Innate Immunity Flashcards

(39 cards)

1
Q

What are the anatomical components of innate immunity?

A

1) Physical barriers
2) Chemical barriers

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2
Q

What are the cellular components of innate immunity?

A

1) Phagocytes
2) Dendritic cells
3) NK cells

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3
Q

What are the soluble proteins involved in innate immunity?

A

1) Complements
2) Cytokines, Chemokines (mediators)
3) Antimicrobial substance

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4
Q

What are the cells of innate immunity from the myeloid lineage?

A

1) Macrophages
2) Monocytes
3) Granulocytes
4) Dendritic cells

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5
Q

What granulocytes are involved in innate immunity?

A

1) Polymorphonuclear leukocytes PMN (multilobed nucleus) - Neutrophils, Eosinophils, Basophils
2) Mast cells
3) NK cells (lymphoid lineage)

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6
Q

What agranulocytes are involved in innate immunity?

A

1) Monocytes
2) Macrophages
3) Dendritic cells

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7
Q

What are macrophages?

A

1) Versatile immune cells (monocyte specialisation)
2) Found in various tissues throughout the body
3) Involved in phagocytosis, Ag presentation to activate adaptive immune system + tissue repair
4) May be localised and named based on locations e.g., Kupffer cells (liver), alveolar macrophages (lungs), microglia (CNS), Langhans giant cells in TB

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8
Q

What are monocytes?

A

1) Larger than most other WBCs
2) Represent 2-10% of total WBC cell count in peripheral blood
3) Have kidney-shaped nucleus
4) Lack granules
5) Serve as scavenger cells
6) Functions - phagocytosis, Ag presentation, immune surveillance (Monitoring tissue damage)
7) Integral to inflammatory response
8) Differentiation into Macrophages and DCs

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9
Q

What are neutrophils?

A

1) Most abundant innate immune cells in peripheral blood (50-70%) of total WBC
2) Contain large granules that degranulate when they come in contact with Ags and release enzymes that destroy foreign substances - can injure surrounding tissue
3) Debris from destructive action produces exudate/pus
4) Enzymes secreted from granules known as chemotaxic factors - leukotrienes, vasoactive kinins + toxic metabolites
5) ‘Professional’ phagocytes

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10
Q

What are eosinophils?

A

1) Contain granules
2) Engage in phagocytosis
3) Seem to congregate in respiratory/GI tracts
4) Prominent during allergic reactions and parasitic infections
5) Carry certain enzymes that neutralise chemicals responsible for allergic responses
6) Release potent chemotaxic factors that cause inflammation, bronchospasm + tissue damage
7) PMN typically Bilobed

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11
Q

What are basophils?

A

1) Less than 1% of total WBC
2) Granules produce histamine + heparin - play a role in immune response
3) Is not a strong structure and is easily damaged which causes granules to release histamine and heparin
4) Vasospasm, increased vascular permeability and increased inflammation are major effects seen when this occurs
5) Reaction increases severity of allergic responses
6) Inflammatory mediators in response to allergen and parasitic infections

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12
Q

What are mast cells?

A

1) ‘Guardians’ of immune system
2) Found in cutaneous and mucosal tissue
3) Immediately recognise invasive non-self (foreign) Ags without aid of macrophages/lymphocytes
4) Effectors of immediate hypersensitivity reaction and contain most of body’s IgE
5) When IgE and Ag meet, immediate degranulation and release of histamine, prostaglandin, leukotrienes as well as arachidonic acid metabolism - potentiates hypersensitivity response

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13
Q

What are dendritic cells?

A

1) ‘Professional’ Ag-presenting cells
2) Capture pathogens, process them and present Ags to activate T cells of adaptive immune system
3) Bridge gap between innate and adaptive immune responses
4) Promotes allergy in asthma
5) Kill large parasites

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14
Q

What are natural killer (NK) cells?

A

1) Are cytotoxic lymphocytes
2) Recognise and kill infected/cancerous cells without prior sensitisation
3) Play critical role in early defense against viral infections and tumour surveillance

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15
Q

What are the functions of innate immune cells?

