Midterm Flashcards
Immune cells
Dynamic set of specialized cells that search for, deal with and eliminate danger
Pathogens
Things that our immune system defends against. Can include viruses, bacteria, fungi, etc.
Immune system
A network of blood derived cellular operations that orchestrates protection against the microbial world.
Innate immune system
A nonspecific response that includes the first and second line of defence.
Leukocytes
Specialized cells of the immune system.
First line of defence for innate immune system
Barriers that block entry/invasion. These include ears, eyes, mouth and nasal cavity, skin, stomach, trachea and bronchi, vagina, urethra and anus.
Second line of defence for innate immune system
Once a pathogen has made it past the first line of defence, the second line of defence is activated and involves cells and fluid attacking invaders
Adaptive immune response
Specific response that involves the 3rd line of defence. develops after exposure to a pathogen.
True or false: the innate and adaptive immune systems are mutually exclusive.
False, they typically work together; the innate system informing the adaptive immune system.
Defensins
Antimicrobial peptides which can kill and inhibit growth of pathogens - found in the mucous layer surrounding the GI tract.
Overall function of innate immune cells (IICs)
- getting rid of pathogen by “eating” it or releasing signals that destroy it
- send signals to recruit other immune cells for help
- send signals to alert and mobilize the adaptive branch
Mast cells will recognize bacteria and then release _____________
Heparin/histamine
Heparin/histamine
Causes blood vessels to dilate which increase in white blood cell concentration at the affected area
How do innate immune cells recognize pathogens?
Pathogens have PAMPs attached to them which is recognized by receptors on the innate immune cells (PRRs)
PAMPs (Pathogen associated molecular patterns)
Non-specific shared characteristic of different types of pathogens that are not present on human cells.
What do innate immune cells do once their PRRs are activated?
Initiates phagocytosis which includes engulfing, breaking down and digesting the pathogen
What is the main cell type involved in phagocytosis
Macrophages
Neutrophils and Phagocytosis
The most abundant and rapid responders who roam through blood and infectious tissue - they engulf and destroy microbes (especially bacteria)
Macrophages and Phagocytosis
Found throughout the body as roamers and reside in various tissues
Eosinophils and phagocytosis
embedded in tissue and are used to kill parasites larger than bacteria
Dendritic cells and phaogcytosis
Embedded in tissue and are antigen presenting cells - they phagocytize part of the antigen and then present its parts to the adaptive immune system.
Describe the 3 methods of attack for neutrophils
1) Phagocytosis
2) Degranulation - this involves releasing chemicals such as defensins(which are attracted to the pathogen’s membrane) which then poke holes into the membrane of the pathogen inducing apoptosis
3) Release of Neutrophil Extracellular Traps (NETS): involves a net like extension which will trap the pathogen and then bring it to the neutrophil to perform phagocytosis
How do innate immune cells attack very large pathogens?
Phagocytic cells will act to destroy it as well as release toxic chemicals such as defensins, ROS (reactive oxygen species) and lysosomes to chemically break it down.
Cytokines
Small glycoproteins that are involved in chemical signalling in which are released into the blood stream by IICs upon recognition of a pathogen.
Primary role of cytokines
Recruits, activate/deactivate, and/or stimulate production of immune cells.
Autocrine signalling
Signal that acts on the same cell it was released from
Paracrine signalling
Signalling the affects cells in the immediate vicinity
Endocrine signalling
Signalling that affects cells remote from the secreting cell
Pro-Inflammatory cytokines
Used to amplify the immune response.
Examples: TNFa, IFN-gamma, Interleukin-6 (IL-6)
Anti-inflammatory cytokines
Used to decrease an inflammatory response
Examples: IL-4,IL-10, IL-20
Complement system
A set of 20 proteins present in the blood (compliment proteins) that are activated by pathogens. Their role is to enhance inflammation, cause opsonization, cytolysis
Opsonization
Tagging of a pathogen for destruction
Cell types involved in the adaptive immune system
B cells and T cells
Cellular immunity typically involves __________
T cells
Humoral immunity typically involves ___________
B cells
Antigen
Specific molecular markers of different bacteria (sometimes a pathogen can be referred to as an antigen)
How does a B cell recognize a pathogen?
B cells have B cell receptors that can recognize one specific antigen on a pathogen.
Antibody specificity
A B cell can only recognize one type of pathogen - one that can recognize influenza cannot recognize herpes.
How do B cells proliferate?
An antigen binding to a BCR will cause a cascade that will lead to the proliferation of that B cell. The b cell will make effector B cells which will then mature into plasma cells. Plasma cells will release the antibodies against the antigen.
