6.5.3 Principles of Innate Immunity Flashcards

1
Q

What are some mechanisms for protection of epithelial surfaces?

A

skin barrier

fatty acids in sweat and sebum

intact mucous membranes

lysozyme in secretions

mucous and mucociliary escalator

acid in stomach

commensal microflora

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2
Q

What are the mechanisms protecting mucous membranes?

A

Physical properties:
- mucociliary escalator, peristalsis
-coughing and sneezing
-vomiting and diarrhoea

Secretions:
- physical properties (washes away organisms)
- anti-microbial properties (e.g. lysozyme)

Commensal microflora (microbiome)

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3
Q

How does innate immunity detect foreign microbial elements causing infection?

A

Uses pattern-recognition receptors (PRRs)

Pathogen-associated molecular patterns (PAMPs)
- Lipopolysaccharide
- Peptidoglycans
- Mannose

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4
Q

Where can the PRRs be found?

A

intracellular - cytoplasmic (NOD receptors)

in endosomes - vesicular

on the cell surface - membrane-bound (Toll-like receptors)

all the three upper cause phagocytosis and inflammation

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5
Q

What are the types of Toll-like receptors?

A

TLR-2: Peptidoglycan from G+ve bacteria

TLR-4: LPS from G-ve bacteria

TLR-5: Flagellin

TLR-9: Prokaryotic DNA

TLR-3, TLR-7: virus nucleic acid

cause cell signalling and activation

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6
Q

How can innate immune system detect viruses?

What is the response?

A

no structural PAMPs so not like microbes

but can be detected by presence of double stranded RNA produced during replication (not found in mammalian cells)

cells respond by producing interferons

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7
Q

What do the type 1 interferons do?

A

Resistant to viral replication

infected cells alert their friends

the cells turn on their viral defence systems

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8
Q

What do Natural Killer cells do?

A

Recognise decreased levels of MHC molecules on host cells

Recognise a ‘symptom’ of viral infection

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9
Q

What does the NOD2 receptor respond to?

A

detects muramyl dipeptide - breakdown product of bacterial cell walls

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10
Q

Outline the process of phagocytosis

A

1) endocytosis

2) phagosome formation

3) enzymes assemble in the phagosome membrane and pump in oxygen free radicals toxic to bacteria

4) lysosome containing defensins, lactoferrin and acid protease enzymes fuse with the phagosome releasing their content

5) H+ ions pumped into the phagosome which becomes increasingly acidic

6) acid proteases become active and the organism is digested

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11
Q

What can be found in lysosomes used for phagocytosis?

A

Defensins - cationic anti-microbial peptides that damage bacterial cell walls

Lactoferrin - binds and chelates free iron, which is required for bacterial growth

Acid proteases - digestive enzymes active at a low pH

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12
Q

What are the inflammatory mediators?

A

Histamine

Pro-inflammatory cytokines

Lipid mediators of inflammation

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13
Q

What are the localised effects of inflammatory cytokines?

A

Vasodilation

Increased capillary permeability

Influx of white blood cells

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14
Q

Why is inflammation important?

A

allows for targeting WBC from blood stream to the site of infection

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15
Q

What are the systemic effects of inflammatory cytokines?

A

Hypothalamus - fever

Liver - Acute phase response

Bone marrow - neutrophil and monocyte mobilization

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16
Q

What are the humoral mechanisms of innate immunity?

A

acute phase proteins

complement cascade

17
Q

Explain the acute phase response

A

inflammatory mediator gets to the liver

liver produces and releases some acute phase proteins

the proteins coat microbes (stick to bacterial cell walls) which makes them easier to grab and phagocytose

18
Q

What is opsonisation?

A

enhancement of phagocytosis

19
Q

How does the complement system work?

A

pro-enzyme C3 - inactive, floating around in plasma

(Activated by bacteria presence)

Pro C3 > C3a + C3b

C3a stimulates mast cell degranulation, inflammatory response

C3b acts as marker for phagocytic cells, enzyme for membrane attack complex

20
Q

What is the Membrane Attack Complex?

A

C9 polymer made of C9 monomers

formation catalysed by C3b enzyme (complement protein)

forms holes in the bacterial cell wall

bacterium swells due to fluid uptake and bursts (dies)