Innate immunity Flashcards

1
Q

what are the general principles of innate immunity?

A
  • oldest form of immunity - all organisms have a form of innate immunity which has changed on an evolutionary scale
  • always available - little exposure required, but no memory
  • major form of immunity in infants (period between loss of maternal antibodies and the formation of their own)
  • initiates and directs adaptive immunity
  • adaptive immunity takes ~4-6 days to develop. Innate immunity is critical in controlling infections before this.
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2
Q

what are the key elements of innate immunity?

A
  1. barriers - prevent establishment of infection
  2. pre-formed mediators - proteins/peptides with broad specificity that damage pathogens, induce inflammation or recruit adaptive immune cells
  3. innate leukocytes
    - recognise and activated by pathogen
    - eliminate pathogen
    - communicate with other cells to direct adaptive immune response
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3
Q

what is the role of barriers in the innate immune system?

A

Mechanical barriers help prevent infection; secreted chemicals, anti-microbials and commensals make an unfavourable environment for pathogens

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4
Q

what are the main barriers of the body?

A

keratinised skin

mucosal membranes:
- GU tract
- GI tract
= respiratory tract

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5
Q

what are the features of keratinised skin?

A
  • generally impermeable unless breached
  • keratinocytes produce keratin: tough substance – effective barrier
  • sebaceous glands produce sebum – contains fatty acids, defensins
  • Shedding – remove microbes from skin surface
  • Commensals – deter pathogens from colonising
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6
Q

what are the features of mucosal membranes?

A
  • Mucous – traps pathogens from reaching epithelial lining
  • Cilia (respiratory tract) – waft away mucus and the microbes trapped within
  • Mucous contains secreted enzymes (e.g. lysozyme in tears and saliva)
  • low pH (gut, vagina) – deter pathogens replicating, peristalsis (gut) – expel microbes
  • Shedding of epithelia in the gut
  • Commensals
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7
Q

what are pre-formed mediators? what are the main ones in the innate immune system?

A

Proteins/peptides with broad specificity that damage pathogens, induce inflammation or help recruit and activate innate immune cells
- lysozyme
- antimicrobial peptides: defensins, complement

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8
Q

what is lysozyme?

A
  • Present in secretions (tears, saliva, mucous)
  • Breaks a bond in peptidoglycan – destabilises the cell wall of gram positive bacteria
  • More active against G+ve bacteria, where peptidoglycan is exposed.
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9
Q

what are defensins?

A
  • form of antimicrobial peptide
  • 29-47 amino acids
  • evolutionarily ancient
  • Produced by many epithelial cells and neutrophils
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10
Q

what is the structure of defensins?

A

Beta-sheet core structure stabilised by 3 conserved intramolecular disulphide bonds
- Two subfamilies (alpha and beta) in humans
- Alpha form already exist in granules of innate cells, whereas beta form is synthesised de novo under infection

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11
Q

how do defensins function?

A
  • cationic, insert into membranes and disrupt lipid bilayers in bacteria, fungi and enveloped viruses (take part of the host membrane with them when they leave the host cell)
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12
Q

what is complement?

A

-Discovered as a heat-sensitive substance that “complemented” antibodies in killing bacteria
- >20 soluble proteins found in blood and other body fluids
- Components normally inert, but “activated” by presence of pathogens or antibody bound to pathogen
- C3 is the most abundant in the body and is critical for the cascade
- Complement cascade – amplification of reactions
- Originally evolved as part of the innate immune response – ancient form of immune defense
- Provides protection early in infection in the absence of antibodies through other “older” activation pathways

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13
Q

which complement protein is most abundant?

A

C3

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14
Q

how does complement work?

A
  • Many activated complement components are proteases; act on one another to generate a large and a smaller fragment
  • e.g. C3 –> C3b + C3a (b is big fragment, a is small)
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15
Q

what is the central event of all complement activation pathways?

A
  • Cleavage of C3 exposes a reactive thioester bond in C3b, which can bind covalently to adjacent proteins/carbohydrates e.g. on the surface of a pathogen.
  • Rapidly inactivated in the fluid phase –> prevents further damage.
  • The central event of complement activation is cleavage of C3 by a “C3 convertase
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16
Q

what are the 3 pathways of complement activation?

A
  1. classical
  2. mannose-binding lectin (MBL)
  3. alternative
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17
Q

what is the classical pathway of complement activation?

