Prelim 1 Flashcards
What is the purpose of the immune system?
The purpose of the immune system is to maintain the healthy state of homeostasis
Vaccines
Deliberately stimulate the immune system
Vaccinated people make long-lived B cells and T cells to recognize the smallpox virus when it infects. These memory cells activate, VIGOROUSLY cloning themselves into 1000’s of defenders and antibodies. Antibodies and immune cells tag and eliminate the virus quickly
Most vaccines prevent ___ not __
Disease not infection
Infection
Invasion of barriers and usually replication of microbes within the host
Infectious disease
Unhealthy state caused by infection with a pathogen. It may be due to damage from the microbe and a vigorous immune response.
Pathogens
- Cause infectious disease
- Bacteria, viruses, fungi, and parasites.
- They typically infect hosts through mouths, eyes, noses, gut, reproductive tract, open wounds, or insect bites
Immunity
The ability to resist disease caused by a pathogen using pathogen-specific defenses (antibodies, memory B cells and memory T cells)
Why don’t vaccines work great?
Because they mutate so frequently.
ex. antibodies that are specific to an antigen won’t be able to bind super well to a mutated version of the virus so they won’t be able to neutralize as great
What is the immune system’s strategy for dealing with threats?
- Recognize and tag
- Activate
- Eliminate by any means necessary
How are fungi and parasites taken care of since they are too large to be phagocytosed?
- They are expelled from the body (nose, mouth, diarrhea) so toxins are secreted
Commensal microbe
co-exists on the outer barriers. Doesn’t infect because it is successfully repelled by immune system. Does not cause disease; some are beneficial. Low threat.
Opportunistic pathogen
A microbe that is usually harmless but causes disease in some situations (opportunities). Commensal microbes can be opportunistic, like Pneumocystis jiroveci which infects and kills AIDs patients who have lost T cell immunity.
What are the names of immune cells?
Leukocytes
Leukocytes
General term for an immune cell (aka white blood cell). Lymphocytes, monocytes, and granulocytes are all leukocytes
Where are leukocytes derived from?
A pluripotent multipotent hematopoietic stem cell made in the bone marrow
Hematopoiesis
Generation of leukocytes, erythrocytes (red blood cells), & platelets from a common pluripotent stem cell by step-wise, irreversible development changes. As a stem cell differentiates, it proliferates… making many clones of the new cell type that migrate to specific parts of the body
Where do B cells, T cells, NK cells, and ILC cells come from?
Common lymphoid progenitor
Where do Dendritic cells come from?
Common myeloid progenitor
Where do neutrophils, eosinophils, basophils, and monocytes come from?
Granulocyte/macrophage progenitor which come from the common myeloid progenitor
Where do macrophages come from?
Monocytes
Where do platelets come from?
Megakaryocyte/ megakaryocyte erythrocyte progenitor
Where do erythrocytes (red blood cells) come from?
Erythroblast / megakaryocyte erythrocyte progenitor
What are the phagocytes?
- Neutrophils
- Macrophages
- Dendritic Cells
What are the granulocytes?
- Neutrophils
- Eosinophils
- Basophils
- Mast cells (allergic response)
Eosinophil
Killing of antibody-coated parasites
Basophil
Promotion of allergic responses and augmentation of anti-parasitic immunity
Mast Cell
Release of granules containing histamine and active agents (allergic response)
Primary Lymphoid Tissues
Thymus and bone marrow
Secondary Lymphoid Tissues
Spleen, lymph nodes, Peyer’s Patches
Where does the T and B Cell Response start?
- In the secondary lymphoid tissue. Lymph nodes are immune cell gathering places.
- To alert (activate) resting T cells and B cells, Dendritic cells bring microbes and antigens for T cells.
- More antigens and microbes flow into the lymph node for B cells`
What are antibodies?
- Immune molecules that bind to threats like toxins or bacteria
- Antibodies block the actions of (neutralize) microbes and toxins
- Antibodies tag threats for elimination by several ways. One way is phagocytosis by a macrophage
Cytokines and Chemokines
Proteins that immune cells and tissues use to communicate. Cytokines send a message, chemokines call for help
Epithelial barriers
Skin, mucosal barriers. The skin has to be waterproof and have a low pH. The epithelium of the respiratory system and gut have to be thinner because there needs to be an exchange of nutrients/oxygen.
