells - effector B cells - activated

A

differentiated into antibody secreting cells
secrete large amounts of antibodies
short lived in circulation but long lived in bone marrow

23
Q

memory B cells

A

formed after activation and class switching
long lived and quick responders to repeat infections
express class -switched BCRS

24
Q

IgM

A

pentamer
first antibody made
strong complement activation
good at agglutination
fast responder
found on naive b cells

25
Q

IgG

A

monomer
most abundant in blood
neutralisation
opsonisation - phagocytosis aid
crosses placenta
protects foetus
main antibody after vaccination

26
Q

IgA

A

dimer with secretory component
mucosal protection
neutralisation of pathogens without inflammation
passed to baby via breast milk
mucosal barrier antibody

27
Q

IgE

A

monomer
binds to mast cells and basophils
triggers histamine release
defense against parasites
key for allergies

28
Q

IgD

A

monomer
possible in role in b cell activation
not much known
co expressed with IgM on naive b cels

29
Q

complement system 3 main functions

A

opsonisation to enhance phagocytosis
stimulating inflammation by recruiting and activating immune cells
lysising microbes and cells

30
Q

complement mediated opsonisation

A

binding of C3b to microbe

recognition of bound C3b by phagocyte C3b receptor CR1

phagocytosis and killing of microbe

31
Q

complement mediated inflammation

A

C3a, C4a, C5a released during complement activation
act locally similar to inflammatory cytokines to recruit cells to infection site and activate cells like neutrophils, lymphocytes and macrophages

32
Q

complement mediated cytolysis

A

membrane attack complex MAC forms in membrane of bacteria to cause water to rush in, ions rush out and burst microbe
can also kill host/foregin cells

33
Q

steps of phagocytosis

A

1) phagocyte detects microbe via PRR, complement protein of Ab and then extends pseudopodia to engulf microbe
2) membrane invaginated forming an inside out vesicle called phagosome
3) phagosome fuses with lysosome to form a phagolysosome and this enzyme degrades microbe
4) chemical in phagolyosome active and digest microbe

34
Q

vacuolar ATPases -phagosome killing mechanisms

A

these pump H+ ions into phagosome to acidify the environment
lowers ph to activate enzymes and inhibit pathogen survival

35
Q

ROS - respiratory burst - phagosome killing mechanisms

A

phagocyte oxidase converts O2 to superoxide to form H2O2 or OH radicals, this is toxic to bacteria and viruses

36
Q

bleach bomb - phagosome killing mechanisms

A

MPO use H202 + CL- to form HOCL which is a potent microbicidal oxidant to kill bacteria by oxidising proteins lipids and DNA

37
Q

proteolytic enzymes - phagosome killing mechanisms

A

neutrophils = elastase, cathepsins
macrophages = lysosomal hydrolase

these degrade bacterial proteins, cell walls and nucleic acids to destruct microbial components

38
Q

nitric oxide and RNS - phagosome killing mechanisms

A

macrophages produce NO via iNOS to react with superoxide to form ONOO-, damages microbial DNA, proteins and membranes

39
Q

nutrient deprivation - phagosome killing mechanisms

A

lactoferrin binds iron to limit avaliablty to pathogen
scavenger proteins remove other essential nutrients
starves microbes of key elements

40
Q

antimicrobial peptides - defensives - phagosome killing mechanisms

A

insert into bacterial membranes to form pores to cause direct microbial lysis

41
Q

antibodies make phagocytosis more efficient

A

Ab bind to microbe with high specificity and affinity
phagocyte binds to Ab via Fc receptor (FcR)
this is more efficient detection system than PRRS

the binding of the Ab to FcR activates phagocyte for phagocytosis

42
Q

neutrophil extracellular Traps NETS

A

neutrophil dies via NETosis
nucleus swells and burst to extrude DNA like net
the DNA has anti-microbial molecules attached like defenesins and proteases which trap and kill bacteria fungi, viruses = forming pus

43
Q

neutralisation of microbes and molecules via Ab

A
  1. antibodies prevent penetration of microbe through epithelial barrier
  2. antibody blocks binding of microbe and infection of cells
  3. antibody blocks binding of toxins to cellular receptors
44
Q

granulocytes

A

these are pressure effect molecules in granules in cytoplasm that are ready to fire out when activated

include mast cells, basophils, eosinophil, neutrophils

45
Q

Antibody dependent cell mediated cytotoxicity

A

ADCC

antibodies bind to target cell or microbe
Fc portion of Ab binds to FcR on innate cell
cel is activated if multiple FcR-Ab interactions occur
cells firs out its granules at target
destructive process and can cause lots of damage to healthy tissue

46
Q

mast cell degranulation

A

weep response - cause liquid to flow from tissue into lumen to push things away from gut wall

sweep response - release histamines to cause muscle contractions and push microbes out with faeces - this is what causes wheezing

cytokines production - amplifies inflammatory response