Microbial Immune Envasion Mechanisms Flashcards

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1
Q

What are the two factors that determine balanced pathogenicity?

A

Properties of the microbe (pathogenic mechanisms)
- adhesins
- toxins
- capsule

Properties of the host (defensive mechanisms)
- natural barriers
- defensive cells
- antibacterial peptides
- innate and adaptive June response

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2
Q

What are the function o virulence factors?

A

Evade host defences

Promote colonisation and adhesion

Promote tissue damage

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3
Q

What aspects of immunity have pathogen evolved t overcome or avoid?

A

Natural defences - mucosal layers no skin

Innate immunity - complement system and macrophages

Adaptive immunity - antigen specific and memory antibodies T cells

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4
Q

What are the roles of complement in innate immunity?

A

Induces inflammatory response

Promotes chemotaxis

Increase phagocytosis by opsonisation

Increase vascular permeability

Mast cell degranulation

Lysis of cell membranes

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5
Q

How can the compliment cause microbial immune evasion?

A

Faliure to trigger negative binding
- LPS, capsules
- coating with non-fixing igA
- capsule blocks C3b binding
- capsule prevents C3b receptor access

Disrupt regulation block/expel MAC
- factor H sequestration
- C5 proteases, blebbing

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6
Q

Describe the mechanism that enables bacterial life inside macrophages

A
  1. Direct phagocytosis via CR3
  2. Actin rearrangement - +ve engulfmant
  3. Type 3 secretion systems - prepares cell
  4. Resists digestion and ROIs in PLs - SOD, catalyse
  5. Escape into cytoplasm
  6. Inhibits PL fusion maintains early endsome blocks acidification
  7. Controls antigen presentation stops CTLs
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7
Q

Describe the production of Fc receptors by microbes leading to antibody inhibition

A

Normally antibodies bbind to the microbial antigen and fuse elimination to occur

With microbial Fc receptors, the. Antibody binds but blocks specific antibody’s from binding to surface antigens on microbials

Preventing antibody binding

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8
Q

How can the adaptive immune system be evaded?

A

Concealment of antigen
- hide inside cells
- privalidged sites
- block MHC antigen presentation
- surface uptake of most molecules

Immunosuppression

Antigen variation

Persistence/latency/reactivation

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9
Q

What are the pathogenic mechanisms of streptococcus pneumoniae?

A

Colonisation

By-pass defence

Survival

Damage

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10
Q

What diseases are caused by streptococcus pneumonia?

A

Pneumonia

Otitis media

Meningitis

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11
Q

Describe the pathogenic mechanism of streptococcus pneumonia

A
  1. Colonisation of nasopharynx (slg4 proteases)
  2. Inhalation into lungs
  3. By-passes defences: surfactants (slg4 proteases)
  4. Reaches lung
  5. Escapes phagocytosis, inflammation - lung damage., damage to endothelial cells
  6. Pneumonia
  7. Meningitis (inflammation) and septicaemia (toxic shock).
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12
Q

What are ways the Viruses can evade the immune system?

A
  1. Latency
  2. Decreased antigenic presentation
    - by binding to TAP it inhibits transfer to MHC
  3. Decreased MHC expression
  4. Mutation of epitopes
    B cells - escape neutralisation
    T cells - CB8+ escape mutants of HIV
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13
Q

Describe what occurs during persistence (an immune evasion strategy)

A
  1. A small community of microbes infects susceptibles
  2. The Microbes remains latent
  3. Microbes reactivates and infects next generation of susceptible
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14
Q

What is a example of a virus with latency?

A

Herpes simplex virus 1

Gets reactivated in nerves and immunologically privileged sites with poor protective immunity for reactivation

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15
Q

Define antigenic diversity

A

Genetically stable and alternative forms of antigens in a population of microbes

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16
Q

Define antigen variation

A

Successive expression of alternate forms of an antigen in a specific clone or its progeny

17
Q

Define antigen phase variation

A

ON/OFF of an antigen at low frequency

18
Q

What are phenotypic changes that can occur to pathogens?

A

Colony morphology

Virulence

Serotype

Loose flagella

Change surface sugars

19
Q

Give a example of when antigen variation avoids the immune response

A

Surface components interact with host cells

Components vary at high frequency in a population of bacteria

20
Q

What increases the influenza virus potential for variation?

A

Antigenic drift — mutation + selection - EPIDEMICS

Antigen is shift - gene reassortment - PANDEMIC

H - haemaglutinin - 18 types

N - neuraminidase - 11 types