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L32&33 Immunity Flashcards

1
Q

L32: Innate Immunity

What are the four main functions of the immune system?

A
  1. Recognising threats – Differentiates between self and non-self.
  2. Responding to threats – Utilises barriers, innate immunity, and adaptive immunity.
  3. Resolving the response – Controls inflammation and prevents excessive damage.
  4. Remembering the threat – Forms immune memory (adaptive immunity).
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2
Q

L32: Innate Immunity

What are the three main types of barriers in the immune system?

A
  1. Physical barriers – Skin, mucosal surfaces.
  2. Chemical barriers – Antimicrobial secretions, low pH.
  3. Biological barriers – Commensal bacteria competing with pathogens.
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3
Q

L32: Innate Immunity

How does the skin act as a physical barrier to infection?

A

Thick and dead outer layer (keratin).

Dry surface (prevents microbial growth).

Impermeable to pathogens.

Antimicrobial secretions (e.g., defensins, lysozymes).

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4
Q

L32: Innate Immunity

What role do mucosal surfaces play in immunity?

A

Thin single-cell layer allowing passage of molecules (e.g., O₂, CO₂, nutrients).

Mucociliary elevator in the lungs removes trapped microbes.

Antimicrobial peptides prevent infections.

Commensal bacteria prevent pathogen colonisation.

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5
Q

L32: Innate Immunity

What are the six major types of pathogens?

A
  1. Bacteria
  2. Viruses
  3. Fungi
  4. Protozoa
  5. Worms (Helminths)
  6. Flukes
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6
Q

L32: Innate Immunity

How many bacterial cells colonise the human body?

A

The human body contains 10¹⁴ human cells but is colonised by 10¹⁵ bacteria, meaning over 90% of cells in/on the body are non-human.

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7
Q

L32: Innate Immunity

What are the three levels of immune defence?

A
  1. Physical barriers – Skin, mucosa, antimicrobial secretions, commensal bacteria.
  2. Innate immunity – Immediate, non-specific response with no memory.
  3. Adaptive immunity – Specific, memory-based response taking 4-6 weeks to develop.
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8
Q

L32: Innate Immunity

What are the main humoral (soluble) components of innate immunity?

A
  1. Complement system – Plasma proteins (C1-C9) aiding pathogen destruction.
  2. Acute phase proteins – Produced by the liver in response to infection (e.g., C-reactive protein (CRP), Mannose-binding lectin (MBL)).
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9
Q

L32: Innate Immunity

What are the three complement activation pathways?

A
  1. Lectin pathway – MBL binds to sugars on the microbe, activating the complement system.
  2. Alternative pathway – C3b binds to the microbe, triggering complement activation.
  3. Classical pathway – Antibodies bind to the microbe, initiating the pathway.
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10
Q

L32: Innate Immunity

What does C3b do in the complement system?

A

Opsonisation – Tags microbes for phagocytosis.

Activates the alternative pathway.

C3a activates mast cells, leading to histamine release.

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11
Q

L32: Innate Immunity

What is the function of the Membrane Attack Complex (MAC)?

A

Formed by C5-C9.

Creates pores in bacterial membranes.

Causes bacterial lysis by allowing water to rush in.

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12
Q

L32: Innate Immunity

What are PRRs and what do they detect?

A

PRRs are receptors that detect Pathogen-Associated Molecular Patterns (PAMPs).

Toll-Like Receptors (TLRs) are key PRRs.

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13
Q

L32: Innate Immunity

Where are Toll-Like Receptors (TLRs) found?

A

Surface TLRs detect bacterial cell wall components (LPS, peptidoglycan).

Endosomal TLRs detect viral nucleic acids (RNA/DNA).

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14
Q

L32: Innate Immunity

What is the function of cytokines and chemokines?

A

Cytokines – Small proteins that mediate immune responses.

Chemokines – Attract immune cells to infection sites.

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15
Q

L32: Innate Immunity

What are the four main steps in inflammation?

A
  1. Sentinel Cells Detect Infection – Macrophages, dendritic cells, mast cells release cytokines and chemokines.
  2. Blood Vessel Changes – Increased permeability allows immune cells to enter tissues.
  3. Recruitment of Effector Cells – Neutrophils and monocytes migrate to the site.
  4. Pathogen Elimination – Phagocytosis, complement activation, NK cell killing.
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16
Q

L32: Innate Immunity

How does the interferon response protect against viruses?

