Exam 1 Flashcards
characteristics of the immune system
- a network of interacting cells that communicate through direct contact and release of soluble proteins (cytokines)
- end result is to generate cells that fight infection (anti microbial activity)
- may also result in host tissue destruction (collateral damage)
- may also result in misdirected and anti-host responses (autoimmunity)
- by understanding the immune response we can use it to protect ourselve against infection (vaccines)
vacination
inoculation with a small amount of pathogen or a harmless variant of the pathogen triggers an immune response that protects against full blown infection
extracellular pathogens
- cellular: bacteria and protozoa
- multicellular: helminths
intracellular pathogens
- cellular: bacteria and protozoa
- subcellular: viruses
central question in immunology
how do cells of the immune system discriminate between self and dangerous non self molecules
two essential events in immune defense
- recognition
- destruction
innate mechanisms establish inflammation at sites of infection
- surface wound introduces bacteria, activates resident effector cells to secrete cytokines
- vasodilation and increased vascular permeability allow fluid, protein, and inflammatory cells to leave blood and enter tissues
- the infected tissue becomes inflamed, causing redness, heat, swelling, and pain
cytokine
messenger protein molecule secreted by an immune cell
inflammation
redness, swelling, heat, pain caused by the immune response
neutrophil storage
- large reserves in bone marrow, released when needed to fight infection
- travel to and enter infected tissue
- engulf and kill bacteria
- die in the tissue and are engulged and degraded by macrophages
macrophage receptors
- binding of bacteria to phagocytic receptor induces engulfment and degredation
- binding of bacterial components to signaling receptors on macrophages induces the synthesis of inflammatory cytokines
- macrophages can have both
innate immune system qualities
- evolutionarily ancient
- all multicellular organsims process innate
- limited number of specificities
- defined by cells that possess primitive mechanisms of killing
- respoonse stays the same upon pathogen re-encounter
adaptive immune system qualities
- evolutionarily more recent
- arose in jawed verts
- large number of specificities
- b cells and t cells
- response gets better and more effective upon reencounter
- memory
selection of lymphocytes by a pathogen
- proginator cells give rise to large numbers of lymphocytes each with a different specificity
- during infection, lymphocytes with receptors that recognize the pathogen are activated
- proliferation and differentiation of pathogen-activated lymphocytes give effector cells that terminate the infection
Nonspecific defense against infection
- barriers: skin, epithelial cells in gut, mucus
- our normal microbes: prevent colonization by pathogenic microbes by competing for living
antibiotics interfere with natural ecology and defense in the intestine
- the colon is colonized by large numbers of commensal bacteria
- antibiotics kill many of these commensal bacteria
- pathogenic bacteria gain a foothold and produce toxins that cause mucosal injury
- red and white blood cells leak into gut between injured epithelial cells
complement system
- family of soluble proteins consitutively synthesized by the liver and found in blood, lymph and extracellular fluids
- when complement is activated extracellular pathogens become coated with complement making them susceptible to phagosytosis and cuasing direct pathogen destruction
- approx 30 complement proteins present in inactive form (zymogen)
- activated by proteolytic cleavage in sequential fashion
cleavage of C3
- exposes reactive thioester bond that covalently attaches the C3b fragment to the pathogen surface.
- either attacked by water and made soluble
- or attacked by R-OH or R-NH2 and bound to pathogen surface
Alternative pathway of complement activation
- spontaneous hydrolysis of thioester bond in C3. Promoted by physiochemical changes in the local environment brought about by infection
- B is recruited and then cleaved by D into Bb and Ba
- Bb remains on C3 and makes a iC3Bb convertase
- convertase activates C3 by proteolytic cleavage
- C3b is highly reactive and covalently attaches to microbial surface
- reacts with hydroxyl and amino group on the pathogen surface.