What is the main function of an antibody
To neutralize and/or eliminate a pathogen/antigen
How does an antibody neutralize a pathogen?
It does so by binding to the antigen which anchors it - therefore it cannot enter cells and replicate.
What is an antibody’s role in opsonization?
The antibody’s constant region is exposed which signals macrophages and other phagocytes to come engulf the pathogen.
Variable region of an antibody
Binds to the antigen on the pathogen, leaving constant region exposed
Constant region of the antibody
Not attached to the antigen: they recruit macrophages and phagocytes to the pathogen to be phagocytized.
Fc Region
receptor on a phagocyte which allows them to recognize antibodies that are bound to pathogens.
Active immunity
Immunity that occurs by exposing someone to the virus (vaccinations)
Passive immunity
Natural immunity that is derived from without activating the individuals immune system.
Example: mother’s breast milk or blood plasma transplant
Memory b cells
Created during the B cell proliferation stage and remain once a pathogen has been eliminated. Allows prompt recognition of that same pathogen should we be infected again.
Function of T cells
1) Help other immune cells
2) Regulate immune response
3) Kill and mobilize a response against infected cells
What are the 4 types of T cells
1) CD 8+ Cytotoxic T cells (Tc)
2) CD 4+ T helper cells (Th)
3) CD4+ T Regulatory cells (Treg)
4) T memory cells
Role of Cytotoxic T cells
To kill infect cells
MHC proteins
Major histocompatibility complex that all cells have. Once infected, the MHC will turn the virus into fragments, hold its parts on its cells surface and it present it outside the cell for the Tc to kill.
MHC1
All nucleated cells in the body have this complex
MHC2
Found in antigen presenting cells such as phagocytic Innate Immune Cells (dendritic cells) and B cells
How does a Tc recognize and initiate elimination of an infected cell.
The CD8 protein in Tc will recognize the MHC1 on the infected cell and bind to it. The CD8 protein will move the cell closer to the TCR and if it recognizes the pathogen it will initiate apoptosis of the cell. The Tc and the infected cell will also release cytokines that will call the Tc to make clones of itself. The clones (Effector Tc cells) will now be circulating to find more infected cells. They will bind and force the cell to self destruct through exocytosing perforin and granzymes that will poke holes in the infected cells membrane.
Role of the T helper cells
They help engage an immune response by secreting cytokines which help activate other cells of the immune system
Lymphatic system
part of a vascular system comprising a large network of lymphatic vessels that contain fluid called lymph
Proliferation of Th cells
When the MHC2 binds to the Th cell cytokines are released. These cytokines will initiate proliferation of 2 types of TH cells: Th1 or Th2.
What cytokine initiates Th1 proliferation?
IL-12
Sterile inflammation
Factors that cause an immune activation in our body that is not provoked by a pathogen.
Example: Trauma, stroke, toxins, etc.
What is the blood brain barrier?
A membrane that assists in making our peripheral immune system decentralized, prevents harmful substances from entering into the brain, and allows selective passage of essential nutrients such as oxygen and hormones.
What cells make up the BBB?
Brain capillary endothelial cells (BCECs)
What is the neurovascular unit(NVU) made up of?
BCECs, pericytes and astrocytic endfeet.
How does the BBB restrict things from entering the brain?
The BCECs are joined together by tight junction proteins.
Paracellular transport across BBB
Refers to transport that occurs in between cells, passing through an intercellular hollow pathway. Not tightly regulated and relatively unselective (based on size and charge). (H2O, electrolytes)
Transcellular Diffusion across BBB (Passive diffusion)
Transport of small lipophillic molecules through brain capillary endothelial cells from the blood into the brain
Carrier Mediated Transcytosis across BBB
Molecules carried across the BCECs via specific solute carriers/carrier proteins. Solute will bind to the protein transporter leading to a conformational change, allowing the carrier to then transport the substance to the other side of the membrane (typically with its concentration gradient) (if against gradient, ATP is used)
Absorptive Mediated Transcytosis across BBB
Positively charged substance in bloodstream is attracted to negatively charged membrane, this induces membrane invagination and vesicle formation. The substance-containing vesicle will enter intracellular space and move to the brain side of the capillary endothelium – then integrating with the cell membrane and releasing its contents.
Receptor mediated transcytosis across BBB ** will be an exam question **
Macromolecules enter via receptor binding which triggers an endocytotic event and subsequent transport across the BBB. The ligand binds to the receptor, initiates invagination of membrane and endocytosis; in cell, the vesicle can be 1) recycled back out into the capillary, 2) fuse with membrane on the other side for content release, or 3) fuse with lysosome and be degraded.
Flaw of the BBB
Prevents treatment administration for certain brain illnesses.