A

Virus-infected cells produce interferons (IFN-α, IFN-β).

Interferons:

Activate antiviral genes in neighbouring cells.

Induce RNAse enzymes to degrade viral RNA.

Activate Protein Kinase-R, inhibiting viral replication.

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17
Q

L32: Innate Immunity

How do Natural Killer (NK) cells kill virus-infected cells?

A
  1. Recognise lack of MHC-I molecules.
  2. Release perforin and granzyme to induce apoptosis.
  3. Kill via Antibody-Dependent Cellular Cytotoxicity (ADCC).
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18
Q

L32: Innate Immunity

What are the key characteristics of innate immunity?

A

Always present and responds immediately.

No memory, relies on Pattern Recognition Receptors (PRRs).

Clears most infections before adaptive immunity is needed.

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19
Q

L32: Innate immunity

What are the three key mechanisms of innate immunity?

A
  1. Barrier defences – Skin, mucosa, antimicrobial secretions.
  2. Cellular defences – Neutrophils, macrophages, NK cells.
  3. Humoral defences – Complement system, acute phase proteins.
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20
Q

L32: Innate immunity

What are the three main roles of innate immunity?

A
  1. Immediate response – Recognises PAMPs and activates defences.
  2. Pathogen clearance – Phagocytosis, complement activation, NK cell killing.
  3. Inflammation – Recruits immune cells and initiates adaptive immunity.
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21
Q

L32: Innate immunity

What are the main innate immune cells and their functions?

A
  • Neutrohils (60-70% WBCs) - Phagocytosis, oxidative burst, NETosis (trapping microbes in DNA nets)
  • Monocytes/Macrophages (7%) - CIrculate in blood, differentiate into macrophages in tissues, phagocytosis, antigen presentation
  • Natural killer cells (2%) - Recognise virus-infected/cancerous cells, release perforin and granzyme to induce apoptosis
  • Mast cells - Release histamine, increase blood flow, recruit immune cells
  • Dendritic cells - Bridge between innate and adaptive immunity, present antigens to T cells
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22
Q

L32: Innate immunity

What are the key functions of neutrophils?

A

Phagocytosis – Engulfs and destroys microbes.

Oxidative burst – Produces reactive oxygen species to kill microbes.

NETosis – Releases DNA traps to catch and kill microbes.

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23
Q

L32: Innate immunity

How do neutrophils find infection sites?

A

Follow chemokine signals (e.g., CXCL8/IL-8) to infection sites.

Recognise C3b-opsonised pathogens.

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24
Q

L32: Innate immunity

How do NK cells identify and kill infected cells?

A

Detect cells lacking MHC-I molecules (which are often infected or cancerous).

Release perforin and granzyme to induce apoptosis.

Can kill via Antibody-Dependent Cellular Cytotoxicity (ADCC) by recognising Fc receptors.