Convertase loop
- C3b can feed back into the reaction cascade making more membrane bound C3b
- positive amplification loop
- pathogen rapidly becomes coated with C3b
Regulation of C3b deposition on surfaces
- preperdin: released by neutrophils at site of the infection and stabilizes convertase
- factor H: changes conformation of convertase and makes it vulnerable to cleavage by factor I
- factor h accumulates around host cells because of affinity for glycosaminoglycans not present on microbial surfaces
- DAF; and MCP; membrane bound molecules on human cells so complement activation is avoided
Complement receptors on macrophages trigger phagocytosis and degradation of C3b-coated microbes
- complement activation leads to deposition of C3b on bacterial cell surface
- CR1 on macrophage binds C3b on bacterium
- endocytosis of the bacterium by the macrophage
- macrophage membranes fuse creating a membrane bound vesicle called the phagosome
- lysosomes fuse with the phagosomes forming phagolysosome
The terminal complement proteins create a membrane pore complex on pathogens
- alternative C3 convertase binds another C3b to create C5 convertase
- C5b initiates assembly of the MAC
The membrane-attack complex assembles to generate a pore in the lipid bilayer membrane
- C6 and C7 bind to C5b
- complex inserts into membrane via C7
- C8 binds and inserts into membrane
- Bound C8 initiates polymerization of C9 in membrane forming a pore
Regulation of the MAC on human cells
- CD59 prevents assembly of the membrane attack complex
- on the cells of pathogens complement components C5-C9 assemble a complex the perforates the cell membrane
- CD59 binds to C5b678 and prevents the recruitment of C9
cleavage proteins of complement cascade induce local inflammation
- anaphylatoxin act on blood vessles to increase vascular permeability
- increase perm allows increased fluid leakage from the blood vessels and extravastion of complement and other plasma proteins at the site of infection
- migration of monocytes and neutrohpils from blood into tissue is increased
- microbial activitiy of macs and neutrophils is also increased
Serum protease inhibitors: a2-macroglobulin
- protease and a2 macroglobulin
- protease cleaves bait region, causing conformational change
- a2 macro enshrouds the protease and is covalently bonded to it
- many bacterial pathogens express proteases aid in tissue destruction
- humans have inhibitors such as a2 macroglobulin
Direct killing of microbes by anti-microbial peptides (AMPs)
- largest family of AMPS are defensins
- alpha and beta
- defensins are amphipathic allowing thme to insert into membrane and cause disrtuption
- const secreted at mucosal surfaces
- neutrophils are major source
- synthesized as longer inactive pepetides that must be cleaved to activate
- work best in low ionic strength environement
Paneth cells in intestine are an important source of defensins
- HD5 and HD6 are a-defensins produced by Paneth cells
- Also called cryptidins
- Paneth cells also secrete other anti-microbials (lysozyme, phospholipase A2)
- Protect gut epithelium from infection
Pentraxins are plasma proteins that bind microbes and target them to phagocytes
- cyclin pentameric structure
- Pentraxins are bridging molecules that bind to pathogen surface and cell surface molecules like CD89 on human phagocytes
- Pathogen targeted for phagocytosis and destruction
short pentraxin
- serum amyloid p component
- liver hepatocytes
- bacteria, virus, fungi, parasite ligands
long pentraxin
- PTX3
- source: monocytes, macrophages, DC, endo and epitheial cells
- bacterial, viral, and fungi ligands
Three phases of immune response
- immediate innate
- induced innate
- adaptive immune response
Tissue macrophages
- stationed to guard against infection
- express large array of receptors that recognize commonly expressed microbial lipids and carbs
- PAMPs: pathogen associated molecular patterns that are recognized by PRRs
two kinds of mac receptors
phagocytic and signaling
phagocytic receptors (macs)
- mediate uptake and degredation
- recognize components of microbial surfaces
- microbs bound by receptor on the mac surface
- internalized by receptor mediated endocytosis
- fusion of the endosome with a lysosome forms a phagolysosome in which they are degraded
Signaling receptors: toll like
- family of approx ten receptors
- homodimers or heterodimers
- recognize diverse microbial molecules
- sensor domain with leucine repeats LRR
- toll interleukin receptor signaling domain to change gene txn
- can be on inside and outside of human cells
Recognition of bacterial LPS by TLR4
- LPS recognized by complex of TLR4, MD2, CD14
- LPS binding protein delivers LPS to CD14
- now recognized by TLR4 and MD2 and signals host nucleus
signaling pathway triggered by TL4 leading to mac activation
- complex of TLR4 MD2 CD14 and LPS on mac surface
- MyD88 binds to TLR4 and activates IRAK4 to Phos TRAF6 which leads to P of IKK
- IKK P IKB leading to degredation and release of NFKB which enters nuc
- activates genes for inflammatory cytokines
Five major cytokines secreted by macs
- IL1B and TNFa: induce blood vessels to become permeable so effector cells and fluid with effector cells can pass through to tissues
- IL6: induces fat and muscle cells to metabolize to raise the temperature
- CXCL8; recruits neutrophils from the blood and guides them to the tissue
- IL12: recruits and activates NK cells that secret cytokinds that strengthen the mac response
Detection of infection in cytoplasm via nod like receptors
- bind components of bacteria cell wall (pep)
- leads to activation of NFKB
- dimerize and bind RIPK2
- then recruits TAK1 and P cascade to activate NFKB
IL1B and the inflammasome
- synthesized in the cytoplasm as an inactive precursor called proIL1B
- cleaved by the protease caspase 1
- caspase 1 is made as an inactive precursor that also must be cleaved
- IL1B can control its own production in a positive feedback loop through cell surface IL1 receptor
- needs two signals
assembly of the inflammasome
- IL1B binds to receptor
- change in ionic conditions via entrance of ATP stimmulates assemby
- also stimulates NFKB pathway
- inflammasome is made up of NLRP3 (nod like), procaspase and adapter proteins