Lecture 2- The Response to Infection Flashcards

1
Q

What’s the first stage of any immune response?

A

Awareness- recognising that you’ve got an infection.
can be at level of epithelium, also with cells that actually live in the tissue. Lots of innate cells that we call resident cells that are there all the time in case of infection.
Macrophages and dendritic cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What bridges the two parts of the immune system together?

A

The dendritic cells.

link innate and adaptive immune response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What families of receptors do macrophages have to recognise infected cells?

A
  1. Mannose receptor- bind to carbohydrate structure (mannose) which are found on yeast, parasites and bacteria.
  2. Dectin 1 (beta glucan receptor)- bind beta glucan structures. Anti-fungal response usually.
  3. Scavenger receptor- bind low density lipoproteins, sialic acids. These are found in bacteria and yeast.
  4. Lipid receptor- directs immune function and metabolism.
  5. Complement receptor- recognise specific parts of the complement cascade. like CR3 and CR4.
  6. Toll-like receptor-
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are Toll-like receptors?

A

A huge family of Pattern Recognition Receptors. They recognise these highly conserved structures on pathogens called Pathogen associated Molecular Patterns (PAMPs).
Can also recognise DAMPs- Danger-associated Molecular Patterns. These are things that the cell releases when there’s damage e.g. calcium that alerts the body there’s damage.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What do toll-like receptors form?

A

Homodimers and heterodimers. Different ones recognise different DAMPs and PAMPs. E.g. flagellin, dsRNA etc. in bacteria and viruses.
so these can recognise a broad spectrum of pathogens.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What do TLRs recruit?

A
Usually NYD88 which recruits lots of stuff-> cascade. TF changes transcription. (from TLRs on the membrane)
Endosome ones (viral) usually work through TRAF3 or IRAK pathways not NYD88.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are some more damage receptors?

A
  1. NLR- nucleotide binding domains/ (NOD)-like receptors e.g. NOD2. NLRs are usually cytosolic so intracellular, Many of these recognise intracellular damage and initiate a platform called the inflammasome. This recrutis caspase 1 and il1-beta which initiates a death signal.
  2. RLR- retinoic acid inducible gene-like receptor
  3. CLR- c-type lectin receptor
  4. P2X7R- recognises extracellular ATP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What happens as a consequence of awareness?

A

Will activate the immune response- e.g. phagocytosis. Will also make cytokines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are the main cytokines we think about?

A
  1. Interleukines (1-37)
  2. Interferons (anti-viral) alpha, beta, gamma
  3. Colony stimulating factors- drive haematopoiesis.
  4. Tumour necrosis factor- inflammation
  5. Chemokines- small cytokines that drive chemotaxis. attracts immune cells to the site of infection.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What happens once the macrophage has been activated by awareness of infection?

A

the receptors have been activated so we’ve activated the NYD88 pathways and will start secreting cytokines. e.g. Interleukins, tumour necrosis factor, cxcl8 (chemokine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the variety of ways cytokines can act?

A
  1. Endocrine- made in one place and act far away
  2. Paracrine- made in one place and acts close to there
  3. Autocrine- made in one cell, acts on the same cell that made it.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does the cytokine activity cause?

A

Inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the first step of inflammation?

A

We get the local inflammatory response. This happens wherever the pathogen has got in. e.g. in your wound or cut or in the intestine if it’s got in there.
This switches on the resident macrophages nearby. They release cytokines. The cytokines have an effect on the blood vessels. There are gaps in the blood vessel.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the second step of inflammation?

after local inflammatory response

A

Vasodilation. More gaps between the cells of the blood vessel too. Becomes more permeable. This enables immune cells to be recruited efficiently to the site of infection. the first ones will be neutrophils and monocytes. (remember they are phagocytic)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the third step of inflammation?

after vasodilation and immune cells have been recruited

A

Oedema. Plasma and proteins accumulate because of the leaky blood vessel etc.
Swelling.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the fourth step of inflammation? (after oedema)

A

Immune amplification. We get amplification now of the immune system. Get things like mast cells joining in trying to control of the local infection.

17
Q

What is the structure of mast cells?

A

They are large and have granules which are packages which contain chemicals ready to attack the pathogen.
When it’s activated we can see it loses its packages. It expels its contents very quickly when activated.

(Mast cells are the ones that make you feel awful when you have an allergy)

18
Q

What are the Mast cell products?

A
  1. Immediate:
    - histamine, heparin, enzymes
  2. Delayed:
    - prostaglandin, leukotrienes, cytokines
19
Q

If local cytokine response is high enough- what happens?

A

The cytokines spread to other organs. systemic inflammatory response. In your brain can make you sleepy, and lose appetite.

20
Q

What are the acute phase proteins?

A
  1. Fibrinogen- clotting
  2. Haptoglobulin- binds iron
  3. Complement c3- cleaved to c3a. Activate c3b which is an opsonin.
  4. mannose binding protein MBP- also an opsonin.
  5. serum-amyloid- inhibits fever and platelet activation.
  6. C-reactive protein (CRP)- also an opsonin
21
Q

What is an opsonin?

A

Something that binds to a pathogen or a cell that needs to be targeted. It acts as a signal to really attract the phagocyte to that. “come eat me” signal.
(chocolate biscuit thing)

22
Q

Examples of opsonins?

A
  1. C-reactive protein- binds to phsophryl choline strucutres
  2. Mannose binding protein- binds mannose fucosyl residues
  3. c3b- bins -OH or -NH2. (a complement protein)
23
Q

What do interferons do?

A

Inhibit viral replication within a cell.
Also inhibit parasite replication.
bind to receptors on other cells and help the cell become more resitant to infection.
Also activate and amplify other immune cells like macrophages and NK cells.

24
Q

natural killer cell

A

From lymphoid progenitor.

can recognise infected cell. Can do this by looking at missing receptors or altered receptors. And punches holes in it.

25
Q

More innate cells?

A

Eosinophils- anti-pathogen, obesity.

Basophils- anti-pathogen,

26
Q

What are the 4 steps of inflammation?

A
  1. Local inflammatory response
  2. Vasodilation
  3. Oedema
  4. Immune amplification