The Immune Response to Infection Flashcards

1
Q

Which antibody is present in secreted mucous?

A

IgA

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2
Q

What are the polymorphonuclear cells?

A

Neutrophils

Eosinophils

Basophils

Mast cells

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3
Q

What are the mononuclear cells?

A

Monocytes

Macrophages

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4
Q

What is the difference between monocytes and macrophages?

A

Monocytes are produced in the bone marrow, circulate in the blood and migrate to tissues where they differentiate into macrophages.

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5
Q

What do macrophages differentiate to in the liver?

A

Kupffer cells

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6
Q

What do macrophages differentiate to in the kidneys?

A

Mesangial cells

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7
Q

What do macrophages differentiate to in the bone?

A

Osteoclasts

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8
Q

What do macrophages differentiate to in the spleen?

A

Sinusoidal lining cell

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9
Q

What do macrophages differentiate to in the lung?

A

Alveolar macrophages

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10
Q

What do macrophages differentiate to in neural tissue?

A

Microglial cells

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11
Q

What do macrophages differentiate to in connective tissue?

A

Histiocyte

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12
Q

What do macrophages differentiate to in the skin?

A

Langerhans cell

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13
Q

What do macrophages differentiate to in the joints?

A

Macrophage-like synoviocytes

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14
Q

How do immune cells detect pathogens?

A

Express pattern recognition receptors

Express Fc receptors for Ig

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15
Q

How are phagocytes recruited?

A

Cellular damage and bacterial products trigger the local production of inflammatory cytokines and chemokines which leads to either cytokines activating the vascular endothelium, thus enhancing permability OR chemokines attracting the neutrophiles

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16
Q

How do immune cells recognise pathogens?

A

PRR e.g. toll-like receptors and mannose receptors which recognise generic motifs known as pathogen-associated molecular patterns (PAMPs), e.g. bacterial sugars, DNA, RNA.

17
Q

What happens during opsonisation?

A

Opsonisation facilitates endocytosis by covering the pathogens to attract neutrophils and macrophages

18
Q

What are opsonins?

A

Act as a bridge between the pathogen and the phagocyte receptors; they include:

Antibodies binding to Fc receptors

Complement components binding

19
Q

What are the two methods of killing pathogens?

A

Oxidative

Non-oxidative

20
Q

What is oxidative killing?

A

NAPDH oxidase complex converts oxygen into reactive oxygen species e.g. Hydrogen peroxide, superoxide.

Myeloperoxidases catalyses production of hydrochlorous acid from hydrogen peroxide and chloride.

Hydrochlorous acid is a highly effective oxidant and anti-microbial.

21
Q

What is non-oxidative killing?

A

Within the granules there are bacteriocidal enzymes that each have a unique
antimicrobial spectrum, resulting in broad coverage against bacteria and fungi

e.g. Lysozyme which can kill and lyse bacterial cell wall and lactoferrin to deprive iron. These are released.

22
Q

How do phagocytes die?

A

As the cells die, residual enzymes are released causing liquefaction of closely adjacent tissue.

Accumulation of dead/dying neutrophils within infected tissue results in the formation of pus.

Extensive localised formation of pus causes abscess formation.

23
Q

How do NK cells function?

A

Express inhibitory receptors for self-HLA which are usually dominant, as well as other receptors as well. If the target cell does not express self-HLA then apoptosis will be induced.

24
Q

Which HLA type do dendritic cells express?

A

HLA class I

25
Q

What are the primary lymphoid organs?

A

Organs involved in lymphocyte development.

Bone marrow - T and B cells are derived from haematopoietic stem cells and B cells mature.

Thymus - T cell maturation. Thymus is most active in foetal and neonatal period, involutes after puberty.

26
Q

What are the secondary lymphoid organs?

A

Anatomical sites of interaction between naïve lymphocytes and microorganisms.

Spleen

Lymph nodes

Mucosal associated lymphoid tissue

27
Q

What are CD4+ T cells?

A

Recognise peptides derived from extracellular proteins presented on HLA Class II molecules (HLA-DR, HLA-DP, HLA-DQ).

Perform immunoregulatory functions via cell-cell interactions and
expression of cytokines. Specifically provide help for development of full B cell response and help for development of some CD8+ T cell responses.

Many different CD4 subtypes, different cytokines encourage
development along different routes. T reg keep the immune system under control, inhibitory. Follicular helper T cells involved in development of B cell responses.

28
Q

What are CD8+ T cells?

A

Specialised cytotoxic cells,. Recognise peptides usually derived from intracellular proteins in association with HLA class I (HLA-A,B, C).

Kill cells directly with perforin (forms pore and then empties
granzymes into the pore) and express Fas Ligand (Death receptor). Secrete cytokines e.g. IFNy and TNFa.

Particularly important in defence against viral infections and tumours.

29
Q

What is the function of B-lymphocytes?

A

Secrete antibodies

If they do not come into contact with an antigen, they secrete IgM, if so, they can secrete IgA, IgG and IgE after priming of CD4 cells by the dendritic cells (CD40-CD40L interaction required).

30
Q

What are the three pathways of complement cascade?

A

Classical

Mannose binding lectin pathway

Alternative

31
Q

What is the classical pathway?

A

C1, C2. C4

Activated by antibody-antigen immune complexes, results in change in antibody shape that exposes binding site for C1.

Binding of C1 to the binding site on antibody results in activation of the cascade.

Dependent upon activation of acquitted immune response (antibody) so doesn’t occur very early in infection.

IgG binds pathogens and these complexes than activate the complement pathway.

32
Q

What is the mannose binding lectin pathway?

A

C4. C2

Activated by the direct binding of MBL to microbial cell surface carbohydrates.

Directly stimulates the classical pathway via C4 and C2 but not C1. Not dependent on acquired immune response.

33
Q

What is the alternative pathway?

A

Directly triggered by binding of C3 to the bacterial cell wall components e.g. lipopolysaccharide of gram negative bacteria or teichoic acid of gram positive bacteria.

Not dependent on acquired immune response.
Involves factors B, I, and P.

34
Q

How is the final common pathway (C5, C9) triggered?

A

The three pathways converge on C3 which activates final common pathway (C5, 9) and forms the activate the membrane attack complex.

C3 activation is major amplification step, triggers the formation of the membrane attack complex via C5 to C9. MAC makes holes in membranes.

35
Q

What are cytokines?

A

Small protein messengers that have immunomodulatory function. Can act back on same cell (autocrine) or on other cells (paracrine) dependent action. Examples include IL-2,6,10,12, TNFa, TGFb.

36
Q

What are chemokines?

A

Subset of cytokines, Chemotactic cytokines ie chemoattractant involved in direct recruitment/homing of leukocytes in an inflammatory response.

CCL19 and CCL21 are ligands for CCR7 and important in directing dendritic
cell trafficking to lymph nodes. Other examples of chemokines include IL8, RANTES, MIP-1 alpha and beta.

Chemokine receptors can act as co-receptors for HIV.