A
  • Antibody binding to bacterial surface
  • This activates C1 to generate a protease, which activates C4, then C2
  • C2 then activates C3 convertase
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18
Q

what is the MBL pathway of complement activation?

A
  • MBL binding to mannose on pathogen surface
  • This activates MASP1 which activates MASP2
  • MASP2 activates C2, which activates C3 convertase
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19
Q

what is the alternative pathway of complement activation?

A
  • Spontaneously activated by recognition of LPS on surface of bacteria
  • Factor B, D and P generate C3 convertase
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20
Q

what is C3 convertase in the classical and MBL pathways of complement?

A

For Classical and MBL pathway, C3 convertase = C4bC2a complex (from cleavage of C4 and C2 by C1 and MASP2, respectively)

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21
Q

what is C3 convertase in the alternative pathway of complement?

A

For Alternative pathway, C3 convertase = C3bBb
- some C3b is generated spontaneously in body fluids by a “tickover” mechanism
- If C3b generated binds to LPS on a pathogen surface, factor B binds to C3b
- Factor B is cleaved by factor D → C3 convertase (C3bBb).
- The C3bBb convertase is stabilised by factor P (properdin) and activated (works for longer on the bacterial surface

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22
Q

how can complement amplification occur in classical and MBL complement pathways?

A

C3b generated by the Classical or MBL pathway can also bind factor B – amplification of complement

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23
Q

what are the later stages of complement activation?

A
  1. C3 convertase cleaves C3 to C3a and C3b
  2. C3 convertase + C3b opsonin –> C5 convertase –> C5a and C5b
  3. C5b, C6, C7, C8, C9 = membrane attack complex
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24
Q

what are the 3 major biological activities of complement?

A
  1. recruitment of phagocytes and inflammation
  2. opsonisation
  3. membrane attack complex –> cell lysis
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25
Q

how does complement promote recruitment of phagocytes and inflammation?

A

C5a (C3a) – recruit phagocytes to site of and infection induce inflammation (chemoattractants, anaphylatoxins)
- Innate cells move towards area of high chemoattractant conc
- Phagocytes have C5a and C3a receptors and undergo chemotaxis in response to C5a/C3a peptide – recruitment of phagocytes out of blood stream and into tissues
- C5a/C3a also act on local blood vessels, increasing blood flow, permeability and phagocyte adhesion.
- C5a/C3a binding to C5a/C3a receptors on mast cells induces release of inflammatory mediators such as histamine – role as anaphylatoxins

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26
Q

which complement protein is the more potent chemoattractant?

A

C5a is the more potent chemoattractant

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27
Q

how does complement promote opsonisation?

A

C3b promotes opsonisation and phagocytosis
- Pathogens coated with C3b peptide are recognised by phagocytes with C3b receptors, facilitating binding and phagocytosis

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28
Q

how does complement induce lysis of bacteria?

A

C5b-C9 form the membrane attack complex, leading to lysis
- Activation of C5b – C9 results in C9 polymerisation, forming a pore in the membrane, disrupting it and killing the pathogen.
- Important for killing gram –ve bacteria

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29
Q

why must complement be strictly regulated?

A

as it may cause damage to host

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30
Q

how is complement regulated?

A

Components rapidly hydrolysed and inactivated in fluid phase
Soluble and membrane-bound regulatory proteins, e.g.:
- C1 inhibitor inactivates C1 in classical pathway
- Factor H competes with factor B to inhibit alternative pathway
- carboxypeptidase N inactivates C3a and C5a – halts inflammation
- CD59 on host cells binds C9, preventing MAC formation

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31
Q

how are complement deficiencies implicated in disease?

A

e.g. age-related macular degeneration (lack Factor H)

e.g. paroxysmal nocturnal hemoglobinuria (lack CD59) – complement attacks red blood cells

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32
Q

why is complement so important?

A

Complement is particularly important in extracellular bacterial and fungal infections, but may be active against some viruses.
- Defects in C3 – increased susceptibility to pyogenic infections e.g. S.pneumonia
- Defects in C5-C9 – increased susceptibility to Neisseria (Gram–ve) infections

Complement interacts with Adaptive Immune system
- Classical Pathway interacts with antibody
- Aids clearance of immune complexes antigen:antibody
- role in activating B and T cells

inappropriate activation of complement plays a role in some autoimmune diseases and asthma

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33
Q

what is the lineage of leukocytes?

