Saliva And Mucosal Defense Mechanisms- Exam III Flashcards
Cells involved in innate immunity include:
Macrophages, Dendritic cells, Mast cells, NK cells, granulocytes (neutrophils, basophils, and eosinophils)
What protein is involved in innate immunity?
Complement protein
What cells are involved in adaptive immunity?
B cells, T cells (CD4+ T-cell, CD8+ T-cells)
What non cell component is involved in adaptive immunity?
Antibodies
What are our helper T cells?
CD4+
What are our cytotoxic T cells?
CD8+
What are the common components between the adaptive and innate immune cells?
____ T-Cells, and Natural Killer T-cells
The T in T cells stands for:
Thymus dependent lymphocyte
The B in B-cells stands for
Bursa of fabrics is lymphocytes
What are T and B cells derived from in humans?
multi potent hematopoietic stem cells in bone marrow
T-cells are classified into subsets based on the cell-surface expression of:
CD4 or CD8 molecules
What type of T cells protect against intracellular microbes and function during cell-mediated immunity?
CD8 T cells ( Cytotoxic T cells )
B-cells proliferate and differentiate into plasma cells after activation by:
Helper T cells
Antibody secretion is seen in what type of immunity?
Humoral immunity
What are the primary lymphoid organs?
Thymus and bone marrow
What are the secondary lymphoid organs?
Spleen, tonsils, lymph nodes and MALT
Produce reactive cells and eliminate self reacting cells:
Primary lymphoid organs (thymus and bone marrow)
Environment for proliferation, maturation, cell-cell interaction and cytokine-cell interaction:
secondary lymphoid organs
Lymphocytes and lymph returns to the blood via:
Thoracic duct
Naive lymphocytes enter lymph from the:
Blood
Antigens from sites of infection reach lymph nodes via:
Lymphatics
Molecules found on all nucleated cells of the body:
MHC class I
MHC class II molecules are normally restricted to:
Dendritic cells, Macrophages, and B-cells
What are our antigen-presenting cells (APCs)
Macrophages, dendritic cells, B-cells
What recognizes the complex of viral peptide with MHC class I and kills the infected cell?
Cytotoxic T-cells (CD8+)
How do the cytotoxic T-cells kill the infected cell presented by MHC class I>
- Perforin-mediated cell death
- Fas-mediated apoptosis
MHC class I is involved in what pathway?
Endogenous pathway
What pathway is MHC class II involved in?
Exogenous pathway
What subunits compose the T-cell receptor?
alpha and beta
What are the antigen presenting molecules?
Major Histocompatibility complexes (MHC)
In humans what are the MHC molecules called?
HLA (Human Leukocyte Antigens)
If we are talking about the cytosol and the endoplasmic reticulum as well as viral peptides we are referring to what class?
MHC Class I
If we are talking about endosomes, acidified vesicle proteases, fusion and pathogens/proteins we are referring to what class?
MHC Class 2
What recognizes the complex of bacterial peptides with MHC class II and activates the macrophage:
Type 1 helper T-cells
Intercellular killing is enhanced by type 1 helper cells releasing:
Interferon Gamma
What recognizes the complex of antigenic peptide MHC class II and activates B-cell?
Helper T-cell
Activation of ____ results in cytokine production require for proliferation and development into plasma cells
Type 2 helper T-cell
The F(ab)2 region of the antibody functions in:
Antigen binding
The Fc region of the antibodies functions to bind to Fc receptors on ______ and activate ____.
Phagocytes ; Complement
Most antibody in serum, 4 subclasses, and long-term protection:
IgG
Antibody that is a pentamer, usually the first antibody made during primary response, and excellent at binding complement proteins
IgM
Antibody that functions in allergic (anaphylactic) responses and contains anti-parasitic properties:
IgE
Antibody that is secretory dimer but circulatory monomer & is the first defense for mucosal surfaces:
IgA
Number of binding sites on:
IgM
IgG
IgA
IgE
IgD
GED= 2
A= 4
M=10
What antibody can cross the placenta?
IgG
Main antibody of primary responses, best at fixing complement, & monomer form serves as B-cell receptor
IgM
Main antibody of secondary responses, neutralizes toxins, opsonization
IgG
Antibody secreted into mucous, tears, saliva, and colostrum
IgA
Antibody of allergy and anti parasitic activity
IgE
Antibody that is a B-cell receptor
IgD
What are the 3 pairs of major salivary glands?
- Parotid
- Submandibular
- Sublingual
Saliva is a complex _____ and slightly _____ fluid.
