Lec 21-Immunity To Parasites Flashcards
Immune sys and parasites
- Immune sys is designed to fight parasites
- When immune sys cant fight parasites anymore = infection
- Parasitic infections are especially prevalent in tropical/subtropical regions
What are parasites?
- Microorganisms
- Can infect humans (via contact, inhalation, ingestion), arthropods (act as vectors of transmission i.e. mosquitos), nonhuman primates (zoonotic spread)
- Parasites are a big challenge for the immune sys, harder to get rid of than viruses—they have many diff forms which makes it hard for immune sys to detect
2 main groups of parasites
2 main groups: protozoans (unicellular, eukaryotic) and metazoans (helminths/worms)
What is the primary reason parasites are such a big challenge for the immune system?
Parasites change their antigenic structure and their location over time to evade immune response
Entry points for parasites
Resp tract, GI tract, vaginal tract, anal tract, conjunctiva, epidermis
Eg. Parasites changing location to evade immune response
- Lots of variability, can be in many vectors
- Worst diseases caused by protozoan parasites that are unicellular, motile eukaryotes. They can be found in contaminated water
- Protozoan parasites can move from their arthropod vector hosts to mammalian hosts to infect them
Why are parasites bad
- Parasitic infection is endemic/epidemic in LDCs. In MDCs we would have 0 immunity to anything like this so we would die
- Multicellular parasites influence host immune response—eg. Co-infection with a parasite and a virus/bacteria is very dangerous
- Eg. Malaria (parasitic infection) kills 2-5 mill children a year
Endemic vs epidemic vs pandemic
Endemic: in 1 area
Epidemic: many geo locations in 1 country
Pandemic: has spread across world
Trypanosomes eg
- Trypanosomes are parasites that can evade immune response by changing antigenic signature
- Host is infected with trypanosome expressing VSG1 protein. As body begins to act against this protein, tryp shuts down VSG1 and begin expressing VSG2 (diff structure), so immune sys mounts a diff response against VSG2, tryp shut down VSG2 and express VSG3. Immune sys cannot kill them bc they will keep going like this
- All immune sys energy is going into this mechanism, making co-infection w something else i.e. flu, worse
CTL/CD8 job in parasitic infection
Main job of CTLs when they encounter parasite is killing
CD4 helper cells (2)
Th1 and Th2 are CD4 helper cells
Th1
Th1:
- When a T cell is exposed to IL-12, it becomes Th1
- Th1 secretes IL-2 to stimulate Th (helper) and Tc (cytotoxic) proliferation, and IFN-gamma to engage with NK cells and do immune response
- Th1 cells induce cell mediated response—all immune responses are mediated by cells
Th2
Th2:
- When T cell is exposed to IL-4, becomes Th2
- Secretes IL-4 to further Th2 response, IL-5 for eosinophil growth, and IL-10 to inhibit Th1 response
- Mediates humoral immunity
Immune response for schistosoma mansoni (worm)
- Worm into body (likely GI)
- Immune sys secretes IgE antibodies
- IgE’s tag worm
- IgE’s activate complement—>inflammatory molecs—>mast cell activation
- When mast cells are activated, they will secrete ECF and NCF (eosinophil and neutrophil)—> calls eosinophils and neutrophils to interact w IgE
- Systemic inflammation
**Chemotaxis is required to get to site of infection
**Mast cells main role is to interact with IgE and secrete inflammatory molecs
Ascaris nematodes
- Roundworms
- Very large
- In GI tract—eggs hatch in gut, larvae migrate to lungs, burst out of blood into alveoli into grown worm, coughed back into gut
- Female nematodes can release 500k eggs per day
- Eggs can live for 15 years in host if they never burst, you can have all these eggs living in your GI tract and not know
- Once the egg is burst is when immune sys recognizes