CMB1003/L21 Innate Human Response in Action Flashcards

(30 cards)

1
Q

How is cytokine secretion mediated?

A

Self-limited

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2
Q

Describe the action of cytokines. (3)

A

Pleiotropic
Redundant
Local or systemic
Often influence action or synthesis of other cytokines

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3
Q

How do cytokines initiate their actions?

A

Membrane receptor binding

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4
Q

How is the expression of cytokine receptors regulated?

A

External signals

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5
Q

Describe the cellular response to cytokines. (2)

A

Changes in gene expression
Expression of new functions

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6
Q

What are the 3 major functional categories of cytokines?

A

Mediators and regulators of innate immunity
Mediators and regulators of adaptive immunity
Stimulators of haematopoiesis

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7
Q

What are mediators and regulators of innate immunity produced by?

A

Mainly by macrophages in response to infectious agents

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8
Q

What are mediators and regulators of adaptive immunity produced by?

A

Mainly by T lymphocytes in response to specific recognition of foreign antigens

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9
Q

What are stimulators of haematopoiesis regulated by?

A

Bone marrow stromal cells, leukocytes and other cells
Stimulate growth and differentiation of immature leukocytes

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10
Q

Name 3 important cytokines.

A

IL2
IL1
TNFa
Interferons

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11
Q

What are the 2 distinct groups of chemotractive cytokines?

A

CXC
CC

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12
Q

Give another name for CXCL8.

A

IL-8

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13
Q

What is the role of CXCL8? (2)

A

Chemotactic factor
Recruits neutrophils, basophils and T cells to site of infection

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14
Q

What is the role of IL-1B? (4)

A

Activates vascular endothelium
Activates lymphocytes
Local tissue destruction
Increases access of effector cells

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15
Q

What is the role of TNF-a? (3)

A

Activates vascular endothelium
Increases vascular permeability leading to increased entry of IgG complement
Increased fluid drainage to lymph nodes

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16
Q

What is the role of IL-6? (2)

A

Lymphocyte activation
Increased antibody production

17
Q

What is the role of IL-12? (2)

A

Activates NK cells
Induces differentiation of CD4 T cells into TH1 cells

18
Q

Describe antimicrobial peptides. (4)

A

Innate, small peptides
Amphipathic -> destabilise lipid bilayer
Immunomodulatory effects on host cells
Produced by various cells

19
Q

What is the goal of inflammation? (3)

A

Increased blood supply (vasodilation)
Increased vascular supply (leaky)
Increased expression of adhesion molecules

20
Q

Give 3 triggers of inflammation.

A

Pathogens
Tissue damage
Disruption/inappropriate immune response

21
Q

Describe the initiation of inflammation. (3)

A

Bacteria trigger macrophages to release cytokines and chemokines
Vasodilation and increased vascular permeability cause redness, heat and swelling
Inflammatory cells migrate into tissue, releasing inflammatory mediators that cause pain

22
Q

Give 3 mediators of inflammation.

A

Complement products (C5a -> C3a)
Macrophage, T-cell-derived cytokines
Mast cells
Prostaglandins, leukotrienes, thromboxane, NO

23
Q

Describe the local inflammation in response to Gram negative bacteria from cut to hand. (3)

A

PRR on macrophage stimulated
Release of TNFa but controlled
Positive outcome

24
Q

Describe endotoxic shock. (4)

A

Excessive cytokine release in Gram-negative bacterial infection
Widespread effects of cytokines on vascular endothelium
Circulatory shock
Disseminated intravascular coagulation (DIC)

25
Describe how systemic inflammation (toxic shock) occurs using the example of Gram negative bacteria in blood. (3)
PRR on macrophage stimulated Uncontrolled release of TNFa Negative outcome
26
What is a cytokine storm?
Elevated levels of circulating cytokines and immune cell hyper-activation
27
Give 2 GI host-immune interactions.
Tight junctions Paneth cells secrete AMPs Complement Saliva, pH, bile, peristalsis Microbiome
28
Describe Crohn's Disease. (4)
Inflammatory bowel disease Autoimmune Autoreactive T cells against intestinal floral agents Fatigue, fever, abdominal pain, diarrheoa, weight loss, skin lesions
29
Which cells cause inflammation? (2)
Macrophages TH1 cell infiltration
30
Which humoral components cause inflammation? (4)
Cytokines Complement Altered AMP levels Antibodies