Into To Innate Immuno Flashcards

(33 cards)

1
Q

Define Innate Immunity

A

Protection against infections before infections begin, are capable of rapid responses to microbes, and react in essentially the same way to repeat infections

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2
Q

Characteristics of Innate Immunity

A

Responds rapidly to the presence of microorganisms or foreign Ag (inactive without infection, in EVERY vascularized tissue

Not Ag specific, limited diversity (recognizes structures shared by many microbes)

No immunologic memory

Stimulates the adaptive immune system

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3
Q

Benefits of innate and adaptive immunity

A

chart

If you are lacking innate immunity only in only a short time the number of microorganisms is out of control

If you are lacking adaptive immunity only the duration of the infection lasts a little longer until the number of microorganisms is too large

Perfect balance is having both to bring the number of microorganisms down again

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4
Q

Components of Innate Immunity

A

Barrier (skin, secretions)

Cytokines
Adhesion molecules, 3=SIS
Selections, integrins, superfamily Ig

Phagocytes= PMN
Macrophages
(Antigen-presenting cells, APC)

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5
Q

First Line of Defense

A

Mechanical- skin, gut, lungs, and eyes/nose/oral cavity

Chemical- skin, etc.
Fatty acids, lactic acid (seat and sebum), Destructive enzymes (lysozyme and phospholipase)(tears saliva, nasal secretion), acidic pH (stomach, skin, vagina), Sufactant proteins A and D (lung), Defensins (lung, GI tract, skin)

Microbiological- etc.

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6
Q

Granulocytes

A

Eosinophils- 1-3% of WBC
Basophils- <1% WBC
Mast Cells- tissue residents

All release pharmacological mediators responsible for combating multicellular parasites (histamines)
Play a major role in atopic diseases (histamines)

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7
Q

Neutrophils

A

Professional Killers

Summoned from bloodstream (about 30 min) by Il-1, TNF-a, IL-8

Endothelial cells near site of infection begin expressing selection proteins (adhesion molecules) that help capture the neutrophils attention

When die they form pus (pyogenic)

*think kamikaze pilots with these guys

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8
Q

Macrophages

A

Monocytes circulate, macrophages in the tissues

Prolonged defense

2 major functions:
M1- classical macrophages induced by innate immunity play a role in inflammation
M2- alternative macrophages induced by IL-4 and IL-13 and play a role in tissue repair and control of inflammation “shut it down”

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9
Q

Macrophages function

A

Phagocytosis
Cytokines production Inflammation
Wound healing

Antigen presentation
Regulatory cytokines
Effector cell
- Mo activity can be enhanced by Th cytokines
- activated Mo more efficient at elongating pathogens than resting Mo
- activated Mo have
A. Increased phagocytic activity, increased ability to activate Th cells, higher levels of Class II MHC/HLA on the cell surface

As it phagocytizes it fuses with lysosome, becomes phagolysosome and uses reactive oxygen and nitric oxide- degradation is what it’s all about

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10
Q

Clinical Blue Box

Chediak-Higashi Syndrome

A

AR

Partial oculocutaenous albinism

Recurrent pyogenic infections

Presence of giant granules in leukocytes

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11
Q

Dendritic Cells

A

Profession Ag presenting cell (APC) (along with B cell and macrophage)

Constitutively express high levels of Class II HLA and CD80, why they are professional

After capturing Ag in the tissues, migrate into blood or lymph and circulate to various lymphoid organs where they present Ag to T cells

APCs- BRIDGE between innate and adaptive immunity

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12
Q

NK cells

A

Part of Innate immunity

Large granulated circulation lymphocytes CD16+ CD56+

Effector mechanisms similar to cytotoxic T cells- cell killing and seceretion of cytokines (performing and granzymes induce apoptosis)

Secrete IFN-y (activates macrophages)
Activated by Il-12 (secreted by macrophages), IL-15, Type I IFNs

Adaptive immunity- principle mediator of ADCC: activating receptor IgG Fc

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13
Q

NK Destruction of Infected Cells

A

Destroy bacteria, artistes, fungi, tumor cells, and virus infected cells

Force cells to commit suicide- perforin proteins that deliver granzymes B into target cell, Fas ligand expressed on their cell surface (binds “death receptor” on target cell to induce apoptosis)

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14
Q

Macrophage and NK cell support

A

Reciprocal cytokine activation

Activated macrophages produce and secrete IL-12 which activate NK cells which produce IFN-y which activate macrophages to become better killers

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15
Q

Why do NK cells not target healthy cells?

