Innate immunity against viruses and viral evasion strategies Flashcards

1
Q

List the different sites of Microbe Entry

A

Conjunctiva
Respiratory Tract
Alimentary tract
Urinogenital tract
Anus
Arthropod
Capillary
Scratch, injury
Skin

Physical barriers - Skin, mucosal surfaces
Chemical barriers - acid pH, secreted factors, proteolytic enzymes, bile

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2
Q

What are the Intrinsic defences – “the hostile cell”

A
  • Apoptosis
  • Restriction factors/Intrinsic Immunity
  • Epigenetic silencing
  • RNA silencing
  • Autophagy/Xenophagy
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3
Q

Microbicidal peptides have broad-spectrum
antiviral effects

Give examples of some

A
  • during influenza virus infection mucins, gp-340 and pentraxins compete with the virus for its receptor, sialic acid, and cause aggregation of virus particles.

Respiratory secretions are also rich in the collectin surfactant proteins (SP)-A and SP-D. These molecules bind to carbohydrates on a range of pathogens, including influenza virus where they adhere to the hemagglutinin protein (HA) resulting in virus neutralization. Some strains of influenza virus fail to be recognized by collectins due to reduced levels of glycosylation of HA. An example of this was the H1N1 virus that caused the 1918 pandemic.

Other families of antimicrobial peptides include the defensins and the related cathelicidins. Alpha-defensin and the cathelicidin LL37 are produced by epithelial cells and neutrophils in reponse to infection. They have broad-spectrum direct antiviral activity, and also modulate the inflammatory response at sites of infection.

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4
Q

Type I interferons have critical antiviral
and immunostimulatory roles

Describe this

A

The activation of the IFN system is arguably the most important defence for containing the initial stages of virus infection. There are three major families of IFNs:
* type I (multiple subtypes of IFNa and one subtype of IFNb);
* type II (IFNg); and
* type III (IFNl1, IFNl2, and IFNl3, also known as
IL-29, IL-28a, and IL-28b).

Of these, it is the type I and type III IFNs that are induced directly following virus infection, whereas IFNg is produced by activated T cells and NK cells.

Type I IFNs can be produced by almost any cell type in the body if it becomes infected with a virus. There are also specialized interferon-producing cells, plasmacytoid DCs, which can
be triggered to produce high levels of type I IFN following exposure to virus without themselves becoming infected.

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5
Q

Type I IFN production is triggered following recognition of molecular patterns characteristic of viral but not host components (Fig. 13.1). Host pattern-recognition receptors involved in detecting the presence of virus infections
include:

A
  • cytoplasmic pattern-recognition receptors expressed by almost all cells (e.g. the retinoic acid-inducible gene I (RIG-I)-like receptors, which recognize viral 50- triphosphorylated ssRNA and dsRNA, and cytoplasmic DNA sensors);
  • members of the Toll-like family of receptors (TLRs), which are expressed on the cell membrane or within endosomes/lysosomes of immune system cells and certain non-immune cells located at common sites of pathogen entry, e.g. epithelial cells (TLR3, TLR7, and TLR9, which recognize viral dsRNA, viral ssRNA, and DNA containing CpG motifs, respectively).
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6
Q

Effector functions of Type I interferon

A

IFNs mediate their activity by up-regulating the expression of a large number of genes known as IFN-stimulated genes (ISGs), some of which encode proteins that mediate an antiviral response. These include the key dsRNAdependent enzymes protein kinase R (PKR) and 20,50- oligoadenylate synthetase.
* PKR disrupts virus infection by phosphorylating and inhibiting eukaryotic initiation factor (eIF)-2a, hence blocking the translation of viral mRNA and by initiating
apoptosis via Bcl-2 and caspase-dependent mechanisms, killing the cell before virus can be released.
* 2’,5’-oligoadenylate synthetase specifically activates a latent endonuclease (RNaseL) that targets the degradation of viral RNA.

IFNs also activate macrophages and NK cells and enhance their antiviral activity.

In addition, they help to promote the activation of adaptive responses. They act on APCs to stimulate increased expression of MHC class I and II, and components of the antigen processing machinery; and they also act directly on T and B cells to promote an antiviral response

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7
Q

Describe how virus induce apoptosis in host cells

A
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8
Q

Describe how virus can evade the induction of apoptosis in host cells

A
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9
Q

List the restriction factors and their functions

A

Particularly active against retroviruses
* APOBEC3G
- Highly potent ssDNA cytidine deaminase
* TRIM5α
- Targets incoming capsids to proteasomes; very species-specific
* Tetherin
- Blocks budding by enveloped viruses
* SAMHD1
- A phosphohydrolase that converts dNTPs to inorganic phosphate and depletes the pool of dNTPs available to reverse transcriptase

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10
Q

Describe Evasion of Restriction factors by HIV

A
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11
Q

Describe Epigenetic silencing

A
  • Foreign DNA molecules that enter the cell are quickly organised into transcriptionally silent chromatin
  • This is a nuclear event and involves “PML bodies”
  • Silences DNA viruses, such as Adenoviruses and
    Herpesviruses
  • Large DNA viruses that replicate in the nucleus
    encode proteins (such as ICP0) that prevent the deposition of inhibitory histones and other chromatin components onto viral DNA
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12
Q

There are many components to innate anti-viral immunity

Describe phagocytosis

A
  • Carried out in vertebrates by Dendritic cells,
    macrophages and neutrophils
  • Phagocytosis clears pathogens but also presents
    peptides on MHCs – this promotes development
    or reactivation of the adaptive immune response
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13
Q

