Lecture 10 : microflora and mucosal immune system Flashcards

1
Q

What are the** multiple physical barriers** in the GIT?

A
  • saliva in the oral cavity - eg lyzozyme kills bacteria
  • there are tight junctions in the epithelium of the GIT and these restrict diffusion of solutes etc
  • HCL in the stomach
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2
Q

What is MALT?

A
  • mucosa associated lymphoid tissue - the lymphoid tissue distributed in the mucosa
  • eg appendix and peyers patches in the ileum
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3
Q

What is GALT?

A
  • Gut associated lymphoid tissue
  • lymphoid aggregates throughout the GIT
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4
Q

Describe are the **functions of microbes **in the GIT?

A

* protective functions - can produce antimicrobial factors & they compete with bacteria for nutrients / receptors
* **structural functions **- apical tightening of junctions - forms a barrier between cells & can tighten in response to harmful bacteria
* metabolic functions - synthesize vitamins & ion absorption
*

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5
Q

how are microbes in the GIT distributed?

A
  • Microbes are distributed across the GIT
  • less in stomach due to HCL
  • large density of bacteria in colon
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6
Q

what factors affect our microbial composition?

A
  • the delivery procedure during birth - ie vaginal or c section
  • whether baby is breast fed or bottle fed
  • age
  • antibiotics (deplete microbiota)
  • lifestyle - ie active / exercise
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7
Q

what are examples of cell types in the mucosal immune system of the GIT?

A
  • Lymphocytes
  • macrophages
  • dendritic cells
  • neutrophils
  • epithelial cells
  • goblet cells
  • paneth cells ( in crypt)
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8
Q

Describe lymphocytes

what are they, types, where do these types mature, where do they move to

A
  • type of white blood cell found in the immune system
  • they **include natural killer T cells and B cells **
  • B cells mature in bone marrow & T cells mature in the thymus (organ in chest)
  • they are concentrated in lymphoid organs and tissues / lymphoid aggregates eg peyers patches
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9
Q

What are the molecular differences between T and B lymphocytes?

A
  • the helper T cells have a toll like receptor & CD4 protein
  • the cytotoxic T cells have a toll like receptor & CD8 protein
  • B lymphocytes contain B cell receptors
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10
Q

How does an undifferentiated T helper cell differentiate?

A
  • by exposure to certain molecules
  • eg undifferentiated T helper on exposure to IL-4 forms B cells
    *
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11
Q

What are macrophages?

A

type of white blood cell that engulf and digest pathogens via phagocytosis

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12
Q

what are denditic cells?

A
  • a type of phagocyte that sends its long processes out through the tight junctions to collect the antigen and then presents it to other immune cells
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13
Q

What are neutrophils?

A

type of white blood cell that are the first responders to infection

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14
Q

What are phagocytes?

A

they are cells that protect the body by ingesting foreign particles eg bacteria

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15
Q

How do goblet cells contribute to the mucosal immune function?

A

they form a protective secretion that is composed of mucin and lysozyme

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16
Q

what are paneth cells?

A
  • immune cells in the mucosa
  • when exposed to bacteria, paneth cells secrete antimicrobial peptides and proteins
17
Q

What are** M cells/ micro fold cells**?

A
  • unique to GALT
  • they have no microvilli, they sit on the epithelial surface, between enterocytes
  • they are also in close contact with lymphocytes & dendritic cells
18
Q

How do M cells work?

A
  • M cells take up antigens from the gut lumen by endocytosis
  • antigens are released beneath M cells and taken up by antigen presenting dendritic cells
19
Q

what does NOD receptor stand for?

A
  • Nucleotide binding and oligomerisation domain like receptor
20
Q

How do NOD like receptors work?

A
  • they recognise pattern associated molecular patterns (PAMPS)
  • they signal via caspase activation
  • they can co operate with toll like receptors and regulate inflammatory and apoptotic response
21
Q

What Inflammatory bowel disease?

A
  • term used to describe disorders that involves chronic inflammation of the GIT
  • types of IBD include ulcerative colitis or Crohn’s disease
22
Q

What ulcerative colitis?

A
  • inflammation and ulcers of the colon and rectum
  • symptoms include diarrhea,weight loss, intestinal bleeding
23
Q

What is C.diffcile?

A
  • a condition that involves over-colonisation of the microbiome with C.diff
  • may occur after the use of broad spectrum antibiotics
  • infection is usually **hospital acquired **
  • C.dificile** produces toxins** that **damage the lining **of the colon