A

Derived from pluripotent stem cells in the bone marrow, which give rise to two main lineages, one for myeloid cells and one for lymphoid cells.
- Myeloid cells are involved in innate response (except NK cells which derived from lymphoid)
- Lymphoid cells are involved in the adaptive response

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34
Q

what are polymorphonuclear granulocytes? how were they categorised?

A

Leukocytes with different-shaped nuclei and granules in cytoplasm

Stained the cells with different dyes
- Blue basic dye = basophils
- Acidic red dye (eosin) = eosinophils
- No staining = neutrophils

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35
Q

what are neutrophils?

A
  • Make up most (60-70%) leukocytes in blood
  • Released in large numbers from bone marrow
  • Live for <24hr in blood
  • Life extended on entering tissues in response to chemoattractants
  • Receptors for C3b, IgG, IgA
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36
Q

what are the main functions of neutrophils?

A

Main function is phagocytosis

NETosis:
- Neutrophil extracellular trap = DNA + antimicrobials
- When neutrophils are dying, they release a chromatin net with defensins attached, which can catch bacteria and kill them along with it

37
Q

what are eosinophils?

A
  • Few in blood (normally 6%), but also beneath mucous surfaces
  • Receptors for C3b (can undergo phagocytosis), IgG, IgA, (IgE)
38
Q

what are eosinophils important for?

A
  • important in defence against multicellular parasites
  • They release toxic proteins/ROS onto the surface of the parasite to kill it
  • Role in allergy (especially asthma) – when activated inappropriately can cause damage to lungs
39
Q

how do eosinophils function?

A

Release toxic proteins and free radicals (ROS which binds to pathogens to cause damage) from their granules

40
Q

what are basophils? how do they function?

A
  • Very few in blood (1% leukocytes are of this type)
  • Receptors for C3a, C5a (chemoattractants), IgE –> Release heparin (increased blood flow) and histamine (inflammatory mediator) from their granules
  • Defence against parasites, role in allergy
41
Q

what are mast cells?

A
  • Restricted to tissues - protect mucosal surfaces.
  • Receptors for C3a, C5a (chemoattractants), IgE  release histamine etc.
  • “Sentinel” cells, defence against parasites, role in allergy
42
Q

what are macrophages and monocytes?

A

Macrophages can be derived from monocytes during infection:
- Monocytes occur in blood, while macrophages are found in tissues
-Different tissues have different resident macrophages
- e.g. alveolar macrophages (lung), microglia (brain)
- Long-lived
- Act as “sentinel” cells – often the first to detect infections
- “Big eaters” – one can phagocytose 100 bacteria/cell
- Receptors for C3b (opsonisation), IgG, IgA
- Produce pro-inflammatory mediators
- Can present antigen to T lymphocytes – link innate and adaptive

43
Q

what are dendritic cells?

A
  • Found in skin and lymphoid tissues
  • Finger-like processes called dendrites
  • Take up foreign material by phagocytosis or micropinocytosis
  • Digest foreign material and display fragments on their cell surface
  • Specialised for presenting antigen to T cells (APC)
  • Constitutively express high levels of Major Histocompatibility Type II (MHCII) proteins
44
Q

what is phagocytosis important in killing?

A

important for bacterial and fungal infection

45
Q

what leukocytes can undergo phagocytosis?

A

neutrophils, monocytes, macrophages, dendritic cells

46
Q

what is the process of phagocytosis?

A
  1. Bacterium binds to the surface of phagocytic cell - recognition
    - Antibody or complement can aid binding
  2. Phagocyte pseudopods extend and engulf the organism by fusing
  3. Invagination of phagocyte membrane traps the organism within a phagosome
  4. A lysosome fuses and deposits enzymes into the phagosome (phagolysosome)
  5. Enzymes cleave macromolecules and generate ROS, destroying the organism
47
Q

how do self cells avoid phagocytosis?

A

Healthy “self” cells express a protein (CD47) which is recognised by phagocytes and prevents phagocytosis – inhibitory signal

48
Q

what are the key bactericidal agents?

