Microbial recognition and responses in innate immunity Flashcards

1
Q

Define pathogen-associated molecular patterns (PAMPs)

A

Pathogen-associated molecular patterns (PAMPs): molecules that are common on pathogens (such as viruses and bacteria) but not expressed in vertebrate cells

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2
Q

What PAMPs do gram-negative bacteria express?

A

Gram-negative bacteria
LPS:
Have liposaccharide on their cell wall- made out of lipid and carbohydrate chains
Flagellin:
Have flagella containing protein called flagellin: this is what makes the bacteria swim

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3
Q

What PAMPs do gram-positive bacteria express?

A

Peptidoglycan
Have cell wall component called peptidoglycan
Flagellin:
Teichoic Acid

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4
Q

What are the PAMP types for viruses

A

Nucleic acids
Single stranded RNA
Double stranded RNA
Double stranded DNA

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5
Q

What is a Pattern Recognition Receptor and what does it do?

A

Pattern recognition receptors (PRRs): Receptors that bind to PAMPs and activate an immune response. PRRs are a key component of the innate immune system
Receptors of the innate immune system (PPRs) are encoded by inherited genes and recognize common molecular patterns typically expressed on microbes but not our own cells

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6
Q

What is the role of PRRs in the innate immune system?

A

Microbes contain and release PAMPs-> PAMPs activate pattern recognition receptors-> PRRs signal to release cytokines such as type I IFNs, IL-1 and TNFalpha

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7
Q

What are Toll-Like Receptors?

A

Toll-like receptors (TLRs): A group of structurally related receptors that bind to and recognize different PAMPs

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8
Q

What are the two locations of toll-like receptors in a cell, and what does each type do?

A

Cell surface TLRs are present on cell surface and will recognize flagellin, LPS…
Will lead to inflammation and formation of pus
Endosomal TLRs respond to nucleic acid- they will cause anti-viral state

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9
Q

How does the antiviral state happen?

A

1.Virus infects a cell
2. Infected cell secretes type I interferon
3. Sentinel cell called plasmacytoid dendritic cell also secretes Type I interferons in response to virus which bathes infected cells in type I interferons
-These type I interferons bind to the receptors of infected cells
4.Type I interferon binding induces cells to enter antiviral state and offers neighbouring cells protection against virus
-Type I interferon signaling induces production of protective protein inside cells
——This protein is innocuous for healthy cells and only has an effect on infected cells
————This is because in infected cells, there is synthesis of double stranded RNA, which is an obligate intermediate during viral biogenesis
——This protein binds to the viral double stranded RNA-> causes cells to either undergo apoptosis and die, leaving regeneration to the healthy cells in the tissue

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10
Q

What does the antiviral state increase expression of?

A

-Leads to increased expression of a protein that binds to dsRNA and activates further anti-viral signalling
-Leads to increased expression of apoptosis genes
-Leads to increased expression of an RNase that can degrade some viral RNAs

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11
Q

Summarize the antibacterial innate immunity signalling process from TLR

A

Signals for antibacterial innate immunity- Toll-like receptors activate NF-kB to induce the transcription of proinflammatory cytokine genes
-Cell surface toll-like receptor binds to a PAMP and dimerizes
-Sends signals into cell that allows transcription factor to migrate into the nucleus, bind to the promoters of these genes and induce expression of proinflammatory cytokines like TNF and IL-1
—–In cytosol, protein complex called NF-kB that travels into the nucleus and induces transcription of those proinflammatory factors by binding to promoters-> leads to cytokine production and inflammation/pus formation
—–NF-kB is usually inhibited by inhibitor in resting cells- TLR signalling causes this inhibitor protein to be degraded so that NK-kB can perform its function

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12
Q

Summarize antiviral innate immunity signalling process from TLR

A

Signals for antiviral innate immunity- Endosomal TLRs activate the pathway to induce type I interferon secretion and the antiviral state
—Endosomal toll-like receptor binds to nucleic acid PAMP
—Nucleic acid ligates the endosomal TLR which sends signals to induces phosphorylation of cytoplasmic transcription factor
—Transcription factor goes into nucleus to induce transcription of type I interferon genes and leads to type I interferons to be secreted-> induces antiviral state

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13
Q

What is complement and what does it generally involve?

