Exam 4 Flashcards
Type 1 Interferons
IFN alpha, beta
Describe the fx of IFN a/b in response to viral infection
- Internal cytoplasmic sensors of viral RNA (TLR 3, 7/8, 9) stimulate release of IFN a/b
- Block the spread of virus to uninfected cells via the destruction of mRNA and protein synthesis
- IFN’s stimulate chemokine production CXCL 9, 10, 11 that recruit lymphocytes and stim. MHC-1 expression
What stimulates NK (Natural Killer) cells?
IFN a, b, and IFN-y (via ILC-1)
What is unique about the function of NK cells?
The ability to kill virus-infected cells without any prior exposure (no need for TCR or BCR).
How do NK cells recognize the cells it must kill?
Viruses often down-regulate MHC-1 on the surface of the cell to inhibit CD8 response. MHC-1 inhibits activation/ degranulation of NK cells.
Two ways to activate CD8 T cells
- Intracellular/ endogenous pathogen processing and presentation on MHC-1 – TCR
- Cross-Presentation: extracellular pathogen presented via activated DC
T/F: CD8 primarily defend against extracellular pathogens
F: they are primarily intracellular
Mechanisms of attack for CD8 T Cells
- Cytokine secretion: IFN-y, TNF-a, Lymphotoxin-a
2. Trigger apoptosis: 2 mech. (LFA-1/ICAM-1)(Death Receptor)
Describe LFA-1 and ICAM-1 mech. of apoptosis (CD8 T cells)
LFA-1 and ICAM-1 are non-specific adhesion molecules that form an immunological synapse between the CD8 and target cell. This allows perforins, granzymes, and granulolysin to be directed specifically towards the target cell.
Function of Perforins (CD8TC)
Perforins are glycoproteins that are used to penetrate the cell wall and form complement-like structures that allow injection of granzymes to trigger the apoptosis pathway
Fas-Fas Ligand pathway
Secondary way to kill virus infected cells; the main way is the LFA1 ICAM1 pathway thought; mainly used during negative selection in the thymus
B Cell activation
- BCR recognizes whole antigen
2. B Cell processes antigen and presents it to T Helper 2 Cell w/ CD40/40L
Antibodies (and fx)
- IgA: barrier fx, neutralizes and prevents infections
- IgG: neutralizes, opsonizes, ADCC w/ NK cells
- Compliment activation w/ IgM and IgG
T/F: any level of virus load will trigger the adaptive immune response. it will just take longer to respond if there is less load
F: there is a specific cut-off level that the adaptive immune system won’t respond to if load is below that level
2 possible end results of B cell activation
- antibody secreting plasma cells
2. non-secretory memory B cells
Advantage of Activated Memory B cells
- have more CD80 and MHC2 than naive
- higher affinity of surface Ig and increased levels of co-stimulatory molecules allow them to initiate rxns w/ Tfh cells at lower antigen levels = faster response
Understand the idea of Affinity Maturation
yeah
How to use Ab to determine chronicity of dz
- IgM (acute) vs IgG (chronic) levels
Do memory T cells undergo somatic hypermutation?
No, only B cells do that
How long do the core vaccines confer immunity for?
roughly 7 years
What is the rationale for increased interval between vax?
potential for adverse effects since we are activating the immune system every time. risk of overstimulation
Methods to determine Ab titer (Distemper, Adenovirus-1, Parvovirus, Leptospira)?
Distemper - Virus Neutralization
Adenovirus-1 - Virus Neutralization
Parvovirus - HAI
Leptospira - MAT
What are the 4 key components of every major immune response/ module?
- T helper subset (Th1, Th2, Th17)
- Innate Lymphoid Cells (assist the T cells)
- Phagocytes (do the dirty work)
- Antibody Isotypes (connect phag-pathogen)
Components of Type 1 Immune Response/ Modules
Th1, ILC-1, macrophages, IgG
Components of Type 2 Immune Response/ Modules
Th2, ILC-2, mast cells/ basophils/ eosinophils, IgM
Components of Type 3 Immune Response/ Modules
Th17, ILC-3, neutrophils, IgG
How do T cells determine their differentiation pathway?
Signal 3 –> activation of T cell in presentation of specific cytokines. Cytokines can come from APC (in the case of Th1) or from the ILCs
Describe counter regulation of opposing Th subsets
- Th1 and Th2 subsets will antagonize each other
- IFN-y produced by Th1 will completely inhibit the Th2 pathway
- IL-4, -13 from Th2 will counter Th1
- Treg produce TGF-b that counters Th1 and Th2
T cells make a fate decision. What does this mean?
