Innate Immunity Flashcards

1
Q

What is the primary concern of the immune system? What is immunology?

A
  • principally concerned with the maintenance of homeostasis
  • immunology: the study of multi-layered host defence system that protects us against: pathogens, tumours, toxins, prions, allergens, etc.
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2
Q

What are some examples of viruses?

A
  • variola; smallpox
  • influenza; the flu
  • HIV; AIDS

**test

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3
Q

What are some examples of bacteria?

A
  • salmonella enteritidis; food poisoning
  • mycobacterium tuberculosis; tuberculosis

**test

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4
Q

What are some examples of fungi?

A
  • epidermophyton floccosum; ringworm
  • candida albicans; thrush, systemic candidiasis
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5
Q

What are examples of parasites?

A
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6
Q

What did Edward Jenner observe during the small pox outbreak?

A
  • milkmaids exposed to cow pox (similar virus) didn’t seem to come down with small pox
  • he postulated that being exposed to something related protected you from getting sick
  • coined the word vaccination; took us from small pox epidemic to it being eradicated
  • small pox has no natural reservoirs so through sustained vaccination it has been eradicated
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7
Q

Describe the multi-layered nature of the immune system

A
  • intrinsic barriers are first thing for bacteria/virus to encounter; if it works, it doesn’t get in
  • if it does innate (immediate) immunity is activated upon arrival; uses preformed non specific effectors to kill the intruder
  • if these fail, an early induced innate response occurs (inflammation); threat is recognized and more cells/protein will be recruited from blood to try to get rid of intruder
  • if this fails, adaptive immune response ensues; takes time because it takes parts of the intruder to the lymph node, it is recognized by B and T cells then these cells mature, then goes back to where infection is to wipe it out
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8
Q

What are the characteristics of the 3 layers of immunity?

A

Intrinsic barriers: pre formed barriers to prevent invasion

Innate immunity: non-specific, fast, fixed/constant

Adaptive immunity: very specific, slow, improves throughout response

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9
Q

What are examples of intrinsic barriers?

A

Mechanical: expulsive force (coughing, sneezing, defecation, urination), ciliary beating (move mucus north into stomach), tight junctions in epithelium

Chemical: low pH barriers (stomach, vagina, sebaceous fatty acids) where bacteria mostly can’t survive, proteolytic enzymes (lysozyme and pepsin in tears and gut)

Physiological: temperature regulation (makes it a hostile environment for things to survive- if it manages to survive at 37 then we have a fever and raise body temp even more to try to kill it)

Microbiological: commensal flora compete with pathogens (more of these cells in GI tract than mammalian cells)

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10
Q

What is complement? How is it activated?

A
  • resident defence 1
  • complement acts locally
  • exist as precursor (zymogen) proteins throughout the body
  • proteins made in liver and are in blood
  • zymogen gets activated when they are cleaved
  • antibody-pathogen binding can activate zymogen; body will produce antibodies against an antigen and binding to that antigen will trigger cleavage of zymogen
  • lectin-mannose binding: lectins are produced in body and bind to specific conformations of sugar, we don’t produce the same mannose as bacteria, lectin can recognize the bacterial mannose and bind to it which causes complement proteins to be cleaved
  • some pathogens have enzymatic activity on their surface and some of these enzymes can cleave the zymogens (some have intrinsic complement cleaving activity)
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11
Q

How do complement contribute to inflammation?

A
  • once activated, complement cleavage products:
  • bind to receptors on inside of BVs and cause them to dilate, increase vascular permeability, and cell-adhesion molecules and cause
  • capillary membranes to become leaky allowing proteins and fluid to leak out of the blood and extravasation of immunoglobin and complement molecules
  • endothelium of BV expresses molecules that drag WBCs from circulation into the tissue; migration of macrophages, polymorphonuclear leukocytes (PMNs) and lymphocytes increases
  • microbicidal activity of macrophages and PMNs is increased
    2. Membrane attack complex formation:
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12
Q

How do complement contribute to membrane attack complex formation?

A
  • complement is activated
  • complement can make holes in bacterial cell wall by forming polymerized barrel shaped assemblies
  • what is inside the bacterium leaks out (DNA, RNA, enzymes)
  • kills bacteria
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13
Q

How do complement relate to opsonization?

A
  • activated complement coat surface of pathogen with sticky molecules so that when a macrophage or other WBC comes along it recognizes that it is a bacteria that has been tagged for death
  • causes the cell to phagocytose the bacterium and kill it
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14
Q

What are resident phagocytes?

A
  • resident defence 2
  • directly under the surface of our body (skin, resp/urogenital/GI tract, mucosal membranes) are macrophages that are waiting for something to arrive
  • dendritic cells also here
  • neutrophils are there but are not resident phagocytes; they are recruited later after an inflammation and are never present in normal tissue
  • cause third part of immune response
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15
Q

What is the activation of inflammation during the immune response?