A
  • acidification: pH 3.5-4, bacteriostatic/cidal
  • toxic oxygen-derived products: superoxide, hydrogen peroxide, singlet oxygen, hydroxyl radical
  • toxic nitrogen oxides
  • antimicrobial peptides e.g. defensins
  • lysozyme - dissolves cell walls of gram-positive bacteria
  • acid hydrolases digest bacteria
  • competitors - lactoferrin binds iron, vitamin B12 binding protein
49
Q

what is the most important phagocyte bactericidal agent?

A

free radicals:
- ROS and nitrogen oxides

Free radicals are short-lived, contained in the phagosome and are produced following the oxidative burst

50
Q

what is oxidative burst?

A

Oxidative burst – transient increase in oxygen consumption following phagocytosis due to activation of a membrane-bound NADPH oxidase.
- NADPH + 2O2 → NADP+ + H+ +2●O2- → H2O2 + Cl- → OH- + HOCl
- Active NADPH oxidase converts oxygen to superoxide ion
- A second enzyme converts superoxide to hydrogen peroxide
- In neutrophils, myeloperoxidase converts hydrogen perixode to hypochlorite ions and hydroxyl radicals

51
Q

how are nitrogen oxides produced in phagocytes?

A
  • Inducible nitric oxide synthetase in the phagosome membrane can also lead to the production of nitric oxide and other toxic reactive nitrogen species
  • arginine + 2O2 → citrulline + NO
52
Q

what are NK cells?

A
  • Derived from lymphoid progenitor, granules in cytoplasm
  • Kill infected host cells
  • Recognise “altered-self”
  • changes in expression of self-Major Histocompatibility Type I (MHCI) proteins
  • detects decrease in MHCI expression
  • Receptors for IgG (allows killing of antibody-coated infected host cells)
53
Q

what are NK cells important in killing?

A
  • Important in viral and some intracellular bacterial infections, especially until adaptive immunity is triggered
  • Also active against some cancer cells as these have altered proteins on surface
54
Q

how do NK cells function?

A

NK cells induce infected host cells to undergo apoptosis
- Activated NK cells produce a pore-forming protein, perforin, which inserts into the membrane of the infected host cell.
- Polarisation of NK cell granules at the interface between the NK cell and target cell
- Granule contents (“granzymes”) are released into the target cell through the perforin channel to activate apoptosis pathway -> Target cells undergo apoptosis.
- Recently discovered that a granzyme can enter intracellular bacteria, killing them directly.

55
Q

how are pathogens recognised by the innate immune system?

A

Pattern recognition receptors (PRRs) recognise invariant structures on pathogens (MAMPs) or damaged cells (DAMPs)

56
Q

what are MAMPs?

A

Microbe-associated molecular patterns: MAMPs
- Shared by many microbes
- Distinct from “self” cells/molecules
- Critical for survival/function of pathogens
- Conserved

57
Q

what are DAMPs?

A

Damage-associated molecular patterns: DAMPs
- Host components released during injury and cell damage
- Generated in response to injury, heart attack, cancer etcg

58
Q

give some examples of MAMPs:

A

Bacteria:
- Gram -ve: Lipopolysaccharides (LPS) (outer membrane)
- Gram +ve: Lipoteichoic acid (thick peptidoglycan)
- Flagellins, unmethylated CpG in bacterial DNA, N-formylated proteins

Fungi: Chitin, beta-glucans,
Viruses: dsRNA,
Protozoa: GPI-linked proteins, mannose-rich glycans

59
Q

give some examples of DAMPs:

A
  • Fragments of extracellular matrix proteins e.g. fragments of fibronectin
  • Exposed phosphatidylserine (component of lipid bilayer which is exposed in apoptosis)
  • Mitochondrial components outside the cell
  • Uric acid – excess purines lead to buildup of uric acid – causes gout crystals in joints
  • DNA
60
Q

how many MAMP/DAMP ligands can PRRs recognise?

A

> 1000 DAMP/MAMP ligands

61
Q

what are the classes of PRRs?

A

Soluble receptors e.g. Mannose-binding lectin found in fluids to activate complement

Membrane receptors:
- Lectin receptors (binds to carbohydrates found on bacteria)
- Chemotactic receptors
- Toll-like receptors (TLR)

Cytoplasmic receptors: NOD-like receptors (NLRs)

Both membrane and cytoplasmic receptors expressed by immune and non-immune cells e.g. fibroblasts, epithelial cells

62
Q

what are examples of membrane PRR receptors?

