Lecture 10 Innate Immunity Flashcards

1
Q

immunity present before any exposure from pathogen

effective from time of birth

A

immunity

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2
Q

first line of defense is composed of

innate immunity

A

skin

mucosal membranes and their secretion

normal flora

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3
Q

second line of defense

innate immunity

A

phagocytosis (NK cells) (neutrophils, eosinophils, DCs, macrophages)

inflammation

fever

antimicrobial substances

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4
Q

what is the third line of defense?

A

Adaptive immunity

specialized t cells and b cells
Abs

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5
Q

chemical barriers of innate immunity

A

defenses
lysozyme
complement

active in opsonization

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6
Q

qualities of skin that make it a strong microbial barrier

A

it is a tough physical barrier (hard to get in)

dry, salty environment, acidic (hard to survive)

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7
Q

Lysozyme

A

works by cleaving Nag/Nam (bond connecting sugars) in peptidoglycan

effective against gram + cells

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8
Q

ciliary escalator

A

mucous secretions trap microbes and pushes them away from lungs

either towards throat (for digestive system) or into mouth to be coughed out

goal is to keep them out of respiratory system

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9
Q

where is lysozyme found?

A

tears
secretions
mucous

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10
Q

what keeps the lower respiratory system sterile

A

ciliary escalator
alveolar macrophages – phagocytes of lungs

prevent microbes from growing here

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11
Q

what parts of the body are sterile

A

lungs

bladder (kidney to bladder)

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12
Q

what can be found in the stomach that prevent infection

A

gastric acid

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13
Q

what can be found in the intestines that prevent infection

A
pancreatic enzymes
bile
intestinal enzymes 
GALT 
peristalsis \shedding of epithelium
secretory IgA 
normal microbiota 
paneth cells
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14
Q

Paneth cells produce

A

produce lysozyme

produce cryptins

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15
Q

what do they eyes have to prevent infection

A

mucus secreting membrane

Tears: lysozyme, lactoferrin, secretory IgA

lacrimal apparatus that flushes microbes

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16
Q

sebum

A

forms protective acidic film over skin surface to inhibit microbes

first line of defense

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17
Q

saliva

A

lysosome, urea, uric acid to inhibit microbes

IgA to prevent microbe attachment to membranes

slightly acidic to discourage microbial growth

first line of defense

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18
Q

gastric juices

A

destroys bacteria and toxins in stomach

first line of defense

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19
Q

vaginal secretions

A

slightly acidic to discourage bacterial and fungal growth

first line of defense

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20
Q

inflammation

A

confines and destroys microbes

imitates tissue repairs

second line of defense

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21
Q

NK cells

A

kill infected target cells by releasing granules of perforin and granzymes

they then kill infected microbes

22
Q

antimicrobial substances of second line of defense

A

complement
interferons
iron binding proteins

23
Q

effects of complement activation

A

opsonization (phagocytosis)
membrane attack complex (cytolysis)
attract phagocytes

24
Q

How do NK cells know which molecules to target?

A

Fc receptors– bind to Fc cells on Ags

25
Q

where do all three complement pathways converge?

A

C3 Convertase

26
Q

C3a, C5a result

A

mediate inflammation (stimulate histamine release)

phagocyte recruitment

27
Q

C3b result

A

opsonization of pathogens (enhances phagocytosis)

removal of immune complexes

28
Q

C5b, C6, C7, C8, C9

A

form MAC

leakage of cytosol –> lysis

29
Q

what is released by complement that stimulates inflammation

30
Q

how do bacteria evade complement

A

capsules (prevent C activation so no complement)

inhibition of MAC formation

enzymes that target C5a (no inflammation so no phagocytosis)

31
Q

complement protein deficiency would be worse for which protein?

A

C3

all complement would activity cease

32
Q

IFN- a and IFN -B

A

geared for viruses

cause cells to produce antiviral proteins that inhibit viral REPLICATION

don’t neutralize virus itself

33
Q

IFN-Y

A

geared for bacteria

causes neutrophils and macrophages to phagocytize bacteria

34
Q

how do IFN- a and IFN -B work?

A

they don’t alter the virus itself, instead they inhibit viral replication of neighboring cells so virus can’t spread

35
Q

where do TLRs bind?`

36
Q

what do IFN- a and IFN -B secrete to prevent attack on neighboring cells?

A

antiviral proteins (AVPs)

these cells prevent attack viral transcription in neighboring cells

37
Q

what are structures unique to microbes that we use to group them?

38
Q

example of PAMPS

A

peptidoglycan
LPS
flagellin

39
Q

what recognize PAMPs on phagocytic cells?

A

PRRs

esp. TLRs

40
Q

what type of PRRs function exclusively as signaling receptor?

41
Q

what is the ultimate outcome of PAMP-TLR activation

A

signals inflammation

42
Q

mechanism of intracellular digestion

A
  1. phagocytic cells take up bacteria
  2. delivers it to lysosome = fusion
  3. formation of phagolysosome
  4. breakdown and release of reactive oxygen species
  5. microbes are killed
43
Q

mechanisms of microbial evasion

A

inhibition of adherence (M protein, capsules)

kill phagocytes (leukocidins)

lyse phagocytes (MAC)

escape phagosomes

prevent phagosome and lysosome fusion

grow in phagolysosome

44
Q

inflammation

A

innate – nonspecific response to tissue injury

caused by pathogen or trauma

release of mediators to control

45
Q

cardinal signs of inflammation

A
redness
warmth 
pain
swelling
altered function
46
Q

pyrogenic response

A

Fever

caused by endotoxin release and phagocytotic induction of IL-1

IL-1 stimulates hypothalamus to release prostaglandins and raise temperature

IL-1 is removed and body temps decline

47
Q

advantages of fever

A

t cell production (due to IL-1)

increase transferrins

speed up repair process

48
Q

disadvantages of fever

A

acidosis (via increased metabolic rate)

dehydration

tachycardia

death

49
Q

chemicals released by damaged cells

A

histamine
kinins
leukotreinces
prostaglandins

50
Q

histamine

A

vasodilation

increases permeability of blood vessels

this is why we take anti histamines

51
Q

prostaglandins

A

intensity of histamine and kinin effect

vasodilation and increased BV permeability