A

NK must interpret “kill” on surface of the cell when their inhibitory receptor is not engaged by the MHC class I inhibitory ligand

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16
Q

Recognition of Microbes: pattern recognition receptors (PRR)

A

PAMPS- molecules/structures tat are shared by various classes of microbes, but not present on self (LBS, mannose, dsRNA, etc)

DAMPS- molecules released by stressed cells undergoing necrosis that act as endogenous danger signal

Binding of PAMP Logan’s to PRRs induce IC signaling in the phagocytes leading to their ACTIVATION

17
Q

TLR and Inflammasome

A

TLR1, 2 and 6- Bacterial lipopetides

TLR2- bacterial peptidoglycan

TLR4- LPS

TLR5- bacterial flagellin

TLR3,7,8,9- endogenous Ag

CD14 and TLR4- macrophages

Binding of ligand to TLRs- phagocytosis production and secretion of cytokines, increased ROS, (superoxide and nitric oxide) and increased cytoskeletal changes

TLR- increased cytokine expression
—> inflammasome leads to the assembly of a sensor (NLRP-3) and adaptor and the inactive caspase into the inflammasome. THe inflammasome activates the caspase which in turn results in the expression of IL-1 and 18 (potent inflammatory cytokines)

18
Q

DAMPS

A

Non-infections, cell damage/necrosis that is caused by radiation, surgery, burns, UV light, etc. Leads to HMGB1 (high mobility box 1- RAGE) and HSP (heat shock protein)

19
Q

Complement and Opsonization

A

Serum proteins created by hepatocytes

NOT Ag specific- innate immunity (more immediate)

AB activates classical pathway

Stimulates inflammation, facilitates Ag phagocytosis and can lyse some cells directly

Under tight regulation

Component activated by cleavage into peptide fragments- smaller fragments being “a” and larger being “b”

“B” activates complement component, binds to the target near the site of activation (except C2b)

“A” anaphylatoxins, diffuses from the site (except C2a), plays a role in initiating a localized inflammatory response

Alternative pathway
Protects from pathogens in absence of Ab- slower, less efficient
Initiates through spontaneous conversion of C3 to C3b (and a), identity and bind to non-self membranes
Sialic acid on self membranes rapidly inactivates bound C3b

Alternative/Lectin C’ pathway
Alternate- spontaneous lysis of C3, if binds to bacteria, initiate pathway
Lectin- mannose binding Lectin

Anaphylatoxins: C3a, C4a, and C5a are soluble products that are highly inflammatory
Induce smooth muscle contraction and degranulation of mast cells/basophils causing release the inflammatory mediators histamine and vasodialators which increase capillary permeability

C5a has the most potent biologic activity

Opsonization- phagocytes have membrane receptors for IgG (adaptive) and C3b- makes more “tasty” —> enhances phagocytosis

20
Q

Cytokines of Innate Immunity

A

TNF- comes from macrophages, T cells, and mast cells. Targets endothelial cell activation, neutrophil activation, fever from hypothalamus, liver- synthesis of acute phase proteins, catabolism of muscle and fat, apoptosis for many cells

IL-1- comes from macrophages, DC, endothelial cells, some epithelial cells, mast cells. Targets endothelial cells, hypothalamus, liver, and T cells- Th17 differentiation

Chemokines- comes from macrophages, DC, endothelial cells, T lymphocytes, fibroblasts, platelets. Target leukocytes- increased integrity affinity, chemotaxis activation

IL-12- comes DC, macrophages. Targets NK cells and T cells, IFN-y production, increased cytotoxic activity, T cells-Th1 differentiation

IFN-y- comes from NK cells, T lymphocytes. Targets Activation of macrophages and simulation of some Ab responses

Type I IFNs (a and b)- comes from IFN-a: DC, macrophages; IFN-b: fibroblasts. Targets all cells, antiviral state increases class I MHC expression, NK cell activation

IL-10- comes from macrophages, DC, T cells. Targets macrophages, DC, INB of cytokine and chemokines production, reduced expression of costimulators and class II MHC molecules

IL-6- comes from macrophages, endothelial cells, T cells. Targets liver (acute phase proteins) and B cells- proliferation of Ab producing cells

IL-15- Macrophages, others. Targets NK cells and T cells to proliferate

IL-18- macrophages, targets NK and T cells- IFNy synthesis

TGF-b- many cells, targets INB of inflammation, T cells- differentiation of Th17, regulatory T cells

21
Q

Cytokine Receptor families

A

Type 1- hematopoietic receptor family (majority of cytokines)

Type 2- all IFN plus IL-10, 20 and 22

TNF receptor family- TNF: can induce adaptors that lead to activation of caspase-8 (apoptotic)
Fas

G protein- mainly chemokines

22
Q

Endogenous pyrogens

Why fever?