How might scientists overcome the flaw of the BBB when administering brain treatments
We can inject antibodies into the brain were created to target certain brain pathogens or proteins for destruction or for tagging.
How are antibodies created for immunostaining?
Inject antigens into an animal species (rat, rabbit, etc). Antigen will activate the B cells and then produce antibodies against that antigen. We then collect the plasma and extract the antibodies from the plasma. (Primary antibody)
Method for utilizing antibodies against Alzeimer’s (removal of beta ameloid plaques)
Using the Receptor mediated transcytosis system, there are many transcytosis receptors (TfR) on the BCECs.
Antibody conjugation
Method of antibody delivery that involves taking a part of the protein that binds to TfR and fusing it with the antibody. This antibody/protein complex can then cross the BBB and bind to the antigen in the brain.
True or false: Antibodies are immunoglobulin proteins?
True
Antigen binding region
Portion of the antibody that binds to the antigen.
5 classes of antibodies
IgG, IgM, IgD, IgA, IgE
Role of IgG
To neutralize toxins and perform opsinization.
Bispecific antibodies
An antibody that binds to 2 different antigens, one being the BBB receptor and the second being the Ag target.
Other methods of treatment delivery into the brain (not including receptor mediated transcytosis)
1) Utilizing other receptors on BCECs
2) Linking drugs with amino acids that are known to cross BBB
3) Using BBB permeability enhancers.
4) Non-invasive techniques
Leaky BBB
This describes when the BBB becomes compromised and leads to infiltration of toxic substances into the brain.
Microglia
The brain’s immune cells, they act as guards detecting first signs of pathogenic invasion, tissue damage, cancerous or defective cells.
True or False: Microglia come from the same source as other cells of the CNS
False, they are though to come from progenitor cells in our yolk sac.
Characteristics of microglia as surveyors
They are in their non-reactive form where they move around our neurons and cells looking for “trouble”. Microglia in this state have a small cell body and highly ramified branches.
Overall function of microglia in their non-reactive form
- Clean up cellular debris and foreign materials in the environment.
- Maintain homeostasis to ensure integrity of neuronal circuits.
What causes microglia to exit their non-reactive form
If their recognition receptors are activated they will morph into their reactive form which consists of reactive-non-phagocytic or reactive phagocytic.
Two pathways of morph from a non-reactive microglia
1) Non- reactive –> Reactive-non-phagocytic –> reactive phagocytic
2) Non-reactive –> reactive non-phagocytic
Non-reactive can turn into either RNP or RP, depends on whether phagocytic receptors get activated or not.
Role of microglia in their reactive form
- Release molecules to recruit and activate other immune cells
- Release factors that induce destruction/protection of neurons and dendrites.
- Regulate amount of inflammation
- engage in phagocytosis
5 Steps in phagocytosis guaranteed exam question
1) recognition of pathogen, debris or apoptotic cells
2) ingestion and formation of phagosome
3) formation of the phagolysosome (merging of a phagosome and a lysosome)
4) killing of target molecule
5) elimination and exocytosis
Are non reactive microglia typically pro- or anti- inflammatory?
Anti-inflammatory
Are reactive microglia typically pro- or anti- inflammatory?
Pro-inflammatory
Two types of receptors present on microglia
1) Damage recognition receptors (DRRs) - recognize damage/apoptotic cells (DAMPs)
2) Pattern/pathogen recognition receptors (PRRs) - recognize PAMPs
How do microglia recognize damage?
Their DRRs will be activated by nuclear or cytosolic proteins released by the damaged cell.
What happens when a DRR is activated?
It will engage in chemotaxis, release cytokines and engage in phagocytosis
Chemotaxis
Process where microglia and other cells move in response to a signal
NFKB pathway resulted from PRR activation
1) the NFKB complex is resting in the cytosol and not moving because it is attached to IKB.
2) When TLR4 is activated, IKB gets broken down which leads NKFB to be free to act as a transcription factor
3) NFKB will translocate from cytosol into nucleus to interact with DNA/promoter regions of pro-inflammatory cytokines to be transcribed.
Neuroinflammation
Brain’s inflammatory response to various triggers, such as injury, infection, stress or neurodegen. conditions. It involved the accumulation of reactive microglia.
Acute neuroinflammation
Rapid inflammatory response which occurs immediately following CNS injury or xenobiotic detection in the brain, often involving activated microglia (RNP and RP) for a period of time
How can microglia protect against stroke damage?
1) Swiftly clearing debris, removing dead cells and preventing harm to neurons.
2) Release growth factors like VEGF and BDNF.
3) Promote formation and maintenance of tight junctions for the BBB