A

1) Recognition of Pathogens - pattern recognition receptors (PRRs)
2) Phagocytosis
3) Inflammation - release signalling molecules, initiate and regulate inflammation, more immune cells, tissue repair
4) Activation of Adaptive Immunity - Dendritic cells present
5) Protection against Multiple Pathogens - without requiring prior exposure

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16
Q

What is inflammation?

A

1) Reaction to injurious agents that consists of vascular response, cellular reaction and systemic reactions
2) Defensive response fundamentally divided into acute inflammation and chronic inflammation
3) 4 types - serous, fibrinous, suppurative (purulent), haemorrhagic

17
Q

What is the sequence in innate immune response/acute inflammation?

A

1) Recognition of pathogen/tissue damage
2) Complement activation
3) Release of inflammatory mediators
4) Vasodilation
5) Increased vascular permeability
6) Migration of immune cells
7) Phagocytosis
8) Resolution of infection/tissue repair
9) Resolution of inflammation
10) Tissue repair
11) Return to homeostasis

18
Q

What are the cardinals of inflammation?

A

1) Heat (Calor) - Vessel dilation
2) Redness (Rubor) - Vessel dilation
3) Swelling (Tumor) - Accumulation of exudate
4) Pain (Dolor) - Sensory neurons, chemical secretion
5) Loss of function

19
Q

What do pattern recognition receptors (PRRs) recognise?

A

1) Pathogen Associated molecular patterns (PAMPs) in microbes
2) Damage Associated molecular patterns (DAMP) on damaged tissues

Results in activation of innate immune cells

20
Q

What are the 3 pathways complement activation can occur through?

A

1) Classical
2) Lectin
3) Alternative

21
Q

What do complement proteins do?

A

1) Opsonise pathogens, leading to recognition and phagocytosis by immune cells
2) Also contribute to formation of membrane attack complex (MAC)
3) MAC can directly lyse some pathogens

22
Q

What is the classical pathway for complement cascade?

A

1) Triggered by Ab-Ag complexes
2) C1 complex (C1q, C1r, C1s) - C1q binds to Fc region causing conformational change activating C1r –> activating C1s (serine protease)
3) C1s cleaves C4 into C4a/C4b where C4b binds to pathogen surface, C1s also cleaves C2 into C2a/C2b where C2a binds to C4b making C4bC2a complex
4) C4bC2a complex = C3 convertase, cleaves C3 into C3a/C3b
5) C3b binds to C3 convertase (C4bC2a) forming C5 convertase cleaving C5 into C5a/C5b
6) C5b initiates MAC including C6, C7, C8 and C9 forming a pore in the membrane of the pathogen - cell lysis

23
Q

What is the process of the lectin pathway?

A

1) Triggered by serum lectin binding to sugars
2) MASP (MBL-Associated Serine Proteases) 1 and MASP 2 cleave C4 and C2 forming C4b2a complex
3) C3 convertase cleaves into C3a and C3b, where C3b binds to create C4b2a3b (C5 convertase)
4) C5 convertase cleaves C5 into C5a/C5b - C5b recruits C6, C7, C8 and C9 (MAC - membrane attack complex)

24
Q

What is the process of the alternative pathway in the complement cascade?

A

1) For pathogens/apoptotic tissue
2) Hydrolysis (spontaneous ) of C3 makes C3(H2O) binds to factor B (plasma protein) and becomes a substrate for factor D (protease)
3) Factor D cleaves Factor B into Ba/Bb, C3(H2O)Bb acts as fluid-phase C3 convertase cleaving C3 into C3a/C3b
4) The C3b binds covalently and can bind to Factor B which is cleaved by Factor D again forming C3bBb (alternative pathway C3 convertase) stabilised by properdin (positive regulator)
5) When additional C3b is binded to C3bBb, forms C3bBb3b - C5 convertase, cleaving C5 into C5a/C5b
6) C5b initiates MAC (C6, C7, C8, C9)

