Natural Immune System Flashcards
Also called the Innate Immune System
Natural Immune SYstem
Acidity of the skin is a part of the 2nd line of immune system. T/F
F. Acidity is a chemical barrier under the 1st line of immune system
A substance that cleaves the cell wall of G+ bacteria
Lysozyme
What substance digests the bacterial surface protein?
Pepsin
What substance binds iron essential for bacterial growth?
Lactoferrin
What is the pH of skin?
5.5-5.6
pH of vagina
pH 5
What is the pH of stomach?
pH 1
Lactobacillus acidophilus present in the vagina is what type of barrier?
Biological Barrier.
A normal flora in the vagina that maintains the acidity against pathogens
The ciliary action of the trachea is a what type of barrier?
Physical Barrier
Phagocytes like Neutrophil and Basophil belong to what line of immune defense?
2nd Line of immune defense
What phagocyte is the most efficient and 1st to migrate at the site of infection?
Neutrophil
Cell clinical significant during hypersensitivity
Basophil
What cell indicates acute & bacterial infection?
Neutrophil
Provide 2 types of APCs
1.Dendritic cell
2. Macrophage
Dendritic cells in the skin
Langerhans cells
APC at the secondary lymphoid organs
Interdigitating dendritic cells
Dendritic cells at major organs
Interstitial dendritic cells
Macrophage in the liver
Kupffer cells
Macrophage in the brain
Microglial cells
Microphage in the Kidney
Mesangial cells
Macrophage in the lungs
Alveolar cells
Macrophage in the bones
Osteoclasts
Macrophage in the spleen
Splenic macrophage/Littoral cells
What cells create antibodies?
B cells
Most potent mediator of Type I hypersensitivity
MAst Cells
“Null lymphocyte”
NK cells
Attacks virally infected cells, tumor cells, secretes perforins & granzymes
NK cells
Inhibitory receptors
Killer Cell Ig-like receptor (KIR), ILT/LIR, CD94/NKG2A
NK cells express what CD markers
CD 16, CD 56
Bridges innate and adaptive immune response
NK cells
NK cells also called ____ when exposed to IL-2 & IFN-y
Lymphokine Activated Killer Cells/LAKs
the engulfment & destruction of microorganisms or damaged cells
Phagocytosis
Steps of Phagocytosis
ICED
Initiation, Chemotaxis, Engulfment/Ingestion, Digestion/Killing
Process where cells move in a certain direction under the stimulation of chemotaxin
Chemotaxis
Without chemotaxin, cells move in
RANDOM
Test for Chemotaxis
Boyden Chamber
Migration TOWARDS THE SITE
Positive Chemotaxis
Migration AWAY FROM THE SITE
Negative Chemotaxis
Receptors of the innate immune system recognized PAMPS through
Pattern Recognition receptor (PRR)
Receptors of the innate immune system recognized ________ through PRR
PAMPS (PAthogen Associated Molecular Pattern)
Receptors of the innate immune system recognized PAMPS through PRR
Adhesion
Toll Like Receptor is from
fruit fly/ drosophilia fly
TLR1
Mycobacteria
TLR2
Teichoic Acid (G+)
TLR4
Lipopolysaccharides (G-)
Macrophage Mannose receptor
Calcium Dependent Lecithin/ C-Type Lecithin Receptor/ CLR
Recognizes Anionic polymers & Protein
Scavenger Recptor
Phagocytes engulf foreign matter through
membrane Invagination
The engulfment of the phagocytes leads to the formation of a
Phagosome
Interact with the surfaces of bacteria, speeding up phagocytosis
Opsonins
Hydrolytic enzymes & peroxidase fused with the phagosome , forming phagolysosome degrading & rupturing it
Digestion
This enzyme activity leads to the formation of Reactive Oxygen Species/ROS
NADPH Oxidase
Products of respiratory burst
O2- superoxide
OH (hydroxyl radical)
Singlet O2
H2O2 (Hydrogen peroxide)
this leads to the production of hypochlorite
Myeloperoxidase system
Cleaves bacterial cell membrane
Defensin
proteases that cleaves proteins in the cell
Cathepsin G
Cleaves Bacterial cell wall
Lysozyme/Muramidase
produced by the activated macrophage
Nitric oxide
PRR binds to the PAMPS
Adhesion
Lysosomal granules fuse with the phagosome
Granule contact
cell move to the site of injury (due to C5a)
Chemotaxis
The body’s overall reaction to injury or invasion
Inflammation
Normal serum constituents that increase rapidly by 25% due to infx, injury, or trauma
Acute Phase Reactants
CRP
Opsonization, complement activatiob
Serum Amyloid A
activates monocytes, macrophages
a1-antitrypsin
Protease inhibitor
Fibrinogen
Clot formation
Haptoglobin
binds hemoglobin
Ceruloplasmin
binds copper, oxidizes iron
C3 complement
opsonization, lysis
CRP response time
4-6 hrs
Serum Amyloid A reponse time
24 hrs
CRP normal concentration
0.5 mg/dL
CRP increase
1000x
Serum Amyloid A increase
1000x
APR: 2x increase
Ceruloplasmin, C3
APR: 2-5x increase
A1- antitrypsin, Fibrinogen
Haptoglobin increase
2-10x
APR that increases more in bacterial infections than viral infections
Serum Amyloid A
Best indicator for Acute inflammation
CRP
CRP Principle
Reverse passive Agglutination
Group of cytokines in virally infected cells that interfere with replication
Interferons
IFN-a other name
Leukocyte IFN
IFN-b
Epithelial Fibroblast IFN
IFN-y
Immune IFN
IFN-a producer cells
Null lymphocyte/NK cells
IFN-b producer cells
Fibroblast, Epithelial cells, Macrophages
IFN-y producer cells
Th1 cells, NK cells
TNF-a
Cachetin
TNF-b
Lymphotoxin
Lymphotoxin is produced by
T cells (CD4, CD 8), B cells
Cachetin is produced by
Neutrophils, Monocytes, Macrophage, activated T cells
cytokines that stimulate transendothelial leukocyte movement, regulate the migration of PMNs & mononuclear leukocytes
Chemokines
Acquired, Specific Immune System
Adaptive immune System
Anamnestic immune response, forms memory cells
Adaptive Immune System
Active, Natural
Infection
Active, Artificial
Vaccination
Passive, Natural
Colostrum (IgA), Placental (IgG)
Passive, Artificial
Serum therapy (anti-tetanus, Rhogam)
Hepa A, Polio (Salk), Rabies, Whooping cough Vaccines
Inactive vaccines
Tetanus, Diptheria Vaccines
Toxoids
Smallpox, BCG, Polio (Sabin), Chickenpox, MMR Vaccines
Live Attenuated
Recombinant HBsAg from genetically engineered yeast cell
Synthetic cell