Hypotonic and slightly acidic
Saliva is more than 99% _____ and less than 1% ____
Water and solid
The less than 1% of solid components that comprise saliva are:
Proteins and electrolytes
What percent of total amount of saliva is produced by the major salivary glands?
90%
In a healthy person what is the daily secretion range of saliva and what is the average?
0.5-1L (range)
O.61 L (average)
What type of saliva is produced by the parotid gland?
Purely serous
What type of saliva is produced by the submandibular gland?
Mainly serous
What type of saliva is produced by the sublingual gland?
Mainly mucous
What type of saliva is produced by the minor glands?
Mainly mucous
The exception to the minor glands producing mainly mucous secretions is the ______ gland that produces strictly serous secretions
Von Ebner’s
Saliva functions in _____ and ____ of retrograde salivary gland infection
Lubrication and prevention
Saliva functions in: formation and acquired:
Enamel and mucosal pellicles
Saliva functions in: clearance of _____ and _____.
Dietary carbohydrates and microorganisms
Saliva functions in taste an digestion by:
Dissolving and transporting substances
What are the 3 activities that saliva functions in (defensive activities)
Antibacterial, antiviral, and antifungal
Saliva serves as a _______ to bacteria for the balance of oral microbiome
Nutritional source
Saliva serves as a _____ through bicarbonate, phosphate and protein systems
Buffering capacity
Highly glycosylated hydrophilic proteins produced by mucous acinar cells of the submandibular, sublingual and minor salivary glands that are important for lubrication and protection
Mucins
Major enzyme in saliva that breaks down complex carbohydrates and is secreted from serous acinar cells of the parotid gland
Alpha amylase
Amylase breaks down ingested starch into: (3)
Maltose
Maltotriose
Dextrins
Amylase functions to facilitate bacterial ______ of carbs.
Fermentation
Amylase facilitates ______ of bacteria to oral surfaces.
Adherence
Amylase binds ______ and ______ to promote their clearance
S. Gordonii and S. Mitis
______ serves to modulate adhesion, co-adhesion and colonization of microorganisms
Amylase
Comprise lactoperoxidase, myeloperoxidase, thiocyanate ions and hydrogen peroxide
Peroxidase systems
Peroxidases catalyze the oxidation of ______ to hypothiocyanate by hydrogen peroxide
Thiocyanate
The hypothiocyanate inhibits important bacterial ________ and exerts _______ effects on S. Mutans, lactobacilli, yeasts, several gram-negative species including periodontal pathogens and certain viruses
metabolic processes and anti-microbial effects
Part of the innate salivary defense mechanism, and could be found in teh saliva, dental plaque, and salivary pellicles
Lysozyme
Iron-bindng glycoprotein secreted by serous acinar cells of major and minor salivary glands.
Lactoferrin
Lactoferrin could also come from:
Neutrophils and GCF
Lactoferrin binds and sequesters iron depriving _____ and ______ from essential nutrients
Bacteria and yeast
What are the three forms of Lactoferrin?
- Iron free (apolactoferrin)
- Ferric Lactoferrin
- Saturated Lactoferrin
Lactoferrin also shows anti____ and anti____ activities
Antifungal and antiviral
Constitute 25-30% of all salivary proteins and are produced by the parotid and submandibular glands
Proline-rich proteins
Present in the saliva of the parotid and submandibular glands and is a phosphoprotein
Statherin
Cysteine-containing phosophoroproteins, which have proteinase inhibiting properties, controlling proteolytic activity from the host or the microorganisms.
7 different proteoforms are present in saliva
Cystatins
Family of cationic peptides produced by ductal cells of the major salivary glands. They exhibit anti-fungal acticity toward C. Albicans. They can bind to microbial cell membranes and promote aggregation and integrate into the lipid bilayer of the cell membrane (formation of pores)
Histatins
The major classes of salivary immunoglobulins in human saliva (2)
IgA and IgG
Salivary immunoglobulin SIgA works to prevent pathogens and antigens from gettin access to the oral epithelium. What is this process called?
Immune exclusion
Prototype of cationic peptides, also found in saliva and GCF. Based on the pattern of cysteine-pairing there are two subfamilies
These peptides absorb onto the bacterial cell membranes, leading to aggregation and integration of into the lipid bilayer.
Salivary defensins
Functions of GCF include: (3)
- Cleanse materials
- Improve adhesion of the epithelium to the tooth (through plasma proteins)
- Possess antimicrobial properties