25
What are the outcomes of complement activation?
1) Lysis of pathogens 2) Opsonization (C3b, C2b) 3) Chemotaxis (MAC) 4) Inflammation (C3a, C5a) 5) Cell activation
26
What inflammatory mediators are released when innate immune cells are released?
1) Release cytokines/chemokines such as tumour necrosis factor-alpha (TNF-a) and interleukin-1 (IL-1), initiates inflammatory response 2) These molecules signal to neighbouring cells and promote inflammation by TNF-a and IL-1 promote vasodilation
27
What is the role of histamine, bradykinin and leukotrienes?
1) Critical roles in acute inflammation 2) Mediate processes such as vasodilation, increased vascular permeability and leukocyte recruitment
28
What are the effects of TNF-a and IL-1?
1) Increased blood flow leads to redness and warmth at site of infection/injury - rubor +calor 2) Increased permeability - leads to exudation of protein-rich fluid into extravascular space causing swelling - tumor 3) Loss of fluid from vessels leads to conc. of red cells - decreases velocity and stasis of blood flow 4) Leukocyte rolling adhesion and migration lead to accumulation of inflammatory
29
What do bradykinin, histamine, C3a, C5a and prostaglandins stimulate?
1) Expression of adhesion molecules 2) ICAM and VCAM-1 on endothelial cells and ligands such as selectin, mucin and integrin on neutrophils 3) Neutrophils attracted to site of injury by chemokines inducing changes in mucin (chemotaxis) 4) Binding of adhesion molecules and ligands leads to adhesion 5) Extravasation by diapedesis into tissue space
30
What is the process of vascular events in innate immunity?
1) Initial transient vasoconstriction of arterioles 2) Persistent progressive vasodilation 3) Elevation of local hydrostatic pressure 4) Increase in vascular permeability 5) Transudation of fluid into extracellular space 6) Slowing or stasis of microcirculation 7) Leucocytic margination
31
What is resolution in the inflammatory process?
1) Resolves when initiating cause is eliminated and tissue returns to its normal state without any residual damage 2) When complete resolution is not possible, repair occurs as damaged tissue is replaced with scar tissue, restoring structural integrity but often with some loss of original function
32
What is suppuration in the inflammatory process?
Formation of pus due to severe inflammation and infection, typically involving bacteria and resulting in tissue necrosis and abscess formation
33
What is chronic inflammation?
Occurs when inflammatory response is prolonged, either due to persistent infection, foreign bodies/autoimmune reactions, potentially leading to long-term tissue damage and fibrosis
34
What are the steps of phagocytosis?
1) Chemotaxis and adherence of micro to phagocyte 2) Ingestion of microbe by phagocytes 3) Formation of a phagosome 4) Fusion of phagosome with lysosome to form a phagolysosome 5) Digestion of ingested microbe by enzymes through oxidative burst mechanism 6) Formation of residual body containing indigestible material 7) Discharge of waste materials
35
What is opsonization in phagocytosis?
1) Process that enhances recognition and phagocytosis (engulfing and digestion) of pathogens 2) 'Opsonin' refers to any molecule/substance that binds to pathogens and make more 'palatable' or recognisable to phagocytic cells 3) E.g., IgG and C3b 4) Engage Fc receptors (FCRs) on macrophages and neutrophils with their FC portion
36
What happens after digestion in phagocytosis?
1) Residual material may be expelled 2) Immune cells can present Ags from pathogens to other immune cells 3) Links innate and adaptive immunity
37
What is NETosis?
Process which they release a mesh of extracellular traps made of DNA, histones and antimicrobial proteins called neutrophil extracellular traps (NETs)
37
How does the immune system start to downregulate inflammatory?
1) Anti-inflammatory cytokines (IL-10) are produced to counteract pro-inflammatory signals 2) Immune cells recruited at acute phase undergo apoptosis 3) Cell types such as fibroblasts, endothelial cells and tissue-specific cells become active in tissue repair process 4) New blood vessels form in injured area -angiogenesis 5) Extracellular matrix, structural support to tissues + remodelling 6) Fibroblasts produce collagen and other matrix components to strengthen and rebuild damaged tissue 7) Resolution of edema 8) Scar tissue forms in cases of extensive damage 9) Functional recovery occurs over time 10) Trained memory formed
38
What is the systemic effect of acute inflammation?
1) Fever - TNF-a 2) Leucocytosis 3) Inflammatory protein synthesis in liver (C reactive protein) 4) Increased blood pressure 5) Increased respiratory rate