Mucosal Immunology - Lee 4/13/16 Flashcards

1
Q

mucosal associated lymphoid tissues

A

NALT - nasopharyngeal

BALT - bronchial

GALT - gastroint

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2
Q

antigen sampling in aerodigestive tract

A

M cells in follicle-assoc epithelium → overlays organized lymphoid tissue in GALT, NALT → production of mucosal IgA (acquired)

M cells in epithelium → overlays diffuse lymphoid tissue → production of systemic IgG (acquired) [and maybe mucosal IgA?]

DCs in epithelium →overlays diffuse lymphoid tissue → production of systemic IgG [maybe mucosal IgA]

common signaling features

*Wnt signaling : tells all intestinal stem cells (from basal crypts) where to go

*Notch signaling : determines cell lineage specification (what they produce, etc)

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3
Q

mucosal barrier components

A

mucus

paracellular pathway

antimicrobial peptides

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4
Q

mucus

A

highly hydrated, viscous secretion with complex macromolecular profile

  • viscosity due to olymeric mucin glycoproteins
  • mucin : permeable to macromolecules (like antimicrobial peptides, Ig) but also serves as a barrier to undesirable mols
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5
Q

intercellular jx

A

1. tight junctions : transmembrane proteins located at lateral surface of epi cells made of claudin and occludins

2. adherent junctions : made of cadherins

3. desmosomes

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6
Q

antimicrobial peptides

A

1. cathelicidins

  • chemotactic for neutrophils, monocytes, mast cells, T cells
  • induces mast cell degranulation
  • alters macrophage transcriptional responses

2. defensins

  • microbicidal against bacteria, fungi, spirochetes, protozoa, viruses
  • present in various cell types
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7
Q

cellular constituents

A

in layers:

epithelial cells

intraepithelial cells

lamina propria lymphocytes

  • mucosal B cells, dendritic cells, intestinal macrophages, mucosal basophils/eosinophils/mast cells, M cells
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8
Q

secretory cells in mucosal epithelium

A

1. goblet cells : mucus producing cells, abundant in GI epi

2. specialized cells producing antimicrobial peptides, found throughout GI tract

*nonspecialized cells show high plasticity → secretory phenotype of lineage can be modified in response to infection or inflammation

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9
Q

intraepithelial lymphocytes

A

wedged between epithelial cells (on basal ends)

balance protective immunity & barrier fx

can be natural (innate) or induced (acquired via exposure to pathogens)

  • at start, natural > inducible → over time, natural (stays constant) < inducible

features:

  • small mononuclear cells
  • mostly CD4-/CD8+ or CD4-/CD8-
  • express NK cell receptors
  • express integrins : interact with epi cells’ Ecadherins

IELs send signals to thymus where T cells are maturing → inform selection → selected T cells home to lymph nodes or to where theyre going to fx

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10
Q

T cells in lamina propria

A
  • predominantly CD4 cells
  • receive signals from epi cells, IELs, stromal cells, integrin receptors
  • interact with microbiota : diff biota induce diff cytokine responses in mucosal T cells
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11
Q

mucosal B cells

A

evidence for mucosal B cells: all mucosal secretions (tears, nasal secretion, saliva, int juice, breastmilk) contain antibodies!

  • abs are produced by mucosal B cells = plasmablasts in lamina propria
  • IgA, IgM are dominant mucosal Igs
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12
Q

epithelial transcytosis of secretory Ig

how do antibodies get from lamina propria to the lumen?

