L14 - Introduction to Immunity Flashcards

1
Q

What is the difference between innate and adaptive immunity?

A

Innate immunity is immediate in response to infection, using relatively non-specific defence mechanisms. It activates and orientates the adaptive immune response.
Adaptive immunity ‘tailors treatment’

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2
Q

What is the innate immune response made up by?

A
  • Physical barriers including skin and saliva
  • Soluble proteins in the tissues and circulation e.g. complement and acute phase proteins
  • Cellular components including neutrophils and macrophages
  • Cytokines released by cells - IFN-gamma and TNf-alpha
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3
Q

How does the innate system recognise non-self?

A

Through pattern recognition receptors, which recognise altered cells, oxidised cells, oxidised membrane structures etc
In infections, patterns recognised are those conserved in non-human cells e.g. Pathogen associated molecular patterns (PAMPs)

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4
Q

What to Toll-like receptors (TLRs) do?

A

These are located on the cell surface and in walls of intracellular vesicles, particularly in macrophages and dendritic cells. They recognise a range of pathogen-associated molecules from bacteria and viruses
They activate other molecule to induce the production of PRO-inflammatory cytokines and chemotactic factors

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5
Q

What do NOD-like receptors do?

A

Act as intracellular sensors of bacterial infection. They’re located in the cytoplasm of cells routinely exposed to bacteria e.g. epithelial cells of the gut, dendritic cells and macrophages

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6
Q

What are some of the consequences of production of Pro-inflammatory cytokines (e.g. IL-1B/IL-6/TNF-a)?

A

Activation of complement opsonization, phagocytosis, decreased bacterial and viral replication and initiation of adaptive immune response

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7
Q

What do levels of C-reactive protein tell you?

A

This is a pro-inflammatory acute phase protein, and an important opsonin, so levels of it rise with an infection
High levels of CRP therefore tell you the body is fighting inflammation

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8
Q

What happens to Neutrophils during inflammation/infection?

A

Neutrophils normally roll along a vessel’s endothelium. During inflammation, stronger adhesion molecules are expressed on endothelium, anchoring neutrophils to vessel wall. They then extravasate, squeezing between endothelial cells and traverse the basement membrane. They then ride a chemokine gradient to the site of inflammation

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9
Q

What’s the process of phagocytosis?

A
  • Phagocyte receptors bind to microbial surface components
  • Bound pathogen is internalised into a phagosome
  • Pathogen is killed either by phagosome acidification or through fusion with lysosome
  • Soluble debris undergoes exocytosis
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10
Q

What are the three major classes of innate phagocytes?

A
  1. Granulocytes: neutrophils, basophils and eosinophils. Neutrophils are recruited early and die early
  2. Macrophages
  3. Immature dendritic cells
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11
Q

What are the main cells involved in adaptive immunity?

A

T cells
B cells
Plasma cells

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12
Q

When does adaptive immunity kick in?

A

After about 12 hours, at which stage it is properly primed.

It proliferates within 1-3 days, and the makes antibodies which recognise the extracellular pathogen.

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13
Q

How are T-helper subsets divided?

A

Based on the transcription factor they carry, which dictates their function

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14
Q

What does co-stimulation do to T-cells?

A

Acts as a mechanism to avoid auto-immunity

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15
Q

What does Tolerance do with T-cells?

A

Prevents auto-immunity
Central tolerance takes place in generative lymphoid organs - bone marrow and thymus, in which immature lymphocytes are either apoptosed or developed into regulatory T-lymphocytes (CD4+ cells only), if they recognise a self-antigen

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16
Q

What is the connection between B cells and antibodies?

A

Antibodies are only produced by B cells that respond specifically to one antigen

17
Q

What are some of the effector functions of antibodies?

A
  • Neutralisation of microbes
  • Opsonization and phagocytosis of microbes
  • Complement cascade activation
18
Q

What are the two consequences for a B-cell that recognises self-antigen in bone marrow?

A
  1. Receptor editing so that it expresses a new antigen receptor and can be sent out to peripheral lymphoid tissue
  2. Apoptosis