Lecture 22 Flashcards

1
Q

Innate response:

A

No memory, immediate response

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2
Q

Viruses are ____ pathogens

A

intracellular

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3
Q

Bacteria are ___ pathogens

A

extracellular

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4
Q

Protozoa and parasites

A

Require killing my chemical mediators released by specialist myeloid cells

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5
Q

Granules are

A

filled with toxic chemicals such as histamine, released by degranulation

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6
Q

Gram positive:

A

Thick cell wall, requires phagocytosis, and are not killed directly by complement.

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7
Q

Gram negative:

A

Thin cell wall. Can be lysed. Membrane attack complex.

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8
Q

Neutrophil extravasation steps:

A
  1. Activation: Chemokines activate the local endothelial cells.
  2. Tethering: Neutrophils tethers to the inside capillary wall.
  3. Adhesion: Strong binding between neutrophil integrins and ICAM-1 on the endothelium.
  4. Diapedesis - neutrophil squeezes between endothelial cells into the interstitial space.
  5. Chemotaxis - Neutrophil migrates along a chemical gradient to the site of infection.
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9
Q

What is sialyl Lewix X

A

A carbohydrate antigen on neutrophils.

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10
Q

Complement receptors:

A

C1, C2, C3, C4. Myeloid cell receptors that bind activated complement components deposited on bacteria

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11
Q

What is the main neutrophil receptor that binds to C3b.

A

C1

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12
Q

FcR mediated phagocytosis:

A

1 IgM and IgG bind to bacterial antigens.

  1. Exposes the antibody Fc region.
  2. Neutrophil FcR binds multivalent Fc
  3. Activates phagocytosis.
  4. Membrane invaginates forming a phagosome.
  5. Fuses with lysosome to form phagolysosome.
  6. Phagolysosome acidifes and superoxides kill bacteria.
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13
Q

What do pattern recognition receptors (PRR) do?

A

Bind complex molecules that are unqiue to microbes.

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14
Q

What is TLR?

A

Toll like receptors, or Leucine RIch Repeat (LRR) receptors that look like a ‘slinky’. Activation through TLR stimulates a strong innate response.

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15
Q

What is a PAMP?

A

Pathogen Associated Molecular Patterns (PAMPs). Molecules unique to microbes recognised by PRRs. They stimulate the power switch for the adaptive response.

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16
Q

What is TLR4?

A

The receptor for lippolysaccharide (LPS). LPS is a membrane component of all gram negative bacteria.

17
Q

What is LPS?

A

A membrane component of all gram negative bacteria. It is a pyrogen that causes fever when injected into the bloodstream.

18
Q

Release of LPS causes:

A

Septic shock.

19
Q

Defences against viruses is mostly dependent on:

A

Adaptive cellular.

20
Q

Humoral response

A

Antibodies defend against infection in body fluids

21
Q

Cell mediated response:

A

Cytotoxic cells defend against infection in body cells.

22
Q

What is opsonisation?

A

coating microbes with complement proteins to form complex complement convertases ready for phagocytosis. Neutrohpils engulf opsonised bacteria but ignore non-opsonised.

23
Q

5 steps of phagocytosis:

A
  1. Ingestion. 2. Fusion 3. Acidification 4. Digestion 5. Exocytosis
24
Q

How does extreme amino acid diversity occur in the immunoglobin fold

A

the loops are not contained in the structure