Lecture 13: Mucosal Immunity Flashcards

1
Q

True or false: 70-80% of all IgG producing cells in the body are physically located within the tissues of the mucosal immune system

A

TRUE

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2
Q

What kind of cells initiate a mucosal immune response?

A

inductive cells

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3
Q

What kind of cells enact the mucosal immune response?

A

effector cells

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4
Q

What are the 7 components of the mucosal immune system? (MALT)

A

1) GALT (gut)
2) BALT (bronchial)
3) NALT (nasal)
4) Genitourinary
5) Lacrimal
6) Salivary
7) Mammary

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5
Q

Give 2 reasons for why mucosal immunity is so important

A

1) pathogens enter our bodies via mucosal surfaces

2) mucosal surfaces cover a huge part of our bodies

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6
Q

What are the leading 2 causes of death from mucosal infections?

A

1) acute respiratory infections

2) diarrheal disease

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7
Q

What kind of cells predominate in the absence of infection?

A

activated/memory T cells and Tregs

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8
Q

What immunoglobulin dominates in mucosa?

A

IgA

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9
Q

What are the 2 distinct compartments that make up the mucosal immune system?

A

1) epithelium

2) lamina propria

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10
Q

What cell type stretches from the lamina propria to the surface of the gut (thru the epithelium) to sense bacteria?

A

dendritic cells

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11
Q

What are the 2 patterns of lymphoid cell arrangement in the gut?

A

1) Scattered (inductive)

2) Effector (organized like Peyer’s patch)

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12
Q

What kind of cells take up antigen from the gut?

A

M cells (microfold - the lumenal face is much different looking)

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13
Q

How does the M cell process antigen?

A

it doesn’t really, it endocytoses it then transports it across the M cell in vesicles before releasing it at the basal surface

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14
Q

Once pathogen has been funneled from the lumen to the lamina propria via the M cell, what happens?

A

DCs bind the antigen and activate T cells

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15
Q

Where do the T lymphocytes that encounter the DC in the lamina propria of the gut come from?

A

Peyer’s patch

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16
Q

Once activated, where do the T cells go?

A

leave the mucosal site and travel to the mesenteric lymph then the lymph

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17
Q

Expression of what on activated T cells helps them to home to the lamina propria of the gut?

A

a4b2 and CCR9

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18
Q

Where do lympocytes exit the lymph and enter circulation?

A

thoracic duct

19
Q

What are 4 methods of antigen uptake in the mucosa?

A

1) M cells across the epithelium
2) Fc receptor transport
3) apoptosis dependent transfer
4) antigen capture

20
Q

True or false: lymphocytes activated in mucosa can home to other mucosal sites?

A

True

(which is why administering antigen at one mucossal site results in specific antibody production at distant mucosal sites)

21
Q

Why is there more IgA in the gut than other isoforms?

A

because B cells in the mucosa are selectively induced to produce dimeric IgA rather than other isotypes

22
Q

What class of T cells specifically is important in MALT?

A

CTLs (cytotoxic T cells)

23
Q

Does mucosal immunity result in systemic immunity?

A

YES (serum antibodies can be detected indicating that a mucosal encounter with antigen generates subsets the T and B cells that home to mucosal sites as well as spleen and regional nodes)

24
Q

Does systemic immunity result in mucosal immunity?

A

NO, only the reverse is true

25
What are the 4 unique features of mucosal immunity?
1) Ag at one mucosal site and lead to Ab at a distant mucosal site 2) B cells in MALT selectively produce dimeric IgA 3) CTLs are important 4) Mucosal immunity results in systemic immunity
26
What are intraepithelial lymphocytes?
lie within the epithelial lining of the gut Unclear function: think they readily kill infected epithelial cells
27
What CD is present on IELs?
CD8
28
What kind of infections can CD8+ IEL cells take care of?
viral infections (infect mucosal epithelium cell so that cell displays viral peptide to CD8 IEL via MHC class I)
29
How do IEL cells kill infected epithelium cells?
perforin/granzyme/Fas-dependent pathway
30
What is the first line of mucosal defense?
epithelial cells (provide innate defense against most pathogens) -endocytosed bacteria are recognized by TLRs in intracellular vesicles
31
What happens if the epithelium fails/doesn't provide that first layer of defense and the pathogen slips into the lamina propria? ex: salmonella typhimurium
1) bacteria enters, kills M cells, infects macrophages and epithelial cells 2) invade luminal surface of ep cells 3) enter DCs that sample the gut
32
How does bacterial dysentery (Shigella flexneri) infect the host?
1) penetrates gut via M cells 2) spread to other epithelial cells 3) LPS on Shigella binds and oligomerizes NOD1 to activate NF-kB 4) activated epithelium secretes CXCLB, recruiting neutrophils TRIGGERS NFkB and INFLAMMATION
33
How does IgA protect from infection?
prevents access to epithelium | no clinical symptoms in IgA deficient patients
34
What is the structure of secretory IgA?
DIMERIC (attached by J chain)
35
How is IgA transported to the gut lumen from the lamina propria? (the synthetic secreted dimer version)
binds to poly-Ig receptor on the basolateral membrane then is endocytosed and moved to lumen and secreted
36
What is present in breast milk that provides passive immunity?
secreted IgA
37
What are the advantages of oral/mucosal immunization?
1) ease of administration | 2) generate mucosal and systemic immunity
38
What are the disadvantages of oral immunization?
1) short lived response 2) difficult to elicit robust immune response (because of tolerance (gut is super tolerant to food and commensal bacteria, etc)
39
Does systemic vaccination provide mucosal immunity?
NO but mucosal vaccination provides both mucosal and systemic
40
What determines whether the response will be tolerance or immunity?
how the antigen interacts with DCs (activated express different corecptors)
41
What kind of bacteria have colonized the gut and what does it do?
commensal - they protect the epithelium from pathogens
42
What happens when C. diff gains a foothold in the gut?
produces toxins that cause mucosal injury and neutrophils/RBCs leak into gut between injured epithelial cells
43
True or false: most pathogens enter body via mucosa
True