Mucosal epithelial (slide 38)
Contain multiple parts and multiple defenses like bricks
- Goblet cells secrete mucus
- Paneth cells secrete antimicrobial defensins and lysozyme
- Epithelial cells start inflammation and transport antibodies
Leukocytes at the epithelial barrier
- Macrophages defend at barrier
- Dendritic cells go to lymphoid tissue to summon T help
- Plasma cells secrete antibodies
*mucus and microbes are also a defense
What are the two chemicals that the gut has?
- Antimicrobial enzymes
- Antimicrobial peptides
These work together, defensin and lysozyme
Lysozyme
Is an enzyme that digest outer cell wall peptidoglycan linkages and exposes lipid membrane of microbe
Defensin
- Antimicrobial peptides
- Defensins attack highly negatively charged surfaces (most microbes)
- The positive end of the defensin is pointing out of the membrane
- Defensins are amphipathic.
- Intercalates into membrane and forms pores. Microbes burst.
- Deployed on the outer surface of barriers, within phagolysosomes, and released from paneth cells into the mucus
Outer side of barriers
- Mucus w/ defensins, lysozyme and antibodies
Inner side of barriers
- Complement proteins
- More pattern recognition molecules (MBL)
- Leukocytes
- Inflammatory response
- Acute-phase
- Interferon response
- T Cells and B Cells
Pathogen recognition mechanisms
Pattern recognition molecules (like opsonization with C3b) & recognition receptors on immune cells (like complement receptors)
Effector mechanisms
Defensive immune responses (like phagocytosis and destruction) that slow or eliminate threats
Why must we have immediate responses to the immune system instead of uniquely generated receptors?
Microbes take many forms and mutate often. It would be impractical to encode a ready-to-use unique receptor or tag for each microbe. Additionally, making this receptor/tag takes time and it might be too late by the time it is created.
3 Immediate Strategies for Attacking Microbes
- Attack highly negatively charged surfaces. If it’s from the host, it’s not a healthy cell (since cells are positively charged on the surface but negatively inside)
- Tag all surfaces where a threat is detected. Healthy host cells will inactivate tags. Unhealthy cells that can’t remove tags will be eliminated.
- Tag the tell-tale molecular patterns on microbes, like their unique cell walls. Healthy host cells don’t have these patterns or cell walls.
How do defensins deal with amphipathic toxins?
- Many toxins are also amphipathic so that they can fold and unfold to exert their toxic effects
- Amphipathic defensins binds and unfold toxins which stops toxin activities, especially at higher body temperatures during fever
- Poorly folded toxins clump together (aggregate). Clumped toxins are destroyed by proteases and the whole thing is ingested by a phagocyte
Defensins are kept in an __ state because…
- Kept in an inactive state until needed.
- The pro-region blocks the positively charged domain from inserting into membranes
- Proteases made by alarmed epithelial cells and leukocytes cut at a specific amino acid sequence (cut site). Now, the defeinsin is active. It inserts into the nearest exposed membrane or unfolds a toxin
What are the two things defensin can do?
- Tear holes in microbes
- Unfold toxins
*there is also alpha and beta defensin that do the same thing but are just at different sites
Mannose-binding lectin (MBL)
- An immune pattern recognition molecule (PRM) that circulates in the blood. When it reaches infected sites, it binds to a mannose pattern. Mannose is common on the surface of bacteria and fungi. MBL can tag many microbes since they typically build cell walls covered in repeated arrays of molecles like sufars that terminate in mannose.
- Has MASP 1,2, and 3. MASP stands for Mannose-binding lectin (MBL)-associated serine proteases that cut C2 and C4 apart
Mannose
Is a microbe associated molecular pattern (MAMP) found on the terminal of microbe cell walls
Pattern Recognition Molecule (PRM)
Innate immune molecule that has a free-floating (soluble) and binds to microbial patterns or damage-induced patterns
Microbe-Associated Molecular Pattern (MAMPS)
A tell-tale molecular feature of a microbe that’s not usually present in a vertebrae host.
Many microbes rely on rigid cell walls and outer cell envelopes that vertebrates don’t use
- Unique molecular features that are often present in a repeating pattern
Is Lysozyme a Pattern Recognition Molecule?
