Microbial immune evasion mechanism Flashcards

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1
Q

What are the properties of microbes which drive pathogenic processes?

A
  • Microbes have properties which drive pathogenic processes:
    • Adhesins
    • Toxins
    • Capsule
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2
Q

What mechanism do host cells have that act as natural barriers?

A
  • Host cells have defence mechanisms which act as natural barriers:
    • Natural barriers
    • Defensive cells
    • Complement
    • Immune response
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3
Q

What does a balance of the properties of microbes and mechanism of host cells lead to?

A

A balance of these 2 properties lead to the clinical course of disease

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4
Q

What is virulence?

A

Virulence is the degree to which a pathogen causes a disease

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5
Q

What are some virulence factors there to promote?

A
  • Some virulence factors are there to promote colonisation and adherence in order to establish an infection
  • Some virulence factors are there to promote tissue damage
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6
Q

What are some virulence factors involved in the evasion of?

A

Some virulence factors are involved in evading host defence mechanisms

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7
Q

What are examples of non-adaptive/innate immunity?

A
  1. Complement
  2. Phagocytosis
  3. Protection against antibodies
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8
Q

What does complement induce?

A

Induces an inflammatory response

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9
Q

What does complement promote?

A

Promotes chemotaxis by recruiting macrophages/neutrophils to the site of infection

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10
Q

What does complement increase phagocytosis by?

A

Increase phagocytosis by opsonisation

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11
Q

What does complement increase?

A

Increase vascular permeability

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12
Q

What does complement cause to the membrane?

A

Causes lysis of membranes

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13
Q

What are the bacterial defences against complement?

A
  • Bacteria can fail to activate the complement pathway
  • Have a factor H sequestration property
  • Maybe coated with non-complemented fixing antibodies(IgA)
  • Polysaccharide capsules can block C3b binding/preventing C3b receptor access
  • Has enzymes which degrade activated products of complement
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14
Q

How can bacteria fail to trigger the complement pathway?

A

Bacteria have LPS and polysaccharide capsule on their surface which prevents the early stage of the complement cascade from binding to their surfaces, hence failing to trigger the complement cascade

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15
Q

What is the factor H sequestration pathway and how does this protect bacteria against complement?

A

Bacteria have a protein encoded in their genome, located on its surface, which binds to factor H
-Factor H is a negative regulator of complement, and this stops complement from activating

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16
Q

What drives opsinisation of antigen-antibody complex which protects bacteria against complement?

A

One of the steps of the complement cascade is that certain antibodies can bind to the complement cascade
-This drives opsonisation of the antigen-antibody complex

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17
Q

What is C3b, when is it released and what does it do?

A

C3b is a potent opsin which is released when complement cascade has been activated which binds to the surface of the bacteria and allows opsonisation into macrophages

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18
Q

What is C5a and what is it important in and what is it released after?

A

C5a is a chemoattractant factor which is important in inflammation and is released after complement cascade has been activated

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19
Q

How do certain pathogens evade antibody neutralisation?

A

Certain pathogens have proteins on their surface which mimics Fc receptor and bind to Fc portion of the antibody the wrong way round and this evades antibody neutralisation

20
Q

What do intracellular pathogens hide from?

A

Hide from serum killing, complement and antibodies

21
Q

Why do intracellular pathogens have an advantage?

A

Intracellular pathogens have an advantage as its difficult for the immune system to recognise them

22
Q

What is the role of intracellular pathogens?

A
  • Promote their own safe uptake
  • Prepares cell for its invasion
  • Negative phagolysosome fusion
  • Escape phagolysosome and enters cytoplasm
  • Resistive oxidative killing
23
Q

How does adaptive immunity work?

A

-Concealment of antigen
-Immunosuppression
-Antigenic variation
-Persistence/latency/
reactivation

24
Q

Where do antigens hide in the concealment of antigens?

A

Hide inside cells

25
Q

Where do antigens enter in the concealment of antigens?