A

Complement is a cascade of events that lead to inflammation and activates processes that can kill microbes (largely bacteria)

—–Many (but not all) steps in complement activation involve the cleavage of complement proteins into fragments
—–Cleaved fragments of complement proteins usually have some activity: for example, a fragment may form an active enzyme that can cleave other proteins. Some fragments can binding to microbes or initiate inflammation

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14
Q

What are the 3 initial complement pathways?

A

–Alternative pathway (spontaneous)
——Microbial surface activates complement spontaneously
——The surfaces of self cells have factors that inhibit C3b function-> in contrast, C3b remains active on microbial surfaces which leads to activation of downstream events in the complement pathway
–Classical pathway (antibodies)
——C1q binds antibody on microbe
–Lectin pathway (agglutinin)
——Agglutinin binds microbe

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15
Q

How does the complement pathway work after it has been activated?

A

Whatever the activation pathway (alternative, classical or lectin), when C3 is cleaved into C3b and C3a, there is a common pathway where in all cases the same mechanism is used to cleave C5 into C5b and C5a
The enzyme that does this is C5 Convertase
Once C5 is cleaved, C5b can help set up a C9 Pore
The C9 Pore is called the membrane attack complex (MAC)

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16
Q

What do all complement activation events converge on?

A

All complement activation events converge on the cleavage of a protein called C3 into 2 fragments: C3a and C3b

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17
Q

What are the functions of complement activation?

A

All three pathways activate the complement functions of lysis, inflammation and opsonization

18
Q

What are agglutinins, what is the role of agglutinins in the innate immune system and what do they bind to?

A

–Agglutinins
—-Lectins- bind sugars
—————-E.g. Mannose-binding lectin
—–Can clump microbes and immobilize them
—-Can activate complement
———-They bind to the microbe-> arms of the agglutinin gets bound by complement proteins->complement proteins bind to microbe which causes microbe to shrivel up and die

19
Q

How do IgMs activate complement?

A

Natural antibodies (IgMs)-
–Have 10 binding sites
–Formed early and exist in the blood
–IgM antibodies can activate complement->
—–When binding to the microbe, the IgM changes its shape from planar to spider-like-> arms get recognized by complement protein (of which the first is C1q)-> allows rest of complement proteins to get activated-> complement proteins cause hole in microbe which causes the microbe to shrivel up and die

20
Q

What is the function of C3b?

A

C3b is an active fragment that can bind to microbes
C3b can function as an opsonin
–Phagocytes have a receptor for opsonin C3b, which allows the bound microbe to be ingested and killed

21
Q

What is the function of C3a?

A

C3a is part of inflammation

22
Q

What is opsonization?

A

Opsonization: process wherein a microbe that is not otherwise recognized by phagocytes can attract phagocytes by becoming coated by an opsonin

23
Q

What is a plasmacytoid dendritic cell?

A

Plasmacytoid dendritic cell (pDC): A sentinel cell that detects viruses and releases type I interferons

24
Q

What is a type I interferon and what cells can they be produced by?

A

Type I interferons (Type I IFNs): A group of cytokines that initiate signaling that activates the antiviral state. Type I interferons can be produced by most cells in the body, but pDCs are very efficient at producing these cytokines.

25
Q

What is hepatitis and what is its cause?

A

-Hepatitis- disease characterized by liver inflammation
-Causes: infection with different virus e.g. hepatitis C virus

26
Q

How many people in the world have HCV?

A

Approximately 170 million worldwide with HCV

27
Q

What are symptoms of Hepatits C?

