L: 20 Immunity to microbes Flashcards

1
Q

what is collateral damage

A

tissue injury and disease caused by the hosts response to microbe rather than microbe itself

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2
Q

Latent or persistent infections

A

Immune response control but does not eliminate microbe and microbe survives without propagating infections

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3
Q

What are important causes of susceptibility in innate and adaptive immunity

A

Inherited and acquired immunity

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4
Q

What pathways can lipoplysaccharide (LPS) activate?

A

Alternative and classical

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5
Q

What pathway do mannan-binding proteins (MBP) activate

A

Lectin

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6
Q

Acute phase proteins bind bacterial coat and activate _________?

A

Complement

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7
Q

What binds to receptors on resident mast cells and activates them?

A

C3a and C5a

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8
Q

Mast cell degranulation releases large amounts of what to enhance blood flow?

A

Histamines and bradykinin

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9
Q

Histamines acting through what receptors cause arterial vasodilation, venous constriction in some vascular beds and increased permeability?

A

H1 and H2

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10
Q

What is the first cell to release cytokines and chemokines

A

Mast cells

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11
Q

What adheres to the vein walls after activation via PRRs

A

Neutrophils

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12
Q

What are some potent Neutrophil Chemoattractants?

A

Complement fragments C5a and C3a

Chemokines IL-8/CXCL8

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13
Q

Immature DCs engulf and internalize bacteria (Ags) via?

A

Pattern recognition receptors (PRRs) (e.g. Toll-Like receptors)

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14
Q

What cells migrate to local LNs via the lymphatics?

A

Activated mature DCs

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15
Q

After DCs enter the LN they move directly to ?

A

T cell zone

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16
Q

What leads to the swelling and hyperemia leading to swollen painful/tender LNs

A

Lymphocytes become trapped, activated, and proliferate in local inflamed LN

17
Q

The homing of lymphocytes to peripheral LNs is initiated by an adhesive interaction between?

A

Expressed L-selectin and PNAd displayed on HEV and LNs

18
Q

What calls are recruited and activated by DCs in lymph node

A

Naïve Th Cells

19
Q

Naïve T cells become differentiated towards what three cells according to DC signals?

A

Th1, Th2, Th17

20
Q

What cells migrate toward the germinal centers and interact with Ag-activated B cells promoting affinity maturation and Ig class switching

21
Q

Initially _____ class Ab is produced, followed by clonal expansion and ______ to other classes, e.g. IgG or IgA for mucosal pathogens by the engagement of CD40-CD40L

A

IgM

Switching

22
Q

IgM is a very potent _____ activator

A

Complement

23
Q

After formation of multiple ______ bacteria are lysed by complement

24
Q

In the resolution of an infection bacteria debris is removed by what?

A

Phagocytes or by antibody as soluble immune complexes

25
What happens to most effector lymphocytes upon elimination of pathogens
Die via apoptosis
26
Extracellular bacteria are capable of replicating outside of the host cells where?
Blood, Connective tissue< epithelial surfaces, and GI tract
27
Endotoxins
Components of bacterial cell walls
28
Exotoxin
Secreted by the bacteria
29
What are the principle mechanisms of innate immunity to extracellular bacteria?
Complement activation Phagocytosis inflammation
30
Classical pathway cofactors
DAF, CR12, C4BP
31
Alternative pathway cofactor
DAF, Factor H, CR1
32
The major mechanism used by bacteria to evade humoral immunity?
Variation of surface Ags
33
Major Protective Response against extracellular bacteria
Humoral Immunity
34
The 3 effector mechanisms of Abs include?
* Toxin neutralization * Opsonization and phagocytosis * complement activation by classical pathway
35
Antibodies responses against extracellular bacteria are directed against?
Cell walls Ags
36
Macrophages release a diverse range of products implicated in?
Sepsis
37
Global suppressor of macrophage function
IL-10