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25
# L32: Innate immunity What are the two types of receptors NK cells use?
1. Activating receptors – Detect stress signals from infected cells. 2. Inhibitory receptors – Detect MHC-I; if absent, NK cells kill the target.
26
# L32: Innate immunity What role do mast cells play in the immune response?
Act as sentinel cells in tissues. Release histamine, leading to vasodilation and increased permeability. Recruit immune cells via cytokine release.
27
# L32: Innate immunity How does histamine contribute to inflammation?
Dilates blood vessels → increases blood flow. Increases permeability → immune cells and plasma proteins enter tissues. Causes swelling, redness, and heat at the infection site.
28
# L32: Innate immunity What are the three main functions of the complement system?
1. Opsonisation – Coats microbes with C3b, making them easier to phagocytose. 2. Inflammation – C3a and C5a recruit immune cells and promote inflammation. 3. Lysis – C5-C9 form the Membrane Attack Complex (MAC), lysing bacteria.
29
# L32: Innate immunity What triggers each complement pathway?
Lectin pathway – Mannose-binding lectin (MBL) binds to microbial sugars. Alternative pathway – C3b spontaneously binds to microbes. Classical pathway – Antibodies (IgG/IgM) bind to pathogens.
30
# L32: Innate Immunity What are the five steps of phagocytosis?
1. Recognition & Attachment – PRRs (e.g., TLRs) recognise PAMPs or opsonised microbes. 2. Engulfment – Pseudopodia extend and enclose the microbe in a phagosome. 3. Lysosome Fusion – Phagosome fuses with a lysosome, forming a phagolysosome. 4. Microbe Killing – Enzymes, ROS, and antimicrobial peptides kill the microbe. 5. Antigen Presentation – Fragments of microbes are presented to T cells.
31
# L32: Innate Immunity What are Toll-Like Receptors (TLRs) and what do they detect?
TLRs are Pattern Recognition Receptors (PRRs) that detect PAMPs. Found on cell surfaces and endosomes.
32
# L32: Innate Immunity What are acute phase proteins and where are they produced?
Produced by the liver in response to infection. Upregulated by IL-6, IL-1, TNF-α.
33
# L32: Innate Immunity What are key acute phase proteins and their functions?
1. C-Reactive Protein (CRP) – Opsonises bacteria, activates the classical complement pathway. 2. Mannose-Binding Lectin (MBL) – Binds to microbial sugars and activates complement.
34
# L32: Innate Immunity How do interferons protect against viruses?
Virus-infected cells release Type I Interferons (IFN-α, IFN-β). Interferons: Activate RNAse enzymes to degrade viral RNA. Induce Protein Kinase-R, blocking viral replication. Enhance NK cell and macrophage activity.
35
# L32: Innate Immunity What are the key differences between innate and adaptive immunity?
Innate immunity is immediate, while adaptive immunity takes days to weeks to develop. Innate immunity is non-specific, recognising general pathogen patterns, while adaptive immunity is highly specific and recognises unique antigens. Innate immunity has no memory, whereas adaptive immunity forms memory, leading to a faster response upon re-exposure. Key innate cells include neutrophils, macrophages, dendritic cells, and NK cells, while adaptive immunity involves T cells and B cells. Innate immunity relies on the complement system and cytokines, whereas adaptive immunity relies on antibodies and T cell receptors.
36
# L32: Innate Immunity What are the three main roles of innate immunity?
1. Immediate response – Recognises PAMPs and activates defences. 2. Pathogen clearance – Phagocytosis, complement activation, NK cell killing. 3. Inflammation – Recruits immune cells and initiates adaptive immunity.
37
# L32: Innate Immunity What are the key functions of neutrophils?
Phagocytosis – Neutrophils engulf and digest microbes. Oxidative burst – They produce reactive oxygen species (ROS) to kill pathogens. NETosis – They release DNA strands to trap and kill microbes.
38
# L32: Innate Immunity How do neutrophils find infection sites?
They follow chemokine signals like CXCL8 (IL-8) to infection sites. They recognise C3b-opsonised pathogens, allowing for easier phagocytosis.
39
# L32: Innate Immunity How do NK cells identify and kill infected cells?
They detect cells lacking MHC-I molecules, which are often infected or cancerous. They release perforin and granzyme, inducing apoptosis (cell death). They kill via Antibody-Dependent Cellular Cytotoxicity (ADCC) by recognising Fc receptors on antibody-coated cells.
40
# L32: Innate Immunity What are the two types of receptors NK cells use?
Activating receptors detect stress signals from infected cells. Inhibitory receptors detect MHC-I; if absent, NK cells kill the target.
41
