Microbial Immune Evasion Mechanisms Flashcards

1
Q

Explain the concept of Balanced Pathogenicity

A

Properties of the microbe
(Pathogenic mechanisms):

Adhesins
Toxins
Capsule
Etc.

VS

Properties of the host
(Defensive mechanisms):

Natural barriers
Defensive cells
Complement
Immune response

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2
Q

Virulence Factors - describe 3 effects

A

Promote colonisation and adhesion

  • To establish infection
    e. g. adhesins

Evade host defences

Promote tissue damage

  • Growth, Transmission?
    e. g. toxins
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3
Q

Roles of Complement

A
induces inflammatory response
	promotes chemotaxis
	↑ phagocytosis by opsonisation
	↑vascular permeability
	mast cell degranulation
	lysis of cell membranes
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4
Q

Intracellular pathogens:- example

A

Intracellular pathogens:-
e.g. Mycobacterium tuberculosis
Listeria
Salmonella

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5
Q

Intracellular pathogens:- hidden from?

A

hidden from serum killing, complement, antibodies

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6
Q

Phagocytosis - functions

A

kill cell - leucocidins - Staphs
prevent opsonisation - protein A (binds Fc portion of IgG) - Staphs

block contact - capsules -meningococcus, Hib

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7
Q

intracellular pathogens:- function

A

Promote own uptake (safe)
- CR3; mannose lectin receptors

Prepares cell for invasion - Shigella

  • ve P-L fusion
  • M. tuberculosis

Escape P-L to cytoplasm - Listeria

Resist oxidative killing
- produce catalases/peroxidases

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8
Q

Describe phagocytosis

A
  1. Directs phagocytosis
    via CR3 – no ROI
  2. Actin rearrangement - +ve engulfment
  3. Type 3 secretion systems – prepares cell
  4. Resists digestion and ROIs
    in PLs - SOD, catalase
  5. Escape into cytoplasm
    e. g. Listeria
  6. Inhibits PL fusion
    maintains early endosome
    Blocks acidification
    e.g. mycobacteria
  7. Controls antigen
    presentation
    Stops CTLs or
    Pφ activation
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9
Q

Effect of production of Fc receptors by microbes

A

Microbial antigen bind to antibody leading to elimination

However when microbial Fc receptors bind antibodies leads to binding specific + non-specific antibody by Fc portion

Access to surface antigen
by specific antibody blocked

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10
Q

Concealment of antigen - describe

A

Adaptive immunity

  • hide inside cells
  • privileged sites
  • block MHC antigen presentation = Herpes -ve TAP protein
  • surface uptake of host molecules e.g. CMV and beta2microglobulin
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11
Q

Effect of immunosuppression

A

Immunosuppression

- e.g. ↓ MHC, ↓ receptors, apoptosis, cytokine switch IgA proteases

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12
Q

Streptococcus pneumoniae - pathogenic mechanisms

A

Colonisation of nasopharynx
(adhesins; receptor NAc-hex-gal, sIgA proteases) = Otitis media
(inflammation)

Inhalation into lungs

By-passes defences: surfactants sIgA proteases; pneumolysin

Reaches lung

=

Escapes phagocytosis
(capsules)

Inflammation -Lung damage
(teichoic acids; pneumolysin)

Damage to endothelial cells
(inflammation; pneumolysin)

=

pneumonia

Bacteraemia

Meningitis + septicaemia
(Inflammation and toxic shock)

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13
Q

Viral Immune Evasion - describe

A
  1. Latency - VZV, herpes simplex
  2. ↓ antigenic presentation by binding to TAP
    - Inhibits peptide transfer to MHC
    - Herpes simplex
  3. ↓MCH expression - Cytomegalovirus (CMV)
  4. Mutation of epitopes
    B cells - neutralisation escape
    T cells - CD8+ escape mutants of HIV
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14
Q

Intracellular pathogens - requires

A

Intracellular pathogens - requires adaptive cell mediated immunity

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15
Q

Ophthalmic Zoster - presentation

A

During chicken pox VZ V becomes latent in nerve ganglia

In shingles, reactivates years later

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16
Q

Ophthalmic Zoster - define

A

Shingles involving the eye. Symptoms = include a rash of the forehead with swelling of the eyelid.

There may also be eye pain, eye redness, and light sensitivity.

17
Q

Explain infection of next generation susceptibles

A

Microbes infects
susceptibles

Microbe remains
latent

Microbes reactivates (zoster)
and infects next generation
of susceptibles

18
Q

Explain immunological state of nerves

A

Nerves –
immunologically privileged site
Poor protective immunity for reactivation

19
Q

Phenotype changes - list

A

Phenotype changes - colony morphology, virulence, serotype loose flagella, change surface sugars

20
Q

Antigenic Diversity/ polymorphisms - define with an example

A

Antigenic Diversity/ polymorphisms

  • genetically stable and alternative forms of antigens in a population of microbes
    e. g. serotypes of Strep.pneumoniae
21
Q

Antigenic Variation - define

A

Antigenic Variation
- successive expression of alternative forms of an antigen
in a specific clone or its progeny

22
Q

Define phase variation - when does it occur

A
  • Phase variation - ON/OFF of an antigen at low frequency

Occurs:

  • during course of infection in an individual host
  • during spread of microbe through a community
23
Q

Gonorrhoea – a sexually transmitted disease = define

A

Inflammatory and pyogenic infection of anterior urethra
Infects mucosal surfaces with columnar epithelium
- urethra, cervix, rectum, pharynx, conjunctiva

24
Q

Gonorrhoea – a sexually transmitted disease = effects

A

dysuria, redness, swelling, pain on urination, destruction of mucosa

prostatitis, orchitis, strictures, ovaritis, fistulas, PID, proctitis, sterility

Disseminated infections → arthritis, endocarditis, meningitis

25
Q

Neisseria gonorrhoeae - characteristics

A

Surface components interact with host cells
Components vary at high frequency in a population of bacteria
Variation to avoid immune response

26
Q

Neisseria gonorrhoeae - list cell surface components

A
Pilus
Capsule
Inner membrane
Outer membrane
Opa
27
Q

Neisseria gonorrhoeae - cell surface structures can undergo what

A

All of these structures can undergo either:
Phase variation i.e. an ON-OFF switch (capsule, Opa’s)
Antigenic variation e.g. pilins (or both phase and antigenic)

28
Q

Epidemics cause

A

Antigenic drift

– mutation + selection

29
Q

Pandemics cause

A

Antigenic shift

- gene reassortment

30
Q

What effects do bacterium have on the body

A

Superantigens and inappropriate immune
activation

Induction/inhibition of apoptosis

Inhibition of antigen presentation

Prevents opsonin binding
C3a and C5a proteases
Anti-inflammatory
and anti chemoattractant

Inhibits opsonisation

Inhibit complement
activation

Ig binding proteins
e.g. protein A

sIgA proteases

Survival inside macrophages

Induction/inhibition of apoptosis

31
Q

What effects do viruses have on the body

A

MHC mimics – block killing by NK cells

Downregulate MHC

Block antigen processing by TAP

Induce immune suppression
↓CMI, ↓CD4+

Host Mimicry

Cytokine mimics and binding proteins

Hide inside cells

Survival inside cells

Induction/inhibition of apoptosis

Blockage of cell cycle
progression

CTL escape mutants –
quasi species swarms

Latency reactivation
e.g. VZV, Herpes simplex

Rapid growth and transmission prior to adaptive immunity e.g. colds