Innate Immunity II Flashcards

1
Q

What are the soluble innate immune molecules?

A
  • Enzymes e.g lysozyme
  • Antimicrobial peptides
  • Collectins and pentraxins
  • Complement components
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2
Q

What do lysozymes do?

A
  • Secreted by phagocytes and paneth cells
  • Effective against Gram-positive bacteria
  • Cleaves bond between alternating sugars
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3
Q

How do collectins, ficolins and pentraxins work?

A
  • Soluble PRRs
  • Act as opsonins
  • Activate complement through classical/lectin pathway
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4
Q

What is the complement system?

A
  • Acts in sequence of one protein activating another - complement cascade
  • Helps antibodies/phagocytic cells clear pathogens
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5
Q
  • What happens when complement system activated?
  • Where are complement proteins synthesised?
A
  • Cooperates with defence systems to generate inflammation and remove pathogen
  • Mostly in liver by also by monocytes, macrophages
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6
Q

Describe complement system components and what they do.

A
  • Proteins C1-C9, factors B,D, H etc. - in order of discovery
  • Enhances inflammation, pathogen lysis and phagocytosis (by opsonising antigens)
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7
Q

How does the complement system enhance innate/adaptive immunity?

A
  • Neutralising viruses
  • Attracts macrophages and neutrophils by chemotaxis
  • Promote antibody formation
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8
Q

Briefly outline the pathways of complement activation.

A
  • CLASSICAL - Antigen-antibody complex or C1q binding to pathogen surface
  • LECTIN - MBL or ficolins bind carbohydrates on pathogen surfaces
  • ALTERNATIVE - Direct activation when C3 binds antigens
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9
Q

Describe converging within the complement pathways.

A
  • Involves protein activation in orderly sequence
  • Each step catalyses the next
  • Each pathway converges on C3 - cleaves into C3a and C3b
  • Initiates common terminal pathway - enhances lytic pathway
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10
Q

What does the classical pathway involve?

A
  • Involves complement components C1, C2 and C4
  • Triggered by binding of antigen-antibody complexes to C1 complex
  • C1 made up of C1q, C1r and C1s
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11
Q

How is the classical pathway activated?

A
  • Triggered when C1 binds to Fc region of antibody-antigen complex
  • C1 - must bind at least 2 Fc domains of Ig - causes conformational change
  • IgM - most efficient at activation - 5 domains
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12
Q

Does serum IgM bind C1?

A

NO (not in original state)
- Has planar conformation
- C1q binding sites only revealed upon antigen binding

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13
Q

Describe amplification in the classical pathway. PART 1

A
  • Binding C1q to Fc domain of Ig causes conformational change in C1r
  • C1s is cleaved and activates C2 and C4 splitting into large and small fragments and bind to form C3 convertase
  • Spils C3 into C3a and C3b
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14
Q

Describe amplification in the classical pathway. PART 2

A
  • C3b binds to C3 convertase form C5 convertase
  • This cleaves C5 into C5a and C5b
  • C5b forms complex with C6-C9 and becomes membrane attack complex
  • C5a - anaphylatoxin proinflammatory mediator
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15
Q

Describe alternative pathway. PART 1

A
  • C3 activated by pathogenic antigens - hydrolyses into C3a and C3b
  • C3b binds to cell membrane and factor B - susceptible to cleavage by factor D
  • Factor D cleaves C3b so C3 convertase forms
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16
Q

Describe alternative pathway. PART 2

A
  • Convertase has short hal-life unless binds to serum protein properdin - extends half life
  • Convertase hydrolyse C3 to C3a and C3b - amplifies signal
  • C3b forms C5 convertase - cleaves C5 to C5a and C5b
  • C5b, C6-C9 form MAC
17
Q

Describe lectin pathway. PART 1

A
  • Activated by MBL binding to mannose residues or ficolins
  • MBL binds mannose residues on carbohydrates/glycoproteins
  • Activates MBL-associated serine proteases cleave C4 and C2 to form convertase
18
Q

Describe lectin pathway. PART 2

A
  • C5b, C6-C9 forms MAC
19
Q

What does the membrane attack complex do?

A
  • Forms pore in membrane
  • Allows diffusion of ions and cause water influx cell - causing cell lysis
  • Human cells have proteins to prevent unwanted MAC formation
20
Q

What do the following complement components do?
- C3b
- C3a
- C5a

A
  • C3b - promotes opsonisation
  • C3a - anaphylatoxin - stimulates infammation by attracting neutrophils
  • C5a - activates mast cells
21
Q

Describe viral neutralisation

A
  • Activates classical pathway
  • Causes viral aggregation - cannot infect host cells
  • Enveloped viruses can be lysed
22
Q

What is the role of C1 inhibitors and what can happen when they are deficient?

A
  • Prevents C1 activating C4 and C2
  • Prevents C3 activation and MAC formation
  • DEFICIENCY - causes hereditary angioedema
23
Q

What are some consequences of complement deficiency?

A
  • Patients deficient of complement pathway experience recurrent infections
  • MBL deficiency causes pyogenic infections in neonates