Mucosal Immunity (Lec 8) Flashcards

1
Q

Most infections actually occur through…

A
  • mucosal surfaces rather than our skin
    bc larger surface of skin means there are more immune cells to fight it
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2
Q

what is found in the Gastrointestinal Tract?

A
  • Mucus lines all of the areas
  • Commensal bacteria also populate all
    the areas, help us degrade and digest food
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3
Q

Waldeyer’s ring

A
  • Tonsils and adenoids (secondary lymphoid tissues) surround the entry point to the gastrointestinal and respiratory tracts
  • serves as the first line of defense against inhaled or ingested pathogens
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4
Q
A
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5
Q

Villi

A
  • line the inner wall of the small intestine
  • projections that aid in nutrient absorption
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6
Q

Parts of the Gut-associated lymphoid tissue (GALT)

A
  • villi
  • Peyer’s patches (only in small intestine)
  • isolated lymphoid follicles (small intestine and large intestine)
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7
Q

IgG is dominant in…

A

the nose, lower respiratory tract and urogenital tracts

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8
Q

IgG is transported from the blood to mucosal secretions by…

A

the Fc receptor (FcRn)

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9
Q

Mucus

A

made of glycoproteins, Mucins, that provide viscous and protective features

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10
Q

Mucins

A
  • family of glycoproteins that have simple sequence repeats
  • polypeptides are linked by disulfide bonds and form huge networks
  • Carbohydrates have ionic charge that retains antimicrobial peptides (e.g. defensins) and IgA
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11
Q

What are the different intestinal barrier structures?

A
  • mucosa
  • goblet cell
  • paneth cell
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12
Q

What is mucosa comprised of?

A

epithelial cells and lamina
propria (connective tissue with immune cells and structures)

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13
Q

what do goblet cells do?

A

secret mucus

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14
Q

What do paneth cells do?

A

produce antimicrobial peptides (AMPs)

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15
Q

M (microfold) cells

A
  • help us constantly monitor the gut lumen
  • Antigen undergoes transcytosis in M cells to reach Peyer’s Patch where immune cells can recognize pathogens and mount an immune response
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16
Q

What protect the mucosal tissues even when there is no infection?

A

activated (effector) immune cells

17
Q

What capture antigen from the gut lumen by extending processes between intestinal epithelial cells?

A

dendritic cells

18
Q

Healthy gut environment vs altered gut environment

A

Healthy:
- “peace keeping” bacteria present, more than pathobiont bacteria
- homeostasis
Altered gut environment:
- ie. from antibiotics, diet, pollutants
- dysbiosis: decrease in “peace-keeping” bacteria and increase in pathobionts and invaders
- leads to pathological inflammation

19
Q

Immune Response to Mucosal Infection

A
  • starts with healthy tissue protected by mucosal immunity
  • bacteria gain access to lamina propria by endocytosis
  • this activates macrophages but does not cause inflammation
  • local effector cells respond to limit infection
  • dendritic cells travel to mesenteric lymph node to activate adaptive immunity
  • highly specific effector B and T cells colonize infected area
  • infection is terminated with either minor tissue damage or no need for repair
20
Q

Lamina propria

A
  • layer of loose connective tissue found just beneath the epithelium of mucosal surfaces
  • Rich in immune cells
  • Works with the epithelium and gut-associated lymphoid tissue (GALT) to defend against pathogens
21
Q

If the mucosal surface is breached, what is a source of infection?

A
  • Commensal bacteria
  • Mucosal immunity tries to prevent a massive influx of this bacteria during barriers being breached
22
Q

Mucosal immunity employs 2 unique strategies…

A
  1. Low inflammation: avoid tissue damage and prevent worse infections
  2. Proactive: Constantly producing an adaptive immune response towards commensal bacteria
23
Q

Intestinal Macrophages

A
  • phagocytic cells
  • do not contribute to inflammation
  • have MHC class II but cannot activate naïve T cells (not professional antigen presenting cells)
  • inflammation-anergic
24
Q

Inflammation anergic

A

immune cells like macrophages in the intestines are unresponsive to inflammation-inducing signals, even when exposed to pathogens or inflammatory stimuli

25
Intestinal Epithelial Cells
- recognize bacteria by TLRs on the cell surface or in intracellular vesicles - recognize bacteria entering the cytosol by NOD receptors - triggers local inflammatory response with minimal damage
26
Mucosal-Activated Lymphocytes
- Lymphocytes enter Peyer’s patches from the bloodstream - If they become activated, effector lymphocytes drain to the closest lymph node and enter the bloodstream - they travel the body and undergo extravasation to protect other mucosal tissues