Mechanisms of Host Defense (Buxton) Flashcards

1
Q

What type of cells make up innate defenses against extracellular microbes? What do they do?

A

Phagocyte - a cell (e.g. WBC) that engulfs and consumes foreign material (e.g. microorganisms) and debris
Complement - group of proteins in normal blood serum and plasma that in combination with antibodies causes the destruction especially of particulate antigens (as bacteria and foreign blood corpuscles)

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2
Q

What are the host defenses against extracellular microbes?

A

Innate defenses, antibody, CD4 cells

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3
Q

What cytokines do CD4 cells secrete against extracellular microbes? What do they do?

A

Th17 - helps induce neutrophil response (IL-17 causes more neutrophils to be produced in the bone marrow
Th2 - helps produce IgE (if dealing with parasite), also some other Ig

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4
Q

What are the host defenses against intracellular microbes?

A

Innate defenses, CD4 cells, CD8 cells

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5
Q

What types of cells make up innate defenses against intracellular microbes? What do they do?

A

NK cells - large granular lymphocyte capable especially of destroying tumor cells or virally infected cells without prior exposure to the target cell and without having it presented with or marked by a histocompatibility antigen
Macrophages - phagocytic tissue cell of the immune system that may be fixed or freely motile, is derived from a monocyte, functions in the destruction of foreign antigens (as bacteria and viruses), and serves as an antigen-presenting cell

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6
Q

What cytokines do CD4 cells secrete against intracellular microbes? What do they do?

A

Th1 - secretes IFN-γ and TNF-α, activates macrophages to kill microbes located within the macrophages’ phagosomes. Also activate cytotoxic T cells to kill infected cells.

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7
Q

How does the body rid itself of viruses via the immune system?

A

Innate - IFN-alpha (protects cells in immediate environment that haven’t been infected yet), NK cells
Adaptive - CTLs

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8
Q

What is the most important cell in recovery from viral infections?

A

CTLs (CD8 cells)

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9
Q

What type of cell provides protection from re-infection or infection following vaccination?

A

Neutralizing antibody

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10
Q

What does type I IFN do to Class I MHC molecules?

A

Upregulates expression of them so that CD8 cells recognize antigens from them

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11
Q

Describe the cytotoxicity of CD8 T cells.

A

Antigen recognition and conjugate formation - CTL activation - granule exocytosis (granules contain perforin that acts like MAC and allows for granzymes to enter cell) - detachment of CTL - target cell death

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12
Q

What does it mean to neutralize the virus?

A

Blocking virus-receptor reaction

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13
Q

What do vaccines do?

A

Stimulate production of memory B cells and plasma cells that will secrete appropriate IgG if exposed to that virus

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14
Q

A 5 y/o child develops bacterial otitis media due to Streptococcus pneumonia. If opsonins and neutrophils are mounted in defense by the child’s immune system, what are the opsonins?

A

IgG & C3b

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15
Q

A 57 y/o man develops bacterial pneumonia due to Legionella pneumophila. What is the most important defense mounted by the man’s immune system?

A

Th1 cells and gamma interferon

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16
Q

What determines the most important defense mechanism for an infection?

A

The type of infection - extracellular, toxigenic, intracelluar

17
Q

What do you need to activate the complement system?

A

Presence of bacteria in the body

18
Q

What are the basic steps of defense against extracellular bacteria?

A

Presence of bacteria - complement & IgG - opsonization & acute inflammation - neutrophils - phagocytosis

19
Q

What should you be worried about with a patient who presents with neutropenia?

A

Extracellular bacteria or fungi because patient has little to no neutrophil production

20
Q

What are the basic steps of defense against toxigenic bacteria?

A

Presence of bacteria - release of toxin - anti-toxin antibody prevents toxin binding to receptors of susceptible cell

21
Q

What are the basic steps of defense against intracellular bacteria?

A

Presence of bacteria - infected macrophage - anti-bacterial Th1 cell releases gamma IFN to activate infected macrophage (enhances its killing ability) & cc-chemokines to activate mononuclear cells (granuloma formation)

22
Q

What do mononuclear cells do to an infected macrophage that is unable to kill intracellular organisms?

A

Surrounds it, forming a granuloma

23
Q

What are the immune responses to extracellular fungi?

A

Opsonins - complement, antibody

Phagocytes - neutrophils, activated macrophages (requires Th1 cells)

24
Q

What are the immune responses to intracellular fungi?

A

Activated macrophages (requires Th1 cells to supply gamma-IFN)

25
Q

What is the general host defense against parasites? What does it not work against?

A

IgE antibodies - not good for protozoans

26
Q

What are the basic steps of defense against extracellular protozoa?

A

Presence of protozoa - complement & anti-parasite antibody - opsonization & blocking antibody - phagocytosis

27
Q

What are the basic steps of defense against intracellular protozoa?

A

Presence of protozoa - infected macrophage - anti-protozoal Th1 cell secretes gamma-IFN to activate infected macrophage (enhances killing ability) & cc-chemokines to activate mononuclear cells

28
Q

What are the basic steps of defense against helminths?

A

Presence of helminths - anti-parasite IgE - mast cell sensitization & degranulation - IL-5 secretion - production of eosinophils in bone marrow; chemotactic for eosinophils

29
Q

Streptococcus pneumoniae, Staph aureus, GAS, and Haemophilus all evade phagocytosis in what way?

A

Anti-phagocytic capsule

30
Q

How does Mycobacterium tuberculosis evade phagocytosis?

A

Prevention of formation of phagolysosome, escape from phagolysosome, resistance to lysosomal enzymes

31
Q

How does Neisseria evade immune responses?

A

Lysis of secretory IgA

32
Q

How do HIV, influenza, Trypanosoma brucei, and Neisseria gonorrhea evade immune responses?

A

Antigenic variation

33
Q

How do HIV and dengue virus evade immune responses?

A

By enhancing antibody (opsonizes organism which is then phagocytosed by macrophages, within which the virus replicates

34
Q

How do schistosomes evade immune responses?

A

Masking of pathogen antigens by host serum proteins

35
Q

How does HIV evade immune responses?

A

Induction of immune suppresion

36
Q

How do HSV, VZV, and Staph aureus evade immune responses?

A

By expression of surface molecules that bind the Fc region of IgG

37
Q

How do HSV & VZV evade immune responses?

A

Interference with antigen presentation by preventing peptide loading into MHC-I