A

MAMP binding may initiate phagocytosis, chemotaxis or signalling.
- e.g. macrophage mannose receptor (recognises mannose), CD14 on macrophages recognises LPS – both of these binding trigger phagocytosis

CHEMOTACTIC RECEPTORS recognise CHEMOATTRACTANTS
- e.g. f-met-leu-phe receptor recognises N-formylated polypeptides, produced by bacteria

Toll-like receptors or TLRs: sensors that signal the presence of microbial components
- Signals that there is danger and triggers gene expression

63
Q

what are toll-like receptors?

A
  • Ancient pathogen recognition system discovered in Drosophila
  • 10 TLRs in humans, each recognising distinct MAMPs
  • TLRs can be on the cell-surface or on endosomal membranes (TLR3)
  • The extracellular domain of TLR3 has a horseshoe shape formed by leucine-rich repeats which recognises the MAMP. The inner surface has β-sheet structure and forms the ligand-binding domain
  • Ligand-induced dimerization triggers signalling
64
Q

what are cytoplasmic receptors?

A

Deal with pathogens that escape into the cytoplasm
- e.g. NOD-like receptors

65
Q

what are NOD-like cytoplasmic receptors?

A

important in bacterial infections
- large group of cytoplasmic receptors that recognise bacterial components e.g. peptidoglycan, flagellin
- NOD-like, structurally similar to proteins found in plants (nucleotide-binding oligomerization domains).
- Signal expression of pro-inflammatory cytokines – triggers cells to make cytokines
- They do this by triggering assembly of inflammasomes – multi-subunit complex that cleaves inactive cytokine precursors

66
Q

how do NLRs or TLRs interact with inflammasomes?

A
  • On binding PAMP, some NLRs signal to nucleus to activate cytokine gene transcription and production of cytokines
  • Cytokines are produced in an inactive form to avoid unnecessary activation
  • NLRs trigger formation of a large disc-like complex, the inflammasome, which can bind a protease (caspase-1 oligomers) that cleave pro-cytokines into active cytokines.
  • Some cytokines are released directly, others are made as inactive precursors that must be cleaved to make the active form
67
Q

what are RIG-I-like receptors?

A
  • involved in viral infections
  • viral sensors that detect viral RNA produced within host cells
  • Signal expression of interferons (cytokines specific in dealing with viral infections)
68
Q

what cells are the first to respond to infection? how do they respond?

A

Tissue macrophages/mast cells often respond first by releasing inflammatory mediators that increase blood flow and vascular permeability, and chemoattractants that attract phagocytes into the tissues.
- cytokines are also produced in the response

69
Q

what local response is induced upon infection? why is it important?

A

Inflammation, triggered by infection and tissue damage, is a critical local response to infection
It allows the phagocytes in blood to gain access to the microbes in tissues

70
Q

what are the 4 classic signs of inflammation?

A

Red, swelling, heat, pain

71
Q

how is inflammation induced?

A
  • Release of inflammatory mediators
  • Dilation of local blood vessels
  • Increased permeability and blood flow
  • Immune cell migration such as neutrophils into inflammatory site
  • Pain caused by stimulation of nerve endings which supply tissues
72
Q

why is inflammation important?

A

Inflammation ensures that immune cells, defence molecules, coagulation factors etc. reach the site of infection or tissue damage

73
Q

what cells produce inflammatory mediators?

A

sentinel cells, damaged cells, microbes

74
Q

what are examples of inflammatory mediators?

A
  • Lipid mediators e.g. prostaglandins which stimulate dilation of blood vessels and act on pain receptors
  • Vasoactive amines e.g. histamine, bradykinin – cause dilation of blood vessels
  • Chemoattractants e.g. f-met-leu-phe – help phagocytes move into tissues
  • Complement proteins e.g. C5a
  • Cytokines e.g. TNF
75
Q

what is the difference between acute and chronic inflammation?

A

Acute inflammation: generally beneficial in dealing with infection/injury - transient

Chronic inflammation: caused by chronic infection e.g. TB or other conditions e.g. autoimmune disease, which can be damaging – sustained inflammation
- In TB, the bacterium survives in macrophages and forms a granuloma which triggers chronic inflammation

76
Q

what is the main role of cytokines?

