Midterm Flashcards
Immunization Types
Active-Natural: Infection
Active-Induced: Vaccination
Passive-Natural: mother’s breast milk & mother to fetus
Passive-Induced: antiserum
Primary (central) Lymphoid Organs
Bone Marrow
Thymus (above heart)
Secondary (peripheral) Lymphoid Organs
Lymph nodes
Spleen
Malt/Payer’s Patch (in gut)
Leukocyte
immune system cell (white blood cell)
Lymphoid lineage cells
B cells T cells NK cells innate lymphoid cells some dendritic cells
Myeloid lineage cells
macrophages
neutrophils (and other granulocytes)
monocytes
some dendritic cells
Leukocyte lineages
Lymphoid, Myeloid
Lymphocytes & properties
B cells and T cells (adaptive immunity)
Arise from bone marrow
Lymphocyte receptors
BCR: - secreted or membrane bound - bounds antigen in natural form TCR - membrane bound - binds MHC with small piece of antigen on it
MHC
Major Histocompatibility Complex
Clonal Deletion
lymphocytes binding self-antigens are eliminated
Naive lymphocyte
mature lymphocyte not yet activated by an antigen
Innate immunity barriers/obstacles
Barriers: skin, epithelium (gut, respiratory tract)
Obstacles: saliva, hair, mucus, tears
Lyzozyme
digests peptidoglycan
Defensins
disrupts cell membrane by forming pores
Phagocytosing cells
macrophages
neutraphils & other granulocytes
immature dendritic cells
Phagocytosis steps
- receptors bind pathogen
- phagosome formed by invagination
- phagolysosome formed by fusion with lysosome
- digestion
Phagocytosis digestion methods
acidification
ROSs
enzymes
antimicrobial peptides
microglia
- phagocyte working in the central nervous system
- cleans up myelin debris from neurons
multiple sclerosis
demyelination of neurons
Leukocyte migration process
cytokines/chemokines released at site of infection
- > blood vessels dilate and adhesion molecules expressed
- > leukocytes extravasate
- > bloot clotting, pain, redness, edema
Extravasation process
chemokines bind to endothelial cell
- > leukocytes roll into and bind tightly to endothelium
- > cells change shape
- > induced diapedesis
diapedesis
Passage of cells through wall of capillaries, inducing inflammation
Monocyte
circulating leukocyte
Neutrophil
- innate immune system phagocyte
- circulating - must be recruited
- pus is product of dead/dying neutrophils
- produces NETs (neutrophil extracellular traps) matrix that traps microorganisms
Complement molecule properties
- mostly proteases
- usually named C_ (number), and C_a, C_b… when cleaved
- mostly produced by liver
- part of chain reactions that amplify inflammation and clearing of pathogens
Complement mechanisms of action
Increase vascular permeability and chemotaxis
Destroy pathogen membranes
Opsonization
Opsonization
- Coating a pathogen to make it more easily ingested by phagocytes (by antibodies and similar molecules)
C3b coats bacteria
- > binds C3b receptors on phagocyte
- > cascade leading to phagocytosis
Complement Activation (general)
Complement components begin as inactive pro-proteases
Cascade of events leads to proteolotic cleavages
- small piece that has a function
- large piece that acts as protease to another substrate
All pathways converge to C3 convertase cleaving C3 to C3a and C3b
Main pathways:
- lectin pathway
- classical pathway
- alternative pathway
Lectin Pathway
Specific PRRs bind directly to pathogen cell membrane
- > signaling cascade on surface
- > C3 convertase generated
- > C3a and C3b produced
PPRs:
- mannose-binding lectin, ficolins
- circulating in blood
- upregulated during infection
Classical Pathway
C1q in blood binds either to pathogen cell membrane (direct) or to antibody bound to pathogen membrane (indirect)
- > signaling cascade on surface
- > C3 convertase generated
- > C3a and C3b produced
Alternative Pathway
Triggered by existing C3b present due to spontaneous hydrolysis, or production from other pathways
C3b binds other factors
- > produce a particular unstable C3 convertase
- > stabilized by Properdin
- > more C3b produced
Properdin
aka Factor P
Produced by neutrophils
Stabilizes the alternative pathway C3 convertase
Complement induced inflammation
C3a & C5a increase vascular permeability and chemotaxis
(too much -> anaphylactic shock)
C3a & C5a bind receptors on granulocytes and macrophages
-> stimulate release of proinflammatory cytokines & degranulation
Complement induced pathogen lysis
Cascade of events creating MAC (membrane attack complex)
- > pore on pathogen surface
- > cell lysis
Innate Lymphoid Cell
- three types (ILC1, ILC2, ILC3)
- mainly tissue resident (recent studies show otherwise)
- important in gut mucosa
- activated by cytokines (IL-25 is well known to)
- release other cytokines that contribute to pathogen death
- recent finding shows migration of ILC2 between guts and lungs through lymph vessels
Natural Killer Cells
- kills own infected cells
- found in tissues and in circulation
- receptors are germ-line encoded
- recognize MHC1 & similar proteins
Non-Disease State: inhibitory signals on cell prevent NK activation
Disease State: inhibitory signal not present
-> NK releases toxic granules -> apoptosis
OR
-> receptor-mediated apoptosis