A
  • pattern recognition receptors (PRR): molecules that are expressed on the surface of our cells and recognize a pathogen (recognizes pathogen from PAMPs)
  • pathogen-associated molecular patterns (PAMPs): on surface/inside of the pathogen, broadly conserved molecular pattern that is constant and absolutely required by a pathogen
  • PRR include toll-like receptors (TLRs)
  • TLRs are numbered 1-12 and each recognizes something very specific (specific PAMP) that a pathogen can not live without
  • TLR-1 recognizes peptidoglycan which is an essential part of bacterial cell walls and is not produced in any cell of the body; any peptidoglycan in the body indicates 100% of the time it is foreign
  • TLR 3 recognizes double stranded RNA; no point in our life cycle that we make double RNA but double RNA is made by viruses all the time
  • TLR 4 recognizes LPS needed by gram negative bacteria
  • TLR 5 recognizes flagellin which is the protein that makes whip like flagella of motile bacteria
  • TLR 9 recognizes unmethylated CpG DNA is common in bacteria to protect themselves against viruses
  • none of these things are ever made by mammalian cells
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16
Q

How does tissue inflammation occur in innate immunity?

A

-PRRs recognize PAMPs then make cytokines and chemokines which go out to cause vasodilation, increased permeability to allow these cells to come through, and expression of molecules on surface of BV that drags WBCs from blood into tissue

-

17
Q

What occurs during innate induced response that is visible in a blood sample?

A
  • blood sample centrifuged separates buffy coat; someone who has an infection has large buffy coat because they have more WBCs
  • requires about 4 hours because WBCs need to be released from bone marrow and migrate from blood to tissue
18
Q

What are the cardinal signs of inflammation?

A

Celsus

  • rubor (redness)
  • tumor (swelling)
  • calor (heat)
  • dolor (pain)

Funcio laesa (loss of function) added in later

-all inflammation looks the same so doesn’t matter how it originated

19
Q

What are macrophages?

A
  • innate immune cells
  • tissue-resident sentinel cells
  • referred to as monocytes when in the blood (differentiate into macrophages to travel to tissue)
  • phagocytose bacteria and dead cells
  • produce cytokines that establish the inflammatory response
  • more are recruited to site of inflammation when needed
20
Q

What are neutrophils?

A
  • found in high concentrations in the blood
  • migrate to tissue during inflammation
  • something in tissue makes chemokine which cause migration of cells
  • most important neutrophil chemokine is interleukin 8 (IL-8/CXCL8) which brings neutrophils into the tissue
  • contain toxic granules that can kill invaders
  • must be regulated to control immunopathology
  • short lived (3 days) and replenished from bone marrow
21
Q

What are dendritic cells?

A
  • antigen-presenting cells found mostly in tissues
  • differentiate from blood-borne monocytes in tissues
  • bridge gap between innate and adaptive immunity by activating T cells and B cells in lymph nodes and spleen
  • found in high numbers in the skin (Langerhans cells)
  • grabs sample of pathogen and goes to lymph node; skin vaccinations are so effective because the Langerhans cells do such a good job of identifying pathogens
  • macropinocytosis
22
Q

What are natural killer cells?

A
  • virus and tumour killers
  • release granules (similar to neutrophil) and these cause infected cell to kill itself
  • recognize virus infected or tumour cell and dump things on surface of that cell which causes it to undergo apoptosis/rupture (programmed cell death)
  • come from same lineage as adaptive immune cells but act as part of the innate system
23
Q

What are mast cells?

A
  • important in allergic reactions via release of histamine
  • help battle parasite infection; macrophages can’t eat parasites like tapeworms so mast cells in lining of gut which dumps histamine which makes GI tract unhappy to clear the pathogen through diarrhea
  • implicated in allergies
24
Q

What are eosinophils?

A

-parasite infection and protection of mucosal surfaces (GI tract, lungs, genital tract)

25
Q

What are basophils?

A
  • important in allergic reaction through release of histamine
  • release heparin to reduce blood clotting
26
Q

How does the response of the immune system differ with an extracellular vs intracellular threat?

A
  • extracellular (eg. bacteria) are phagocytosed by macrophages which release cytokines and chemokines to call in more cells to clear the infection
  • intracellular (eg. virus) causes infected cell to create anti-viral cytokines (interferons) which cause change in temperature (fever), recruitment of NKCs, and death of the infected host cells- phagocytosis cells (eg. macrophages) will clean up the debris
27
Q

What are lymphatics?

A
  • drain tissues of the body
  • return fluid, protein, and cells to the blood via the thoracic duct
  • bring together the components of the immune system necessary for adaptive immune response; have all of the cells flowing in one place so that the chances of them meeting is increased to do their job
28
Q

What are lymphoid tissues?

A
  • primary lymphoid tissues: where cells develop and are educated; bone marrow and thymus (B cells educated in bone marrow, T cells educated in thymus)
  • secondary lymphoid tissue: where immune components are brought together to mount a response; lymph nodes, lymphoid tissues GALT (gut)/MALT(mucosa)/BALT (bronchus)
29
Q

Compare the differences between innate and adaptive immunity

A

Adaptive:

  • don’t use PRRs but instead BCRs and TCRs
  • recognize antigens rather than PAMPs
  • PAMPs are obligatory requirements for pathogen survival but antigens aren’t; antigens can be mutated or stop making them to escape the adaptive immune system
  • almost unlimited repetoire of things it can bind to; narrow cross reactivity so BCR that binds to one protein from influenza will not bind to protein from different influenza
  • possibility that we make something that can cross react with BCR or TCR so it is not perfect at recognizing self (whereas innate is perfect at identifying self)