# L32: Innate Immunity What are the three main functions of the complement system?
1. Opsonisation – Coats microbes with C3b, making them easier to phagocytose. 2. Inflammation – C3a and C5a recruit immune cells and promote inflammation. 3. Lysis – C5-C9 form the Membrane Attack Complex (MAC), lysing bacteria.
42
# L32: Innate Immunity What triggers each complement pathway?
The lectin pathway is triggered when mannose-binding lectin (MBL) binds to microbial sugars. The alternative pathway is activated when C3b spontaneously binds to microbes. The classical pathway is activated when antibodies (IgG or IgM) bind to pathogens.
43
# L32: Innate Immunity What are the five steps of phagocytosis?
1. Recognition & Attachment – PRRs (e.g., TLRs) recognise PAMPs or opsonised microbes. 2. Engulfment – The pathogen is enclosed in a phagosome. 3. Lysosome Fusion – The phagosome fuses with a lysosome, forming a phagolysosome. 4. Microbe Killing – Enzymes, ROS, and antimicrobial peptides kill the microbe. 5. Antigen Presentation – Fragments of microbes are presented to T cells.
44
# L32: Innate Immunity What are some key TLRs and their ligands?
TLR4 recognises Lipopolysaccharide (LPS) from Gram-negative bacteria. TLR2 recognises peptidoglycan and lipoproteins from Gram-positive bacteria and fungi. TLR3 recognises double-stranded RNA from viruses. TLR7 and TLR8 recognise single-stranded RNA from RNA viruses. TLR9 recognises unmethylated CpG DNA from bacteria and DNA viruses.
45
# L32: Innate ImmunityL32: Innate Immunity What are the main cytokines involved in inflammation?
IL-1 increases fever and activates endothelial cells. IL-6 stimulates the production of acute-phase proteins. TNF-α increases vascular permeability and recruits immune cells. IL-8 (CXCL8) recruits neutrophils to infection sites. IL-10 is anti-inflammatory and limits the immune response.
46
# L32: Innate Immunity What is the difference between inflammation and fever?
Inflammation is a local response to infection or injury, involving redness, swelling, heat, and pain. Fever is a systemic response, raising body temperature to slow pathogen growth. Inflammation is driven by IL-1, IL-6, and TNF-α, while fever is triggered by IL-1, IL-6, and PGE₂.
47
# L33: Adaptive Immunnity What are the main features of innate immunity?
Present at birth. Uses preformed pathogen recognition receptors. Rapid response but lacks specificity. Components: Barriers, phagocytes, NK cells, complement system.
48
# L33: Adaptive Immunnity What are the main features of adaptive immunity?
Develops in response to infection or vaccination. Uses highly variable receptors. Stronger, antigen-specific response. Includes immunological memory. Components: B cells, T cells, and antibodies.
49
# L33: Adaptive Immunnity What is the major disadvantage of adaptive immunity?
It is slower to respond compared to innate immunity.
50
# L33: Adaptive Immunnity What is immunological memory?
The ability of the immune system to "remember" an antigen, leading to a faster and stronger response upon re-exposure.
51
# L33: Adaptive Immunnity What are the key innate immune cells and their roles?
Neutrophils & Macrophages: Phagocytose pathogens. Eosinophils: Attack parasites. Natural Killer (NK) cells: Destroy infected cells. Mast Cells: Involved in allergic reactions. Dendritic Cells: Act as antigen-presenting cells (APCs).
52
# L33: Adaptive Immunnity What are the two main types of adaptive immune cells?
B Lymphocytes: Produce antibodies. T Lymphocytes: Help other immune cells (T helper cells) or kill infected cells (Cytotoxic T cells).
53
# L33: Adaptive Immunnity What do B cells do in the immune response?
They bind free antigens and differentiate into plasma cells that secrete antibodies.
54
# L33: Adaptive Immunnity What is the structure of the B cell receptor (BCR)?
2 identical heavy chains. 2 identical light chains. Recognises 3D shapes of antigens.
55
# L33: Adaptive Immunnity What happens when an antigen binds to a B cell receptor (BCR)?
The B cell is activated and begins producing antibodies.
56
# L33: Adaptive Immunnity What are the five main antibody classes?
IgM: First antibody produced; low affinity but high avidity. IgG: Main antibody in circulation; crosses the placenta. IgA: Found in mucosal surfaces (e.g., gut, respiratory tract). IgE: Involved in allergic responses. IgD: Function not well understood, involved in B cell activation.
57
# L33: Adaptive Immunnity What is class switching in antibodies?
A process where a B cell changes the class of antibody it produces while keeping the same antigen specificity.
58
# L33: Adaptive Immunnity What is the function of T cells in adaptive immunity?
Cytotoxic T cells (CD8): Kill virus-infected and cancerous cells. T Helper cells (CD4): Activate B cells and other immune cells.