Fate Decision refers to the concept that once a T cell differentiates into Th1 or Th2, they will stay that way
Describe the process involved in the T cell fate decision.
expression of master transcription factors that direct expression of certain cytokines that positive feedback upon themselves and prevent transition into a different subset
Which T cell subsets are considered ‘plastic’
Th17 and Treg
T/F: Autoimmune T cells can sometimes arise from exTh17 cells that turn into Th1.
True
How do we mount a variable T cell response in different locations in the body?
T cell differentiation is determined by the sentinel lymph node. Can mount a Th2 response to helminths in the GI tract while the rest of the body dose Th17 for extracellular bacteria from the invasion
Active vs Passive Immunity
Passive – immunity not generated in the patient, giving the patient preformed Ab, protection is immediate but not long lasting
Active – induces an immune response that will not be immediate, but will be long-lasting
Characteristics of Ideal Vaccine
- confers long-lasting immunity
- free of side effects
- stable, long shelf life
- adaptable to mass vaccination
- able to stim. immune response distinguishable from that induced via active infection (DIVA vax)
3 Types of Adjuvents
- Depot
- Particulate
- Immunostimulatory
Depot Adjuvents
- slows removal of antigen providing longer exposure to the host
- triggers granuloma formation that can last for extended periods of time
- mineral oil, aluminum salts/ alum
Particulate Adjuvents
- mimic microorganisms to enhance delivery to antigne presenting cells
- emulsions, microparticles, immunostimulating complexes, and liposomes
Immunostimulatory Adjuvents
- Promote cytokine production by host
- can be selective for Th1 (saponins) or Th2 (Bordatella pertussis)
Recombinant Vax USDA categories
- vax that contains inactivated recombinant organisms or purified antigens derived from recombinant organisms
- vax containing live organisms that contain gene deletions or heterologous marker genes
- vax that contain live expression vectors expressing heterologous genes for immunizing antigens or other stimulants
DNA Vaccines
plasmid is used as vector; it contains genes for immunization; taken into cell where antigenic protein is made and produces good cell mediated immunity
DIVA vaccines
- removal of genes that code for unnecessary antigens
- immune response to those removed regions = true infection and not vaccination
Advantages of Live Vaccines
Fewer doses, no adjuvents needed
decreased chance of hypersensitivity
relatively cheap
Advantages of Dead Vaccines
Stable on storage
Unlikely to cause disease
Unlikely to be contaminated
Vaccination of the young animal
- almost guaranteed lack of maternal Ab by 16 weeks of age so vaccination should work well then
- can lose maternal protection prior to 16 weeks so vaccination protocols begin long before then
Reasons for Vaccine Failure
- Correct Administration, animal responds
- Correct Administration, animal does not respond
3 Incorrect Administration
Role of genetics in vaccine variability
inbreeding can reduce the variability of MHC alleles and cause reduced ability to respond to some antigenic peptides
3 Types of Adverse Vaccine Responses
Errors, “Normal” Toxicity, and Inappropriate Response
Adverse Vaccine Response Error (end-results)
immunosuppression, clinical disease, fetal death
Adverse Vaccine Response N Toxicity (end-results)
fever, malaise, inflammation, pain
Adverse Vaccine Response not-N Response (end-results)
Type 1 - against adjuvant
Type 3 -
Type 4 - granuloma or sterile abscess
Fibrosarcoma in Cats
Antimicrobial Resistance Mechanisms
- reduced permeability to antimicrobial agents
- antimicrobial agent modification
- active efflux
- target modification
- alternate metabolic pathways
Disk Diffusion (pros and cons)
pros: easy, inexpensive, no special equipment
cons: no MIC, no slow-growing or fastidious microbes
Broth Dilution (What is it and pros and cons)
- serial dilution of drug that help determine MIC for a pathogen
pros: gives MIC, trends in resistance, good for fastidious or slow growing organisms
cons: specialized equipment needed, expensive
MIC vs Breakpoint
MIC - minimum inhibitory concentration
Breakpoint - the [drug] at which the pathogen is considered susceptible to an antimicrobial
T/F: MIC is specific for each species and isolate
T
T/F: MIC helps determine dosing [ ] while breakpoint determines frequency
F; MIC is for both dosing and frequency
Methicillin resistant Staph (general facts)
- Altered penicillin-binding protein so no B-lactams or carbapenems will work at all
- check for resistance w/ oxacillin
Subcutaneous Mycoses
- typically associated with injuries
- infections are chronic and insidious; establish in skin and produce a localized infection of surrounding tissue and lymph nodes
T/F: Subcutaneous Mycoses consist of all fungi and yeast
False: SM consist of dematiaceous or hyaline molds and dimorphic fungi