A

Presentation of HepC
Acute onset often without symptoms/mild
Most people often just come when its detected through blood tests
Symptoms
Fatigue
Malaise
Loss of appetite
Jaundice
Difficulties with cognition (unlikely)

28
Q

What are the three types treatments of HepC, some examples and their side effects?

A

INTERFERON TREATMENT
–Antiviral therapy (x3 times a week-> standard interferons called interferon alfa-2b)
——Interferon treatment makes you very tired and emotional lability
—-Interferon has activity with hepatitis C, and when combined with ribavirin it was more effective
—-Interferon therapy was able to cure ½ patients of Hep C
–PEGylated interferon (long-lasting interferon called peginterferon Alfa-2a) combined with an oral drug called ribavirin

ENZYMATIC TREATMENT
New treatments of Hepatitis C target specifically the enzymes that hepatitis C virus uses to reproduce itself or other components of the replicative machinery of the virus
–Telaprevir (now discontinued)-> interferes with one of the enzymes that the virus uses to reproduce itself
——Protease inhibitor
——Works after a couple of weeks
——Side effects are harsh
———-Debilitating fatigue
———-Hemorrhoids
———-Have to eat fatty foods for doses

COMBINATION TREATMENTS
–Drug combinations are most effective because of the virus’ ability to mutate and evade treatment
—–Worked for people who didn’t respond to interferon treatment or telaprevir
—-Low/no side effects
———-Slight headache
—-Treated symptoms really well
—-Cures viral infection
—-Efficacy exceeds 90-95% in a relatively short time

29
Q

How does Hepatitis C virus work?

A

Initial immune response to virus
—-Innate immune response-> presence stimulates antiviral response one of which is the interferon system
—-When virus replicates, it suppresses host interferon responses
——-Genetic data suggests that people with certain genetic markers can clear the virus, and it’s the same group of people who respond to interferon therapy
-Hepatitis C virus produces NS3/4A.
—–NS3/4A cleaves a protein required for signaling downstream of an important pattern recognition receptor called RIG-I
——-RIG-I is found in the cytoplasm and recognizes types of RNA structures and sequences that are commonly produced by viruses
—-By cleaving a protein in the RIG-I signaling pathway, NS3/4A blocks an innate immune signaling cascade that culminates in the production of type I interferon.
—-It is very common for viruses to have mechanisms that interfere with innate immune signaling

30
Q

What is ALT?

A

ALT- A liver enzyme (alanin transaminase)

31
Q

What is Bilirubin?

A

Bilirubin- A yellowish byproduct of breaking down the heme from red blood cells in the liver

32
Q

What is cirrhosis?

A

Cirrhosis- Fibrosis and scarring of the liver caused by a variety of liver diseases, including chronic hepatitis B and C infections

33
Q

What is costal margin?

A

Costal margin- The bottom edge of the rib cage

34
Q

What is a cytopathic virus?

A

Cytopathic virus- A virus that directly damages and kills cells-HCV is not cytopathic

35
Q

What is a HALT-C trial?

A

HALT-C trial- A clinical trial designed to test whether long-term treatment with low-dose interferon therapy could prevent hepatitis disease progression in HCV patients who had previously failed to clear the virus when treated with high-dose interferon therapy

36
Q

What is HLA?

A

HLA- Human leukocyte antigen

37
Q

What is Jaundice?

A

Jaundice- A yellowing of the skin, eyes or mucus membranes due to increased amounts of bilirubin in the blood, which can be a sign of liver damage or other conditions

38
Q

What is malaise?

A

Malaise- A general feeling of a lack of well-being, discomfort or illness

39
Q

What is a PEGylated interferon?

A

PEGylated interferon- Interferon attached to a large molecules called polyethylene glycol (PEG). Attaching drugs to PEG can prolong the time they stay in the body before being metabolised or excreted.

40
Q

What is the difference between adaptive immunity and innate immunity?

A

Innate immunity: generates an immediate response to a limited number of microbial molecules
Adaptive immunity: generates a delayed, highly specific response to any microbial molecules