A

IL-1, IL-6, and TNF-a work on liver, BM endothelium, hypothalamus, fat, muscle, DC

Decreases Ag processing, decreased bacterial and viral replication
Human cells become more resistant to negative effects of TNF-a

23
Q

Innate antiviral state and functions of IFN

A

Type I interferons
Interferons a and b, directly inhibit viral replication
IFN-a- produced by leukocytes
IFN-b- produced by fibroblasts

Degrade mRNA- INB of protein synthesis

Produced by vial infected cell/protects neighboring cells via IFN receptors

Functions
Induce resistance to viral replication in all cells
Increases MHC class I expression and Ag presentation in all cells-?
Activate NK cells to kill virus infected cells-?

24
Q

TGF and IL-10

A

Regulatory cytokines (and regulatory T cells)

Anti-inflammatory properties

TGF-b secreted by may types of cells. Allows for repair Sioux regulatory immune cells in vicinity

IL-10 secreted by macrophages, DC, and Tregs

25
Clinical Blue Box- C-Reactive Protein (CRP)
IL-6 from liver is one of the several serum proteins that increase rapidly due to infection, injury, inflammation, or trauma to tissue Most widely used as indicator of acute inflammation - followed to assess daises progress and response to treatment
26
Recruitment of Leukocytes
IL-1 and TNF increase expression of P and E selections on endothelium, binds, detaches, binds “rolling” of leukocyte —> slows down leukocytes Slowing down allows cells to respond to chemokines that are produced in response to IL-1 and TNF. Chemokines increase affinity and clustering of integrins for ligand binding. Leukocyte firmly attach, cytoskeleton recognizes and flatten Chemokines stimulate migration through the endothelium Neutrophils- LFA1- ICAM1, IL-8/IL-8L LFA (late functioning Ag) Mo- VLA4-VCAM1, CCR2-CCL2 IL-8 is chemokine calling macrophage
27
Acute Inflammatory Response
Occurs immediate after trauma or infection to prevent spread of pathogens, minimize more damage, and enhance repair 1. Vasodialation 2. Increased vascular permeability 3. Emigration of leukocytes from blood into the damages area
28
Inflammatory Exudate
Edema- brings plasma proteins into intimate contact with the damaged area Proteins in the inflammatory exudate include - clotting proteins- forms blood clots to prevent further loss of blood - complement- stimulates immune response and destroy bacteria - Kinin cascade- vasodialation, increase the permeability of blood vessels and stimulate pain receptors - fibrinolytic protein- degrades the clot when the wound has healed Results in macrophages type 2-?, clean up cellular debris, PRR_ scavenger receptors, specialized cytokines (IL-10 and TGF)
29
Systemic inflammatory Response Syndrome (SIRS)
Pathogenic overstimulation of the immune system “When it goes bad” DAMPs- SIRS —> shock PAMPS- Sepsis —> septic shock
30
Cytokine profiles during SIRS —> Shock
Innate acute phase cytokines- IL-1, IL-6, TNF Stimulate the liver to make more acute phase proteins including CRP and C’ Anaphylatoxins C5a Virtual storms that confuse the immune system Hypotension bc leaky, volume depleting, increase thrombus, tissue injury, organ failure —> death
31
Deficiencies in the cells of Innate Immunity
Phagocytes- increased susceptibility to EC bacteria and fungi NK cells- increased susceptibility viral infection, especially Herpes simplex
32
Defects in Phagocytes
Leukocyte adhesion deficiency- leads to widespread pyogenic bacterial infections Chronic granolamatous disease- IC and EX infection, granulomas G6PD def- defective respiratory burst, chronic infection Myeloperoxidase def- defective IC killing, chronic infection Chediak-Higashi syndrome- IC and EC infection, granulomas
33
Innate Immune Evasion
Resistance to phagocytosis- pneumococci Resistance to ROS- staphylococci Resistance to complement activation (alternative pathway)- Neisseria meningitis and streptococci Resistance to anti microbial peptide antibiotics- pseudomonas