Review of The Innate Immune System Flashcards

1
Q

What is the difference between innate and adaptive immunity with regards to specificity?

A

Adaptive immunity – involves very specific recognition of infectious agent (usually sees a protein = antigen)
Innate immunity – no specific antigen recognition
Innate immunity involves recognition of broadly conserved features of different classes of pathogens

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2
Q

How does pattern recognition occur within innate immunity systems?

A

Pattern recognition is through Pathogen-associated Molecular Patterns (PAMPs)

Molecules present only on pathogens and not on host cells
Essential for survival of pathogens
Invariant structures shared by entire class of pathogens

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3
Q

What are pattern recognition receptors? (PRRs)

A

Host factors that specifically recognise a particular type of PAMP
They are germ-line encoded
There are several classes of PRR, but functionally they are either:
Extracellular – they recognise PAMPs outside of a cell and trigger a co-ordinated response to the pathogen
Intracellular (cytoplasmic) – they recognise PAMPs inside a cell and act to co-ordinate a response to the pathogen
Secreted – they act to tag circulating pathogens for elimination

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4
Q

What are the components to innate immunity?

A
The inflammatory response
Phagocytes
Monocytes/granulocytes/neutrophils
Complement
Cytokines, chemokines and anti-microbial peptides (AMPs)
Natural Killer cells
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5
Q

What is the inflammatory response?

A

A generic defence mechanism whose purpose is to localize and eliminate injurious agents and to remove damaged tissue components
Enhanced permeability and extravasation
Neutrophil recruitment
Enhanced cell adhesion
Enhance clotting
Triggered by the release of pro-inflammatory cytokines and chemokines at the site of infection

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6
Q

What 3 distinct roles do macrophages and dendritic cells have in immunity?

A

Phagocytosis; material is destroyed in lysosomes

Infections can trigger macrophage activation - activated macrophages produce cytokines and chemokines to stimulate both innate and adaptive immune responses – this triggers the inflammatory response and can promote a local anti-microbial state

Peptides from broken down pathogens can be presented through MHC and promote the development or recall of an adaptive T cell response

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7
Q

How do phagocytes know what to eat?

A

Material to be “eaten” is recognised in a number of ways:
By detecting phosphatidylserine on exterior membrane surface (cells undergoing apoptosis)
By detecting “atypical sugars” (e.g. mannose, fucose, b-glucan) on cell surfaces
By Scavenger receptors
By “passive sampling”
By detecting complement
proteins bound to the
pathogen surface

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8
Q

What is the complement system?

A

Originally described as a heat-sensitive component of serum that could augment the ability of antibodies to inactivate antigen

Originally thought to be a biochemically complex antibody-dependent effector mechanism leading to:
Opsonisation
Recruitment of phagocytic cells, vasoactive function
Punches holes in target membranes (MAC)

The complement system is an evolutionarily ancient system, which predates the development of the adaptive response

The use as an effector mechanism for the latter is therefore an adaptation grafted onto the original purposes of complement as a vital part of innate immunity

Complement proteins act as secreted Pattern recognition receptors (PRRs) and can be activated by a range of PAMPs, and can also be activated by “altered self”

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9
Q

What are cytokines and chemokines?

A

Glycoprotein hormones that affect the immune response

Cytokines:
Act to modify the behaviour of cells in the immune response

Most of these are called interleukins (eg. IL-1)

Chemokines:
Act as chemotactic factors – i.e. they create concentration gradients which attract (or occasionally repel) specific cell types to a site of production/infection

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10
Q

What are interferons?

A

Interferons; the main anti-viral cytokines

Secreted factors (type I and type III)
Induced by viral infection
Offer cross-protection
Widely distributed in evolution, from fish upwards, but species-specific

No antibodies are involved so the interferon system is not related to prior infection etc

so if you have a cell that is infected by a virus, that virus replicates and attempts to spread, the viral progeny tries to infect new cells.
If the interferon system is working properly, when initial cell that has been infected dies, it releases interferons, which bind to receptors in neighbouring cells, triggering the turn on of transcription and translation of anti-viral genes so in next cell, these would stop virus replicating in more cells

(so viral and cellular proteins are not translated to avid virus being replicated in more cells)

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11
Q

What are anti-microbial peptides(AMPs eg defensins) and what do they do?

A

Secreted short peptides (18-45 amino acids)
Usually work by disrupting cell wall leading to lysis
Some are induced by bacterial infection
Offer broad protection

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12
Q

What do natural killer cells do? (NKs)

How are they activated?

A

4% white blood cells
Lymphocyte-like but larger with granular cytoplasm
Kill certain tumour & virally infected cells
Target cell destruction is caused by cytotoxic molecules called granzymes & perforins

NK cells possess the ability to recognise and lyse virally infected cells and certain tumour cells.
Selectivity is conferred by LOSS of “self” MHC molecules on target cell surfaces, AND up-regulation of activating ligands

MHC class 1 is on most cells in your body, NK cells have a mechanism for recognising MHC class 1 cells, if they detect MHC Class 1, they do nothing however if they dont sense these MHC class 1, they infect cell with proteases causing cell death

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13
Q

What diseases are associated with inherited defects in innate immunity?

A

Complement – core defects (e.g. C3) linked to development of autoimmune diseases such as lupus

Complement – non-core defects linked to susceptibility to specific types of pathogens such as Neisseria

Macrophage deficiencies - Chronic granulomatous disease (CGD); No oxidative burst for bacterial killing

Macrophage deficiencies – IRF8 mutations linked to susceptibility to TB

Aicardi–Goutières syndrome associated with constitutive production of inflammatory cytokines

Lack of interferon-responsiveness – sensitivity to viral infection (e.g. measles)

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