A

can’t make it past tight jx…need to find another way through

transcytosis is mediated by polymeric immunoglobulin receptors (pIgR) found on basolateral surface of epithelial cells

  • pIgA and pIgM bind to pIgRs → receptor-mediated endocytosis of pIg-pIgR complex into epi cell → transcytosis to apical surface of epi cell → cleavage of complex, release of secretory Ig at apical face
    • expression of pIgR is affected by microbial factors, cytokines, hormones
  • sIgA and sIgM anchor to mucin, provide immunological barrier to infection
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13
Q

dendritic cells

A

immature DCs capture, process, and present antigens via MHC

  • pick up self-antigens (apoptotic bodies), soluble exogenous antigen (ex. food proteins), commensal bacterial from skin/mucosa

once stimulated, DCs mature

  • elongate dendrite
  • increase antigen presentation
  • enhance co-stim molecules

mature DCs migrate from nonlymphoid tissue to T cell zone of draining lymph nodes → select/activate naïve T cells

  • induce peripheral tolerance via clonal deletion or anergy; potential pathways include…
    • antigen-specific T cell deletion
    • induction of Treg differentiation
    • production of IgA that prevents antigen/microbial uptake
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14
Q

how do intestinal dendritic cells effect a response to an antigen?

also: role in T cell response

A
  • drive Treg cells involved in tolerance to oral antigen and commensal bacteria
  • provide differentiation signals for IgA-producing B cells
  • once stimulated, migrate to lymph nodes and thymus → cause maturation of T cells and imprint lymphocytes with homing signals back to int tissues

role in T cell response

intestinal DCs pick up an antigen, mature, and travel to thymus or lymph nodes → stimulate naive T cell maturation → mature T cells then home to the site of antigen-pickup to go aid in the immune response

fx of intestinal dentrici cells

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15
Q

macrophage

A

derived from stem cells in bone marrow → continuously populate healthy int mucosa

  • foot soldiers that serve as first-line of immune resp: kill invaders and activate other aspects of response

specialize in scavenging dead/dying cells, repairing damaged tissues, killing intracellular microbes

  • has endocytic properties; has lysozymes and cathepsins that degrade antigens

do not present antigens

  • no dendrite, yes HLA-DR expression, but no expression of costim molecules
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16
Q

M cells and FAE

A

M cells = microfold cells

  • diff cells are tucked in to microfold: antigens that are taken up get presented to DCs → present to B cells, T cells, etc → local production of cytokines and infl markers that either ramp up or dampen an immune response

FAE = follicle-assoc epithelium

  • FAE mediates crosstalk between int flora and mucosal immune system
17
Q

3 mechanisms for antigen uptake and presentation

A

1. M cells

2. dendritic cells : with costim (pathogens=bad!) or without costim (self=ok)

3. transcytotic pIg pathway (pIg-pIgR complex effecting transcytosis out to lumen and back in once antigen is bound)

18
Q

cell trafficking and homing

A

INDUCTIVE SITE:

  1. M cells deliver antigen to DCs
  2. DCs activate lymphocytes and hook them up with gut homing receptors (CCR9, alpha4beta7 → interact with epi cell proteins)
  3. lymphocytes migrate to lymph nodes, where systemic homing receptor is downregulated (L selectin/CD62L)

summary: M cells → DC → lymphocyte (turn on specific homing, turn off systemic homing)

HOMING TO EFFECTOR SITE:

  1. lymphocytes (now homing only to int) move into bloodstream via thoracic duct and travel to mucosa
    * head to lamina propria, IELs
19
Q

commensal microbiota

  • metagenome
  • germ free mice
A

metagenome: aggregate of genes found in microbiome that can be organized in to functional metabolic repertoires

microbiota is acquired after birth ( through food, skin flora of breast when suckling, etc)

  • have to survive GI tract to make it to int, where they might become part of microbiome

commensal bacteria are IMPORTANT: germ free mice have all sorts of abnormalities

  • enlarged cecum
  • longer intestines with abnormal villi
  • poorly developed mesenteric lymph nodes
  • poorly developed Peyer’s patches
  • lower numbers of isolated lymphoid follicles
  • small spleen
20
Q

segmented filamentous bacteria

A

able to stimulate immune fx

  • expose normal mice to antigens → immune response
  • expose germ free mice to antigens → NO immune response
  • expose germ free mice to antigens conjugated with SFB → immune response!

implication: there is something out there (in environment) than can stimulate immune response

21
Q

microbiota and metabolic syndrome

A

regular mice droppings fed to germ free mice → regular size

obese mice droppings fed to germ free mice → obese!