59
# L33: Adaptive Immunnity Q: How do T cells recognise antigens?
They only recognise processed peptides presented by MHC molecules.
60
# L33: Adaptive Immunnity What are the two types of MHC molecules and their roles?
MHC I: Present on most body cells, recognised by cytotoxic T cells (CD8). MHC II: Present on antigen-presenting cells (APCs), recognised by helper T cells (CD4).
61
# L33: Adaptive Immunnity What are antigen-presenting cells (APCs)?
Dendritic cells, macrophages, and B cells—these present antigens to T cells.
62
# L33: Adaptive Immunnity Where do B and T cells develop?
B cells: Bone marrow. T cells: Bone marrow → migrate to the thymus for maturation.
63
# L33: Adaptive Immunnity What is clonal selection?
When a lymphocyte encounters its specific antigen, it rapidly proliferates, creating an army of antigen-specific cells.
64
# L33: Adaptive Immunnity What is V-D-J recombination?
A random genetic recombination process in B and T cells that creates millions of different antigen receptor variants.
65
# L33: Adaptive Immunnity What is the purpose of vaccination?
To stimulate the immune system to produce protective antibodies without causing the disease.
66
# L33: Adaptive Immunnity What are the two types of vaccines?
Live attenuated vaccines: Contain a weakened form of the pathogen (e.g., MMR, Polio). Inactivated/component vaccines: Use dead pathogens or antigenic components (e.g., Hepatitis B, Influenza).
67
# L33: Adaptive Immunnity What is passive immunisation?
Direct transfer of antibodies from another source (e.g., antivenom, monoclonal antibodies).
68
# L33: Adaptive Immunnity What are the advantages and disadvantages of passive immunisation?
Advantage: Immediate protection. Disadvantage: Short-lived, does not generate memory.
69
# L33: Adaptive Immunnity What are monoclonal antibodies?
Lab-engineered antibodies designed to target a specific antigen.
70
# L33: Adaptive Immunnity How are monoclonal antibodies produced?
By fusing B cells with myeloma (cancer) cells to create hybridomas, which continuously produce antibodies.
71
# L33: Adaptive Immunnity What are some uses of monoclonal antibody therapy?
Cancer treatment (e.g., HER2-targeted therapy). Autoimmune disease treatment (e.g., anti-TNF for rheumatoid arthritis). COVID-19 treatment (e.g., monoclonal antibodies against SARS-CoV-2).
72
# L33: Adaptive Immunnity What is affinity vs. avidity in antibody binding?
Affinity: Strength of a single antigen-antibody bond. Avidity: Combined strength of all binding sites on a single antibody molecule.
73
# L33: Adaptive Immunnity Why is IgM effective despite low affinity?
It is pentameric, meaning it has multiple binding sites, increasing avidity.
74
# L33: Adaptive Immunnity What are the primary vs. secondary lymphoid organs?
Primary: Bone marrow & thymus (where lymphocytes develop). Secondary: Lymph nodes, spleen, tonsils, Peyer’s patches (where immune responses occur).
75
# L33: Adaptive Immunnity How do lymphocytes travel through the body?
Circulate between blood, lymph, and secondary lymphoid organs to find antigens. Enter lymph nodes via high endothelial venules (HEVs).
76
# L33: Adaptive Immunnity How do T cells get activated?
Antigen presentation by MHC molecules on APCs. Co-stimulatory signals (e.g., CD28 binding to B7). Cytokine signalling determines differentiation (e.g., into helper or cytotoxic T cells).
77
# L33: Adaptive Immunnity How do B cells get activated?
Bind to free antigen using BCR. Require signals from T helper cells to fully activate.
78
# L33: Adaptive Immunnity What are the three mechanisms cytotoxic T cells use to kill infected cells?
Perforin & Granzyme: Create holes in the target cell membrane and trigger apoptosis. Fas Ligand (FasL): Binds to death receptors, inducing cell death. Cytokine secretion: Activates other immune cells to help clear infection.
79
# L33: Adaptive Immunnity What are cytokines?
Small proteins that act as immune messengers, regulating immune cell activity.
80
# L33: Adaptive Immunnity Give examples of important cytokines and their roles.
IL-2: T cell proliferation. IL-4: B cell activation & class switching to IgE. IFN-γ: Activates macrophages & enhances MHC expression. TNF-α: Inflammatory response & fever.
81
# L33: Adaptive Immunnity What is the complement system?
A series of proteins that enhance immune responses by opsonising pathogens, lysing cells, and promoting inflammation.
82
# L33: Adaptive Immunnity What are the three pathways of complement activation?
Classical Pathway: Activated by antibodies binding to a pathogen. Alternative Pathway: Directly triggered by microbial surfaces. Lectin Pathway: Activated by mannose-binding lectin (MBL) binding to microbes.

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