Innate immunity Flashcards

(38 cards)

1
Q

What are the 3 phases of response to initial infection and what are their timescales?

A
  • Innate immunity: 0-4 hours
  • Early induced response: 4-96 hours
  • Adaptive immune response: >96 hours
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What happens in 0-4 hours of infection?

A
  • Innate immunity
  • Recognition of infection by nonspecific effectors
  • Removal of the infectious agent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What happens in 4-96 hours of infection?

A
  • Early induced response
  • Recruitment of effect cells
  • Recognition and activation of effector cells
  • Removal of infectious agent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What happens after 96 hours of infection?

A
  • Adaptive immune response?
  • Transport of antigen to lymphoid organs
  • Recognition by naive B and T cells • Clonal expansion of effector cells
  • Removal of infectious agent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the mechanical barriers to infection?

A
  • Tight junctions between cells prevent access
  • Air and fluid flow across the epithelium
  • Movement of mucus by cilia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the chemical barriers to infection?

A
  • Fatty acids on the skin
  • Enzymes: lysozyme in saliva, sweat and tears
  • Low pH in stomach
  • Antibacterial peptides: defensins (skin and gut) and cryptidins (gut)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what are the microbiological barriers to infection?

A
  • normal flora compete for nutrients and attachment (biofilms)
  • Normal flora produce antibacterial substances (colicins)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What types of cells ingest micro-organisms once across the epithelial barrier?

A
  • Mononuclear phagocytes
  • Macrophages
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What receptors recognise microorganisms for ingestion?

A
  • Mannose receptor
  • Glucan receptor
  • Scavenger receptor
  • CD14 (LPS)
  • CD11v/CD18 (CR3)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Describe the environment of a phagosome

A
  • pH of 3-4
  • Toxic oxygen derived products: superoxide, hydrogen peroxide, hydroxyl radical
  • Toxic nitrogen oxides: nitric oxide
  • Peptides: defensins and other cationic proteins
  • Enzymes: lysozyme, acid hydrolases
  • Competitors: lactoferrin, vitamin B12 binding protein
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the two pathways for bone marrow relating to the immune response?

A

Myeloid:

  • Polymorphonuclear leukocytes
  • neutrophils, basophils, eosinophils

Common lymphoid progenitor:

  • B cells
  • T cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the effects of IFN alpha and beta?

A
  • Induce resistance to viral replication in all cells
  • Increases MHC class 1 expression and antigen presentation in all cells
  • Activation of NK cells to kill virus infected cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Why are natural killer cells important at the start of the immune response?

A
  • Not specific
  • Don’t require a lengthy clonal expansion of T cells in lymph nodes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What dictates if a natural killer cell is active?

A
  • Balance between signals
  • A positive signal to kill can be overridden by a negative signal by MHC molecules (inhibitory)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the complement system?

A

A cascade of serum proteins in the bloodstream

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the 3 ways of triggering the complement cascade?

A

1) Classical Pathway: Antibody binds to a specific antigen on the pathogen surface
2) Lectin pathway; Mannose-binding protein binds to the pathogen surface
3) Alternative pathway: Pathogen surface creates environment conducive to complement activation

17
Q

What does the activation of the complement cascade lead to?

A
  • Recruitment of mediators of inflammation, phagocyte recruitment
  • Opsonization of pathogens, facilitating uptake and killing by phagocytic cells
  • Lysis and death of pathogens
18
Q

What is C3b?

19
Q

What is C3a?

A

Peptide mediator of inflammation

20
Q

What is C5a?

A

Peptide mediator of inflammation

21
Q

Describe how the classical pathway of the complement system is initiated

A

By C1r C3 splits into C3a, which floats away and is a mediator of inflammation, and C3b which acts as an opsonin

22
Q

How is the alternative pathway of the complement system initiated?

A

The spontaneous hydrolysis of serum C3 Triggered by something on the bacterial surface

23
Q

What forms MAC and what does it do?

A
  • C5b, C6 and C7
  • Self assembly
  • Punctures a hole in the surface of the bacteria causing the inner contents to leak out
  • Direct lysis of the bacteria
24
Q

What regulates complement activity?

A
  • DAF: Decay accelerating factor
  • MCP: membrane cofactor protein
  • CR 1: Complement receptor 1
25
Sepsis
Complement proteins rise, C3
26
What prevents MAC from attacking the body's cells?
CD59 prevents the parts forming together
27
What is this cell and what is its role?
Macrophage * Phagocytic cell * Circulates in the blood * Differentiates into macrophages in tissues
28
What is this cell and what is its role?
Macrophage * Phagocytic cell * Activation of T cells * Inititates immune response
29
What is this cell and what is its role?
Neutrophil * Phagocytic cell (rapidly phagocytoses then dies) * Most numerous white blood cell * Important in innate immunity
30
What is this cell and what is its role?
Eosinophil * Killing of antibodies, coated in parasites * Releases contents: - histamine - Peroxidases - RNases and DNases - Lipases - Plasminogen - Major basic protein
31
What is this cell and what is its role?
Basophil * Granulocyte * 0.1% of all white blood cells * Secretes histamine, proteoglycans, leucotrienes
32
What is this cell and what is its role?
Mast cell * Release number of substances that effect vascular systems e.g. histamine * IgE mediated triggering allergies
33
How long can neutrophils survive for?
Circulate for around 12 hours, can survive in tissues for 2 days
34
Neutropenia
Low numbers of neutrophils, genetic or as a result of medication e.g. chemotherapy
35
Alpha-1-antitrypsin deficiency
Elastase from neutrophils not adequately inhibited Results in excessive tissue damage during inflammation-pulmonary emphysema
36
How long can eosinophils survive for?
Circulate for 12 hours, survive in tissues for 3 days
37
Eosinopenia
Seen when glutocorticoids are used
38
In which diseases is Eosinophilia seen?
increase * Hodgkin's disease * Addison's disease