No, it just cuts wherever without specificity
Explain slide 52 on week 1
The diagrams show that gram-positive and negative bacteria have unique markers such as the peptidoglycan cell wall or more specificlaly, gram-negative bacteria having lipopolysaccharide in it’s cell wall. Additionally, vertebrae have sialic acid or fucose as our terminal sugar while yeast have mannose
Complement proteins
Are a family of innate molecules that are devoted to tagging threats (microbes, damaged host cells, aggregated proteins) for elimination by several means
C3
- A central complement protein that tags all surfaces spontaneously or with help from other immune molecules
- Exists as an inactive form with 2 domains, C3a and C3b
- C3 is then cleaved to expose the binding site. The thioester bond is exposed and can either be quenched by water and recycled in the liver or C3b covalently binds to a molecule or a surface.
- All surfaces have hydroxyl or amino groups that can covalently bind to C3b (including pathogens and our own cells). THis is called complement fixation.
- This is a spontaneous process
Different roles of complement proteins (what can each kind of complement protein do)
- Many bind to and act on surfaces or large protein complexes (like MBL)
- Many are inactive enzymes (zymogens) until they are cleaved or their shape is changed (activated) by a preceding complement enzyme in a cascade (like MASP 1,2,3,)
- Many amplify a step in a pathway (C4b C3b amplifying the signal)
- Some are receptors on immune cells (CR1)
- Some slow or inactive a step (CD59)
Zymogen
A functionally inactive form of a protease which requires cleavage by another protease to become active
Protease
An enzyme that specifically cleaves another protein
Important characteristics of the complement cascade
- Most complement proteins circulate in blood as inactive proteases that are activated by cleavage. Water or proteases perform the cleavage. Multiple, sequential cleavages cause a complement cascade.
Steps of the Alternative Complement Pathway
- Can start spontaneously
- C3 flows freely until it interacts with water to create iC3 which changes the conformation of C3
- This conformational change allows factor B to bind iC3 and open it’s cleavage site (since binding to iC3 changes its conformation as well)
- Factor D can bind to the cleavage site in factor B and cut it into Bb and Ba. Factor D leaves and so does Ba but Bb stays attached to the iC3 creating a molecule called iC3Bb
- iC3Bb is a C3 convertase which cleaves C3 into C3a (anaphylatoxin) and C3b which might covalently bond its thioester bond with a hydroxyl group/amino group on a nearby cell or microbe
Convertase
Complex of several complement proteins with protease enzyme activity; cleaves an inactive complement protein to activate its activity.
How does C3b also act as a convertase?
-Once C3b is bound to the surface, it can then bind factor B and D again to create the C3bBb complex (similar to the iC3Bb complex)
- This complex is a C3 convertase
- The C3b is able to amplify the amount of C3b to the surface since it is already so close to the surface, so any C3 it cleaves will be in close enough proximity to attach it’s C3b.
- Results in a lot of soluble C3a and a lot of fixed C3b
3 outcomes of Complement Activation
- Opsonization for phagocytosis
- Lyse targets with pores
- Calling for help (inflammation)
Opsonization and phagocytosis
Opsonization, tagging something for phagocytosis, allows macrophages to use a set of phagocytic receptors to ingest (phagocytose) any microbe tagged with complement
Lyse target with pores in lipid membranes
- C3bBb can be attached to another C3b to create C3b2Bb which is a C5 convertase
- This complex will cleave C5 into C5a and C5b.
- C5a is a anaphylatoxin but C5b will bind C6 and C7 first
- Once these are attached, C8 will attached to form C5b678 into the membrane. C8 is what’s anchoring it to the membrane.