A

Cytokines are crucial in orchestrating and controlling immune responses – important in innate and adaptive immunity – can switch off the immune system
- Regulate immune responses by changing cell behaviour or gene expression

77
Q

what are cytokines?

A
  • 20kD small proteins, >100 identified
  • “Hormones” of the immune response
  • Most act locally, but can have systemic effects (cytokine storm = damage)
  • Can be produced by many cell types in response to immune activation
  • Act on cells bearing specific cytokine receptors
  • expression of cytokines and their receptors are tightly regulated
78
Q

how do cytokines act on other cells?

A
  1. Cytokine producer is triggered by a stimulus – cytokine transcription
  2. Cytokine will bind to cytokine receptor on target cell
  3. This will induce the target cell to undergo various responses to mount an immune response
79
Q

how are cytokines classified?

A

grouped into families on basis of structural similarities (but family members may have distinct functions)
- Cytokine receptors for the various subfamilies also tend to have similar structures and to signal in a similar way

80
Q

what are the cytokine families?

A
  1. IL-1 family: most produced as inactive precursors that must be cleaved by inflammasomes, important in inflammation
  2. Haematopoietin superfamily: includes factors involved in leukocyte differentiation e.g. GM-CSF but also IL-2, IL-4, IL-6 (important in T cell responses) – stimulate leukocyte generation
  3. Interferons: involved in responses to viruses
  4. TNF family (e.g. TNFα = tumour necrosis factor): many are transmembrane proteins that are shed, important in inflammation (very potent so is tightly regulated)
  5. Chemokines: involved in cell movement (e.g. IL-8 a.k.a CXCL8)
81
Q

what is TNF?

A

tumour necrosis factor - type of cytokine
- membrane protein, but extracellular region is released by proteolysis and is active as trimer
- induces local inflammation
- at high concs can be dangerous e.g. during sepsis

82
Q

how are cytokines involved in the early stages of the immune response?

A

cytokines are secreted by macrophages:
- IL-1 induces inflammation and act on hypothalamus to trigger fever response – activates immune cells and inhibiting growth of pathogens
- TNF triggers acute inflammation
- IL-6 activates T and B cells, as well as triggering fever
- CXC8 causes neutrophils to move out of bloodstream into tissues
- IL-12 triggers NK cells and differentiation of T cells into helper T cells

83
Q

what are interferons?

A

intruder alert cytokines:
- Viral infection induces the production of interferons (Interfere with viral replication)

84
Q

what are the 2 types of interferons?

A

Type I: IFN-a, IFN-b
- Many cell types make type I interferons after viral infection.
- Induce expression of interferon-stimulated genes (ISGs)
- Some cell types (e.g. dendritic cells) are specialised for this – express high levels of endosomal TLRs e.g. TLR3 (recognise dsRNA) and TLR9

Type 2: IFN-gamma
- modulates immune responses

85
Q

how are type 1 interferons expressed?

A

Infected host cell with TLRs will induce expression of IFN-a and IFN-b

86
Q

what are the functions of type I interferons?

A
  • Induce resistance to viral replication in all cells - Induce expression of endoribonuclease that degrades viral RNA and protein kinase that phosphorylates eukaryotic initiation factor 2, inhibiting protein translation
  • Increase MHC class I expression in all nucleated cells - MHCI is required for antigen presentation to cytotoxic T cells, so infected cells are more easily recognised and killed.
  • Activate NK cells to kill virally-infected cells.
  • Induce chemokines to recruit lymphocytes.
87
Q

what cells make Type II interferons?

A

Made by neutrophils, NK cells, T cells

88
Q

what are the functions of type II interferons?

A
  • Primary role in adaptive immunity
  • Increases expression of MHCI and MHCII
  • IFN-γ made by T helper cells activates macrophages in responses to intracellular pathogens
  • Forms dimers
89
Q

how does the innate immune system interact with the adaptive immune system?

A
  • Co-evolved and are interdependent
  • Innate immune responses initiate adaptive responses (antigen presentation) and different cytokines can “steer” adaptive immune responses by activating different T cell subsets, promoting the production of different antibody classes
  • Adaptive responses use elements of innate immunity to eliminate pathogens e.g. classical pathway of complement, activation of macrophages by T cell cytokines, antibodies can help NK cells recognise infected cells, mast cells to respond to parasites