There are many components to innate anti-viral immunity

Describe the complement

A
  • Classical pathway by direct binding of C1q to the envelope glycoproteins of some viruses (including human cytomegalovirus and certain retroviruses, such as human T cell lymphotropic virus)
  • Lectin pathway; MBL binds to viral surface carbohydrates (implicated in controlling HBV and ‘flu)
  • Alternative pathway on enveloped viruses
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14
Q

Describe the Evasion of the Complement by viruses

A
  • Incorporation of complement control proteins into envelope
    – Passive
    – Active:
  • Vaccinia C3L gene product = VCP. Complement
    control protein binds to and inactivates C3b and C4b
  • Vaccinia B5R gene product – recruits host
    complement control proteins into envelope
  • KSHV(HHV-8)-encoded KCP; incorporated into the
    virion; enhances the decay of classical C3 convertase and induces the degradation of activated complement factors C4b and C3b by a serine proteinase, factor I.
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15
Q

How do phagocytes “see” viruses?

A
  • Phagocytosis requires receptor binding
    – Some viruses infect phagocytes and use them as a
    “superhighway” to establish a systemic infection (e.g.
    DENV, Measles Virus). Many viruses don’t infect phagocytes
  • Viruses with bound complement can be cleared by
    phagocytosis
  • Apoptotic cells have an “eat me” signal on their
    surface (phosphatidylserine) which is recognised
    by phagocytes
  • “Passive sampling” - pinocytosis
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16
Q

What are the two distinct roles macrophages have in the innate immunity?

A
  • Phagocytosis; material is destroyed in lysosomes
  • Activated macrophages produce cytokines and chemokines (such as TNFa, nitric oxide, and IFNa.) to stimulate both innate and adaptive immune responses – this triggers the inflammatory response and can promote a local anti-viral state
17
Q

Describe the Inflammatory Response during viral infections

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
18
Q

What are the two signals needed for activation of the inflammatory response?

A

Two signals needed for activation of the inflammatory response
* Signal 1: Stimulation of transcription of pro-inflammatory cytokines and chemokines
* Signal 2: Activation of “ICE”/caspase-1 which cleaves the inactive precursor forms of IL-1b and IL-18 – the inflammasome
Both of these are activated by viral PAMPs sensed by PRRs

19
Q

List Anti-viral PRRs and describe their distribution

A
  • TLR7, 8 and 9 are expressed in pDCs and macrophages
  • TLR3 is expressed widely, but shows elevated levels
    on mDCs, macrophages, endothelial and epithelial
    cells
  • RIG-I, MDA5 are ubiquitous
  • DAI, RNApolIII, Ku70/80 are ubiquitous
  • AIM2 is expressed in macrophages
  • IFI16 is expressed in macrophages

All of these sense nucleic acids

20
Q

An overactive inflammatory response is bad news for resolving influenza infections

A

High Pathogenicity strains (notably avian H5N1) have the capacity to trigger hypercytokinemia/“Cytokine storms” which drive an aggressive inflammatory response that can result in massive tissue damage (pneumonia) leading to death.
* Treat these with IL-1 antagonists and other anti-inflammatory drugs

21
Q

How do viruses evade Inflammation?

A
  • General bock to inflammatory cytokine production
  • Direct inhibition of caspase-1(e.g. Vaccinia B13R)
  • Synthesis of scavenger receptors (e.g. Vaccinia vIL-
    1βR)
  • Blocking of inflammasome assembly (Measles V,
    Poxvirus M13L-PYD, KSHV Orf63
  • NS1 inhibits RIG-I inflammasome
22
Q

There are many components to innate anti-viral immunity

Describe Natural Killer (NK) cells

A
  • Natural killer (NK) cells are a subset of lymphocytes found in the blood and tissues, which lack antigen specific surface receptors (TcR or immunoglobulin receptors). They are a distinct lineage of lymphocytes.
  • NK cells possess the ability to recognise and lyse
    virally infected cells and certain tumour cells.
  • Activated by IL-12, IL-15, IFN-a/b and IFN-g
  • 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
23
Q

Describe the activation and inhibition of NK cells

A
  • Inhibitory NK receptors (NKG2A &) typically recognize ligands
    expressed on ‘normal’ host cells, such as MHC class I
    molecules. Many viruses downregulate MHC class I expression on the cells they infect to limit recognition by CD8+ T cells, but this helps to trigger NK cell activation.
  • Activating NK receptors (e.g. typically recognize host cell
    proteins that are up-regulated in response to stress or viral proteins, e.g. the natural cytotoxicity receptors NKp44 and NKp46 recognize certain viral glycoproteins including the influenza virus HA.
  • NK cells can also be activated via antibody coating of the target cell which mediates crosslinking of the NK
    surface receptor FcgRIII. NK cells are one of the principal mediators of antibody dependent cell-mediated cytotoxicity (ADCC)
24
Q

How does CMV downregulate NK cells?

A

CMV proteins (UL40, UL142) that act to decoy NK killer receptors

CMV protein (UL16) that acts to down-regulate NK activating receptors

25
Q

Why is anti-viral immunity so complicated?

A
  • Because there are so many different types of
    viruses with different lifestyles!
    – Viruses that replicate to high titres and are cytopathic (e.g. polio) generate strong neutralising antibody responses
    – Viruses that are non-cytopathic and spread by cell-cell contact require cytotoxic T cells for control and/or
    elimination (e.g. HCV)
    – Rapid and acutely infectious viruses can sometimes fail to trigger adaptive immunity and are controlled by innate immunity (mainly IFN; e.g. noroviruses)
    – Viruses that are able to hide effectively from adaptive immunity by establishing latency require NK cells for control (e.g. CMV)