Saliva And Mucosal Defense Mechansims (Exam III) Flashcards
Cells involves in innate immunity include:
Macrophage
Mast Cell
Dendritic Cell
NK cells
Granulocytes (neutrophils, basophils, eosinophils)
What protein is involved in innate immunity
Complement protein
What cells are involved in adaptive immunity
B cells
T cells (CD4+ T cell and CD8+ T cell)
What non-cell component is involved in adaptive cell immunity
Antibodies
Helper T cells
CD4+
Cytotoxic T cells
CD8+
What are the common components between the adaptive and innate immune systems
Natural Killer T cells AND
The T in T cells refers to
Thymus-dependent lymphocytes
The B in B cells refers to
Bursa of facbricius lymphocytes
What are T and B cells derived from in humans
Multipotent hematopoietic stem cells in the 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 in cell-mediated immunity
CD8+ T cells (cytotoxic)
B Cells proliferate and differentiated into plasma cells after activation by
Helper T cells
Antibody secretion is seen in what type of immunity
Humoral
What are the primary lymphoid organs
Thymus and bone marrow
What are the secondary lymphoid organs
Spleen, tonsils, lymph nodes, 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 return to the blood via
Thoracic duct
Naive lymphocytes enter the lymph nodes 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, B cells
What are the antigen-presenting cells (APCs)
Dendritic cells, macrophages, B cells
What recognizes the complex of viral peptide within 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
(2)
1- perforin-mediated cell death
2- Fas-mediated apoptosis
MHC Class I uses the _____ pathway
Endogenous
MHC Class II uses the ____ pathway
exogenous
What subunits compose the T cell receptor
Alpha and beta
Antigen-presenting molecules
Major histocompatability complexes
The MHC molecules in humans are called
Human leukocytes antigens (HLA)
If we are talking about the cytosol and the endoplasmic reticulum as well as viral peptide we are referring to what class of MHC molecules
MHC class I
If we are talking about endosomes, acidified vesicle proteases, fusion and pathogens/proteins we are referring to what class of MHC molecules
Class II
What recognizes the complex of bacterial peptide with MHC class II and activates the macrophage
Type I helper T cells
Intracellular killing is enhanced by type I helper cells releasing
Interferon gamma
What recognizes the complex of antigenic peptide with MHC class II and activates B cell
Helper T cell
Activation of ____ results in cytokine production recruited for proliferation and development into plasma cells
Type two helper T cells
The F(ab)2 region of the antibody functions in
Antigen binding
The Fc region of the antibody functions to bind Fc receptors on ____ and activates ____
Phagocytes
Complement
Most abundant antibody in serum, four subclasses and confers long-term protection
IgG
Antibody with pentamer structure, usually the first antibody made during primary response, excellent at binding complement proteins
IgM
Antibody that functions in allergic (anaphylactic) responses, contains anti-parasitic properties
IgE
Antibody that is a secretory dimer but circulatory monomer, and is first defense for mucosal surfaces
IgA
Number of binding sites on:
IgM
IgG
IgA
IgE
IgD
G, E, D - 2
A- 4
M - 10
What antibody can cross the placenta
IgG
Main antibody of the primary responses, best at fixing complement, and monomer form serves as B cell receptor
IgM
Main antibody of secondary responses, neutralizes toxins, opsonization
IgG
Secreted into mucus, tears, saliva and colostrum
IgA
Antibody of allergy and antiparasitic activity
IgE
Antibody that is a B cell receptor
IgD
The three pairs of major salivary glands
1- parotid
2- submandibular
3- sublingual
Saliva is complex, ____ and ____ fluid
Hypotonic
Slightly acidic
Saliva is 99% ____ and less than 1% _____
Water
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 the daily secretion range of saliva is:
In a healthy person the average salivary secretion is:
0.5-1 L
0.61 L
What type of saliva is produced by the parotid gland
Purely serous
What type of saliva is produced by 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 gland
What is the exception
Mainly mucous
Von Ebners gland - strictly serous
Saliva function is ____ and _____ of retrograde salivary gland infection
Lubrication and prevention
Saliva functions in formation of acquired ____ and ____
Enamel
Mucosal pellicles
Saliva functions in clearance of _____ and _____
Dietary carbohydrates and microorganisms
Saliva functions in taste and digestion by
Dissolving and transporting substances
What are the three defensive activities that saliva functions in
Antibacterial
Antiviral
Antifungal
Saliva services as a ______ to the 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 protections
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 and dextrins
Amylase functions to facilitate bacterial _____ of carbohydrates
Fermentation
Amylase facilities _______ 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 hypothiocyanite 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
Antimicrobial effects
Part of the innate salivary defense mechanism, and could be found in the saliva, dental plaque, and salivary pellicle
Lysozyme
An iron-binding glycoprotein secreted by serous acinar cells of major and minor salivary glands
Lactoferrin
Lactoferrin can 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
1- iron-free (apolactoferrin)
2- ferric Lactoferrin
3- saturated Lactoferrin
Lactoferrin exhibits ____ and ____ activities
Antiviral and antifungal
Constitute 25-30% of all salivary proteins and are produced by the parotid and submandibular glands
Proline-rich proteins
Present in saliva of the parotid and submandibular glands, and is a phosphoprotein
Statherin
Cysteine-continuing phosphoroproteins which have proteinase inhibiting properties, controlling proteolytic activity from host or microorganisms
7 different proteoforms present in saliva
Cystatins
Family of cationic peptides produced by ductal cells of the major salivary glands, they exhibit antifungal activity towards C. Albicans, they can bind to microbial cell membranes, 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
IgG
Salivary immunoglobulin sIgA works to prevent pathogens and antigens from getting access to the oral epithelium, what is this process called
Immune exclusion
Prototype of cationic peptides, also found in saliva and GCF. Based on pattern of cysteine-pairing there are two subfamilies.
These peptides absorb onto the bacterial cell membranes leading to aggregation and integration into the lipid bilayer
Defensins
Functions of GCF include: (3)
- Cleanse materials
- Improve adhesion of epithelium to tooth (through plasma proteins)
- Possess antimicrobial properties
MAMPs
PRRs
Microbe-associated molecular patterns
Pathogen recognition receptor