- Once attached, many C9s will attached to form a pore called the Membrane Attack Complex (MAC)
- Water and sodium rush into the cell & bursts or destructive molecules in a phagolysosome rush in and kill the microbe
Why doesn’t complement lyse our own cells? (DRAW)
Regulatory complement proteins like protectin (CD59) are on healthy host cells to prevent assembly of C9 and the Membrane Attack Complex
- Human cells have a lot of CD59
Calling for help (inflammation)
- C5a, C4a, and C3a are powerful anaphylatoxins that change blood vessel cells (endothelial cells)
- Induce cells to detach partially from each other (leaky)
- Induce cells to express adhesion molecules to catch blood leukocytes
- Promote local coagulation to wall off the infection
Arriving neutrophils and monocytes use receptors for anaphylatoxins (like the C5a receptor) to activate and chase microbes (chemotaxis once it’s slows down from adhesion molecules)
- Arriving monocytes become destructive macrophages
- Activated neutrophils chase microbes
- Phagocytes engulf C3b tagged microbes
Anaphylatoxin
Early name for small complement peptides C3a, C4a, C5a because when they are erroneously produced throughout the entire body at once, they are deadly toxins causing anaphylactic shock
What are the three ways to start a complement cascade?
- Lectin Pathway
- Classical Pathway
- Alternative Pathway
Which complement cascades start by pattern recognition?
The Lectin Pathway and Classical Pathway. These pathways are more efficient because they are not spontaneous
What convertase do all the complement cascades generate? What are the outcomes of the cascades?
- All pathways generate a C3 convertase
- The three outcomes are still opsonization, lysis of cells with pores, and calling for help (inflammation)
Lectin Pathway
- You can have either MBL or Ficolin as the pattern recognition molecules. They both have 3 MASP associated with them
- If you have MBL, it will bind to mannose and the change in conformation will activate the serine proteases
- MASP-2 cleaves C4 into C4a and C4b. C4b will attach to the microbial surface (similarly to C3b)
- MASP-2 will then cleave C2 into C2a and C2b
- In this case, C2b is the bigger piece and will bind onto C4b to create the C4bC2a convertase for C3
- This convertase will split C3 into C3a and C3b the same way that we see other C3 convertases in the alternative pathway
Classical Pathway
- C-reactive protein binds phosphorylcholine in lipid membranes which is common on microbes or damaged host cells
- C-RP provides a landing pad for complement protein C1q that carries serine proteases C1rs. The whole structure is called C1qrs
- Proteases (C1r and C1s) are activated when C1q binds. Then they cleave C4 and C2 to make C3 convertase (C4bC2a)
- Instead of having C-reactive protein as a landing pad, a C1q can also land on the FC portion of an antibody
Name all the C3 convertases and draw how they form
- iC3Bb convertase aka C3(H20)Bb (fluid phase)
- C3bBb convertase (alternative)
- C4bC2a convertase (Lectin and classical)
Name all the C5 convertases and draw how they form
- C3b2Bb (alternative)
- C4bC2aC3b or C4b2a3b
Does the classical & lectin pathways add a C4b to C4b2a to also create another C5 convertase?
No, you can only have a C4b2a3b
What are some ways complement is regulated (including the molecules) ?
- Soluble C3b is rapidly inactivated by water and proteases (proteases chew them up)
- Complement proteins are continually degraded
- Most complement proteins act only when bound to a surface
- Some regulatory complement proteins INACTIVATE surface-bound convertases. Host make them; microbes don’t… Like protectin (CD59)
- Some regulatory complement proteins bidn to microbes and stabilize complement one microbes… like Properdin (factor P)
Properdin (Factor P)
-Up-regulates complement action on microbes
- Binds to a microbe surface and stabilizes the short-lived C3 convertase since it degrades in minutes (C3bBb)
- Factor P is a pattern recognition molecule, so once it finds C3bBb, it stabilizes it by binding to the pathogen surface
- Factor P is secreted by neutrophils
C1 INH
- C1 INH permanently inactivates the serine proteases (C1r and C1s) on C1q (by dissociating/removing them)
Which complement proteins down-regulate complement activity?
- C1 INH
- Factor I
- CD59
Factor I
- Healthy host cells use complement regulatory proteins to deactivate convertases
- Factor I cleaves C4b with the help of other complement regulatory proteins to inactivate the C3 convertase
- DAF, C4BP, and CR1 displace C2a from the complex so that C4b can be bound by C4BP, MCPm or CR1 so that Factor I can come in and cleave it into C4d and C4c
How does a healthy cell protect itself against complement proteins?
- Protectin
- Factor I
Microbes Smaller than ______ are readily phagocytosed by macrophages
70 microns (everything except fungi and parasites)
Microbes Smaller than ____ are readily phagocytised by neutrophils
30 microns