A

Enter immunologically privileged sites like nerve cells

26
Q

What is blocked in the concealment of antigen?

A

Block MHC antigen presentation

27
Q

What is downregulated in immunosuppression?

A
  • Downregulate MHC presentation

- Downregulate receptors on surface of cells

28
Q

What does immunosuppression prevent?

A

Prevent cells from undergoing apoptosis

29
Q

What do IgA proteases degrade in immunosuppression?

A

IgA proteases degrade secretory IgA which is a key antibody defence mechanism

30
Q

What happens in the colonisation of the nasopharynx with streptococcus pneumoniae?

A
  • Have specific adhesion molecules which allow them to adhere
  • Secrete IgA proteases which stop immune antibodies
31
Q

What happens when streptococcus pneumoniae is inhaled into lungs?

A
  • By-pass surfactant molecules
  • Still producing secretory IgA proteases which block our antibody defences
  • Induce and switch on the genes for pneumolysin and toxins are released by bacteria
  • Pneumolysin lyses the membrane and causes pores in membranes of pneumocytes in the lungs and destroys the defensive barriers
  • Bacteria has now created a niche for its own replication and induces an inflammatory response which can result in pneumonia
32
Q

What happens when streptococcus pneumoniae reaches lungs?

A
  1. Escapes phagocytosis
    - Its capsulated structure allows it to block complement from binding hence not phagocytosed
  2. Inflammation
    - Pneumolysin forms pores in membranes of pneumocytes
    - Teichoic acids drive an ineffective inflammatory process which creates a niche for bacteria to grow and survive
  3. Damage to endothelial cells
    - Inflammation caused by pneumolysin forming pores in membranes of pneumocytes
33
Q

What can streptococcus pneumoniae lead to?

A

Can lead to pneumonia

34
Q

How many serotypes does streptococcus pneumonia has and due to what?What is this known as?

A

Streptococcus pneumonia has more than 80 serotypes as there are slight changes In the structure of its membrane polysaccharide
-This is known as antigenic diversity

35
Q

What are the different methods of viral immune evasion?

A
  1. Latency
  2. Decreased antigenic presentation
  3. Decreased MHC expression
  4. Mutation of epitopes
36
Q

When does VZV become latent and where and due to what reason?

A

Varicella-zoster virus(VZV) becomes latent in nerve ganglia after chicken pox because nerve cells have little immune surveillance

37
Q

What can certain viruses bind to in order to block antigen presenting?

A

Certain viruses can bind to TAP protein and block antigen transfer to MHC molecules which can block antigen presenting

38
Q

What are epitopes?

A

Epitopes are parts of an antigen which are recognised by antibodies or T cell receptors

39
Q

What are anitgenic diversity/polymorphisms?

A

Antigenic diveristy/polymorphisms are genetically stable forms of antigens in a population of microbes

40
Q

Structure of influenza virus?

A

Segmented negative single stranded RNA genome=has 8 segments with 10 genes

41
Q

What do the genes of the influenza virus code for?

A

Genes code for the surface protein

  • Haemagglutin(15types)
  • Neuraminidase(9 types)
42
Q

What happens as a virus replicates itself and what does it create?

A

As virus replicates itself, it makes errors and creates antigenic variation of surface components

43
Q

What is the key defence mechanism against influenza?

A

The key defence mechanism against influenza virus is neutralising antibodies which recognise haemagglutin or neuraminidase

44
Q

What will a mutation of H or N result in?

A

A mutation in H or N means antibodies can no longer recognise the antigen

45
Q

What does the flu virus undergo every year and hence what does this lead to?

A

Flu virus in a population gradually undergoes minor mutational changes every year and hence immunity becomes less and less

46
Q

Steps involved in antigenic shift?

A
  • 2 viruses infect a single cell and undergo recombination of the genome which creates combinations of genes which have never been seen before
  • This generate a gene re-assortment and new virus particles that very little people in the population have an immune response against
  • Results in pandemic flu